HospitalCheck

London North West University Healthcare NHS Trust

Harrow, HA1 3UJ · 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
65.3% within 18 weeks · standard 92% · About this data
A&E
Below NHS standard
76.9% within 4 hours · standard 95% · About this data
Cancer
Meets NHS standard
87.1% treated within 62 days · standard 85% · About this data
Diagnostics
Below NHS standard
28.4% 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

London North West University Healthcare NHS Trust reported 31,049 A&E attendances in July 2026, with 76.9% of patients treated within four hours. In June 2026, the trust had 81,241 patients on its waiting list, and 65.3% were seen within 18 weeks of referral. Additionally, 59.4% of staff would recommend the trust to friends or relatives.

Automatically generated from the official figures on this page and checked to restate only those figures. Last generated 16 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
65.3%
National median: 66.3%
▲ 9.6 pts vs yr agoBetter than 44% of trustsData: Jun 2026
Typical (median) wait
12.4 wks
National median: 11.7 wks
▼ 3.4 wks vs yr agoBetter than 35% of trustsData: Jun 2026
Patients on the waiting list
81,241
National median: 39,587
▼ 5,122 vs yr agoData: Jun 2026
Waiting over a year
542
National median: 358.5
▼ 1,815 vs yr agoBetter than 40% of trustsData: Jun 2026
A&E patients seen within 4 hours
76.9%
National median: 74.2%
▼ 1.2 pts vs yr agoBetter than 64% of trustsData: Jul 2026
A&E attendances
31,049
National median: 14,642
▲ 836 vs yr agoData: Jul 2026
12-hour trolley waits
413
National median: 194
▲ 229 vs yr agoBetter than 32% of trustsData: Jul 2026

A&E performance

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

A&E attendances
31,049
All department types · latest month
Seen within 4 hours
76.9%
All department types · NHS standard: 95%
Waited over 12 hours
413
From decision-to-admit ('trolley waits')
Emergency admissions
6,647
All department types · latest month
Major A&E only (Type 1)
Attendances
14,527
Seen within 4 hours
52.3%

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)31,04976.9%
Type 1 — major A&E14,52752.3%
Type 3 — minor injury / UTC16,52298.5%

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

Cancer waiting times

Latest month: June 2026.

Faster diagnosis (28 days)
80.9%
2,734 of 3,380 treated in time
Target 75% · meets target
Treatment within 62 days
87.1%
139 of 159 treated in time
Target 85% · meets target
Treatment within 31 days
98.1%
153 of 156 treated in time
Target 96% · meets target
Treated within 62 days
Urgent referral to first treatment
75%80%85%Apr 25Jan 26NHS standard 85%87.1%84.9%April 202578.2%May 202581.9%June 202583.7%July 202582.2%August 202580.8%September 202582.6%October 202586.3%November 202586.6%December 202573.8%January 202674.4%February 202681.8%March 202685.6%April 202677.5%May 202687.1%June 2026
Faster diagnosis (28 days)
Referral to diagnosis or ruling-out
75%80%85%Apr 25Jan 26NHS standard 75%80.9%79.8%April 202573.5%May 202580.1%June 202581.4%July 202580.9%August 202579.5%September 202580.3%October 202581.5%November 202582.1%December 202576.4%January 202684.0%February 202683.9%March 202678.8%April 202681.4%May 202680.9%June 2026
Treated within 31 days
Decision to treat to first treatment
96%98%100%Apr 25Jan 26NHS standard 96%98.1%98.2%April 2025100.0%May 2025100.0%June 2025100.0%July 202598.7%August 202599.5%September 202599.4%October 202599.4%November 2025100.0%December 202597.2%January 202698.7%February 2026100.0%March 202698.4%April 2026100.0%May 202698.1%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
93.1%
Rated care 'good' or 'very good'
% would not recommend
4.4%
Rated care 'poor' or 'very poor'
Responses
1,805
Number of patients who gave feedback
Response rate
11.8%
Responses as a share of those eligible
Urgent & emergency care (A&E)
% would recommend
73.0%
Rated care 'good' or 'very good'
% would not recommend
18.1%
Rated care 'poor' or 'very poor'
Responses
1,560
Number of patients who gave feedback
Response rate
5.7%
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
59.4%
Agreed · 2025 NHS Staff Survey▼ 0.8 pts vs 2024Median English trust: 63.9%
Staff engagement
6.87
out of 10 · 2025
Would recommend as a place to work
58.4%
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
68
elective ops cancelled on the day, non-clinical reasons
Not rebooked within 28 days
0
the NHS standard is a new date within 28 days
% not rebooked in time
0.0%
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
95.2%
1,005 occupied of 1,056 open
Adult critical care occupancy
85.7%
48 occupied of 56 open
Ambulance handovers over 30 minutes
42.6%
of 24,488 handovers, winter 2025-26
Ambulance handovers over 60 minutes
1.3%
of 24,488 handovers, winter 2025-26
Medically fit but not discharged
213
patients/day who no longer met the criteria to reside but stayed in hospital, week to 29 March 2026
Discharged when fit
33%
of 2,217 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

Never Events (patient safety)

Financial year 2025/26 · Never Events are rare, serious, wholly-preventable incidents. This is a RAW count for 2025/26— it is NOT adjusted for how much surgery the trust does, and NHS England publishes it to prompt learning, NOT to compare trusts. A higher number is a prompt to look at the trust's own review, not proof it is less safe than a trust with fewer.

