NHS Productivity & Finance
Trust-level productivity growth estimates
About this measure: This is the new NHS England trust-level productivity growth estimate, first published 12 February 2026. It compares cost-weighted activity growth (outputs) with real-terms resource growth (inputs). The Spending Review 2025 sets a target of 2% year-on-year productivity growth, with the aim of returning to pre-pandemic productivity levels by the end of the parliament. Figures are year-to-date (YTD), comparing April–October 2025 with the same period in 2024/25. This is experimental management information — see the full methodology.
Interpretation note: These estimates are provisional and subject to revision as trusts restate activity data. Sheffield's early-month figures show high volatility likely reflecting data restatement effects. The October YTD figure (the most complete) is the most reliable for each trust.
Headline Productivity – October 2025 YTD
Source: NHS England Productivity Growth Estimate, April–October 2025 (published 12 February 2026)
Shelford Group Average
+4.5%
Productivity growth, Apr–Oct 2025 YTD
England Average
+3.5%
All NHS providers, same period
Spending Review Target
2.0%
Year-on-year target from SR25
Acute & Specialist (National)
+2.8%
Provider type benchmark
Trust-Level Productivity Growth
Source: NHS England Productivity Growth Estimate, October 2025 YTD (published 12 February 2026). All figures are provisional.
| Trust | Productivity Growth | Output Growth (CWA) | Input Growth (Resource) |
|---|
Productivity Growth by Trust – October 2025 YTD
Source: NHS England Productivity Growth Estimate. Dashed line = 2% Spending Review target. England average = 3.5%.
Output Growth vs Input Growth – October 2025 YTD
Source: NHS England Productivity Growth Estimate. Productivity is positive when the teal bar (output) exceeds the grey bar (input). All Shelford trusts show output exceeding input.
Productivity Growth Trends – April to October 2025 (YTD)
Source: NHS England Productivity Growth Estimate. Each point shows the cumulative YTD figure as at that month. Lines converge as YTD periods lengthen.