England’s NHS waiting list has grown for the third consecutive month, prompting fresh concerns that the government’s key pledge to reduce treatment delays is slipping out of reach. Figures show that by the end of August, 7.41 million people were waiting for routine procedures, up from 7.36 million in May. The proportion of patients waiting longer than the 18-week target has also increased, despite renewed efforts to tackle the backlog.

The government has promised to restore the 18-week standard by the end of this parliament, a goal last achieved a decade ago. Meeting this would require 92% of patients to begin treatment within the target time, but currently only 61% do so. Analysts say progress made earlier in the year has faltered, with waits lengthening again over the summer months.

Dr Francesca Cavallaro from the Health Foundation warned that current trends suggest the government will fall short of its pledge, calling the scale of the challenge “significant.” Professor Peter Friend of the Royal College of Surgeons said underinvestment and staff shortages continue to hinder recovery, urging “urgent action” to improve infrastructure and morale.

Health Minister Stephen Kinnock defended the NHS, describing it as a “record-breaking” summer for scans and tests. He said new surgical hubs, extended hours, and advanced technology will help reduce waiting times in the months ahead.