The health secretary is said to be “open to requests” for patients from other UK nations to be treated in England to help tackle waiting lists.
Steve Barclay has invited the health ministers for Scotland and Wales to discuss what can be learned from their varying approaches.
He suggested he would consider appeals for people who have been waiting a long time to come to England for treatment.
Health has been a devolved matter since 1999, with nations able to largely decide how to run their own systems.
Mr Barclay said he wanted to “share best practices, improve transparency and provide better accountability for patients”.
He added: “This will help to ensure we are joined up when it comes to cutting waiting lists – one of the government’s top five priorities – and will allow us to better work together to improve performance and get patients seen more quickly.”
The Department of Health and Social Care (DHSC) said “significant variations” existed between waiting times.
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“In Wales, more than 73,000 people are waiting over 77 weeks for treatment, and at least 21,600 people are waiting over 78 weeks for an outpatient, day case or inpatient appointment in Scotland,” said the DHSC.
“In England, waiting times for patients over 78 weeks have been virtually eliminated.”
Image: Junior doctors have been striking in England
Mr Barclay’s invitation for talks has not had an enthusiastic reception.
Scottish health secretary Michael Matheson suggested Westminster should concentrate on the “many issues south of the border”, such as doctors’ strikes.
A Welsh government spokesperson defended its record and said long waiting times had “more than halved in the past year” – and that its figures include more referrals.
They added: “The overall growth in waiting lists in Wales has been smaller in Wales than in England over the last 12 months – it grew by 3.6% in Wales and by 12.1% in England.
“Wales has also outperformed England in major emergency department performance in nine out of the last 10 months.”
Labour’s shadow health secretary Wes Streeting also hit out at Mr Barclay, saying: “The only advice the Tories are qualified to offer is how to wreck the NHS and cause the biggest strikes in its history.”
The government says 778,000 appointments have been disrupted during the strikes, but the British Medical Association says doctors have no choice due to dwindling pay.
Doctors in England planning to go on strike in the run-up to Christmas are considering a new offer from the government to end the long-running dispute.
Resident doctors, formerly junior doctors, will walk out from 7am on 17 December until 7am on 22 December.
Health Secretary Wes Streeting has appealed to doctors to accept the government’s latest package.
The British Medical Association (BMA) said it will consult members by surveying them online on whether or not the deal from the government is enough to call off next week’s walkout.
The poll will close on Monday – just two days before the five-day strike is set to start.
Image: The number of people in hospital with flu in England is at a record level for this time of year. File pic: PA
The union said the new offer includes new legislation to ensure UK medical graduates are prioritised for speciality training roles.
It also includes an increase in the number of speciality training posts over the next three years – from 1,000 to 4,000 – with more to start in 2026.
Funding for mandatory Royal College examination and membership fees for resident doctors is also part of the deal.
It does not address resident doctors’ demand for a 26% salary rise over the next few years to make up for the erosion in their pay in real terms since 2008 – this is on top of a 28.9% increase they have had over the last three years.
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Mr Streeting warned a resident doctors’ strike over Christmas would have a “much different degree of risk” than previous walkouts.
It coincides with pressures facing the NHS, with health chiefs raising concerns over a “tidal wave” of illness and a “very nasty strain of flu”.
A new strain of the flu virus is thought to be much more infectious than previous strains and has already led to a record number of patients needing urgent hospital care.
The union’s mandate to strike is set to expire shortly, but Mr Streeting has offered to extend it to allow the medics to take action later in January if they reject his offer.
He called the union’s decision not to take it up “inexplicable”.
Last week, NHS England chief executive Sir Jim Mackey branded the decision by doctors to strike as “something that feels cruel” and which is “calculated to cause mayhem at a time when the service is really pulling all the stops out to try and avoid that and keep people safe”.
BMA resident doctors committee chair Dr Jack Fletcher said the latest government offer “is the result of thousands of resident doctors showing that they are prepared to stand up for their profession and its future”.
“It should not have taken strike action, but make no mistake: it was strike action that got us this far,” he said.
“We have forced the government to recognise the scale of the problems and to respond with measures on training numbers and prioritisation.
“However, this offer does not increase the overall number of doctors working in England and does nothing to restore pay for doctors, which remains well within the government’s power to do.”
Polish lawmakers have doubled down on crypto regulation rejected by President Karol Nawrocki, deepening tensions between the president and Prime Minister Donald Tusk.
Polska2050, part of the ruling coalition in the Sejm — Poland’s lower house of parliament — reintroduced the extensive crypto bill on Tuesday, just days after Nawrocki vetoed an identical bill.
The bill’s backers, including Adam Gomoła — a member of Poland2050 — called Bill 2050 an “improved” successor to the vetoed Bill 1424, but government spokesman Adam Szłapka reportedly declared that “not even a comma” had been changed.
The division over Poland’s crypto bill comes amid the rollout of the European Union’s Markets in Crypto-Assets Regulation (MiCA) across member states ahead of a July 2026 compliance deadline for EU crypto businesses.
Critics say Bill 2050 is “exactly same bill”
The new version of Poland’s draft crypto bill provides an 84-page-long document that essentially replicates the original Bill 1424, aiming to designate the Polish Financial Supervision Authority as the country’s primary crypto asset market regulator.
He also mocked Tusk’s claim that the president’s earlier veto was tied to the alleged involvement of the “Russian mafia,” saying: “The bill is perfect, and anyone who thinks otherwise is funded by Putin.”
Government spokesman Szłapka reportedly claimed that Nawrocki will likely not veto the proposed bill this time, following a classified security briefing in parliament last week and “now has full knowledge” of the implications on national security.
The issue with MiCA: Local versus centralized EU oversight
Poland’s debate over its crypto bill sets an important precedent for implementing the EU-wide MiCA regulation, as the proposed legislation would place responsibility for market supervision on the local financial regulator.
The issue is particularly significant amid calls from some member states for more centralized MiCA supervision under the Paris-based European Securities and Markets Authority (ESMA).
In October, the Bank of France urged the EU to give the ESMA direct supervisory powers, warning that a fragmented approach to oversight could undermine the bloc’s financial sovereignty.
Notably, Polish economist Krzysztof Piech — a prominent critic of Poland’s proposed crypto bill — has questioned the need for the local legislation, noting that MiCA protections will take effect in 2026.
While local reports suggest that Nawrocki may not veto the bill this time, there is also speculation that his office has been presented with an “alternative” draft aimed at creating more favorable market conditions. The proposed alternative is reportedly designed to align with the EU-wide MiCA framework and remove direct oversight from the local regulator.
Norway rules that a digital krone is unnecessary for now, highlighting its strong payment rails and the uncertain benefits of both retail and wholesale CBDCs.