NHS trusts in Dorset and Hampshire are celebrating after scoring well in the second annual health check, the system that replaced the old star ratings.

All 394 trusts in the country have been rated excellent, good, fair or weak for their quality of services and financial management. This year, 19 trusts, none of them local, scored excellent in both.

Independent watchdog the Healthcare Commission also looked into how well the trusts performed in 24 standards, such as in hygiene, safety and quality of care; and whether they were meeting existing and new national targets.

In the south west region, Dorset HealthCare NHS Trust, which deals with mental health and learning disabilities, was one of only seven trusts to rank as excellent for quality of services. Its use of resources was good.

The Royal Bournemouth and Christchurch Hospitals Trust was one of nine trusts to improve on quality of services, rising from fair to good. Its use of resources was ranked excellent for the second year running, but it missed two out of 13 national targets.

Director of nursing and midwifery Belinda Atkinson said: "There were many areas that we excelled in and we are near the top end of the scale in many of the areas assessed."

Poole Hospital was one of nine trusts to improve its use of resources, from fair to good. Its quality of services was good.

Director of nursing Martin Smits said: "We are delighted with the progress that has been made."

Southampton University Hospitals Trust went from fair/weak to good/fair and West Dorset General Hospitals improved its use of resources from weak to fair.

Salisbury Foundation Trust maintained last year's fair/excellent rating.

Hampshire PCT and South Central Ambulance were judged fair in both main categories, and Hampshire Partnership Trust good in both.

Bournemouth and Poole Primary Care Trust and Dorset PCT each picked up fair ratings and managed to meet all their targets.

Both were formed last year from merging smaller PCTs.

Dorset chief executive Peter Mankin said: "We will now be looking at the results in detail to see how we can improve."

Bournemouth and Poole chief executive Debbie Fleming said: "I am extremely pleased the PCT has continued to improve its performance."

Another new organisation, South West Ambulance Service, scored excellent for meeting new targets.

But overall, the South West Strategic Health Authority, which includes Dorset, had the highest proportion of weak trusts in the country, at 20 per cent.