NHS oversight framework segmentation and performance dashboard

The NHS Oversight Framework (NOF) dashboard was first published in September 2025, it was designed to support transparency and improve access to oversight information. There are individual dashboards covering different types of trust which can be accessed through the link below:

• NHS England public data gateway – NHS Oversight Framework dashboards

This information is also available in accessible format and as comma separated value (CSV) downloads.

These dashboards provides an overview of how NHS trusts are performing in key services including urgent and emergency care, elective services, mental health and more. It also allows people to 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.

NHS England releases segmentation and league-table data quarterly. This information brings updated performance data together in one place and can be used alongside other sources to help people make more informed choices about their care. The dashboard provides transparency and accountability across the health system, ensuring everyone can understand how NHS England makes decisions about performance management, support and intervention.

NHS England has carried out user research and engagement to better understand how the current dashboard is used and how the user experience can be improved. Work is underway to develop an updated dashboard that will offer a more accessible, interactive, and user-friendly experience.

Latest position: Q4 2025/26

Read the summary of segmentation changes for Q4 2025/26:

• NHS Oversight Framework: Q4 2025/26 segmentation changes