Never Events reported
3
Occurring in FY 2025/26 · not a comparative safety score

Source: NHS England. 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 73 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
25.4%
Share of those sampled who responded
Respondents
73
Of 300 sampled
Confidence & trust in staff (antenatal care)
8.5/10
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)
8.7/10
About the same as most trusts
Got help from staff when needed (in hospital, after the birth)
7.7/10
About the same as most trusts
Confidence & trust in your midwife (postnatal care at home)
8.4/10
About the same as most trusts
Midwife listened to you (postnatal care at home)
8.4/10
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.

Northwick Park Hospital HASU
D57.5/100
London
Domain grades (patient-centred)
Hyperacute assessmentD
Specialist pathwayD
ReperfusionE
MDT assessmentB
Therapy intensityC
Therapy frequencyC
Standards by dischargeB
Case ascertainment AAudit compliance A
Northwick Park Hospital SU
D59.5/100
London
Domain grades (patient-centred)
Hyperacute assessmentD
Specialist pathwayC
ReperfusionE
MDT assessmentB
Therapy intensityC
Therapy frequencyD
Standards by dischargeB
Case ascertainment AAudit compliance A

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

Hip fracture care (NHFD audit)

London North West University Healthcare NHS 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.

Northwick Park HospitalBest-practice 44.2%315 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 367 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
31.7%
Share of those sampled who responded
Respondents
367
Of 1,250 sampled
Quality of information while waiting to be admitted
7.0/10
National average: 7.6/10
About the same as the national average
Cleanliness of your room or ward
8.4/10
National average: 8.9/10
Worse than the national average
Confidence and trust in the doctors
8.9/10
National average: 9.0/10
About the same as the national average
Confidence and trust in the nurses
8.7/10
National average: 8.9/10
About the same as the national average
Enough nurses on duty
7.9/10
National average: 7.6/10
About the same as the national average
Involved in decisions about your care and treatment
7.0/10
National average: 7.2/10
About the same as the national average
Given enough privacy when examined or treated
9.2/10
National average: 9.4/10
About the same as the national average
Given enough notice about when you would leave hospital
6.8/10
National average: 6.9/10
About the same as the national average
Knew what would happen next with your care, before leaving hospital
6.7/10
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 232 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
25.9%
Share of those sampled who responded
Respondents
232
Of 950 sampled
Overall experience of A&E
7.3/10
National average: 7.3/10
About the same as the national average
Told how long you'd wait to be examined
2.8/10
National average: 2.6/10
About the same as the national average
Kept updated on your waiting time
3.8/10
National average: 3.4/10
About the same as the national average
Doctors and nurses listened to you
8.2/10
National average: 8.3/10
About the same as the national average
Confidence and trust in the doctors and nurses
8.2/10
National average: 8.1/10
About the same as the national average
Involved in decisions about your care
7.1/10
National average: 7.4/10
About the same as the national average
Test results explained before you left
7.7/10
National average: 7.5/10
About the same as the national average
Felt safe around other patients
7.4/10
National average: 7.8/10
About the same as the national average
Told how to care for your condition at home after leaving
6.9/10
National average: 6.8/10
About the same as the national average
Treated with respect and dignity
8.4/10
National average: 8.3/10
About the same as 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 305 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
305
Who took part
Overall rating of care
8.8/10
National average: 8.9/10
About the same as the national average
Cancer diagnosis explained understandably
75%
National average: 78%
About the same as the national average
Easy to contact your main contact person
88%
National average: 84%
About the same as the national average
Involved as much as wanted in treatment decisions
77%
National average: 80%
About the same as the national average
Confidence and trust in the team during hospital care
73%
National average: 78%
About the same as the national average
Always treated with respect and dignity in hospital
89%
National average: 88%
About the same as the national average
Possible side effects explained understandably
72%
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
91%
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
Average health gain (adjusted)
19.8
Oxford Score, case-mix-adjusted, 0-48 scale
Raw gain (unadjusted): 18.2
Patients
41
Modelled records — completed the questionnaire before & after
% who improved
95.1%
Oxford Score higher after surgery than before
EQ-5D Index gain (adjusted)
0.34
General health, secondary measure, 0-1 scale
Knee replacement
Average health gain (adjusted)
13.7
Oxford Score, case-mix-adjusted, 0-48 scale
Raw gain (unadjusted): 13.3
Patients
103
Modelled records — completed the questionnaire before & after
% who improved
89.3%
Oxford Score higher after surgery than before
EQ-5D Index gain (adjusted)
0.24
General health, secondary measure, 0-1 scale

