Watchlist. Every in-house trust below the 62 boundary

Every in-house English NHS trust that does not clear the 62 boundary on the composite score. Around sixty trusts. All first outsourcing candidates. Movement onto the Priority-40 happens from here.

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In-house trusts

60 of 60

All below the 62 boundary

Rising this quarter

Positive score delta against last quarter

Warmth logged

At least one Warmth 1 or above on the Relationship register

Radar signals last 90 days

At least one live signal in the quarter

Score delta

Warmth

ICB region

60 shown of 60

							Rationale
#41	East LancashireEast Lancashire Hospitals NHS Trust	61.70	+2.0 · Rising	Warm 0	None logged	Soft-FM staffing review noted	Backlog maintenance ratio climbing, no soft-FM decision yet.
#42	BoltonBolton NHS Foundation Trust	61.20	+0.5 · Rising	Warm 1	M. Devlin . Chief Nurse	PLACE cleanliness below median	Warm NED contact in place, score short of the entry band.
#43	StockportStockport NHS Foundation Trust	61.20	+2.0 · Rising	Warm 2	P. Nwosu . Chief Finance Officer	Board pack flags CIP shortfall	New finance leadership reviewing support-services cost base.
#44	Warrington & HaltonWarrington and Halton Teaching Hospitals NHS FT	61.00	-1.0 · Falling	Warm 2	M. Devlin . Chief Nurse	Board pack flags CIP shortfall	Backlog maintenance ratio climbing, no soft-FM decision yet.
#45	BlackpoolBlackpool Teaching Hospitals NHS FT	60.50	+1.0 · Rising	Warm 1	P. Nwosu . Chief Finance Officer	Board pack flags CIP shortfall	PLACE food and cleanliness both below median for two cycles.
#46	BradfordBradford Teaching Hospitals NHS FT	60.10	-0.5 · Falling	Warm 2	P. Nwosu . Chief Finance Officer	PLACE cleanliness below median	Backlog maintenance ratio climbing, no soft-FM decision yet.
#47	HarrogateHarrogate and District NHS FT	60.10	+0.5 · Rising	Warm 0	None logged	None in last 90 days	Stable position, monitored for movement at the next re-score.
#48	York & ScarboroughYork and Scarborough Teaching Hospitals NHS FT	60.20	0.0 · Flat	Warm 1	H. Calloway . Chief Operating Officer	PLACE cleanliness below median	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#49	South TeesSouth Tees Hospitals NHS FT	60.00	+2.0 · Rising	Warm 0	None logged	Chair appointment confirmed	PLACE food and cleanliness both below median for two cycles.
#50	Doncaster & BassetlawDoncaster and Bassetlaw Teaching Hospitals NHS FT	59.60	-1.0 · Falling	Warm 2	A. Mercer . Director of Estates	Board pack flags CIP shortfall	Estates strategy refresh opens a first-outsourcing window in 2027.
#51	Derby & BurtonUniversity Hospitals of Derby and Burton NHS FT	59.10	0.0 · Flat	Warm 0	None logged	Annual report cites agency spend	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#52	Sherwood ForestSherwood Forest Hospitals NHS FT	58.90	+2.0 · Rising	Warm 1	H. Calloway . Chief Operating Officer	PLACE cleanliness below median	Warm NED contact in place, score short of the entry band.
#53	Dudley GroupThe Dudley Group NHS FT	59.10	-2.0 · Falling	Warm 0	None logged	Chair appointment confirmed	PLACE food and cleanliness both below median for two cycles.
#54	WalsallWalsall Healthcare NHS Trust	58.80	+0.5 · Rising	Warm 1	A. Mercer . Director of Estates	PLACE cleanliness below median	Warm NED contact in place, score short of the entry band.
#55	Wye ValleyWye Valley NHS Trust	58.70	-0.5 · Falling	Warm 2	M. Devlin . Chief Nurse	PLACE cleanliness below median	Backlog maintenance ratio climbing, no soft-FM decision yet.
#56	NorthamptonNorthampton General Hospital NHS Trust	58.10	-1.0 · Falling	Warm 2	H. Calloway . Chief Operating Officer	PLACE cleanliness below median	Stable position, monitored for movement at the next re-score.
#57	James PagetJames Paget University Hospitals NHS FT	58.10	+1.5 · Rising	Warm 2	R. Ainsworth . Director of Facilities	Interim Director of Estates appointed	Stable position, monitored for movement at the next re-score.
#58	West SuffolkWest Suffolk NHS FT	57.80	+1.0 · Rising	Warm 0	None logged	Provider collaborative bulletin	PLACE food and cleanliness both below median for two cycles.
#59	BedfordshireBedfordshire Hospitals NHS FT	57.40	-1.0 · Falling	Warm 2	P. Nwosu . Chief Finance Officer	Board pack flags CIP shortfall	Estates strategy refresh opens a first-outsourcing window in 2027.
