NHS waiting lists: Working age people a growing proportion of those needing help
Data tables published for the first time by NHS England also show people in the most deprived parts of the country are more likely to wait more than a year to start hospital treatment than those in the least deprived.
The figures, analysed by the PA news agency, show 56.1% of those on the list at the end of June this year were of working age (defined as age 19 to 64), up from 55.8% a year ago and 55.0% in June 2022.
At the same time, the proportion of people on the waiting list under the age of 19 has fallen, standing at 10.8% in June this year, down from 11.2% a year earlier and 11.9% in June 2022.
The proportion who are over 65 has remained broadly unchanged at around 33.1%.
People of working age are also more likely to have to wait more than a year to start treatment (3.0% of patients in this age group at the end of June) than those over 65 (2.5%).
However, the proportion is the same as those under 19 (also 3.0%).
Meanwhile, people in the most deprived parts of England also face long waits for treatment when compared with those in the wealthiest areas.
And for data where sex is recorded, women make up a higher percentage of the waiting list (57%) compared with men (43%).
Women are also more likely to be waiting more than 18 and 52 weeks than men.
On deprivation, some 3.1% of patients living in the most deprived areas had been waiting more than 12 months to begin treatment at the end of June, compared with 2.7% in the least deprived.
The gap is even wider in some regions, with the figures for the Midlands ranging from 3.0% in the most deprived parts to 2.4% in the least deprived; from 2.4% to 1.8% in London; and from 4.9% to 4.0% in eastern England.
The data also shows patients in certain ethnic groups are more likely to have to wait more than a year to start hospital treatment than in others.
Some 3.2% of patients in England identifying as Bangladeshi had been waiting more than 12 months to begin treatment at the end of June, along with 3.0% of patients of Pakistani and African backgrounds, higher proportions than those identifying as Caribbean (2.9%), Chinese (2.8%), British (2.8%) or Indian (2.7%).
Eastern England and south-west England are the regions with the largest ethnicity gap for people waiting more than a year to begin hospital treatment.
The Government has announced new neighbourhood health centres in its 10-year plan for the NHS, which will be targeted first at the places where healthy life expectancy is lowest.
According to the Department of Health, this includes 'de-industrialised cities and coastal towns, reducing the estimated £240-£330 billion cost of sickness to the economy.'
Some 20 'further faster' teams have also been sent in to those NHS trusts with the longest waits to try to bring them down.
The new data shows the largest specialty for those on the waiting list aged 18-64 is gynaecology (12% of all 18 to 64-year-olds), while it is ophthalmology for older adults.
Health and Social Care Secretary, Wes Streeting, said: 'We inherited an NHS which after years of neglect had left all patients worse off – but some more than others.
'Sunlight is the best disinfectant. Only by being upfront and shining a light on inequalities can we begin to tackle the problem.
'We will give all patients the care they need when they need it as part of our Plan for Change.
'Our 10-Year Health Plan will tackle health inequalities faced across the country, diverting billions of pounds to working-class communities, and providing truly targeted, bespoke care to all patients where they live via the neighbourhood health service.'
Stella Vig, NHS national clinical director for elective care, said: 'Understanding patient demographics is vital if we are to identify and tackle the way different groups are treated.
'As well as allowing patients and the public to see the makeup of local lists, NHS teams will be able to analyse the latest data, understand where there is unwarranted variation in waiting times, and work with their communities to take action to reduce it.'
Professor Habib Naqvi, chief executive of the NHS Race and Health Observatory, said: 'This is a great step in making ethnic health inequities more visible.
'Without robust, consistent data and transparency about what's happening in the healthcare system, we will not be able to enable genuine equitable decision making in the NHS, nor tackle and eradicate ethnic and racial inequalities in health in a sustained and meaningful way.'
It comes as the Government announced that patients with long-term conditions will be automatically referred to specialist charities at the point of diagnosis from next year.
Diagnosis Connect will ensure patients are referred directly to charities and support organisations in a move the Government says will 'complement, not replace', NHS care.
