Acute trust league table – Q4 2025/26

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

Published 11 June 2026

RegionTrust typeTrust nameAverage metric scoreSegmentRank
EastAcute – SpecialistRoyal Papworth Hospital NHS Foundation Trust1.2211
North WestAcute – SpecialistThe Christie NHS Foundation Trust1.2612
LondonAcute – SpecialistThe Royal Marsden NHS Foundation Trust1.2713
North WestAcute – SpecialistLiverpool Heart and Chest Hospital NHS Foundation Trust1.4514
LondonAcute – SpecialistRoyal National Orthopaedic Hospital NHS Trust1.4915
LondonAcute – SpecialistMoorfields Eye Hospital NHS Foundation Trust1.516
North East and YorkshireAcute – LargeNorthumbria Healthcare NHS Foundation Trust1.5217
LondonAcute – TeachingChelsea and Westminster Hospital NHS Foundation Trust1.618
MidlandsAcute – SpecialistThe Royal Orthopaedic Hospital NHS Foundation Trust1.6119
North WestAcute – SpecialistThe Clatterbridge Cancer Centre NHS Foundation Trust1.66110
LondonAcute – TeachingImperial College Healthcare NHS Trust1.69111
LondonAcute – TeachingGuy’s and St Thomas’ NHS Foundation Trust1.74112
LondonAcute – TeachingUniversity College London Hospitals NHS Foundation Trust1.76113
North WestAcute – SpecialistThe Walton Centre NHS Foundation Trust1.79114
North WestAcute – SpecialistAlder Hey Children’s NHS Foundation Trust1.84115
LondonAcute – TeachingLondon North West University Healthcare NHS Trust1.84115
LondonAcute – SmallThe Hillingdon Hospitals NHS Foundation Trust1.93117
MidlandsAcute – SpecialistThe Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust1.93117
North WestAcute – TeachingManchester University NHS Foundation Trust1.94119
South WestAcute – TeachingUniversity Hospitals Bristol and Weston NHS Foundation Trust1.98120
LondonAcute – TeachingBarts Health NHS Trust1.99121
South WestAcute – LargeGloucestershire Hospitals NHS Foundation Trust2.04222
MidlandsAcute – TeachingSouth Warwickshire University NHS Foundation Trust2.07223
EastAcute – LargeEast and North Hertfordshire Teaching NHS Trust2.08224
MidlandsAcute – SpecialistBirmingham Women’s and Children’s NHS Foundation Trust2.09225
North East and YorkshireAcute – LargeSouth Tyneside and Sunderland NHS Foundation Trust2.12226
North East and YorkshireAcute – MediumNorth Tees and Hartlepool NHS Foundation Trust2.2227
EastAcute – TeachingCambridge University Hospitals NHS Foundation Trust2.21228
South WestAcute – Multi-ServiceSomerset NHS Foundation Trust2.27229
South WestAcute – LargeNorth Bristol NHS Trust2.29230
South WestAcute – LargeRoyal Cornwall Hospitals NHS Trust2.29230
EastAcute – TeachingWest Hertfordshire Teaching Hospitals NHS Trust1.54332
LondonAcute – TeachingHomerton Healthcare NHS Foundation Trust1.55333
South EastAcute – LargeRoyal Berkshire NHS Foundation Trust1.57334
South EastAcute – LargeMaidstone and Tunbridge Wells NHS Trust1.72335
LondonAcute – MediumKingston and Richmond NHS Foundation Trust1.76336
LondonAcute – Multi-ServiceWhittington Health NHS Trust1.78337
South EastAcute – MediumRoyal Surrey NHS Foundation Trust1.79338
North East and YorkshireAcute – LargeCalderdale and Huddersfield NHS Foundation Trust1.85339
North East and YorkshireAcute – SpecialistSheffield Children’s NHS Foundation Trust1.89340
South EastAcute – LargeFrimley Health NHS Foundation Trust1.92341
South EastAcute – SpecialistQueen Victoria Hospital NHS Foundation Trust1.93342
MidlandsAcute – SmallGeorge Eliot Hospital NHS Trust1.97343
North WestAcute – SmallTameside and Glossop Integrated Care NHS Foundation Trust1.97343
