New NHS Trust Performance League Tables Published

New system of league tables being rolled out across England as government introduces rankings of NHS trusts.
A photo of two nurses in a hospital sat at a desk working. Their backs are to the camera. Text reads 'new NHS trust performance league tables published'

The government has announced plans to publish league tables ranking NHS trusts in an effort to improve standards of care for patients.

Every trust in England will be ranked quarterly against a range of services, ranging from urgent and emergency care to elective operations and mental health services.

Top-performing trusts will be rewarded with greater freedoms and investment, while underperforming trusts are to receive targeted support. NHS leaders are set to receive extra pay incentives to go into challenged trusts, while senior managers in trusts that are consistently failing may see their pay docked. 

The Government believes that this will strengthen transparency and drive performance improvements across England’s NHS. 

Organisational performance in the NHS is a complex concept to express simply, and some stakeholders have expressed concerns that a single ranking can hide variations in performance across key areas and even hospital sites.  

Responding to the announcement, Healthwatch England Deputy Chief Executive Chris McCann said:

"People want clarity on how their local NHS is doing, and so many will welcome the aspiration to make this easier to understand.

"But if a service is struggling, transparency must come with accountability. Patients need to know what's being done to fix the problem, and when it will improve.

“Any league table must inform not confuse people. It will be essential that the new dashboard clearly communicates the information that is most important to patients and that it is as accessible as possible.”

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