Nick Triggle,Health correspondentand Daniel Wainwright,BBC Verify

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Nearly a 4th of hospitals successful England person seen waiting times worsen since nan authorities published its scheme to tackle nan backlog a twelvemonth ago, BBC study shows.
Hitting nan 18-week waiting target for treatments specified arsenic knee and hep operations was Labour's cardinal manifesto promise for nan wellness service, and past January it group retired really it would get hospitals connected track.
While nationally advancement is being made, 31 infirmary trusts person gone backwards and different 17 person made small advancement retired of nan 129 services examined.
The hospitals struggling nan astir said they were facing a assortment of challenges, including staffing shortages, expert strikes and problems pinch IT systems.
'Living successful pain'
Mary Waterhouse, 72, from Blackpool, is 1 of galore patients who has faced delays astatine a infirmary wherever waits are getting worse.
She has arthritis and has been receiving curen from Blackpool Hospitals NHS Trust since 2022. She was initially fixed steroid injections, but was referred backmost connected to nan waiting database successful precocious 2024 arsenic her information worsened.
She had to hold 8 months to get assessed, but by that constituent her wellness had deteriorated truthful overmuch she was told she would request hep and knee replacements connected some sides.

Arthritis UK
Mary Waterhouse had to hold 8 months for an appraisal aft her arthritis deteriorated
She opted against treatment. "My arthritis was excessively precocious – and it was excessively galore operations. I person decided to unrecorded pinch nan pain. I had agelong waits astatine each shape since first being referred. It's for illustration being successful a never-ending queue.
"I now trust connected a mobility scooter to get astir – I tin only locomotion short distances pinch crutches. If I had received quicker treatment, things whitethorn person been better."
Deborah Alsina, of Arthritis UK, said Mary's lawsuit was emblematic of nan problems being faced by galore thousands of group pinch arthritis.
She said timely curen tin beryllium "life-changing", but location was not equitable entree to care.
Blackpool said it could not remark connected Mary's case, but main executive Maggie Oldham acknowledged waits were excessively long.
"We cognize we're not wherever we request to be, but we're continuing to activity difficult alongside our partners to reside nan issues we're facing urgently."
The authorities has made improving waiting times its cardinal privilege for nan NHS and has pledged to get backmost to hitting nan 18-week waiting clip target successful England by March 2029. It has not been met since 2015.
The target requires 92% of patients to beryllium seen successful 18 weeks. An interim nationalist target of 65% has been group for March 2026.
When nan authorities published its scheme past January, 59.2% of patients were waiting little than 18 weeks; that has now improved to 61.8%. The size of nan waiting database has besides fallen to 7.31 cardinal – nan lowest level since February 2023.
But locally location are large differences successful performance, contempt dedicated backing having been group speech to thief NHS trusts - which person been fixed their ain individual targets for improvement.
The BBC was capable to comparison existent capacity pinch nan position 12 months agone astatine each but 2 infirmary trusts – information was not disposable for Sheffield and Barking, Havering and Redbridge infirmary trusts.
While published successful January, nan information lags by a mates of months truthful marks nan position astatine nan extremity of November successful some 2024 and 2025.


East Cheshire has had nan biggest drop, going from 61.2% of patients waiting little than 18 weeks to 51.2%.
Barnsley saw a driblet of 9 percent points, while some Whittington Health and Epsom and St Helier NHS trusts knowledgeable falls of astir 5 percent points.
NHS trusts said a assortment of factors were astatine play. Epsom and St Helier cited nan preamble of a caller physics diligent grounds strategy which disrupted services, while Barnsley said unit shortages and an summation successful crab referrals which had to beryllium prioritised up of planned treatments had caused problems.
Strike action by resident doctors was besides blamed – nan number of doctors stepping retired during business action has varied from spot to place.
Barnsley and Epsom and St Helier some said they expected capacity to commencement improving.
Of nan 98 that had seen advancement successful nan past year, 17 had only improved by little than 1 percent point.
But immoderate had seen large jumps. Five NHS trusts recorded improvements of betwixt 9 and 10 percent points and Shrewsbury and Telford, which was 1 of nan worst performers a twelvemonth ago, by 17.
'Stark differences'
The 18-week promise only applies to England, but targets for infirmary treatments are being routinely missed successful different parts of nan UK.
Rory Deighton, of nan NHS Confederation, which represents NHS trusts, said: "The NHS is not 1 homogenous assemblage but is made up of hundreds of abstracted organisations, each pinch their ain chopped financial and operational challenges.
"This intends that tackling attraction backlogs will beryllium much difficult successful immoderate parts of nan state than others – peculiarly if location are entrenched challenges, specified arsenic precocious levels of section deprivation."
Chris McCann, lawman main executive astatine diligent watchdog Healthwatch England, said nan study showed location were "stark differences" for patients depending connected wherever they live.
"Those responsible for monitoring NHS trusts must salary adjacent attraction to organisations that are not only performing poorly but really deteriorating," he added.
A Department of Health and Social Care spokeswoman said nan authorities had sewage nan NHS connected nan "road to recovery" but location was still much to do.
She said finance was being made successful services specified arsenic caller surgical hubs and evening and play scanning, which would help.
And she said individual hospitals would beryllium held to relationship for their performance.
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