NHS Oversight Framework dashboard tracks NHS trust performance

The NHS Oversight Framework (NOF) dashboard, first published in September 2025, was designed to support transparency and improve access to oversight information. By organising organisations into a structured segmentation system, the framework provides a clear overview of how individual trusts perform across key areas, including elective services, mental health, and urgent and emergency care.

Based on their performance in these services along with other considerations, such as overall level of financial deficit, each trust has been placed into one of four core segments. Segment 1 represents the organisations with the narrowest range of challenges while segment 4 contains those with the broadest. For providers facing the most significant performance or governance challenges intensive, tailored support may be provided through the Recovery Support Programme accessed via segment 5. Trusts in the lower performing segments are likely to receive additional support to help them improve but support can be provided to any organisation, where it is needed.

The dashboard shows what segment each trust is in as well as the data that has been used to make this decision. It also allows people to explore league tables that show how their local trust compares with others across England in these individual services and at an overall level.

Data Transparency and Independent Monitoring

The data used in this dashboard is extracted from NHS England’s monthly performance statistics publication. This is published on the second Thursday of each month. It provides data from the previous month for A&E and ambulance performance, and for the month before this for elective care, cancer, and diagnostics performance. This information is also available in accessible format and as comma separated value (CSV) downloads.

Independent scrutiny of the quality of health and social care is provided by the Nuffield Trust, which maintains a separate performance dashboard tracking over 200 indicators. Between May 2019 and May 2023, 14 hospital trusts acted as field testing sites for alternatives to the existing four-hour A&E standard. During this period, these trusts did not report performance on the four-hour standard and are hence absent from the data for May 2019 to May 2023.

Two month (62 day) cancer waits are from urgent suspected cancer referrals, breast symptomatic referrals, urgent screening referrals, or consultant upgrades.

Operational Performance Management

The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust provides healthcare at a 500-bed acute hospital to more than 240,000 people in West Norfolk, north-east Cambridgeshire, South Lincolnshire and part of Breckland. The Trust is implementing Intuitive Dashboards, the advanced business intelligence (BI) dashboard solution, empowering staff with enhanced visibility of their performance at every stage of the patient pathway. The dashboard solution is currently being used to deploy information on ward statistics to the Divisional Units and ward managers, supporting work being undertaken by the Trust's Business Sustainability Programme.

"Performance management is at the heart of everything we do."

Michael Brown, Deputy Director of Performance and Informatics at The Queen Elizabeth Hospital King's Lynn

Brown continues, "As Intuitive Dashboards is highly customisable, we can provide different users with the most relevant information needed by their team or department. Intuitive Dashboards is critical in enabling us to enhance our performance and identify operational aspects of the Trust that demand remedial action."

Future Developments

NHS England releases segmentation and league-table data quarterly. NHS England has carried out user research and engagement to better understand how the current dashboard is used and how the user experience can be improved. Work is underway to develop an updated dashboard that will offer a more accessible, interactive, and user-friendly experience. The dashboard provides transparency and accountability across the health system, ensuring everyone can understand how NHS England makes decisions about performance management, support and intervention.