What is the A&E 4-hour performance in the London NHS region?

Across the 16 named Type 1 A&E providers in NHS England's London region, 67.3% of major (Type 1) A&E attendances were seen within 4 hours in March 2026, and 78.9% across all A&E types — against the England all-types average of 76.6% and the 76% standard. Source: NHS England A&E monthly statistics, March 2026.

How many A&E attendances were there in London in March 2026?

The London NHS region recorded 404,838 A&E attendances in March 2026 across all department types (225,285 of them at major Type 1 departments), with 7,824 patients waiting 12 hours or more from decision to admit.

Which trusts are covered by the London A&E figures?

London aggregates the 16 named Type 1 A&E providers published in NHS England's March 2026 by-provider release for this region. Each provider has its own page with its real 4-hour performance and Gera A&E Pressure Index. The regional figure is the sum of those providers' real attendance and breach counts.

London: A&E 4-Hour Performance by Trust

Real NHS England A&E waiting-time data for March 2026, across the 16 major (Type 1) A&E providers in this NHS region — plus the Gera A&E Pressure Index.

What is the A&E 4-hour waiting time performance in the London NHS region?

As of March 2026, 67.3% of major (Type 1) A&E attendances across the 16 trusts in NHS England's London region were seen within 4 hours (78.9% all-types), against the 76% standard, from 404,838 attendances, per NHS England A&E 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 IndexRegion 42 / 100Aggregate A&E pressure for London, normalised across NHS regions. The region's Type 1 4-hour performance is 67.3% (England 63.9%).How this index is calculated

London A&E headline figures — March 2026 (NHS England, OGL v3.0)
Measure	Value	What it means
Type 1 (major A&E) 4-hour performance	67.3%	Standard is 76%
All-types 4-hour performance	78.9%	Type 1 + Type 2 + other A&E units
Total A&E attendances	404,838	All department types
Type 1 attendances	225,285	Major A&E departments only
12-hour DTA waits	7,824	Waited 12h+ from decision to admit
vs England Type 1 average	+3.4pp	England Type 1 average 63.9%

A&E 4-hour performance by trust in London (March 2026)

London Type 1 A&E providers, lowest 4-hour performance first
Trust	4-hour performance (Type 1)	Gera A&E Pressure Index
Lewisham And Greenwich NHS Trust	51.5%	60 / 100
Kingston And Richmond NHS Foundation Trust	56.5%	24 / 100
The Hillingdon Hospitals NHS Foundation Trust	57.6%	16 / 100
Guy'S And St Thomas' NHS Foundation Trust	60.0%	31 / 100
King'S College Hospital NHS Foundation Trust	60.2%	47 / 100
Barts Health NHS Trust	61.3%	74 / 100
Imperial College Healthcare NHS Trust	64.3%	32 / 100
London North West University Healthcare NHS Trust	66.7%	33 / 100
St George'S University Hospitals NHS Foundation Trust	69.1%	19 / 100
Royal Free London NHS Foundation Trust	71.0%	57 / 100
Croydon Health Services NHS Trust	71.3%	28 / 100
Epsom And St Helier University Hospitals NHS Trust	72.0%	24 / 100
Chelsea And Westminster Hospital NHS Foundation Trust	72.8%	40 / 100
Whittington Health NHS Trust	74.5%	17 / 100
University College London Hospitals NHS Foundation Trust	80.1%	20 / 100
Homerton Healthcare NHS Foundation Trust	85.1%	12 / 100

Best-performing in London: Homerton Healthcare NHS Foundation Trust (85.1%), University College London Hospitals NHS Foundation Trust (80.1%), Whittington Health NHS Trust (74.5%).

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A&E performance in other NHS regions

London A&E waiting times: FAQs

What is the A&E 4-hour performance in the London NHS region?: Across the 16 named Type 1 A&E providers in NHS England's London region, 67.3% of major (Type 1) A&E attendances were seen within 4 hours in March 2026, and 78.9% across all A&E types — against the England all-types average of 76.6% and the 76% standard. Source: NHS England A&E monthly statistics, March 2026.
How many A&E attendances were there in London in March 2026?: The London NHS region recorded 404,838 A&E attendances in March 2026 across all department types (225,285 of them at major Type 1 departments), with 7,824 patients waiting 12 hours or more from decision to admit.
Which trusts are covered by the London A&E figures?: London aggregates the 16 named Type 1 A&E providers published in NHS England's March 2026 by-provider release for this region. Each provider has its own page with its real 4-hour performance and Gera A&E Pressure Index. The regional figure is the sum of those providers' real attendance and breach counts.

Avoid a long A&E wait for non-emergencies

A&E 4-hour performance across London is 67.3% on the Type 1 standard, below the 76% target. For a non-emergency, 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).