# London acute NHS performance, month by month

> How the median London acute provider is moving across A&E, elective, cancer and diagnostic standards.

- Category: NHS
- Cadence: monthly
- Status: Published on a monthly cadence.
- Dataset key: `nhs-acute-performance-trends`
- Source: [NHS England](https://www.england.nhs.uk/statistics/statistical-work-areas/acute-provider-table/)
- Licence: Open Government Licence v3.0 — [terms](https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/)
- Canonical page: [https://londongraph.com/g/nhs-acute-performance-trends](https://londongraph.com/g/nhs-acute-performance-trends)
- Machine-readable record: [https://londongraph.com/data/nhs-acute-performance-trends](https://londongraph.com/data/nhs-acute-performance-trends)

## Methodology

Median of the published provider rates for active London acute trusts identified through NHS ODS. The source summary has no provider denominators, so this is explicitly a median-provider trend rather than a patient-weighted London rate. Measures have different directions: a higher within-standard rate is better, while a higher long-wait rate is worse. Provider performance is not borough-resident performance.

## Visualisations

- [Trend](https://londongraph.com/g/nhs-acute-performance-trends): Median London-provider performance across all eight acute metrics.
- [Eight measures](https://londongraph.com/g/nhs-acute-performance-trends?view=measures): Give every acute performance measure its own aligned panel without sharing an unlabeled scale.
- [Latest change](https://londongraph.com/g/nhs-acute-performance-trends?view=change): Show month-to-month change for each published acute measure.

## Citation guidance

Attribute the original publisher named above and identify LondonGraph as the visualisation and methodology layer. Do not describe live values as a historical census, and do not present placeholder values as observations.