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 NHShas 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.
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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.”
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”.
Image: 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.”
US Senator Elizabeth Warren warned that if President Donald Trump eventually moves to fire Federal Reserve Chair Jerome Powell, it could undermine investor confidence in the integrity of US capital markets and trigger a financial crash.
During an appearance on CNBC, the Massachusetts Senator said the President does not have the legal authority to remove Powell from his position. Moreover, removing Powell would weaken the financial infrastructure of the US, Warren added:
“If Chairman Powell can be fired by the President of the United States, it will crash the markets. The infrastructure that keeps this stock market strong and, therefore, a big part of our economy strong, and a big part of the world economy strong, is the idea that the big pieces move independently of politics.”
“If interest rates in the United States are subject to a president who just wants to wave his magic wand, this doesn’t distinguish us from any other two-bit dictatorship,” Warren continued.
Trump discusses US economic policies with reporters. Source: The White House
President Trump has repeatedly called for Powell’s termination, citing the chairman’s hesitancy to lower interest rates. Lower interest rates are usually considered a positive catalyst for risk-on asset prices, including cryptocurrencies, and could reverse the market downturn brought on by the trade war and current macroeconomic pressures.
Trump criticized Powell for not cutting interest rates and called for his termination again in an April 17 Truth Social post, which inflamed speculation that he would follow through on threats and find a way to remove the chairman.
Senator Rick Scott echoed Trump’s calls to remove Powell. “It’s time to clean house of everyone working at the Federal Reserve who isn’t on board with helping the American people and fighting for their best interests,” Scott wrote in an opinion piece published on Fox News.
The Trump administration has repeatedly stated that lowering interest rates is a top priority. Market analyst and investor Anthony Pompliano recently speculated that Trump deliberately crashed financial markets to force lower interest rates.
At the time, Pompliano cited a reduction in the yield of the 10-year US Treasury Bond to just 4%. The 10-year bond yield has climbed back up to 4.3% since then.
Crypto investor sentiment took another significant hit this week after Mantra’s OM token collapsed by over 90% within hours on Sunday, April 13, triggering knee-jerk comparisons to previous black swan events such as the Terra-Luna collapse.
Elsewhere, Coinbase’s report for institutional investors added to concerns by highlighting that cryptocurrencies may be in a bear market until a recovery occurs in the third quarter of 2025.
Mantra OM token crash exposes “critical” liquidity issues in crypto
Mantra’s recent token collapse highlights an issue within the crypto industry of fluctuating weekend liquidity levels creating additional downside volatility, which may have exacerbated the token’s crash.
The Mantra (OM) token’s price collapsed by over 90% on Sunday, April 13, from roughly $6.30 to below $0.50, triggering market manipulation allegations among disillusioned investors, Cointelegraph reported.
While blockchain analysts are still piecing together the reasons behind the OM collapse, the event highlights some crucial issues for the crypto industry, according to Gracy Chen, CEO of the cryptocurrency exchange Bitget.
“The OM token crash exposed several critical issues that we are seeing not just in OM, but also as an industry,” Chen said during Cointelegraph’s Chainreaction daily X show, adding:
“When it’s a token that’s too concentrated, the wealth concentration and the very opaque governance, together with sudden exchange inflows and outflows, […] combined with the forced liquidation during very low liquidity hours in our industry, created the big drop off.”
Crypto in a bear market, rebound likely in Q3 — Coinbase
A monthly market review by publicly traded US-based crypto exchange Coinbase shows that while the crypto market has contracted, it appears to be gearing up for a better quarter.
According to Coinbase’s April 15 monthly outlook for institutional investors, the altcoin market cap shrank by 41% from its December 2024 highs of $1.6 trillion to $950 billion by mid-April. BTC Tools data shows that this metric touched a low of $906.9 billion on April 9 and stood at $976.9 billion at the time of writing.
Venture capital funding to crypto projects has reportedly decreased by 50%–60% from 2021–22. In the report, Coinbase’s global head of research, David Duong, highlighted that a new crypto winter may be upon us.
“Several converging signals may be pointing to the start of a new ‘crypto winter’ as some extreme negative sentiment has set in due to the onset of global tariffs and the potential for further escalations,” he said.
Manta founder details attempted Zoom hack by Lazarus that used very real “legit faces”
Manta Network co-founder Kenny Li said he was targeted by a sophisticated phishing attack on Zoom that used live recordings of familiar people in an attempt to lure him to download malware.
The meeting seemed real with the impersonated person’s camera on, but the lack of sound and a suspicious prompt to download a script raised red flags, Li said in an April 17 X post.
“I could see their legit faces. Everything looked very real. But I couldn’t hear them. It said my Zoom needs an update. But it asked me to download a script file. I immediately left.”
