The updated NHS Oversight Framework (NOF) has been released.
This includes the 2025/26 quarter 2 segmentation results and public performance dashboard for acute, mental health, community and ambulance trusts.
Launched earlier this year, the NOF is a new way NHS England monitor how NHS organisations are performing. It’s designed to help NHS E support improvement, ensure accountability and make sure organisations are using their resources wisely. It looks at how well NHS organisations are doing—financially, operationally and in terms of leadership. Based on this, NHS E decides how much support each organisation needs and how much freedom they should have to make decisions.
NCA current position
Segmentation
NHS organisations are placed into segments (from 1 to 5). Segment 1 means things are going well; Segment 5 means more support is needed. The NCA is in Segment 4 – this is the same position as the previous quarter. Being in Segment 4 means we’re under close review and need to improve our performance and financial position against the NOF’s 22 indicators.
Ranking
Each Trust receives a rank based first on their segment and then their average score within that segment. The NCA is currently ranked 112 out of 134 Trusts – this has improved slightly from 116 from the last quarter.
Fuller details about the framework, segmentation, league tables and an NCA dashboard can be found here
Our priorities
We need to stay focussed our key priorities to keep us moving in the right direction.
These include:
- Improving patient safety.
- Cost improvement activities to provide smarter care.
- Rolling out our Clinical Leadership Model so that we strengthen the clinical voice in decision-making, ensure leadership is closer to where care happens and support better, more consistent outcomes for our patients and service users.
- Preparing to implement an electronic patient record so that across the NCA, health professionals have all the information they need, in one place, about the people they’re caring for.
- Improving waiting times for patients in both planned and emergency care.