Acute trust league table – Q1 2026/27

These are the aggregated metric rankings (AMR) for acute trusts, which form part of the NHS oversight framework segmentation and performance dashboard.

Published 10 September 2026

RegionTrust typeTrust nameAverage metric scoreSegmentRank
North WestAcute – SpecialistLiverpool Heart and Chest Hospital NHS Foundation Trust1.5311
South EastAcute – SpecialistQueen Victoria Hospital NHS Foundation Trust1.5812
North East and YorkshireAcute – LargeNorthumbria Healthcare NHS Foundation Trust1.5913
LondonAcute – SpecialistMoorfields Eye Hospital NHS Foundation Trust1.714
North WestAcute – SpecialistThe Clatterbridge Cancer Centre NHS Foundation Trust1.714
LondonAcute – SpecialistThe Royal Marsden NHS Foundation Trust1.7416
MidlandsAcute – SpecialistThe Royal Orthopaedic Hospital NHS Foundation Trust1.7517
EastAcute – SpecialistRoyal Papworth Hospital NHS Foundation Trust1.7718
South EastAcute – LargeFrimley Health NHS Foundation Trust1.8119
North WestAcute – SpecialistThe Christie NHS Foundation Trust1.8119
North WestAcute – SpecialistAlder Hey Children’s NHS Foundation Trust1.83111
LondonAcute – SpecialistRoyal National Orthopaedic Hospital NHS Trust1.86112
LondonAcute – TeachingImperial College Healthcare NHS Trust1.87113
MidlandsAcute – TeachingSouth Warwickshire University NHS Foundation Trust1.87113
North East and YorkshireAcute – LargeSouth Tyneside and Sunderland NHS Foundation Trust1.88115
MidlandsAcute – SpecialistThe Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust1.89116
EastAcute – TeachingWest Hertfordshire Teaching Hospitals NHS Trust1.9117
LondonAcute – TeachingUniversity College London Hospitals NHS Foundation Trust1.91118
LondonAcute – TeachingChelsea and Westminster Hospital NHS Foundation Trust1.97219
South EastAcute – LargeMaidstone and Tunbridge Wells NHS Trust2.05220
North WestAcute – SpecialistThe Walton Centre NHS Foundation Trust2.05220
North East and YorkshireAcute – MediumNorth Tees and Hartlepool NHS Foundation Trust2.06222
MidlandsAcute – SmallGeorge Eliot Hospital NHS Trust2.09223
South WestAcute – LargeNorth Bristol NHS Trust2.11224
LondonAcute – TeachingGuy’s and St Thomas’ NHS Foundation Trust2.12225
South EastAcute – MediumRoyal Surrey NHS Foundation Trust2.14226
LondonAcute – SmallThe Hillingdon Hospitals NHS Foundation Trust2.16227
South WestAcute – TeachingUniversity Hospitals Bristol and Weston NHS Foundation Trust2.17228
North WestAcute – TeachingManchester University NHS Foundation Trust2.24229
EastAcute – TeachingCambridge University Hospitals NHS Foundation Trust2.26230
North East and YorkshireAcute – TeachingThe Newcastle Upon Tyne Hospitals NHS Foundation Trust2.28231
South WestAcute – LargeRoyal Devon University Healthcare NHS Foundation Trust2.3232
South EastAcute – LargeRoyal Berkshire NHS Foundation Trust1.89333
North East and YorkshireAcute – SmallHarrogate and District NHS Foundation Trust1.9334
North East and YorkshireAcute – SpecialistSheffield Children’s NHS Foundation Trust1.91335
LondonAcute – Multi-ServiceWhittington Health NHS Trust2336
North East and YorkshireAcute – SmallThe Rotherham NHS Foundation Trust2.05337
LondonAcute – TeachingHomerton Healthcare NHS Foundation Trust2.07338
North East and YorkshireAcute – SmallBarnsley Hospital NHS Foundation Trust2.09339
LondonAcute – SpecialistGreat Ormond Street Hospital for Children NHS Foundation Trust2.11340
South EastAcute – SmallDartford and Gravesham NHS Trust2.17341
MidlandsAcute – SpecialistBirmingham Women’s and Children’s NHS Foundation Trust2.2342
