HospitalCheck

Chelsea And Westminster Hospital NHS Foundation Trust

London, SW10 9NH · Compare with another trust

At a glance

Whether this trust meets each official NHS operational standard — not a combined score or ranking.

Waiting times
Below NHS standard
68.0% within 18 weeks · standard 92% · About this data
A&E
Below NHS standard
78.3% within 4 hours · standard 95% · About this data
Cancer
Meets NHS standard
85.3% treated within 62 days · standard 85% · About this data
Diagnostics
Below NHS standard
19.3% waiting 6+ weeks · standard 1.0% or fewer · About this data
Mortality (SHMI)
Lower than expected
Screening indicator, not a death rate — a prompt to investigate, not proof of poor care · About this data

In plain English

AI-generated

Chelsea And Westminster Hospital NHS Foundation Trust reported 27,704 A&E attendances in July 2026, with 78.3% of patients treated within four hours. In June 2026, the trust had 73,514 patients on its waiting list, and 68% were seen within 18 weeks of referral. Staff survey results from 2025 showed that 76.8% of employees would be happy for a friend or relative to be treated there.

Automatically generated from the official figures on this page and checked to restate only those figures. Last generated 18 August 2026. This is a plain-English summary, not medical advice. About these summaries

Hospitals run by this trust

Trust performance

Treated or seen within 18 weeks
68.0%
National median: 66.3%
▲ 7.6 pts vs yr agoBetter than 57% of trustsData: Jun 2026
Typical (median) wait
12.6 wks
National median: 11.7 wks
▼ 1.4 wks vs yr agoBetter than 33% of trustsData: Jun 2026
Patients on the waiting list
73,514
National median: 39,587
▲ 3,213 vs yr agoData: Jun 2026
Waiting over a year
915
National median: 358.5
▼ 123 vs yr agoBetter than 25% of trustsData: Jun 2026
A&E patients seen within 4 hours
78.3%
National median: 74.2%
▼ 0.3 pts vs yr agoBetter than 69% of trustsData: Jul 2026
A&E attendances
27,704
National median: 14,642
▲ 1,678 vs yr agoData: Jul 2026
12-hour trolley waits
74
National median: 194
▲ 9 vs yr agoBetter than 65% of trustsData: Jul 2026

A&E performance

Latest month: July 2026· all A&E department types combined — the official headline basis.

A&E attendances
27,704
All department types · latest month
Seen within 4 hours
78.3%
All department types · NHS standard: 95%
Waited over 12 hours
74
From decision-to-admit ('trolley waits')
Emergency admissions
3,338
All department types · latest month
Major A&E only (Type 1)
Attendances
20,950
Seen within 4 hours
73.1%

The all-types headline above includes minor-injury units and urgent treatment centres (Type 3), which typically report much higher 4-hour performance and lift the combined figure. This narrower figure covers only the main, consultant-led A&E department— Type 1 in NHS England's classification.

Department typeAttendancesWithin 4 hours
All types (official headline)27,70478.3%
Type 1 — major A&E20,95073.1%
Type 3 — minor injury / UTC6,75494.3%

Source: NHS England A&E Attendances & Emergency Admissions. About this data

Cancer waiting times

Latest month: June 2026.

Faster diagnosis (28 days)
81.9%
2,377 of 2,901 treated in time
Target 75% · meets target
Treatment within 62 days
85.3%
177 of 207 treated in time
Target 85% · meets target
Treatment within 31 days
100.0%
200 of 200 treated in time
Target 96% · meets target
Treated within 62 days
Urgent referral to first treatment
80%90%Apr 25Jan 26NHS standard 85%85.3%73.1%April 202578.0%May 202572.6%June 202576.5%July 202576.6%August 202585.1%September 202580.6%October 202582.5%November 202587.4%December 202579.8%January 202683.0%February 202682.2%March 202689.0%April 202692.3%May 202685.3%June 2026
Faster diagnosis (28 days)
Referral to diagnosis or ruling-out
75%77.5%80%82.5%Apr 25Jan 26NHS standard 75%81.9%80.6%April 202579.3%May 202581.0%June 202580.8%July 202578.7%August 202577.9%September 202578.9%October 202579.6%November 202581.4%December 202579.1%January 202681.7%February 202678.1%March 202679.2%April 202682.0%May 202681.9%June 2026
Treated within 31 days
Decision to treat to first treatment
96%98%100%Apr 25Jan 26NHS standard 96%100.0%99.4%April 202596.9%May 202598.4%June 202599.5%July 202598.8%August 202597.4%September 202597.3%October 202598.8%November 202599.4%December 2025100.0%January 202699.3%February 202698.9%March 202699.0%April 202699.3%May 2026100.0%June 2026

Source: NHS England Cancer Waiting Times. The 62-day standard is urgent referral to first treatment; the 28-day faster-diagnosis standard is referral to diagnosis or ruling-out. About this data

Patient experience (Friends & Family Test)

Latest month: June 2026· a voluntary, monthly feedback survey — the figure is the share of respondents who rated their experience 'good' or 'very good'. Response rates are often low and respondents are self-selected, not a representative sample, so read this alongside the clinical measures above, not on its own.

