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· 0 checks — Desktop Lighthouse audit -- Performance, Accessibility, Best Practices, and SEO category breakdown.
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Detailed Report

Audit breakdown by category with detailed findings.

68

Performance

Insights

Remove large, duplicate JavaScript modules from bundles to reduce unnecessary bytes consumed by network activity.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Polyfills and transforms enable older browsers to use new JavaScript features. However, many aren't necessary for modern browsers. Consider modifying your JavaScript build process to not transpile Baseline features, unless you know you must support older browsers. Learn why most sites can deploy ES6+ code without transpiling

Why this matters

Performance issues directly impact user engagement and conversion rates.

3rd party code can significantly impact load performance. Reduce and defer loading of 3rd party code to prioritize your page's content.

Why this matters

Performance issues directly impact user engagement and conversion rates.

A long cache lifetime can speed up repeat visits to your page. Learn more about caching.

Why this matters

Performance issues directly impact user engagement and conversion rates.

RequestCache TTLTransfer Size
/wp-content/themes/nhsengland/static/main-169b0c9c73c3b1f...86400.0 s311.7 KiB
/wp-content/themes/nhsengland/static/main-1fcbc37307c8daf...86400.0 s167.6 KiB
/wp-content/uploads/2026/02/national-cancer-plan-final-im...604800.0 s434.0 KiB
/wp-content/themes/nhsengland/static/lib/jquery.min.js?ve...86400.0 s95.2 KiB
/wp-content/themes/nhsengland/static//lib/jquery-ui/theme...86400.0 s36.0 KiB
www.england.nhs.uk/wp-content/plugins/page-links-to/dist/new-tab.js?ver=3.3.786400.0 s33.9 KiB
www.england.nhs.uk/wp-includes/js/dist/vendor/wp-polyfill.min.js?ver=3.15.086400.0 s33.0 KiB
/wp-content/uploads/2025/07/10-year-health-plan-image-e17...604800.0 s67.6 KiB
/wp-content/themes/nhsengland/static/img/social-media-ico...86400.0 s15.4 KiB
/wp-content/plugins/contact-form-7/includes/js/index.js?v...86400.0 s13.4 KiB
/wp-content/plugins/contact-form-7/includes/swv/js/index....86400.0 s12.5 KiB
/wp-content/themes/nhsengland/static/img/social-media-ico...86400.0 s12.3 KiB
/wp-content/themes/nhsengland/static/lib/modernizr.min.js...86400.0 s9.9 KiB
www.england.nhs.uk/wp-content/uploads/2023/11/fdp-homepage.jpg604800.0 s38.2 KiB
/wp-content/themes/nhsengland/static/img/social-media-ico...86400.0 s6.3 KiB
www.england.nhs.uk/wp-includes/js/dist/hooks.min.js?ver=dd5603f07f9220ed27f186400.0 s5.8 KiB
www.england.nhs.uk/wp-includes/js/dist/i18n.min.js?ver=c26c3dc7bed36679337586400.0 s5.5 KiB
cc.cdn.civiccomputing.com/8/cookieControl-8.x.min.js?ver=6.9.4604800.0 s13.7 KiB
/wp-content/plugins/contact-form-7/includes/css/styles.cs...86400.0 s3.2 KiB
www.england.nhs.uk/wp-content/themes/nhsengland/static/img/nhs-england-white.svg86400.0 s2.4 KiB
/wp-content/themes/nhsengland/static/print-fe4e4682bcb96c...86400.0 s2.4 KiB
/wp-content/plugins/elasticpress/dist/css/general-styles....86400.0 s2.3 KiB
/wp-content/themes/nhsengland/static/img/social-media-ico...86400.0 s1.9 KiB
www.england.nhs.uk/wp-content/themes/nhsengland/static/img/nhs-uk-logo.svg86400.0 s1.9 KiB
/t/1.css?apiType=css&projectid=df8395a8-1825-40a2-9d42-2a...1.0 s639 B
/wp-content/plugins/contact-form-7/modules/recaptcha/inde...86400.0 s1.2 KiB
/wp-content/plugins/dxw-comment-length-limiter/assets/dxw...86400.0 s1.0 KiB
/wp-content/themes/nhsengland/static/img/social-media-ico...86400.0 s823 B
/wp-content/themes/nhsengland/static/img/social-media-ico...86400.0 s668 B
www.gstatic.com/recaptcha/api2/logo_48.png604800.0 s2.3 KiB