South EastAcute – TeachingUniversity Hospital Southampton NHS Foundation Trust2.2342
North WestAcute – MediumStockport NHS Foundation Trust2.22344
North East and YorkshireAcute – LargeCalderdale and Huddersfield NHS Foundation Trust2.23345
LondonAcute – MediumKingston and Richmond NHS Foundation Trust2.26346
MidlandsAcute – Multi-ServiceWye Valley NHS Trust2.26346
South WestAcute – SmallSalisbury NHS Foundation Trust2.29348
LondonAcute – TeachingRoyal Free London NHS Foundation Trust2.3349
North WestAcute – SpecialistLiverpool Women’s NHS Foundation Trust2.31350
North WestAcute – TeachingMersey and West Lancashire Teaching Hospitals NHS Trust2.32351
LondonAcute – TeachingSt George’s University Hospitals NHS Foundation Trust2.32351
South EastAcute – MediumAshford and St Peter’s Hospitals NHS Foundation Trust2.33353
South WestAcute – Multi-ServiceSomerset NHS Foundation Trust2.33353
South WestAcute – LargeGloucestershire Hospitals NHS Foundation Trust2.34355
South EastAcute – TeachingOxford University Hospitals NHS Foundation Trust2.34355
South WestAcute – MediumRoyal United Hospitals Bath NHS Foundation Trust2.34355
MidlandsAcute – SmallWalsall Healthcare NHS Trust2.34355
North WestAcute – SmallTameside and Glossop Integrated Care NHS Foundation Trust2.35359
South EastAcute – Multi-ServiceBuckinghamshire Healthcare NHS Trust2.37360
South EastAcute – LargeHampshire Hospitals NHS Foundation Trust2.37360
South WestAcute – LargeRoyal Cornwall Hospitals NHS Trust2.37360
North East and YorkshireAcute – TeachingSouth Tees Hospitals NHS Foundation Trust2.37360
North East and YorkshireAcute – TeachingSheffield Teaching Hospitals NHS Foundation Trust2.39364
South EastAcute – LargeEast Sussex Healthcare NHS Trust2.4365
North WestAcute – SmallMid Cheshire Hospitals NHS Foundation Trust2.4365
MidlandsAcute – TeachingUniversity Hospitals of Leicester NHS Trust2.4365
MidlandsAcute – LargeWorcestershire Acute Hospitals NHS Trust2.4365
North East and YorkshireAcute – TeachingBradford Teaching Hospitals NHS Foundation Trust2.41369
MidlandsAcute – MediumThe Dudley Group NHS Foundation Trust2.41369
LondonAcute – TeachingLondon North West University Healthcare NHS Trust2.43371
MidlandsAcute – MediumSherwood Forest Hospitals NHS Foundation Trust2.44372
South EastAcute – MediumSurrey and Sussex Healthcare NHS Trust2.44372
North WestAcute – MediumBolton NHS Foundation Trust2.45374
North East and YorkshireAcute – TeachingLeeds Teaching Hospitals NHS Trust2.45374
MidlandsAcute – MediumThe Shrewsbury and Telford Hospital NHS Trust2.45374
EastAcute – SmallWest Suffolk NHS Foundation Trust2.47377
North East and YorkshireAcute – SmallAiredale NHS Foundation Trust2.48378
EastAcute – LargeEast and North Hertfordshire Teaching NHS Trust2.49379
South WestAcute – TeachingUniversity Hospitals Dorset NHS Foundation Trust2.49379
LondonAcute – TeachingKing’s College Hospital NHS Foundation Trust2.5381
MidlandsAcute – LargeThe Royal Wolverhampton NHS Trust2.5381
LondonAcute – TeachingEpsom and St Helier University Hospitals NHS Trust2.51383
EastAcute – TeachingMilton Keynes University Hospital NHS Foundation Trust2.51383
EastAcute – TeachingNorfolk and Norwich University Hospitals NHS Foundation Trust2.55385
MidlandsAcute – TeachingUniversity Hospitals Coventry and Warwickshire NHS Trust2.55385
MidlandsAcute – SmallChesterfield Royal Hospital NHS Foundation Trust2.56387
EastAcute – LargeEast Suffolk and North Essex NHS Foundation Trust2.56387
North WestAcute – LargeEast Lancashire Hospitals NHS Trust2.57389
