Best hospitals 'now struggling to see patients'
Pressures in the NHS are so great that even the best hospitals in England are seeing patients wait longer for key services, an analysis shows.
By Nick TriggleHealth correspondent The Nuffield Trust report looked at performance in this Parliament against six targets, covering A&E, operations, cancer and diagnostic tests. It found most patients were still being seen within the target times at the 156 hospital trusts. But it said even the top sites were seeing their performance decline. The report comes on the last day of the BBC's NHS Winter project, which has been tracking the performance of local hospital trusts across the UK. During the seven days up to last Sunday performance of A&Es in England against the four-hour target rose to 92.8%. That is still below the 95% target and means from the start of the BBC's project at the beginning of November, the target has been missed every week. The rest of the UK is also missing the four-hour mark. 'Getting worse' The six targets analysed by the Nuffield Trust were the: The review said the poorest performing hospitals had been getting worse on most measures for a while. But it said more recently performance had also started to decline in the top 10% of hospitals, particularly in terms of A&E, hospital operations and, to a lesser extent, hospital appointments. It said this suggested the problems were "systematic" rather than caused by local or managerial failings. NHS performance in numbers The report acknowledged demand for services had increased significantly - the number of hospital diagnostic tests and urgent cancer referrals have both risen by more than 10% . But it said this did not necessarily seem to be directly linked to similar drops in performance. For example, the number of hospital operations being done has actually dropped slightly - but the waiting-time target is among those where performance has declined most steeply. Warning lights Report co-author Holly Dorning said: "We've known that hospitals have been struggling to meet the four-hour A&E target for a while. "But the fact that we are starting to see problems in other areas, like access to planned treatment, is a real concern. "As this study makes clear, warning lights are now starting to flash across the wider hospital system." A spokesman for the Department of Health said: "The NHS is busier than ever, as innovative treatments and medicines mean people are living longer with complex conditions like heart disease or diabetes. "We've increased the NHS budget this Parliament, but ultimately we want to reduce pressure on services through our plans to increase access to primary care and look after people better in the community." Shadow health secretary Andy Burnham said: "The NHS has been thrown off course by [Prime Minister] David Cameron's reorganisation, and it is now failing to deliver - leaving thousands of people without the standards of care they deserve."