The NHS league tables 2025 provide a transparent overview of how trusts across England are performing against key services, including urgent and emergency care, elective operations, and mental health provision.
Published under the NHS Oversight Framework 2025/26, these rankings highlight strengths, reveal areas requiring improvement, and guide where interventions or freedoms are most needed.
With the new interactive dashboard, patients, healthcare professionals, and policymakers can easily access and interpret performance data to better understand the current state of NHS services.
What Are The NHS League Tables 2025 And Why Do They Matter?
The NHS league tables 2025 are part of the NHS Oversight Framework 2025/26. They show how different NHS trusts perform in areas such as urgent and emergency care, elective services, and mental health provision. By ranking trusts, the league tables allow the public, healthcare professionals, and policymakers to see variations in performance and take action where necessary.
The tables are published alongside an interactive dashboard. This resource lets users explore performance data in detail and compare trusts across England.
How Does The NHS Oversight Framework 2025/26 Assess Trust Performance?
The oversight framework uses segmentation to group trusts into four categories. These segments reflect the level of support or intervention a trust requires:
- Segment 1: High-performing trusts that may receive additional freedoms
- Segment 2 and 3: Trusts that need varying levels of support to improve
- Segment 4: Trusts with persistent challenges that require immediate intervention
This approach ensures that each trust is monitored fairly and receives the right level of oversight.
What Is The Difference Between Aggregated Metric Rankings And Individual Metric Rankings?
The 2025 league tables use two different types of rankings:
- Aggregated Metric Rankings (AMR): An average of all relevant metric scores is calculated to show the overall standing of each trust compared with similar organisations
- Individual Metric Rankings (IMR): These focus on a single performance metric, such as the 18-week elective care target, and allow direct comparison between trusts for specific services
The combination of AMR and IMR makes it possible to view both general performance trends and service-specific detail.
How Are The NHS League Tables 2025 Calculated In Practice?
The methodology used for the rankings follows a structured process:
- IMR tables are calculated through linear ranking, ordering trusts by their performance levels for individual metrics. Metrics with banded outcomes, such as CQC ratings, are not ranked.
- AMR tables use segmentation first, ranking trusts by segment number. Within each segment, trusts are ordered by their average metric score, with lower scores representing stronger performance.
This two-step process provides clarity and consistency across all categories of NHS trusts.
Which Trust Types Appear In Each NHS Rankings Table?
The rankings are divided by trust type to reflect the different roles NHS organisations play. These categories include:
- Acute trusts: Hospitals providing urgent, elective, specialist, and teaching services
- Non-acute trusts: Organisations covering community, mental health, learning disability, and care services
- Ambulance trusts: Providers of urgent and emergency transport and care
Separating the results in this way allows comparisons to be made within similar categories.
Why Does The Segmentation Order Matter Before Average Scores?
Segmentation has a significant impact on how the tables are structured:
- Trusts are ranked first by segment, from 1 to 4, regardless of average score.
- Within each segment, trusts are ordered by their average metric score.
This means a trust in segment 1 will always appear higher than a trust in segment 2, even if their scores are close. The approach reflects the importance of oversight and support needs in the ranking process.
What Do The 2025 AMR Results Show For Acute Trusts?
The acute trust aggregated metric rankings (AMR) published on 9 September 2025 highlight how specialist providers dominate the top of the table, with teaching and large acute hospitals performing variably across Segments 1 to 4. Segment order determines the overall placement, with average metric scores applied within each segment to distinguish rankings.