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
The Guardian
an hour ago
- The Guardian
Top medical body concerned over RFK Jr's reported plans to cut preventive health panel
A top US medical body has expressed 'deep concern' to Robert F Kennedy Jr over news reports that the health secretary plans to overhaul a panel that determines which preventive health measures including cancer screenings should be covered by insurance companies. The letter from the the American Medical Association comes after the Wall Street Journal reported on Friday that Kennedy plans to overhaul the 40-year old US Preventive Services Task Force because he regards them as too 'woke', according to sources familiar with the matter. During his second term, Donald Trump has frequently raged against organizations and government departments that he considers too liberal – often without any evidence. The US president, and his cabinet members such as Kennedy, have also overseen huge cuts and job losses across the US government. The taskforce is made up of a 16-member panel appointed by health and human services secretaries to serve four-year terms. In addition to cancer screenings, the taskforce issues recommendations for a variety of other screenings including osteoporosis, intimate partner violence, HIV prevention, as well as depression in children. Writing in its letter to Kennedy on Sunday, the AMA defended the panel, saying: 'As you know, USPSTF plays a critical, non-partisan role in guiding physicians' efforts to prevent disease and improve the health of patients by helping to ensure access to evidence-based clinical preventive services.' 'As such, we urge you to retain the previously appointed members of the USPSTF and commit to the long-standing process of regular meetings to ensure their important work can be continued without disruption,' it added. Citing Kennedy's own slogan of 'Making America healthy again,' the AMA went on to say: 'USPSTF members have been selected through an open, public nomination process and are nationally recognized experts in primary care, prevention and evidence-based medicine. They serve on a volunteer basis, dedicating their time to help reduce disease and improve the health of all Americans – a mission well-aligned with the Make America Healthy Again initiative.' According to the Affordable Care Act, public and private insurance companies must cover any services recommended by the Preventive Services Task Force without cost sharing. In a statement to MedPage Today, Department of Health and Human Services spokesperson Andrew Nixon did not confirm the reports, instead saying: 'No final decision has been made on how the USPSTF can better support HHS' mandate to Make America Healthy Again.' Reports of Kennedy's alleged decision to overhaul the taskforce come after the American Conservative published an essay earlier this month that described the taskforce as advocating for 'leftwing ideological orthodoxy'. It went on to accuse the panel of being 'packed with Biden administration appointees devoted to the ideological capture of medicine', warning that the 'continued occupation of an important advisory body in HHS – one that has the capacity to force private health insurers to cover services and procedures – by leftwing activists would be a grave oversight by the Trump administration'. In response to the essay, 104 health organizations, including the American Medical Association, issued a separate letter to multiple congressional health committees in which they urged the committees to 'protect the integrity' of the taskforce. 'The loss of trustworthiness in the rigorous and nonpartisan work of the Task Force would devastate patients, hospital systems, and payers as misinformation creates barriers to accessing lifesaving and cost effective care,' the organizations said. In June, Kennedy removed all 17 members of a US Centers for Disease Control and Prevention panel of vaccine experts. Writing in a Wall Street Journal op-ed, he accused the committee of having too many conflicts of interest. Kennedy's decision to overhaul the immunization panel was met with widespread criticism from health experts, with the American Public Health Association executive director Georges Benjamin calling the ouster 'a coup'. 'It's not how democracies work. It's not good for the health of the nation,' Benjamin said.