North East and YorkshireAcute – SmallHarrogate and District NHS Foundation Trust1.99345
MidlandsAcute – Multi-ServiceWye Valley NHS Trust2.02346
LondonAcute – TeachingSt George’s University Hospitals NHS Foundation Trust2.05347
North WestAcute – MediumStockport NHS Foundation Trust2.09348
North East and YorkshireAcute – TeachingDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust2.1349
LondonAcute – SpecialistGreat Ormond Street Hospital for Children NHS Foundation Trust2.1349
South EastAcute – Multi-ServiceBuckinghamshire Healthcare NHS Trust2.11351
LondonAcute – TeachingRoyal Free London NHS Foundation Trust2.12352
South EastAcute – TeachingOxford University Hospitals NHS Foundation Trust2.14353
South EastAcute – MediumAshford and St Peter’s Hospitals NHS Foundation Trust2.16354
North WestAcute – LargeEast Lancashire Hospitals NHS Trust2.17355
North East and YorkshireAcute – TeachingBradford Teaching Hospitals NHS Foundation Trust2.19356
North WestAcute – TeachingMersey and West Lancashire Teaching Hospitals NHS Trust2.19356
South EastAcute – LargeEast Sussex Healthcare NHS Trust2.21358
MidlandsAcute – MediumThe Dudley Group NHS Foundation Trust2.21358
North East and YorkshireAcute – SmallThe Rotherham NHS Foundation Trust2.21358
MidlandsAcute – TeachingUniversity Hospitals Birmingham NHS Foundation Trust2.21358
MidlandsAcute – SmallWalsall Healthcare NHS Trust2.21358
North East and YorkshireAcute – SmallBarnsley Hospital NHS Foundation Trust2.23363
North WestAcute – MediumBolton NHS Foundation Trust2.23363
EastAcute – MediumBedfordshire Hospitals NHS Foundation Trust2.26365
LondonAcute – TeachingEpsom and St Helier University Hospitals NHS Trust2.3366
EastAcute – SmallWest Suffolk NHS Foundation Trust2.3366
North East and YorkshireAcute – TeachingThe Newcastle Upon Tyne Hospitals NHS Foundation Trust2.32368
South EastAcute – TeachingUniversity Hospital Southampton NHS Foundation Trust2.32368
North East and YorkshireAcute – SmallAiredale NHS Foundation Trust2.34370
South WestAcute – TeachingUniversity Hospitals Dorset NHS Foundation Trust2.34370
North WestAcute – SpecialistLiverpool Women’s NHS Foundation Trust2.35372
South EastAcute – MediumSurrey and Sussex Healthcare NHS Trust2.35372
MidlandsAcute – MediumThe Shrewsbury and Telford Hospital NHS Trust2.35372
EastAcute – TeachingMilton Keynes University Hospital NHS Foundation Trust2.36375
LondonAcute – LargeLewisham and Greenwich NHS Trust2.37376
EastAcute – TeachingNorfolk and Norwich University Hospitals NHS Foundation Trust2.37376
North East and YorkshireAcute – TeachingSouth Tees Hospitals NHS Foundation Trust2.37376
EastAcute – LargeNorth West Anglia NHS Foundation Trust2.38379
South WestAcute – SmallSalisbury NHS Foundation Trust2.38379
LondonAcute – TeachingKing’s College Hospital NHS Foundation Trust2.39381
South WestAcute – MediumRoyal United Hospitals Bath NHS Foundation Trust2.4382
MidlandsAcute – MediumSherwood Forest Hospitals NHS Foundation Trust2.4382
EastAcute – LargeEast Suffolk and North Essex NHS Foundation Trust2.41384
EastAcute – SmallThe Princess Alexandra Hospital NHS Trust2.43385
South WestAcute – SmallDorset County Hospital NHS Foundation Trust2.44386
South WestAcute – LargeRoyal Devon University Healthcare NHS Foundation Trust2.44386
North East and YorkshireAcute – TeachingSheffield Teaching Hospitals NHS Foundation Trust2.44386
LondonAcute – MediumCroydon Health Services NHS Trust2.45389
South EastAcute – SmallDartford and Gravesham NHS Trust2.47390
MidlandsAcute – LargeThe Royal Wolverhampton NHS Trust2.47390
