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NHS England engagement report

@NHSEngland - 507K followers on X

Measured over 4 original posts from a 30-day window, last computed on August 28, 2026.

Engagement

Per follower
0.019%
of 507K followers
Per impression
0.452%
21K views on a typical post
Reach
4.13%
of its followers see a post
Typical post
94
interactions (median)
Saved
0.026%
6 bookmarks on a typical post
Posting rate
0.63/day
active 33% of days
Peak time
08:00 UTC
Monday

Early reading. We have captured 4 original posts for this account, below the 8 we require before treating a median as settled. The numbers above describe what we have seen so far, not a finished profile of the account.

A typical post picks up 94 interactions against 507K followers, an engagement rate of 0.019%. Posts are seen about 21K times each, and 0.452% of those impressions turn into an interaction. That is about 4.13% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.63 post a day over the last 30 days, though only 33% of days saw any activity at all. Most posts go out around 08:00 UTC, and Monday is the busiest day of the week. Of the 4 posts sampled, 100% carry an image or video and 75% link out. The account's strongest tracked post pulled 159 interactions, about 1.7x its own typical post. Only 4 original posts have been captured so far, fewer than the 8 posts we want behind a median before treating it as settled. Read the figures above as an early measurement of this account, not as a finished profile of it.

Measured over 4 original posts from a 30-day window, last computed on August 28, 2026. Recurring tag: #nhsdigitrials.

Where this sits in the catalog

At 0.019%, NHS England sits above the 25th percentile of the 37,996 accounts in this comparison. That places it in the below the median band, which runs 0.012% to 0.081%.

p100.002%
p250.012%
p50 (median)0.081%
p750.439%
p902.10%
p99154.7%
Engagement rate as a share of followers, across the 37,996 accounts we have scanned enough to measure. The axis is logarithmic, because the top and bottom of this population are about 96,714 times apart and a linear axis would flatten everything below the median into a single point.
Show the percentile table
Engagement rate percentiles
PercentileEngagement rate
10th percentile0.002%
25th percentile0.012%
50th percentile0.081%
75th percentile0.439%
90th percentile2.10%
99th percentile154.7%

This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built

Posting timing

This account posts most often around 08:00 UTC, and Monday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.

Engagement by hour posted, UTCTwenty-four bars, one per UTC hour. Each bar shows how posts published in that hour compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest hour: 08:00 UTC.
0003060912151821
Above the authors' own mediansBelowScale: plus or minus 6%Busiest hour: 08:00 UTC
Show engagement by hour posted, utc as a table
Engagement by hour posted, UTC
Hour (UTC)Vs author medianPosts
00:00 UTC-1%53K
01:00 UTC-2%54K
02:00 UTC-3%52K
03:00 UTC-4%56K
04:00 UTC-6%45K
05:00 UTC-4%43K
06:00 UTC-4%50K
07:00 UTC-5%54K
08:00 UTC-4%63K
09:00 UTC-3%72K
10:00 UTC-2%75K
11:00 UTC-3%82K
12:00 UTC-2%90K
13:00 UTC-2%99K
14:00 UTC-3%102K
15:00 UTC-2%105K
16:00 UTC-4%103K
17:00 UTC-3%95K
18:00 UTC-1%89K
19:00 UTC-2%84K
20:00 UTC-1%78K
21:00 UTC-1%69K
22:00 UTC-2%60K
23:00 UTC-2%54K
Engagement by day of weekSeven bars, one per weekday, Sunday first. Each bar shows how posts published on that day compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest day: Monday.
SunMonTueWedThuFriSat
Above the authors' own mediansBelowScale: plus or minus 5%Busiest day: Monday
Show engagement by day of week as a table
Engagement by day of week
DayVs author medianPosts
Sunday+5%239K
Monday0%303K
Tuesday-3%305K
Wednesday-1%259K
Thursday-2%251K
Friday-3%260K
Saturday+3%234K
See what moves engagement across the whole catalogWhat counts as a good engagement rate at this size

