79.0% treated within 62 days · standard 85% · About this data
Diagnostics
Below NHS standard
22.2% waiting 6+ weeks · standard 1.0% or fewer · About this data
Mortality (SHMI)
As expected
Screening indicator, not a death rate — a prompt to investigate, not proof of poor care · About this data
In plain English
AI-generated
Royal Free London NHS Foundation Trust reported 44,258 A&E attendances in July 2026, with 80.4% of patients seen within four hours. In June 2026, the trust had 139,476 patients on its waiting list, and 63.2% were seen within 18 weeks of referral. Staff survey results from 2025 showed that 64.2% of employees would be happy for a friend or relative to be treated there.
Automatically generated from the official figures on this page and checked to restate only those figures. Last generated 16 August 2026. This is a plain-English summary, not medical advice. About these summaries
CQC ratings by service
CQC rated these services individually — there is no single overall rating for this location.
Critical careGood
Safe
Requires improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Good
rated September 2018
End of life careRequires improvement
Safe
Requires improvement
Effective
Requires improvement
Caring
Good
Responsive
Requires improvement
Well-led
Requires improvement
rated September 2018
Medical care (including older people's care)Requires improvement
Safe
Requires improvement
Effective
Good
Caring
Good
Responsive
Requires improvement
Well-led
Requires improvement
rated March 2024
OutpatientsRequires improvement
Safe
Requires improvement
Caring
Good
Responsive
Good
Well-led
Requires improvement
rated September 2018
Services for children & young peopleRequires improvement
▲ 358 vs yr agoBetter than 1% of trustsData: Jul 2026
NHS England publishes waiting-time and A&E figures per trust, not per building — figures marked Trust-wide cover all hospitals run by Royal Free London NHS Foundation Trust.
Performance over time
Trust-wide (Royal Free London NHS Foundation Trust) · hover a month for the exact figure · monthly data table
Total waiting list
Incomplete pathways, all specialties
Waiting under 18 weeks
Share of the waiting list
A&E seen within 4 hours
All department types
A&E performance
Trust-wide (Royal Free London NHS Foundation Trust) · Latest month: July 2026· all A&E department types combined — the official headline basis.
A&E attendances
44,258
All department types · latest month
Seen within 4 hours
80.4%
All department types · NHS standard: 95%
Waited over 12 hours
1,996
From decision-to-admit ('trolley waits')
Emergency admissions
7,077
All department types · latest month
Major A&E only (Type 1)
Attendances
26,558
Seen within 4 hours
70.3%
The all-types headline above includes minor-injury units and urgent treatment centres (Type 3), which typically report much higher 4-hour performance and lift the combined figure. This narrower figure covers only the main, consultant-led A&E department run by Royal Free London NHS Foundation Trust— Type 1 in NHS England's classification.
Department type
Attendances
Within 4 hours
All types (official headline)
44,258
80.4%
Type 1 — major A&E
26,558
70.3%
Type 2 — single-specialty A&E
600
98.7%
Type 3 — minor injury / UTC
17,100
95.3%
Source: NHS England A&E Attendances & Emergency Admissions. About this data
Cancer waiting times
Trust-wide (Royal Free London NHS Foundation Trust) · Latest month: June 2026.
Faster diagnosis (28 days)
80.5%
5,092 of 6,327 treated in time
Target 75% · meets target
Treatment within 62 days
79.0%
349 of 442 treated in time
Target 85% · below target
Treatment within 31 days
94.4%
893 of 946 treated in time
Target 96% · below target
Treated within 62 days
Urgent referral to first treatment
Faster diagnosis (28 days)
Referral to diagnosis or ruling-out
Treated within 31 days
Decision to treat to first treatment
Source: NHS England Cancer Waiting Times. The 62-day standard is urgent referral to first treatment; the 28-day faster-diagnosis standard is referral to diagnosis or ruling-out. About this data
Patient experience (Friends & Family Test)
Trust-wide (Royal Free London NHS Foundation Trust) · Latest month: June 2026· a voluntary, monthly feedback survey — the figure is the share of respondents who rated their experience 'good' or 'very good'. Response rates are often low and respondents are self-selected, not a representative sample, so read this alongside the clinical measures above, not on its own.
2025 · the views of staff who work at this trust — a measure of workforce culture, morale and confidence, not a direct measure of clinical outcomes. There is no official NHS target for these figures, so they are shown as context, never a pass or fail.