North East and YorkshireAcute – TeachingLeeds Teaching Hospitals NHS Trust2.48392
MidlandsAcute – TeachingUniversity Hospitals of North Midlands NHS Trust2.48392
North WestAcute – SmallMid Cheshire Hospitals NHS Foundation Trust2.51394
South EastAcute – LargeHampshire Hospitals NHS Foundation Trust2.52395
North East and YorkshireAcute – MediumGateshead Health NHS Foundation Trust2.53396
South EastAcute – Multi-ServiceIsle of Wight NHS Trust2.54397
North WestAcute – SmallCountess of Chester Hospital NHS Foundation Trust2.55398
North WestAcute – MediumWrightington, Wigan and Leigh NHS Foundation Trust2.56399
MidlandsAcute – LargeSandwell and West Birmingham Hospitals NHS Trust2.573100
MidlandsAcute – TeachingUniversity Hospitals Coventry and Warwickshire NHS Trust2.584101
South WestAcute – Multi-ServiceTorbay and South Devon NHS Foundation Trust2.64102
North WestAcute – TeachingWarrington and Halton Teaching Hospitals NHS Foundation Trust2.64102
MidlandsAcute – LargeUnited Lincolnshire Teaching Hospitals NHS Trust2.624104
MidlandsAcute – SmallChesterfield Royal Hospital NHS Foundation Trust2.644105
North East and YorkshireAcute – TeachingMid Yorkshire Teaching NHS Trust2.644105
South WestAcute – TeachingUniversity Hospitals Plymouth NHS Trust2.644105
MidlandsAcute – TeachingUniversity Hospitals of Leicester NHS Trust2.644105
North WestAcute – TeachingLiverpool University Hospitals NHS Foundation Trust2.654109
MidlandsAcute – LargeWorcestershire Acute Hospitals NHS Trust2.654109
North WestAcute – TeachingBlackpool Teaching Hospitals NHS Foundation Trust2.724111
North WestAcute – TeachingNorthern Care Alliance NHS Foundation Trust2.724111
South WestAcute – MediumGreat Western Hospitals NHS Foundation Trust2.754113
North East and YorkshireAcute – Multi-ServiceCounty Durham and Darlington NHS Foundation Trust2.764114
MidlandsAcute – SmallKettering General Hospital NHS Foundation Trust2.764114
South EastAcute – MediumMedway NHS Foundation Trust2.764114
North WestAcute – TeachingUniversity Hospitals of Morecambe Bay NHS Foundation Trust2.774117
South EastAcute – LargePortsmouth Hospitals University NHS Trust2.784118
North East and YorkshireAcute – MediumNorthern Lincolnshire and Goole NHS Foundation Trust2.794119
North East and YorkshireAcute – MediumNorth Cumbria Integrated Care NHS Foundation Trust2.84120
North WestAcute – TeachingLancashire Teaching Hospitals NHS Foundation Trust2.814121
South EastAcute – TeachingUniversity Hospitals Sussex NHS Foundation Trust2.814121
North WestAcute – TeachingWirral University Teaching Hospital NHS Foundation Trust2.854123
LondonAcute – TeachingBarking, Havering and Redbridge University Hospitals NHS Trust2.884124
MidlandsAcute – TeachingUniversity Hospitals of Derby and Burton NHS Foundation Trust2.894125
North WestAcute – SmallEast Cheshire NHS Trust2.944126
South EastAcute – TeachingEast Kent Hospitals University NHS Foundation Trust2.974127
MidlandsAcute – MediumNorthampton General Hospital NHS Trust2.984128
North East and YorkshireAcute – TeachingYork and Scarborough Teaching Hospitals NHS Foundation Trust3.024129
MidlandsAcute – TeachingNottingham University Hospitals NHS Trust3.044130
EastAcute – TeachingJames Paget University Hospitals NHS Foundation Trust3.074131
EastAcute – LargeMid and South Essex NHS Foundation Trust3.154132
EastAcute – SmallThe Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust3.164133
North East and YorkshireAcute – TeachingHull University Teaching Hospitals NHS Trust3.194134