Does the NHS have a waiting list? Here's what's really happening in 2026

Does the NHS have a waiting list? Here's what's really happening in 2026

Jan, 15 2026

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Yes, the NHS has a waiting list. Not just a small one. Not just for specialist appointments. Right now, over 7.8 million people in England are waiting for routine hospital treatment. That’s more than the population of Scotland. And it’s not getting better - it’s getting longer.

What counts as a waiting list?

The NHS waiting list isn’t just about surgery. It includes every step after your GP refers you: diagnostic scans like MRIs and CTs, specialist consultations, physiotherapy, mental health therapy, and elective surgeries like hip replacements or cataract removals. If you’ve been referred and haven’t started treatment yet, you’re on the list.

Wait times vary wildly. For some, it’s a few weeks. For others, it’s over a year. In 2025, the average wait for a first specialist appointment was 62 days. For non-urgent surgery, it was 217 days. That’s more than seven months. And those are averages - many people wait much longer.

Why are waits so long?

The problem didn’t start in 2026. It’s been building for years. The pandemic crushed the system. Elective surgeries were paused for months. Backlogs piled up. But even before 2020, the NHS was struggling. Staff shortages, budget freezes, and rising demand made it hard to keep up.

Today, there are over 120,000 vacant nursing posts across the NHS. Hospitals can’t fill them. Radiology departments are short of technicians. Mental health teams are overwhelmed. And every year, more people need care - an aging population, more chronic conditions like diabetes and heart disease, and rising obesity rates.

It’s not just about having enough people. It’s about having enough time. A single consultant can’t see 50 patients a day and give each one proper attention. So they prioritize. Urgent cases get seen first. Non-urgent ones? They wait.

How long are you really waiting?

There’s no single answer. It depends on where you live, what you need, and how busy your local hospital is.

In some areas, like parts of London or the South East, waits are longer because more people live there and services are stretched thinner. In rural areas, you might wait longer just to get to a hospital - even if the hospital itself has capacity.

Here’s what current data shows for common procedures:

  • First specialist appointment: 6-10 weeks on average, but up to 20+ weeks in high-demand areas
  • Diagnostic scan (MRI/CT): 8-16 weeks
  • Elective hip replacement: 18-32 weeks
  • Elective knee replacement: 20-36 weeks
  • Cataract surgery: 12-24 weeks
  • Psychological therapy (IAPT): 16-40 weeks

These aren’t guesses. They’re official NHS England figures from late 2025. And they’re worse than they were in 2023. Back then, the average wait for a hip replacement was 16 weeks. Now it’s 25.

A symbolic staircase with millions of people climbing, representing the NHS waiting list, with AI offering a shortcut above.

What’s being done about it?

The NHS says it’s trying. There are new treatment hubs, mobile scanning units, and partnerships with private providers to clear backlogs. In 2025, the government pledged £2.5 billion to tackle waiting lists. Some of that went to hiring more staff. Some went to upgrading equipment. Some went to paying private hospitals to do NHS work.

But it’s not enough. The money helps, but it doesn’t fix the root problems: not enough staff, not enough time, not enough infrastructure. And even when patients are treated faster, new ones keep coming in.

One pilot program in Manchester started using AI to triage referrals. It flagged which cases needed urgent attention and which could wait. That cut the wait for high-priority patients by 30%. But it’s only running in a few areas. Nationwide? Not yet.

What can you do if you’re waiting?

If you’re on the list, you’re not powerless. Here’s what actually works:

  1. Keep your referral letter. NHS staff often lose paperwork. Have your referral number handy.
  2. Check your status online. Most NHS trusts let you track your wait through the NHS App or their website. You can see where you are in the queue.
  3. Ask about alternatives. If you’re waiting for physio, ask if you can get a virtual consultation or self-help resources. For mental health, ask about digital CBT programs - they’re free and often faster.
  4. Know your rights. If you’ve been waiting over 18 weeks for treatment, you’re entitled to be offered a private appointment paid for by the NHS. You don’t have to ask - the hospital should tell you. But many don’t. So ask.
  5. Don’t ignore worsening symptoms. If your pain gets worse or you develop new issues, contact your GP again. You might be moved up the list.

Some people worry that asking too much makes them seem demanding. It doesn’t. You’re not asking for special treatment. You’re asking for the care you’re already entitled to.

An elderly woman checking her NHS App on a tablet, showing 18 weeks remaining, in a quiet home setting with a cane nearby.

Is private care faster?

Yes. But it’s not always the answer.

If you can afford it, private treatment can cut your wait from months to weeks. A hip replacement might cost £12,000-£18,000 out of pocket. But you’ll get seen in 2-4 weeks. Some private insurers cover it. Some employers offer health cash plans. And yes, some NHS staff work privately on weekends - you can sometimes book a consultation with them directly.

But here’s the catch: private care doesn’t fix the NHS. And if you’re on a low income, it’s not an option. That’s why the NHS exists - to provide care regardless of income. The real problem isn’t that private care is fast. It’s that the public system is falling behind.

What’s the future looking like?

Without major changes, waits will keep growing. By 2027, projections show over 9 million people could be waiting for treatment. That’s one in seven adults in England.

Some experts say the NHS needs a 20% funding boost just to stand still. Others say it needs a complete redesign - more community-based care, fewer hospital visits, better use of technology.

One thing’s clear: waiting lists aren’t going away unless something changes. And that change needs to come from more than just money. It needs more nurses. More radiographers. More mental health workers. More support for GPs. And more respect for the people who do the work.

For now, if you’re waiting, you’re not alone. Millions are waiting too. And while the system is broken, your health still matters. Keep pushing. Keep asking. And don’t give up.

How long is the average NHS waiting list in 2026?

As of early 2026, over 7.8 million people in England are waiting for routine NHS treatment. The average wait for a first specialist appointment is 62 days, and for non-urgent surgery, it’s 217 days. Some waits exceed a year, especially for mental health therapy or diagnostic scans.

Can I get private treatment through the NHS if I’m waiting too long?

Yes. If you’ve been waiting more than 18 weeks for treatment, you have a legal right to be offered a private appointment paid for by the NHS. The hospital should notify you, but many don’t. If you’re unsure, call your referral office and ask: "Am I eligible for an NHS-funded private treatment option?"

Why are NHS waiting times worse now than before the pandemic?

The pandemic caused a massive backlog - elective surgeries were paused for months, and staff were redeployed to emergency care. But even before 2020, the NHS was under strain due to staff shortages, underfunding, and rising demand. The pandemic didn’t create the problem - it made it visible.

What should I do if my condition gets worse while I’m waiting?

Contact your GP immediately. Don’t wait for your appointment. Explain that your symptoms have changed or worsened. You may be moved up the priority list. For urgent issues, go to A&E or call 111 - your health comes first, even if you’re on a waiting list.

Are there alternatives to waiting for NHS care?

Yes. You can use NHS-approved digital services like online CBT for mental health, virtual physiotherapy, or self-management programs. Some GP practices offer extended hours or community clinics. You can also ask your GP about local charities or support groups that help with pain management or mobility - many are free and can reduce your need for hospital care.

NHS waiting list isn’t just a statistic - it’s a real barrier for millions of people trying to get care. The system is under pressure, but there are still ways to navigate it. Stay informed, ask questions, and don’t accept silence as an answer.

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