Inpatient care
% would recommend
95.0%
Rated care 'good' or 'very good'
% would not recommend
2.0%
Rated care 'poor' or 'very poor'
Responses
1,960
Number of patients who gave feedback
Response rate
56.2%
Responses as a share of those eligible
Urgent & emergency care (A&E)
% would recommend
79.3%
Rated care 'good' or 'very good'
% would not recommend
14.3%
Rated care 'poor' or 'very poor'
Responses
1,823
Number of patients who gave feedback
Response rate
7.9%
Responses as a share of those eligible

Source: NHS England Friends & Family Test. About this data

Staff experience (NHS Staff Survey)

2025 · the views of staff who work at this trust — a measure of workforce culture, morale and confidence, not a direct measure of clinical outcomes. There is no official NHS target for these figures, so they are shown as context, never a pass or fail.

Staff happy for a friend or relative to be treated here
76.8%
Agreed · 2025 NHS Staff Survey▼ 0.6 pts vs 2024Median English trust: 63.9%
Staff engagement
7.12
out of 10 · 2025
Would recommend as a place to work
71.4%
Agreed · 2025

The NHS Staff Survey records the views of staff who chose to respond — a measure of workforce culture, morale and staff confidence, not a direct measure of clinical outcomes or safety. Response rates vary between trusts. England only; Scotland, Wales and Northern Ireland run separate staff surveys on a different basis, so these figures are never compared across nations.

Source: NHS Staff Survey (NHS England), Open Government Licence. About this data

Cancelled operations

Quarter ending 30 June 2026· last-minute cancellations for NON-CLINICAL reasons (no bed, no staff, an emergency taking priority) — not cancellations chosen by the patient or on clinical grounds. It's a raw count, so larger trusts naturally cancel more in absolute terms — read this alongside the other measures above, not on its own.

Last-minute cancellations
197
elective ops cancelled on the day, non-clinical reasons
Not rebooked within 28 days
2
the NHS standard is a new date within 28 days
% not rebooked in time
1.0%
share of cancelled ops without a new date inside 28 days

Source: NHS England (QMCO). About this data

Bed occupancy, ambulance handovers & delayed discharges (UEC Daily SitRep)

Snapshot at 8am, 29 March 2026. This is unvalidated management information— NHS England's own label — and can be revised for up to 14 days after first publication. It is collected only during the winter Daily SitRep window, so this is the latest date the collection has published, not necessarily today. It measures operational pressure (how full the hospital is), NOT care quality — high occupancy is normal for NHS hospitals, especially in winter, and is not a safety or performance score. The ambulance-handover figures below cover winter 2025-26 as a period total(not a snapshot): the time from an ambulance arriving to the patient being handed over to A&E staff. The delayed-discharge figures cover the most recent 7 daysof the collection (not a snapshot, and not the whole winter): a patient who "no longer meets the criteria to reside" is medically ready to leave hospital, but how quickly they actually do mostly reflects social-care and community capacity to receive them — NOT the hospital's own clinical quality. A higher handover or delayed-discharge figure means more operational pressure — like the rest of this section, none of it is a measure of care quality, and it carries no colour grading, badge or ranking.

Adult general & acute bed occupancy
92.3%
668 occupied of 724 open
Adult critical care occupancy
87.5%
21 occupied of 24 open
Ambulance handovers over 30 minutes
5.0%
of 18,670 handovers, winter 2025-26
Ambulance handovers over 60 minutes
0.2%
of 18,670 handovers, winter 2025-26
Medically fit but not discharged
133
patients/day who no longer met the criteria to reside but stayed in hospital, week to 29 March 2026
Discharged when fit
41%
of 1,565 who no longer met the criteria to reside, week to 29 March 2026

Source: NHS England UEC Daily SitRep, Ambulance Handover and Acute Discharge SitRep collections. About this data

Maternity — patient experience

CQC National Maternity Survey, 2025 · scores are relative comparisons against other trusts, not a measure of absolute quality — based on 245 voluntary respondents (a question is only shown here where at least 30 people at this trust answered it). A lower score is a prompt to look closer, not proof of poor care.

