NHS backlog for routine treatment hits 6MILLION:

Nearly 6million people are on the NHS waiting list for routine treatment in England and more than 10,000 people waited 12-plus hours to be seen in A&E, damning official figures revealed today as the health service buckles under the pressure of pandemic backlogs ahead of a surge in Omicron Covid admissions. 

Data released by NHS England shows an extraordinary 5.98million people were waiting for routine surgery in October, up from 5.83million the month before, with more than 300,000 now queuing for more than a year.

It means more than one in 10 people in England are stuck on the waiting list, often in pain, for elective operations such as hip and knee replacements and cataracts surgery.

At the same time, separate data shows A&E performance dropped to its worst ever level in November, with a record 10,600 people waiting more than 12 hours to be treated — three times the NHS target. 

NHS England said last month was the second busiest November on record for A&E, with more than two million patients seen at emergency departments and urgent treatment centres. 

Health bosses say the NHS is facing multiple crises at once with staff shortages, winter pressures, pandemic backlogs and Covid all piling pressure on the health system.

Hospitals say patients are pouring back into the NHS after putting off treatment during the pandemic often with worsened conditions, which is exposing staff shortages.   

Yet GPs and nurses have been asked to lead the charge of the nation’s turbocharged booster vaccination programme which aims to offer all 53million adults a booster by the end of January.

Routine doctor appointments for the over-75s have been scrapped with millions set to miss out on crucial check-ups and minor surgeries have been postponed until March to free up staff to dish out boosters. GPs are being incentivised with up to £30 bonuses per jab.

And the soaring waiting lists come against the backdrop of a looming wave of Omicron, with the super-mutant variant exepected to cause thousands of hospital admissions per day this winter in a worst-case scenario. 

Health Secretary Sajid Javid last month warned the backlog would ‘go up before it comes down’ because around eight million people expected to come forward during the pandemic stayed away from the health service. Earlier this year, he warned the waiting list could hit 13million if urgent action wasn’t taken. 

The NHS England data shows the mammoth waiting list has nearly reached six million, up from an average of 4.4million in the year before Covid hit the UK. 

The health service’s own rules set out that patients should not wait longer than 18 weeks from GP referral to treatment. But a third of patients are not being seen within this timeframe.

More than 2million had been waiting for more than four months — the second-highest figure ever recorded.

And 312,665 — one in 20 patients — were forced to wait for more than a year for treatment.

Separate data on A&E attendances in November shows the number of patients spending more than 12 hours to be seen reached 10,646 — a 51 per cent hike on the figure last month, which was already at a record level.

And 120,749 people had to wait more than four hours to receive care. The figure is the second-highest ever recorded and only slightly fewer than last month.

The proportion of patients seen within four hours at major emergency departments  remained at 61.9 per cent for the second month in a row, the lowest number since records began in 2010.

Around 2million people in England sought emergency care last month, six per cent less than October, while there were 506,238 emergency admissions, down two per cent on last month.

Meanwhile, ambulance wait times improved in November as 999 calls fell to the lowest level seen in five months.

Some 879,192 calls were made, equating to 29,000 every day, which is 10 per cent less than last month, but 11 per cent more than November 2019 and 34 per cent higher than the same month in 2020. 

And the average ambulance response time to Category 2 calls, which includes stroke and other emergencies, was 46 minutes and 37 seconds, marking a drop on the 53 minutes and 54 seconds response in October. But the wait was much more than double the health service’s own target of 18 minutes. 

Ambulance staff responded to nine in 10 calls within one hour, 40 minutes and 57 seconds, compared to the target time of 18 minutes.

NHS national medical director Professor Stephen Powis said: ‘These figures show that NHS staff are continuing to address the Covid backlog in the face of sustained pressure on urgent and emergency care.

‘As we head into a very challenging winter, we are working with partners in social care to get as many patients who are fit to do so home for Christmas, which is right for them and their families as well as freeing up beds.

‘There is much we do not know about Omicron but experts advise that vaccines will still help in our fight against the virus.

‘Thanks to the efforts of staff and volunteers the NHS Covid vaccination programme has delivered more than 100million jabs, so do come forward when it is your turn.’

Tim Gardner, senior fellow at the Health Foundation, said today’s figures show the health service was ‘already facing an exceptionally difficult winter, even before the emergence of the Omicron variant’.

He said: ‘While the NHS has little choice but to weather the storm over the coming weeks, a credible strategy for restoring normal levels of service will be vital.

‘The NHS recovery plan that has been promised needs to be realistic about the time it could take to bring waiting lists down to manageable levels.’

Plans need to be drawn up to increase NHS capacity and tackle staff shortages, as well as provide support to patients who are ‘waiting much longer than usual’ and staff who are ‘under-resourced, overstretched, and exhausted by the last two years’, he said.