• Trusts missing largely lower “reset” targets for elective treatment times
  • Performance means organisations could miss out on sustainability and transformation funding
  • Total waiting list approaches 4 million

More than half of England’s hospital trusts have missed their elective waiting time targets set by NHS Improvement.

HSJ analysis of the 18 week referral to treatment time data for the second quarter of 2016-17 shows 66 trusts missed targets set for them by the regulator.

The national target is for trusts to have no more than 8 per cent of their patients waiting more than 18 weeks for elective treatment – but in July NHS Improvement set different, usually lower, “reset” targets that trusts must hit to access sustainability and transformation funding.

Of the 120 trusts that signed up for reset targets from July, 42 missed them in each of the three months of quarter two. Another 24 missed in aggregate over the quarter (see table below).

A few organisations had targets set that were higher than the national 92 per cent figure in order to recover overall year-end performance.

The worst performing trust over quarter two overall was Brighton and Sussex University Hospitals Trust, where 76 per cent of patients on the waiting list had waited less than 18 weeks. This meant the trust hit its reset target of 72 per cent.

Only two of the five trusts with the lowest reset targets, Brighton and Sussex, Hull and East Yorkshire Hospitals Trust, achieved them. Hull and East Yorkshire had a rest target of 89 per cent, which it met.

Waiting times data released last week for September showed a record high overall waiting list for treatment. The total waiting list hit 3.7 million but is likely to be closer to 4 million when the patients at trusts that are not reporting waiting times are included.

