Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve coordination between NHS hospitals within the same region to offer patients earlier appointments at alternative sites.

As set out in the Plan for Change, we have committed to return to the National Health Service constitutional standard that 92% of patients wait no longer than 18 weeks from referral to treatment (RTT) by March 2029.

Planning Guidance for 2025/26 sets a target that 65% of patients wait for 18 weeks or less by March 2026, with every trust expected to deliver a minimum 5 percentage point improvement on current performance over that period.

It is for Integrated Care Boards (ICBs) to determine how best to manage their system capacity to meet this target. Mutal aid is a route some systems are using for those waiting longest. This can mean that some patients receive treatment at a different hospital to the one they originally selected (with the patient’s agreement).

NHS England regional and national teams work with providers and ICBs with particularly significant waits, and this can include identifying alternative capacity outside of individual systems.

Patients have a right to choose their provider when they are referred to consultant-led care as an outpatient, informed by waiting times information. Patients also have a right to request their ICB find an alternative provider if they are waiting over 18 weeks for consultant-led care.