Ratings announced for NHS trusts

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Joint top were Dudley Primary Care Trust and Rotherham, Doncaster and South Humber Mental Health NHS Foundation Trust.

Both trusts scored full marks for safety, involving patients and carers in treatment plans and focusing on the needs of the individual - being rated "excellent".

They both slipped one point and were rated "good" for providing an effective care pathway to make sure hospital discharges and admissions were carried out at the right times.

Wolverhampton City Primary Care Trust came bottom of the 69 trusts, being rated "weak" in all of these four areas.