Summarise how the waiting time for a given NHS trust and specialty has moved over time, using NHS England RTT monthly data. Waits are in weeks. Provide the provider code (e.g. 'RGT') and specialty (e.g. 'Cardiology'). Returns the start and end values, the change in weeks, the percentage change, a direction (improving | worsening | flat), and the full monthly series. If no data is held for that trust/specialty, returns found=false; do not invent a trend in that case.

Look up the latest reported waiting time for one NHS trust and specialty from My Planned Care (updated weekly). Waits are in whole weeks. Provide the trust name as published (e.g. 'Guy's and St Thomas'') and the specialty (e.g. 'Cardiology'). Returns found=false if the trust/specialty is not held; do not invent a figure. Note the trust is identified by name here, unlike wait_time_trend which uses an RTT provider code.

Rank NHS trusts by their latest waiting time for a specialty (longest first), using My Planned Care weekly data. Provide the specialty; optionally restrict to a region and cap the number of trusts returned. Trusts that publish the specialty but no wait figure are listed after the ranked ones, so coverage gaps are visible rather than hidden.

Look up a trust's current CQC quality rating by its CQC provider id (e.g. '1-101681210'). Returns the overall rating (e.g. 'Good', 'Requires improvement') and any per-domain ratings (safe, effective, caring, responsive, well-led). Returns found=false if the provider is unknown or not yet rated; do not infer a rating in that case.

Build a combined profile for one NHS trust and specialty, joining its current wait (My Planned Care), waiting-time trend (RTT), and CQC quality rating. Identify the trust by RTT provider code (e.g. 'RGT') or trust name (e.g. 'Guy's and St Thomas''); set by_name=true when passing a name. Each section is null when that source holds no data. If the trust is not in the identity mapping, returns found=false.