Full Acute Trust AMR Rankings 2025
| Rank | Trust | Trust Type | Segment | AMR Score |
| 1 | Moorfields Eye Hospital NHS Foundation Trust | Specialist | 1 | 1.39 |
| 2 | Royal National Orthopaedic Hospital NHS Trust | Specialist | 1 | 1.48 |
| 3 | The Christie NHS Foundation Trust | Specialist | 1 | 1.51 |
| 4 | Liverpool Heart and Chest Hospital NHS Foundation Trust | Specialist | 1 | 1.52 |
| 5 | Royal Papworth Hospital NHS Foundation Trust | Specialist | 1 | 1.55 |
| 6 | The Royal Marsden NHS Foundation Trust | Specialist | 1 | 1.56 |
| 7 | The Walton Centre NHS Foundation Trust | Specialist | 1 | 1.57 |
| 8 | The Clatterbridge Cancer Centre NHS Foundation Trust | Specialist | 1 | 1.70 |
| 9 | Northumbria Healthcare NHS Foundation Trust | Large | 1 | 1.74 |
| 10 | University College London Hospitals NHS Foundation Trust | Teaching | 1 | 1.81 |
| 11 | Imperial College Healthcare NHS Trust | Teaching | 1 | 1.82 |
| 12 | Maidstone and Tunbridge Wells NHS Trust | Large | 1 | 1.87 |
| 13 | University Hospitals Bristol and Weston NHS Foundation Trust | Teaching | 1 | 1.93 |
| 14 | The Royal Orthopaedic Hospital NHS Foundation Trust | Specialist | 1 | 1.97 |
| 15 | Guy’s and St Thomas’ NHS Foundation Trust | Teaching | 1 | 2.00 |
| 16 | Alder Hey Children’s NHS Foundation Trust | Specialist | 1 | 2.02 |
| 17 | Gloucestershire Hospitals NHS Foundation Trust | Large | 2 | 2.08 |
| 18 | Royal Cornwall Hospitals NHS Trust | Large | 2 | 2.13 |
| 19 | East and North Hertfordshire NHS Trust | Large | 2 | 2.16 |
| 20 | Somerset NHS Foundation Trust | Multi-Service | 2 | 2.17 |
| 21 | South Tyneside and Sunderland NHS Foundation Trust | Large | 2 | 2.18 |
| 22 | North Tees and Hartlepool NHS Foundation Trust | Medium | 2 | 2.20 |
| 23 | London North West University Healthcare NHS Trust | Teaching | 2 | 2.21 |
| 24 | North Bristol NHS Trust | Large | 2 | 2.27 |
| 25 | South Warwickshire University NHS Foundation Trust | Teaching | 2 | 2.28 |
| 26 | The Newcastle upon Tyne Hospitals NHS Foundation Trust | Teaching | 2 | 2.29 |
| 27 | The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | Specialist | 2 | 2.31 |
| 28 | Chelsea and Westminster Hospital NHS Foundation Trust | Teaching | 3 | 1.68 |
| 29 | Homerton Healthcare NHS Foundation Trust | Teaching | 3 | 1.70 |
| 29 | Queen Victoria Hospital NHS Foundation Trust | Specialist | 3 | 1.70 |
| 31 | Kingston and Richmond NHS Foundation Trust | Medium | 3 | 1.77 |
| 32 | West Hertfordshire Teaching Hospitals NHS Trust | Teaching | 3 | 1.88 |
| 33 | The Dudley Group NHS Foundation Trust | Medium | 3 | 1.90 |
| 34 | Royal Berkshire NHS Foundation Trust | Large | 3 | 1.95 |
| 35 | Harrogate and District NHS Foundation Trust | Small | 3 | 1.96 |
| 36 | Walsall Healthcare NHS Trust | Small | 3 | 1.97 |
| 37 | Bradford Teaching Hospitals NHS Foundation Trust | Teaching | 3 | 2.00 |
| 37 | Frimley Health NHS Foundation Trust | Large | 3 | 2.00 |
| 37 | St George’s University Hospitals NHS Foundation Trust | Teaching | 3 | 2.00 |
| 40 | Great Ormond Street Hospital for Children NHS Foundation Trust | Specialist | 3 | 2.02 |
| 41 | Chesterfield Royal Hospital NHS Foundation Trust | Small | 3 | 2.03 |
| 41 | Royal Surrey County Hospital NHS Foundation Trust | Medium | 3 | 2.03 |
| 41 | Whittington Health NHS Trust | Multi-Service | 3 | 2.03 |
| 44 | Airedale NHS Foundation Trust | Small | 3 | 2.05 |
