RTT: The Highest Risk Organisations: December 2015

  |   MBI Perform

Another month goes by and another warning from us goes unheeded. It’s 99% certain now that the NHS failed the RTT standard in October (remember the figures are published two months out of date – which is madness in itself). We aren’t 100% certain because of the number of Trusts failing to report. However, taking the estimated waiting list figures for these non-reporters gives us a failing position. And it has to be said that in our opinion NHS England’s estimates are a bit optimistic so that makes us certain that the standard has been missed – exactly like we were predicting two months ago.
So what?
Well, missing the standard is a direct result of the waiting list now getting bigger faster than we are treating patients. Simply put, thats really bad news for everyone waiting on treatment. And the frustrating part is that we have been warning of it for ages.
We have also been highlighting non-reporting trusts as an issue. This is a position that has worsened in the last year with more and more Trusts failing to report (currently 10) – in our mind that’s unacceptable.
This month we have had an even more bizarre situation with regard non-reporting occur. Medway NHS Foundation Trust, who had just returned to reporting after a significant period of non-reporting has decided to stop reporting again!
How can it be possible to make a conscious decision to report by (you would assume) senior members of the organisation, and then immediately reverse that decision and stop reporting? Whilst very poor decision making is obviously going on, you have to question how NHS England, The TDA and Monitor allow such nonsense to happen?
On the other hand, we have had some good news – with the return to reporting of the Princess Alexandra Hospital NHS Trust . As always, sincere congratulations to the team there for their hard work in returning to reporting.
In terms of specific performance that has caught our eye this month, congratulations to East Kent Hospitals University NHS Foundation Trust who have had the biggest improvement in performance this month, moving six places to get out of the top 10 highest risk organisations. Brilliant.
Unfortunately the situation worsens for Norfolk and Norwich University Hospitals NHS Foundation Trust, who have now moved to become the second highest risk organisation in England.
Lastly, we note that there are two organisations who have had the biggest deterioration this month and need to act fast to prevent things getting any worse – Colchester Hospital University NHS Foundation Trust and University Hospital of South Manchester NHS Foundation Trust .
If you work at any of the Trusts mentioned why not get in touch to see if MBI Health Group can help you. Email us now at
And remember, if you or any family or friends are struggling to get treatment try out our sister site which we launched last month, where they can manage their own waiting times and get access to specialist advice if they need it. is our free to use guide to managing waiting times.
As usual our Trust rankings are compiled through statistical analysis of past and current performance to give organisations a risk-adjusted ranking and whether their performance is getting worse or better.
Again, we have looked at organisations in three ways:

  • The Shelford Group: the self-styled “leading group of hospitals” in the NHS;
  • Foundation Trusts: hospitals that have earned the right to more freedom from government policy;
  • Non-Foundation Trusts: all the rest of the hospitals.


Why not have a look and see where your local Trust comes in our league table. You can download the list for free HERE
Don’t forget to check out and spread the word about taking ownership of waiting times. Visit now!