NHS trusts ranked by A&E four-hour performance

The share of A&E attendances admitted, transferred or discharged within four hours. The standard is 95%.

133 trusts · Ranked best first. Data: Sep 2026. Source: NHS England A&E statistics.

#	Trust	A&E 4-hour
1	Queen Victoria Hospital NHS Foundation TrustEast Grinstead	99.9%
2	Shropshire Community Health NHS TrustShrewsbury	99.6%
3	Humber Teaching NHS Foundation TrustHull	99.1%
4	Kent Community Health NHS Foundation TrustAshford	98.6%
5	North East London NHS Foundation TrustIlford	98.3%
6	Hampshire And Isle Of Wight Healthcare NHS Foundation TrustSouthampton	98.2%
7	Lincolnshire Community Health Services NHS TrustLincoln	97.6%
8	Central London Community Healthcare NHS TrustLondon	97.3%
9	Sussex Community NHS Foundation TrustBrighton	96.3%
10	Gloucestershire Health And Care NHS Foundation TrustGloucester	96.1%
11	Moorfields Eye Hospital NHS Foundation TrustLondon	92.6%
12	Northumbria Healthcare NHS Foundation TrustNorth Shields	90.8%
13	Sheffield Children's NHS Foundation TrustSheffield	90.3%
14	Wirral Community Health And Care NHS Foundation TrustBirkenhead	89.9%
15	Liverpool Women's NHS Foundation TrustLiverpool	88.6%
16	West Hertfordshire Teaching Hospitals NHS TrustWatford	86.9%
17	George Eliot Hospital NHS TrustNuneaton	86.7%
18	Alder Hey Children's NHS Foundation TrustLiverpool	85.9%
19	Calderdale And Huddersfield NHS Foundation TrustHuddersfield	85.3%
20	Bradford Teaching Hospitals NHS Foundation TrustBradford	82.1%
21	The Hillingdon Hospitals NHS Foundation TrustUxbridge	81.9%
22	Barking, Havering And Redbridge University Hospitals NHS TrustRomford	81.7%
23	West Suffolk NHS Foundation TrustBury St. Edmunds	81.6%
24	North Tees And Hartlepool NHS Foundation TrustHartlepool	81.0%
25	Isle Of Wight NHS TrustNewport	80.1%
26	Dartford And Gravesham NHS TrustDartford	80.1%
27	Royal Free London NHS Foundation TrustLondon	80.0%
28	Norfolk And Norwich University Hospitals NHS Foundation TrustNorwich	79.8%
29	The Dudley Group NHS Foundation TrustDudley	79.7%
30	The Royal Wolverhampton NHS TrustWolverhampton	79.3%
31	Oxford University Hospitals NHS Foundation TrustOxford	79.2%
32	Homerton Healthcare NHS Foundation TrustLondon	78.5%
33	Kettering General Hospital NHS Foundation TrustKettering	78.2%
34	Birmingham Women's And Children's NHS Foundation TrustBirmingham	78.2%
35	St George's University Hospitals NHS Foundation TrustLondon	78.1%
36	Buckinghamshire Healthcare NHS TrustAmersham	77.6%
37	Chelsea And Westminster Hospital NHS Foundation TrustLondon	77.5%
38	Gateshead Health NHS Foundation TrustGateshead	77.2%
39	The Princess Alexandra Hospital NHS TrustHarlow	76.6%
40	Blackpool Teaching Hospitals NHS Foundation TrustBlackpool	76.0%
41	East Suffolk And North Essex NHS Foundation TrustColchester	75.7%
42	East Lancashire Hospitals NHS TrustBlackburn	75.6%
43	Royal Cornwall Hospitals NHS TrustTruro	75.5%
44	London North West University Healthcare NHS TrustHarrow	75.4%
45	Leeds Teaching Hospitals NHS TrustLeeds	75.4%
46	Guy's And St Thomas' NHS Foundation TrustLondon	75.4%
47	Frimley Health NHS Foundation TrustCamberley	75.3%
48	University Hospitals Coventry And Warwickshire NHS TrustCoventry	75.3%
49	Walsall Healthcare NHS TrustWalsall	75.0%
50	Imperial College Healthcare NHS TrustLondon	74.9%
51	South Tees Hospitals NHS Foundation TrustMiddlesbrough	74.8%
52	The Newcastle Upon Tyne Hospitals NHS Foundation TrustNewcastle Upon Tyne	74.8%
53	Royal Berkshire NHS Foundation TrustReading	74.8%
54	Sandwell And West Birmingham Hospitals NHS TrustSmethwick	74.7%
55	North Cheshire And Mersey NHS Foundation TrustWarrington	74.6%
56	Maidstone And Tunbridge Wells NHS TrustMaidstone	74.5%
57	Bedfordshire Hospitals NHS Foundation TrustLuton	74.5%
58	Medway NHS Foundation TrustGillingham	74.4%
59	Sherwood Forest Hospitals NHS Foundation TrustSutton-In-Ashfield	74.4%
60	South Tyneside And Sunderland NHS Foundation TrustSunderland	74.1%
61	Barts Health NHS TrustLondon	74.0%
62	University College London Hospitals NHS Foundation TrustLondon	73.8%
63	Mersey And West Lancashire Teaching Hospitals NHS TrustPrescot	73.3%
64	Doncaster And Bassetlaw Teaching Hospitals NHS Foundation TrustDoncaster	73.3%
65	Royal Surrey NHS Foundation TrustGuildford	73.1%
66	Lancashire Teaching Hospitals NHS Foundation TrustPreston	72.7%
67	Croydon Health Services NHS TrustThornton Heath	72.4%
68	East And North Hertfordshire Teaching NHS TrustStevenage	72.4%
69	East Kent Hospitals University NHS Foundation TrustCanterbury	72.1%
