National Oversight Framework data and performance rating for quarter two 2025/6

The second publication of the new National Oversight Framework (NOF) was released on Thursday 11 December 2025. Leeds and York Partnership NHS Foundation Trust (LYPFT) has been placed in segment 3 out of a possible five, down from segment 2 when the NOF was first published in September 2025.

The NHS Oversight Framework assesses integrated care boards (ICBs) and NHS trusts to enhance public accountability for performance and improve the identification of providers that require support to improve.

All 205 NHS Trusts are placed in a segment between 1 (high performing) and 4 (low performing). Entry into a segment 5 is reserved for the most challenged organisations that require the most support to improve.

Following the release of data covering quarter two (July to September 2025), LYPFT has now been placed in segment 3, indicating that the “organisation and/or wider system are off-track in a range of domains or are in financial deficit.”

This is only the second set of segmentation data published under the new NOF and covers a different time period to the first set. As such, NHS England, who compiles and publishes the NOF, has urged caution on how the league tables are viewed and about what counts as a significant change. They also said that league tables reflect “relative performance among peers and movement does not necessarily mean a decline in a specific organisation’s performance”.

LYPFT’s scores have declined in the following areas:

  • Percentage of adult mental health discharges with a length of stay above 60 days.
  • Sickness absence rate. Our rate improved from 6% in September to 5.85% in December, but as other trusts have reported better rates it has pushed LYPFT down the rankings.
  • Finance – where we now get a score of 2 instead of 1. This is due to NHS England conducting a more detailed analysis of relative costs and is not the result of the Trust doing anything different since the last publication.

The areas assessed in the NOF form part of the Trust’s ongoing priorities for improvement.  Our progress against our strategic priorities is reported quarterly to the Trust’s public board meetings – with the most recent update presented to the Trust Board on 27 November 2025.

You can view the latest data and league tables for all NHS trusts including LYPFT on the NHS England website.

How NOF scores are calculated

Scores are calculated based on performance against agreed metrics across six domains:

  1. Access to services
  • elective care
  • cancer care
  • urgent and emergency care
  • mental health care

2. Effectiveness and experience of care

3. Patient safety

4. People and workforce

5. Finance and productivity

6. Improving health and reducing inequality (non-scoring)

  • improving population health
  • primary prevention
  • inequalities

 

You can see a detailed explanation of the methodology used to score organisations on the NHS England website.


Page last updated: 11th Dec 2025 11:00am