Transforming NHS elective care: Tackle waiting list crisis

midwifery team walking to theatre
image: ©sturti | iStock

The National Health Service (NHS) has been facing challenges and has been tackling the long waiting list crisis

With over 7.5 million unresolved care pathways affecting 6.4 million individuals, the new Labour government has ambitious reforms to ensure timely access to treatment.

Fixing NHS waiting lists

This strategy is committed to meeting the 18-week target from referral to treatment for 92% of patients, an objective that was not achieved recently.

To achieve this, the government plans to inject an additional 40,000 NHS appointments, operations, and diagnostics per week, totalling 2 million annually. However, experts think that this alone will only address a fraction of the mounting demand.

Treating patients within the 18-week window necessitates a multifaceted approach. The NHS must not only maintain its capacity to handle routine care but also address the substantial backlog accumulated over years.

Maintaining performance standards

In practical terms, this means scaling up outpatient appointments to 27.3 million, day-case procedures to 3.3 million, and overnight stays to 890,000 annually, a significant increase from previous years.

The projections indicate a 3.8% annual growth in demand for elective care, showing the need for sustained transformation.

By 2028/29, the NHS will need to increase elective activity by 50% to clear existing backlogs and maintain performance standards. This requires not just more appointments but a fundamental reshaping of how care is delivered.

Plan of action

Key ideas include digitalising waiting-list management, streamlining referral processes, and enhancing outpatient care with advanced technologies like AI and robotics. Moreover, the creation of specialised elective hubs and centers for complex care aims to expedite treatment and optimise resources.

Addressing these challenges requires comprehensive reforms, including capital investments, workforce planning, and enhanced clinical leadership. It’s a concerted effort to modernise infrastructure and operational practices, ensuring the NHS can meet future healthcare demands effectively.

While improvements are underway nationwide, achieving these goals hinges on robust government commitment and substantial investment. The journey ahead involves not just meeting immediate targets but also reshaping healthcare delivery to ensure equitable and timely access to care for all.

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