70	Harrogate And District NHS Foundation TrustHarrogate	72.1%
71	Whittington Health NHS TrustLondon	72.1%
72	Manchester University NHS Foundation TrustManchester	71.8%
73	University Hospitals Dorset NHS Foundation TrustPoole	71.8%
74	Chesterfield Royal Hospital NHS Foundation TrustChesterfield	71.8%
75	Somerset NHS Foundation TrustTaunton	71.7%
76	Torbay And South Devon NHS Foundation TrustTorquay	71.5%
77	Barnsley Hospital NHS Foundation TrustBarnsley	71.2%
78	Portsmouth Hospitals University NHS TrustPortsmouth	71.0%
79	Epsom And St Helier University Hospitals NHS TrustCarshalton	70.8%
80	University Hospital Southampton NHS Foundation TrustSouthampton	70.7%
81	Sheffield Teaching Hospitals NHS Foundation TrustSheffield	70.6%
82	Lewisham And Greenwich NHS TrustLondon	70.3%
83	Milton Keynes University Hospital NHS Foundation TrustMilton Keynes	70.2%
84	Northern Care Alliance NHS Foundation TrustSalford	70.0%
85	Mid Yorkshire Teaching NHS TrustWakefield	69.8%
86	Bristol NHS Foundation TrustBristol	69.7%
87	Mid And South Essex NHS Foundation TrustWestcliff-On-Sea	69.6%
88	Northampton General Hospital NHS TrustNorthampton	69.4%
89	Kingston And Richmond NHS Foundation TrustKingston Upon Thames	69.4%
90	South Warwickshire University NHS Foundation TrustWarwick	69.4%
91	University Hospitals Of Morecambe Bay NHS Foundation TrustKendal	69.2%
92	The Rotherham NHS Foundation TrustRotherham	69.2%
93	Wrightington, Wigan And Leigh Teaching Hospitals NHS Foundation TrustWigan	69.0%
94	University Hospitals Birmingham NHS Foundation TrustBirmingham	68.8%
95	Northern Lincolnshire And Goole NHS Foundation TrustGrimsby	68.8%
96	United Lincolnshire Teaching Hospitals NHS TrustLincoln	68.8%
97	King's College Hospital NHS Foundation TrustLondon	68.7%
98	East Sussex Healthcare NHS TrustSt. Leonards-On-Sea	68.5%
99	Cambridge University Hospitals NHS Foundation TrustCambridge	68.0%
100	County Durham And Darlington NHS Foundation TrustDarlington	67.7%
101	Ashford And St Peter's Hospitals NHS Foundation TrustChertsey	67.1%
102	University Hospitals Of Derby And Burton NHS Foundation TrustDerby	67.0%
103	Liverpool University Hospitals NHS Foundation TrustLiverpool	66.9%
104	Worcestershire Acute Hospitals NHS TrustWorcester	66.5%
105	Salisbury NHS Foundation TrustSalisbury	66.5%
106	North West Anglia NHS Foundation TrustPeterborough	66.4%
107	James Paget University Hospitals NHS Foundation TrustGreat Yarmouth	66.0%
108	Stockport NHS Foundation TrustStockport	65.9%
109	University Hospitals Of North Midlands NHS TrustStoke-On-Trent	65.9%
110	Great Western Hospitals NHS Foundation TrustSwindon	65.6%
111	University Hospitals Plymouth NHS TrustPlymouth	65.6%
112	Nottingham University Hospitals NHS TrustNottingham	65.6%
113	Wye Valley NHS TrustHereford	65.1%
114	Mid Cheshire Hospitals NHS Foundation TrustCrewe	64.8%
115	The Queen Elizabeth Hospital, King's Lynn, NHS Foundation TrustKing's Lynn	64.8%
116	Royal Devon University Healthcare NHS Foundation TrustExeter	63.8%
117	Bolton NHS Foundation TrustBolton	63.3%
118	Hampshire Hospitals NHS Foundation TrustBasingstoke	62.3%
119	North Cumbria Integrated Care NHS Foundation TrustCarlisle	62.1%
120	University Hospitals Of Leicester NHS TrustLeicester	62.1%
121	Gloucestershire Hospitals NHS Foundation TrustCheltenham	61.8%
122	York And Scarborough Teaching Hospitals NHS Foundation TrustYork	61.8%
123	Countess Of Chester Hospital NHS Foundation TrustChester	61.8%
124	University Hospitals Sussex NHS Foundation TrustWorthing	60.2%
125	Airedale NHS Foundation TrustKeighley	59.4%
126	Dorset County Hospital NHS Foundation TrustDorchester	59.3%
127	Tameside And Glossop Integrated Care NHS Foundation TrustAshton-Under-Lyne	57.6%
128	Royal United Hospitals Bath NHS Foundation TrustBath	56.7%
129	Hull University Teaching Hospitals NHS TrustHull	54.5%
130	Wirral University Teaching Hospital NHS Foundation TrustWirral	53.2%
131	Surrey And Sussex Healthcare NHS TrustRedhill	52.1%
132	The Shrewsbury And Telford Hospital NHS TrustShrewsbury	51.0%
133	East Cheshire NHS TrustMacclesfield	48.4%

Other league tables:Waiting list 52+ week waits Within 18 weeks Median wait 12hr+ waits most expensive parking Maintenance backlog highest catering cost per meal Cancer within 62 days Cancer diagnosed in 28 days Cancer treated in 31 days

Share of A&E attendances admitted, transferred or discharged within 4 hours (all department types). Figures are trust-wide, from NHS England A&E statistics, reproduced under the Open Government Licence v3.0. See methodology for definitions and update schedule.