Spire Little Aston Hospital

Updated 1 October 2026

Spire Healthcare Limited operates Spire Little Aston Hospital. The hospital has a 27 bedded surgical ward, an eight bedded day case unit and a chemotherapy suite with four chairs and two private rooms. The services are available to insured and self-funding people. The hospital also provides treatment for adult NHS patients; there are three advanced theatres equipped with laminar flow systems and a minor operations theatre including endoscopy services, outpatient facilities (Monday- Saturday), and full on‑site diagnostics (magnetic resonance imaging (MRI) , computed tomography (CT), ultrasound, X‑ray, fluoroscopy, mammography) in addition to a xray department. The site hosts several specialist services including a Mako robotic orthopaedic centre, BSGE‑accredited endometriosis centre, Spire Eye Centre, and on‑site rehabilitation services. The hospital provides surgery, outpatient services and limited diagnostic tests for children and young people.

The hospital registered manager has been in post since 2020 but was working in another interim role at the time of our assessment.

The service is registered to provide the following regulated activities:

• Treatment of Disease, Disorder or Injury.
• Diagnostic Imaging Services.
• Surgical procedures.
• Family planning
• Services in slimming clinics

The last published inspection report included surgery, medicine and outpatients in 2019 and rated the services and the hospital as good. We inspected Surgery and out patients in May and June 2026, this report has not yet been published. We inspected the service as it had not been inspected since 2019 and as such had an aged rating We inspected this service using our comprehensive assessment methodology.

The hospital did see a small number of children in the outpatients and diagnostic departments. Children aged between 16 and 18 can have surgery at Spire Little Aston Hospital but only if they were assessed to have the capacity to understand and provide informed consent to the surgery.

Our onsite assessment of diagnostic services was undertaken on 21 July 2026.

Updated 3 June 2026

Our onsite assessment was undertaken on 21 July 2026 and was unannounced Diagnostic imaging services provided at this location included: Xrays, Magnetic Resonance Imaging (MRI), Computed tomography (CT) scanning, mammography, ultrasound and fluoroscopy. The service accepted referrals from a consultant for both private and NHS patients.

Between 1 June 2025 and 30 June 2026 there were 26994 diagnostic tests undertaken at Spire Little Aston Hospital.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate. Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

This is the first comprehensive assessment of diagnostics (it was previously assessed as part of the outpatients core service in June 2019 and was rated good). This was an assessment of Diagnostics only.

The quality of care and treatment of children aged between 16 and 18 years of age undergoing diagnostic imaging procedures was not reviewed as part of the assessment of diagnostic imaging.

Updated 6 February 2026

We assessed all quality statements across the safe, effective, caring, responsive and well-led key questions and have combined the scores for these areas to give an overall rating. The outpatient department was rated Good overall.

Safe:

The service had a good learning culture where staff and patients could raise concerns. Managers investigated incidents thoroughly and lessons learned and improvements were identified and shared with staff. Patients were protected and kept safe because staff understood local safeguarding arrangements and safe systems of working. 

There were enough staff with the right skills, qualifications, and experience to ensure high-quality care and treatment. Managers made sure staff received training and had regular appraisals to maintain high-quality care.

Staff managed medicines safely. Staff identified and reacted to unexpected deterioration in a patient’s condition. Staff understood and managed risks from the environment. The facilities and equipment met the needs of patients, were clean and well-maintained and any risks were mitigated.

Effective:

Patients, and where appropriate those close to them, were involved in assessments of their needs. Staff reviewed assessments taking account of patient’s physical emotional, communication and personal care needs. Care and treatment was based on latest evidence and good practice guidance. Patient outcomes met expectations, and harm free care was the norm.

Staff made sure patients understood their care and treatment to enable them to give informed consent.

Caring:

Staff treated patients with kindness and compassion. Staff protected their privacy and dignity. They treated patients as individuals and supported their preferences. Staff responded to patients in a timely way. Patients had the opportunity to ask questions and were given access to specialist services, including allied health professionals.

Responsive:

Patients, or their representatives, were involved in decisions about their care and treatment. The service provided information which patients could understand. Patients were invited to give feedback, knew who to speak with if they had concerns and were confident the service took their concerns seriously.

The service monitored and worked to improve access. The environment was adjusted to meet the needs of people with conditions which could create a barrier to access.

The service worked to reduce health and care inequalities through service planning, quality monitoring, staff training, and feedback. Patients were involved in planning their care and understood options around choosing to withdraw or not receive care.

The service supported staff wellbeing.

Well-led:

Leaders and staff knew the service’s local vision, aims and objectives and understood how their service aligned with this. There was a culture based on speaking up, listening, learning and trust.

Leaders were visible, knowledgeable, and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment.

Staff understood their roles and responsibilities. Leaders had sound oversight of the quality of service being delivered through effective governance and risk management systems. There was a culture of continuous improvement with staff able to contribute ideas through a quality improvement programme.

Updated 6 February 2026

The main activity of the hospital was surgery. There were 2 wards: Wyndley ward had 27 beds and accommodated overnight patients and Bracebridge ward had 8 beds which were used for day case surgical patients when required. Between May 2025 and April 2026 there were 6925 patient surgical operations at Spire Little Aston Hospital. Children aged between 16 and 18 can have surgery at Spire Little Aston Hospital but only if they were assessed to have the capacity to understand and provide informed consent to the surgery. The quality of care and treatment of children aged between 16 and 18 years of age undergoing surgical procedures was not reviewed as part of the assessment of surgery.

The hospital provided a wide range of surgical specialties, including:

Breast surgery

Ear nose and throat

Gastroenterology

General surgery

Gynaecology and Obstetrics

Neurology

Ophthalmology

Oral Surgery

Orthopaedics (spine)

Orthopaedics surgery

Pain management

Plastic surgery

Podiatry

Urology.

The hospital registered manager had been in post since 2020 but was undertaking an interim role in another service at the time of our assessment.

The service is registered to provide the following regulated activities:

• Treatment of Disease, Disorder or Injury.
• Diagnostic Imaging Services.
• Surgical procedures.
• Family planning
• Services in slimming clinics

Updated 18 November 2019

Medical care services were a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as good because it was safe, effective, caring, responsive and well led.