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: Aug 2026. Source: NHS England A&E statistics.

#	Trust	A&E 4-hour
1	Queen Victoria Hospital NHS Foundation TrustEast Grinstead	100.0%
2	Kent Community Health NHS Foundation TrustAshford	99.4%
3	Humber Teaching NHS Foundation TrustHull	99.4%
4	Shropshire Community Health NHS TrustShrewsbury	99.2%
5	Hampshire And Isle Of Wight Healthcare NHS Foundation TrustSouthampton	99.1%
6	Sussex Community NHS Foundation TrustBrighton	98.1%
7	Central London Community Healthcare NHS TrustLondon	98.0%
8	Moorfields Eye Hospital NHS Foundation TrustLondon	97.8%
9	Lincolnshire Community Health Services NHS TrustLincoln	96.3%
10	Gloucestershire Health And Care NHS Foundation TrustGloucester	95.5%
11	North East London NHS Foundation TrustIlford	94.4%
12	Birmingham Women's And Children's NHS Foundation TrustBirmingham	93.7%
13	Wirral Community Health And Care NHS Foundation TrustBirkenhead	92.7%
14	Sheffield Children's NHS Foundation TrustSheffield	92.3%
15	Northumbria Healthcare NHS Foundation TrustNorth Shields	91.8%
16	Liverpool Women's NHS Foundation TrustLiverpool	91.7%
17	Alder Hey Children's NHS Foundation TrustLiverpool	89.4%
18	West Hertfordshire Teaching Hospitals NHS TrustWatford	89.2%
19	George Eliot Hospital NHS TrustNuneaton	87.7%
20	Calderdale And Huddersfield NHS Foundation TrustHuddersfield	85.9%
21	Homerton Healthcare NHS Foundation TrustLondon	83.4%
22	North Tees And Hartlepool NHS Foundation TrustHartlepool	82.8%
23	Bradford Teaching Hospitals NHS Foundation TrustBradford	82.8%
24	Norfolk And Norwich University Hospitals NHS Foundation TrustNorwich	82.1%
25	Barking, Havering And Redbridge University Hospitals NHS TrustRomford	81.9%
26	St George's University Hospitals NHS Foundation TrustLondon	81.6%
27	The Hillingdon Hospitals NHS Foundation TrustUxbridge	81.5%
28	Oxford University Hospitals NHS Foundation TrustOxford	80.4%
29	Royal Free London NHS Foundation TrustLondon	80.3%
30	Dartford And Gravesham NHS TrustDartford	80.3%
31	Chelsea And Westminster Hospital NHS Foundation TrustLondon	80.1%
32	Gateshead Health NHS Foundation TrustGateshead	79.9%
33	Kettering General Hospital NHS Foundation TrustKettering	79.4%
34	Isle Of Wight NHS TrustNewport	79.0%
35	Barnsley Hospital NHS Foundation TrustBarnsley	78.9%
36	The Royal Wolverhampton NHS TrustWolverhampton	78.7%
37	South Tyneside And Sunderland NHS Foundation TrustSunderland	77.9%
38	Walsall Healthcare NHS TrustWalsall	77.7%
39	Buckinghamshire Healthcare NHS TrustAmersham	77.7%
40	East Lancashire Hospitals NHS TrustBlackburn	77.4%
41	East Suffolk And North Essex NHS Foundation TrustColchester	77.3%
42	Leeds Teaching Hospitals NHS TrustLeeds	76.5%
43	London North West University Healthcare NHS TrustHarrow	76.5%
44	The Princess Alexandra Hospital NHS TrustHarlow	76.2%
45	South Tees Hospitals NHS Foundation TrustMiddlesbrough	76.0%
46	West Suffolk NHS Foundation TrustBury St. Edmunds	75.9%
47	Imperial College Healthcare NHS TrustLondon	75.9%
48	Maidstone And Tunbridge Wells NHS TrustMaidstone	75.8%
49	The Dudley Group NHS Foundation TrustDudley	75.7%
50	The Newcastle Upon Tyne Hospitals NHS Foundation TrustNewcastle Upon Tyne	75.6%
51	Royal Berkshire NHS Foundation TrustReading	75.5%
52	Harrogate And District NHS Foundation TrustHarrogate	75.5%
53	Royal Cornwall Hospitals NHS TrustTruro	75.4%
54	Blackpool Teaching Hospitals NHS Foundation TrustBlackpool	75.4%
55	Guy's And St Thomas' NHS Foundation TrustLondon	75.1%
56	North Cheshire And Mersey NHS Foundation TrustWarrington	74.8%
57	East And North Hertfordshire Teaching NHS TrustStevenage	74.6%
58	Doncaster And Bassetlaw Teaching Hospitals NHS Foundation TrustDoncaster	74.6%
59	Manchester University NHS Foundation TrustManchester	74.5%
60	Sandwell And West Birmingham Hospitals NHS TrustSmethwick	74.4%
61	University Hospitals Coventry And Warwickshire NHS TrustCoventry	74.3%
62	University College London Hospitals NHS Foundation TrustLondon	74.0%
63	Royal Surrey NHS Foundation TrustGuildford	73.7%
64	Lewisham And Greenwich NHS TrustLondon	73.7%
65	Mersey And West Lancashire Teaching Hospitals NHS TrustPrescot	73.6%
66	Kingston And Richmond NHS Foundation TrustKingston Upon Thames	73.3%
67	Barts Health NHS TrustLondon	73.1%