#60	East & North HertsEast and North Hertfordshire NHS Trust	57.50	+2.0 · Rising	Warm 0	None logged	Chair appointment confirmed	Stable position, monitored for movement at the next re-score.
#61	CroydonCroydon Health Services NHS Trust	57.40	+1.0 · Rising	Warm 2	R. Ainsworth . Director of Facilities	Estates strategy refresh published	Backlog maintenance ratio climbing, no soft-FM decision yet.
#62	HomertonHomerton Healthcare NHS FT	56.60	+1.0 · Rising	Warm 1	P. Nwosu . Chief Finance Officer	Estates strategy refresh published	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#63	Kingston & RichmondKingston and Richmond NHS FT	56.40	+1.0 · Rising	Warm 0	None logged	Provider collaborative bulletin	Stable position, monitored for movement at the next re-score.
#64	WhittingtonWhittington Health NHS Trust	56.70	-1.5 · Falling	Warm 0	None logged	None in last 90 days	Group pressure rising through the provider collaborative.
#65	Dartford & GraveshamDartford and Gravesham NHS Trust	56.40	+0.5 · Rising	Warm 0	None logged	Annual report cites agency spend	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#66	MedwayMedway NHS FT	56.10	-2.0 · Falling	Warm 0	None logged	Soft-FM staffing review noted	PLACE food and cleanliness both below median for two cycles.
#67	BuckinghamshireBuckinghamshire Healthcare NHS Trust	55.70	-2.0 · Falling	Warm 0	None logged	Chair appointment confirmed	Group pressure rising through the provider collaborative.
#68	Royal BerkshireRoyal Berkshire NHS FT	55.90	-2.0 · Falling	Warm 0	None logged	Capital programme review opened	New finance leadership reviewing support-services cost base.
#69	Torbay & South DevonTorbay and South Devon NHS FT	55.20	-1.0 · Falling	Warm 1	P. Nwosu . Chief Finance Officer	PLACE cleanliness below median	PLACE food and cleanliness both below median for two cycles.
#70	Great WesternGreat Western Hospitals NHS FT	55.00	-2.0 · Falling	Warm 0	None logged	None in last 90 days	Backlog maintenance ratio climbing, no soft-FM decision yet.
#71	Queen Victoria HospitalQueen Victoria Hospital NHS Trust	54.60	+0.5 · Rising	Warm 0	None logged	Board pack flags CIP shortfall	Stable position, monitored for movement at the next re-score.
#72	Robert Jones and Agnes HuntRobert Jones and Agnes Hunt NHS Trust	54.40	-1.0 · Falling	Warm 2	A. Mercer . Director of Estates	PLACE cleanliness below median	Backlog maintenance ratio climbing, no soft-FM decision yet.
#73	Rotherham Doncaster and South HumberRotherham Doncaster and South Humber NHS Trust	54.30	+1.0 · Rising	Warm 1	P. Nwosu . Chief Finance Officer	Provider collaborative bulletin	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#74	Royal Cornwall HospitalsRoyal Cornwall Hospitals NHS Trust	54.10	0.0 · Flat	Warm 0	H. Calloway . Chief Operating Officer	Annual report cites agency spend	PLACE food and cleanliness both below median for two cycles.
#75	Royal Devon University HealthcareRoyal Devon University Healthcare NHS Trust	54.00	-0.5 · Falling	Warm 2	M. Devlin . Chief Nurse	None in last 90 days	Group pressure rising through the provider collaborative.
#76	Royal Free LondonRoyal Free London NHS Trust	53.80	+2.0 · Rising	Warm 1	R. Ainsworth . Director of Facilities	Chair appointment confirmed	Stable position, monitored for movement at the next re-score.
#77	Royal National OrthopaedicRoyal National Orthopaedic NHS Trust	53.60	-1.5 · Falling	Warm 0	None logged	Estates strategy refresh published	Backlog maintenance ratio climbing, no soft-FM decision yet.
#78	Royal PapworthRoyal Papworth NHS Trust	53.50	+1.5 · Rising	Warm 2	A. Mercer . Director of Estates	Board pack flags CIP shortfall	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#79	Royal SurreyRoyal Surrey NHS Trust	53.30	0.0 · Flat	Warm 1	P. Nwosu . Chief Finance Officer	PLACE cleanliness below median	PLACE food and cleanliness both below median for two cycles.
#80	Royal United Hospitals BathRoyal United Hospitals Bath NHS Trust	53.20	-2.0 · Falling	Warm 0	H. Calloway . Chief Operating Officer	Provider collaborative bulletin	Group pressure rising through the provider collaborative.
#81	SalisburySalisbury NHS Trust	53.00	+0.5 · Rising	Warm 2	M. Devlin . Chief Nurse	Annual report cites agency spend	Stable position, monitored for movement at the next re-score.
