NHS: What do the latest figures show about treatment waiting lists, hospital beds, and ambulance wait times?
NHS England’s waiting list for elective treatment fell from 7.7m in October to 7.6m in November.
That’s the smallest it’s been since June, but still far larger than it was in November 2022 (7.2m).
Despite facing the most sustained industrial action in its history, the NHS has had a relatively good winter.
A mild flu season has helped keep demand for the health service relatively low, at least partially offsetting the impact of the strikes.
As of 7 January, just 2,271 beds were rendered unavailable due to seasonal winter illnesses.
That’s less than half the figure at this time last year (5,151).
As a result, hospitals have been unusually empty for this time of year, with an average of 93.5% of beds occupied in the first week of the year (compared to 94.7% at the same time last year).
With more capacity, hospitals have had more space to take on elective cases and cut waiting lists.
It has also reduced some of the pressures on A&E departments. Waiting times have fallen, though they still remain well above their pre-pandemic levels.
In December, 104,000 people waited more than four hours to be admitted to A&E after the decision had been made to admit them, or 27% of all admissions.
That’s down from a record 33% of admissions in 2022, but far higher than it was in 2018 (11%).
One in every 12 admissions this December (8%, or 44,000 people) were forced to wait over 12 hours. Such waits were almost unheard of before the pandemic, affecting just 284 patients in December 2018.
Similarly, ambulance response times are better than last year, but remain above target.
The average call-out for a heart attack or stroke took 46 minutes to arrive, down from 48 minutes in December 2022 but six minutes above target.
For 10% of calls, ambulances took an hour and 41 minutes.
Sarah Woolnough, chief executive of the health charity, the King’s Fund, said the figures showed the NHS was still not meeting the majority of its most important performance targets this winter.
“On some measures, the situation is better than this time last year, in part thanks to efforts to increase capacity as well as relatively low hospital admissions from COVID-19 and flu, but patients are still not receiving an acceptable level of service,” she said.
“Behind each of these figures is a person who is struggling to receive the timely care they need and deserve, despite the best efforts of staff.”
Read more from Sky News:
How NHS is ‘standing still’ to meet existing demand
Local NHS bodies on track to spend £4.9bn more than planned
Kate Seymour, head of advocacy at Macmillan Cancer Support, said that while the data showed a slight improvement on wait times, there were “still thousands of people in England facing agonising delays for vital cancer diagnosis and treatment”.
“Every day at Macmillan we hear how these unacceptable delays can cause needless anxiety and even result in a worse prognosis. People’s lives are being put at risk, and it’s simply not good enough,” she said.
Health and Social Care Secretary Victoria Atkins said the figures showed the progress “our fantastic NHS staff can make towards bringing waiting lists down when they don’t have to contend with industrial action”.
Health Secretary Victoria Atkins. File pic
“November was the first month without industrial action for over a year, and we reduced the total waiting list by more than 95,000 – the biggest decrease since December 2010, outside of the pandemic,” she said.
“We want to put an end to damaging strikes once and for all, and if the BMA Junior Doctors Committee can demonstrate they have reasonable expectations, I will still sit down with them.”
Professor Sir Stephen Powis, NHS national medical director, added: “Despite winter pressures, significant demand and over a year of regular industrial action, the sheer volume of care delivered by NHS staff for patients across the country is hugely impressive, with more people than ever before treated in November and the waiting list falling for the second month in a row.
“We have experienced the toughest possible start to 2024 with the longest set of strikes in our 75-year history, but we remain focused on doing all we can to make progress on the covid backlog that has inevitably built up over the pandemic.
“While we know we have a long way to go, caring for over 1.6 million people in a single month is such important progress and makes such a huge difference for those patients who have been waiting for an appointment or operation.”
United States Senator Cynthia Lummis suggests the crypto industry may be celebrating too soon over the US Federal Reserve softening its crypto guidance for banks.
“The Fed withdrawing crypto guidance is just noise, not real progress,” Lummis said in an April 25 X post. Lummis called the Fed’s April 24 announcement — withdrawing its 2022 supervisory letter that had discouraged banks from engaging with crypto and stablecoin activities — “just lip service.”
Lummis’ tone was different from the rest of the crypto industry
Lummis, a pro-crypto advocate known for introducing the Bitcoin (BTC) Strategic Reserve Bill in July 2024, pointed out several flaws in the Fed’s announcement, even as Strategy founder Michael Saylor and crypto entrepreneur Anthony Pompliano suggested it was a step forward for banks and crypto.
She argued that the Fed continues to “illegally flout the law on master accounts” and still relies on reputational risk in its bank supervision practices. It comes as the Federal Insurance Deposit Corporation (FDIC) is working on a rule to stop examiners from considering reputational risk when reviewing a bank’s operations, according to a recent Bloomberg report.
Lummis also highlighted the Fed’s policy statement in Section 9(13), which hasn’t been withdrawn, stating that Bitcoin and digital assets are considered “unsafe and unsound.”
She also reiterated many of the same staff behind Operation Chokepoint 2.0 are still involved in crypto policy today.
“We are NOT fooled. The Fed assassinated companies within the industry and hurt American interests by stifling innovation and shuttering businesses. This fight is far from over.”
