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Millions of NHS Patients Left in Limbo Amid Unseen Waiting List Crisis
2 Aug
Summary
- Nearly half of 6.23 million NHS England patients have received no further care since referral
- 2.99 million people waiting for their first clinical contact, with many exceeding 18-week target
- Delays leading to worsening symptoms and pressure on emergency services

According to the latest data, the NHS England waiting list crisis has reached alarming new heights. As of 2025-08-02, an estimated 7.36 million treatments were waiting to be carried out, relating to 6.23 million patients. However, the analysis from MBI Health suggests that nearly half of these patients - around 2.99 million people - have received no further care since being referred by their GP.
This "frontlog" of unseen patients is contributing significantly to the growing NHS waiting list, with an estimated 1 million of the 2.99 million having already waited more than 18 weeks without receiving any care. Delays in making a first assessment can lead to late diagnosis, worsening symptoms, and increased pressure on emergency services.
The analysis found that certain specialist departments, such as ear, nose and throat, trauma and orthopaedics, and ophthalmology, consistently had the greatest number of patients not seen for the first time. Rachel Power, chief executive of the Patients Association, described this situation as a "breakdown" in the healthcare system, with people unable to plan their lives as their conditions deteriorate.
The NHS is expected to meet its target of carrying out 92% of routine operations and appointments within 18 weeks by March 2029, but the current crisis suggests this will be an immense challenge to overcome.