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On 9 September NHS England published its first quarterly league tables of NHS provider trusts’ performance,1 as promised in the NHS 10 year plan.2 There are scores, tables, and rankings covering specialised and general acute hospital trusts, as well as community healthcare, ambulance, and mental health and learning disability trusts. All trusts have been allocated a segment—from 1 for the best performing trusts down to 4 for the worst—and have an overall ranking in the table. The higher performers have the lowest overall score, with 1.0 the lowest and 4.0 the highest possible.