The state of health care and adult social care in England 2024/25
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Appendix: Ratings charts
The data below are from ratings published under CQC’s single assessment framework, as at 1 August 2025.
We began implementing the single assessment framework in January 2024, so these ratings show our growing picture of the quality of care under this framework from that point in time.
The rating charts in this appendix are not directly comparable with previous years because:
- Our assessment activity during this time has been based on risk to people using these services so they are unlikely to be representative of all services in a sector. This means that we have prioritised assessing services where our data indicated there may be greater risk to quality and safety for people.
- For some services, the numbers of assessments completed using the single assessment framework are still too low to be representative of all services in that sector.
- Alongside the introduction of the single assessment framework, we also made changes to some aspects of our assessment methodology. One of these changes was differences in the levels at which we rate providers. Read the full detail of the different levels of ratings. We provide more detail on whether the level of assessment has changed for specific services or providers at the top of each section.
Find data for all current ratings.
Download the data
Adult social care
The charts in this section show the 3,062 ratings for adult social care services that we have published under the single assessment framework. There are 20,467 adult social care services with current ratings from our previous frameworks.
As part of the changes introduced with the single assessment framework, individual adult social care services are now rated separately as individual services at a location. For example, where a care home and a homecare agency are provided from the same location, we will publish 2 ratings. Ratings under our previous frameworks were only published for the location. For this reason, adult social care ratings published from assessments under the single assessment framework should not be combined with or compared with those under previous frameworks.
Figure A1: Adult social care, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A2: Adult social care, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A3: Adult social care, overall ratings by assessment service group, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
GP services
The charts in this section show the 488 ratings for GP services that we have published under the single assessment framework. There are 5,638 GP services with current ratings from our previous frameworks.
As part of the changes introduced with the single assessment framework, specific primary medical care services are now rated separately as individual services at a location. For example, where a GP practice and an out-of-hours GP service are provided from the same location we will publish 2 ratings. Ratings under our previous frameworks were only published for the location. For this reason, GP ratings published from assessments under the single assessment framework should not be combined with or compared to those under previous frameworks.
Figure A4: GP services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A5: GP services, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Other primary medical services
The charts in this section show the 36 ratings for other primary medical services that we have published under the single assessment framework. There are 1,054 other primary medical services with current ratings from our previous frameworks.
As part of the changes introduced with the single assessment framework, specific primary medical services are now rated separately as individual services at a location. For example, where a GP practice and an out-of-hours GP service are provided from the same location we will publish 2 ratings. Ratings under our previous frameworks were only published for the location. For this reason, other ratings published from assessments under the single assessment framework should not be combined with or compared with those under previous frameworks.
Figure A6: Other primary medical services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
NHS and independent mental health services
The charts in this section show the 138 ratings for mental health services that we have published under the single assessment framework. There are 916 mental health services with current ratings from our previous frameworks.
Figure A7: NHS and independent mental health services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A8: NHS and independent mental health services, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A9: NHS and independent mental health assessment service groups, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
NHS acute hospitals
The charts in this section show the 86 ratings for NHS acute hospital services that we have published under the single assessment framework. There are 1,603 NHS acute hospital services with current ratings from our previous frameworks.
Figure A10: NHS acute hospital services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A11: NHS acute hospital services, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A12: NHS acute hospital core assessment service groups, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Independent acute hospitals
The charts in this section show the 46 ratings for independent hospital acute services that we have published under the single assessment framework. There are 790 independent hospital acute services with current ratings from our previous frameworks.
Figure A13: Independent acute hospital services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A14: Independent health acute hospital services, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A15: Independent acute hospital assessment service groups, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
NHS ambulance trusts
There have been no published ratings for NHS ambulance trusts under the single assessment framework.
There are current ratings for 10 NHS ambulance trusts under the previous framework as follows:
- Good, 6 (60%)
- Requires improvement, 3 (30%)
- Inadequate, 1 (10%)
Independent ambulance services
The charts in this section show the 24 ratings for independent ambulance services that we have published under the single assessment framework. There are 187 independent ambulance services with current ratings from our previous frameworks.
Figure A16: Independent ambulance services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A17: Independent ambulance services, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Hospice services
The charts in this section show the 31 ratings for hospice services that we have published under the single assessment framework. There are 91 hospice services with current ratings from our previous frameworks.
Figure A18: Hospice services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A19: Hospice services, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A20: Hospice services assessment service groups, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Community health services
The charts in this section show the 6 ratings for community health services that we have published under the single assessment framework. There are 527 community health services with current ratings from our previous frameworks.
Figure A21: Community health services, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A22: Community health services, key question ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.
Figure A23: Community health services assessment service groups, overall ratings, 2025
Source: CQC ratings data, 1 August 2025
Percentages may not add up to 100 due to rounding. Percentages between 0.01% and 1% have been rounded up to 1%.