HospitalCheck

Spire Alexandra Hospital

Independent hospital

Impton Lane, Chatham, ME5 9PG · Run by Spire Healthcare Limited · 01634686162 · Website

Acute hospital - Independent non-specialist

CQC: Requires improvement

CQC rating published 6 September 2017 — this rating applies to this specific location. About this data

View the full CQC report & inspection history →

Contains public sector information from the Care Quality Commission, licensed under the Open Government Licence v3.0.

Spire Alexandra Hospitalis an independent (private-sector) hospital, regulated by the Care Quality Commission. It is shown on its own, separately from NHS hospitals — the CQC rates independent and NHS providers on the same five inspection questions, but this hospital's private-pay activity and outcomes are not published anywhere, so the two sectors are never ranked together. A minority of independent hospitals, including some run by this provider, also carry out NHS-funded work — where NHS England publishes that separately under the hospital's own NHS provider code, we show it further down this page, clearly marked as NHS-funded activity only. See methodology.

CQC inspection ratings

Safe
Requires improvement
Effective
Requires improvement
Caring
Good
Responsive
Requires improvement
Well-led
Requires improvement

The Care Quality Commission rates hospitals on five questions. This location was last inspected January 2017. Source: CQC. About CQC ratings

CQC ratings by service

CQC rated these services individually — there is no single overall rating for this location.

Outpatients and diagnostic imagingGood
Safe
Good
Caring
Good
Responsive
Good
Well-led
Good
rated September 2017
SurgeryGood
Safe
Good
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires improvement
rated September 2017
Termination of pregnancyRequires improvement
Safe
Requires improvement
Effective
Requires improvement
Responsive
Requires improvement
Well-led
Inadequate
rated September 2017

Source: CQC. About CQC ratings

NHS-funded activity

Spire Alexandra Hospital also carries out NHS-funded treatment. NHS England separately publishes waiting times and patient outcomes for that NHS-funded work, matched to this hospital via its own NHS provider (ODS) code. NHS-funded activity only— this hospital's private-pay (self-pay/insured) work is not shown here or anywhere on this site.

NHS-funded waiting times

Data: May 2026 · NHS-funded activity onlySpire Alexandra Hospitalalso carries out private-pay work, which is not shown here or anywhere on this site (see methodology).

NHS-funded waiting list
1,401
Incomplete pathways, all specialties
Waiting under 18 weeks
76.4%
NHS standard: 92%
Median wait
9.7 wks
Incomplete pathways
Waiting over 52 weeks
7
NHS-funded patients
NHS-funded waiting list
Incomplete pathways, all specialties
1,0001,2501,5001,750Apr 23Jan 24Jan 25Jan 261,4011,739April 20231,234May 20231,159June 20231,112July 20231,194August 20231,293September 20231,308October 20231,410November 20231,301December 20231,308January 20241,145February 20241,009March 20241,069April 20241,083May 20241,048June 20241,195July 20241,106August 20241,114September 20241,227October 20241,134November 20241,083December 20241,145January 20251,226February 20251,342March 20251,506April 20251,438May 20251,476June 20251,336July 20251,105August 20251,155September 20251,095October 20251,309November 20251,404December 20251,155January 20261,241February 20261,107March 2026995April 20261,401May 2026
Waiting under 18 weeks
Share of the NHS-funded waiting list
80%90%Apr 23Jan 24Jan 25Jan 26NHS standard 92%76.4%85.7%April 202394.8%May 202395.4%June 202395.7%July 202389.4%August 202395.1%September 202390.5%October 202397.2%November 202395.5%December 202393.0%January 202496.3%February 202495.3%March 202488.7%April 202494.1%May 202494.2%June 202496.3%July 202496.1%August 202493.4%September 202491.3%October 202487.4%November 202488.5%December 202485.9%January 202582.8%February 202590.4%March 202591.4%April 202588.9%May 202588.3%June 202575.1%July 202581.3%August 202580.9%September 202579.0%October 202578.9%November 202577.5%December 202579.7%January 202680.6%February 202678.2%March 202676.2%April 202676.4%May 2026

NHS-funded waiting times by specialty

SpecialtyWaitingWithin 18 wksMedian wait9 in 10 wait under52+ wks65+ wks78+ wks
Other - Surgicals82669.5%11.7 wks32.3 wks400
Trauma and Orthopaedic31385.3%6.9 wks25.0 wks300
General Surgery14987.2%8.7 wks21.5 wks000
Gynaecology10589.5%6.7 wks20.8 wks000
Plastic Surgery757.1%8.5 wks39.4 wks000
Gastroenterology1100.0%15.5 wks15.9 wks000

Source: NHS England Referral to Treatment statistics, filtered to this hospital's own NHS provider code. About this data

NHS-funded activity only — the outcomes below cover only this hospital's NHS-funded hip & knee replacements, not its private-pay caseload.

Hip & knee replacement — patient outcomes (PROMs)

Financial year 2024-25(finalised) · patients having a primary hip or knee replacement voluntarily score their health before and after surgery. The average gain shown is adjusted for differences between patients (case-mix) — it is not a raw before/after difference and not a ranking, so read it alongside the patient numbers.

Hip replacement
Average health gain (adjusted)
20.9
Oxford Score, case-mix-adjusted, 0-48 scale
Raw gain (unadjusted): 20.8
Patients
44
Modelled records — completed the questionnaire before & after
% who improved
90.9%
Oxford Score higher after surgery than before
EQ-5D Index gain (adjusted)
0.39
General health, secondary measure, 0-1 scale
Knee replacement
Average health gain (adjusted)
13.1
Oxford Score, case-mix-adjusted, 0-48 scale
Raw gain (unadjusted): 12.4
Patients
68
Modelled records — completed the questionnaire before & after
% who improved
79.4%
Oxford Score higher after surgery than before
EQ-5D Index gain (adjusted)
0.25
General health, secondary measure, 0-1 scale

Source: NHS England PROMs (hip & knee replacement). About this data

Source: NHS England Referral to Treatment statistics and PROMs. About this data

About this data

The rating on this page comes from the Care Quality Commission's directory and Syndication API — the same source used for NHS hospital pages on this site. We do not hold this hospital's private-pay volumes, fees, waiting times, PROMs or safety data (that data is licensed separately by the Private Healthcare Information Network and is not available under an open licence). NHS England separately publishes this hospital's own NHS-funded RTT waiting-time and PROMs activity, matched via its NHS provider code — shown above, clearly marked as NHS-funded activity only. Read the full methodology.