Every trust in England will be ranked quarterly against clear, consistent standards - from urgent and emergency care to elective operations and mental health services.
This marks a new era of transparency and accountability in the NHS, with league tables delivering on the government’s promise to drive up standards, tackle variation in care, and ensure people get the high-quality service they rightly expect.
This is not just about data, it’s about delivery. The public expect results from the record funding going into the NHS, and this reform ensures that investment is matched by improvement. That is why top-performing trusts will be rewarded with greater autonomy, including the ability to reinvest surplus budgets into frontline improvements such as new diagnostic equipment and hospital upgrades.
From next year, a new wave of foundation trusts will be introduced, giving the best-performing trusts more freedom to shape services around local needs - a key pillar of the government’s 10 Year Health Plan. Meanwhile, trusts facing the greatest challenges will receive enhanced support to drive improvement, with senior leaders held accountable through performance-linked pay. The best NHS leaders will be offered higher pay to take on the toughest jobs, sending them into challenged services and turning them around.
The government says that this will help end the postcode lottery in care, ensuring patients receive timely, high-quality treatment wherever they live. Patient feedback will also play a central role in how trusts are ranked, giving people a stronger voice in shaping their care.
Health and Social Care Secretary Wes Streeting said: "We must be honest about the state of the NHS to fix it. Patients and taxpayers have to know how their local NHS services are doing compared to the rest of the country. These league tables will identify where urgent support is needed and allow high-performing areas to share best practices with others, taking the best of the NHS to the rest of the NHS.
"Patients know when local services aren’t up to scratch and they want to see an end to the postcode lottery - that’s what this government is doing. We’re combining the extra £26 billion investment each year with tough reforms to get value for money, with every pound helping to cut waiting times for patients."
Sir Jim Mackey, Chief Executive of NHS England, said: "NHS staff across the country work flat out to deliver the highest standard of care to their patients and every day we see or hear fantastic examples of this, but we still have far too much unwarranted local variation in performance.
"Letting patients and the public access more data will help to drive improvement even faster by supporting them to identify where they should demand even better from their NHS and by putting more power in their hands to make informed decisions on their choice of provider. The data also supports local NHS trust boards and leadership teams to more easily identify the highest performing services in the NHS and adapt how they deliver care to drive improvement even faster going forward."
Trusts will be scored into 4 performance segments, with the first segment representing the best performing areas and the fourth segment showing the most challenged. To enable fairer comparisons, separate league tables are published for acute, non-acute and ambulance trusts.
Those trusts in middle segments of the tables will be encouraged to learn from top performers to help them improve on their rankings, so they too will be able to financially benefit from their budget surpluses in the future.
The league tables deliver on a key commitment in the government’s 10 Year Health Plan to improve transparency, reward high performance and intervene to address poor performance across the NHS.
By summer 2026, the tables will expand to cover integrated care boards - NHS organisations responsible for planning health services for their local population - and wider areas of NHS performance.