Staff happy for a friend or relative to be treated here
64.2%
Agreed · 2025 NHS Staff SurveyMedian English trust: 63.9%
Staff engagement
6.90
out of 10 · 2025
Would recommend as a place to work
62.0%
Agreed · 2025
The NHS Staff Survey records the views of staff who chose to respond — a measure of workforce culture, morale and staff confidence, not a direct measure of clinical outcomes or safety. Response rates vary between trusts. England only; Scotland, Wales and Northern Ireland run separate staff surveys on a different basis, so these figures are never compared across nations.
Source: NHS Staff Survey (NHS England), Open Government Licence. About this data
Cancelled operations
Trust-wide (Royal Free London NHS Foundation Trust) · Quarter ending 30 June 2026· last-minute cancellations for NON-CLINICAL reasons (no bed, no staff, an emergency taking priority) — not cancellations chosen by the patient or on clinical grounds. It's a raw count, so larger trusts naturally cancel more in absolute terms — read this alongside the other measures above, not on its own.
Last-minute cancellations
220
elective ops cancelled on the day, non-clinical reasons
Not rebooked within 28 days
26
the NHS standard is a new date within 28 days
% not rebooked in time
11.8%
share of cancelled ops without a new date inside 28 days
Bed occupancy, ambulance handovers & delayed discharges (UEC Daily SitRep)
Trust-wide (Royal Free London NHS Foundation Trust) · Snapshot at 8am, 29 March 2026. This is unvalidated management information— NHS England's own label — and can be revised for up to 14 days after first publication. It is collected only during the winter Daily SitRep window, so this is the latest date the collection has published, not necessarily today. It measures operational pressure (how full the hospital is), NOT care quality — high occupancy is normal for NHS hospitals, especially in winter, and is not a safety or performance score. The ambulance-handover figures below cover winter 2025-26 as a period total(not a snapshot): the time from an ambulance arriving to the patient being handed over to A&E staff. The delayed-discharge figures cover the most recent 7 daysof the collection (not a snapshot, and not the whole winter): a patient who "no longer meets the criteria to reside" is medically ready to leave hospital, but how quickly they actually do mostly reflects social-care and community capacity to receive them — NOT the hospital's own clinical quality. A higher handover or delayed-discharge figure means more operational pressure — like the rest of this section, none of it is a measure of care quality, and it carries no colour grading, badge or ranking.
Adult general & acute bed occupancy
96.9%
1,364 occupied of 1,407 open
Adult critical care occupancy
91.6%
76 occupied of 83 open
Ambulance handovers over 30 minutes
43.1%
of 29,758 handovers, winter 2025-26
Ambulance handovers over 60 minutes
7.6%
of 29,758 handovers, winter 2025-26
Medically fit but not discharged
193
patients/day who no longer met the criteria to reside but stayed in hospital, week to 29 March 2026
Discharged when fit
45%
of 2,455 who no longer met the criteria to reside, week to 29 March 2026
Source: NHS England UEC Daily SitRep, Ambulance Handover and Acute Discharge SitRep collections. About this data
Never Events (patient safety)
Trust-wide (Royal Free London NHS Foundation Trust) · Financial year 2025/26 · Never Events are rare, serious, wholly-preventable incidents. This is a RAW count for 2025/26— it is NOT adjusted for how much surgery the trust does, and NHS England publishes it to prompt learning, NOT to compare trusts. A higher number is a prompt to look at the trust's own review, not proof it is less safe than a trust with fewer.
Never Events reported
3
Occurring in FY 2025/26 · not a comparative safety score
Trust-wide (Royal Free London NHS Foundation Trust) · CQC National Maternity Survey, 2025 · scores are relative comparisons against other trusts, not a measure of absolute quality — based on 199 voluntary respondents (a question is only shown here where at least 30 people at this trust answered it). A lower score is a prompt to look closer, not proof of poor care.
Response rate
27.7%
Share of those sampled who responded
Respondents
199
Of 735 sampled
Confidence & trust in staff (antenatal care)
8.2/10
About the same as most trusts
Kindness & compassion (labour & birth)
8.4/10
Worse than most trusts
Involved in decisions about care (labour & birth)
8.0/10
Worse than most trusts
Got help from staff when needed (in hospital, after the birth)
7.3/10
About the same as most trusts
Confidence & trust in your midwife (postnatal care at home)
8.6/10
About the same as most trusts
Midwife listened to you (postnatal care at home)
9.0/10
About the same as most trusts
Source: Care Quality Commission — National Maternity Survey. About this data
Stroke care (SSNAP audit)
Trust-wide (Royal Free London NHS Foundation Trust) · Sentinel Stroke National Audit Programme, latest quarter to 2026· the SSNAP level (A best .. E) is the audit's own published grade for the quality of this team's acute stroke-care PROCESSES, adjusted for case-mix, case ascertainment and audit compliance — it is not a guarantee of any individual patient's outcome. England only; SSNAP also covers Wales and Northern Ireland.
