Commenting on the publication of NHS England’s monthly performance statistics, Tim Gardner, Senior Policy Fellow at the Health Foundation, said:

‘Today’s figures suggest that, even before COVID-19 cases began to surge again, the situation in hospitals was far from business as usual. Caring for rising numbers of people seriously ill with COVID-19 has increased the pressure on non-Covid care. NHS staff are under immense strain with existing staff shortages exacerbated by absences of nearly 100,000 who have COVID-19 or are self-isolating. In November, patients waiting lists hit a historic high of 4.46 million and this is likely to have grown since. The picture is of a system being tested to its very limits.

‘The pressure on hospitals is far greater than during a typical winter due to the surge in people admitted with COVID-19 and the extra measures needed to protect patients and staff from exposure. While the number of A&E visits in December 2020 was 24% below the same month in 2019, 19.7% of patients in A&E waited longer than the four-hour target and 89,807 waited over four hours for a bed to become available – highlighting the severe pressure on hospital capacity. 192,169 patients waiting for routine hospital treatment have now waited longer than 52 weeks, compared to just 1,398 in the same month in 2019. 

‘Patients waiting for care now will still need treatment in the coming months and many of them will likely be sicker as a result. The immediate priority is getting through the weeks ahead, but the government must not underestimate the challenges that the NHS will continue to face even once the current crisis has passed. If the NHS is to cope with the level of demand, there can be no further delay in addressing longstanding staff shortages, which will be a major barrier to increasing the capacity of hospitals.’

Media contact

Simon Perry
020 7257 2093

Further reading


Responding to COVID-19


How the Health Foundation is supporting the UK's health and care system to deal with current...

Long read

Elective care in England

11 November 2020

About 17 mins to read

Long read

This long read looks at what we know so far about the pandemic’s impact in 2020 on elective care in...

You might also like...


Rapid evaluation in health care 2022


Join us for two half days at the Rapid evaluation in health care conference from 25 January 2022.

Press release

Councils need certainty on public health funding at this crucial moment for the nation’s health

Press release

Health Foundation response to the LGA's call to urgently publish the Public Health Grant...

Press release

Government must be honest about consequences of not introducing new COVID-19 measures for the NHS

Press release

Health Foundation response to the latest NHS performance statistics.

Kjell-bubble-diagramArtboard 101 copy

Get social

Do you want to gain experience working in a busy, high-impact communications team? If you’re proactive and keen to…

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more