Clue: Piles of rubbish and rats scurrying by hospital in poor shape (5,5)
Answer: TRASH HEAPS
Explanation: Definition: Piles of rubbish
A charade of TRAS, an anagram ('scurrying') of 'rats' plus H ('hospital') plus HEAPS, an anagram ('poor') of 'shape'. 'in' does not sit well in the cryptic interpretation.