Waiting times in A&E units in England have got even worse in the New Year, figures show.
The last three months of 2014 saw performance drop to its lowest level for a decade with just 92.6% of patients seen in four hours.
The data for the week up to Sunday saw 86.7% of patients seen in four hours. The target is 95%.
Elsewhere in the UK the four-hour waiting time target is being missed.
Continue reading the main storyIt comes as a number of hospitals have declared "major incidents" in recent weeks.
This signifies they are facing exceptional pressures and triggers extra staff being called in and other steps, including cancelling non-emergency care, such as routine operations.
The latest waiting time figure is the worst since weekly recording began in 2010. The last four weeks have all been the four worst ever recorded.
Private pull-outThe overall figure includes walk-in centres and minor injury units, once they are stripped out the performance of major A&E units has dipped below 80%.
Data has also been published showing other pressures inside hospitals.
Over the past four weeks, compared to the same period last year, the following has happened in England:
- The number of visits to A&E units has risen by 7% to 1.7m
- The number of waits over four hours for a bed to be found after a decision to admit a patient to hospital - known as a trolley wait - has risen by 224% to over 47,000.
- Nearly 38,000 ambulances faced delays - more than double the figure the year before.
- Delayed discharges have risen by nearly a third with over 62,000 "bed days" lost.
- There were nearly 5,500 elective operations cancelled, up 62%.
Hospitals under pressure -
224% rise in trolley waits
-
116% rise in ambulance delays
-
31% rise in delayed discharges
-
62% rise in cancelled operations
224% rise in trolley waits
116% rise in ambulance delays
31% rise in delayed discharges
62% rise in cancelled operations
Dr Sarah Pinto-Duschinsky, of NHS England, said: "The NHS continues to face unprecedented pressures on its frontline services.
"Flu is now at its highest peak for the last three winters. This means the NHS will continue to be under pressure for the next few weeks."
The release of the data comes on the day the private firm Circle announced it was pulling out of the contract to run Hinchingbrooke Hospital in Cambridgeshire.
It was the first private firm to take over the running of an entire hospital when the contract started in 2012.
The firm blamed the rising pressures on the health system, including on A&E. Although the Care Quality Commission has carried out an inspection. The report is yet to be published, but is expected to be critical.
The Department of Health said it was "disappointed" in the decision.
A&E performance across the UK |
||
|---|---|---|
| Nation | Target | Latest performance |
|
England |
95% of patients in four hours |
86.7% in the past week |
|
Northern Ireland |
95% of patients in four hours |
80.5% in November |
|
Scotland |
98% of patients in four hours |
93.5% of patients in September |
|
Wales |
95% of patients in four hours |
83.8% of patients in November |
On A&E, the data in the other nations lags a bit behind England. In Wales, the data from November shows just 83.8% of patients were seen in time.
Northern Ireland is performing even worse - just over 80% of patients were seen within four hours in November.
Scotland has a slightly tougher waiting time target - 98% of patients should be seen in four hours - but in September 93.5% were.
Comparing the September figures for England and Scotland shows England was performing slightly better in that month.
Have you recently visited an A&E? What was your experience?
Have you, a friend or relative experienced a delay in being discharged from hospital?
If you are happy to speak to a BBC journalist about your experiences please email your details to haveyoursay@bbc.co.uk
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