NHS league tables: how do performance rankings impact NHS trusts?

In this episode of Health on the Line, host Matthew Taylor is joined by two NHS Confederation colleagues Rebecca Gray, director of the Mental Health Network, and Rory Deighton, director of the Acute Network, to unpack the reintroduction of NHS league tables and their implications for NHS trusts.

The trio discuss the intended role of league tables in driving improvement and accountability with the caveat that they also carry risks, particularly when misinterpreted or used to name and shame providers. The group discusses how misleading headlines and lack of context can undermine public trust and demoralise frontline staff.

Together, the guests consider how league tables must be designed and communicated with care, ensuring they reflect what truly matters to patients and avoid unintended consequences. With winter pressures looming and leadership under scrutiny, this episode calls for a more intelligent, balanced debate about performance, accountability, quality data and NHS oversight.

The conversation also touches on the seismic news of ‘fearless’ Claire Murdoch’s resignation as NHS England’s national director for mental health. Rebecca Gray reflects on Murdoch’s legacy, describing her as “a phenomenal force” and someone who consistently challenged the system to ensure mental health remained a national priority.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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