| 44 | Sheffield Children’s NHS Foundation Trust | Specialist | 3 | 2.05 |
| 46 | Birmingham Women’s and Children’s NHS Foundation Trust | Specialist | 3 | 2.12 |
| 46 | Surrey and Sussex Healthcare NHS Trust | Medium | 3 | 2.12 |
| 48 | Dorset County Hospital NHS Foundation Trust | Small | 3 | 2.13 |
| 48 | Sherwood Forest Hospitals NHS Foundation Trust | Medium | 3 | 2.13 |
| 48 | University Hospital Southampton NHS Foundation Trust | Teaching | 3 | 2.13 |
| 51 | Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust | Teaching | 3 | 2.14 |
| 52 | Ashford and St Peter’s Hospitals NHS Foundation Trust | Medium | 3 | 2.15 |
| 53 | Buckinghamshire Healthcare NHS Trust | Multi-Service | 3 | 2.18 |
| 54 | Oxford University Hospitals NHS Foundation Trust | Teaching | 3 | 2.24 |
| 54 | Royal Devon University Healthcare NHS Foundation Trust | Large | 3 | 2.24 |
| 56 | Mersey and West Lancashire Teaching Hospitals NHS Trust | Teaching | 3 | 2.25 |
| 57 | Barking, Havering and Redbridge University Hospitals NHS Trust | Teaching | 3 | 2.26 |
| 57 | Salisbury NHS Foundation Trust | Small | 3 | 2.26 |
| 59 | Bolton NHS Foundation Trust | Medium | 3 | 2.28 |
| 59 | Tameside and Glossop Integrated Care NHS Foundation Trust | Small | 3 | 2.28 |
| 61 | Calderdale and Huddersfield NHS Foundation Trust | Large | 3 | 2.30 |
| 61 | East Sussex Healthcare NHS Trust | Large | 3 | 2.30 |
| 61 | Epsom and St Helier University Hospitals NHS Trust | Teaching | 3 | 2.30 |
| 64 | Barnsley Hospital NHS Foundation Trust | Small | 3 | 2.31 |
| 64 | Bedfordshire Hospitals NHS Foundation Trust | Medium | 3 | 2.31 |
| 66 | County Durham and Darlington NHS Foundation Trust | Multi-Service | 3 | 2.34 |
| 67 | University Hospitals Dorset NHS Foundation Trust | Teaching | 3 | 2.36 |
| 68 | Liverpool Women’s NHS Foundation Trust | Specialist | 3 | 2.37 |
| 68 | The Rotherham NHS Foundation Trust | Small | 3 | 2.37 |
| 70 | Cambridge University Hospitals NHS Foundation Trust | Teaching | 3 | 2.40 |
| 71 | Manchester University NHS Foundation Trust | Teaching | 3 | 2.41 |
| 71 | Torbay and South Devon NHS Foundation Trust | Multi-Service | 3 | 2.41 |
| 73 | Isle of Wight NHS Trust | Multi-Service | 3 | 2.42 |
| 73 | Kettering General Hospital NHS Foundation Trust | Small | 3 | 2.42 |
| 73 | Milton Keynes University Hospital NHS Foundation Trust | Teaching | 3 | 2.42 |
| 76 | Croydon Health Services NHS Trust | Medium | 3 | 2.43 |
| 76 | Great Western Hospitals NHS Foundation Trust | Medium | 3 | 2.43 |
| 76 | Wye Valley NHS Trust | Multi-Service | 3 | 2.43 |
| 79 | Barts Health NHS Trust | Teaching | 3 | 2.45 |
| 79 | King’s College Hospital NHS Foundation Trust | Teaching | 3 | 2.45 |
| 79 | The Royal Wolverhampton NHS Trust | Large | 3 | 2.45 |
| 82 | South Tees Hospitals NHS Foundation Trust | Teaching | 3 | 2.46 |
| 83 | Gateshead Health NHS Foundation Trust | Medium | 3 | 2.47 |
| 83 | University Hospitals of Morecambe Bay NHS Foundation Trust | Teaching | 3 | 2.47 |
| 83 | University Hospitals of North Midlands NHS Trust | Teaching | 3 | 2.47 |
| 86 | East Suffolk and North Essex NHS Foundation Trust | Large | 3 | 2.48 |
| 86 | Stockport NHS Foundation Trust | Medium | 3 | 2.48 |
| 88 | Sandwell and West Birmingham Hospitals NHS Trust | Large | 3 | 2.49 |
| 89 | East Lancashire Hospitals NHS Trust | Large | 3 | 2.50 |
| 90 | West Suffolk NHS Foundation Trust | Small | 3 | 2.51 |
