NHS Million engagement report
@NHSMillion - 728K followers on X
Measured over 14 original posts from a 30-day window, last computed on October 1, 2026.
Engagement
A typical post picks up 732 interactions against 728K followers, an engagement rate of 0.101%. Measured over 14 original posts, its engagement rate beats 71% of 20,444 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 32K times each, and 2.32% of those impressions turn into an interaction. That is about 4.33% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.93 post a day over the last 30 days, though only 33% of days saw any activity at all. Most posts go out around 19:00 UTC, and Sunday is the busiest day of the week. Of the 14 posts sampled, 36% carry an image or video, 29% are part of a thread and 7% link out. The account's strongest tracked post pulled 34K interactions, about 46x its own typical post.
Measured over 14 original posts from a 30-day window, last computed on October 1, 2026.
Compared with accounts its own size
NHS Million's engagement rate beats 71% of the tracked X accounts closest to it in follower count (20,444 accounts, accounts of similar size (decile 10 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.
On engagement per impression rather than per follower it beats 71% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.
Where this sits in the catalog
At 0.101%, NHS Million sits above the 25th percentile of the 205,475 accounts in this comparison. That places it in the below the median band, which runs 0.024% to 0.143%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.024% |
| 50th percentile | 0.143% |
| 75th percentile | 0.678% |
| 90th percentile | 2.55% |
| 99th percentile | 82.4% |
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 19:00 UTC, and Sunday 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.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 00:00 UTC | -1% | 89K |
| 01:00 UTC | -2% | 90K |
| 02:00 UTC | -3% | 88K |
| 03:00 UTC | -4% | 94K |
| 04:00 UTC | -5% | 76K |
| 05:00 UTC | -4% | 75K |
| 06:00 UTC | -5% | 86K |
| 07:00 UTC | -5% | 93K |
| 08:00 UTC | -4% | 108K |
| 09:00 UTC | -4% | 124K |
| 10:00 UTC | -3% | 129K |
| 11:00 UTC | -3% | 141K |
| 12:00 UTC | -3% | 154K |
| 13:00 UTC | -3% | 167K |
| 14:00 UTC | -4% | 173K |
| 15:00 UTC | -2% | 176K |
| 16:00 UTC | -3% | 171K |
| 17:00 UTC | -3% | 159K |
| 18:00 UTC | -2% | 149K |
| 19:00 UTC | -2% | 141K |
| 20:00 UTC | -1% | 131K |
| 21:00 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
Formats this account uses
Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 36% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 7% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | no effect | -2% to -1% | 42K |
- 36% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
- 7% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts.
- Its average post runs 221 characters, which falls in the 180 - 280 characters band. Across the catalog, posts of 180 to 280 characters match the same accounts' other posts almost exactly.
These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.
Best tweets
- Jul 23, 202646x their median
A Restore Britain Government will allow pub landlords and other venue owners to install a smoking room. If adults want to smoke inside a contained room, and the landlord is happy to provide that, then it's none of our business. Crack on.
- Jun 25, 202639x their median
One NHS, many nationalities. Huge thanks to every single person who helps keep the NHS going 💙 https://t.co/OiIzQaE9kV
- Jul 29, 202622x their median
If Andy Burnham is serious about putting politics aside to solve Britain’s biggest problems, it’s remarkable that he’s chosen to ignore Reform. He is conspiring behind closed doors with the failed political establishment to foist further tax rises on the country. The fact Ed Davey and Kemi Badenoch are going along with this tells you all you need to know. This is the uniparty in action.