Response rate
36.7%
Share of those sampled who responded
Respondents
245
Of 681 sampled
Confidence & trust in staff (antenatal care)
8.7/10
About the same as most trusts
Kindness & compassion (labour & birth)
8.9/10
About the same as most trusts
Involved in decisions about care (labour & birth)
8.9/10
About the same as most trusts
Got help from staff when needed (in hospital, after the birth)
7.3/10
About the same as most trusts
Confidence & trust in your midwife (postnatal care at home)
7.8/10
About the same as most trusts
Midwife listened to you (postnatal care at home)
8.5/10
About the same as most trusts

Source: Care Quality Commission — National Maternity Survey. About this data

Stroke care (SSNAP audit)

Sentinel Stroke National Audit Programme, latest quarter to 2026· the SSNAP level (A best .. E) is the audit's own published grade for the quality of this team's acute stroke-care PROCESSES, adjusted for case-mix, case ascertainment and audit compliance — it is not a guarantee of any individual patient's outcome. England only; SSNAP also covers Wales and Northern Ireland.

Chelsea and Westminster Hospital
D58.8/100
London
Domain grades (patient-centred)
Hyperacute assessmentC
Specialist pathwayB
ReperfusionE
MDT assessmentB
Therapy intensityD
Therapy frequencyD
Standards by dischargeC
Case ascertainment AAudit compliance A
West Middlesex University Hospital
D53.8/100
London
Domain grades (patient-centred)
Hyperacute assessmentD
Specialist pathwayC
ReperfusionE
MDT assessmentD
Therapy intensityC
Therapy frequencyD
Standards by dischargeC
Case ascertainment AAudit compliance A

Source: Sentinel Stroke National Audit Programme (Royal College of Physicians). About this data

Hip fracture care (NHFD audit)

Chelsea And Westminster Hospital NHS Foundation Trust · National Hip Fracture Database, 2023audit year · "Met best-practice criteria" is the audit's own composite measure of hip-fracture care PROCESSES at each hospital this trust runs.

Chelsea & Westminster HospitalBest-practice 41.3%239 cases
West Middlesex University HospitalBest-practice 67.2%248 cases

Source: National Hip Fracture Database (Royal College of Physicians). About this data

Patient experience — inpatient care

CQC Adult Inpatient Survey, 2024 · scores are 0-10, and "better"/"worse" means the trust's score falls outside the range expected for a trust of its size (the CQC 95% expected range, centred on the national average) — a statistical-significance test, not a raw ranking. Based on 405 voluntary respondents (a question is only shown here where at least 30 people at this trust answered it). England only; response rates vary between trusts.

Response rate
33.5%
Share of those sampled who responded
Respondents
405
Of 1,250 sampled
Quality of information while waiting to be admitted
7.4/10
National average: 7.6/10
About the same as the national average
Cleanliness of your room or ward
8.9/10
National average: 8.9/10
About the same as the national average
Confidence and trust in the doctors
9.1/10
National average: 9.0/10
About the same as the national average
Confidence and trust in the nurses
8.9/10
National average: 8.9/10
About the same as the national average
Enough nurses on duty
7.8/10
National average: 7.6/10
About the same as the national average
Involved in decisions about your care and treatment
7.1/10
National average: 7.2/10
About the same as the national average
Given enough privacy when examined or treated
9.6/10
National average: 9.4/10
About the same as the national average
Given enough notice about when you would leave hospital
6.6/10
National average: 6.9/10
About the same as the national average
Knew what would happen next with your care, before leaving hospital
6.6/10
National average: 6.7/10
About the same as the national average

Source: Care Quality Commission — CQC Adult Inpatient Survey. About this data

Patient experience — A&E (urgent & emergency care)

CQC Urgent & Emergency Care Survey (A&E), 2024 · scores are 0-10, and "better"/"worse" means the trust's score falls outside the range expected for a trust of its size (the CQC 95% expected range, centred on the national average) — a statistical-significance test, not a raw ranking. Based on 188 voluntary respondents who attended a major (type 1) A&E department (a question is only shown here where at least 30 people at this trust answered it). England only; response rates vary between trusts.

