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NHS: What do the latest figures show about treatment waiting lists, hospital beds, and ambulance wait times? | UK News

NHS England’s waiting list for elective treatment fell from 7.7m in October to 7.6m in November.

That’s the smallest it’s been since June, but still far larger than it was in November 2022 (7.2m).

Despite facing the most sustained industrial action in its history, the NHS has had a relatively good winter.

A mild flu season has helped keep demand for the health service relatively low, at least partially offsetting the impact of the strikes.

As of 7 January, just 2,271 beds were rendered unavailable due to seasonal winter illnesses.

That’s less than half the figure at this time last year (5,151).

As a result, hospitals have been unusually empty for this time of year, with 91.9% of beds occupied (compared to 93.8% at the same time last year).

With more capacity, hospitals have had more space to take on elective cases and cut waiting lists.

It has also reduced some of the pressures on A&E departments. Waiting times have fallen, though they still remain well above their pre-pandemic levels.

In December, 104,000 people waited more than four hours to be admitted to A&E after the decision had been made to admit them, or 27% of all admissions.

That’s down from a record 33% of admissions in 2022, but far higher than it was in 2018 (11%).

One in every 12 admissions this December (8%, or 44,000 people) were forced to wait over 12 hours. Such waits were almost unheard of before the pandemic, affecting just 284 patients in December 2018.

Similarly, ambulance response times are better than last year, but remain above target.

The average call-out for a heart attack or stroke took 46 minutes to arrive, down from 48 minutes in December 2022 but six minutes above target.

For 10% of calls, ambulances took an hour and 41 minutes.

Sarah Woolnough, chief executive of the health charity, the King’s Fund, said the figures showed the NHS was still not meeting the majority of its most important performance targets this winter.

“On some measures, the situation is better than this time last year, in part thanks to efforts to increase capacity as well as relatively low hospital admissions from COVID-19 and flu, but patients are still not receiving an acceptable level of service,” she said.

“Behind each of these figures is a person who is struggling to receive the timely care they need and deserve, despite the best efforts of staff.”

Read more from Sky News:
How NHS is ‘standing still’ to meet existing demand
Local NHS bodies on track to spend £4.9bn more than planned

Kate Seymour, head of advocacy at Macmillan Cancer Support, said that while the data showed a slight improvement on wait times, there were “still thousands of people in England facing agonising delays for vital cancer diagnosis and treatment”.

“Every day at Macmillan we hear how these unacceptable delays can cause needless anxiety and even result in a worse prognosis. People’s lives are being put at risk, and it’s simply not good enough,” she said.

Health and Social Care Secretary Victoria Atkins said the figures showed the progress “our fantastic NHS staff can make towards bringing waiting lists down when they don’t have to contend with industrial action”.

Health Secretary Victoria Atkins
Image:
Health Secretary Victoria Atkins. File pic

“November was the first month without industrial action for over a year, and we reduced the total waiting list by more than 95,000 – the biggest decrease since December 2010, outside of the pandemic,” she said.

“We want to put an end to damaging strikes once and for all, and if the BMA Junior Doctors Committee can demonstrate they have reasonable expectations, I will still sit down with them.”

Extra £200m for care home places aims to free up NHS hospital beds | UK News

An extra £200m is being provided to pay for care home beds so people can be discharged from hospital quicker, freeing up space for people in greater need.

It follows a crisis meeting between the prime minister, health secretary and NHS leaders on Saturday.

Many hospitals are struggling to free up beds, with the situation exacerbated this winter by factors such as high levels of flu and rising COVID cases.

About 13,000 people in English hospitals are well enough to be discharged but still need some care before they can return to their own homes.

Local authorities will now be able to buy more short-term beds in care homes, as well as other settings, so people who are fit enough can leave hospital.

The government says more beds on wards will also help reduce pressure on emergency departments and speed up ambulance handovers.

Patients moved to a care home will be able to continue their recovery and get treatment from nurses, GPs and other health workers.

The £200m is in addition to a £500m Adult Social Care Discharge Fund previously announced and will pay for stays of up to four weeks until the end of March.

Health Secretary Steve Barclay is due to give more details in the House of Commons later.

He will also detail other measures such as six “discharge frontrunners”, areas that will explore “innovative” long-term initiatives on freeing up beds.

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NHS crisis ‘worse’ than usual winter

In a statement, Mr Barclay said the NHS was “under enormous pressure” due to COVID, flu, the pandemic backlog, Strep A and upcoming strikes – and that he was now taking “urgent action” with the extra cash.

Labour shadow health secretary Wes Streeting dismissed the plan as “yet another sticking plaster to cover the fact that under the Conservatives, our health and care services are buckling”.

He said his party would “tackle the root cause of the crisis” as well as recruiting and retaining more carers in a “first step towards a National Care Service”.

The government says the health service will get up to £14.1bn of additional funding over the next two years to improve urgent and emergency care and tackle the backlog.

Some £7.5bn of the money is earmarked for adult social care and discharge.

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Starmer proposes ’10-year NHS plan’

Other new initiatives include “virtual wards” – which involve people being monitored at home via devices such as pulse oximeters; and a new service for people who fall at home which health bosses believe can save 55,000 ambulance call-outs per year.

Shadow of pay dispute remains

As clinical demand increases, the government is also facing the prospect of further strikes from NHS workers, including nurses, later this month – and possibly junior doctors in March.

But the health secretary has doubled down on insisting pay review bodies are the best way for public sector salaries to be decided.

For months, ministers have been saying negotiations are up to those bodies, made up of experts and staff from the relevant fields, to decide.

Nurses stage a protest at the picket line outside St Thomas Hospital in London in December. Pic: AP
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More nurses’ strikes are scheduled later this month. Pic: AP

But unions have said ministers have the final say on whether to accept the recommendations and have argued this year’s salaries were decided before inflation soared above 10%.

Mr Barclay is set to meet union leaders on Monday but wants to focus on pay negotiations for 2023/24.

The Royal College of Nursing (RCN) said it will go ahead with its strikes on 18 and 19 January unless the last few months of this financial year are discussed.

Read more:
Sunak tells health leaders ‘bold and radical’ action is needed to get through crisis
Record number of ambulances queue at A&E departments in England
How much are NHS failings to blame for rising excess deaths?

Pat Cullen, head of the RCN, has urged ministers to meet nurses halfway on their demand for a 19% pay rise for this financial year.

Prime Minister Rishi Sunak indicated to the BBC on Sunday only 2023/24’s pay is up for discussion.

Ms Cullen said she had a “chink of optimism” as she said she noticed a “little shift” in his stance.

Health Minister Maria Caulfield, who is also a cancer nurse, told Sky News’ Sophy Ridge on Sunday programme the talks on Monday would be about “both pay and conditions” after the government had previously said only a change in conditions was on the table.