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NHS Elective Waiting List Edges Up as Data Validation Debate Grows

A new analysis questions whether surging unreported removals rather than rising procedures explain changes in NHS waiting-list figures

Overview

  • NHS England data show the elective waiting list reached 7.37 million treatments at the end of June, up slightly from 7.36 million in May.
  • Quality Watch analysts report an average of about 244,500 unreported removals per month over the past two years, highlighting a gap between referrals and recorded exits.
  • Department of Health and Social Care officials say roughly 85% of recent waiting-list reductions stem from increased NHS activity, with the remaining 15% due to validation removals.
  • Patients facing the very longest waits continued to fall in June, with those waiting over 18 months dropping from 1,237 to 1,103.
  • During July’s five-day resident doctor strike the NHS delivered about 11,071 more appointments than in the equivalent 2024 walkout and reduced staff absences, while A&E performance ticked up to 76.4% of patients seen within four hours.