Table: Trust performance against ‘reset’ RTT target in quarter two

TrustSept % patients seen in 18 weeksSept reset targetHit/missAug % patients seen in 18 weeksAug reset targetHit/missJuly % patients seen in 18 weeksJuly reset targetHit/missAll hits/misses
NORTHERN LINCOLNSHIRE AND GOOLE FOUNDATION TRUST 81.9% 92.1% -10.2% 83.7% 92.2% -8.5% 85.5% 92.0% -6.5% -25.3%
MID YORKSHIRE HOSPITALS TRUST 78.8% 87.0% -8.2% 79.7% 86.0% -6.3% 80.5% 85.6% -5.1% -19.6%
EAST KENT HOSPITALS UNIVERSITY FOUNDATION TRUST 85.1% 92.1% -7.0% 85.5% 91.7% -6.2% 86.7% 91.0% -4.3% -17.5%
WEST HERTFORDSHIRE HOSPITALS TRUST 86.6% 92.0% -5.4% 87.2% 92.0% -4.8% 87.2% 92.0% -4.8% -15.0%
EAST SUSSEX HEALTHCARE TRUST 86.7% 92.5% -5.8% 87.5% 92.3% -4.8% 88.5% 92.3% -3.8% -14.4%
TAUNTON AND SOMERSET FOUNDATION TRUST 84.7% 90.3% -5.6% 85.8% 89.9% -4.1% 86.2% 89.9% -3.7% -13.5%
UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE TRUST 88.0% 92.5% -4.5% 88.0% 92.2% -4.2% 87.5% 92.1% -4.6% -13.4%
WORCESTERSHIRE ACUTE HOSPITALS TRUST 86.8% 92.0% -5.2% 87.4% 91.6% -4.2% 87.8% 91.4% -3.6% -13.0%
ROYAL NATIONAL ORTHOPAEDIC HOSPITAL TRUST 87.6% 92.2% -4.6% 87.1% 91.2% -4.1% 87.5% 90.0% -2.5% -11.2%
BASILDON AND THURROCK UNIVERSITY HOSPITALS FOUNDATION TRUST 86.3% 92.0% -5.7% 89.2% 92.0% -2.8% 90.3% 92.0% -1.7% -10.3%
EAST CHESHIRE TRUST 89.5% 93.9% -4.4% 90.8% 93.6% -2.8% 91.3% 93.7% -2.4% -9.6%
UNIVERSITY HOSPITALS OF NORTH MIDLANDS TRUST 88.6% 92.0% -3.4% 88.7% 92.0% -3.3% 89.3% 92.0% -2.7% -9.4%
YEOVIL DISTRICT HOSPITAL FOUNDATION TRUST 89.6% 93.0% -3.4% 89.5% 92.0% -2.5% 89.3% 92.0% -2.7% -8.6%
SOUTHEND UNIVERSITY HOSPITAL FOUNDATION TRUST 89.0% 93.2% -4.2% 90.0% 92.8% -2.8% 91.2% 92.4% -1.2% -8.2%
UNITED LINCOLNSHIRE HOSPITALS TRUST 88.6% 92.4% -3.8% 89.2% 92.4% -3.2% 91.3% 92.4% -1.1% -8.0%
SHREWSBURY AND TELFORD HOSPITAL TRUST 88.9% 92.3% -3.4% 90.2% 92.1% -1.9% 90.0% 92.7% -2.7% -8.0%
NORTH CUMBRIA UNIVERSITY HOSPITALS TRUST 91.0% 92.1% -1.1% 88.4% 91.7% -3.3% 88.5% 91.7% -3.2% -7.7%
LEEDS TEACHING HOSPITALS TRUST 88.6% 92.0% -3.4% 89.2% 91.7% -2.5% 89.9% 91.4% -1.5% -7.4%
OXFORD UNIVERSITY HOSPITALS FOUNDATION TRUST 89.1% 92.0% -2.9% 89.6% 92.0% -2.4% 90.0% 92.0% -2.0% -7.2%
LANCASHIRE TEACHING HOSPITALS FOUNDATION TRUST 81.0% 85.0% -4.0% 83.6% 85.5% -1.9% 84.7% 86.0% -1.3% -7.2%
UNIVERSITY HOSPITALS BRISTOL FOUNDATION TRUST 90.4% 93.4% -3.0% 90.5% 93.2% -2.7% 92.0% 93.2% -1.2% -6.9%
NORTHERN DEVON HEALTHCARE TRUST 92.7% 95.3% -2.6% 92.7% 95.3% -2.6% 93.8% 95.2% -1.4% -6.6%
EAST LANCASHIRE HOSPITALS TRUST 93.9% 96.4% -2.5% 93.9% 96.6% -2.7% 95.7% 96.9% -1.2% -6.5%
AINTREE UNIVERSITY HOSPITAL FOUNDATION TRUST 88.7% 92.0% -3.3% 89.6% 92.0% -2.4% 91.3% 92.0% -0.7% -6.4%
