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Royal Free London NHS Foundation Trust

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How to read these chartsEach measure uses its own NHS England standard

Against the national standards

Each measure is drawn against its own NHS England standard: 95% for A&E within four hours, 85% for urgent cancer treatment within sixty-two days and 99% for diagnostic tests within six weeks. The charts do not share a standard and the three cancer measures are never added together.

Care Quality Commission

When CQC last rated this body

CQC has not rated Royal Free London NHS Foundation Trust since 10 May 2019. Its judgements from then are still on CQC’s own site and are not shown here, because a rating more than 3 years old is not what CQC currently says about a body.

Read what CQC publishes on its own site

Monthly performance against national standards

Hover or use the arrow keys to read any month, with the figures the percentage was worked out from. Every chart opens as a table.

A&E Wait Times

Patients seen within four hours

80.4%

Aug 2026

33,327 of 41,470 attendances

Level since Jul 2026

Below the 95% standard · −14.6 points

60%80%100%95% standardMay 2025Aug 2025Nov 2025Feb 2026May 2026Aug 2026

August 2026: 80.4 per cent, 33,327 of 41,470 attendances. Below the 95% standard.

All 17 months as a table
A&E Wait Times by month, with the figures each percentage was worked out from.
MonthPerformanceOf attendances
Aug 202680.4%, Below the 95% standard33,327 of 41,470
Jul 202680.3%, Below the 95% standard35,917 of 44,701
Jun 202680.3%, Below the 95% standard36,151 of 44,998
May 202680.3%, Below the 95% standard36,295 of 45,195
Apr 202682.0%, Below the 95% standard35,597 of 43,400
Mar 202680.7%, Below the 95% standard35,941 of 44,561
Feb 202677.0%, Below the 95% standard30,268 of 39,296
Jan 202675.5%, Below the 95% standard32,969 of 43,678
Dec 202576.8%, Below the 95% standard33,395 of 43,497
Nov 202576.8%, Below the 95% standard33,680 of 43,853
Oct 202577.6%, Below the 95% standard34,288 of 44,189
Sept 202577.8%, Below the 95% standard32,530 of 41,815
Aug 202578.9%, Below the 95% standard30,778 of 39,006
Jul 202579.2%, Below the 95% standard34,511 of 43,570
Jun 202577.9%, Below the 95% standard33,452 of 42,932
May 202576.7%, Below the 95% standard33,377 of 43,504
Apr 202573.9%, Below the 95% standard30,638 of 41,463
Dips every January are national, not local. NHS England monthly A&E data

Waiting times (RTT)

Referral to treatment: waiting under eighteen weeks to start treatment

62.7%

Jul 2026

87,640 of 139,727 people waiting

−0.5 pts since Jun 2026

Below the 92% standard · −29.3 points

50%75%100%92% standardJul 2025Sept 2025Nov 2025Jan 2026Mar 2026May 2026Jul 2026

July 2026: 62.7 per cent, 87,640 of 139,727 people waiting. Below the 92% standard.

All 14 months as a table
Waiting times (RTT) by month, with the figures each percentage was worked out from.
MonthPerformanceOf people waiting
Jul 202662.7%, Below the 92% standard87,640 of 139,727
Jun 202663.2%, Below the 92% standard88,218 of 139,530
May 202663.3%, Below the 92% standard88,217 of 139,283
Apr 202663.1%, Below the 92% standard86,436 of 136,968
Mar 202664.9%, Below the 92% standard86,569 of 133,390
Feb 202660.8%, Below the 92% standard85,125 of 139,987
Jan 202659.2%, Below the 92% standard83,009 of 140,251
Dec 202559.1%, Below the 92% standard82,049 of 138,721
Nov 202558.7%, Below the 92% standard80,427 of 136,986
Oct 202559.0%, Below the 92% standard80,954 of 137,180
Sept 202560.1%, Below the 92% standard82,504 of 137,245
Aug 202558.6%, Below the 92% standard82,290 of 140,331
Jul 202557.9%, Below the 92% standard82,867 of 143,124
Jun 202557.5%, Below the 92% standard84,104 of 146,196
Incomplete pathways: people still waiting, not those already treated. NHS England monthly RTT data

Diagnostic tests (DM01)

Waiting under six weeks for a scan, a scope or a test

81.3%

Jul 2026

27,919 of 34,325 people waiting

+3.6 pts since Jun 2026

Below the 99% standard · −17.7 points

70%85%100%99% standardApr 2026May 2026Jun 2026Jul 2026

July 2026: 81.3 per cent, 27,919 of 34,325 people waiting. Below the 99% standard.