Layout shifts occur when elements move absent any user interaction. Investigate the causes of layout shifts, such as elements being added, removed, or their fonts changing as the page loads.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:node label:Element subItemsHeading:map[key:extra] valueType:node] map[granularity:0.001 key:score label:Layout shift score subItemsHeading:map[key:cause valueType:text] valueType:numeric]]
items: [map[node:map[type:text value:Total] score:0.160706] map[node:map[boundingRect:map[bottom:3610 height:3168 left:0 right:1350 top:442 width:1350] lhId:page-4-MAIN nodeLabel:We lead the NHS in England to deliver high quality services for all If you are… path:5,HTML,2,BODY,4,MAIN selector:body.home > main.main snippet:<main class="main group" role="main"> type:node] score:0.160706 subItems:map[items:[map[cause:Unsized image element extra:map[boundingRect:map[bottom:1253 height:230 left:105 right:445 top:1023 width:340] lhId:page-0-IMG nodeLabel:An adult and a child sit together on a sofa in a brightly lit room. The child h… path:5,HTML,2,BODY,4,MAIN,1,SECTION,2,DIV,0,DIV,0,ARTICLE,0,FIGURE,0,A,0,IMG selector:article.article-component > figure.article-image > a.external-link > img snippet:<img src="https://www.england.nhs.uk/wp-content/uploads/2026/02/national-cancer-plan…" alt="An adult and a child sit together on a sofa in a brightly lit room. The ch…"> type:node]]] type:subitems]]]

Your first network request is the most important. Reduce its latency by avoiding redirects, ensuring a fast server response, and enabling text compression.

Why this matters

Performance issues directly impact user engagement and conversion rates.

A forced reflow occurs when JavaScript queries geometric properties (such as offsetWidth) after styles have been invalidated by a change to the DOM state. This can result in poor performance. Learn more about forced reflows and possible mitigations.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:source label:Top function call valueType:source-location] map[granularity:1 key:reflowTime label:Total reflow time valueType:ms]]
items: [map[reflowTime:0.998 source:map[column:30286 line:2 type:source-location url:https://www.england.nhs.uk/wp-content/themes/nhsengland/static/lib/jquery.min.js?ver=6.9.4 urlProvider:network]]]
headings: [map[key:source label:Source valueType:source-location] map[granularity:1 key:reflowTime label:Total reflow time valueType:ms]]
items: [map[reflowTime:39.711 source:map[type:text value:[unattributed]]] map[reflowTime:0.998 source:map[column:31379 line:1 type:source-location url:https://www.england.nhs.uk/wp-content/themes/nhsengland/static/lib/jquery.min.js?ver=6.9.4 urlProvider:network]] map[reflowTime:1.349 source:map[column:380 line:580 type:source-location url:https://www.gstatic.com/recaptcha/releases/gTpTIWhbKpxADzTzkcabhXN4/recaptcha__en.js urlProvider:network]] map[reflowTime:1.107 source:map[column:47 line:303 type:source-location url:https://www.gstatic.com/recaptcha/releases/gTpTIWhbKpxADzTzkcabhXN4/recaptcha__en.js urlProvider:network]]]

Reducing the download time of images can improve the perceived load time of the page and LCP. Learn more about optimizing image size

Why this matters

Performance issues directly impact user engagement and conversion rates.

URLResource SizeEst Savings
An adult and a child sit together on a sofa in a brightly lit room. The child h… article.article-component > figure.article-image > a.external-link > img
/wp-content/uploads/2026/02/national-cancer-plan-final-im...433.7 KiB422.5 KiB
Fit For The Future: 10 Year Health Plan for England - image of front page. article.article-component > figure.article-image > a.external-link > img
/wp-content/uploads/2025/07/10-year-health-plan-image-e17...67.3 KiB55.9 KiB
A nurse stands by a hospital bed talking to a patient article.article-component > figure.article-image > a > img
www.england.nhs.uk/wp-content/uploads/2023/11/fdp-homepage.jpg37.9 KiB26.1 KiB

Each subpart has specific improvement strategies. Ideally, most of the LCP time should be spent on loading the resources, not within delays.

Why this matters

Performance issues directly impact user engagement and conversion rates.

headings: [map[key:label label:Subpart valueType:text] map[key:duration label:Duration valueType:ms]]
items: [map[duration:1539.1080002441406 label:Time to first byte subpart:timeToFirstByte] map[duration:1585.9459997558595 label:Element render delay subpart:elementRenderDelay]]
lhId: page-3-DIV
nodeLabel: We've put some small files called cookies on your device to make our site work.…
path: 5,HTML,2,BODY,1,DIV,0,DIV,1,DIV
selector: body.home > div.cookie-banner-container > div.cookie-banner > div.rich-text
snippet: <div class="rich-text">

Avoid chaining critical requests by reducing the length of chains, reducing the download size of resources, or deferring the download of unnecessary resources to improve page load.