Response rate
20.9%
Share of those sampled who responded
Respondents
188
Of 950 sampled
Overall experience of A&E
8.2/10
National average: 7.3/10
Better than the national average
Told how long you'd wait to be examined
4.0/10
National average: 2.6/10
Better than the national average
Kept updated on your waiting time
4.3/10
National average: 3.4/10
About the same as the national average
Doctors and nurses listened to you
8.9/10
National average: 8.3/10
Better than the national average
Confidence and trust in the doctors and nurses
8.7/10
National average: 8.1/10
About the same as the national average
Involved in decisions about your care
7.7/10
National average: 7.4/10
About the same as the national average
Test results explained before you left
7.9/10
National average: 7.5/10
About the same as the national average
Felt safe around other patients
8.8/10
National average: 7.8/10
Better than the national average
Told how to care for your condition at home after leaving
7.6/10
National average: 6.8/10
About the same as the national average
Treated with respect and dignity
9.3/10
National average: 8.3/10
Better than the national average

Source: Care Quality Commission — CQC Urgent & Emergency Care Survey (A&E). About this data

Patient experience — cancer care

National Cancer Patient Experience Survey, 2025 · scores are the % of patients giving the most positive answer (and an overall 0–10 rating), and "better"/"worse" means the trust's score falls outside the range expected for a trust of its size (the survey's 95% expected range, centred on the national average) — a statistical-significance test, not a raw ranking. Based on 271 patients treated for cancer by this trust (a question is only shown here where at least 10 people at this trust answered it). England only; response rates vary between trusts.

Response rate
—
Share of those sampled who responded
Respondents
271
Who took part
Overall rating of care
8.7/10
National average: 8.9/10
About the same as the national average
Cancer diagnosis explained understandably
79%
National average: 78%
About the same as the national average
Easy to contact your main contact person
77%
National average: 84%
Worse than the national average
Involved as much as wanted in treatment decisions
80%
National average: 80%
About the same as the national average
Confidence and trust in the team during hospital care
76%
National average: 78%
About the same as the national average
Always treated with respect and dignity in hospital
83%
National average: 88%
About the same as the national average
Possible side effects explained understandably
75%
National average: 74%
About the same as the national average
Given enough information about signs of cancer returning or spreading
63%
National average: 65%
About the same as the national average
The whole care team worked well together
90%
National average: 89%
About the same as the national average
Got the support needed from your GP practice since diagnosis
46%
National average: 45%
About the same as the national average

Source: NHS England (survey run by Picker on its behalf) — National Cancer Patient Experience Survey. About this data

Hip & knee replacement — patient outcomes (PROMs)

Financial year 2024-25(finalised) · patients having a primary hip or knee replacement voluntarily score their health before and after surgery. The average gain shown is adjusted for differences between patients (case-mix) — it is not a raw before/after difference and not a ranking, so read it alongside the patient numbers.

Hip replacement
Patients
10
Modelled records — completed the questionnaire before & after
% who improved
100.0%
Oxford Score higher after surgery than before
Knee replacement
Patients
4
Modelled records — completed the questionnaire before & after
% who improved
100.0%
Oxford Score higher after surgery than before

Source: NHS England PROMs (hip & knee replacement). About this data

Diagnostic test waits

Latest month: June 2026. The operational standard is that under 1% should wait more than 6 weeks.

Waiting 6+ weeks for a test
19.3%
of 16,973 patients on the diagnostic waiting list
TestWaiting list6+ weeks6+ weeks (count)13+ weeks
Respiratory physiology34477.3%266240
Cardiology1,46731.7%465123
CT scan2,46529.1%717272
Urodynamics9527.4%2610
Ultrasound7,56418.9%1,42919
Cystoscopy25211.9%302
Neurophysiology20410.3%212
Colonoscopy6279.9%6211
MRI2,5828.4%2179
Barium Enema756.7%50
Flexi Sigmoidoscopy1816.1%111
Audiology1443.5%50
Gastroscopy5373.0%164
DEXA Scan4361.4%60
Waiting 6+ weeks for a diagnostic test
All tests combined
10%20%Apr 25Jan 2619.3%10.0%April 202514.2%May 202518.4%June 202515.9%July 202513.9%August 202514.2%September 202513.4%October 202516.6%November 202520.2%December 202523.2%January 202617.9%February 202620.4%March 202626.5%April 202620.6%May 202619.3%June 2026

Source: NHS England Diagnostic Waiting Times & Activity (DM01). About this data

Safety: infections

Cases in the 12 months to July 2026. Hospital-onset cases are those most likely acquired in hospital.

