NHS National Oversight Framework (NOF): Our Progress and Performance

This framework provides a comprehensive view of how NHS Trusts are performing across a range of key metrics and is designed to help patients, staff and stakeholders understand how their local services compare nationally.

What is the Oversight Framework?

The NOF assesses NHS Trusts across six domains, including:

• Elective and urgent care performance
• Quality of care
• Financial sustainability
• Workforce and leadership
• Patient experience
• Safety and outcomes

Each Trust is assigned a segment rating from 1 (strong performance) to 5 (significant concerns). These ratings are based on aggregated scores across 22 metrics for acute and community Trusts, and are published quarterly in the form of national league tables.

You can read more about the methodology and segmentation process here

Our latest results

We are pleased to share that Gloucestershire Hospitals has been placed in Segment 2, ranking 17th out of 134 NHS Trusts nationally, making us the third-highest placed large acute Trust in the country.

With the top eight places taken by single speciality acute trusts, the Trust’s position is a strong result and reflects the commitment of staff across the organisation.

The framework is an aggregate, external assessment of a wide range of metrics that fundamentally link to the quality and safety of care we provide.

While we recognise there are areas where we must continue to improve, the latest result is a direct impact of the efforts made by our staff.

You can explore the full league table here and view the detailed performance dashboard here

Why This Matters

These league tables are updated quarterly and provide a transparent way for the people of Gloucestershire and beyond to see how we’re doing.

They offer insight into our strengths and highlight where further improvements are needed. This openness is central to our commitment to delivering safe, high-quality and compassionate care.