Why this matters

Performance issues directly impact user engagement and conversion rates.

description: [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints help the browser establish a connection earlier in the page load, saving time when the first request for that origin is made. The following are the origins that the page preconnected to.
title: Preconnected origins
value: no origins were preconnected
description: Add [preconnect](https://developer.chrome.com/docs/lighthouse/performance/uses-rel-preconnect/) hints to your most important origins, but try to use no more than 4.
title: Preconnect candidates

Requests are blocking the page's initial render, which may delay LCP. Deferring or inlining can move these network requests out of the critical path.

Why this matters

Performance issues directly impact user engagement and conversion rates.

These insights are also available in the Chrome DevTools Performance Panel - record a trace to view more detailed information.

Redirects introduce additional delays before the page can be loaded. Learn how to avoid page redirects.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 267 ms
URLTime Spent
england.nhs.uk/267 ms
www.england.nhs.uk/0.0 ms

These are the largest layout shifts observed on the page. Each table item represents a single layout shift, and shows the element that shifted the most. Below each item are possible root causes that led to the layout shift. Some of these layout shifts may not be included in the CLS metric value due to windowing. Learn how to improve CLS

Why this matters

Performance issues directly impact user engagement and conversion rates.

ElementLayout shift score
We lead the NHS in England to deliver high quality services for all If you are… body.home > main.main
0.161

Time to Interactive is the amount of time it takes for the page to become fully interactive. Learn more about the Time to Interactive metric.

Why this matters

Performance issues directly impact user engagement and conversion rates.

TTI

Diagnostics

Minifying CSS files can reduce network payload sizes. Learn how to minify CSS.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 80 ms 65.8 KiB

Reduce unused rules from stylesheets and defer CSS not used for above-the-fold content to decrease bytes consumed by network activity. Learn how to reduce unused CSS.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Estimated savings: 240 ms 191.4 KiB

Reduce unused JavaScript and defer loading scripts until they are required to decrease bytes consumed by network activity. Learn how to reduce unused JavaScript.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Set an explicit width and height on image elements to reduce layout shifts and improve CLS. Learn how to set image dimensions

Why this matters

Performance issues directly impact user engagement and conversion rates.

URL
An adult and a child sit together on a sofa in a brightly lit room. The child h… article.article-component > figure.article-image > a.external-link > img
/wp-content/uploads/2026/02/national-cancer-plan-final-im...
Fit For The Future: 10 Year Health Plan for England - image of front page. article.article-component > figure.article-image > a.external-link > img
/wp-content/uploads/2025/07/10-year-health-plan-image-e17...
A nurse stands by a hospital bed talking to a patient article.article-component > figure.article-image > a > img
www.england.nhs.uk/wp-content/uploads/2023/11/fdp-homepage.jpg
NHS website div.row > div.footer-logo > a.external-link > img
www.england.nhs.uk/wp-content/themes/nhsengland/static/img/nhs-uk-logo.svg
NHS England div.row > div.nhs-e > a > img
www.england.nhs.uk/wp-content/themes/nhsengland/static/img/nhs-england-white.svg

More information about the performance of your application. These numbers don't directly affect the Performance score.

Max Potential First Input Delay 110 ms
Optimize DOM size
Font display
Modern HTTP
Optimize viewport for mobile
Minify JavaScript
Avoids enormous network payloads Total size was 2,468 KiB
User Timing marks and measures 5 user timings
JavaScript execution time 0.7 s
Minimizes main-thread work 1.2 s
Avoid long main-thread tasks 5 long tasks found
Page didn't prevent back/forward cache restoration
Network Requests
Network Round Trip Times 20 ms
Server Backend Latencies 20 ms
Tasks
Diagnostics
Metrics
Screenshot Thumbnails
Final Screenshot
Script Treemap Data
Resources Summary
Initial server response time was short Root document took 410 ms
INP breakdown
LCP request discovery
Avoid non-composited animations
91

Accessibility

These checks highlight opportunities to improve the accessibility of your web app. Automatic detection can only detect a subset of issues and does not guarantee the accessibility of your web app, so manual testing is also encouraged.

Contrast

Low-contrast text is difficult or impossible for many users to read. Link text that is discernible improves the experience for users with low vision. Learn how to make links distinguishable.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
read more about our cookies div.cookie-banner-container > div.cookie-banner > div.rich-text > a#nhsuk-cookie-banner__link

These are opportunities to improve the legibility of your content.

Navigation

A value greater than 0 implies an explicit navigation ordering. Although technically valid, this often creates frustrating experiences for users who rely on assistive technologies. Learn more about the `tabindex` attribute.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Skip to main content body.home > div.skip-link > a
read more about our cookies div.cookie-banner-container > div.cookie-banner > div.rich-text > a#nhsuk-cookie-banner__link

These are opportunities to improve keyboard navigation in your application.

