73.9%

Seen within 4 hours · England

−0.6pp vs last month

All A&E types in September 2026, against the 95% constitutional standard

60.4%

Major (Type 1) A&E only

−0.5pp vs last month

Performance at full, consultant-led emergency departments

50,582

12-hour waits

+5,631 vs last month

Patients who waited over 12 hours from a decision to admit to admission

2,369,791

A&E attendances

Across all English A&E departments in September 2026

England: every trust ranked September 2026 · major (Type 1) departments

#	Trust	In 4 hrs	vs August 2026	Attendances	12hr+ waits
1	Sheffield Children's NHS Foundation Trust North East and Yorkshire	89.6%	2.7	4,495	0
2	Alder Hey Children's NHS Foundation Trust North West	85.9%	3.5	6,240	0
3	Calderdale and Huddersfield NHS Foundation Trust North East and Yorkshire	85.3%	0.6	16,465	41
4	George Eliot Hospital NHS Trust Midlands	83.9%	0.8	7,779	354
5	West Suffolk NHS Foundation Trust East of England	79.5%	6.6	8,264	149
6	Northumbria Healthcare NHS Foundation Trust North East and Yorkshire	78.6%	2.4	10,939	0
7	Homerton Healthcare NHS Foundation Trust London	78.5%	4.9	11,472	25
8	Dartford and Gravesham NHS Trust South East	74.3%	0.5	12,375	490
9	Birmingham Women's and Children's NHS Foundation Trust Midlands	74.2%	18.1	4,840	3
10	University College London Hospitals NHS Foundation Trust London	73.8%	0.2	14,122	246
11	Bradford Teaching Hospitals NHS Foundation Trust North East and Yorkshire	73.4%	0.8	9,332	215
12	The Dudley Group NHS Foundation Trust Midlands	73.3%	5.6	10,834	155
13	West Hertfordshire Teaching Hospitals NHS Trust East of England	73.1%	5.2	8,453	15
14	Oxford University Hospitals NHS Foundation Trust South East	72.6%	1.6	13,610	8
15	Maidstone and Tunbridge Wells NHS Trust South East	72.5%	0.8	20,578	686
16	Whittington Health NHS Trust London	72.1%	0.5	9,715	278
17	Isle of Wight NHS Trust South East	71.9%	1.6	4,424	110
18	Chelsea and Westminster Hospital NHS Foundation Trust London	71.8%	3.2	21,345	44
19	The Princess Alexandra Hospital NHS Trust East of England	71.4%	–	9,234	328
20	Barnsley Hospital NHS Foundation Trust North East and Yorkshire	71.2%	7.7	10,086	109
21	St George's University Hospitals NHS Foundation Trust London	70.7%	3.8	9,553	287
22	Royal Free London NHS Foundation Trust London	70.2%	0.1	27,458	2,031
23	Medway NHS Foundation Trust South East	69.4%	7.8	10,304	413
24	The Rotherham NHS Foundation Trust North East and Yorkshire	69.2%	2.6	10,045	17
25	Sherwood Forest Hospitals NHS Foundation Trust Midlands	68.6%	7.0	11,265	179
25	Buckinghamshire Healthcare NHS Trust South East	68.6%	0.2	9,848	164
27	University Hospital Southampton NHS Foundation Trust South East	68.0%	1.5	12,362	14
27	Norfolk and Norwich University Hospitals NHS Foundation Trust East of England	68.0%	3.1	13,687	287
29	Bristol NHS Foundation Trust South West	67.8%	2.2	26,019	620
30	Lancashire Teaching Hospitals NHS Foundation Trust North West	67.4%	0.3	12,803	425
30	South Warwickshire University NHS Foundation Trust Midlands	67.4%	3.5	8,510	190
32	Epsom and St Helier University Hospitals NHS Trust London	67.3%	3.3	11,635	743
33	Walsall Healthcare NHS Trust Midlands	66.7%	2.1	10,447	339
34	Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust North East and Yorkshire	65.7%	2.3	14,439	376
34	The Royal Wolverhampton NHS Trust Midlands	65.7%	2.1	11,329	506
36	University Hospitals Dorset NHS Foundation Trust South West	64.8%	1.9	16,401	342
37	Harrogate and District NHS Foundation Trust North East and Yorkshire	64.6%	3.6	5,377	1
38	Royal Surrey NHS Foundation Trust South East	64.0%	0.7	7,099	24
39	United Lincolnshire Teaching Hospitals NHS Trust Midlands	63.6%	3.5	17,584	1,347
40	Croydon Health Services NHS Trust London	63.1%	–	13,804	626
41	Barking, Havering and Redbridge University Hospitals NHS Trust London	62.9%	0.7	14,321	568
42	Stockport NHS Foundation Trust North West	62.8%	1.9	8,508	228
43	Mersey and West Lancashire Teaching Hospitals NHS Trust North West	62.7%	0.2	17,858	439
44	Frimley Health NHS Foundation Trust South East	62.6%	4.4	23,398	599
45	East Lancashire Hospitals NHS Trust North West	62.5%	2.6	13,927	814
45	Bedfordshire Hospitals NHS Foundation Trust East of England	62.5%	2.9	18,509	85
47	East Sussex Healthcare NHS Trust South East	62.0%	4.6	10,828	215
48	Royal Berkshire NHS Foundation Trust South East	61.8%	1.2	11,425	0
48	Gloucestershire Hospitals NHS Foundation Trust South West	61.8%	3.0	14,773	454
48	Mid and South Essex NHS Foundation Trust East of England	61.8%	0.3	28,595	1,371
48	Leeds Teaching Hospitals NHS Trust North East and Yorkshire	61.8%	3.7	19,809	685
52	Northern Care Alliance NHS Foundation Trust North West	61.5%	1.5	27,197	1,103
53	Guy's and St Thomas' NHS Foundation Trust London	61.2%	1.3	11,004	73
54	Barts Health NHS Trust London	61.0%	0.2	27,253	1,208
54	North West Anglia NHS Foundation Trust East of England	60.9%	1.2	17,648	705
56	University Hospitals Coventry and Warwickshire NHS Trust Midlands	60.7%	1.1	13,154	18
57	Kettering General Hospital NHS Foundation Trust Midlands	60.7%	2.1	11,028	743
58	University Hospitals of Morecambe Bay NHS Foundation Trust North West	59.9%	2.0	8,971	532