PORTSMOUTH HOSPITALS TRUST 88.9% 92.0% -3.1% 89.6% 92.0% -2.4% 91.2% 92.0% -0.8% -6.3%
TORBAY AND SOUTH DEVON FOUNDATION TRUST 89.3% 92.9% -3.6% 90.5% 92.6% -2.1% 91.4% 92.0% -0.6% -6.2%
COLCHESTER HOSPITAL UNIVERSITY FOUNDATION TRUST 84.9% 88.9% -4.0% 86.8% 88.0% -1.2% 86.5% 87.4% -0.9% -6.1%
ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS TRUST 90.1% 92.3% -2.2% 90.2% 92.2% -2.0% 90.3% 92.2% -1.9% -6.1%
ROYAL SURREY COUNTY HOSPITAL FOUNDATION TRUST 90.5% 92.0% -1.5% 89.9% 92.0% -2.1% 89.7% 92.0% -2.3% -5.9%
WIRRAL UNIVERSITY TEACHING HOSPITAL FOUNDATION TRUST 88.6% 92.0% -3.4% 90.6% 92.0% -1.4% 91.0% 92.0% -1.0% -5.8%
BRADFORD TEACHING HOSPITALS FOUNDATION TRUST 89.7% 92.0% -2.3% 90.1% 92.0% -1.9% 90.6% 92.0% -1.4% -5.7%
BEDFORD HOSPITAL TRUST 93.3% 94.6% -1.3% 91.6% 94.6% -3.0% 93.4% 94.4% -1.0% -5.3%
UNIVERSITY HOSPITALS OF MORECAMBE BAY FOUNDATION TRUST 88.0% 91.8% -3.8% 88.8% 90.2% -1.4% 90.1% 90.0% 0.1% -5.1%
LUTON AND DUNSTABLE UNIVERSITY HOSPITAL FOUNDATION TRUST 92.6% 94.6% -2.0% 92.9% 94.6% -1.7% 93.7% 94.6% -0.9% -4.6%
GUY’S AND ST THOMAS’ FOUNDATION TRUST 89.5% 92.1% -2.6% 90.6% 92.1% -1.5% 91.5% 92.1% -0.6% -4.6%
MID ESSEX HOSPITAL SERVICES TRUST 91.4% 93.4% -2.0% 92.2% 93.1% -0.9% 91.7% 93.4% -1.7% -4.6%
GLOUCESTERSHIRE HOSPITALS FOUNDATION TRUST 90.2% 92.0% -1.8% 90.9% 92.0% -1.1% 90.8% 92.0% -1.2% -4.0%
EPSOM AND ST HELIER UNIVERSITY HOSPITALS TRUST 90.6% 92.2% -1.6% 90.5% 92.2% -1.7% 91.5% 92.2% -0.7% -4.0%
ISLE OF WIGHT TRUST 88.2% 91.0% -2.8% 89.2% 90.7% -1.5% 90.3% 89.8% 0.5% -3.9%
ASHFORD AND ST PETER’S HOSPITALS FOUNDATION TRUST 92.8% 94.5% -1.7% 92.8% 94.7% -1.9% 94.2% 94.5% -0.3% -3.9%
SOUTH TEES HOSPITALS FOUNDATION TRUST 92.1% 92.6% -0.5% 90.6% 92.6% -2.0% 91.4% 92.6% -1.2% -3.6%
ROYAL WOLVERHAMPTON TRUST 91.2% 92.1% -0.9% 90.7% 92.1% -1.4% 91.2% 92.1% -0.9% -3.2%
ROBERT JONES AND AGNES HUNT ORTHOPAEDIC HOSPITAL FOUNDATION TRUST 87.1% 89.6% -2.5% 87.4% 88.4% -1.0% 88.7% 88.3% 0.4% -3.0%
KING’S COLLEGE HOSPITAL FOUNDATION TRUST 80.8% 83.3% -2.5% 82.2% 82.7% -0.5% 82.0% 82.0% 0.0% -3.0%
BUCKINGHAMSHIRE HEALTHCARE TRUST 90.2% 93.0% -2.8% 91.7% 92.0% -0.3% 92.1% 92.0% 0.1% -2.9%
STOCKPORT FOUNDATION TRUST 91.2% 92.2% -1.0% 91.0% 92.0% -1.0% 91.4% 92.1% -0.7% -2.8%
PENNINE ACUTE HOSPITALS TRUST 92.1% 93.0% -0.9% 92.0% 92.9% -0.9% 92.4% 92.9% -0.5% -2.4%
LONDON NORTH WEST HEALTHCARE TRUST 91.6% 92.0% -0.4% 91.0% 92.0% -1.0% 91.0% 92.0% -1.0% -2.3%
SALISBURY FOUNDATION TRUST 92.2% 92.0% 0.2% 91.0% 92.0% -1.0% 90.7% 92.0% -1.3% -2.1%
AIREDALE FOUNDATION TRUST 91.8% 92.0% -0.2% 91.0% 92.0% -1.0% 91.2% 92.0% -0.8% -1.9%
