There are just two courses (no flat racing) throughout the racing season at Hexham – the steeplechase course and the hurdles course. They are both left-handed and measure around 1m4f in circumference. Both courses are extremely undulating, with a sharp decline on the home straight followed by a heavy ascent for the rest of the track.

The steeplechase course features ten fences, including a water jump in front of the grandstand. The hurdles course runs around the outside of the steeplechase and features six flights, with one hurdle on the home straight.

It already has a seating facility, but the current Ramshaw grandstand was only established in 1998. It has a Club Enclosure that allows racegoers access to the Ramshaw Stand and all areas. It also has a chase bar situated on the ground floor of the Ramshaw Stand, with a stone-flagged floor and stained-glass panels on the bar. Refreshments and betting facilities are available, along with extensive TV screens. In addition, it also has a Curlew room located on the first floor of the Ramshaw Stand, designed like a bar with a thick pile carpet, and can view racecourse from the comfort of your seat. This bar also offers drinks and hot snacks and facilities for betting and extensive TV screens. The last one is the Paddock Enclosure, allowing guests to access the bars, food outlets, bookmakers, betting shops, parade ring, and saddling boxes.

The track also has the Princess Anne Bar, Shire Bar, and a Bramble Tudor Café. There are also parking spaces for disabled persons situated on the tarmac area to the rear of the Owners & Trainers Bar and Henderson Suite. Accessible toilets can be found in the toilet blocks at the top of the Parade Ring and behind the Princess Anne Bar. There is a lift in the Ramshaw Stand from the ground to the second floor with accessible toilets located on the first floor.