Publish date: 8 September 2025
The NHS National Oversight Framework (NOF) is the new performance assessment tool for all NHS Trusts and will be launched in the coming days.
It introduces a transparent, metric-based approach to measuring organisational performance across five key domains:
- Access to Services
- Effectiveness and Experience of Care
- Patient Safety
- People and Workforce
- Finance and Productivity.
Not every metric applies to every Trust, reflecting the differences between acute, mental health, and ambulance services etc.
How it works
Each Trust is assigned a segment rating from 1 to 5, with Segment 1 representing the highest performing organisations.
In addition to the overall segment, league tables will be published for three categories:
- Acute and Specialist Trusts (134 Trusts)
- Non-Acute Trusts (61 Trusts)
- Ambulance Trusts (10 Trusts).
What this means for Mersey Care
We expect the first NOF data to be published imminently. Early indications show that Mersey Care has achieved:
- Segment 2
- Ranked 25 out of 61 in the Non-Acute Trust league table.
What happens next
- The underlying data, metrics, and league tables will be refreshed and published quarterly, providing a clear and accessible view of our performance for staff, partners, and - most importantly - our patients and service users.
- The good news: these measures align with what we already strive to excel at. There is significant opportunity for improvement within reach.
Key to our success
The key to progress is understanding the metrics and working together to improve them. Every member of Team Mersey Care has a role to play in driving our performance and delivering the best possible care for those we serve.
