How every A&E did in September 2026

NHS England publishes one figure per trust each month: the share of people who were seen, treated and admitted or sent home within four hours. This page ranks every trust with a main (type 1) A&E on that figure, with the change on the month before and a year earlier. Live waits for today are on the A&E page.

England

60% of 1,475,440 people at main A&E departments were dealt with within four hours, against 61% in August 2026. 50,582 people waited over 12 hours for a bed after a decision to admit. The standard is 78% this year, rising towards 95%.

Months on record: Apr 25 60%, May 25 61%, Jun 25 61%, Jul 25 63%, Aug 25 62%, Sep 25 61%, Oct 25 60%, Nov 25 60%, Dec 25 59%, Jan 26 57%, Feb 26 59%, Mar 26 64%, Apr 26 64%, May 26 62%, Jun 26 61%, Jul 26 61%, Aug 26 61%, Sep 26 60%.

Most improved

Torbay and South Devon NHS Foundation Trust: 60% (+10.9 points)
Medway Maritime: 69% (+7.8 points)
King's Mill: 69% (+7 points)
West Suffolk: 80% (+6.6 points)
Russells Hall: 73% (+5.6 points)

Biggest falls

Birmingham Children's: 74% (-18.1 points)
Barnsley: 71% (-7.7 points)
University Hospital of North Tees: 40% (-6.4 points)
Northampton General Hospital NHS Trust: 56% (-6.2 points)
Hull Royal Infirmary: 42% (-6.2 points)

Most 12-hour waits for a bed

UHB (Good Hope and Heartlands): 2,085
Royal Free and Barnet: 2,031
Princess Royal and Royal Shrewsbury: 1,373
Basildon and Southend: 1,371
Lincoln County and Pilgrim: 1,347

Every trust, best four-hour share first

Trusts with at least 1,000 main A&E visits in the month. Change is in percentage points.

