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NHS Oversight Framework 2025/26

The NHS Oversight Framework is the structured approach NHS England uses to assess the performance of NHS providers. It measures organisational delivery across five scored domains and places providers into segments indicating their level of performance.

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About the dashboard

Performance segments

Each metric is scored on a scale of 1 to 4, where 1 is the highest rating and 4 is the lowest. Providers in financial deficit are capped at segment 3 regardless of their metric performance.

  • Segment 1High performing
  • Segment 2Above average
  • Segment 3Below average and / or financial deficit
  • Segment 4Low performing

Provider types

Acute
Hospitals providing planned and emergency care
Mental health and community
Community and mental health providers
Ambulance
Emergency ambulance services

Using this dashboard

Overview
Interactive map showing all providers with segment colouring, filtering by region or ICB, and the ability to colour by individual metrics
League table
Sortable table of all providers ranked by segment and average score, with optional confidence intervals and quarter-on-quarter rank change
Provider
Detailed view of a single provider's performance including overview metrics, domain-by-domain breakdown, and a full metrics table with quarter comparison
Reference
Framework methodology, glossary of terms, and full metric metadata