Segmentation and league tables
NHS oversight framework segmentation and performance dashboard
As part of our commitment to transparency and improvement, NHS England has launched a new interactive dashboard under the NHS Oversight Framework 2025/26.
The dashboard provides a view of how NHS trusts are performing in key services including urgent and emergency care, elective services, mental health and more. For the first time, people can explore league tables that show how their local trust compares with others across England in these individual services and at an overall level.
Based on their performance in these services along with other considerations, such as overall level of financial deficit, each trust has been placed into one of four core segments. Segment 1 represents the organisations with the narrowest range of challenges while segment 4 contains those with the broadest. Trusts in the lower performing segments are likely to receive additional support to help them improve but support can be provided to any organisation, where it is needed. For providers facing the most significant performance or governance challenges intensive, tailored support may be provided through the Recovery Support Programme accessed via segment 5.
The dashboard shows what segment each trust is in as well as the data that has been used to make this decision. More information on how segments are derived can be found in the NHS Oversight Framework methodology manual.
This is the first time this level of information has been published in a single place and it can be used alongside other information to support people to make more informed choices about their care. It also provides transparency and accountability across the health system, ensuring everyone can understand how NHS England makes decisions about performance management, support and intervention.
We will continue to refine this approach over time and welcome feedback to ensure it remains useful and transparent.
Explore the dashboard below:
Data found in the NHS oversight framework dashboards are also made available in comma-separated variables (csv) files to allow users to carry out their own analyses.
If you would prefer to view the league table in an accessible format, please view the link below, this document will also explain how league tables have been derived and what they can and cannot tell you about the performance of trusts.