NHS England introduces travel for treatment option in bid to beat record waiting lists

A general view of staff on a NHS hospital ward at Ealing Hospital.
A record 7.75 million people in England are waiting to start routine hospital treatment. Credit: PA

Hundreds of thousands of patients who have been waiting for 10 months or more for NHS care are to be given the chance to travel to another hospital to speed up their treatment time, officials have said.

Earlier this year NHS England announced plans to give people the opportunity to travel for treatment in a bid to bring down the record backlog of care in the health service.

Now around 400,000 patients who have been waiting longer than 40 weeks are to be contacted to see whether they would be willing to travel to another hospital in England to expedite their care.

Patient will receive a letter, text or email asking whether they would be willing to travel, and if so how far.

Some may say they would travel the length and breadth of the country while others can opt for shorter trips, should they wish.

NHS teams can then identify whether any alternative hospitals have capacity to see them sooner.

This could involve the use of the NHS’s “matching platform”, which was launched earlier this year to match patients with providers outside their local area.

The platform was designed to make the most of available capacity across the country – be it in other NHS hospitals or in the private sector – to speed up waits.

Patients will be eligible only if they have been waiting longer than 40 weeks and do not have an appointment scheduled within the next eight weeks.


Analysis from ITV News' Health and Science Correspondent Martin Stew

There are 7.75 million people waiting for treatment on the NHS - a record high. 

The government had already announced plans to give those waiting the longest the opportunity to travel further afield for treatment - today’s announcement is that they will proactively contact patients to offer them that option. 

Around 400,000 patients who have been waiting for 10 months or more will now be contacted.

They’ll receive a letter, text or email asking whether they would be willing to travel, and if so how far.

To be eligible you will need to have been waiting longer than 40 weeks and not have an appointment scheduled within the next 8 weeks.

If no alternative hospital is found within two months of starting the process, the patient will remain with their current provider and keep their position on the waiting list.

It’s estimated 5% of patients on waiting lists will be eligible but it is less clear how much capacity there will be at alternative hospitals (who are all under pressure).

Patient groups have welcomed the announcement but say the plans will only work if they’re fully funded."


If no alternative hospital is found within two months of starting the process, the patient will remain with their current provider and keep their position on the waiting list.

Officials estimate that 5% of people on the NHS waiting list will be eligible for the offer.

A record 7.75 million people in England are waiting to start routine hospital treatment – the highest number since records began in 2007.

The NHS has previously said there is local funding and support in place to enable people who may struggle to travel – which could include elderly or disabled people – to benefit from the scheme. This could include provision of taxis or hotels.

A number of patients will not be eligible if their clinical condition is too complex, making it inappropriate to travel, NHS England said.

Health Secretary Steve Barclay said the decision to travel could be 'empowering' for patients. Credit: PA

Amanda Pritchard, chief executive of NHS England, said: “This new step to offer NHS patients who have been waiting the longest the opportunity to consider travelling for treatment is just another example of how we are introducing new approaches to reduce how long patients wait, while improving the choice and control they have over their own care.

“Giving this extra option to these patients also demonstrates the clear benefits of a single national health service, with staff able to share capacity right across the country.

“So, whether a patient’s care moves to the next town or somewhere further away, it is absolutely right that we make the most of available capacity across the country to continue to reduce the backlogs that have inevitably built up due to the pandemic and provide the best possible service for patients.”

Around 47,000 women in England are diagnosed with breast cancer each year. Credit: PA

Health and Social Care Secretary Steve Barclay added: “Empowering people to choose where and when they receive their treatment will help tackle waiting lists and improve access to NHS care.

“From today, those waiting 40 weeks or more will be given more options to speed up treatment, including at hospitals with shorter waiting times or using capacity within the independent sector.

“This is the next step in our plan build a health service around patients and follows on from the roll-out of community diagnostic centres, surgical hubs and virtual wards to unlock capacity in the NHS.”


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