59	Torbay and South Devon NHS Foundation Trust South West	59.6%	10.9	7,380	167
60	South Tyneside and Sunderland NHS Foundation Trust North East and Yorkshire	59.5%	5.5	11,770	2
61	University Hospitals of Leicester NHS Trust Midlands	59.4%	1.9	24,152	499
62	Portsmouth Hospitals University NHS Trust South East	59.3%	0.5	11,768	1,202
62	Dorset County Hospital NHS Foundation Trust South West	59.3%	3.5	4,864	70
64	James Paget University Hospitals NHS Foundation Trust East of England	59.1%	2.4	7,874	423
65	Manchester University NHS Foundation Trust North West	59.0%	2.5	28,182	81
65	Wye Valley NHS Trust Midlands	59.0%	1.8	6,357	135
67	Gateshead Health NHS Foundation Trust North East and Yorkshire	58.9%	4.3	5,603	11
68	Mid Yorkshire Teaching NHS Trust North East and Yorkshire	58.9%	1.6	17,113	213
68	County Durham and Darlington NHS Foundation Trust North East and Yorkshire	58.8%	0.1	12,901	52
68	East Suffolk and North Essex NHS Foundation Trust East of England	58.8%	0.3	12,846	858
71	Ashford and St Peter's Hospitals NHS Foundation Trust South East	58.1%	0.2	8,078	489
72	The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust East of England	57.9%	1.7	6,636	154
73	Airedale NHS Foundation Trust North East and Yorkshire	57.5%	2.2	6,134	181
73	The Hillingdon Hospitals NHS Foundation Trust London	57.5%	2.2	5,219	6
75	University Hospitals Birmingham NHS Foundation Trust Midlands	57.3%	1.1	34,437	2,085
76	Imperial College Healthcare NHS Trust London	57.3%	0.1	12,877	0
77	University Hospitals Sussex NHS Foundation Trust South East	57.2%	2.0	28,715	840
78	Sandwell and West Birmingham Hospitals NHS Trust Midlands	56.9%	0.5	11,775	221
79	Royal United Hospitals Bath NHS Foundation Trust South West	56.7%	0.7	9,425	176
80	The Newcastle upon Tyne Hospitals NHS Foundation Trust North East and Yorkshire	56.1%	1.7	12,694	17
81	Northampton General Hospital NHS Trust Midlands	55.6%	6.2	9,611	821
82	North Cheshire and Mersey NHS Foundation Trust North West	54.3%	1.1	7,206	856
83	Great Western Hospitals NHS Foundation Trust South West	53.6%	4.1	7,991	440
83	Cambridge University Hospitals NHS Foundation Trust East of England	53.6%	2.0	11,809	262
85	Worcestershire Acute Hospitals NHS Trust Midlands	52.8%	1.6	14,684	1,062
86	Somerset NHS Foundation Trust South West	52.4%	2.6	12,302	86
87	University Hospitals of Derby and Burton NHS Foundation Trust Midlands	52.2%	1.2	21,190	794
88	Surrey and Sussex Healthcare NHS Trust South East	52.1%	0.6	11,041	432
89	King's College Hospital NHS Foundation Trust London	51.7%	3.6	16,197	692
90	Chesterfield Royal Hospital NHS Foundation Trust Midlands	51.4%	2.1	6,890	180
91	Bolton NHS Foundation Trust North West	51.3%	2.6	8,867	580
92	Milton Keynes University Hospital NHS Foundation Trust East of England	51.2%	3.7	8,594	2
92	North Cumbria Integrated Care NHS Foundation Trust North East and Yorkshire	51.2%	0.7	8,977	229
94	East Kent Hospitals University NHS Foundation Trust South East	50.9%	5.6	13,689	1,079
94	London North West University Healthcare NHS Trust London	50.9%	1.0	15,095	657
96	Northern Lincolnshire and Goole NHS Foundation Trust North East and Yorkshire	50.8%	1.0	10,716	757
97	Salisbury NHS Foundation Trust South West	50.4%	0.6	5,083	235
97	Blackpool Teaching Hospitals NHS Foundation Trust North West	50.4%	1.0	8,673	505
97	Countess of Chester Hospital NHS Foundation Trust North West	50.3%	0.6	5,968	768
100	Royal Devon University Healthcare NHS Foundation Trust South West	50.2%	2.0	13,099	213
101	Mid Cheshire Hospitals NHS Foundation Trust North West	49.7%	3.1	7,353	607
102	East Cheshire NHS Trust North West	48.4%	4.1	4,676	490
103	York and Scarborough Teaching Hospitals NHS Foundation Trust North East and Yorkshire	48.3%	1.3	12,536	315
103	Hampshire Hospitals NHS Foundation Trust South East	48.2%	0.3	10,050	11
105	Liverpool University Hospitals NHS Foundation Trust North West	47.8%	3.3	16,918	1,125
105	South Tees Hospitals NHS Foundation Trust North East and Yorkshire	47.8%	1.8	7,575	18
107	Sheffield Teaching Hospitals NHS Foundation Trust North East and Yorkshire	47.8%	0.9	9,046	8
108	Tameside and Glossop Integrated Care NHS Foundation Trust North West	47.5%	5.8	9,044	681
109	Royal Cornwall Hospitals NHS Trust South West	47.2%	0.8	7,435	497
110	East and North Hertfordshire Teaching NHS Trust East of England	47.1%	4.7	9,588	89
111	University Hospitals of North Midlands NHS Trust Midlands	45.3%	2.7	15,160	640
112	Nottingham University Hospitals NHS Trust Midlands	44.6%	2.0	13,656	979
113	Lewisham and Greenwich NHS Trust London	44.1%	2.2	16,492	713
114	Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust North West	43.4%	5.9	7,034	238
115	Wirral University Teaching Hospital NHS Foundation Trust North West	43.3%	0.2	7,917	498
116	The Shrewsbury and Telford Hospital NHS Trust Midlands	43.2%	0.2	11,747	1,373
117	Hull University Teaching Hospitals NHS Trust North East and Yorkshire	42.4%	6.2	10,218	612
118	Kingston and Richmond NHS Foundation Trust London	41.5%	5.4	7,544	516
119	North Tees and Hartlepool NHS Foundation Trust North East and Yorkshire	40.1%	6.4	5,103	25
120	University Hospitals Plymouth NHS Trust South West	36.2%	2.6	9,089	588

