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Title : Where you live could make you 21 TIMES more likely to wait too long for NHS treatment
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Where you live could make you 21 TIMES more likely to wait too long for NHS treatment

Where you LIVE could make you 21 TIMES more likely to have to wait more than four-and-a-half months for NHS treatment – so how does your hospital fare in the postcode lottery?

• Around two thirds of hospitals are failing to meet NHS treatment time targets
• In some places more than 2 out of 10 people are waiting longer than 18 weeks
• The health service aims to treat 92% of people within four-and-a-half months

By Sam Blanchard For Mailonline

Published: 15:58 BST, 13 July 2018 | Updated: 08:07 BST, 14 July 2018

Where you live could make you up to 21 times more likely to have to wait more than four-and-a-half months for NHS medical treatment. 

Almost two thirds of hospitals are failing to meet the NHS's national target of treating 92 per cent of patients within 18 weeks of being referred by a doctor. 

Some 94 out of 146 hospital trusts are falling short of the target, according to official figures, leaving thousands of people waiting months for treatment.

Northern Lincolnshire and Goole is the worst performing trust by this measure, treating just 70.2 per cent of patients within the 18 week target time.

And thousands of people are waiting to be treated all over the country – one hospital in London has more than 91,000 people who are waiting for medical help.

At the other end of the scale, The Christie in Manchester treats 98.6 per cent of its patients within four-and-a-half months, and the Royal Marsden in London manages 98.5 per cent.

People may be risking their health in a postcode lottery in which how quickly they get healthcare depends on where they live – see how your hospital fares in the table below.

How quickly people start treatment after being referred by a doctor could depend on where in the country they live

Waiting time figures released by NHS England yesterday reveal around a third of NHS hospital trusts are meeting national targets – 52 of the 146 for which there are data.

Nationally, only 88.1 per cent of patients are being seen within the Government's waiting time target. 

And some are treating far fewer than the 92 per cent the health service is aiming towards.

Nine trusts treated fewer than 80 per cent of their patients within 18 weeks of them being referred by a doctor.

In some places more than a quarter wait more than 18 weeks 

In some places more than a quarter of people were left waiting for more than four-and-a-half months after being diagnosed before they could start treatment.

Worst performing areas include Lincolnshire, Bradford, Wye Valley, the North Midlands and North Devon.

But there are also dozens of hospitals beating the national target, and people living in parts of Manchester and London are almost certain to be treated on time.

Wirral is in both the top and bottom ten – the university teaching hospital is the second worst performing in the country but its Clatterbridge Cancer Centre is the fourth best.

THE TEN BEST PERFORMING NHS TRUSTS (Percentage of patients treated within 18 weeks)

1. The Christie, Manchester (98.6)
2. Royal Marsden, London (98.5)
3. Homerton, London (97)
4. Clatterbridge Cancer Centre, Wirral (97)
5. Sheffield Teaching Hospitals (95.4) 
6. South Tyneside (95.4)
7. Moorfields Eye Hospital, London (95.3)
8. The Walton Centre, Liverpool (95) 
9. The Dudley Group (94.7)
10. Wrightington, Wigan and Leigh (94.7) 

Source: NHS England 

THE TEN WORST PERFORMING NHS TRUSTS (Percentage of patients treated within 18 weeks) 

1. Northern Lincolnshire and Goole (70.2)
2.  Wirral University Teaching Hospital (74.6)
3. Bradford Teaching Hospitals (74.6)
4. Wye Valley (74.9)
5. University Hospitals of North Midlands (75)
6. Northern Devon Healthcare (77.7)
7. East Kent Hospitals University (78.6)
8. Queen Victoria, West Sussex (79)
9. Royal Cornwall (79.3)
10. Maidstone and Tunbridge Wells (80) 

Source: NHS England

Hundreds of thousands are waiting to start treatment

The figures show hundreds of thousands of people across England are waiting for medical treatment, and more than one in ten of them will have to hang on for more than 18 weeks.

In May this year some 91,783 patients were waiting for treatment from Barts Health Trust and 76,116 at King's College Hospital – both of which are in London.

In 2017, 3,101 people waited for more than a year to be treated – the highest number since 2012. 

And more than 200,000 will wait for more than six months before getting the help they need.

