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Referral to treatment (RTT) data for August 2026, published 8 October 2026 · Page updated 2 November 2026

NHS trust waiting times ranked, by specialty

Pick a specialty to see every NHS trust in England ranked by how long patients on its waiting list had waited at the end of August 2026, from NHS England referral to treatment (RTT) statistics.

Past figures, not a promise. These are NHS England figures for patients who were already on the waiting list at the end of August 2026: how long they had waited so far. They are not a forecast or a guarantee of how long a new patient will wait, and waits can change quickly. Waiting Times UK is an independent website, not part of the NHS, and this is not medical advice.

Summary

Across England, the specialty with the largest waiting list at the end of August 2026 was trauma and orthopaedics (851,183 pathways). The shortest England median wait was in elderly medicine (7.6 weeks) and the longest in oral surgery (16.4 weeks). Within every specialty the gap between trusts is wide, as the table shows.

Which specialty do you want to compare?

NHS trust rankings by specialty, end of August 2026
SpecialtyTrusts rankedEngland median weeksEngland under 18 weeksEngland pathways waitingShortest median (weeks)Longest median (weeks)
Cardiology11811.967.9%362,143Leeds Teaching Hospitals (4.9)The Hillingdon Hospitals (19.6)
Cardiothoracic surgery299.673.6%8,798Maidstone and Tunbridge Wells (4.8)Wrightington, Wigan and Leigh Teaching Hospitals (19.0)
Dermatology9910.569.0%423,217East Sussex Healthcare (4.1)Salisbury (31.8)
Ear, nose and throat (ENT)11215.456.8%590,233Hampshire and Isle of Wight Healthcare (4.2)Mid and South Essex (24.5)
Elderly medicine1067.684.3%27,431St George's University Hospitals (1.9)Nottingham University Hospitals (19.4)
Gastroenterology11611.069.7%358,127South Tyneside and Sunderland (4.2)Northern Lincolnshire and Goole (24.8)
General internal medicine7410.272.3%31,589University Hospitals of Leicester (1.5)Cambridge University Hospitals (25.9)
General surgery11312.863.2%384,914University Hospitals Dorset (2.5)University Hospitals Sussex (25.4)
Gynaecology11714.259.6%586,582Oxleas (4.7)Blackpool Teaching Hospitals (21.7)
Neurology8613.262.3%208,030Homerton Healthcare (4.6)Medway (30.0)
Neurosurgery2613.462.0%54,748Bristol (9.3)Mid and South Essex (32.0)
Ophthalmology10510.472.2%625,063Airedale (5.9)University Hospitals Coventry and Warwickshire (18.0)
Oral surgery10716.453.8%316,357Stockport (3.3)Mid and South Essex (28.3)
Plastic surgery7414.059.4%109,605The Christie (3.7)Liverpool University Hospitals (24.6)
Respiratory medicine11810.474.1%182,914Hampshire and Isle of Wight Healthcare (3.2)South Warwickshire University (22.6)
Rheumatology11310.970.4%118,397Homerton Healthcare (3.4)Medway (29.4)
Trauma and orthopaedics12413.960.9%851,183Birmingham Community Healthcare (2.4)Mid and South Essex (30.8)
Urology11412.264.8%367,027Royal National Orthopaedic Hospital (4.1)Lewisham and Greenwich (19.7)

Ranked: NHS trusts with at least 20 pathways waiting for the specialty and a published median. Where trusts tie for shortest or longest, one is named.

To compare particular trusts, use the side-by-side comparison. For every measure at once, including scans, cancer and A&E, see compare NHS trusts. Each specialty at each trust also has its own page in the specialty waits index.

What do these measures mean?

NHS England publishes these figures for each trust as a whole, not for each hospital. A trust can run several hospitals, so the site you are treated at may have a different wait. A trust is shown for a specialty only if at least 20 pathways were waiting. Specialist trusts, and trusts that take complex referrals from elsewhere, are not like for like with general hospitals.

Can I choose a hospital with a shorter wait?

In England you have a legal right to start consultant-led, non-urgent treatment within 18 weeks of referral, with some exceptions, and you can usually choose where you are referred for a first outpatient appointment. Each hospital has a Patient Advice and Liaison Service (PALS) that can help with questions about your wait. Your waiting time rights explained.

Not medical advice. If your symptoms change or get worse while you wait, contact your GP or the team treating you. If it is not an emergency, NHS 111 online or calling 111 can tell you where to go, including urgent treatment centres, which often have shorter waits. Call 999 or go to A&E for life-threatening emergencies such as chest pain, difficulty breathing, severe bleeding or signs of a stroke.

Who wrote this page and where do the figures come from?

Written and maintained by the Waiting Times UK editorial team at Oaknest Media Ltd, an independent publisher that is not part of the NHS. Every figure is taken from an official publication, shown with its date, and linked below; where we add up or compare figures ourselves we say so. This page has not been reviewed by a clinician and is not medical advice. Page last updated 2 November 2026, from the data files named below. Figures change when the publisher releases new data.

Official statistics are reproduced under the Open Government Licence v3.0. See data sources and methods and about Waiting Times UK.

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