This map shows which health systems are performing most poorly across a range of measures, and two which are performing well, according to HSJ’s analysis.

We looked at which patches are among the worst and best performers in five areas:

  • the net forecast outturn of all NHS providers and clinical commissioning groups based in the area for 2015-16, relative to total CCG allocations;
  • providers forecasting a deficit outturn greater than 10 per cent of their income;
  • NHS trusts or foundation trusts in special measures or rated “outstanding”;
  • accident and emergency waiting time performance in the second quarter of 2015-16; and
  • CCGs put in special measures or made subject to legal directions by NHS England.
Red Health system is among the worst performers in four areas
Orange Among the worst performers in three areas
Yellow  Among the worst performers in two areas
Green Health system met the A&E target, forecasts overall balance and has no severe problems in the other areas
Grey/black Other health systems - not among the worst performers and do not meet the green conditions. Shades of grey/black do not indicate performance - they are only to distinguish between health systems

View the Map on Tableau

The health system patches are based on a list of 37 “local areas” identified by Monitor, which was published at the end of last year to inform decisions by NHS organisations about the health system groups they will form to produce “sustainability and transformation plans” this year. 

The NHS is not required to use these local areas and it is likely that, in coming weeks, more than 37 groups will be formed to develop the plans. We will refine the map later once the new planning footprints are known.