| 91 | Lewisham and Greenwich NHS Trust | Large | 3 | 2.53 |
| 92 | Sheffield Teaching Hospitals NHS Foundation Trust | Teaching | 3 | 2.54 |
| 92 | Wrightington, Wigan and Leigh NHS Foundation Trust | Medium | 3 | 2.54 |
| 94 | Mid Yorkshire Teaching NHS Trust | Teaching | 3 | 2.55 |
| 95 | Royal Free London NHS Foundation Trust | Teaching | 3 | 2.56 |
| 96 | Leeds Teaching Hospitals NHS Trust | Teaching | 3 | 2.57 |
| 96 | Mid Cheshire Hospitals NHS Foundation Trust | Small | 3 | 2.57 |
| 96 | Northampton General Hospital NHS Trust | Medium | 3 | 2.57 |
| 99 | East Cheshire NHS Trust | Small | 3 | 2.58 |
| 100 | Nottingham University Hospitals NHS Trust | Teaching | 3 | 2.59 |
| 101 | East Kent Hospitals University NHS Foundation Trust | Teaching | 3 | 2.60 |
| 101 | Hampshire Hospitals NHS Foundation Trust | Large | 3 | 2.60 |
| 101 | University Hospitals of Leicester NHS Trust | Teaching | 3 | 2.60 |
| 104 | Portsmouth Hospitals University NHS Trust | Large | 4 | 2.61 |
| 105 | The Hillingdon Hospitals NHS Foundation Trust | Small | 4 | 2.62 |
| 105 | Wirral University Teaching Hospital NHS Foundation Trust | Teaching | 4 | 2.62 |
| 107 | North West Anglia NHS Foundation Trust | Large | 4 | 2.63 |
| 108 | University Hospitals of Derby and Burton NHS Foundation Trust | Teaching | 4 | 2.64 |
| 109 | University Hospitals Plymouth NHS Trust | Teaching | 4 | 2.67 |
| 110 | Worcestershire Acute Hospitals NHS Trust | Large | 4 | 2.68 |
| 111 | Norfolk and Norwich University Hospitals NHS Foundation Trust | Teaching | 4 | 2.69 |
| 112 | Royal United Hospitals Bath NHS Foundation Trust | Medium | 4 | 2.70 |
| 113 | The Shrewsbury and Telford Hospital NHS Trust | Medium | 4 | 2.72 |
| 114 | Dartford and Gravesham NHS Trust | Small | 4 | 2.78 |
| 115 | Liverpool University Hospitals NHS Foundation Trust | Teaching | 4 | 2.80 |
| 116 | Northern Care Alliance NHS Foundation Trust | Teaching | 4 | 2.81 |
| 117 | University Hospitals Sussex NHS Foundation Trust | Teaching | 4 | 2.82 |
| 118 | Warrington and Halton Teaching Hospitals NHS Foundation Trust | Teaching | 4 | 2.84 |
| 118 | York and Scarborough Teaching Hospitals NHS Foundation Trust | Teaching | 4 | 2.84 |
| 120 | The Princess Alexandra Hospital NHS Trust | Small | 4 | 2.85 |
| 121 | George Eliot Hospital NHS Trust | Small | 4 | 2.86 |
| 122 | United Lincolnshire Hospitals NHS Trust | Large | 4 | 2.88 |
| 123 | Mid and South Essex NHS Foundation Trust | Large | 4 | 2.91 |
| 123 | Hull University Teaching Hospitals NHS Trust | Teaching | 4 | 2.91 |
| 125 | Blackpool Teaching Hospitals NHS Foundation Trust | Teaching | 4 | 2.93 |
| 125 | Northern Lincolnshire and Goole NHS Foundation Trust | Medium | 4 | 2.93 |
| 127 | Lancashire Teaching Hospitals NHS Foundation Trust | Teaching | 4 | 2.97 |
| 127 | University Hospitals Birmingham NHS Foundation Trust | Teaching | 4 | 2.97 |
| 129 | James Paget University Hospitals NHS Foundation Trust | Teaching | 4 | 2.98 |
| 130 | Medway NHS Foundation Trust | Medium | 4 | 2.99 |
| 130 | North Cumbria Integrated Care NHS Foundation Trust | Medium | 4 | 2.99 |
| 132 | University Hospitals Coventry and Warwickshire NHS Trust | Teaching | 4 | 3.01 |
| 133 | Countess of Chester Hospital NHS Foundation Trust | Small | 4 | 3.04 |
| 134 | The Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust | Small | 4 | 3.35 |
What Do The 2025 AMR Results Show For Non-Acute Hospital Trusts?
