Guys and St Thomas NHS Foundation Trust
Central London teaching trust including Guys, St Thomas, Evelina Childrens, and Royal Brompton.
RTT 18-week
68.7%
Far below standard
Waiting list
110,502
incomplete pathways across 22 specialties
Waiting 52+ weeks
634
Low 52+ burden
CQC rating
Good
Published 2019-07-23
The wait picture
Guys and St Thomas ranks 134 of 266 English NHS providers with waiting lists above 1,000 on the 18-week RTT standard (68.7% within standard; 110,502 incomplete pathways). Longest published specialty median here: Plastic Surgery at 18 weeks.
- 68.7%
- Incomplete pathways within 18 weeks
- 110,502
- Incomplete pathways on the list
- 18 wks
- Longest specialty median (Plastic Surgery)
- 634
- Patients waiting 52+ weeks
Ranked on NHS England's RTT-June-2026 incomplete-pathway return against every English provider with a list above 1,000 (not only the trusts PlainNHS profiles). Specialty charts use rows with ≥100 incomplete pathways.
Care Quality Commission · Guys and St Thomas
Caring rated Outstanding; Safe rated Requires improvement
On CQC's file, Guys and St Thomas's strongest published key question is Caring (Outstanding); the weakest is Safe (Requires improvement), dated 2019-07-23. Overall is Good. These are inspection findings, not a forecast of any individual wait. How to read CQC bands. CQC provider page.
- Safe
- Effective
- Caring
- Responsive
- Well-led
Published performance context
How this profile sits in the published data
PlainNHS converts the measures below into percentiles within the named comparison groups, then combines them into a transparent context score. It is not a clinical-quality rating, a referral recommendation, or a prediction of an individual wait. The official source values remain the decision-relevant record.
60/100 context score. Weights automatically redistribute when a source value is unavailable.
- 18-week standard: 50th percentile (50% weight)
68.7% of incomplete pathways were within 18 weeks. 266 English providers with 1,000+ incomplete pathways. Source: NHS England RTT incomplete-pathway return. - 52-week burden: 49th percentile (30% weight)
5.7 patients waiting 52+ weeks per 1,000 incomplete pathways. 266 English providers with 1,000+ incomplete pathways. Source: NHS England RTT incomplete-pathway return. - Published CQC band: 100th percentile (20% weight)
CQC overall rating: Good. 10 profiled English trusts with a matched CQC overall rating. Source: Care Quality Commission published provider rating.
A percentile describes this publication's comparison group, not care quality or likely treatment timing. CQC inspection bands and RTT operational data measure different things and should be read separately as well as together.
NHS England RTT incomplete return
Guys and St Thomas incomplete-pathway return June 2026 · provider×specialty
Guys and St Thomas · 68.7% within 18w · #134/266 · 110,502 incomplete
Guys and St Thomas line from NHS England's consultant-led incomplete-pathway return (RTT-June-2026), compared with nearest within-18-week peers outside London. How RTT works → · Compare two trusts →
Specialty median waits at Guys and St Thomas
Sorted ascending. Incomplete pathways with ≥100 patients from NHS England's consultant-led RTT return (RTT-June-2026). Showing the four shortest and twelve longest of 20 published specialties.
Share within 18 weeks by specialty
Sorted descending. Same specialty set as the median chart; useful when comparing queues inside this trust.
Waiting times by specialty
Incomplete pathways from NHS England's consultant-led RTT provider return. Longest published median on this trust: Plastic Surgery Service (18 weeks). RTT is reported by treatment function (specialty), not by individual operation - a hernia repair sits inside General Surgery, not as its own row.
