Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he has issued guidance to hospital trusts on reducing waiting lists for elective care through demand management.

The Government has committed to returning to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to treatment, a standard which has not been met consistently since September 2015. Our Elective Reform Plan, published in January 2025 and sent to all NHS trusts, details the necessary reform efforts and includes several actions to reduce unnecessary elective referrals. This includes stepping up volumes of Advice and Guidance (A&G) through the introduction of a new £20 payment for general practitioners, per A&G request, and rolling out clinical triage more consistently to ensure patients receive care in the correct setting, including in primary or community services where this is in the patient’s best interests.

The NHS Get it Right First Time (GIRFT) programme also has detailed national guidance for NHS trusts to help reduce their elective waits, including specialty-level guides with specific advice on demand management. GIRFT is proactively supporting trusts to implement this.