{"id":766734,"date":"2026-09-11T01:12:25","date_gmt":"2026-09-11T01:12:25","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/766734\/"},"modified":"2026-09-11T01:12:25","modified_gmt":"2026-09-11T01:12:25","slug":"nhs-deliberately-delaying-patient-care-in-england-investigation-finds","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/766734\/","title":{"rendered":"NHS \u2018deliberately delaying patient care\u2019 in England, investigation finds"},"content":{"rendered":"<p>Your support helps us to tell the story<\/p>\n<p class=\"sc-1uza6dc-0 iOIawn\">From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it&#8217;s investigating the financials of Elon Musk&#8217;s pro-Trump PAC or producing our latest documentary, &#8216;The A Word&#8217;, which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.<\/p>\n<p class=\"sc-1uza6dc-0 iOIawn\">At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.<\/p>\n<p class=\"sc-1uza6dc-0 iOIawn\">The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.<\/p>\n<p>Your support makes all the difference.Read more<\/p>\n<p><a href=\"https:\/\/www.independent.co.uk\/topic\/nhs\" rel=\"nofollow noopener\" target=\"_blank\">NHS<\/a> health boards across <a href=\"https:\/\/www.independent.co.uk\/topic\/england\" rel=\"nofollow noopener\" target=\"_blank\">England<\/a> are deliberately delaying patient care by enforcing minimum wait times for treatment, an investigation has found.<\/p>\n<p>Analysis by the <a href=\"https:\/\/www.independent.co.uk\/topic\/british-medical-journal\" rel=\"nofollow noopener\" target=\"_blank\">British Medical Journal<\/a> (BMJ) identified enforced delays of up to 16 weeks for hip, knee and cataract surgery, alongside other planned procedures, as a way of managing demand and controlling costs.<\/p>\n<p>Using the <a href=\"https:\/\/www.independent.co.uk\/topic\/freedom-of-information-act\" rel=\"nofollow noopener\" target=\"_blank\">Freedom of Information Act<\/a>, the BMJ obtained records from 35 of the 36 integrated care boards (ICBs) in England. Of those, 17 have introduced minimum waits of between 12 and 16 weeks for key procedures.<\/p>\n<p>The <a href=\"https:\/\/www.independent.co.uk\/topic\/royal-college-of-surgeons\" rel=\"nofollow noopener\" target=\"_blank\">Royal College of Surgeons<\/a> (RCS) said it was \u201cconcerned by the scale\u201d of measures that can leave patients suffering in pain, while GP leaders said the waits were \u201cdifficult to justify\u201d.<\/p>\n<p>Of the ICBs with minimum waiting times in place, two \u2013 Shropshire, Telford and Wrekin and West Yorkshire \u2013 have introduced a minimum wait of 16 weeks for all routine procedures, the investigation found.<\/p>\n<p>West Yorkshire said it had a target of 90 per cent of patients to wait at least 16 weeks for treatment.<\/p>\n<p>It said the target also gave doctors \u201cflexibility\u201d to prioritise those patients where there was a risk of clinical deterioration if made to wait longer.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/09\/01M237X9082QASC8BA8CMGM9DH.jpg\"  loading=\"lazy\" alt=\"Analysis by the British Medical Journal (BMJ) found minimum waits of up to 16 weeks for hip, knee and cataract surgery\" class=\"sc-1mc30lb-0 ggpMaE inline-gallery-btn\"\/>Analysis by the British Medical Journal (BMJ) found minimum waits of up to 16 weeks for hip, knee and cataract surgery (PA)<\/p>\n<p>Shropshire said it had \u201cimplemented a minimum waiting time threshold of 16 weeks\u201d to \u201cpromote fairness, reduce variation, and ensure that all patients receive timely and equitable access to elective services\u201d.<\/p>\n<p>Other ICBs have introduced minimum waits in areas such as cataract surgery (16 weeks in some places), and others said they have a \u201cplanning assumption\u201d that patients will be forced to wait several months.<\/p>\n<p><a href=\"https:\/\/www.independent.co.uk\/topic\/birmingham\" rel=\"nofollow noopener\" target=\"_blank\">Birmingham<\/a> said it had a \u201cminimum wait for first definitive treatment of 14 weeks for planned\/non-urgent elective care, unless there is clinically verifiable urgency demonstrated by the provider\u201d.<\/p>\n<p>Humber and North Yorkshire said its \u201cactivity planning assumptions for NHS and independent sector providers assume an average waiting time of 16 weeks for routine planned admitted procedures\u201d.<\/p>\n<p>NHS Hereford and <a href=\"https:\/\/www.independent.co.uk\/topic\/worcestershire\" rel=\"nofollow noopener\" target=\"_blank\">Worcestershire<\/a> said it had \u201cactivity planning assumptions\u201d which have \u201ca minimum waiting time of 14 weeks\u201d for planned procedures.