How do explicitly stated hospital trust values relate to their CQC ratings?

Research output: Contribution to journalArticlepeer-review


  • Nathan Hamnett
  • Naomi Patel
  • Kathryn Nelson
  • Tom Harrison
  • Nicolas White

Colleges, School and Institutes

External organisations

  • Birmingham Children’s Hospital NHS Foundation Trust,


For NHS Trusts in the process of setting internal organizational values, it would be useful to see if there was a correlation between certain organisational values and CQC ratings.

To achieve this we identified the CQC ratings of the NHS England provider trusts; identified and listed the trust’s values. These values were then catergorised and a comparison made of well performing and underperforming trusts.

A total of 43 different values were identified, with a total number of values being used across all 188 trusts of 800. In the reviewed hospitals a broad range of values were found with some not meeting common definitions of what a value is. All trusts included some aspect of behavior in their values.

Well performing hospitals are more likely to be open and honest with aspirational values whereas those which are not are more likely to be focused on day to day service delivery with operational or proscriptive values. There was considerable variation from the published NHS constitution values with outstanding and good trusts having more variance from the values in the NHS constitution than trusts rated requiring improvement or inadequate.


Original languageEnglish
Pages (from-to)68-70
Number of pages3
JournalBMJ Leader
Early online date26 Mar 2018
Publication statusE-pub ahead of print - 26 Mar 2018


  • NHS, CQC Ratings, values