National 4-hr Performance
68.5%
2024 national average
▼ vs 86% in 2018Total Annual Breaches
839k
2024 breach episodes
▲ 148% since 2018Avg Median Wait
169 min
2024 median wait
Was 91 min in 2018Best Performing Trust
Liverpool
72.8% · 2024
Still 22pp below targetTotal Attendances 2024
2.65M
Across 15 trusts
▲ 11% vs 2018National 4-Hour Performance vs Breach Rate 2018–2024
Bar = % seen within 4 hrs (left axis) · Line = breach rate % (right axis) · Dashed = 95% NHS target
Trust Performance League Table
% patients seen within 4 hours — selected year · Red = critical · Amber = underperforming
Monthly Attendance Volume
Total monthly attendances across all 15 trusts — COVID lockdown dip clearly visible in 2020
Month-by-Month Performance Timeline 2018–2024
National average 4-hr performance — each data point is one month · The 2021 cliff-edge is the post-COVID backlog impact
Breach Rate Trend by Year
Annual breach rate % — proportion of attendances not processed within 4 hours
Median Wait Time Trend
Average median wait across all trusts — nearly doubled since 2018
Ambulance Handover Delay Trend 2018–2024
% of handovers taking >30 minutes — a leading indicator of A&E corridor pressure
Seasonal Performance Pattern — Average by Month (all years)
Winter months (Dec–Feb) consistently worst · May is the best performing month · Gap = 8.9 percentage points
Average Monthly Attendances
Seasonal demand pattern — Jan peak vs Apr trough
Average Median Wait by Month
January average wait: 159 min · May average wait: 117 min — 42 min seasonal gap
Winter vs Summer — Key Stats Comparison
Peak winter (Dec–Feb) vs best summer (Apr–Jun) · quantifying the seasonal NHS pressure
Trust Performance Trend 2018–2024 — Selected Trusts
Best 5 (teal) vs worst 5 (red) · National average (blue dashed) · Gap is widening year on year
Breach Rate by Trust 2024
% of attendances resulting in a 4-hour breach
Median Wait Time by Trust 2024
Average median wait in minutes — King's College highest at 200 min
Full Trust Dataset — 2024
All 15 trusts · sorted by 4-hr performance ascending
| Trust | Region | 4-hr Perf % | Breach Rate % | Median Wait | Attendances | Breaches | Gap to 95% | Band |
|---|