Trust	Within 4 hours	On last month	On a year ago	Visits	12-hour bed waits
Sheffield Childrens	90%	-2.7	-4.1	4,495	0
Royal Liverpool Children's	86%	-3.5	-1.4	6,240	0
Calderdale Royal and Huddersfield Royal	85%	-0.6	-0.2	16,465	41
George Eliot Hospital - Acute Services	84%	-0.8	+12.8	7,779	354
West Suffolk	80%	+6.6	+12.6	8,264	149
Northumbria Specialist Emergency Care Hospital	79%	-2.4	+3.8	10,939	0
Homerton	78%	-4.9	-3.6	11,472	25
Darent Valley	74%	+0.5	-3.4	12,375	490
Birmingham Children's	74%	-18.1	-12.4	4,840	3
UCLH (University College)	74%	-0.2	+5.3	14,122	246
Bradford Royal Infirmary	73%	-0.8	-2.5	9,332	215
Russells Hall	73%	+5.6	+4.2	10,834	155
Watford General	73%	-5.2	+3.6	8,453	15
John Radcliffe and Horton General	73%	-1.6	+2.9	13,610	8
Maidstone and Tunbridge Wells	73%	-0.8	-6.8	20,578	686
Whittington	72%	+0.6	+1.5	9,715	278
St Mary's	72%	+1.6	+2.2	4,424	110
Chelsea and Westminster and West Middlesex	72%	-3.2	+0.9	21,345	44
The Princess Alexandra	71%	0	-2.4	9,234	328
Barnsley	71%	-7.7	-3	10,086	109
St George's Hospital (Tooting)	71%	-3.8	+1.8	9,553	287
Royal Free and Barnet	70%	+0.1	+3.3	27,458	2,031
Medway Maritime	69%	+7.8	+3.2	10,304	413
Rotherham District General	69%	-2.6	-2.3	10,045	17
King's Mill	69%	+7	+12.9	11,265	179
Stoke Mandeville	69%	+0.2	+6.6	9,848	164
Southampton General	68%	+1.5	+3.2	12,362	14
NNUH (Norfolk and Norwich)	68%	-3.1	-1.3	13,687	287
Southmead and Bristol Eye	68%	-2.2	+1.9	26,019	620
Warwick	67%	-3.5	-6.6	8,510	190
Royal Preston and Chorley and South Ribble Hospital	67%	+0.3	+5.6	12,803	425
Epsom and St Helier	67%	+3.3	-2.8	11,635	743
Walsall Healthcare NHS Trust	67%	-2.1	+2.4	10,447	339
Bassetlaw District General and Doncaster Royal Infirmary	66%	-2.3	+4.9	14,439	376
New Cross	66%	+2.1	-5.2	11,329	506
Poole and The Royal Bournemouth	65%	+1.9	+4.8	16,401	342
Harrogate District	65%	-3.6	-8.3	5,377	1
Royal Surrey County	64%	-0.7	-1.3	7,099	24
Lincoln County and Pilgrim	64%	-3.5	+5.2	17,584	1,347
Croydon	63%	0	-2.9	13,804	626
Queens and King Georges	63%	+0.7	+5.9	14,321	568
Stepping Hill	63%	-1.9	+3.5	8,508	228
Whiston and Ormskirk District General	63%	+0.2	+0.2	17,858	439
Frimley Park and Wexham Park	63%	+4.4	+3.9	23,398	599
Royal Blackburn	63%	-2.6	-4.5	13,927	814
Bedford Hospital South Wing and Luton and Dunstable	62%	+2.9	-0.7	18,509	85
Conquest and Eastbourne District General	62%	+4.6	-1.6	10,828	215
Royal Berkshire and King Edward Vii	62%	-1.2	-1.7	11,425	0
Cheltenham General and Gloucester Royal Hopsital	62%	-3	-0.7	14,773	454
Basildon and Southend	62%	-0.3	-9.3	28,595	1,371
Leeds General Infirmary and St James	62%	-3.7	+0.8	19,809	685
Salford Royal and Fairfield General	62%	-1.5	-0.7	27,197	1,103
St Thomas	61%	+1.3	-3.6	11,004	73
Whipps Cross and Newham General	61%	+0.2	+4.1	27,253	1,208
Hinchingbrooke and Peterborough City	61%	-1.2	-0.4	17,648	705
UHCW (University Hospital Coventry)	61%	+1.1	+1.2	13,154	18
Kettering General	61%	-2.1	-3.5	11,028	743
Furness General and Royal Lancaster Infirmary	60%	+2	-1.6	8,971	532
Torbay and South Devon NHS Foundation Trust	60%	+10.9	+7.1	7,380	167
Sunderland Eye Infirmary and South Tyneside District	59%	-5.5	+3.8	11,770	2
Leicester Royal Infirmary	59%	-1.9	0	24,152	499
Queen Alexandra	59%	+0.5	-2.7	11,768	1,202
Dorset County	59%	+3.5	-2.9	4,864	70
James Paget	59%	-2.4	-5.3	7,874	423
Manchester Royal Infirmary and Wythenshawe	59%	-2.5	+2.4	28,182	81
Hereford County	59%	+1.8	+1	6,357	135
Queen Elizabeth	59%	-4.3	-2.7	5,603	11
Dewsbury & District and Pinderfields General	59%	-1.6	-4.3	17,113	213
Darlington Memorial and University of Durham	59%	-0.1	-2.4	12,901	52
Ipswich and Colchester	59%	+0.3	+12.9	12,846	858
St Peter's	58%	-0.2	+6.2	8,078	489
The Queen Elizabeth	58%	+1.7	+1.7	6,636	154
Airedale General	58%	+2.2	-3.3	6,134	181
Hillingdon	57%	-2.2	+5.3	5,219	6
UHB (Good Hope and Heartlands)	57%	-1.1	-3.5	34,437	2,085
St Mary's and Charing Cross	57%	-0.1	+1.9	12,877	0
Princess Royal and Worthing	57%	+2	-2.7	28,715	840
Birmingham and Midland Eye Centre and Midland Metropolitan	57%	+0.5	-3.1	11,775	221
Royal United Hospital Bath	57%	+0.7	-0.8	9,425	176
The Royal Victoria Infirmary	56%	-1.7	-3.4	12,694	17
Northampton General Hospital NHS Trust	56%	-6.2	-3.2	9,611	821
Warrington	54%	+1.1	+4.6	7,206	856
GWH (Great Western Hospital A&E)	54%	+4.1	+4.8	7,991	440
Addenbrookes	54%	-2	-4.2	11,809	262
Alexandra and Worcestershire Royal	53%	+1.6	+5.1	14,684	1,062
Musgrove Park and Yeovil District	52%	-2.6	0	12,302	86
Royal Derby and Queen's Hospital Burton	52%	+1.2	-0.1	21,190	794
East Surrey	52%	-0.6	-10.1	11,041	432
Princess Royal and Denmark Hill	52%	-3.6	-2.2	16,197	692
Chesterfield Royal	51%	+2.1	+5.3	6,890	180
Bolton	51%	-2.6	-1.8	8,867	580
MKUH (Milton Keynes)	51%	+3.7	-9.2	8,594	2
NCIC (Cumberland Infirmary and West Cumberland)	51%	+0.7	-3.2	8,977	229
William Harvey and Queen Elizabeth the Queen Mother Hospital	51%	+5.6	-1.2	13,689	1,079
Northwick Park and Ealing	51%	-1	-1.1	15,095	657
Diana, Princess of Wales Hospital and Scunthorpe General	51%	+1	+2.3	10,716	757
Salisbury District	50%	+0.6	-3.3	5,083	235
Blackpool Victoria	50%	-1	-1	8,673	505
Countess of Chester	50%	+0.6	+1.8	5,968	768
North Devon District and Wonford	50%	-2	-4	13,099	213
Leighton	50%	-3.1	+6.5	7,353	607
Macclesfield District General	48%	-4.1	+4.6	4,676	490
York and Scarborough General	48%	-1.3	+0.4	12,536	315
Basingstoke and North Hampshire Hospital and Royal Hampshire County	48%	+0.3	-9.7	10,050	11
Royal Liverpool and University Hospital Aintree	48%	-3.3	-2.7	16,918	1,125
James Cook	48%	-1.8	+1.2	7,575	18
Sheffield Teaching Hospitals NHS Foundation Trust	48%	+0.9	-0.8	9,046	8
Tameside General	48%	-5.8	-6.7	9,044	681
RCH (Treliske)	47%	+0.9	-10.1	7,435	497
Lister	47%	-4.7	-6.5	9,588	89
UHNM (Royal Stoke and County Hospital)	45%	-2.7	-4.2	15,160	640
Queens Medical Centre	45%	+2	-1	13,656	979
Queen Elizabeth and University Hospital Lewisham	44%	-2.2	-8.2	16,492	713
Royal Albert Edward Infirmary	43%	-5.9	-14.8	7,034	238
Arrowe Park	43%	-0.2	+0.6	7,917	498
Princess Royal and Royal Shrewsbury	43%	-0.2	-2.5	11,747	1,373
Hull Royal Infirmary	42%	-6.2	+0.3	10,218	612
Kingston	42%	-5.4	+2.3	7,544	516
University Hospital of North Tees	40%	-6.4	-6.3	5,103	25
University Hospitals Plymouth NHS Trust	36%	+2.6	-4.9	9,089	588

NHS England figures, September 2026. Checked for new figures 14 October 2026. About the data.