A&E & Urgent Care

Detailed metrics on emergency department and urgent care performance

A&E Performance Summary – Shelford Group Aggregates

Source: NHS England A&E Attendances and Emergency Admissions, September 2026 (published 8 October 2026), 4-hour figures on the acute trust footprint basis (the file's Acute Trust Footprint sheet, which matches NHS England's Acute Provider Time Series, published October 2026, for all ten trusts) to match the site's established methodology — see note below trust table. Figures are aggregated totals or averages across all 10 Shelford Group trusts. Note: from April 2026, NHS England reports headline 4-hour performance on an "acute trust footprint" basis (local Type 3/minor injury unit activity mapped to the acute trust); this and the trend below both use that basis.

4-Hour Performance (Shelford Avg)
74.5%
NHS target: 95% | 2025/26 interim: 78% · England: 74.4%
Total Attendances (Shelford Total)
262.0k
September 2026, all 10 trusts combined
12-Hour DTA Waits (Shelford Total)
3,472
September 2026, decision to admit to admission · England: 50,582

Trust-Level A&E Performance

Source: NHS England A&E Attendances and Emergency Admissions, September 2026 (published 8 October 2026). 4-hour figures are on the acute trust footprint basis (Acute Trust Footprint sheet). For Imperial, King's, Oxford and UCLH this differs from the raw provider sheet, because local Type 3/minor injury unit activity is mapped to the acute trust; the other six are identical on both bases. All ten match NHS England's Acute Provider Time Series (October 2026). 12-hour DTA and attendance figures are unaffected (provider-basis metrics, no footprint adjustment applies).

Trust4hr Performance12hr DTA Waits12hr %Attendances

4-Hour Performance Trends (13 Months)

Source: NHS England Acute Provider Time Series, September 2025 – September 2026 (published October 2026). Restated to acute trust footprint basis throughout by NHS England. Individual trust lines shown alongside Shelford and national averages. The trust table above now uses this same footprint basis for Imperial, King's, Oxford and UCLH, so figures are consistent across the page.

A&E Attendances by Trust – September 2026

Source: NHS England A&E Attendances and Emergency Admissions, September 2026 (published 8 October 2026), provider basis. Monthly trend unavailable from current sources.

12-Hour DTA Waits by Trust

Source: NHS England A&E Attendances and Emergency Admissions, September 2026 (published 8 October 2026). Shows patients waiting >12hrs from decision to admit to admission.

12-Hour A&E Waits Trend (% of attendances) – Shelford vs England

Source: NHS England Acute Provider Time Series, September 2025 – September 2026 (published October 2026). Shows % of attendances spending >12hrs (arrival to departure), a different metric from the DTA waits above. Individual trust lines shown alongside Shelford and national averages.

Note on September 2026 data: Nationally, 12-hour DTA waits totalled 50,582 in September 2026 (decision-to-admit basis, trust table above). On the arrival-to-departure measure in this chart, England was 10.1% and Shelford 6.2%; Birmingham (13.5%) and King's (11.6%) remain the largest contributors among Shelford trusts. NHS England has revised some earlier provisional months in the October publication (e.g. King's August 2026 from 10.3% to 11.2%, November 2025 from 10.7% to 12.1%); the chart uses the revised series.