Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the average waiting time is for paediatric referrals in (a) East and North Hertfordshire NHS Trust, (b) Hertfordshire and West Essex ICB and (c) England; and what steps his Department is taking to reduce paediatric referral backlogs.

The median average waiting time for paediatric referrals for those that are currently on the referral to treatment waiting list is:

- 8.7 weeks for the East and North Hertfordshire NHS Trust;

- 8.7 weeks for the Hertfordshire and West Essex Integrated Care Board (ICB); and

- 9.9 weeks for England.

Our Elective Reform Plan (ERP), published in January 2025, sets out how the National Health Service will reform elective care services and meet the 18-week referral to treatment standard for all patients, including children and young people, by March 2029. As a first step to achieving this, we exceeded our pledge to deliver an extra two million operations, scans, and appointments in our first year of Government, delivering 5.2 million more appointments.

We have made it easier to monitor elective waiting times for children and young people by publishing new demographic data as part of monthly inequalities statistical releases. This is a big step forward in improving the transparency of waiting times and will provide accountability for children’s elective waiting lists.

The ERP outlined several commitments specifically in relation to children and young people including that ICBs and providers should ensure interventions are in place to reduce disparities for groups who face additional waiting list challenges, and that primary and secondary care clinicians are encouraged to improve digital referral functionality by including data that enables better prioritisation.

In addition, the clinically led Getting It Right First Time Children and Young people programme continues to work with providers to ensure they are implementing best practice to improve children’s outcomes and waiting times across all medical and surgical specialities.

Lastly, dedicated paediatric surgery days are being introduced across England, using existing NHS estate in day surgery or hub settings, to boost surgical activity for children and young people. We are also making the most of surgical hubs to deliver better outcomes for children, through promoting greater paediatric ear, nose, and throat access. Surgical hubs will play a key role in delivering this increased activity and ensuring timely access to planned care.