“I will continue to hold the Fed accountable until the digital asset industry gets more than a life jacket, Chair Powell — they need a fair shake,” Lummis said.
Related: If Trump fired Powell, what would happen to crypto?
Custodia Bank founder and CEO Caitlin Long seemed to share a similar view to Lummis.
“THANK YOU for seeing this for what it is,” Long said.
However, many crypto executives praised the Fed’s announcement as a positive development for the industry. Saylor said in an April 25 X post that the Fed’s move means that “banks are now free to begin supporting Bitcoin.”
Anastasija Plotnikova, co-founder and CEO of blockchain regulatory firm Fideum, said the Fed’s decision “is a significant development, as it will simplify the path to institutional adoption.”
Magazine: Ethereum is destroying the competition in the $16.1T TradFi tokenization race
In one of his first appearances as the recently sworn-in chair of the US Securities and Exchange Commission, Paul Atkins delivered remarks to the agency’s third roundtable discussion of crypto regulation.
In the “Know Your Custodian” roundtable event on April 25, Atkins said he expected “huge benefits” from blockchain technology through efficiency, risk mitigation, transparency, and cutting costs. He reiterated that among his goals at the SEC would be to facilitate “clear regulatory rules of the road” for digital assets, hinting that the agency under former chair Gary Gensler had contributed to market and regulatory uncertainty.
“I look forward to engaging with market participants and working with colleagues in President Trump’s administration and Congress to establish a rational fit-for-purpose framework for crypto assets,” said Atkins.
Some critics of US President Donald Trump see Atkins’ nomination to lead the SEC as a nod to the crypto industry, acting on campaign promises to remove Gensler — the former chair resigned the day Trump took office — and cut back on regulation. Democratic lawmakers on the Senate Banking Committee questioned Atkins on his ties to the industry, potentially presenting conflicts of interest in his role regulating crypto.
Related: Atkins SEC era sparks massive industry optimism, crypto execs speak out
The direction of the SEC under new leadership
“We’ve noticed that we don’t have to be as concerned […] about being accused of things that we’re not doing, like being broker-dealers for securities,” Exodus chief legal officer Veronica McGregor, who participated in the roundtable, told Cointelegraph on April 24.”It’s just a less scary regulatory environment in general. It is, however, still unclear what the ultimate regs are going to look like for crypto.”
The SEC crypto task force is scheduled to hold two more roundtables in May and June to discuss tokenization and decentralized finance, respectively. Commissioner Hester Peirce, who leads the task force, told Cointelegraph in March that she welcomed the opportunity to work with Atkins to “reorient the agency,” hinting at an SEC with regulations more favorable to the crypto industry.
In addition to the roundtables, the crypto task force has reported several meetings with digital asset firms to discuss various policies and considerations in developing a regulatory framework.
Magazine: SEC’s U-turn on crypto leaves key questions unanswered
Nasdaq has urged the US Securities and Exchange Commission (SEC) to hold digital assets to the same regulatory standards as securities if they constitute “stocks by any other name,” according to an April 25 comment letter.
The exchange said the US financial regulator needs to establish a clearer taxonomy for cryptocurrencies, including categorizing a portion of digital assets as “financial securities.” Those tokens, Nasdaq argued, should continue to be regulated “as they are regulated today regardless of tokenized form.”
“Whether it takes the form of a paper share, a digital share, or a token, an instrument’s underlying nature remains the same and it should be traded and regulated in the same ways,” the letter said.
It also proposed categorizing a portion of cryptocurrencies as “digital asset investment contracts,” to be subject to “light touch regulation” but still overseen by the SEC.
Related: Certain stablecoins aren’t securities, SEC says in new guidance
Regulatory U-turn
The SEC has dramatically pivoted its stance on cryptocurrency oversight since US President Donald Trump took office in January.
Under the leadership of former Chair Gary Gensler, the SEC took the position that practically all cryptocurrencies, with the exception of Bitcoin (BTC), represent investment contracts and therefore qualify as securities.
This stance led the agency to bring upwards of 100 lawsuits against crypto firms for alleged securities law violations.
However, under Trump nominee Paul Atkins, who was sworn in as chair on April 21 after a lengthy Senate confirmation, the SEC has claimed jurisdiction over a narrower segment of cryptocurrencies.
In February, the agency issued guidance stating that memecoins — if clearly identified as purely speculative assets with no intrinsic value — do not qualify as investment contracts pursuant to US law.
In April, the SEC said that stablecoins — digital tokens pegged to the US dollar — similarly do not qualify as securities if they are marketed solely as a means of making payments.
Integrating crypto into TradFi
In its April 21 letter, Nasdaq said existing financial infrastructure “can readily absorb digital assets by establishing the proper taxonomy and calibrating certain rules to reflect what is truly new and novel about digital assets.”
The Depository Trust & Clearing Corporation (DTCC) — a private US securities clearinghouse closely overseen by the SEC — has been laying the foundation for integrating blockchain technology into regulated financial markets.
In March, the DTCC committed to promoting Ethereum’s ERC-3643 standard for permissioned securities tokens.
Magazine: Ethereum is destroying the competition in the $16.1T TradFi tokenization race
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