THE ROYAL ORTHOPAEDIC HOSPITAL FOUNDATION TRUST 91.0% 92.0% -1.0% 91.2% 92.0% -0.8% 92.0% 92.1% -0.1% -1.9%
SANDWELL AND WEST BIRMINGHAM HOSPITALS TRUST 91.2% 92.5% -1.3% 92.0% 92.5% -0.5% 92.1% 92.0% 0.1% -1.7%
MILTON KEYNES UNIVERSITY HOSPITAL FOUNDATION TRUST 89.9% 90.3% -0.4% 88.8% 89.5% -0.7% 88.7% 89.2% -0.5% -1.6%
YORK TEACHING HOSPITAL FOUNDATION TRUST 90.8% 92.0% -1.2% 91.6% 92.0% -0.4% 92.0% 92.0% 0.0% -1.6%
SOUTH TYNESIDE FOUNDATION TRUST 95.2% 96.3% -1.1% 96.8% 97.1% -0.3% 97.1% 97.2% -0.1% -1.5%
ROYAL UNITED HOSPITALS BATH FOUNDATION TRUST 90.7% 91.2% -0.5% 90.0% 91.0% -1.0% 90.9% 90.8% 0.1% -1.5%
LEWISHAM AND GREENWICH TRUST 91.7% 92.0% -0.3% 90.9% 92.0% -1.1% 92.1% 92.0% 0.1% -1.3%
THE PRINCESS ALEXANDRA HOSPITAL TRUST 92.1% 92.3% -0.2% 92.0% 92.1% -0.1% 91.2% 92.1% -0.9% -1.2%
SURREY AND SUSSEX HEALTHCARE TRUST 92.4% 92.6% -0.2% 92.1% 92.6% -0.5% 92.6% 92.6% 0.0% -0.7%
CENTRAL MANCHESTER UNIVERSITY HOSPITALS FOUNDATION TRUST 91.2% 92.0% -0.8% 92.1% 92.0% 0.1% 92.1% 92.0% 0.1% -0.7%
HULL AND EAST YORKSHIRE HOSPITALS TRUST 87.9% 88.9% -1.0% 87.9% 87.8% 0.1% 87.2% 86.7% 0.5% -0.4%
COUNTY DURHAM AND DARLINGTON FOUNDATION TRUST 92.9% 93.5% -0.6% 93.3% 93.5% -0.2% 93.9% 93.5% 0.4% -0.4%
GREAT WESTERN HOSPITALS FOUNDATION TRUST 92.0% 92.0% 0.0% 92.1% 92.0% 0.1% 91.5% 92.0% -0.5% -0.3%
UNIVERSITY COLLEGE LONDON HOSPITALS FOUNDATION TRUST 93.2% 93.0% 0.2% 92.9% 93.3% -0.4% 93.2% 93.3% -0.1% -0.3%
FRIMLEY HEALTH FOUNDATION TRUST 92.6% 92.3% 0.3% 91.7% 92.3% -0.6% 92.3% 92.2% 0.1% -0.2%
UNIVERSITY HOSPITALS BIRMINGHAM FOUNDATION TRUST 92.1% 92.4% -0.3% 92.1% 92.2% -0.1% 92.5% 92.2% 0.3% -0.1%
EAST AND NORTH HERTFORDSHIRE TRUST 92.1% 92.6% -0.5% 92.6% 92.5% 0.1% 92.8% 92.4% 0.4% 0.0%
UNIVERSITY HOSPITALS OF LEICESTER TRUST 91.7% 92.0% -0.3% 92.1% 92.0% 0.1% 92.4% 92.0% 0.4% 0.1%
CHELSEA AND WESTMINSTER HOSPITAL FOUNDATION TRUST 92.0% 92.0% 0.0% 92.0% 92.0% 0.0% 92.1% 92.0% 0.1% 0.1%
UNIVERSITY HOSPITAL SOUTHAMPTON FOUNDATION TRUST 92.0% 92.0% 0.0% 92.0% 92.0% 0.0% 92.1% 92.0% 0.1% 0.1%
WESTERN SUSSEX HOSPITALS FOUNDATION TRUST 89.2% 89.1% 0.1% 88.7% 88.6% 0.1% 88.4% 88.4% 0.0% 0.2%
ROYAL DEVON AND EXETER FOUNDATION TRUST 92.0% 92.0% 0.0% 92.1% 92.0% 0.1% 92.1% 92.0% 0.1% 0.2%
NORTH TEES AND HARTLEPOOL FOUNDATION TRUST 92.4% 92.6% -0.2% 92.6% 92.5% 0.1% 92.7% 92.4% 0.3% 0.3%
ROYAL FREE LONDONFOUNDATION TRUST 92.1% 92.0% 0.1% 92.0% 92.0% 0.0% 92.2% 92.0% 0.2% 0.3%
SHEFFIELD TEACHING HOSPITALS FOUNDATION TRUST 93.0% 92.8% 0.2% 93.0% 92.8% 0.2% 92.8% 92.8% 0.0% 0.4%
GEORGE ELIOT HOSPITAL TRUST 92.1% 92.0% 0.1% 91.7% 92.0% -0.3% 92.6% 92.0% 0.6% 0.4%
DERBY TEACHING HOSPITALS FOUNDATION TRUST 92.1% 92.0% 0.1% 92.1% 92.0% 0.1% 92.3% 92.0% 0.3% 0.5%