Li then asked the impersonator to verify themselves over a Telegram call, however, they didn’t comply and proceeded to erase all messages and block him soon after.
The Manta Network co-founder managed to screenshot his conversation with the attacker before the messages were deleted, during which Li initially suggested moving the call over to Google Meet.
AI tokens, memecoins dominate crypto narratives in Q1 2025: CoinGecko
The cryptocurrency market is still recycling old narratives, with few new trends yet to emerge and replace the leading themes in the first quarter of 2025.
Artificial intelligence tokens and memecoins were the dominant crypto narratives in the first quarter of 2025, accounting for 62.8% of investor interest, according to a quarterly research report by CoinGecko. AI tokens captured 35.7% of global investor interest, overtaking the 27.1% share of memecoins, which remained in second place.
Out of the top 20 crypto narratives of the quarter, six were memecoin categories while five were AI-related.
AI tokens, memecoins, were leading crypto narratives in Q1 2025: CoinGecko
“Seems like we have yet to see another new narrative emerge and we are still following past quarters’ trends,” said Bobby Ong, the co-founder and chief operating officer of CoinGecko, in an April 17 X post. “I guess we are all tired from the same old trends repeating themselves.”
Crypto lending down 43% from 2021 highs, DeFi borrowing surges 959%
The crypto lending market’s size remains significantly down from its $64 billion high, but decentralized finance (DeFi) borrowing has made a more than 900% recovery from bear market lows.
Crypto lending enables borrowers to use their crypto holdings as collateral to obtain crypto or fiat loans, while lenders can use their holdings to generate interest.
The crypto lending market was down over 43%, from its all-time high of $64.4 billion in 2021 to $36.5 billion at the end of the fourth quarter of 2024, according to a Galaxy Digital research report published on April 14.
“The decline can be attributed to the decimation of lenders on the supply side and funds, individuals, and corporate entities on the demand side,” according to Zack Pokorny, research associate at Galaxy Digital.
Crypto lending key events. Source: Galaxy Research
The decline in the crypto lending market started in 2022 when centralized finance (CeFi) lenders Genesis, Celsius Network, BlockFi and Voyager filed for bankruptcy within two years as crypto valuations fell.
Their collective downfall led to an estimated 78% collapse in the size of the lending market, with CeFi lending losing 82% of its open borrows, according to the report.
According to data from Cointelegraph Markets Pro and TradingView, most of the 100 largest cryptocurrencies by market capitalization ended the week in the green.
Decentralized exchange (DEX) Raydium’s (RAY) token rose over 26% as the week’s biggest gainer, followed by the AB blockchain (AB) utility token, up over 19% on the weekly chart.
Total value locked in DeFi. Source: DefiLlama
Thanks for reading our summary of this week’s most impactful DeFi developments. Join us next Friday for more stories, insights and education regarding this dynamically advancing space.
Tokenized stocks are on track to exceed $1 trillion in market capitalization in the coming years as adoption accelerates, two industry executives said at the TokenizeThis conference in New York.
The total addressable market for tokenized stocks — a type of tokenized real-world asset (RWA) — is difficult to project but is “definitely a bigger trillion-dollar market,” Arnab Naskar, STOKR’s CEO, said during an April 16 panel at the event.
In 2025, demand for the instruments has “exploded” from institutions ranging from Web3 wallets to neobanks to traditional financial services firms, according to Anna Wroblewska, Dinari’s Chief Business Officer.
“We’ve had an enormous influx of demand from a much broader scope of potential partners than you might even imagine […] it’s actually been really interesting,” Wroblewska said.
Tokenized stocks are still a small portion of the total RWA market. Source: RWA.xyz
As of April 18, tokenized stocks comprise around $350 million in cumulative market capitalization, according to data from RWA.xyz.
This represents only a sliver of the total RWA market, which is worth upward of $18 billion, the data shows.
But this could change as tokenized stocks capture a growing share of the US equities market, Wroblewska said. The US stock market has an aggregate value of more than $50 trillion, according to Siblis Research.
There is a “huge appetite for US public equities… even individual investors globally want exposure to US capital markets. Tokenization makes it fast and cheap,” Wroblewska said.
She added that tokenized US Treasury Bills are already in high demand for similar reasons. They currently comprise nearly $6 billion in total market cap, RWA.xyz data shows.
Meanwhile, Coinbase is considering making tokenized shares of its stock available on Base, its Ethereum layer-2 network.
Collectively, tokenized RWAs represent a $30 trillion market opportunity globally, Colin Butler, Movement Labs’ global head of institutional capital, told Cointelegraph in an August interview.
“Tokenization will become a mirror of the market. If the user experience is better, faster, and cheaper, people will default to tokenized assets,” Wroblewska said.