68	Croydon Health Services NHS TrustThornton Heath	73.1%
69	Somerset NHS Foundation TrustTaunton	73.0%
70	Chesterfield Royal Hospital NHS Foundation TrustChesterfield	72.5%
71	South Warwickshire University NHS Foundation TrustWarwick	72.4%
72	Lancashire Teaching Hospitals NHS Foundation TrustPreston	72.2%
73	Bristol NHS Foundation TrustBristol	71.9%
74	Frimley Health NHS Foundation TrustCamberley	71.9%
75	The Rotherham NHS Foundation TrustRotherham	71.8%
76	United Lincolnshire Teaching Hospitals NHS TrustLincoln	71.8%
77	Bedfordshire Hospitals NHS Foundation TrustLuton	71.7%
78	Northern Care Alliance NHS Foundation TrustSalford	71.7%
79	Whittington Health NHS TrustLondon	71.6%
80	Sherwood Forest Hospitals NHS Foundation TrustSutton-In-Ashfield	71.5%
81	King's College Hospital NHS Foundation TrustLondon	71.3%
82	Wrightington, Wigan And Leigh Teaching Hospitals NHS Foundation TrustWigan	71.1%
83	Liverpool University Hospitals NHS Foundation TrustLiverpool	71.0%
84	Mid Yorkshire Teaching NHS TrustWakefield	71.0%
85	Medway NHS Foundation TrustGillingham	70.9%
86	University Hospitals Dorset NHS Foundation TrustPoole	70.9%
87	Portsmouth Hospitals University NHS TrustPortsmouth	70.3%
88	Mid And South Essex NHS Foundation TrustWestcliff-On-Sea	70.2%
89	East Kent Hospitals University NHS Foundation TrustCanterbury	70.1%
90	University Hospital Southampton NHS Foundation TrustSouthampton	69.6%
91	Cambridge University Hospitals NHS Foundation TrustCambridge	69.3%
92	Sheffield Teaching Hospitals NHS Foundation TrustSheffield	69.3%
93	University Hospitals Birmingham NHS Foundation TrustBirmingham	68.8%
94	Ashford And St Peter's Hospitals NHS Foundation TrustChertsey	68.5%
95	Northampton General Hospital NHS TrustNorthampton	68.4%
96	Epsom And St Helier University Hospitals NHS TrustCarshalton	68.1%
97	University Hospitals Of Morecambe Bay NHS Foundation TrustKendal	68.0%
98	County Durham And Darlington NHS Foundation TrustDarlington	68.0%
99	James Paget University Hospitals NHS Foundation TrustGreat Yarmouth	67.8%
100	North West Anglia NHS Foundation TrustPeterborough	67.7%
101	Northern Lincolnshire And Goole NHS Foundation TrustGrimsby	67.7%
102	Stockport NHS Foundation TrustStockport	67.3%
103	Salisbury NHS Foundation TrustSalisbury	67.3%
104	Nottingham University Hospitals NHS TrustNottingham	66.9%
105	Mid Cheshire Hospitals NHS Foundation TrustCrewe	66.9%
106	Bolton NHS Foundation TrustBolton	66.8%
107	University Hospitals Of North Midlands NHS TrustStoke-On-Trent	66.6%
108	Milton Keynes University Hospital NHS Foundation TrustMilton Keynes	66.6%
109	University Hospitals Of Derby And Burton NHS Foundation TrustDerby	66.4%
110	Worcestershire Acute Hospitals NHS TrustWorcester	65.5%
111	East Sussex Healthcare NHS TrustSt. Leonards-On-Sea	65.1%
112	Gloucestershire Hospitals NHS Foundation TrustCheltenham	64.8%
113	Royal Devon University Healthcare NHS Foundation TrustExeter	64.8%
114	University Hospitals Plymouth NHS TrustPlymouth	64.8%
115	University Hospitals Of Leicester NHS TrustLeicester	64.1%
116	Great Western Hospitals NHS Foundation TrustSwindon	63.8%
117	Wye Valley NHS TrustHereford	63.7%
118	Torbay And South Devon NHS Foundation TrustTorquay	63.4%
119	The Queen Elizabeth Hospital, King's Lynn, NHS Foundation TrustKing's Lynn	63.2%
120	North Cumbria Integrated Care NHS Foundation TrustCarlisle	63.0%
121	York And Scarborough Teaching Hospitals NHS Foundation TrustYork	62.9%
122	Tameside And Glossop Integrated Care NHS Foundation TrustAshton-Under-Lyne	61.9%
123	Hampshire Hospitals NHS Foundation TrustBasingstoke	61.7%
124	Hull University Teaching Hospitals NHS TrustHull	61.4%
125	Countess Of Chester Hospital NHS Foundation TrustChester	60.9%
126	University Hospitals Sussex NHS Foundation TrustWorthing	58.9%
127	Airedale NHS Foundation TrustKeighley	56.8%
128	Royal United Hospitals Bath NHS Foundation TrustBath	56.0%
129	Dorset County Hospital NHS Foundation TrustDorchester	55.9%
130	Surrey And Sussex Healthcare NHS TrustRedhill	52.8%
131	Wirral University Teaching Hospital NHS Foundation TrustWirral	52.5%
132	East Cheshire NHS TrustMacclesfield	52.5%
133	The Shrewsbury And Telford Hospital NHS TrustShrewsbury	51.8%

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.