NHS pressures: How is Alder Hey Children's Hospital performing?

The NHS is under pressure in the wake of the coronavirus pandemic with health services across the country struggling to contain bloating waiting lists and facing growing demand for urgent care.

The NHS is under pressure in the wake of the coronavirus pandemic with health services across the country struggling to contain bloating waiting lists and facing growing demand for urgent care.

NHS figures show performance has deteriorated across England during the Covid crisis – patients are now waiting longer in A&E departments, for routine cancer treatment and for ambulances.

But how did these services look before the pandemic?

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We've taken a look at how health service performance at Alder Hey Children's Hospital compares to three years ago.

Waiting Lists

A record 6.6 million people were waiting for routine, consultant-led hospital treatment in England in May, NHS England figures show.

This included 21,944 waiting for care at Alder Hey Children's NHS Foundation Trust – up from 10,765 last year and 12,869 in May 2019, before the pandemic.

NHS guidance says trusts should aim for 92% of patients to be seen within 18 weeks, but this target has not been met nationally since 2016.

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In May, just 64% of patients who started treatment had been on the waiting list for less than 18 weeks, while more than 300,000 (5%) people started treatment after waiting for at least a year.

At Alder Hey Children's Hospital, 62% of the patients who began treatment in May had been waiting up to 18 weeks – down from 92% before the pandemic.

In February, then Health Secretary Sajid Javid set out the post-Covid elective recovery plan for the NHS.

Mr Javid promised no patient will wait more than two years for treatment by July, but the Department for Health and Social Care admitted recently that this target has not been met.

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The Nuffield Health Trust said "long waits and delayed care have been stubbornly established throughout the health and care services".

Sarah Scobie, deputy director of research, said: "Staffing shortages, ongoing waves of Covid-19 demand, and backlogs of postponed operations and appointments are having a ripple effect throughout the system and impacting people’s care."

A&E

NHS guidance states that 95% of patients attending A&E should be admitted, transferred or discharged within four hours.

But NHS Digital figures show this target has not been met nationally since 2013, and in May, just 59% of patients across England were seen within four hours – down from 76% in the same month last year and 79% in 2019.

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At Alder Hey Children's Hospital, just 74% of 6,033 A&E patients were dealt with within four hours.

This is down from 91% in 2019, before the pandemic.

NHS membership organisation NHS Providers said long waits in A&E are a "symptom of massive pressure right across the health and care system".

Saffron Cordery, interim chief executive, said: "In urgent and emergency care especially, demand continues to outstrip capacity and services are under constant strain.

"We need a national urgent and emergency care strategy that looks at the many pressures beyond hospitals."

Ambulance Response Times

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Ambulance trusts have also struggled with growing pressures as a result of the pandemic.

Nationally, the average response time for major emergencies has more than doubled in the last three years, sitting at 51 minutes and 38 seconds in June, NHS England figures show.

The figures show response times in the North West have also risen significantly throughout the pandemic.

In June 2019, ambulance teams at the North West Ambulance Service NHS Trust responded to major emergencies in 22 minutes and eight seconds.

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This rose to 39 minutes and 46 seconds in the same month this year.

What the Government has said

The Department of Health and Social Care spokesperson said it is growing the workforce with 4,300 more doctors and 10,200 more nurses recruited than last year and has commissioned NHS England to develop a long-term workforce plan.

"NHS staff have been working incredibly hard to bust the Covid backlogs and have treated more than 15 million patients in the last year," a spokesperson said.

"Our community diagnostic centres have delivered over 1.5 million additional checks since July 2021, and the number of people waiting more than two years for treatment has dropped by more than 80% since February."