NHS engagement report
@NHSuk - 565K followers on X
Measured over 9 original posts from a 30-day window, last computed on September 4, 2026.
Engagement
A typical post picks up 145 interactions against 565K followers, an engagement rate of 0.026%. Measured over 9 original posts, its engagement rate beats 46% of 6,874 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 20K times each, and 0.719% of those impressions turn into an interaction. That is about 3.57% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.97 post a day over the last 30 days, with activity on roughly 67% of days. Most posts go out around 08:00 UTC, and Sunday is the busiest day of the week. Of the 9 posts sampled, 56% carry an image or video and 44% link out. The account's strongest tracked post pulled 190 interactions.
Measured over 9 original posts from a 30-day window, last computed on September 4, 2026. Recurring tag: #gynaecologicalcancerawarenessmonth.
Compared with accounts its own size
NHS's engagement rate beats 46% 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 41% 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 0.026%, NHS sits above the 25th percentile of the 66,536 accounts in this comparison. That places it in the below the median band, which runs 0.016% to 0.1%.
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 08:00 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 | 56% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 44% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | no effect | -2% to -1% | 42K |
- 56% 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.
- 44% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts, so a large share of this account's output sits in the weakest bucket we measure.
- Its average post runs 256 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
- Sep 1, 2026
September is #GynaecologicalCancerAwarenessMonth. Swipe to learn the key symptoms of the five gynaecological cancers. Knowing what’s normal for you can help you spot changes. Having any of these symptoms doesn't mean you have cancer, but it’s important to get checked by a GP. https://t.co/x4xlnlNVH0
- Aug 25, 2026
Cervical screening can help prevent cervical cancer, so it’s important to take up your invitation. If you’ve missed yours, the NHS may invite you to take an HPV self-test instead. If self-testing is an option for you, the NHS will contact you.
- Aug 11, 2026
England is on track to be one of the first countries in the world to eliminate hepatitis C and beat the WHO’s 2030 target. The NHS has treated over 100,000 people for the virus in the last decade. ➡️ https://t.co/piZpQQivJs https://t.co/e6z3BHNG6X
- Aug 20, 2026
GCSE results are just one moment in your journey – they don’t define you or your future. If someone you know has received their results today, check in and see how they’re feeling. Your support could make a real difference 💙 Find out more ➡️ https://t.co/Xf3Vx27sUl https://t.co/fwwo7C6scE
- Aug 16, 2026
The first sign of a stroke might not seem like much - like not being able to raise your arm. Or struggling to smile. Or slurring when you speak. Any sign of a stroke is always an emergency. Face or arm or speech, at the first sign, it's time to call 999.
- Aug 17, 2026
Bookings for this year’s flu vaccine are now open for those who are eligible. Flu can be serious for vulnerable people and those with long-term health conditions. Find out if you're eligible and book here ➡️ https://t.co/4v8riLs6Q8 https://t.co/5vhRgMUH2y
- Aug 16, 2026
Make sure you know the early symptoms of a heart attack. They don’t always feel severe. A squeezing across the chest. A feeling of unease. It’s never too early to call 999 and describe your symptoms.
- Aug 23, 2026
Insect bites or stings can be annoying, but they’re usually harmless. If it doesn’t get better in a few days, see a pharmacist, visit your GP, or get help from NHS 111. For more information, visit the NHS website.
- Aug 1, 2026
Today is #WorldLungCancerDay. If you notice any of these signs and symptoms, contact your GP. It could be nothing serious, but early diagnosis and treatment of cancer can save lives.
- Aug 14, 2026
If you’ve had your first MenB vaccine, don’t forget your second dose. You need 2 doses, at least 28 days apart, for the best protection. If you’re eligible and haven’t had your first dose yet, there’s still time. Find out more: https://t.co/Lcb6brwwuL https://t.co/8HkPayoo2O
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
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 145 interactions against 565K followers, an engagement rate of 0.026%. Measured over 9 original posts, its engagement rate beats 46% of 6,874 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 20K times each, and 0.719% of those impressions turn into an interaction. That is about 3.57% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.97 post a day over the last 30 days, with activity on roughly 67% of days. Most posts go out around 08:00 UTC, and Sunday is the busiest day of the week. Of the 9 posts sampled, 56% carry an image or video and 44% link out. The account's strongest tracked post pulled 190 interactions.
- What is NHS's engagement rate on X?
- NHS (@NHSuk) has an engagement rate of 0.026%, based on the median interactions across 9 original posts from the last 30 days against 565,453 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.026%, NHS sits above the 25th 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 @NHSuk have real engagement?
- Its engagement rate beats 46% of the tracked X accounts closest to it in follower count (6,874 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 @NHSuk post?
- Most posts go out around 08:00 UTC, and Sunday is its busiest day, at roughly 0.97 posts per day across the measured window.