Barnet General Hospital
D47.6/100
London
Domain grades (patient-centred)
Hyperacute assessmentE
Specialist pathwayE
ReperfusionE
MDT assessmentD
Therapy intensityC
Therapy frequencyD
Standards by dischargeB
Case ascertainment BAudit compliance B
Royal Free Hospital
D52.3/100
London
Domain grades (patient-centred)
Hyperacute assessmentB
Specialist pathwayB
ReperfusionE
MDT assessmentD
Therapy intensityD
Therapy frequencyD
Standards by dischargeC
Case ascertainment AAudit compliance D
This team's case ascertainment and/or audit compliance band is D or E — its SSNAP grade above rests on less-complete data than a team with a higher band, not necessarily worse care.
Source: Sentinel Stroke National Audit Programme (Royal College of Physicians). About this data
Hip fracture care (NHFD audit)
National Hip Fracture Database, 2023audit year · "Met best-practice criteria" is the audit's own composite measure of this hospital's hip-fracture care PROCESSES — how quickly patients had surgery, were assessed and mobilised — not a guarantee of any individual patient's outcome. The 30-day mortality figure is case-mix adjusted; small numbers vary year to year. England only.
Met best-practice criteria
64.9%
The audit's own composite hip-fracture care measure
Prompt surgery (day of/after admission)
68.4%
Mobilised by day after surgery
80.0%
Orthogeriatric/medical assessment
96.6%
Falls assessment
98.3%
Bone-health assessment
97.8%
Acute length of stay
19.9 days
Hip fractures treated
232
This audit year — context, not a quality score
30-day mortality (case-mix adjusted)
6.0%
Lower is better · adjusted for patient factors, not a personal risk
Source: National Hip Fracture Database (Royal College of Physicians). About this data
Patient experience — inpatient care
Trust-wide (Royal Free London NHS Foundation Trust) · CQC Adult Inpatient Survey, 2024 · scores are 0-10, and "better"/"worse" means the trust's score falls outside the range expected for a trust of its size (the CQC 95% expected range, centred on the national average) — a statistical-significance test, not a raw ranking. Based on 440 voluntary respondents (a question is only shown here where at least 30 people at this trust answered it). England only; response rates vary between trusts.
Response rate
37.0%
Share of those sampled who responded
Respondents
440
Of 1,250 sampled
Quality of information while waiting to be admitted
8.0/10
National average: 7.6/10
About the same as the national average
Cleanliness of your room or ward
8.5/10
National average: 8.9/10
About the same as the national average
Confidence and trust in the doctors
9.0/10
National average: 9.0/10
About the same as the national average
Confidence and trust in the nurses
8.6/10
National average: 8.9/10
About the same as the national average
Enough nurses on duty
7.5/10
National average: 7.6/10
About the same as the national average
Involved in decisions about your care and treatment
6.9/10
National average: 7.2/10
About the same as the national average
Given enough privacy when examined or treated
9.4/10
National average: 9.4/10
About the same as the national average
Given enough notice about when you would leave hospital
6.7/10
National average: 6.9/10
About the same as the national average
Knew what would happen next with your care, before leaving hospital
6.5/10
National average: 6.7/10
About the same as the national average
Source: Care Quality Commission — CQC Adult Inpatient Survey. About this data
Trust-wide (Royal Free London NHS Foundation Trust) · CQC Urgent & Emergency Care Survey (A&E), 2024 · scores are 0-10, and "better"/"worse" means the trust's score falls outside the range expected for a trust of its size (the CQC 95% expected range, centred on the national average) — a statistical-significance test, not a raw ranking. Based on 229 voluntary respondents who attended a major (type 1) A&E department (a question is only shown here where at least 30 people at this trust answered it). England only; response rates vary between trusts.