Most improved on last month

Trust	Change
Torbay and South Devon NHS Foundation Trust South West	48.6% → 59.6%	10.9pp
Medway NHS Foundation Trust South East	61.7% → 69.4%	7.8pp
Sherwood Forest Hospitals NHS Foundation Trust Midlands	61.6% → 68.6%	7.0pp
West Suffolk NHS Foundation Trust East of England	72.9% → 79.5%	6.6pp
The Dudley Group NHS Foundation Trust Midlands	67.6% → 73.3%	5.6pp

Sharpest declines on last month

Trust	Change
Birmingham Women's and Children's NHS Foundation Trust Midlands	92.3% → 74.2%	18.1pp
Barnsley Hospital NHS Foundation Trust North East and Yorkshire	78.9% → 71.2%	7.7pp
North Tees and Hartlepool NHS Foundation Trust North East and Yorkshire	46.5% → 40.1%	6.4pp
Northampton General Hospital NHS Trust Midlands	61.9% → 55.6%	6.2pp
Hull University Teaching Hospitals NHS Trust North East and Yorkshire	48.6% → 42.4%	6.2pp

Longest 12-hour trolley waits September 2026

These trusts recorded the most patients waiting over 12 hours between the decision to admit them and actually getting a bed. It is the figure most often quoted by MPs and campaigners because these waits happen after a clinician has already decided the patient is sick enough to stay.

