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Hospital Intelligent Monitoring

We're making radical changes to the way we inspect and regulate acute hospitals.

Isn't this just a ranking of hospitals?

No, this isn't a judgement on hospitals. The profiles bring together information that helps us make decisions about inspections.

Our new operating model includes four key components:

  • Registration
  • Intelligent monitoring
  • Expert inspection
  • Judgement

We use intelligent monitoring of more than 150 different indicators to direct our resources to where they are most needed.

Want to know more?

You can find answers to some of the questions you might have or read about the 150 indicators we use in the documents below.

If you have other questions, you can Contact us.

Our analysts have developed this monitoring to give our inspectors a clear picture of the areas of care that need to be followed up within an NHS acute trust.

Together with local information from partners and the public, this monitoring helps us to decide when, where and what to inspect.

We've taken the results of our intelligent monitoring work and grouped the 160 acute NHS trusts into six priority bands for inspection based on the likelihood that people may not be receiving safe, effective, high quality care.

Band 1 is the highest priority trusts and band 6 the lowest.

Updated reports

We last updated the reports below on Thursday, 13 March. This was the second time we had published this information.

The new reports include changes to the indicators we use as a result of comments we've received from trusts, other regulators, specialist information organisations and members of the public. The indicators have also been refreshed with more up-to-date data where it is available to us.

The changes we've made to the indicators include:

  • Only including current whistleblowing cases
  • Updates to the indicators we use around the quality of stroke care
  • New indicators including from the maternity services survey and an audit of the quality of management of heart attacks in hospitals

You can find full details of the changes we are making in the document below.

We've also made a change in the number of groups we use to present this information.

There are still six main bands showing the priority each trust is for inspection but we are now separating out those where we have recently inspected (or are in the process of inspecting) under our new approach.

Download individual trust reports

You can find the individual trust-level information in our A-Z library below.

A-Z of Hospital Intelligent Monitoring reports

Each of these documents includes our analysis of the indicators for the trust in question.


You can see the trusts we have placed in each of the six priority bands below - either by viewing them as a list or by seeing them plotted on a map.

See the list of which trust is in each priority band

Find your local trust on a map