The Care Quality Commission has published performance ratings for all 392 NHS trusts in England.

CQC said the NHS is performing well against a rigorous assessment on quality, with more trusts rated "excellent" or "good".

It also commended the significant improvement in ratings for financial management, which is good news coming into a period of restraint on public spending.

The assessment shows big improvements for patients with more people seen in A&E within four hours, more receiving treatment within 18 weeks of referral, more screened for chlamydia and big reductions in MRSA & Clostridium difficile cases.

But CQC raised concerns about the 20 trusts rated "weak" this year on Quality and a further 27 that have not been higher than "fair" for Quality and Financial Management in the last four years.

These organisations face a tough challenge to meet requirements of the new registration system, which CQC will introduce next year.

Find out more information on the CQC website.