In January 2026, NHS Scotland’s Type 1 emergency departments treated an extra 21 000 patients within 4 hours, 30% more than NHS England would have managed, to reveal the gap is far greater than reported

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From Public Health Scotland – Accident and Emergency, published today, we can see that 61.2% of 114 897 Type 1 Emergency Department patients were treated within 4 hours in January 2026.1

For NHS England in the same month only 57.3% of 823 308 Type 1 patients were treated within 4 hours.2

So, first, just comparing the percentages, NHS Scotland does 3.9% more which is 6.8% of, better than, 57.3% but there’s more.

Look at the numbers attending – 114 977 in Scotland suggests that the figure in England with ten times the population might be around 1 150 000 there but it was only 823 308, just over two thirds.*

So, NHS Scotland treats 61.2% of 114 977, 70 366 within 4 hours.

NHS England treats 57.3% of 823 308, only 471 755 or proportionally in Scotland, only 47 175, compared to the actual 70 366.

So, in January 2026, NHS Scotland treated an extra 21 000 within 4 hours, 30% more than NHS England’s Type 1 ED’s would have managed.

*Why are fewer, proportionally going to Type 1 A&E in England? Unionists will shout not enough GPs in Scotland so they’re flooding A&E, even they we have more GPs per head. We might say greater provision, better and more ambulances and more A&E staff.

Sources:

  1. https://www.publichealthscotland.scot/healthcare-system/urgent-and-unscheduled-care/accident-and-emergency/interactive-charts/how-long-people-spend-in-ae/
  2. https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/
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