Which NHS trusts have the worst A&E 4-hour performance right now?

Type 1 (major) A&E performance varies widely by trust. This cluster ranks every English Type 1 A&E provider by its real March 2026 4-hour performance and by the Gera A&E Pressure Index. The England Type 1 average is 63.9% and the all-types average is 76.6%, against the 76% standard. See the per-trust pages for the lowest-performing departments.

How many people waited over 12 hours in A&E in England?

46,665 patients in England waited 12 hours or more from the decision to admit to actually being admitted in March 2026. This is one of NHS England's headline emergency-care pressure indicators, published monthly.

What is the Gera A&E Pressure Index?

The Gera A&E Pressure Index (0–100) is computed as (1 − Type 1 4-hour performance) × Type 1 monthly attendances, min-max normalised across all English Type 1 A&E providers so the busiest, lowest-performing department scores 100. It combines how often patients breach the 4-hour standard with how many patients are affected, using only the real NHS England March 2026 figures. The full methodology is published and reproducible.

NHS A&E 4-Hour Performance by Trust and Region

Real NHS England A&E waiting-time data for March 2026, across 118 major (Type 1) A&E providers and 7 NHS regions — plus the Gera A&E Pressure Index.

What is the current NHS A&E 4-hour waiting time performance in England?

As of March 2026, 76.6% of A&E attendances in England were admitted, transferred or discharged within 4 hours — below the 76% operational standard. At major Type 1 departments the figure was 63.9%, from 1,451,010 Type 1 attendances, per NHS England A&E monthly statistics. Gera re-dates this monthly.

Source:NHS England — A&E Attendances and Emergency Admissions, Monthly Statistics·as of March 2026updated monthly (last: 18 June 2026)

Gera A&E Pressure IndexEngland Type 1 63.9%Per-trust pressure scores (0–100) combine 4-hour breach rate with attendance volume. England average Type 1 performance is 63.9%.How this index is calculated

England A&E headline figures — March 2026 (NHS England, OGL v3.0)
Measure	Value	What it means
All-types 4-hour performance	76.6%	Standard is 76%
Type 1 (major A&E) 4-hour performance	63.9%	Consultant-led major A&E departments
Total A&E attendances	2,351,347	All department types
Type 1 attendances	1,451,010	Major A&E departments only
12-hour DTA waits	46,665	Waited 12h+ from decision to admit

Check your local A&E 4-hour wait risk

Pick your A&E provider to see its real latest performance vs the England average.

Choose your local A&E provider

Select an A&E provider to see its real latest 4-hour performance, your estimated chance of a 4+ hour wait, and how it compares to the England average.

NHS trusts with the lowest A&E 4-hour performance (March 2026)

Lowest Type 1 A&E 4-hour performance, worst first
Trust	4-hour performance (Type 1)	Gera A&E Pressure Index
University Hospitals Plymouth NHS Trust	37.4%	41 / 100
Nottingham University Hospitals NHS Trust	44.6%	53 / 100
The Shrewsbury And Telford Hospital NHS Trust	45.1%	46 / 100
University Hospitals Of North Midlands NHS Trust	46.6%	60 / 100
Mid Cheshire Hospitals NHS Foundation Trust	47.4%	28 / 100
Great Western Hospitals NHS Foundation Trust	47.9%	23 / 100
Wirral University Teaching Hospital NHS Foundation Trust	48.3%	32 / 100
Countess Of Chester Hospital NHS Foundation Trust	49.1%	20 / 100
East Cheshire NHS Trust	49.3%	16 / 100
Torbay And South Devon NHS Foundation Trust	50.2%	24 / 100

Best-performing Type 1 departments: Sheffield Children'S NHS Foundation Trust (97.8%), George Eliot Hospital NHS Trust (88.8%), Calderdale And Huddersfield NHS Foundation Trust (87.8%), Homerton Healthcare NHS Foundation Trust (85.1%), Alder Hey Children'S NHS Foundation Trust (83.5%).

A&E performance by NHS region

Browse every provider: how the Gera A&E Pressure Index is calculated.

Related NHS data on GeraClinic

NHS A&E waiting times: frequently asked questions

What is the current NHS A&E 4-hour waiting time performance in England?: In March 2026, 76.6% of all A&E attendances in England were admitted, transferred or discharged within 4 hours — below the 76% operational standard. At major (Type 1) A&E departments the figure was 63.9%, from 1,451,010 Type 1 attendances. Source: NHS England A&E monthly statistics, March 2026.
Which NHS trusts have the worst A&E 4-hour performance right now?: Type 1 (major) A&E performance varies widely by trust. This cluster ranks every English Type 1 A&E provider by its real March 2026 4-hour performance and by the Gera A&E Pressure Index. The England Type 1 average is 63.9% and the all-types average is 76.6%, against the 76% standard. See the per-trust pages for the lowest-performing departments.
How many people waited over 12 hours in A&E in England?: 46,665 patients in England waited 12 hours or more from the decision to admit to actually being admitted in March 2026. This is one of NHS England's headline emergency-care pressure indicators, published monthly.
What is the Gera A&E Pressure Index?: The Gera A&E Pressure Index (0–100) is computed as (1 − Type 1 4-hour performance) × Type 1 monthly attendances, min-max normalised across all English Type 1 A&E providers so the busiest, lowest-performing department scores 100. It combines how often patients breach the 4-hour standard with how many patients are affected, using only the real NHS England March 2026 figures. The full methodology is published and reproducible.

Avoid a 4+ hour A&E wait for non-emergencies

England A&E 4-hour performance is 76.6%, below the 76% standard. For non-emergency care, see a UK-registered GeraClinic doctor online — often the same day. For a 999 emergency always call 999.

See a GeraClinic doctor How GeraClinic works

Contains public sector information published by NHS England and licensed under the Open Government Licence v3.0. Source: NHS England — A&E Attendances and Emergency Admissions, Monthly Statistics (March 2026, published 14 May 2026).