#82	Sandwell and West BirminghamSandwell and West Birmingham NHS Trust	52.80	-1.0 · Falling	Warm 1	R. Ainsworth . Director of Facilities	None in last 90 days	Backlog maintenance ratio climbing, no soft-FM decision yet.
#83	Sheffield Children'sSheffield Children's NHS Trust	52.70	+1.0 · Rising	Warm 0	None logged	Chair appointment confirmed	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#84	Sheffield TeachingSheffield Teaching NHS Trust	52.50	0.0 · Flat	Warm 2	A. Mercer . Director of Estates	Estates strategy refresh published	PLACE food and cleanliness both below median for two cycles.
#85	Shrewsbury and TelfordShrewsbury and Telford NHS Trust	52.40	-0.5 · Falling	Warm 1	P. Nwosu . Chief Finance Officer	Board pack flags CIP shortfall	Group pressure rising through the provider collaborative.
#86	SomersetSomerset NHS Trust	52.20	+2.0 · Rising	Warm 0	H. Calloway . Chief Operating Officer	PLACE cleanliness below median	Stable position, monitored for movement at the next re-score.
#87	South London and MaudsleySouth London and Maudsley NHS Trust	52.00	-1.5 · Falling	Warm 2	M. Devlin . Chief Nurse	Provider collaborative bulletin	Backlog maintenance ratio climbing, no soft-FM decision yet.
#88	South WarwickshireSouth Warwickshire NHS Trust	51.90	+1.5 · Rising	Warm 1	R. Ainsworth . Director of Facilities	Annual report cites agency spend	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#89	South West London and St George'sSouth West London and St George's NHS Trust	51.70	0.0 · Flat	Warm 0	None logged	None in last 90 days	PLACE food and cleanliness both below median for two cycles.
#90	St George's University HospitalsSt George's University Hospitals NHS Trust	51.60	-2.0 · Falling	Warm 2	A. Mercer . Director of Estates	Chair appointment confirmed	Group pressure rising through the provider collaborative.
#91	Surrey and Sussex HealthcareSurrey and Sussex Healthcare NHS Trust	51.40	+0.5 · Rising	Warm 1	P. Nwosu . Chief Finance Officer	Estates strategy refresh published	Stable position, monitored for movement at the next re-score.
#92	Tameside and GlossopTameside and Glossop NHS Trust	51.20	-1.0 · Falling	Warm 0	H. Calloway . Chief Operating Officer	Board pack flags CIP shortfall	Backlog maintenance ratio climbing, no soft-FM decision yet.
#93	The ChristieThe Christie NHS Trust	51.10	+1.0 · Rising	Warm 2	M. Devlin . Chief Nurse	PLACE cleanliness below median	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#94	The Hillingdon HospitalsThe Hillingdon Hospitals NHS Trust	50.90	0.0 · Flat	Warm 1	R. Ainsworth . Director of Facilities	Provider collaborative bulletin	PLACE food and cleanliness both below median for two cycles.
#95	The Princess Alexandra HospitalThe Princess Alexandra Hospital NHS Trust	50.80	-0.5 · Falling	Warm 0	None logged	Annual report cites agency spend	Group pressure rising through the provider collaborative.
#96	The Queen Elizabeth Hospital King's LynnThe Queen Elizabeth Hospital King's Lynn NHS Trust	50.60	+2.0 · Rising	Warm 2	A. Mercer . Director of Estates	None in last 90 days	Stable position, monitored for movement at the next re-score.
#97	The RotherhamThe Rotherham NHS Trust	50.40	-1.5 · Falling	Warm 1	P. Nwosu . Chief Finance Officer	Chair appointment confirmed	Backlog maintenance ratio climbing, no soft-FM decision yet.
#98	The Royal MarsdenThe Royal Marsden NHS Trust	50.30	+1.5 · Rising	Warm 0	H. Calloway . Chief Operating Officer	Estates strategy refresh published	Deficit widening against a flat CIP plan. In-house soft-FM unchanged.
#99	The Royal OrthopaedicThe Royal Orthopaedic NHS Trust	50.10	0.0 · Flat	Warm 2	M. Devlin . Chief Nurse	Board pack flags CIP shortfall	PLACE food and cleanliness both below median for two cycles.
#100	The Royal WolverhamptonThe Royal Wolverhampton NHS Trust	50.00	-2.0 · Falling	Warm 1	R. Ainsworth . Director of Facilities	PLACE cleanliness below median	Group pressure rising through the provider collaborative.

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Watchlist rows inherit the Priority-40 schema and the same five scoring components with the same weights. Warmth logged here sits on the Relationship register and is not counted against Priority-40 warmth targets. Re-scored quarterly. Out of scope. Why a trust is not on Priority-40