The non-acute trust aggregated metric rankings (AMR) published in September 2025 provide insight into how community, mental health, learning disability and care trusts are performing against the NHS Oversight Framework 2025/26. These organisations deliver essential services beyond acute hospital care, supporting patients with long-term conditions, mental health needs, rehabilitation and community health.
The rankings show a strong presence of mental health and learning disability trusts in the top positions, reflecting consistent delivery across a broad range of clinical and operational metrics. Several community providers also perform well, underlining the importance of integrated care delivered outside hospital settings.
Key Observations
- Segment 1 leadership: Mental health trusts dominate the top three positions, with North Staffordshire Combined Healthcare, Midlands Partnership and Berkshire Healthcare all achieving average scores below 1.8.
- Community excellence: Cambridgeshire Community Services, Central London Community Healthcare and Kent Community Health all feature prominently in Segment 1, indicating high-performing localised services.
- Balanced representation: Both mental health and community trusts are spread across Segments 1 to 3, while care trusts appear in Segments 3 and 4, reflecting varied performance.
- Performance pressures: Segment 4 is populated largely by mental health providers, many facing challenges linked to demand, workforce and regional pressures.
Non-Acute Trust AMR Rankings 2025
| Rank | Trust | Trust Type | Segment | AMR Score |
| 1 | North Staffordshire Combined Healthcare NHS Trust | Mental health and learning disability | 1 | 1.73 |
| 2 | Midlands Partnership NHS Foundation Trust | Mental health and learning disability | 1 | 1.74 |
| 3 | Berkshire Healthcare NHS Foundation Trust | Mental health and learning disability | 1 | 1.79 |
| 4 | Cambridgeshire Community Services NHS Trust | Community | 1 | 1.82 |
| 4 | Central London Community Healthcare NHS Trust | Community | 1 | 1.82 |
| 4 | North East London NHS Foundation Trust | Mental health and learning disability | 1 | 1.82 |
| 7 | Kent Community Health NHS Foundation Trust | Community | 1 | 1.87 |
| 7 | Northamptonshire Healthcare NHS Foundation Trust | Mental health and learning disability | 1 | 1.87 |
| 9 | Kent and Medway NHS and Social Care Partnership Trust | Mental health and learning disability | 1 | 1.91 |
| 10 | West London NHS Trust | Mental health and learning disability | 1 | 1.94 |
| 11 | Norfolk Community Health and Care NHS Trust | Community | 1 | 2.01 |
| 12 | Wirral Community Health and Care NHS Foundation Trust | Community | 1 | 2.02 |
| 13 | Oxford Health NHS Foundation Trust | Mental health and learning disability | 1 | 2.03 |
| 14 | Central and North West London NHS Foundation Trust | Mental health and learning disability | 2 | 2.06 |
| 15 | Leeds and York Partnership NHS Foundation Trust | Mental health and learning disability | 2 | 2.13 |
| 15 | Sussex Community NHS Foundation Trust | Community | 2 | 2.13 |
| 17 | Derbyshire Community Health Services NHS Foundation Trust | Community | 2 | 2.16 |
| 17 | Leicestershire Partnership NHS Trust | Mental health and learning disability | 2 | 2.16 |
| 17 | Shropshire Community Health NHS Trust | Community | 2 | 2.16 |
| 17 | Surrey and Borders Partnership NHS Foundation Trust | Mental health and learning disability | 2 | 2.16 |
| 21 | Gloucestershire Health and Care NHS Foundation Trust | Mental health and learning disability | 2 | 2.18 |
| 22 | Humber Teaching NHS Foundation Trust | Mental health and learning disability | 2 | 2.22 |
