Health Secretary Wes Streeting announced a comprehensive review of NHS performance in England, revealing plans to publish league tables ranking hospitals by their service quality and financial stability. Underperforming trusts could face leadership changes, while top-performing hospitals will gain more spending autonomy. Senior leaders’ pay will be contingent on meeting performance targets. The reforms aim to enhance transparency and efficiency in the NHS, with a focus on reducing waiting times and improving patient care. The initiative has been met with cautious optimism from health leaders and patient advocates alike.