The Guardian
2 hours ago
- The Guardian
Parents, beware the devastating consequences of measles
After reading the letters about vaccine misinformation and hesitancy (Measles surge shows why vaccinations are crucial, 20 July), I felt I must write to tell you of one unrecognised cause of the drop in vaccine uptake: when I worked as a community school nursing sister in the 1980s, with 11 state schools and a number of private schools that took up the vaccine service, we had 98% uptake of vaccines in the school setting. This was due to the system of sending letters home to parents requesting their consent and following up by phone, if necessary, by the school office staff. The children came in class batches. Then the local health authority decided that this service should be discontinued and parents were invited to take their child to the local GP surgery for their vaccinations. The uptake plummeted to less than 40% of eligible children due to children not taking the letters home, or parents forgetting or losing the letter – or being unable to take time off to take their child to the surgery. When I asked the GPs at the local health centre what the uptake for the cohort of eligible children was, they looked at their records and were surprised, but reluctant to do anything about it. Health visitors were responsible for, and very successful in, advising new mothers when vaccines were due, where to get them and encouraging uptake. It should be compulsory for all vaccines for preschool children (which includes measles) to be done before a child is admitted to school, as in many other countries. As a midwife, I saw a baby born to a mother who had contact with rubella in early pregnancy. The little girl was born with a body rash, had bilateral cataracts and was totally deaf. She was was very ill. Schools for deaf children may return again for these children if vaccination is not taken up for whatever reason. How StephensLiphook, Hampshire I contracted measles just before the NHS was established. With it came serious ear infections, burst eardrums, etc. There were no vaccines, just ear drops. Over the years the infections and operations continued and now, aged 82, I have no hearing with complications. I beg people to think seriously about vaccination. The consequences of measles can sometimes be devastating. Jean JacksonSeer Green, Buckinghamshire I caught measles aged six in 1953, at a time when parents hoped their children would get it (and chicken pox and mumps) so as to gain immunity. My dad, aged 54, had not had measles as a boy, caught it from me and nearly died. The risk of not vaccinating children is not just to WallLondon
Daily Mirror
2 hours ago
- Daily Mirror
'I thought my snoring was from blocked nose, but it was something far worse'
Cornwall mum-of-two Claire Barbery was left in shock after what she thought was a blocked nose and snoring turned out to be something much more serious A mum-of-two was left stunned after what she thought was a harmless blocked nose and new snoring habit turned out to be a sign of a rare and aggressive cancer, which was already eroding her skull. Claire Barbery, 51, from Newquay, Cornwall, had no idea her mild symptoms were anything to worry about. In fact, she nearly cancelled the very hospital appointment that would change, and possibly save, her life. Claire, who works in a care home, put her persistent nasal blockage down to repeated Covid tests and thought nothing of the fact that she had suddenly started snoring at night. She said: 'I started snoring, which I'd never done before. I was waking up breathing through my mouth. Even then, I nearly cancelled my hospital appointment. I didn't want to waste anyone's time.' But in January 2023, after months of no improvement and with her concerns growing, she finally sought help. The mum had olfactory neuroblastoma, a rare cancer that grows in the upper part of the nasal cavity. Scans revealed a 5cm tumour that had already begun eating away at the bone at the base of her skull. Claire was immediately sent for complex and high-risk surgery at Birmingham's Queen Elizabeth Hospital, where consultant surgeon Shahz Ahmed, who specialises in the type of procedure she needed, removed the tumour in a delicate operation that was filmed for Channel 5's gripping documentary Surgeons: A Matter of Life or Death. He explained: 'This was a very rare form of cancer. It had already gone through the skull base and into the base of the brain. If we hadn't acted, it could have spread through her body. The surgery was high risk – we were working close to the brain's main blood supply, with dangers of stroke, seizures, and even death.' The operation was a success, but not without cost. To ensure all the cancer was removed, surgeons had to take out Claire's olfactory bulbs, meaning she's now permanently lost her sense of smell. After her surgery, Claire underwent six gruelling weeks of chemotherapy and radiotherapy. She's now under close monitoring but is slowly returning to work and spending quality time with her husband Gary and daughters Lowenna, 27, and Keizha, 25. 'I very nearly didn't go to that appointment,' Claire said. 'I thought, 'There's nothing wrong – don't waste NHS time.' But looking back, that decision could've cost me my life.' Now, as part of World Head and Neck Cancer Day, Claire is working with the UK's Get A-Head Charitable Trust to raise awareness and urge others to take persistent symptoms seriously, no matter how small they seem. She said: 'If you know your body, you've got to push. If something feels wrong – don't ignore it.'