| 23 | Dorset Healthcare University NHS Foundation Trust | Mental health and learning disability | 2 | 2.26 |
| 24 | Tees, Esk and Wear Valleys NHS Foundation Trust | Mental health and learning disability | 2 | 2.28 |
| 25 | Mersey Care NHS Foundation Trust | Mental health and learning disability | 2 | 2.30 |
| 26 | South West Yorkshire Partnership NHS Foundation Trust | Mental health and learning disability | 3 | 1.77 |
| 27 | Oxleas NHS Foundation Trust | Mental health and learning disability | 3 | 1.80 |
| 28 | Hertfordshire Community NHS Trust | Community | 3 | 2.04 |
| 29 | Hertfordshire Partnership University NHS Foundation Trust | Mental health and learning disability | 3 | 2.13 |
| 30 | Rotherham Doncaster and South Humber NHS Foundation Trust | Mental health and learning disability | 3 | 2.16 |
| 31 | Lincolnshire Partnership NHS Foundation Trust | Mental health and learning disability | 3 | 2.25 |
| 32 | Herefordshire and Worcestershire Health and Care NHS Trust | Community | 3 | 2.32 |
| 33 | Hampshire and Isle of Wight Healthcare NHS Foundation Trust | Mental health and learning disability | 3 | 2.33 |
| 34 | South London and Maudsley NHS Foundation Trust | Mental health and learning disability | 3 | 2.38 |
| 35 | Pennine Care NHS Foundation Trust | Mental health and learning disability | 3 | 2.41 |
| 36 | Essex Partnership University NHS Foundation Trust | Mental health and learning disability | 3 | 2.45 |
| 37 | Cambridgeshire and Peterborough NHS Foundation Trust | Mental health and learning disability | 3 | 2.48 |
| 38 | Avon and Wiltshire Mental Health Partnership NHS Trust | Mental health and learning disability | 3 | 2.50 |
| 39 | Bridgewater Community Healthcare NHS Foundation Trust | Community | 3 | 2.53 |
| 39 | East London NHS Foundation Trust | Mental health and learning disability | 3 | 2.53 |
| 41 | Lincolnshire Community Health Services NHS Trust | Community | 3 | 2.54 |
| 42 | North London NHS Foundation Trust | Care trust | 3 | 2.56 |
| 43 | Tavistock and Portman NHS Foundation Trust | Mental health and learning disability | 3 | 2.59 |
| 44 | South West London and St George’s Mental Health NHS Trust | Mental health and learning disability | 3 | 2.60 |
| 45 | Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust | Mental health and learning disability | 4 | 2.65 |
| 46 | Black Country Healthcare NHS Foundation Trust | Mental health and learning disability | 4 | 2.67 |
| 46 | Derbyshire Healthcare NHS Foundation Trust | Mental health and learning disability | 4 | 2.67 |
| 48 | Sheffield Health & Social Care NHS Foundation Trust | Care trust | 4 | 2.70 |
| 49 | Cheshire and Wirral Partnership NHS Foundation Trust | Mental health and learning disability | 4 | 2.77 |
| 49 | Cornwall Partnership NHS Foundation Trust | Mental health and learning disability | 4 | 2.77 |
| 51 | Coventry and Warwickshire Partnership NHS Trust | Mental health and learning disability | 4 | 2.79 |
| 52 | Leeds Community Healthcare NHS Trust | Community | 4 | 2.80 |
| 53 | Bradford District Care NHS Foundation Trust | Care trust | 4 | 2.84 |
| 53 | Lancashire & South Cumbria NHS Foundation Trust | Mental health and learning disability | 4 | 2.84 |
| 55 | Birmingham and Solihull Mental Health NHS Foundation Trust | Mental health and learning disability | 4 | 2.90 |
| 56 | Nottinghamshire Healthcare NHS Foundation Trust | Mental health and learning disability | 4 | 2.92 |
| 57 | Norfolk and Suffolk NHS Foundation Trust | Mental health and learning disability | 4 | 2.94 |
| 58 | Greater Manchester Mental Health NHS Foundation Trust | Mental health and learning disability | 4 | 3.02 |
