By Professor John Robertson OBA
Thanks once more to AR for alerting me to this.
The Times today has:
Revealed: true extent of Scotland hospital waiting times scandal – Number of patients waiting more than 104 weeks for treatment in Scottish hospitals is almost 100 times higher than in England. As NHS bosses in England have focused on reducing long waits, numbers in Scotland have only grown.
It’s true, for those waiting more than 2 years for, obviously, non-life-threatening procedures, the list in England has been slashed but has not in NHS Scotland.
Dr Iain Kennedy, chairman of the British Medical Association Scotland, Loyalist and poser with stethoscopes for the cameras, said the data proved that the health service in Scotland was “struggling on” in a “state of perma-crisis”.
It does nothing of the sort. NHS Scotland prioritises saving lives as it should and does it far better than NHS England.
NHS England’s one success, slashing two year waits for non-life-threatening procedures was done with extra funding from the UK Government in a desperate attempt to head of electoral disaster and cost £3.5bn which would have been better cutting overall, A&E, cancer and 18 week waiting lists.
https://www.theguardian.com/society/2024/oct/25/private-healthcare-boom-fuelled-by-nhs-waiting-lists
On those four, sensible priorities for any NHS not being bullied by government:
First, THREE times as many wait more than 12 hours in England’s A&E departments
NHS England, Type one A&E, for May 2024, 138 770 waiting more than 4 hours and 42 555 waiting more than 12.
59.7% seen within 4 hours.
NHS Scotland, Type ED full A&E, for May 2024, 9 252 waiting more than 4 hours and 1 350 waiting more than 12.
66.7% seen within 4 hours
So:
All things being equal NHS England with 10 times the population might have been expected to have 92 520 waiting more than 4 hours, but had 138 770, 50% more.
And 13 500 waiting more than 12 hours but had 42 555, more than THREE times as many.
As for the A&E 4 hour waiting time, NHS Scotland is 11.7% faster.
Sources:
https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/
Second, Scotland’s cancer waiting times dramatically better than England’s
By Professor John Robertson OBA
Today, BBC UK’s Nick Triggle has:
The cancers with longest treatment waits revealed
with the above graph for NHS England data.
I’ve added, where possible, equivalent Scottish data. While skin and prostate/kidney waiting times do seem slightly longer in Scotland, in 5 key areas, including breast, lung and liver cancers, NHS Scotland ‘s performance is dramatically better, saving thousands of lives.
Triggle only mentions Scotland once:
See what he’s done there? Scotland, on that measure alone, seems worse than England because he is careful not to tell us how close the two countries were to the target over that period. See these two graphs:
On the 62-day standard (referral to treatment begins), England has had significantly more than 30% waiting longer (less than 70% seen on time), since late 2021, while Scotland has always had less than 30% waiting (more than 70% seen) in the same period.
On the 31-day standard (decision to treat to treatment begins), England has had nearly 10% waiting longer (90% seen on time), since 2023, while Scotland has always had well under 10%, around 5%, waiting (95% seen on time) in the same period.
Sources:
https://www.bbc.co.uk/news/articles/cwy948p4j5wo
Third, Significant increase in those seen within 18 weeks to remain 14% better than NHS England
From Public Health Scotland, today, we see that 68.1% of patients waiting for treatment, in the quarter ending 30 June 2024, were seen within 18 weeks, up from 65.1% in the previous quarter.1
From the BBC in May 2024 (most recent data), we see reported a figure of 57% for NHS England.2
NHS Scotland is thus performing 14.2% on the 18 week waiting list target.
NHS Wales uses the easier 26 week target but still returns a figure of 57% seen within that time.3
Why does this target matter and matter more perhaps than the one-year target often much politicised to attack NHS Scotland?
It’s kind of obvious. If you have a life-threatening condition you really need to be seen quickly and the 18 week target is designed to ensure that happens. If you have a chronic non-life threatening condition, like arthritis, tough though that may be, a resource-strapped health service cannot always be expected to treat that in the shorter term.
Sources:
- https://www.publichealthscotland.scot/publications/nhs-waiting-times-18-weeks-referral-to-treatment/nhs-waiting-times-18-weeks-referral-to-treatment-quarter-ending-30-june-2024
- https://www.bbc.co.uk/news/health-69070207
- https://www.gov.wales/nhs-activity-and-performance-summary-december-2023-and-january-2024-html
Fourth, Nearly 10% more are on the overall NHS waiting list in England than in Scotland
On the 28th May 2024, according to BBC Scotland:
NHS waiting lists in Scotland have reached a record high, the latest figures show. Public Health Scotland recorded more than 690,000 waits for appointments or treatment for non-urgent care as of 31 March.
According to the Health Service Journal, yesterday:
In April the English referral-to-treatment waiting list grew slightly by 34,000 to 7.57 million patient pathways. These are the last figures to be published before the general election, meaning the pre-election waiting list is 358,000 larger than the figures available when prime minister Rishi Sunak said “NHS waiting lists will fall”.
All things being equal, with 690 000 waiting in Scotland, you’d expect 6 900 000 waiting in England but it was actually 7 570 000, or 8.85% higher.
8.85% of the 7 570 000 is 66 945 so nearly 67 000 people in England would not be on the NHS waiting list if the SNP had been in government there for 17 years.
Sources:
https://www.bbc.co.uk/news/articles/cqlly95k5l0o
Enough?
Support Scots Independent, Scotland’s oldest pro-independence newspaper and host of the OBA (Oliver Brown Award) at: https://scotsindependent.scot/FWShop/shop/
The Oliver Brown Award for advancing the cause of Scotland’s self respect, previously awarded to Dr Philippa Whitford, Alex Salmond and Sean Connery: https://scotsindependent.scot/?page_id=116
About Oliver Brown, the first Scottish National Party candidate to save his deposit in a Parliamentary election: https://en.wikipedia.org/wiki/Oliver_Brown_(Scottish_activis
Talking-up Scotland 'Albatraz' 
Again on a personal note. A close relative was diagnosed less than a week ago, and it will be decided next week how best to progress. Once that has been ascertained, treatment will start next month.
LikeLike
£22Billion going into the NHS next year. The monies lost through austerity. Keeping the winter fuel payment would have stopped more people needing hospital care. £1.5Billion lost to the economy. Social care £100+ a week leaving people in their own home. Residential care up to £1000 a week. Hospital care £600+ a day.
Covid funded £270Billion over two years. Much of it was wasted on PPE not fit for purpose and fraudulent loans. £Billion wasted into the pockets of Tories and their associates.
LikeLike