QUEEN ELIZABETH HOSPITAL, KING’S LYNN, FOUNDATION TRUST 92.6% 92.2% 0.4% 92.3% 92.1% 0.2% 92.2% 92.2% 0.0% 0.5%
ROTHERHAM FOUNDATION TRUST 94.2% 94.0% 0.2% 93.8% 93.7% 0.1% 94.2% 93.8% 0.4% 0.7%
DONCASTER AND BASSETLAW HOSPITALS FOUNDATION TRUST 92.1% 92.0% 0.1% 92.0% 92.0% 0.0% 92.6% 92.0% 0.6% 0.8%
CALDERDALE AND HUDDERSFIELD FOUNDATION TRUST 96.1% 96.1% 0.0% 95.5% 95.4% 0.1% 96.3% 95.6% 0.7% 0.8%
HILLINGDON HOSPITALS  FOUNDATION TRUST 92.4% 92.0% 0.4% 92.4% 92.0% 0.4% 92.2% 92.0% 0.2% 1.0%
SHERWOOD FOREST HOSPITALS FOUNDATION TRUST 92.3% 92.0% 0.3% 92.5% 92.0% 0.5% 92.4% 92.0% 0.4% 1.2%
HEART OF ENGLAND FOUNDATION TRUST 92.7% 92.0% 0.7% 92.0% 91.8% 0.2% 92.1% 91.7% 0.4% 1.3%
SOUTH WARWICKSHIRE FOUNDATION TRUST 92.3% 92.1% 0.2% 92.5% 92.1% 0.4% 93.3% 92.1% 1.2% 1.8%
GATESHEAD HEALTH FOUNDATION TRUST 92.6% 92.2% 0.4% 93.4% 92.5% 0.9% 93.6% 93.0% 0.6% 1.8%
PETERBOROUGH AND STAMFORD HOSPITALS FOUNDATION TRUST 94.7% 94.5% 0.2% 94.9% 94.5% 0.4% 95.5% 94.0% 1.5% 2.1%
ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS FOUNDATION TRUST 91.2% 91.0% 0.2% 91.8% 91.0% 0.8% 92.2% 91.0% 1.2% 2.2%
DARTFORD AND GRAVESHAM TRUST 94.0% 94.0% 0.0% 94.9% 94.0% 0.9% 95.3% 94.0% 1.3% 2.2%
WEST SUFFOLK FOUNDATION TRUST 92.2% 92.0% 0.2% 92.9% 92.0% 0.9% 93.3% 92.0% 1.3% 2.3%
SALFORD ROYAL FOUNDATION TRUST 92.8% 92.1% 0.7% 92.8% 92.0% 0.8% 93.0% 92.0% 1.0% 2.4%
COUNTESS OF CHESTER HOSPITAL FOUNDATION TRUST 92.2% 91.6% 0.6% 92.3% 91.0% 1.3% 91.6% 91.0% 0.6% 2.5%
ROYAL CORNWALL HOSPITALS TRUST 93.0% 92.0% 1.0% 92.9% 92.0% 0.9% 92.7% 92.0% 0.7% 2.6%
WESTON AREA HEALTH TRUST 95.4% 93.1% 2.3% 93.7% 94.5% -0.8% 95.8% 94.6% 1.2% 2.6%
HAMPSHIRE HOSPITALS FOUNDATION TRUST 92.8% 92.0% 0.8% 93.0% 92.0% 1.0% 93.0% 92.0% 1.0% 2.8%
CHESTERFIELD ROYAL HOSPITAL FOUNDATION TRUST 92.4% 92.0% 0.4% 92.9% 92.0% 0.9% 93.6% 92.0% 1.6% 2.9%
CITY HOSPITALS SUNDERLAND FOUNDATION TRUST 92.9% 92.5% 0.4% 93.5% 92.5% 1.0% 94.1% 92.5% 1.6% 2.9%
TAMESIDE HSOPITAL FOUNDATION TRUST 93.1% 92.0% 1.1% 93.0% 92.0% 1.0% 93.1% 92.0% 1.1% 3.2%
HINCHINGBROOKE HEALTH CARE TRUST 93.3% 92.0% 1.3% 92.8% 92.0% 0.8% 93.2% 92.0% 1.2% 3.2%
WHITTINGTON HOSPITAL TRUST 92.9% 92.0% 0.9% 92.6% 92.0% 0.6% 93.8% 92.0% 1.8% 3.3%
HARROGATE AND DISTRICT FOUNDATION TRUST 94.8% 94.0% 0.8% 95.3% 94.0% 1.3% 95.3% 94.0% 1.3% 3.5%
NOTTINGHAM UNIVERSITY HOSPITALS TRUST 95.7% 94.9% 0.8% 96.3% 94.9% 1.4% 96.4% 95.2% 1.2% 3.5%
NORTHUMBRIA HEALTHCARE FOUNDATION TRUST 93.3% 92.0% 1.3% 93.1% 92.0% 1.1% 93.4% 92.1% 1.3% 3.7%
BOLTON FOUNDATION TRUST 92.9% 92.0% 0.9% 93.1% 92.0% 1.1% 94.4% 92.0% 2.4% 4.4%
WARRINGTON AND HALTON HOSPITALS FOUNDATION TRUST 93.5% 92.0% 1.5% 94.2% 92.0% 2.2% 93.0% 92.0% 1.0% 4.7%
