HospitalCheck

NHS A&E performance in England

73.0% of A&E attendances in England were seen, admitted or discharged within four hours in September 2026 — the NHS standard is 95%. This is the whole-England picture across all A&E department types; for a specific hospital or trust, see its own page — start from the A–Z list of hospitals in England.

73.0%
Seen within 4 hours
NHS standard: 95%
2,278,259
A&E attendances
September 2026
50,582
Waited over 12 hours
Decision-to-admit to admission
Seen within 4 hours
All A&E department types, England
70%80%90%Apr 20Jan 21Jan 22Jan 23Jan 24Jan 25Jan 26NHS standard 95%73.0%91.0%April 202093.9%May 202093.3%June 202092.5%July 202089.7%August 202087.9%September 202085.3%October 202084.7%November 202081.2%December 202079.4%January 202184.6%February 202186.7%March 202186.0%April 202184.3%May 202182.2%June 202178.7%July 202178.0%August 202176.5%September 202175.2%October 202175.2%November 202174.6%December 202175.5%January 202274.5%February 202273.0%March 202273.4%April 202274.0%May 202273.3%June 202272.3%July 202273.1%August 202272.3%September 202270.8%October 202270.4%November 202266.9%December 202273.4%January 202372.6%February 202372.7%March 202375.5%April 202375.0%May 202371.4%June 202372.0%July 202370.9%August 202369.5%September 202368.1%October 202367.6%November 202367.2%December 202368.1%January 202468.9%February 202472.6%March 202472.7%April 202472.2%May 202472.8%June 202473.5%July 202474.6%August 202472.4%September 202471.1%October 202470.2%November 202469.0%December 202471.0%January 202571.5%February 202573.2%March 202572.9%April 202573.6%May 202573.8%June 202574.7%July 202574.1%August 202573.3%September 202572.6%October 202572.6%November 202572.1%December 202570.6%January 202672.4%February 202675.6%March 202675.6%April 202674.3%May 202673.7%June 202674.0%July 202673.6%August 202673.0%September 2026
A&E attendances
Every month, England
1,000,0001,500,0002,000,000Apr 20Jan 21Jan 22Jan 23Jan 24Jan 25Jan 262,278,259870,047April 20201,199,857May 20201,342,619June 20201,506,264July 20201,607,428August 20201,580,221September 20201,493,051October 20201,381,981November 20201,362,719December 20201,200,487January 20211,168,122February 20211,538,781March 20211,695,645April 20211,876,643May 20211,963,758June 20211,968,806July 20211,852,381August 20211,944,383September 20211,973,669October 20211,853,564November 20211,706,162December 20211,707,419January 20221,663,802February 20221,986,299March 20221,851,142April 20222,037,772May 20221,999,798June 20221,991,235July 20221,840,829August 20221,845,084September 20222,003,179October 20221,992,209November 20222,089,839December 20221,784,288January 20231,739,334February 20231,974,012March 20231,845,299April 20232,040,607May 20232,028,562June 20232,004,432July 20231,923,073August 20231,980,825September 20232,028,425October 20231,976,245November 20231,987,653December 20232,030,385January 20241,970,366February 20242,169,645March 20242,052,161April 20242,213,309May 20242,104,887June 20242,138,072July 20241,978,101August 20242,036,836September 20242,165,496October 20242,121,529November 20242,143,116December 20242,022,464January 20251,904,768February 20252,183,088March 20252,097,781April 20252,188,158May 20252,149,967June 20252,200,494July 20252,068,546August 20252,110,223September 20252,221,063October 20252,166,582November 20252,142,509December 20252,140,797January 20261,953,384February 20262,248,508March 20262,183,574April 20262,286,114May 20262,271,215June 20262,317,164July 20262,176,180August 20262,278,259September 2026

About this figure

The England total sums every NHS trust's monthly A&E return (all department types) from NHS England's official statistics. Type 3 units (minor injuries, urgent treatment centres) lift the combined 4-hour rate; major (Type 1) A&E performance alone is lower. Reused under the Open Government Licence v3.0. Full methodology.