InfectionCases (12 mo)Hospital-onset
MRSA bacteraemia163
C. difficile6946
E. coli bacteraemia42274
MSSA bacteraemia8528
Klebsiella bacteraemia12933
Pseudomonas bacteraemia4624
Hospital-onset cases per month
All infections combined
1020Dec 23Jan 25Jan 262721December 202315January 202415February 202418March 202414April 202421May 202419June 202411July 202422August 202422September 202418October 202412November 202419December 202423January 202519February 202515March 202519April 202520May 202515June 202519July 202511August 202513September 202513October 202516November 202520December 202520January 202614February 202617March 20269April 202622May 202626June 202627July 2026

Source: UK Health Security Agency mandatory surveillance. About this data

Mortality (SHMI)

12 months to Mar 2026.

Lower than expected
0.77
SHMI value (1.00 = as many deaths as expected) · 1,690 deaths vs 2,185 expected
SHMI over time
Rolling 12-month value
0.700.800.901.00Dec 18Jan 20Jan 21Jan 22Jan 23Jan 24Jan 25Jan 26As expected (1.00)0.770.77December 20180.76January 20190.76February 20190.77March 20190.77April 20190.76May 20190.75June 20190.74July 20190.75August 20190.74September 20190.76October 20190.76November 20190.75December 20190.76January 20200.77February 20200.77March 20200.78April 20200.78May 20200.79June 20200.78July 20200.78August 20200.78September 20200.76October 20200.77November 20200.78December 20200.77January 20210.76February 20210.76March 20210.71April 20210.72May 20210.72June 20210.72July 20210.72August 20210.71September 20210.72October 20210.72November 20210.71December 20210.71January 20220.71February 20220.70March 20220.71April 20220.71May 20220.72June 20220.72July 20220.72August 20220.71September 20220.71October 20220.72November 20220.71December 20220.72January 20230.71February 20230.72March 20230.72April 20230.72May 20230.71June 20230.71July 20230.71August 20230.73September 20230.72October 20230.72November 20230.72December 20230.70January 20240.71February 20240.71March 20240.70April 20240.69May 20240.69June 20240.70July 20240.70August 20240.70September 20240.70October 20240.70November 20240.70December 20240.72January 20250.73February 20250.73March 20250.75April 20250.75May 20250.76June 20250.75July 20250.76August 20250.77September 20250.76October 20250.75November 20250.77December 20250.77January 20260.78February 20260.77March 2026

The SHMI compares the number of deaths after hospital care with the number expected given patients' characteristics. It is not a death rate and a higher value is a prompt to investigate, not proof of poor care. Source: NHS England. About this data

Waiting times by specialty

Data: June 2026 · Source: NHS England Referral to Treatment statistics (incomplete pathways)

SpecialtyWaitingWithin 18 wksMedian wait9 in 10 wait under52+ wks65+ wks78+ wks
Other - Paediatrics9,39368.6%12.8 wks32.5 wks3400
Other - Surgicals6,80260.5%14.3 wks42.7 wks14400
Urology6,77368.3%13.2 wks35.1 wks3200
Gynaecology6,62687.2%9.0 wks21.8 wks000
Other - Others5,68977.6%10.5 wks29.5 wks700
Ear Nose and Throat5,61054.7%16.4 wks41.4 wks12500
Trauma and Orthopaedic5,50654.1%16.6 wks44.2 wks15100
Dermatology5,42474.9%10.4 wks29.0 wks000
General Surgery4,38556.6%15.7 wks43.9 wks9600
Plastic Surgery3,17548.9%18.6 wks50.0 wks19300
Ophthalmology2,44564.9%13.9 wks41.2 wks5100
Oral Surgery2,15244.0%20.8 wks48.2 wks8200
Cardiology1,97596.6%8.3 wks17.0 wks000
Gastroenterology1,78983.8%10.1 wks24.4 wks000
Respiratory Medicine1,50886.3%9.2 wks21.8 wks000
Neurology1,50859.7%15.3 wks29.2 wks000
Rheumatology1,25875.2%11.1 wks27.8 wks000
Other - Medicals1,16989.3%8.3 wks20.3 wks000
Elderly Medicine28792.0%7.5 wks18.0 wks000
General Internal Medicine3588.6%3.9 wks27.2 wks000
Cardiothoracic Surgery3100.0%2.3 wks2.9 wks000
Other - Mental Healths2100.0%1.0 wks8.8 wks000

Figures come from NHS England's official monthly statistics and the CQC directory, reproduced under the Open Government Licence v3.0. See methodology for definitions.