Response rate
25.3%
Share of those sampled who responded
Respondents
229
Of 950 sampled
Overall experience of A&E
6.6/10
National average: 7.3/10
About the same as the national average
Told how long you'd wait to be examined
3.1/10
National average: 2.6/10
About the same as the national average
Kept updated on your waiting time
3.5/10
National average: 3.4/10
About the same as the national average
Doctors and nurses listened to you
8.3/10
National average: 8.3/10
About the same as the national average
Confidence and trust in the doctors and nurses
7.8/10
National average: 8.1/10
About the same as the national average
Involved in decisions about your care
7.2/10
National average: 7.4/10
About the same as the national average
Test results explained before you left
7.2/10
National average: 7.5/10
About the same as the national average
Felt safe around other patients
7.1/10
National average: 7.8/10
About the same as the national average
Told how to care for your condition at home after leaving
6.8/10
National average: 6.8/10
About the same as the national average
Treated with respect and dignity
7.8/10
National average: 8.3/10
About the same as the national average
Source: Care Quality Commission — CQC Urgent & Emergency Care Survey (A&E). About this data
Patient experience — cancer care
Trust-wide (Royal Free London NHS Foundation Trust) · National Cancer Patient Experience Survey, 2025 · scores are the % of patients giving the most positive answer (and an overall 0–10 rating), and "better"/"worse" means the trust's score falls outside the range expected for a trust of its size (the survey's 95% expected range, centred on the national average) — a statistical-significance test, not a raw ranking. Based on 997 patients treated for cancer by this trust (a question is only shown here where at least 10 people at this trust answered it). England only; response rates vary between trusts.
Response rate
—
Share of those sampled who responded
Respondents
997
Who took part
Overall rating of care
8.8/10
National average: 8.9/10
About the same as the national average
Cancer diagnosis explained understandably
73%
National average: 78%
Worse than the national average
Easy to contact your main contact person
77%
National average: 84%
Worse than the national average
Involved as much as wanted in treatment decisions
77%
National average: 80%
Worse than the national average
Confidence and trust in the team during hospital care
75%
National average: 78%
About the same as the national average
Always treated with respect and dignity in hospital
84%
National average: 88%
Worse than the national average
Possible side effects explained understandably
72%
National average: 74%
About the same as the national average
Given enough information about signs of cancer returning or spreading
62%
National average: 65%
About the same as the national average
The whole care team worked well together
88%
National average: 89%
About the same as the national average
Got the support needed from your GP practice since diagnosis
36%
National average: 45%
Worse than the national average
Source: NHS England (survey run by Picker on its behalf) — National Cancer Patient Experience Survey. About this data
Diagnostic test waits
Trust-wide (Royal Free London NHS Foundation Trust) · Latest month: June 2026. The operational standard is that under 1% should wait more than 6 weeks.
Waiting 6+ weeks for a test
22.2%
of 33,906 patients on the diagnostic waiting list
Test
Waiting list
6+ weeks
6+ weeks (count)
13+ weeks
Colonoscopy
2,291
49.8%
1,140
552
Flexi Sigmoidoscopy
362
40.6%
147
61
Gastroscopy
1,366
38.1%
521
132
DEXA Scan
1,886
31.9%
601
4
Urodynamics
141
28.4%
40
11
Ultrasound
14,160
25.6%
3,618
214
Cystoscopy
359
24.0%
86
38
Barium Enema
180
20.6%
37
0
Cardiology
3,739
18.0%
672
126
MRI
5,151
7.9%
408
61
CT scan
3,214
7.7%
249
127
Respiratory physiology
420
1.9%
8
5
Neurophysiology
233
1.7%
4
0
Audiology
404
1.2%
5
2
Waiting 6+ weeks for a diagnostic test
All tests combined
Source: NHS England Diagnostic Waiting Times & Activity (DM01). About this data
Safety: infections
Trust-wide (Royal Free London NHS Foundation Trust) · Cases in the 12 months to July 2026. Hospital-onset cases are those most likely acquired in hospital.
Infection
Cases (12 mo)
Hospital-onset
MRSA bacteraemia
19
6
C. difficile
262
109
E. coli bacteraemia
777
113
MSSA bacteraemia
189
51
Klebsiella bacteraemia
292
94
Pseudomonas bacteraemia
92
44
Hospital-onset cases per month
All infections combined
Source: UK Health Security Agency mandatory surveillance. About this data
Mortality (SHMI)
Trust-wide (Royal Free London NHS Foundation Trust) · 12 months to Mar 2026.
As expected
0.87
SHMI value (1.00 = as many deaths as expected) · 3,800 deaths vs 4,370 expected
SHMI over time
Rolling 12-month value
The SHMI compares the number of deaths after hospital care with the number expected given patients' characteristics. It is not a death rate and a higher value is a prompt to investigate, not proof of poor care. Source: NHS England. About this data
Waiting times by specialty
Trust-wide (Royal Free London NHS Foundation Trust) · Data: June 2026 · Source: NHS England Referral to Treatment statistics
Every figure on this page comes from an official publication: NHS England Referral to Treatment statistics, NHS England A&E statistics, and the Care Quality Commission directory. Data periods are shown against each figure — NHS England publishes with a lag of around six weeks. Read the full methodology.