Best practices

Touch targets with sufficient size and spacing help users who may have difficulty targeting small controls to activate the targets. Learn more about touch targets.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Terms and conditions nav.footer-navigation > ul#menu-footer > li#menu-item-29149 > a
Privacy and cookies nav.footer-navigation > ul#menu-footer > li#menu-item-29151 > a

These items highlight common accessibility best practices.

Interactive controls are keyboard focusable
Interactive elements indicate their purpose and state
The page has a logical tab order
Visual order on the page follows DOM order
User focus is not accidentally trapped in a region
The user's focus is directed to new content added to the page
HTML5 landmark elements are used to improve navigation
Offscreen content is hidden from assistive technology
Custom controls have associated labels
Custom controls have ARIA roles
`[aria-*]` attributes match their roles
`[aria-hidden="true"]` is not present on the document `<body>`
`[role]`s have all required `[aria-*]` attributes
`[role]` values are valid
`[aria-*]` attributes have valid values
`[aria-*]` attributes are valid and not misspelled
Buttons have an accessible name
Image elements have `[alt]` attributes
Input buttons have discernible text.
Form elements have associated labels
`[user-scalable="no"]` is not used in the `<meta name="viewport">` element and the `[maximum-scale]` attribute is not less than 5.
`[accesskey]` values are unique
ARIA attributes are used as specified for the element's role
`[aria-hidden="true"]` elements do not contain focusable descendents
Elements use only permitted ARIA attributes
Background and foreground colors have a sufficient contrast ratio
Document has a `<title>` element
`<frame>` or `<iframe>` elements have a title
`<html>` element has a `[lang]` attribute
`<html>` element has a valid value for its `[lang]` attribute
Links have a discernible name
Lists contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
List items (`<li>`) are contained within `<ul>`, `<ol>` or `<menu>` parent elements
Heading elements appear in a sequentially-descending order
Skip links are focusable.
Document has a main landmark.
Deprecated ARIA roles were not used
Identical links have the same purpose.
`button`, `link`, and `menuitem` elements have accessible names
Elements with `role="dialog"` or `role="alertdialog"` have accessible names.
ARIA input fields have accessible names
ARIA `meter` elements have accessible names
ARIA `progressbar` elements have accessible names
Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.
`[role]`s are contained by their required parent element
Elements with the `role=text` attribute do not have focusable descendents.
ARIA toggle fields have accessible names
ARIA `tooltip` elements have accessible names
ARIA `treeitem` elements have accessible names
The page contains a heading, skip link, or landmark region
`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
Definition list items are wrapped in `<dl>` elements
ARIA IDs are unique
No form fields have multiple labels
`<html>` element has an `[xml:lang]` attribute with the same base language as the `[lang]` attribute.
`<input type="image">` elements have `[alt]` text
The document does not use `<meta http-equiv="refresh">`
`<object>` elements have alternate text
Select elements have associated label elements.
Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
`[lang]` attributes have a valid value
`<video>` elements contain a `<track>` element with `[kind="captions"]`
Tables have different content in the summary attribute and `<caption>`.
All heading elements contain content.
Uses ARIA roles only on compatible elements
Image elements do not have `[alt]` attributes that are redundant text.
Elements with visible text labels have matching accessible names.
Tables use `<caption>` instead of cells with the `[colspan]` attribute to indicate a caption.
`<td>` elements in a large `<table>` have one or more table headers.
100

Best Practices

Uses HTTPS
Avoids deprecated APIs
Avoids third-party cookies
Allows users to paste into input fields
Avoids requesting the geolocation permission on page load
Avoids requesting the notification permission on page load
Displays images with correct aspect ratio
Serves images with appropriate resolution
Page has the HTML doctype
Properly defines charset
No browser errors logged to the console
No issues in the `Issues` panel in Chrome Devtools
Ensure CSP is effective against XSS attacks
Use a strong HSTS policy
Ensure proper origin isolation with COOP
Mitigate clickjacking with XFO or CSP
Mitigate DOM-based XSS with Trusted Types
Detected JavaScript libraries
Page has valid source maps
Redirects HTTP traffic to HTTPS
100

SEO

These checks ensure that your page is following basic search engine optimization advice. There are many additional factors Lighthouse does not score here that may affect your search ranking, including performance on Core Web Vitals. Learn more about Google Search Essentials.

Structured data is valid
Page isn’t blocked from indexing
Document has a `<title>` element
Document has a meta description
Page has successful HTTP status code
Links have descriptive text
Links are crawlable
robots.txt is valid
Image elements have `[alt]` attributes
Document has a valid `hreflang`
Document has a valid `rel=canonical`

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