NHS Backlog Swells to 6.21 Million Patients

NHS Backlog Swells to 6.21 Million Patients

A figure from behind holding a patient's hand at a hospital bedside.
A visitor comforts a patient at a hospital bed as England's NHS waiting list reaches 6.21 million patients.Illustration: The Frank

The News

England's hospital backlog climbed again in July, after a summer NHS England describes as the busiest in its history.

The NHS waiting list for pre-planned hospital treatment in England rose to an estimated 7.33 million treatments at the end of July, relating to 6.21 million patients — the highest level in nine months.

That is up from 7.27 million treatments and 6.15 million patients at the end of June, according to new NHS England figures.

The totals are the highest since October 2025, when the list stood at 7.40 million treatments and 6.24 million patients.

Health Secretary Yvette Cooper warned that "extreme demand" on the service is "no longer confined to winter."

The Numbers

A&E attendances in June, July and August reached nearly 7.3 million — the highest ever recorded over a summer period, and almost one million more than the 6.4 million logged over the same months in 2022.

Ambulances handled a record 2.4 million callouts between June and August.

An estimated 111,379 people had waited more than a year to start routine treatment at the end of July, up from 105,711 at the end of June.

An estimated 65.4 percent of patients began hospital treatment within 18 weeks of referral in July, down from 65.8 percent in June but above the 65 percent target the government and NHS England set for March of this year.

An average of 2,973 patients a day received corridor care in England in August — 2,296 of them in A&E departments and 677 in other hospital areas.

Timeline

Summer 2022

A&E departments in England record 6.4 million attendances across June, July and August.

October 2025

The waiting list stands at 7.40 million treatments and 6.24 million patients, the high point before this year's climb.

End of June 2026

The list sits at 7.27 million treatments and 6.15 million patients; 105,711 people have waited over a year; 65.8 percent are treated within 18 weeks.

June–August 2026

Nearly 7.3 million A&E attendances and a record 2.4 million ambulance callouts.

End of July 2026

The list rises to 7.33 million treatments and 6.21 million patients, with 111,379 waiting more than a year.

Sept. 10, 2026

NHS England publishes the figures.

Reactions

Cooper said: "This has been the most demanding summer on record for our A&E and ambulance staff, with heavy pressure on our NHS and winter still to come." She said that despite unprecedented demand, staff "managed to see a record number of patients within four hours in A&E over the summer," and that the government is "backing the NHS with record investment."

NHS England national medical director Professor Frankie Swords said the service had faced "a scorching summer which has tested the NHS like never before and seen demand rocket to record levels," adding: "we have never gone into winter on the back of such a heavy summer."

Professor Frank Smith, vice-president of the Royal College of Surgeons of England, said: "Our analysis shows that, if the pace of improvement seen over the last two years continues, no region in England will restore the 18-week standard by 2029."

Sarah Woolnough, chief executive of The King's Fund, said the NHS "is now facing a twin crisis with summer joining winter as a major pressure on services," and that "extreme heat is now an NHS pressure point, not just a weather story."

Dr. Vicky Price, president of the Society for Acute Medicine, said: "Behind the national figures are teams describing relentless pressure, a lack of meaningful solutions and morale at a low ebb."

What's Next

Labour has pledged that by July 2029, 92 percent of patients will be seen within 18 weeks for routine hospital treatment such as hip and knee replacements. Leading surgeons say that target is unlikely to be met.

NHS England says it has begun preparing for winter earlier than ever, with resilience testing around winter plans already underway.

More

The waiting list counts treatments, not people: one patient can be waiting for more than one procedure, which is why the 7.33 million figure is larger than the 6.21 million patients behind it.

Poll

Can the NHS hit its 18-week target by 2029?

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