All 4 months as a table
Diagnostic tests (DM01) by month, with the figures each percentage was worked out from.
MonthPerformanceOf people waiting
Jul 202681.3%, Below the 99% standard27,919 of 34,325
Jun 202677.8%, Below the 99% standard26,382 of 33,923
May 202677.3%, Below the 99% standard25,678 of 33,239
Apr 202680.1%, Below the 99% standard27,056 of 33,787
Fifteen test types together, from MRI to endoscopy. NHS England monthly diagnostics data

Cancer diagnosis (FDS)

Faster diagnosis standard: told the outcome within twenty-eight days

80.0%

Jul 2026

5,173 of 6,462 referrals

−0.4 pts since Jun 2026

Meets the 75% standard · +5.0 points

60%75%90%75% standardJan 2026Feb 2026Mar 2026Apr 2026May 2026Jun 2026Jul 2026

July 2026: 80.0 per cent, 5,173 of 6,462 referrals. Meets the 75% standard.

All 7 months as a table
Cancer diagnosis (FDS) by month, with the figures each percentage was worked out from.
MonthPerformanceOf referrals
Jul 202680.0%, Meets the 75% standard5,173 of 6,462
Jun 202680.5%, Meets the 75% standard5,092 of 6,327
May 202680.0%, Meets the 75% standard4,216 of 5,267
Apr 202678.0%, Meets the 75% standard4,291 of 5,502
Mar 202680.7%, Meets the 75% standard4,817 of 5,968
Feb 202682.3%, Meets the 75% standard4,315 of 5,240
Jan 202674.7%, Below the 75% standard4,039 of 5,405
Told whether they have cancer, not treated for it. NHS England monthly cancer waiting times

Cancer (31-day)

Decision to treat to first treatment within thirty-one days

94.1%

Jul 2026

865 of 919 treatments

−0.3 pts since Jun 2026

Below the 96% standard · −1.9 points

80%90%100%96% standardJan 2026Feb 2026Mar 2026Apr 2026May 2026Jun 2026Jul 2026

July 2026: 94.1 per cent, 865 of 919 treatments. Below the 96% standard.

All 7 months as a table
Cancer (31-day) by month, with the figures each percentage was worked out from.
MonthPerformanceOf treatments
Jul 202694.1%, Below the 96% standard865 of 919
Jun 202694.4%, Below the 96% standard893 of 946
May 202694.2%, Below the 96% standard777 of 825
Apr 202694.3%, Below the 96% standard860 of 912
Mar 202694.3%, Below the 96% standard925 of 981
Feb 202695.2%, Below the 96% standard880 of 924
Jan 202691.2%, Below the 96% standard768 of 842
Starts at the decision to treat, so it excludes the wait to diagnose. NHS England monthly cancer waiting times

Cancer (62-day)

Urgent referral to first treatment within sixty-two days

75.2%

Jul 2026

334.5 of 445 treatments

−3.8 pts since Jun 2026

Below the 85% standard · −9.8 points

60%75%90%85% standardJan 2026Feb 2026Mar 2026Apr 2026May 2026Jun 2026Jul 2026

July 2026: 75.2 per cent, 334.5 of 445 treatments. Below the 85% standard.

All 7 months as a table
Cancer (62-day) by month, with the figures each percentage was worked out from.
MonthPerformanceOf treatments
Jul 202675.2%, Below the 85% standard334.5 of 445
Jun 202679.0%, Below the 85% standard349 of 442
May 202685.3%, Meets the 85% standard352 of 412.5
Apr 202681.1%, Below the 85% standard329 of 405.5
Mar 202685.2%, Meets the 85% standard348 of 408.5
Feb 202682.5%, Below the 85% standard363.5 of 440.5
Jan 202685.6%, Meets the 85% standard322 of 376
The standard usually meant by 'the cancer target'. NHS England monthly cancer waiting times