It was owned jointly by the Oxford, Worcester and Wolverhampton and Midland Railways; until 1852 it was used only as a terminus for the latter's services from Birmingham.

[2] The London Midland service between Shrub Hill and Gloucester, via Ashchurch for Tewkesbury and Cheltenham Spa, to complement the two-hourly Great Western Railway service was discontinued at the start of the December 2009 railway timetable, due to low passenger usage.

The station is controlled by Worcester Shrub Hill Signal Box, located at the London (south) end of platform 1.

The Worcester area is controlled by another two signal boxes at Henwick (west of Foregate Street) and Tunnel Junction (to the north of Shrub Hill).

The exterior is decorated with classical pilasters and covered with majolica ceramic tiles made by Maw and Company of Broseley.

[5] Maw was originally a Worcester-based company, founded in 1850 when they bought the old Chamberlain tile factory; however, in 1852, they moved to Broseley to be nearer their source of clay.

In April 2005, Network Rail applied for listed building planning consent to restore the waiting room to bring it back into use before the end of 2006.