- Jul 26, 202612x their median
🚨NEW: The NHS is considering making attending Premier League football games an official treatment option for depression [@SkySportsNews]
- Jul 26, 20265.8x their median
NHS staff by nationality according to the latest figures (April 2026). Where is your country on the list? 🇬🇧 United Kingdom: 1,043,607 🇮🇳 India: 78,840 🇳🇬 Nigeria: 42,937 🇵🇭 Philippines: 33,629 🇮🇪 Ireland: 12,509 🇵🇱 Poland: 11,191 🇬🇭 Ghana: 9,908 🇵🇰 Pakistan: 9,204 🇵🇹 Portugal: 8,220 🇮🇹 Italy: 7,577 🇿🇼 Zimbabwe: 6,789 🇷🇴 Romania: 6,060 🇪🇸 Spain: 4,988 🇪🇬 Egypt: 4,888 🇳🇵Nepal: 4,512 🇱🇰 Sri Lanka: 3,851 🇲🇾 Malaysia: 3,350 🇬🇷 Greece: 3,321 🇳🇱 Netherlands: 2,616 🇦🇺 Australia: 2,595 🇩🇪 Germany: 2,492 🇰🇪 Kenya: 2,469 🇯🇲 Jamaica: 2,460 🇿🇦 South Africa: 2,290 🇧🇩 Bangladesh: 2,239 🇨🇳 China: 2,062 🇱🇹 Lithuania: 1,963 🇫🇷 France: 1,947 🇸🇩 Sudan: 1,728 🇺🇸 United States: 1,659 🇭🇰 Hong Kong: 1,619 🇮🇷 Iran: 1,381 🇭🇺 Hungary: 1,374 🇨🇦 Canada: 1,315 🇧🇬 Bulgaria: 1,263 🇳🇪 Niger: 1,252 🇲🇺 Mauritius: 1,207 🇲🇲 Myanmar: 1,050 🇿🇲 Zambia: 1,008 🇹🇹 Trinidad and Tobago: 947 🇸🇰 Slovakia: 930 🇺🇬 Uganda: 920 🇸🇪 Sweden: 862 🇹🇷 Türkiye: 861 🇧🇷 Brazil: 789 🇯🇴 Jordan: 780 🇳🇿 New Zealand: 779 🇱🇻 Latvia: 760 🇨🇿 Czech Republic: 736 🇨🇲 Cameroon: 678 🇮🇶 Iraq: 636 🇸🇬 Singapore: 627 🇸🇱 Sierra Leone: 595 🇧🇪 Belgium: 542 🇬🇾 Guyana: 521 🇺🇦 Ukraine: 507 🇦🇹 Austria: 492 🇨🇾 Cyprus: 466 🇩🇰 Denmark: 453 🇸🇴 Somalia: 432 🇹🇭 Thailand: 418 🇬🇲 Gambia: 406 🇫🇮 Finland: 381 🇳🇴 Norway: 374 🇸🇾 Syria: 373 🇧🇼 Botswana: 370 🇯🇵 Japan: 364 🇵🇸 Palestine: 363 🇲🇼 Malawi: 353 🇭🇷 Croatia: 334 🇲🇹 Malta: 310 🇱🇧 Lebanon: 285 🇪🇷 Eritrea: 262 🇱🇾 Libya: 258 🇨🇩 Democratic Republic of the Congo: 258 🇦🇱 Albania: 254 🇷🇺 Russia: 252 🇦🇫 Afghanistan: 238 🇹🇿 Tanzania: 226 🇰🇷 South Korea: 220 🇲🇷 Mauritania: 204 🇨🇭 Switzerland: 200 🇪🇹 Ethiopia: 200 🇪🇪 Estonia: 185 🇸🇮 Slovenia: 180 🇻🇨 Saint Vincent and the Grenadines: 175 🇮🇩 Indonesia: 174 🇩🇿 Algeria: 174 🇧🇭 Bahrain: 165 🇧🇧 Barbados: 163 🇱🇨 Saint Lucia: 152 🇨🇴 Colombia: 152 🇲🇽 Mexico: 147 🇲🇦 Morocco: 145 🇸🇦 Saudi Arabia: 144 🇨🇫 Central African Republic: 136 🇬🇩 Grenada: 128 🇮🇱 Israel: 118 🇩🇴 Dominican Republic: 110 🇳🇦 Namibia: 103 🇸🇿 Eswatini: 103 🇹🇳 Tunisia: 102 🇷🇸 Serbia: 92 🇧🇳 Brunei: 92 🇹🇼 Taiwan: 91 🇨🇮 Côte d'Ivoire: 88 🇻🇳 Vietnam: 81 🇾🇪 Yemen: 80 🇨🇱 Chile: 80 🇦🇷 Argentina: 75 🇫🇯 Fiji: 66 🇵🇪 Peru: 66 🇻🇪 Venezuela: 66 🇷🇼 Rwanda: 56 🇲🇻 Maldives: 50 🇸🇳 Senegal: 49 🇬🇳 Guinea: 47 🇧🇹 Bhutan: 47 🇴🇲 Oman: 45 🇦🇴 Angola: 42 🇪🇨 Ecuador: 42 🇱🇷 Liberia: 41 🇧🇾 Belarus: 40 🇧🇿 Belize: 40 🇰🇼 Kuwait: 39 🇹🇹 Trinidad and Tobago: 38 🇲🇩 Moldova: 38 🇲🇰 North Macedonia: 35 🇻🇬 British Virgin Islands: 33 🇨🇺 Cuba: 32 🇧🇴 Bolivia: 30 🇦🇪 United Arab Emirates: 30 🇦🇬 Antigua and Barbuda: 29 🇦🇿 Azerbaijan: 29 🇧🇮 Burundi: 28 🇱🇸 Lesotho: 28 🇰🇾 Cayman Islands: 26 🇮🇸 Iceland: 26 🇰🇷 Korea: 26 🇰🇳 Saint Kitts and Nevis: 24 🇺🇿 Uzbekistan: 24 🇸🇨 Seychelles: 24 🇰🇿 Kazakhstan: 24 🇧🇸 Bahamas: 23 🇬🇪 Georgia: 22 🇮🇲 Isle of Man: 21 🇧🇦 Bosnia and Herzegovina: 20 🇭🇳 Honduras: 20 🇦🇲 Armenia: 19 🇸🇻 El Salvador: 18 🇬🇦 Gabon: 16 🇹🇬 Togo: 16 🇧🇯 Benin: 15 🇱🇺 Luxembourg: 13 🇬🇮 Gibraltar: 13 🇲🇿 Mozambique: 13 🇬🇹 Guatemala: 11 🇲🇳 Mongolia: 9 🇩🇯 Djibouti: 9 🇨🇻 Cape Verde: 9 🇰🇭 Cambodia: 9 🇵🇬 Papua New Guinea: 9 🇹🇱 Timor-Leste: 9 Netherlands Antilles: 9 🇲🇬 Madagascar: 9 🇨🇷 Costa Rica: 8 🇺🇾 Uruguay: 8 🇰🇵 North Korea: 8 🇵🇾 Paraguay: 7 🇶🇦 Qatar: 6 🇧🇲 Bermuda: 6 🇵🇦 Panama: 5 🇰🇬 Kyrgyzstan: 5 🇯🇪 