Third of A&E patients wait longer than four hours at Guy's and St Thomas' Trust

A third of patients attending major A&E at Guy's and St Thomas' Trust waited longer than four hours to be dealt with last month, figures show.

The King’s Fund health think tank said there is “no shying away from the reality that the NHS is deep in crisis”, after A&E performance dropped to the worst on record across England at the end of 2022.

NHS guidance states that 95% of patients attending accident and emergency departments should be admitted to hospital, transferred elsewhere or discharged within four hours.

But Guy's and St Thomas' NHS Foundation Trust fell well behind that target in December, when just 66% of the 12,725 attendances at type 1 A&E departments were dealt with within four hours, according to figures from NHS England.

It means 34% of patients attending major A&E at Guy's and St Thomas' Trust waited longer than four hours to be seen last month, compared to 37% in November, and 24% in December 2021.

Type 1 departments are those which provide major emergency services – with full resuscitation equipment and 24-hour consultant-led care – and account for the majority of attendances nationally.

Including the 4,912 attendances at other accident and emergency departments, such as minor A&Es and those with single specialties, 75% of A&E patients were seen by the trust within the target time in November.

The 95% standard has not been met across the NHS in England since July 2015 – and last month, just 65% of A&E attendances were admitted transferred or discharged within four hours, marking the worst performance on record.

This compared to 73% in December 2021 and 80% in December 2020.

Performance was worse in type 1 departments, where just 50% of patients were seen within the target time in December, down from 61% during the same month last year, and 72% two years earlier.

Siva Anandaciva, chief analyst at the King’s Fund, said: “Since modern records began, A&E performance is the worst it has ever been and not a single NHS trust in the country is managing to meet the national target to be seen within four hours.

NHS medical director Stephen Powis said staff are continuing to work hard in the face of "extreme pressures".

At Guy's and St Thomas' NHS Foundation Trust:

In December:

There were 1,919 booked appointments, up from 1,755 in November

107 patients waited longer than four hours for treatment following a decision to admit– less than 0.5% of patients

Of those, 33 were delayed by more than 12 hours

Separate NHS Digital data reveals that in October:

Around 4% of patients left before being treated