Acute (Teaching) London Requires improvement

Imperial College Healthcare NHS Trust

Five-hospital London trust including St Marys, Charing Cross, and Hammersmith.

Data vintage: June 2026 · Reviewed by PlainNHS ·

RTT 18-week

70.6%

Far below standard

Waiting list

84,008

incomplete pathways across 22 specialties

Waiting 52+ weeks

28

Low 52+ burden

CQC rating

Requires improvement

Published 2019-07-23

The wait picture

Imperial College Healthcare ranks 118 of 266 English NHS providers with waiting lists above 1,000 on the 18-week RTT standard (70.6% within standard; 84,008 incomplete pathways). Longest published specialty median here: Plastic Surgery at 16 weeks.

70.6%
Incomplete pathways within 18 weeks
84,008
Incomplete pathways on the list
16 wks
Longest specialty median (Plastic Surgery)
28
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 · Imperial College Healthcare

Effective rated Good; Safe rated Requires improvement

On CQC's file, Imperial College Healthcare's strongest published key question is Effective (Good); the weakest is Safe (Requires improvement), dated 2019-07-23. Overall is Requires improvement. These are inspection findings, not a forecast of any individual wait. How to read CQC bands. CQC provider page.

  • Safe Requires improvement
  • Effective Good
  • Caring Good
  • Responsive Requires improvement
  • Well-led Good

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.

Published performance context for Imperial College Healthcare. Each axis is a percentile in its stated comparison group; the centre score uses the displayed weights. 3-axis radar comparing 1 series across 18-week standard, 52-week burden, Published CQC band. 18-week standard52-week burdenPublished CQC band 63 context / 100 50th percentile
Published performance context for Imperial College Healthcare. Each axis is a percentile in its stated comparison group; the centre score uses the displayed weights.

63/100 context score. Weights automatically redistribute when a source value is unavailable.

  • 18-week standard: 56th percentile (50% weight)
    70.6% 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: 79th percentile (30% weight)
    0.3 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: 56th percentile (20% weight)
    CQC overall rating: Requires improvement. 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

Imperial College Healthcare incomplete-pathway return June 2026 · provider×specialty

Imperial College Healthcare · 70.6% within 18w · #118/266 · 84,008 incomplete

Imperial College Healthcare 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 Imperial College Healthcare

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 22 published specialties.

Other Services: 4 wksOther Services4 wksPaediatric Services: 8 wksPaediatric Services8 wksRheumatology: 8 wksRheumatology8 wksMedical Services: 9 wksMedical Services9 wksCardiothoracic Surgery: 10 wksCardiothoracic Surgery10 wksElderly Medicine: 10 wksElderly Medicine10 wksGeneral Internal Medicine: 11 wksGeneral Internal Medicine11 wksCardiology: 12 wksCardiology12 wksTrauma and Orthopaedic: 13 wksTrauma and Orthopaedic13 wksSurgical Services: 13 wksSurgical Services13 wksUrology: 14 wksUrology14 wksEar Nose and Throat: 14 wksEar Nose and Throat14 wks
Median incomplete-pathway wait (weeks) by specialty at Imperial College Healthcare

Share within 18 weeks by specialty

Sorted descending. Same specialty set as the median chart; useful when comparing queues inside this trust.

Other Services: 93.6%Other Services93.6%Rheumatology: 86%Rheumatology86%Paediatric Services: 83.7%Paediatric Services83.7%Medical Services: 78.6%Medical Services78.6%Cardiothoracic Surgery: 73.8%Cardiothoracic Surgery73.8%General Internal Medicine: 70.2%General Internal Medicine70.2%Elderly Medicine: 69.3%Elderly Medicine69.3%Cardiology: 68.7%Cardiology68.7%Surgical Services: 64.7%Surgical Services64.7%Trauma and Orthopaedic: 63.9%Trauma and Orthopaedic63.9%Neurosurgical: 63.4%Neurosurgical63.4%Ear Nose and Throat: 62.6%Ear Nose and Throat62.6%
Share of incomplete pathways within 18 weeks by specialty at Imperial College Healthcare

Waiting times by specialty

Incomplete pathways from NHS England's consultant-led RTT provider return. Longest published median on this trust: Plastic Surgery Service (16 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
Other - Other Services 4 wks 16 wks 93.6% 392
Other - Paediatric Services 8 wks 24 wks 83.7% 4,254
Rheumatology Service 8 wks 24 wks 86% 614
Other - Medical Services 9 wks 29 wks 78.6% 13,074
Respiratory Medicine Service 9 wks 25 wks 80.4% 2,309
Ophthalmology Service 9 wks 31 wks 77.6% 5,236
Oral Surgery Service 9 wks 23 wks 82.6% 511
Gastroenterology Service 9 wks 21 wks 89.6% 2,982
Gynaecology Service 10 wks 35 wks 69.8% 6,573
Dermatology Service 10 wks 33 wks 73.8% 4,329
Cardiothoracic Surgery Service 10 wks 30 wks 73.8% 573
Elderly Medicine Service 10 wks 32 wks 69.3% 306
General Internal Medicine Service 11 wks 32 wks 70.2% 114
Cardiology Service 12 wks 33 wks 68.7% 8,032
Trauma and Orthopaedic Service 13 wks 35 wks 63.9% 3,151
Other - Surgical Services 13 wks 37 wks 64.7% 9,201
Urology Service 14 wks 37 wks 61.8% 3,674
Ear Nose and Throat Service 14 wks 36 wks 62.6% 7,605
Neurosurgical Service 14 wks 37 wks 63.4% 3,030
General Surgery Service 15 wks 41 wks 60% 2,201
Plastic Surgery Service 16 wks 39 wks 55.6% 1,975
Neurology Service 16 wks 36 wks 57.6% 3,872

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 Imperial College Healthcare, 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 5 wks 98.7% 3 398
Sleep Studies 5 wks 85.4% 3 618
Electrophysiology 4 wks 96.3% 1 27
Audiology Assessments 3 wks 96.4% 3 804
Colonoscopy 3 wks 99.1% 0 759
DEXA Scan 3 wks 99.1% 0 759
Echocardiography 3 wks 94.9% 10 1,286
Flexi Sigmoidoscopy 3 wks 100% 0 122
Gastroscopy 3 wks 99.3% 0 728
MRI 3 wks 82.9% 33 4,314
Non Obstetric Ultrasound 3 wks 92.3% 21 5,671
Urodynamics 3 wks 95.2% 0 63
Barium Enema 2 wks 96.7% 1 183
CT 2 wks 98.5% 2 1,792
Peripheral Neurophys 2 wks 100% 0 302

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 Imperial College Healthcare's 70.6%, 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. Imperial College Healthcare's change: +0.5 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.

What to do next

Use Imperial College Healthcare's published RTT return before you chase a clinical answer.

  • Imperial College Healthcare reported 70.6% of incomplete pathways within 18 weeks (84,008 waiting across 22 specialties on the June 2026 return). Compare with another trust
  • Longest median wait at this trust on file: Hernia Repair (15 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 Imperial College Healthcare NHS 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.