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Royal Free London NHS Foundation Trust: A&E 4-Hour Performance

Real NHS England A&E waiting-time data for March 2026 in the London NHS region β€” plus this trust's Gera A&E Pressure Index.

What is the A&E 4-hour waiting time at Royal Free London NHS Foundation Trust?

As of March 2026, 71.0% of major (Type 1) A&E attendances at Royal Free London NHS Foundation Trust were admitted, transferred or discharged within 4 hours β€” so an estimated 29.0% waited longer β€” from 27,033 Type 1 attendances, against the 76% NHS standard, per NHS England A&E statistics. Gera re-dates this monthly.

Source:NHS England β€” A&E Attendances and Emergency Admissions, Monthly StatisticsΒ·as of March 2026updated monthly (last: )
Gera A&E Pressure Index57 / 100Royal Free London NHS Foundation Trust ranks 11 of 118 English Type 1 A&E providers by A&E pressure (1 = highest pressure). Higher score = more patients facing long waits at a busy department.How this index is calculated
Royal Free London NHS Foundation Trust A&E figures β€” March 2026 (NHS England, OGL v3.0)
MeasureValueWhat it means
Type 1 (major A&E) 4-hour performance71.0%Standard is 76%
Estimated chance of a 4+ hour wait29.0%Monthly average, not a per-visit prediction
Type 1 attendances27,033Major A&E department only
Attendances over 4 hours (Type 1)7,828Waited longer than 4 hours
All-types 4-hour performance80.6%Type 1 + Type 2 + other A&E units
12-hour DTA waits1,771Waited 12h+ from decision to admit
vs England Type 1 average+7.1ppEngland Type 1 average 63.9%

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Check another provider, or this one again, against the England average.

At Royal Free London NHS Foundation Trust, in the latest month, 71.0% of major (TypeΒ 1) A&E patients were seen within 4Β hours β€” so an estimated 29.0% waited longer than 4Β hours, from 27,033 TypeΒ 1 attendances.

Seen within 4 hours
71.0%
vs England average
+7.1pp
England 63.9%
Gera A&E Pressure Index
57 / 100

1,771 patients at this trust waited 12+ hours from decision-to-admit to admission in the latest month. The 4-hour figure is a monthly average for the whole department, not a prediction for any single visit.

Royal Free London NHS Foundation Trust is performing at 71.0% β€” below the NHS 76% standard. For a non-emergency, see a GeraClinic doctor today and avoid a 4+ hour wait.

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Related NHS data on GeraClinic

Royal Free London NHS Foundation Trust A&E waiting times: FAQs

What is the A&E 4-hour performance at Royal Free London NHS Foundation Trust?
In March 2026, Royal Free London NHS Foundation Trust saw 71.0% of Type 1 (major) A&E attendances admitted, transferred or discharged within 4 hours, from 27,033 Type 1 attendances. Across all A&E types at the trust the figure was 80.6%. The England all-types average was 76.6% and the operational standard is 76%. Source: NHS England A&E monthly statistics, March 2026.
Am I likely to be seen within 4 hours at Royal Free London NHS Foundation Trust's A&E?
On the latest data (March 2026), 71.0% of major (Type 1) A&E patients at Royal Free London NHS Foundation Trust were seen within 4 hours, so roughly 29.0% waited longer than 4 hours. This is an area-wide monthly average, not a prediction for any individual visit, and varies by time of day and acuity. For a 999 emergency always call 999; for non-emergencies a GeraClinic online consultation can often be arranged the same day.
How many people waited over 12 hours to be admitted at Royal Free London NHS Foundation Trust?
1,771 patients at Royal Free London NHS Foundation Trust waited 12 hours or more from the decision to admit to actually being admitted in March 2026. These "12-hour DTA waits" are a key NHS pressure indicator the figure is published monthly by NHS England.
What is the Gera A&E Pressure Index for Royal Free London NHS Foundation Trust?
The Gera A&E Pressure Index for Royal Free London NHS Foundation Trust is 57 out of 100. It is computed transparently as (1 βˆ’ Type 1 4-hour performance) Γ— Type 1 monthly attendances, then min-max normalised across all 118 English Type 1 A&E providers (the busiest, lowest-performing trust scores 100). A higher score means more patients facing long waits at a high-volume department. It is derived only from the real NHS England March 2026 data.
What can I do instead of waiting at Royal Free London NHS Foundation Trust's A&E?
A&E is for serious or life-threatening emergencies. For non-emergency issues β€” minor illness, prescriptions, advice, sick notes or a second opinion β€” a GeraClinic online consultation with a UK-registered doctor can usually happen the same day, avoiding a long A&E wait. Always call 999 or attend A&E for chest pain, breathing difficulty, severe bleeding, stroke signs or other emergencies.

Avoid a 4+ hour wait at Royal Free London NHS Foundation Trust

Royal Free London NHS Foundation Trust is performing at 71.0% on the 4-hour standard β€” 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.

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