| 59 | Sussex Partnership NHS Foundation Trust | Mental health and learning disability | 4 | 3.07 |
| 60 | Devon Partnership NHS Trust | Mental health and learning disability | 4 | 3.14 |
| 61 | Birmingham Community Healthcare NHS Foundation Trust | Community | 4 | 3.34 |
Interpretation
- Segment 1 contains a balance of mental health and community trusts, many with average metric scores below 2.0, marking them as strong performers.
- Segment 2 shows variation, with several community providers achieving comparable results to mental health organisations.
- Segment 3 includes both stable and improving providers, though average scores are slightly higher, pointing to more mixed performance.
- Segment 4 highlights trusts facing systemic challenges, with scores above 2.6, where focused support and interventions will be required.
This ranking makes clear the significant role of non-acute services in the NHS, while also highlighting disparities that require targeted improvement strategies.
What Do The 2025 AMR Results Show For Ambulance Trusts?
Ambulance trusts play a vital role in urgent and emergency care, often being the first point of contact for patients in critical situations. Their performance is measured on indicators such as response times, efficiency in handling calls, and the ability to deliver timely transfers to hospitals.
The 2025 AMR rankings highlight differences across regions and segments, showing how some providers maintain high standards despite significant operational pressures.
Key Observations
- Strong leadership in Segment 1: North West Ambulance Service, East Midlands Ambulance Service and Yorkshire Ambulance Service take the top three spots with scores under 1.9, demonstrating consistent efficiency in emergency response.
- Middle-tier performance in Segment 2: South East Coast and North East Ambulance services rank fourth and fifth, showing respectable results but also areas for improvement compared with their northern counterparts.
- Mixed outcomes in Segment 3: West Midlands Ambulance Service scores strongly within its segment, while London Ambulance Service faces challenges linked to demand volume and urban complexity.
- Persistent challenges in Segment 4: South Central, South Western, and East of England Ambulance services occupy the lowest positions, with scores ranging from 2.75 to 3.02. These trusts highlight how geographic spread, rural coverage, and resourcing pressures affect outcomes.
Ambulance Trust AMR Rankings 2025
| Rank | Trust | Segment | AMR Score |
| 1 | North West Ambulance Service NHS Trust | 1 | 1.82 |
| 2 | East Midlands Ambulance Service NHS Trust | 1 | 1.84 |
| 3 | Yorkshire Ambulance Service NHS Trust | 1 | 1.86 |
| 4 | South East Coast Ambulance Service NHS Foundation Trust | 2 | 2.28 |
| 5 | North East Ambulance Service NHS Foundation Trust | 2 | 2.32 |
| 6 | West Midlands Ambulance Service NHS Foundation Trust | 3 | 2.15 |
| 7 | London Ambulance Service NHS Trust | 3 | 2.47 |
| 8 | South Central Ambulance Service NHS Foundation Trust | 4 | 2.75 |
| 9 | South Western Ambulance Service NHS Foundation Trust | 4 | 2.91 |
| 10 | East of England Ambulance Service NHS Trust | 4 | 3.02 |
Interpretation
The rankings underline the regional variation in ambulance performance. Northern trusts lead in overall efficiency, particularly in response times, while trusts in the south and east face greater systemic challenges. Urban areas, like London, add complexity through high call volumes and traffic congestion, while rural areas, such as those served by South Western Ambulance Service, deal with large geographical distances and workforce distribution issues.