JAMES PAGET UNIVERSITY HOSPITALS FOUNDATION TRUST 93.6% 92.0% 1.6% 93.1% 92.0% 1.1% 94.2% 92.0% 2.2% 4.9%
KINGSTON HOSPITAL FOUNDATION TRUST 95.4% 94.4% 1.0% 95.8% 94.3% 1.5% 96.5% 94.0% 2.5% 5.0%
ST HELENS AND KNOWSLEY HOSPITAL SERVICES TRUST 93.2% 92.0% 1.2% 93.8% 92.0% 1.8% 94.1% 92.0% 2.1% 5.1%
SOUTHPORT AND ORMSKIRK HOSPITAL TRUST 92.8% 92.0% 0.8% 93.8% 92.0% 1.8% 94.5% 92.0% 2.5% 5.1%
NORTHAMPTON GENERAL HOSPITAL TRUST 92.9% 92.0% 0.9% 94.0% 92.0% 2.0% 94.7% 92.0% 2.7% 5.6%
MID CHESHIRE HOSPITALS FOUNDATION TRUST 93.7% 92.0% 1.7% 93.7% 92.0% 1.7% 94.3% 92.0% 2.3% 5.7%
BLACKPOOL TEACHING HOSPITALS FOUNDATION TRUST 94.6% 92.7% 1.9% 93.8% 92.4% 1.4% 94.8% 92.4% 2.4% 5.7%
DUDLEY GROUP FOUNDATION TRUST 96.1% 94.4% 1.7% 96.6% 94.4% 2.2% 97.1% 94.4% 2.7% 6.6%
BARNSLEY HOSPITAL FOUNDATION TRUST 94.2% 92.0% 2.2% 94.1% 92.0% 2.1% 94.8% 92.0% 2.8% 7.2%
ROYAL BERKSHIRE FOUNDATION TRUST 94.3% 92.1% 2.2% 95.0% 92.1% 2.9% 94.5% 92.1% 2.4% 7.5%
IPSWICH HOSPITAL TRUST 94.4% 92.0% 2.4% 95.0% 92.0% 3.0% 96.0% 92.0% 4.0% 9.5%
BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS TRUST 76.8% 72.7% 4.1% 75.1% 72.4% 2.7% 75.3% 72.2% 3.1% 9.9%
HOMERTON UNIVERSITY HOSPITAL FOUNDATION TRUST 96.5% 92.1% 4.4% 96.1% 92.1% 4.0% 94.4% 92.1% 2.3% 10.7%
WRIGHTINGTON, WIGAN AND LEIGH FOUNDATION TRUST 96.1% 92.0% 4.1% 96.0% 92.0% 4.0% 95.4% 92.0% 3.4% 11.5%
NORTH MIDDLESEX UNIVERSITY HOSPITAL TRUST 97.5% 92.0% 5.5% 96.3% 92.0% 4.3% 98.6% 92.0% 6.6% 16.3%

A spokesman for NHS Improvement said: ”The NHS is dealing with a significant and sustained increase in demand for services, at the same time as working to become more efficient and effective. Patients rightly expect to be seen as quickly as possible and we are already working hard with providers to find ways to better manage the challenges presented by this increase in demand.”

Analysis of the latest results by waiting times expert and HSJ columnist Rob Findlay showed slightly fewer admissions per working day this year than in the previous three years.

NHS Providers head of analysis Siva Anandaciva said: “There is increasing concern that achievement of the referral to treatment target has now moved beyond reach for this year, not only for many individual trusts but also at a national level. The trajectory targets were always ambitious.

“Demand for elective operations has continued to rise but beds remain in short supply as unplanned emergency work inexorably increases and discharges become ever more delayed. So it unfortunately doesn’t come as a great surprise that much less of the 30 per cent of performance sustainability and transformation funding will be achieved than we hoped at the beginning of the year.”