Channel Islands: 5 🇧🇫 Burkina Faso: 4 🇳🇮 Nicaragua: 4 🇸🇸 South Sudan: 4 🇲🇱 Mali: 4 🇹🇲 Turkmenistan: 4 🇬🇼 Guinea-Bissau: 4 🇫🇴 Faroe Islands: 3 🇳🇫 Norfolk Island: 3 🇹🇯 Tajikistan: 3 🇷🇪 Réunion: 3 🇲🇸 Montserrat: 2 🇬🇶 Equatorial Guinea: 2 🇫🇰 Falkland Islands: 2 🇬🇫 French Guiana: 2 🇭🇹 Haiti: 2 🇲🇪 Montenegro: 2 🇵🇷 Puerto Rico: 2 🇸🇭 Saint Helena: 2 🇹🇻 Tuvalu: 2 🇱🇦 Laos: 2 🇦🇩 Andorra: 2 🇦🇼 Aruba: 2 🇸🇹 São Tomé and Príncipe: 2 🇬🇺 Guam: 1 🇦🇮 Anguilla: 1 🇨🇨 Cocos (Keeling) Islands: 1 🇬🇱 Greenland: 1 🇬🇵 Guadeloupe: 1 🇲🇴 Macau: 1 🇲🇭 Marshall Islands: 1 🇫🇲 Micronesia: 1 🇳🇨 New Caledonia: 1 🇳🇺 Niue: 1 🇻🇺 Vanuatu: 1 🇸🇧 Solomon Islands: 1 🇸🇷 Suriname: 1 🇹🇴 Tonga: 1 🇻🇮 U.S. Virgin Islands: 1 🇵🇳 Pitcairn Islands: 1 🇹🇩 Chad: 1 🇼🇸 Samoa: 1
- Jul 29, 20264.8x their median
The lack of available NHS dentists in this country should be a national scandal.
- Sep 15, 20264.5x their median
A few people have asked why we oppose an insurance based system for the UK: 1. It would be more expensive 2. It would be inherently unfair 3. It does not guarantee better outcomes
- Sep 7, 20264.0x their median
The NHS should be about people, not profit. Do you agree? https://t.co/VJdgpb36AD
- Jul 29, 20263.3x their median
We FINALLY have a Prime Minister who is taking social care seriously. * The social care review will be brought forward to summer 2027 * The care workforce will be reformed * There will be a cross-party approach to social care Let’s hope he delivers. https://t.co/fFb0GDPkvb
- Sep 8, 20262.9x their median
Huge thanks to all the NHS staff who are doing their best to keep the health service going despite having 10% fewer staff than we’re meant to have. We see what you do, and couldn’t be more grateful 💙 https://t.co/j9gnMv1EWS
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.
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Reading these numbers
A typical post picks up 732 interactions against 728K followers, an engagement rate of 0.101%. Measured over 14 original posts, its engagement rate beats 71% of 20,444 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 32K times each, and 2.32% of those impressions turn into an interaction. That is about 4.33% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.93 post a day over the last 30 days, though only 33% of days saw any activity at all. Most posts go out around 19:00 UTC, and Sunday is the busiest day of the week. Of the 14 posts sampled, 36% carry an image or video, 29% are part of a thread and 7% link out. The account's strongest tracked post pulled 34K interactions, about 46x its own typical post.
- What is NHS Million's engagement rate on X?
- NHS Million (@NHSMillion) has an engagement rate of 0.101%, based on the median interactions across 14 original posts from the last 30 days against 727,736 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.101%, NHS Million sits above the 25th percentile of the 205,475 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 @NHSMillion have real engagement?
- Its engagement rate beats 71% of the tracked X accounts closest to it in follower count (20,444 accounts), which puts it in the middle of its size range group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
- When does @NHSMillion post?
- Most posts go out around 19:00 UTC, and Sunday is its busiest day, at roughly 0.93 posts per day across the measured window.