| Specialty | Median wait | 92nd percentile | Within 18 weeks | Waiting |
|---|---|---|---|---|
| Rheumatology Service | 6 wks | 18 wks | 92% | 490 |
| Elderly Medicine Service | 6 wks | 19 wks | 91.5% | 532 |
| Neurology Service | 7 wks | 22 wks | 86.6% | 1,145 |
| Other - Medical Services | 8 wks | 26 wks | 82.1% | 15,724 |
| Oral Surgery Service | 8 wks | 24 wks | 80.2% | 5,693 |
| Ophthalmology Service | 9 wks | 24 wks | 81.7% | 3,308 |
| General Internal Medicine Service | 9 wks | 20 wks | 88.6% | 350 |
| Other - Paediatric Services | 9 wks | 28 wks | 82.3% | 8,731 |
| Gastroenterology Service | 10 wks | 26 wks | 79.8% | 3,058 |
| Dermatology Service | 10 wks | 30 wks | 78.5% | 7,236 |
| Other - Surgical Services | 12 wks | 38 wks | 66.2% | 12,951 |
| Ear Nose and Throat Service | 14 wks | 38 wks | 59.6% | 5,685 |
| Trauma and Orthopaedic Service | 14 wks | 37 wks | 62.2% | 5,076 |
| Respiratory Medicine Service | 14 wks | 38 wks | 61.7% | 10,097 |
| Other - Other Services | 14 wks | 35 wks | 58.6% | 865 |
| Cardiology Service | 15 wks | 40 wks | 60% | 10,922 |
| General Surgery Service | 17 wks | 38 wks | 55.8% | 1,585 |
| Urology Service | 17 wks | 41 wks | 53.1% | 5,793 |
| Plastic Surgery Service | 18 wks | 41 wks | 51.1% | 3,965 |
| Gynaecology Service | 18 wks | 45 wks | 51.9% | 7,227 |
Source: NHS England Referral-to-Treatment (RTT) waiting times, RTT-June-2026. Specialties with fewer than 100 incomplete pathways are omitted. View source
Diagnostic test waiting times
NHS England's monthly Diagnostic Waiting Times and Activity (DM01) return for Guys and St Thomas, by test type. This tracks scans and investigations, separate from the specialty treatment waits above.
| Test | Median wait | Within 6 weeks | Over 13 weeks | Waiting |
|---|---|---|---|---|
| Cystoscopy | 14 wks | 25% | 196 | 344 |
| Urodynamics | 14 wks | 30.5% | 500 | 934 |
| Electrophysiology | 10 wks | 33.3% | 11 | 24 |
| Audiology Assessments | 8 wks | 46.6% | 1,735 | 4,424 |
| DEXA Scan | 4 wks | 70.6% | 1 | 792 |
| MRI | 4 wks | 68.1% | 332 | 6,961 |
| Non Obstetric Ultrasound | 4 wks | 69.1% | 252 | 7,545 |
| Sleep Studies | 4 wks | 71.6% | 125 | 2,190 |
| Barium Enema | 3 wks | 68.9% | 9 | 61 |
| Colonoscopy | 3 wks | 93.7% | 2 | 460 |
| CT | 3 wks | 80.6% | 100 | 4,343 |
| Echocardiography | 3 wks | 82.3% | 155 | 3,116 |
| Flexi Sigmoidoscopy | 3 wks | 97% | 2 | 198 |
| Gastroscopy | 3 wks | 88% | 9 | 632 |
| Peripheral Neurophys | 3 wks | 99.2% | 2 | 257 |
Source: NHS England Diagnostic Waiting Times and Activity (DM01), DM01-MAY-2026. Tests with fewer than 20 patients waiting are omitted. View source
Other NHS Trusts in London
Trusts with a similar RTT profile
Other English trusts with a within-18-week share within 2.5 percentage points of Guys and St Thomas's 68.7%, ranked by closeness, outside London.
Trusts moving similarly this month
Peers whose within-18-week share moved in the same direction by a similar amount between RTT-May-2026 and RTT-June-2026. Guys and St Thomas's change: -0.4 pp.
Longest mapped procedure waits at this trust
Procedure pages joined to this trust's slowest RTT treatment functions on file. Use them to compare national medians and per-trust tables.
- Hernia Repair (17 wks median at this trust)
- Varicose Vein Treatment (17 wks median at this trust)
- Gallbladder Removal (Cholecystectomy) (17 wks median at this trust)
- Hip Replacement (14 wks median at this trust)
What to do next
Use Guys and St Thomas's published RTT return before you chase a clinical answer.
- Guys and St Thomas reported 68.7% of incomplete pathways within 18 weeks (110,502 waiting across 22 specialties on the June 2026 return). Compare with another trust
- Longest median wait at this trust on file: Hernia Repair (17 weeks). Open procedure profile
- Read how the 18-week clock and incomplete-pathway counts are defined in NHS England’s monthly release. RTT guide
Published operational data only, not medical advice. Contact your GP, NHS 111, or the treating trust for clinical decisions.
Source: NHS England Referral to Treatment (RTT) waiting times · RTT-June-2026 CQC overall + five key-question ratings matched from the Care Quality Commission published provider file (cqc_provider_ratings).
Spotted a figure that looks wrong? Report a correction.
PlainNHS trust pages are rendered directly from NHS England RTT provider returns and matched CQC overall ratings, no number is typed in by an editor. Specialty waits and within-18-week shares for Guys and St Thomas NHS Foundation Trust come from the live provider×specialty return on file. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error on this page. Data current as of RTT-June-2026. Figures here are for context and comparison; clinical pathway decisions belong with your GP, NHS 111, or the treating Trust.