North East and YorkshireAcute – MediumGateshead Health NHS Foundation Trust2.58390
North East and YorkshireAcute – TeachingMid Yorkshire Teaching NHS Trust2.58390
South WestAcute – TeachingUniversity Hospitals Plymouth NHS Trust2.59392
LondonAcute – TeachingBarts Health NHS Trust2.6393
EastAcute – MediumBedfordshire Hospitals NHS Foundation Trust2.6393
North WestAcute – SmallCountess of Chester Hospital NHS Foundation Trust2.61395
North East and YorkshireAcute – Multi-ServiceCounty Durham and Darlington NHS Foundation Trust2.62396
North WestAcute – TeachingUniversity Hospitals of Morecambe Bay NHS Foundation Trust2.63397
North WestAcute – TeachingWarrington and Halton Teaching Hospitals NHS Foundation Trust2.63397
North WestAcute – TeachingWirral University Teaching Hospital NHS Foundation Trust2.65399
South EastAcute – TeachingUniversity Hospitals Sussex NHS Foundation Trust2.663100
South WestAcute – Multi-ServiceTorbay and South Devon NHS Foundation Trust2.673101
MidlandsAcute – SmallKettering General Hospital NHS Foundation Trust2.683102
North East and YorkshireAcute – TeachingYork and Scarborough Teaching Hospitals NHS Foundation Trust2.683102
LondonAcute – MediumCroydon Health Services NHS Trust2.693104
South WestAcute – MediumGreat Western Hospitals NHS Foundation Trust2.693104
North East and YorkshireAcute – TeachingDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust2.73106
South WestAcute – SmallDorset County Hospital NHS Foundation Trust2.723107
EastAcute – LargeNorth West Anglia NHS Foundation Trust2.723107
LondonAcute – TeachingBarking, Havering and Redbridge University Hospitals NHS Trust2.733109
North WestAcute – TeachingLancashire Teaching Hospitals NHS Foundation Trust2.733109
MidlandsAcute – TeachingUniversity Hospitals Birmingham NHS Foundation Trust2.733109
MidlandsAcute – TeachingUniversity Hospitals of Derby and Burton NHS Foundation Trust2.733109
North WestAcute – MediumWrightington, Wigan and Leigh NHS Foundation Trust2.733109
South EastAcute – Multi-ServiceIsle of Wight NHS Trust2.763114
South EastAcute – LargePortsmouth Hospitals University NHS Trust2.773115
LondonAcute – LargeLewisham and Greenwich NHS Trust2.784116
North East and YorkshireAcute – MediumNorth Cumbria Integrated Care NHS Foundation Trust2.794117
EastAcute – SmallThe Princess Alexandra Hospital NHS Trust2.794117
MidlandsAcute – TeachingUniversity Hospitals of North Midlands NHS Trust2.794117
North WestAcute – SmallEast Cheshire NHS Trust2.824120
South EastAcute – MediumMedway NHS Foundation Trust2.824120
MidlandsAcute – LargeSandwell and West Birmingham Hospitals NHS Trust2.824120
North WestAcute – TeachingNorthern Care Alliance NHS Foundation Trust2.834123
MidlandsAcute – LargeUnited Lincolnshire Teaching Hospitals NHS Trust2.864124
EastAcute – TeachingJames Paget University Hospitals NHS Foundation Trust2.894125
South EastAcute – TeachingEast Kent Hospitals University NHS Foundation Trust2.94126
North WestAcute – TeachingLiverpool University Hospitals NHS Foundation Trust2.94126
North East and YorkshireAcute – TeachingHull University Teaching Hospitals NHS Trust2.934128
MidlandsAcute – MediumNorthampton General Hospital NHS Trust2.934128
North East and YorkshireAcute – MediumNorthern Lincolnshire and Goole NHS Foundation Trust2.934128
EastAcute – LargeMid and South Essex NHS Foundation Trust2.954131
EastAcute – SmallThe Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust2.984132
MidlandsAcute – TeachingNottingham University Hospitals NHS Trust3.024133
North WestAcute – TeachingBlackpool Teaching Hospitals NHS Foundation Trust3.074134