NHS Million engagement report
@NHSMillion - 729K followers on X
Measured over 8 original posts from a 30-day window, last computed on August 24, 2026.
Engagement
A typical post picks up 3.0K interactions against 729K followers, an engagement rate of 0.406%. Measured over 8 original posts, its engagement rate beats 89% of 6,874 tracked accounts of a similar size. Comparing inside a size band matters here: engagement rate falls as accounts grow, so a raw rate would mostly just re-measure the follower count. Posts are seen about 91K times each, and 3.26% of those impressions turn into an interaction. That is about 12.5% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.83 post a day over the last 30 days, though only 20% of days saw any activity at all. Most posts go out around 11:00 UTC, and Wednesday is the busiest day of the week. Of the 8 posts sampled, 25% carry an image or video and 13% are part of a thread. The account's strongest tracked post pulled 34K interactions, about 12x its own typical post.
Measured over 8 original posts from a 30-day window, last computed on August 24, 2026.
Compared with accounts its own size
NHS Million's engagement rate beats 89% of the tracked X accounts closest to it in follower count (6,874 accounts, accounts of similar size (decile 9 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 82% 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 0.406%, NHS Million sits above the 50th percentile of the 66,536 accounts in this comparison. That places it in the above the median band, which runs 0.1% to 0.5%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.002% |
| 25th percentile | 0.016% |
| 50th percentile | 0.1% |
| 75th percentile | 0.5% |
| 90th percentile | 2.09% |
| 99th percentile | 119.7% |
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 11:00 UTC, and Wednesday 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 | 25% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 0% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | +15% | +14% to +16% | 32K |
- 25% 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.
- 0% 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 654 characters, which falls in the over 280 characters band. Across the catalog, posts over 280 characters run 15% above the same accounts' other posts.
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, 202612x 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, 20268.0x their median
One NHS, many nationalities. Huge thanks to every single person who helps keep the NHS going 💙 https://t.co/OiIzQaE9kV
- Jul 29, 20265.4x 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, 20263.1x their median
🚨NEW: The NHS is considering making attending Premier League football games an official treatment option for depression [@SkySportsNews]
- Jul 26, 2026
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, 2026
The lack of available NHS dentists in this country should be a national scandal.
- Jul 29, 2026
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
- Aug 1, 2026
Should NHS staff be able to park for free at their place of work? Please repost to help increase the number of people who respond. Please explain your answer in the comments.
- Jul 23, 2026
The NHS is definitely not perfect. But it will never make you bankrupt. https://t.co/m1kPzDW6Zl
- Jul 24, 2026
We wish we could eradicate ‘just a’ from NHS vocabulary. Every single person plays their part, and it couldn’t happen without everyone. https://t.co/n3gHoL94Az
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 3.0K interactions against 729K followers, an engagement rate of 0.406%. Measured over 8 original posts, its engagement rate beats 89% of 6,874 tracked accounts of a similar size. Comparing inside a size band matters here: engagement rate falls as accounts grow, so a raw rate would mostly just re-measure the follower count. Posts are seen about 91K times each, and 3.26% of those impressions turn into an interaction. That is about 12.5% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.83 post a day over the last 30 days, though only 20% of days saw any activity at all. Most posts go out around 11:00 UTC, and Wednesday is the busiest day of the week. Of the 8 posts sampled, 25% carry an image or video and 13% are part of a thread. The account's strongest tracked post pulled 34K interactions, about 12x its own typical post.
- What is NHS Million's engagement rate on X?
- NHS Million (@NHSMillion) has an engagement rate of 0.406%, based on the median interactions across 8 original posts from the last 30 days against 729,251 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.406%, NHS Million sits above the 50th percentile of the 66,536 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 89% of the tracked X accounts closest to it in follower count (6,874 accounts), which puts it in the top quarter for its size 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 11:00 UTC, and Wednesday is its busiest day, at roughly 0.83 posts per day across the measured window.