#	Trust	12hr+ waits	Type 1 attendances
1	University Hospitals Birmingham NHS Foundation Trust Midlands	2,085	34,437
2	Royal Free London NHS Foundation Trust London	2,031	27,458
3	The Shrewsbury and Telford Hospital NHS Trust Midlands	1,373	11,747
4	Mid and South Essex NHS Foundation Trust East of England	1,371	28,595
5	United Lincolnshire Teaching Hospitals NHS Trust Midlands	1,347	17,584
6	Barts Health NHS Trust London	1,208	27,253
7	Portsmouth Hospitals University NHS Trust South East	1,202	11,768
8	Liverpool University Hospitals NHS Foundation Trust North West	1,125	16,918
9	Northern Care Alliance NHS Foundation Trust North West	1,103	27,197
10	East Kent Hospitals University NHS Foundation Trust South East	1,079	13,689

Four-hour performance over the last two years

12-hour waits over the last two years

Scotland: A&E departments ranked July 2026 · Public Health Scotland

#	Hospital	In 4 hrs	Attendances
1	Edinburgh Royal Hospital	95.2%	2,515
2	Lorn & Islands Hospital	93.6%	636
3	Glasgow Royal Hospital	93.3%	3,782
4	Balfour Hospital	91.9%	567
5	Royal Aberdeen Hospital	89.3%	1,144
6	Western Isles Hospital	88.0%	425
7	Gilbert Bain Hospital	87.8%	518
8	Ninewells Hospital	87.5%	3,699
9	Perth Royal Infirmary	87.1%	1,509
10	Galloway Community Hospital	83.7%	950
11	Belford Hospital	83.4%	760
12	Caithness General Hospital	76.5%	626
13	Inverclyde Royal Hospital	73.4%	1,903
14	Dumfries & Galloway Royal Infirmary	69.7%	2,471
15	St John's Hospital	68.2%	4,131
16	Borders General Hospital	67.9%	2,176
17	Royal Alexandra Hospital	67.8%	3,555
18	Victoria Hospital (Nhs Fife)	65.1%	4,418
19	Raigmore Hospital	64.0%	2,619
20	Royal Infirmary Of Edinburgh	62.8%	7,882
21	Dr Gray's Hospital	60.3%	1,809
22	University Hospital Monklands	58.6%	3,708
23	Glasgow Royal Infirmary	57.1%	4,964
24	University Hospital Wishaw	56.6%	4,202
25	Queen Elizabeth University Hospital	55.3%	6,134
26	University Hospital Crosshouse	54.4%	3,612
27	University Hospital Ayr	54.1%	2,124
28	University Hospital Hairmyres	50.4%	3,753
29	Aberdeen Royal Infirmary	48.1%	3,890
30	Forth Valley Royal Hospital	47.2%	3,751

Wales: major A&E departments ranked August 2026 · StatsWales

#	Hospital	In 4 hrs	Attendances
1	Bronglais General Hospital	64.0%	2,845
2	The Royal Glamorgan Hospital	60.7%	5,096
3	Ysbyty Gwynedd	55.4%	5,404
4	Prince Charles Hospital	55.4%	4,989
5	University Hospital of Wales	54.9%	10,954
6	Morriston Hospital	54.0%	7,246
7	Withybush General Hospital	53.2%	4,435
8	Glangwili General Hospital	52.9%	4,974
9	Princess of Wales Hospital	46.8%	5,039
10	The Grange University Hospital	45.2%	7,534
11	Ysbyty Glan Clwyd	33.9%	5,582
12	Wrexham Maelor Hospital	33.6%	5,343

About this table

The England rankings use NHS England's monthly A&E attendances and emergency admissions statistics. Trusts are ranked on the percentage of patients at their major, consultant-led (Type 1) emergency departments who were admitted, transferred or discharged within four hours, because comparing full A&Es with minor injury units flatters trusts that only run the latter. The four-hour figure in the header cards covers all attendance types, which is the basis of the NHS constitutional standard that 95% of patients should be seen within four hours. Trusts with the same percentage share a rank, and month-on-month arrows compare each trust with the previous month's published figure, including any revisions NHS England has made since.

Scotland's table comes from Public Health Scotland's monthly A&E activity statistics and Wales's from the StatsWales emergency department dataset, in each case ranking individual hospitals rather than trusts because that is how those nations publish their figures. The devolved nations publish on their own timetables, so their tables can cover a different month from England's. New figures for all three nations are imported automatically each month, which means this page always shows the latest published month without waiting for a manual update.

Reusing this table? The underlying data is published under the Open Government Licence and our rankings are free to quote. Please cite them as WaitSmart A&E league table with a link to https://waitsmart.co.uk/ae-league-table. For press enquiries, see the contact page.

The Monthly NHS A&E League Table