RTT: The Highest Risk Organisations: October 2015

  |   MBI Perform

The English waiting list has again risen this month – by 67,420 patients and the numbers of patients over 18, and 39 weeks have also risen. Not good news I’m afraid. And unfortunately it gets worse. As you know, we feel strongly that organisations should continue to report their performance so that we can see the national picture. This month we have lost another organisation from reporting – GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST.


To say that it is alarming that one of the most famous NHS organisations in the world has stopped reporting would be an understatement. Great Ormond Street does some hugely important work for our children but this is surely dark day for them.


Along with the others who are still not reporting (KING’S COLLEGE HOSPITAL NHS FOUNDATION TRUST,BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST, BARTS HEALTH NHS TRUST, HUMBER NHS FOUNDATION TRUST, LEICESTER PARTNERSHIP NHS TRUST, THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST, WALSALL HEALTHCARE NHS TRUST and WYE VALLEY NHS TRUST) make it very difficult to get a true picture of the waiting list nationally. What is certain however is that the picture is definitely a lot worse than currently stated. At a guess, we would think that if these non-reporting organisations were in the figures the waiting list would now be over 3.5 million patients which is the highest it has been since 2007, and it shows no sign of stopping. Worrying times indeed.


Little change has occurred in terms of the Trusts in most difficulty with Medway NHS Foundation Trust, Hull and East Yorkshire Hospitals NHS Trust, Royal Free London NHS Foundation Trust, Heart of England NHS Foundation Trust, and Brighton and Sussex University Hospitals NHS Trust remaining the highest risk organisations in England.


However we shouldn’t be all doom and gloom. As we did last month, this month we would like to also single out some Trusts who are working hard to get better. We have looked at the biggest Trusts (those with the highest numbers of patients on their books) that have the biggest improvement in performance this month.


So congratulations to East Kent Hospitals University NHS Foundation Trust for reducing patients over 18 weeks by almost 300 patients in a single month. Keep that sort of improvement going and you will soon be out of trouble.


Special mentions also go to: Royal Cornwall Hospitals NHS Trust, Imperial College Healthcare NHS Trust and York Teaching Hospital NHS Foundation Trust who all reduced their long waiting patients significantly this month. Keep it up folks!


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.


This month we have changed things slightly – we are now listing organisations who do not report at the top of our lists of risks. There for everyone to see!


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


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