'Waiting patients will be in pain and discomfort' 

Susan Hill, senior vice president of the Royal College of Surgeons, said: 'It is extremely stressful for patients and their families to have to wait this long.

'These patients will be in severe pain and discomfort, possibly unable to work or carry out daily tasks.

'Not enough has been said about how the NHS plans to deal with the backlog of patients that built up over last winter.

'Hospitals must get their waiting lists under control before the next winter creeps up and we find ourselves in an even worse position.' 

HOW LIKELY ARE YOU TO HAVE A LONG WAIT? ALL HOSPITAL TRUSTS RANKED BY THE PERCENTAGE OF PATIENTS WHO RECEIVE TREATMENT WITHIN 18 WEEKS OF BEING REFERRED BY A DOCTOR (Source: NHS England) 

NHS Trust	Proportion of patients seen within 18 weeks	Patients waiting to start treatment	Patients expected to be treated within 18 weeks	Patients expected to wait longer than 18 weeks
THE CHRISTIE NHS FOUNDATION TRUST	98.6	1,388	1,369	19
THE ROYAL MARSDEN NHS FOUNDATION TRUST	98.5	2,367	2,331	36
HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST	97	16,477	15,983	494
THE CLATTERBRIDGE CANCER CENTRE NHS FOUNDATION TRUST	97	533	517	16
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST	95.4	43,414	41,417	1,997
SOUTH TYNESIDE NHS FOUNDATION TRUST	95.4	4,155	3,964	191
MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUST	95.3	28,301	26,971	1,330
THE WALTON CENTRE NHS FOUNDATION TRUST	95	8,372	7,953	419
THE DUDLEY GROUP NHS FOUNDATION TRUST	94.7	18,621	17,634	987
WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST	94.7	19,310	18,287	1,023
THE ROTHERHAM NHS FOUNDATION TRUST	94.6	13,825	13,078	747
CITY HOSPITALS SUNDERLAND NHS FOUNDATION TRUST	94.5	27,912	26,377	1,535
KINGSTON HOSPITAL NHS FOUNDATION TRUST	94.4	18,505	17,469	1,036
NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST	94.4	11,571	10,923	648
SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST	94.3	9,960	9,392	568
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST	94	30,292	28,474	1,818
THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST	94	66,300	62,322	3,978
SHEFFIELD CHILDREN'S NHS FOUNDATION TRUST	93.9	8,257	7,753	504
NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST	93.7	20,370	19,087	1,283
ROYAL BROMPTON & HAREFIELD NHS FOUNDATION TRUST	93.7	5,664	5,307	357
GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST	93.6	5,362	5,019	343
BARNSLEY HOSPITAL NHS FOUNDATION TRUST	93.4	12,316	11,503	813
BURTON HOSPITALS NHS FOUNDATION TRUST	93.4	19,071	17,812	1,259
CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST	93.3	30,933	28,860	2,073
EAST LANCASHIRE HOSPITALS NHS TRUST	93.3	24,320	22,691	1,629
MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST	93.3	14,409	13,444	965
GATESHEAD HEALTH NHS FOUNDATION TRUST	93.2	8,276	7,713	563
SHREWSBURY AND TELFORD HOSPITAL NHS TRUST	93.1	15,981	14,878	1,103
BIRMINGHAM WOMEN'S AND CHILDREN'S NHS FOUNDATION TRUST	93	15,999	14,879	1,120
COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST	93	20,842	19,383	1,459
CROYDON HEALTH SERVICES NHS TRUST	92.9	22,754	21,138	1,616
LIVERPOOL HEART AND CHEST HOSPITAL NHS FOUNDATION TRUST	92.9	2,104	1,955	149
YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST	92.9	9,638	8,954	684
CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST	92.8	35,432	32,881	2,551
SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST	92.8	32,840	30,476	2,364
AIREDALE NHS FOUNDATION TRUST	92.6	7,627	7,063	564
DARTFORD AND GRAVESHAM NHS TRUST	92.6	14,445	13,376	1,069
THE WHITTINGTON HOSPITAL NHS TRUST	92.6	16,500	15,279	1,221
FRIMLEY HEALTH NHS FOUNDATION TRUST	92.5	36,618	33,872	2,746
IPSWICH HOSPITAL NHS TRUST	92.5	20,971	19,398	1,573
UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST	92.5	33,435	30,927	2,508
NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST	92.4	11,341	10,479	862
SALFORD ROYAL NHS FOUNDATION TRUST	92.4	40,415	37,343	3,072
WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST	92.4	18,311	16,919	1,392
TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST	92.3	13,107	12,098	1,009
ROYAL BERKSHIRE NHS FOUNDATION TRUST	92.2	32,404	29,876	2,528
WEST SUFFOLK NHS FOUNDATION TRUST	92.2	16,479	15,194	1,285
SOUTH WARWICKSHIRE NHS FOUNDATION TRUST	92.1	17,194	15,836	1,358
ALDER HEY CHILDREN'S NHS FOUNDATION TRUST	92	13,237	12,178	1,059
CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST	92	16,019	14,737	1,282
SALISBURY NHS FOUNDATION TRUST	92	17,958	16,521	1,437
WESTON AREA HEALTH NHS TRUST	92	5,118	4,709	409
ASHFORD AND ST PETER'S HOSPITALS NHS FOUNDATION TRUST	91.5	27,183	24,872	2,311
ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST	91.2	25,074	22,867	2,207
HARROGATE AND DISTRICT NHS FOUNDATION TRUST	91.1	13,846	12,614	1,232
SOUTH TEES HOSPITALS NHS FOUNDATION TRUST	91.1	33,504	30,522	2,982
UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST	91.1	43,081	39,247	3,834
HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST	91	37,639	34,251	3,388
LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST	90.7	23,098	20,950	2,148
SURREY AND SUSSEX HEALTHCARE NHS TRUST	90.7	24,176	21,928	2,248
THE ROYAL WOLVERHAMPTON NHS TRUST	90.6	33,896	30,710	3,186
AINTREE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST	90.5	18,291	16,553	1,738
EAST SUSSEX HEALTHCARE NHS TRUST	90.5	29,765	26,937	2,828
ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST	90.4	5,979	5,405	574
DERBY TEACHING HOSPITALS NHS FOUNDATION TRUST	90.3	32,764	29,586	3,178
MANCHESTER UNIVERSITY NHS FOUNDATION TRUST	90.3	72,547	65,510	7,037
THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST	90.3	16,569	14,962	1,607
BUCKINGHAMSHIRE HEALTHCARE NHS TRUST	90.2	29,970	27,033	2,937
DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST	90.1	33,084	29,809	3,275
NORTH WEST ANGLIA NHS FOUNDATION TRUST	90.1	35,531	32,013	3,518
CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST	90	33,459	30,113	3,346
SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST	90	24,584	22,126	2,458
THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST	90	25,916	23,324	2,592
BOLTON NHS FOUNDATION TRUST	89.8	23,054	20,702	2,352
GUY'S AND ST THOMAS' NHS FOUNDATION TRUST	89.8	66,790	59,977	6,813
THE ROBERT JONES AND AGNES HUNT ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST	89.5	5,918	5,297	621
BEDFORD HOSPITAL NHS TRUST	89.4	14,981	13,393	1,588
HEART OF ENGLAND NHS FOUNDATION TRUST	89.4	53,060	47,436	5,624
LEEDS TEACHING HOSPITALS NHS TRUST	89.2	54,276	48,414	5,862
LIVERPOOL WOMEN'S NHS FOUNDATION TRUST	89.1	4,636	4,131	505
UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST	89.1	29,660	26,427	3,233
NORTHAMPTON GENERAL HOSPITAL NHS TRUST	89	23,560	20,968	2,592
COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST	88.8	18,109	16,081	2,028
POOLE HOSPITAL NHS FOUNDATION TRUST	88.4	14,552	12,864	1,688
THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST	88.4	24,478	21,639	2,839
WALSALL HEALTHCARE NHS TRUST	88.3	14,697	12,977	1,720
DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST	88.2	12,594	11,108	1,486
EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST	88	28,477	25,060	3,417
STOCKPORT NHS FOUNDATION TRUST	87.9	24,079	21,165	2,914
COLCHESTER HOSPITAL UNIVERSITY NHS FOUNDATION TRUST	87.8	22,016	19,330	2,686
MID YORKSHIRE HOSPITALS NHS TRUST	87.7	32,305	28,331	3,974
UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST	87.6	32,111	28,129	3,982
SOUTHEND UNIVERSITY HOSPITAL NHS FOUNDATION TRUST	87.4	26,543	23,199	3,344
GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST	87.2	21,436	18,692	2,744
ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST	87.2	23,275	20,296	2,979
LEWISHAM AND GREENWICH NHS TRUST	87	40,532	35,263	5,269
PENNINE ACUTE HOSPITALS NHS TRUST	87	39,883	34,698	5,185
BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST	86.8	36,310	31,517	4,793
UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST	86.8	66,319	57,565	8,754
PORTSMOUTH HOSPITALS NHS TRUST	86.6	33,823	29,291	4,532
JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST	86.5	13,751	11,895	1,856
NORTH BRISTOL NHS TRUST	86.3	27,348	23,601	3,747
NORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUST	85.7	23,100	19,797	3,303
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST	85.7	21,116	18,096	3,020
NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST	85.6	40,362	34,550	5,812
OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST	85.6	52,471	44,915	7,556
UNITED LINCOLNSHIRE HOSPITALS NHS TRUST	85.3	39,720	33,881	5,839
IMPERIAL COLLEGE HEALTHCARE NHS TRUST	85.2	66,972	57,060	9,912
ISLE OF WIGHT NHS TRUST	85.2	9,196	7,835	1,361
WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST	85.2	38,673	32,949	5,724
EAST CHESHIRE NHS TRUST	85	7,766	6,601	1,165
WEST HERTFORDSHIRE HOSPITALS NHS TRUST	85	25,543	21,712	3,831
WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST	84.8	38,149	32,350	5,799
BARTS HEALTH NHS TRUST	84.7	91,783	77,740	14,043
GEORGE ELIOT HOSPITAL NHS TRUST	84.7	11,696	9,907	1,789
THE ROYAL ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST	84.4	8,411	7,099	1,312
UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST	84.4	31,786	26,827	4,959
ROYAL DEVON AND EXETER NHS FOUNDATION TRUST	84.2	31,581	26,591	4,990
ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST	84.2	29,538	24,871	4,667
YORK TEACHING HOSPITAL NHS FOUNDATION TRUST	84.2	27,435	23,100	4,335
MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST	84	15,001	12,601	2,400
PAPWORTH HOSPITAL NHS FOUNDATION TRUST	83.6	3,858	3,225	633
BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST	83.3	34,592	28,815	5,777
ROYAL FREE LONDON NHS FOUNDATION TRUST	82.6	68,209	56,341	11,868
MEDWAY NHS FOUNDATION TRUST	82.4	21,410	17,642	3,768
HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST	82.2	55,577	45,684	9,893
TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST	82.2	19,543	16,064	3,479
LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST	82	32,755	26,859	5,896
THE QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NHS FOUNDATION TRUST	81.9	14,615	11,970	2,645
LONDON NORTH WEST HEALTHCARE NHS TRUST	81.8	57,126	46,729	10,397
TAUNTON AND SOMERSET NHS FOUNDATION TRUST	81.3	22,032	17,912	4,120
KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST	81.2	76,116	61,806	14,310
BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST	80.9	19,409	15,702	3,707
BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST	80.7	25,993	20,976	5,017
KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST	80.5	22,916	18,447	4,469
PLYMOUTH HOSPITALS NHS TRUST	80.3	25,836	20,746	5,090
MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST	80	32,702	26,162	6,540
ROYAL CORNWALL HOSPITALS NHS TRUST	79.3	25,482	20,207	5,275
QUEEN VICTORIA HOSPITAL NHS FOUNDATION TRUST	79	11,047	8,727	2,320
EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST	78.6	54,961	43,199	11,762
NORTHERN DEVON HEALTHCARE NHS TRUST	77.7	13,823	10,740	3,083
UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST	75	48,048	36,036	12,012
WYE VALLEY NHS TRUST	74.9	15,604	11,687	3,917
BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST	74.6	34,420	25,677	8,743
WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION TRUST	74.6	26,648	19,879	6,769
NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST	70.2	30,054	21,098	8,956

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