of all NHS services now have a wait time exceeding 1 Full Year.
The longest recorded wait for routine surgery (ENT in Medway).
The National Average wait for Orthopaedics (Hips/Knees).
When the media discusses waiting lists, they almost exclusively focus on hip replacements and cancer pathways. However, our analysis of the latest NHS England RTT (Referral to Treatment) data reveals that some of the most severe delays are in what are clinically termed "minor" specialties.
Ear, Nose, and Throat (ENT) services are currently showing higher wait times than Orthopaedics in many regions. In Medway, the wait is nearly 65 weeks.
Why this matters: This list is heavily populated by children waiting for tonsillectomies or grommets for "glue ear." A 15-month wait for a 4-year-old represents 30% of their life spent with hearing difficulties or chronic infections, impacting speech development and education.
The traditional narrative of a "wealthy South" having better healthcare does not hold up to the current data. In fact, some of the longest waiting times in the entire country are clustered in the Home Counties and the South East.
~10 weeks for Orthopaedics
Improving rapidly in general surgery
>60 weeks across multiple departments
>52 weeks for routine orthopaedics
In 2019, a 52-week wait was a "Never Event"—something that should theoretically never happen. Today, it has become normalized. Our analysis identified 80 specific service lines where the 92nd percentile wait exceeds one year.
This includes high-volume specialties like Oral Surgery (tooth extractions, jaw surgery) and Gynaecology. For women suffering from endometriosis or fibroids, a 56-week wait (seen in some trusts) means over a year of chronic pain and potential fertility impact before treatment even begins.
Perhaps the most concerning trend in the dataset is the deterioration of Gynaecology services. The national average wait for routine gynaecological surgery is now 41.6 weeks.
In specific trusts like Manchester University NHS and Mid & South Essex, women are waiting over 56 weeks for treatment. For conditions like endometriosis or fibroids, which cause debilitating daily pain and can impact fertility, a year-long wait is not just an inconvenience—it is a life-altering delay.
When patients hear "Oral Surgery," they often assume it is a dentistry issue. In reality, this covers complex hospital procedures like impacted wisdom tooth removal, cyst removal, and jaw surgery.
The data shows that Oral Surgery has a higher national median wait (42.9 weeks) than Trauma & Orthopaedics (42.1 weeks). Patients at Mid and South Essex are waiting 60 weeks for oral surgery. This suggests a systemic failure where the collapse of NHS dentistry is spilling over into hospital surgical lists.
Our analysis reveals a tale of two extremes. While national averages paint a picture of delay, specific NHS Trusts are delivering exceptional performance, treating patients in weeks rather than months.
However, this efficiency highlights a stark "Postcode Lottery." A patient's wait time can vary by over a year depending solely on which hospital they are referred to. Below, we recognise the Top Performing Trusts in the UK alongside the most critical bottlenecks.
Top Performing Trust in Orthopaedics
10w
64w
Top Performing Trust in Ear, Nose & Throat
8w
65w
Top Performing Trust in Ophthalmology
16w
53w
Top Performing Trust in Gynaecology
11w
56w
Top Performing Trust in General Surgery
15w
58w
Top Performing Trust in Plastic Surgery
11w
62w
Top Performing Trust in Cardiology
14w
55w
Top Performing Trust in Urology
12w
56w
Top Performing Trust in Gastroenterology
13w
54w
Top Performing Trust in Dermatology
6w
56w
Top Performing Trust in Neurology
13w
56w
Top Performing Trust in Rheumatology
9w
54w
Top Performing Trust in Oral Surgery
16w
60w
While larger hospitals often get the headlines, our data analysis identified severe delays in unexpected places. Chesterfield Royal Hospital has the worst wait for General Surgery in the country (57.7 weeks). Blackpool Teaching Hospitals has the worst Gynaecology wait (56.3 weeks).
This underscores why checking your specific local trust is vital. You cannot assume a "good" hospital is good for everything. A trust might be excellent at Cardiac care but failing in Orthopaedics.
While the headlines are grim, the data highlights that the NHS can still deliver speed in the right areas. Cornwall Partnership NHS Trust is delivering Orthopaedic care in under 10 weeks—four times faster than the national average.
This variance proves that the "National Backlog" is not a monolith. It is a series of local bottlenecks. If you have the flexibility to choose your provider (exercising your "Right to Choose") or the means to use private insurance to access under-utilised capacity, you can bypass the crisis entirely.
The private sector currently has capacity. For procedures like Cataracts, Hernias, and Hip Replacements, wait times are typically measured in days, not months. While self-pay is expensive, health insurance provides a structured way to bypass these local bottlenecks for new conditions.
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