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A&E Long Waits Surge Amidst Overall NHS Waiting List Reductions

New figures reveal a significant increase in the longest A&E waits across England, even as the overall NHS waiting list continues its downward trend. This mixed picture highlights ongoing pressures within emergency care despite broader progress.

  • Over 54,000 patients waited over 12 hours in A&E in May, a substantial rise from the previous month.
  • The total NHS waiting list for routine treatment fell to 7.54 million, down from 7.59 million in April.
  • The target to eliminate 18-month waits has been missed, with 68,900 patients still waiting this long.
  • Emergency department performance remains a critical area of concern for the NHS.

A disturbing trend is emerging in England's Accident and Emergency departments, where a significant spike in long waits has been recorded, despite overall NHS waiting lists showing a welcome reduction. In May, over 54,000 patients endured waits of more than 12 hours from the decision to admit until being admitted, transferred, or discharged – a stark increase from just under 43,000 the previous month.

The news comes as the NHS reports another drop in its elective waiting list, with nearly 7.5 million people now waiting for routine treatment such as hip replacements or cataract surgery. While this reduction indicates progress in tackling the pandemic-induced backlog, it's clear that urgent and emergency care services remain under immense pressure.

The government's target to eliminate 18-month waits by March 2024 has yet to be met, with over 68,900 patients still waiting for treatment – a slight increase from April. Although fewer people are waiting more than 65 weeks, these lengthy delays remain a significant concern for patient care and NHS recovery efforts.

Emergency department performance is also under scrutiny, as the NHS strives to meet its target of seeing 95% of patients within four hours. In May, only 73.7% of major A&E department attendees met this benchmark – a slight decrease from April. This indicates that despite efforts, A&E departments continue to struggle with patient flow and outcomes.

The mixed picture presented by these statistics underscores the complex challenges facing the NHS. While progress is being made in reducing elective waiting lists, emergency care remains under strain due to factors such as staff shortages, bed availability, and increasing demand for urgent services.

For those experiencing long waits in A&E, health risks can be higher, particularly for those with serious or life-threatening conditions. The NHS advises patients to consider alternative services for non-life-threatening issues, such as NHS 111 online or their local pharmacy, and to consult their GP for ongoing concerns. In genuine emergencies, calling 999 or attending A&E remains the best course of action.

Why this matters: This data shows that while the NHS is making progress on its overall waiting list, emergency care remains under severe pressure, directly affecting patient safety and access to timely treatment. It highlights the ongoing challenge of balancing elective recovery with urgent care demands.

What this means for you: What this means for you: If you or a loved one require emergency care, you may still face significant waits in A&E. For non-emergencies, considering alternatives like NHS 111 or your GP could help you get care more quickly and reduce pressure on emergency services. Always consult your GP for ongoing health concerns or call NHS 111 for urgent but non-life-threatening issues.

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