In October 2013, as a result of the
Keogh Review, the trust was put into the highest risk category by the
Care Quality Commission. It was put into a buddying arrangement with
University Hospitals Birmingham NHS Foundation Trust. The
NHS Trust Development Authority initiated a competitive process to identify an organisation to take over the trust in 2012 but stopped the competition in March 2014 after the Trust got a "good" Care Quality Commission rating.
South Warwickshire NHS Foundation Trust,
University Hospitals Coventry and Warwickshire NHS Trust,
Circle Health and
Care UK were all considered. The costs of this exercise to NHS bodies amounted to £1.78 million. The George Eliot trust spent £426,000 on legal advice and support, £358,000 on financial advice and support, and £434,000 on procurement advice and project management. In August 2014 it emerged that the Trust was exploring a number of projects led by South Warwickshire NHS Foundation Trust. In 2018 it became part of a three-trust hospital chain with South Warwickshire and
Wye Valley NHS Trust. In 2019 it implemented a programme to become paperless using
Alfresco Software. In October 2022 it terminated the
otorhinolaryngology contract with
University Hospitals Coventry and Warwickshire NHS Trust after long delays were reported. ==Performance==