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
28.4%
of 23,723 patients on the diagnostic waiting list
TestWaiting list6+ weeks6+ weeks (count)13+ weeks
Neurophysiology77578.5%608457
Respiratory physiology68866.0%454306
Barium Enema21457.0%12252
Cardiology4,55753.8%2,4511,272
Ultrasound9,05823.9%2,167296
Cystoscopy26616.9%4517
Gastroscopy57115.2%8721
MRI3,77914.7%55498
Audiology41112.7%5211
Colonoscopy6107.5%465
CT scan1,6377.4%1214
Flexi Sigmoidoscopy1917.3%144
DEXA Scan9332.3%210
Waiting 6+ weeks for a diagnostic test
All tests combined
25%30%35%Apr 25Jan 2628.4%29.7%April 202531.6%May 202526.8%June 202524.2%July 202526.2%August 202526.1%September 202525.1%October 202528.7%November 202535.0%December 202538.1%January 202634.6%February 202634.6%March 202633.0%April 202628.5%May 202628.4%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 bacteraemia93
C. difficile10045
E. coli bacteraemia59992
MSSA bacteraemia12940
Klebsiella bacteraemia19253
Pseudomonas bacteraemia5317
Hospital-onset cases per month
All infections combined
203040Dec 23Jan 25Jan 261923December 202325January 202433February 202421March 202422April 202414May 202420June 202434July 202421August 202421September 202438October 202427November 202425December 202427January 202529February 202519March 202518April 202534May 202525June 202527July 202521August 202519September 202523October 202522November 202526December 202517January 202617February 202623March 202622April 202622May 202619June 202619July 2026

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

Mortality (SHMI)

12 months to Mar 2026.

Lower than expected
0.81
SHMI value (1.00 = as many deaths as expected) · 2,540 deaths vs 3,135 expected
SHMI over time
Rolling 12-month value
0.800.901.00Dec 18Jan 20Jan 21Jan 22Jan 23Jan 24Jan 25Jan 26As expected (1.00)0.810.84December 20180.83January 20190.83February 20190.84March 20190.84April 20190.84May 20190.84June 20190.83July 20190.84August 20190.84September 20190.84October 20190.84November 20190.83December 20190.84January 20200.84February 20200.85March 20200.85April 20200.86May 20200.86June 20200.86July 20200.86August 20200.85September 20200.85October 20200.86November 20200.87December 20200.87January 20210.87February 20210.86March 20210.86April 20210.84May 20210.83June 20210.83July 20210.83August 20210.82September 20210.81October 20210.80November 20210.80December 20210.79January 20220.79February 20220.78March 20220.78April 20220.79May 20220.79June 20220.79July 20220.78August 20220.79September 20220.80October 20220.80November 20220.79December 20220.78January 20230.79February 20230.79March 20230.79April 20230.79May 20230.80June 20230.80July 20230.81August 20230.83September 20230.83October 20230.85November 20230.85December 20230.87January 20240.86February 20240.86March 20240.86April 20240.86May 20240.86June 20240.87July 20240.86August 20240.86September 20240.87October 20240.86November 20240.85December 20240.84January 20250.84February 20250.86March 20250.85April 20250.86May 20250.86June 20250.86July 20250.85August 20250.84September 20250.84October 20250.84November 20250.83December 20250.82January 20260.82February 20260.81March 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 - Medicals10,28572.0%10.3 wks36.1 wks1000
Other - Surgicals9,43972.3%10.6 wks32.4 wks3000
Oral Surgery8,45845.4%19.7 wks36.1 wks800
Ear Nose and Throat8,14856.3%15.5 wks45.7 wks36400
Gastroenterology6,76666.3%13.7 wks34.3 wks1800
Trauma and Orthopaedic6,58159.9%14.6 wks39.3 wks4800
Gynaecology5,90267.7%10.9 wks36.2 wks3100
Cardiology5,27966.4%11.9 wks36.5 wks1600
Urology4,11277.2%9.9 wks28.9 wks400
Respiratory Medicine3,45461.7%13.6 wks39.4 wks000
General Surgery3,37162.3%13.1 wks39.1 wks700
Dermatology3,26951.9%16.9 wks40.1 wks600
Other - Paediatrics2,62383.3%7.9 wks23.9 wks000
Ophthalmology1,45086.9%6.9 wks22.9 wks000
Neurology1,03283.1%11.4 wks22.0 wks000
Rheumatology95397.8%4.3 wks14.1 wks000
Elderly Medicine8697.7%3.0 wks8.4 wks000
Plastic Surgery3196.8%8.2 wks17.5 wks000
Other - Others2100.0%1.0 wks2.8 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.