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First ranking of NHS trusts sees Bath’s RUH in the bottom quarter

Thursday 11th September 2025 Becky Feather, Reporter Health

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The Royal United Hospitals NHS Foundation Trust in Bath has been ranked 112th out of 134 in England in a new league table.

Photo © RUH Bath

A new interactive dashboard provides a view of how NHS trusts are performing in key services, including urgent and emergency care, elective services, mental health and more.

The league tables are part of NHS England’s commitment to transparency and improvement, and every trust will be ranked every three months.

The league tables are ranked into quarters, with Segment 1 representing the best performing areas, down to Segment 4 which is the “most challenged”.

The RUH finds itself in the bottom quarter in the acute trust league table. In terms of neighbouring trusts, University Hospitals Bristol and Weston NHS Foundation Trust is ranked 13th and is in Segment 1.

Somerset NHS Foundation Trust is 20th and North Bristol NHS Trust is 24th. Both are in Segment 2. Great Western Hospitals NHS Foundation Trust is 76th on the league table and in Segment 3.

Topping the table is Moorfields Eye Hospital NHS Foundation Trust in London. Bottom is The Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust.

This week, a spokesperson for the Royal United Hospital said: “We are fully supportive of an accessible way for the public to see how their local health services are performing, and we acknowledge the published position of the Royal United Hospitals Bath in this quarter’s data.

“We are working hard to make sustained improvements to our position over the coming weeks and months with as much pace as we can.

“There are already a number of plans under way including a focus on diagnostic waits, referral to treat time and cancer diagnosis.

“We are grateful to our staff for their commitment to our patients and we are working really hard to put the right plans in place to deliver the improvements required.”a

In the league table of England’s 10 ambulance trusts, South Western Ambulance Service NHS Foundation Trust is ranked ninth.

Topping the list is North West Ambulance Service NHS Trust while East of England Ambulance Service NHS Trust is bottom.

A spokesperson for the South Western Ambulance Service NHS Foundation Trust said: “We are committed to improving the care that our patients deserve and rightly expect.

“Delays in our care is not something we want any of our patients to experience, and when a delay does occur, it’s taken very seriously.

“We are working with system partners to improve the operating environment within which we work, including reducing hospital handover delays.

“We have also increased the number of trained clinicians working within our Emergency Operations Centres (where 999 calls are received), who assess relevant calls to determine the best response.

“This means that in some cases, the best care for the patient may be a hear and treat response where advice and guidance, sometimes involving referral to another healthcare service is provided.

“This not only allows us to deliver appropriate and effective care but also helps to keep ambulances available for those in urgent need.

“We would like to thank our people and partners who continue to work hard, often in challenging circumstances, to deliver dedicated patient care.”

In the non-acute trusts Avon and Wiltshire Mental Health Partnership NHS Trust is ranked 38 out of 61 (Segment 3).

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