Published on: 9th September 2025
The NHS has published league tables ranking every trust in England and we’re thrilled to announce that the Royal National Orthopaedic Hospital has been ranked as the second highest rated of acute/specialist providers. This is a fantastic result for RNOH and a reflection of the dedication and commitment RNOH staff have to continually improving our services and the care we deliver to our patients.
The rankings are published under the NHS Oversight Framework which provides a consistent and transparent approach to assessing NHS trusts and integrated care boards (ICBs), ensuring public accountability for performance and providing a foundation for how NHS England works with systems and providers to support improvement.
The roles and responsibilities for Trusts cover delivery of high quality (safe, effective and positive patient experience) and efficient care, and compliance with the requirements of the NHS provider licence
The performance assessment measures each provider’s delivery on key metrics across six domains. They are:
- Access to services
- Effectiveness and experience of care
- Patient safety
- People and workforce
- Finance and productivity
- Improving health and reducing inequality (non-scoring)
RNOH came out at number two nationally when measured against these metrics. This result demonstrates that RNOH is not only the top national provider of orthopaedic care, it’s also one of the best performing acute Trusts in England and Wales when measured against these crucial indicators.
Prof Paul Fish, Chief Executive of RNOH, said: “I’m delighted that RNOH has been ranked as the second highest performing Trust under the NHS Oversight Framework. This result is down to the hard-working and dedicated staff at RNOH who deliver the very highest standards of care to our complex patient group.
This fantastic result comes alongside our CQC Adult Inpatient Survey result that rates us as performing ‘better than expected’.
We continually strive to not only maintain our position as the UK’s leading centre for orthopaedic medicine, but seek to improve how we deliver care every day. As well as caring for our patients, we also ensure that colleagues working across RNOH feel supported and valued, no matter what role they play; they are all critical to our success and I thank every one of them.”