Overall, the AMR results show that ambulance trusts are under considerable pressure, but also highlight where improvements in operational planning, resource allocation, and system support could raise performance across the board.
How Should Users Interpret NHS Rankings, Dashboards, And Confidence Intervals?
The league tables are designed to support interpretation rather than act as absolute judgements. Confidence intervals are included to reflect how certain each ranking is.
- Narrow confidence intervals show that a trust’s performance is stable and reliable
- Wide confidence intervals highlight variability, where results fluctuate across services
This information is crucial in avoiding misleading conclusions from headline rankings.
What Comparability Limits Should Readers Keep In Mind?
While useful, the league tables have important limitations:
- Trusts differ in size, services, and population needs, making direct comparisons difficult
- Performance metrics often cover different timeframes, reducing comparability
- Mergers and acquisitions can alter performance by combining stronger and weaker trusts
For these reasons, the tables should be used as a starting point for understanding performance, rather than as the sole measure of quality.
Where Can The Public Explore The Interactive NHS Performance Dashboard?
The interactive NHS dashboard provides detailed access to the rankings. It allows users to:
- Explore acute, non-acute, and ambulance trust performance in one place
- Apply filters to compare trusts of similar type or region
- Download CSV files for further analysis and local evaluation
This tool is central to ensuring transparency and accountability in how the NHS reports and addresses its performance.
FAQs about NHS league tables 2025 and the oversight framework
How often are NHS league tables updated?
The tables are updated annually, but individual metrics within the oversight framework may be refreshed monthly, quarterly, or yearly.
Can patients use NHS league tables to choose where to receive care?
Yes, particularly through the IMR, which highlights performance differences in specific services such as elective care waiting times.
Why do some trusts move between segments from year to year?
Movements reflect changes in performance, new improvement support, or structural changes such as mergers.
Do NHS league tables measure patient satisfaction?
Not directly. They measure clinical and operational metrics, though patient experience data may inform performance indirectly.
How reliable are confidence intervals in the rankings?
Confidence intervals provide 95% certainty ranges, helping users understand variability and the reliability of rankings.
Are ambulance trusts judged on the same criteria as hospitals?
No. Ambulance trusts are assessed on measures relevant to urgent and emergency services rather than hospital-based care.
Where can I find the raw data behind the NHS league tables?
All data is available through the NHS England oversight framework dashboard, with downloadable CSV files for independent analysis.
1. NHS League Tables 2025: Full Guide to the Latest Rankings
Prompt:
A realistic wide-angle editorial illustration of NHS England headquarters with digital data charts and graphs overlaid, symbolising hospital rankings and healthcare performance, in a professional report style.
2. What Are The NHS League Tables 2025 And Why Do They Matter?
Prompt:
A wide aspect realistic image of doctors and patients looking at a large interactive digital healthcare dashboard showing NHS performance data, with charts and graphs in the background, symbolising transparency and accountability.
3. How Are The NHS League Tables 2025 Calculated In Practice?
Prompt:
A wide-angle realistic image of analysts in an office setting working on laptops with spreadsheets, data charts, and NHS logos, symbolising calculation of healthcare performance rankings and statistical analysis.
4. What Do The 2025 AMR Results Show For Acute Trusts?
Prompt:
A wide aspect realistic image of a large NHS hospital with staff and patients, overlaid with digital bar charts and rankings, symbolising acute trust performance results.
5. What Do The 2025 AMR Results Show For Non-Acute Hospital Trusts?
Prompt:
A wide-angle realistic image of a community healthcare centre and mental health facility, with subtle digital charts and ranking graphics overlaid, representing non-acute NHS trust performance in 2025.
6. What Do The 2025 AMR Results Show For Ambulance Trusts?
Prompt:
A realistic wide aspect image of NHS ambulances lined up outside a hospital emergency department, with digital ranking graphics and performance charts subtly integrated into the scene, symbolising ambulance trust performance.