Best tweets

  • Aug 25, 20261.7x their median

    Millions of women in England are to be offered HPV self-testing kits, with the service rolling out today. Those who haven’t attended cervical screening following previous invitations will be offered a kit as an alternative way to take part. ➡️ https://t.co/XKVLe6DiQQ https://t.co/wgUL1xtSme

    835961118K viewsView on X
  • Jul 14, 2026

    Sepsis is one of the biggest killers in England and tackling it is a priority for the NHS. The new NHS Sepsis Modern Service Framework sets a clear target – to reduce death, life-threatening complications, and long-term harm by at least 25% by 2036. ℹ️ https://t.co/3NqcyhRK11 https://t.co/TpmugiGZmo

    543610331K viewsView on X
  • Aug 4, 2026

    If you have ever had, or are currently living with prostate cancer, you can sign up to be part of research that will help improve tests, screenings and care. Supported by #NHSDigiTrials and @PCR_News you can find out more and register your interest ➡️ https://t.co/sX5zDpWxG6 https://t.co/II0KatY4uc

    42468523K viewsView on X
  • Aug 10, 2026

    From today, over 350 additional postgraduate training places starting Feb 2027 are available for resident doctors in England. This goes further than the 250 promised in June's BMA RDC agreement. On the reserve list? Look out for an email and see what's on offer. https://t.co/6PLO77Zf4P

    482812027K viewsView on X
  • Jul 16, 2026

    Tens of thousands of cancer patients have rated the care they received from the NHS as nearly nine out of ten, as NHS teams see and treat record numbers of people. Read more ➡️ https://t.co/guacI05Jkn https://t.co/zxkauMbMfD

    37261119.7K viewsView on X
  • Jul 14, 2026

    Sepsis is a life-threatening response to an infection in the body, which can cause significant damage to tissues and organs. The NHS is aiming to prevent thousands of deaths from sepsis by 2035. Learn more about the work being done. ➡️ https://t.co/HkX4EFbwlO https://t.co/fAX6zJprai

    32275111K viewsView on X
  • Jul 16, 2026

    We're expanding testing for Spinal Muscular Atrophy (SMA) across England. From October, SMA checks will start being added to the heel-prick test for newborns. This is part of an evaluation gathering evidence for a permanent national screening programme. https://t.co/Jpm1fi6ueF https://t.co/DyPeUd5y7Q

    36145524K viewsView on X
  • Aug 3, 2026

    The NHS’s biggest ever MenB catch-up campaign is helping protect young people from life-threatening meningitis and sepsis. New figures show almost 90,000 young people received their first dose in the campaign’s first two weeks. ℹ️ https://t.co/IvcN96LFFJ https://t.co/uVbYgmWwEa

    25246114K viewsView on X

Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.

Recurring topics

#nhsdigitrials

The most frequent hashtags in the sampled posts. They describe what this account writes about; they are not a performance signal, and the catalog-wide breakdown on the hub shows how little hashtag count moves.

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Reading these numbers

A typical post picks up 94 interactions against 507K followers, an engagement rate of 0.019%. Posts are seen about 21K times each, and 0.452% of those impressions turn into an interaction. That is about 4.13% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.63 post a day over the last 30 days, though only 33% of days saw any activity at all. Most posts go out around 08:00 UTC, and Monday is the busiest day of the week. Of the 4 posts sampled, 100% carry an image or video and 75% link out. The account's strongest tracked post pulled 159 interactions, about 1.7x its own typical post. Only 4 original posts have been captured so far, fewer than the 8 posts we want behind a median before treating it as settled. Read the figures above as an early measurement of this account, not as a finished profile of it.

What is NHS England's engagement rate on X?
NHS England (@NHSEngland) has an engagement rate of 0.019%, based on the median interactions across 4 original posts from the last 30 days against 506,695 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
Is that a good engagement rate?
At 0.019%, NHS England sits above the 25th percentile of the 37,996 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
Does @NHSEngland have real engagement?
There is not yet enough sample to rank this account against others of its size.
When does @NHSEngland post?
Most posts go out around 08:00 UTC, and Monday is its busiest day, at roughly 0.63 posts per day across the measured window.

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