<\/p>\n<p>Meanwhile, Dorset said: \u201cWithin NHS Dorset the independent sector, surgical providers are expected to adhere to a minimum wait of 14 weeks from date of referral as per activity planning assumptions within their contracts.\u201d<\/p>\n<p>And Somerset said no patients should be treated under 14 weeks, unless they were a priority patient or needed urgent tests and scans.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/09\/iStock-1160049261-copy-1.jpg\"  loading=\"lazy\" alt=\"West Yorkshire said it had a target of 90 per cent of patients to wait at least 16 weeks for treatment\" class=\"sc-1mc30lb-0 ggpMaE inline-gallery-btn\"\/>West Yorkshire said it had a target of 90 per cent of patients to wait at least 16 weeks for treatment (Getty\/iStock)<\/p>\n<p>The Royal College of Surgeons of England president, Tim Lane, said: \u201cWe recognise the significant financial and capacity pressures facing the NHS, but patients who are clinically ready for treatment should not be deliberately made to wait. Unnecessary delays can prolong pain, limit mobility, increase anxiety and allow conditions to deteriorate.<\/p>\n<p>\u201cAccess to treatment should be determined by clinical need, not where a patient lives. Widespread use of minimum waits risks creating a postcode lottery and further delaying care.<\/p>\n<p>\u201cMinimum waits are not a substitute for addressing the NHS\u2019s underlying capacity problems.<\/p>\n<p>\u201cWe need increased capital investment, improved infrastructure and better use of existing capacity so patients receive their treatment as promptly as possible.\u201d<\/p>\n<p>Professor Victoria Tzortziou Brown, president of the Royal College of GPs, said: \u201cLong waits for hospital treatment can be frustrating for patients, particularly when they are living with pain or other symptoms that are affecting their day-to-day lives.<\/p>\n<p>\u201cDuring this time, patients often turn to their GP for support and ongoing management, so longer waits can also add to the already intense workload pressures facing general practice.<\/p>\n<p>\u201cWe understand the enormous pressures facing hospitals and the capacity constraints that can lead to long waits, but decisions about when a patient receives treatment should be based on their clinical needs.<\/p>\n<p>\u201cBlanket minimum waiting times that require patients to wait longer than clinically necessary for administrative or financial reasons are difficult to justify, particularly where patients could otherwise be treated sooner.<\/p>\n<p>\u201cAt a time when the NHS is trying to bring waiting times down, we should be doing everything possible to ensure patients can get the care they need without unnecessary delays.\u201d<\/p>\n<p>Sally Gainsbury, senior policy analyst at the Nuffield Trust think tank, told the BMJ: \u201cLimiting activity by a certain minimum waiting time can be an equitable and rational response to making sure your budget is spread evenly across your population.\u201d<\/p>\n<p>But she added: \u201cI\u2019m concerned there isn\u2019t clarity on how to do this fairly.\u201d<\/p>\n<p>An NHS spokesperson said: \u201cWhile commissioned wait policies help the NHS make the best possible use of its services, staff and budgets \u2013 all patients are seen in order of clinical need.<\/p>\n<p>\u201cWe recognise that any wait for treatment can be difficult for patients, and we would not expect any organisation to commission waits that risks breaching NHS Constitution standards, which set an 18-week maximum wait for elective treatment.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"Your support helps us to tell the story From reproductive rights to climate change to Big Tech, The&hellip;\n","protected":false},"author":2,"featured_media":766735,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[59,102,253145,183719,56,54,55],"class_list":["post-766734","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","tag-gb","tag-health","tag-nhs-patient-care","tag-pa2026","tag-uk","tag-united-kingdom","tag-unitedkingdom"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/766734","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=766734"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/766734\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/766735"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=766734"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=766734"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=766734"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}