Surge in NHS Waiting Lists for Community Care Services

A recent report by the Nuffield Trust, part of its QualityWatch programme with the Health Foundation, reveals a dramatic rise in NHS waiting lists for community care services, particularly affecting children and young people. The waiting list for community care has surged by 58% since 2022, with 326,000 children and young people currently awaiting services. In contrast, the adult waiting list has increased by 23%, totaling 870,000 individuals. The report highlights that over half (55%) of children on the waiting list are waiting for community paediatric services, which include essential support for developmental issues and conditions such as autism and ADHD.

‘Forgotten generation’s’ life chances harmed as waiting list soarsOne in four children wait over a year for community servicesChildren face growing delays in NHS community careThe Independent

The report indicates that one in four children are waiting over a year for community services, and one in 15 are waiting more than two years. This situation raises concerns about the long-term impact on children's health and future life opportunities. Daniel Elkeles, Chief Executive of NHS Providers, emphasized that these delays are harming a "forgotten generation," stressing the need for urgent action to prevent ill health among children and young people.

One in four children wait over a year for community services

The report also notes a significant increase in demand for weight management services, which saw a staggering 512% rise. This surge is attributed to the growing popularity of GLP-1 medications, such as Mounjaro and Ozempic, used for weight loss. While the absolute number of individuals waiting for these services is lower than for community paediatric services, the rapid increase is noteworthy.

The Independent

The Nuffield Trust report highlights a concerning disparity in staffing levels between community and hospital settings. Between 2010 and 2025, the number of community nurses increased by only 1%, while adult hospital nurses rose by 42% and children's hospital nurses by 93%. This staffing shortfall exacerbates the challenges faced by community services, which are already under immense pressure.

The Independent

In response to the report, Jessica Morris, a Nuffield Trust Fellow, called for a national waiting time target for community services and a dedicated strategy to address delays in children's care. The report urges policymakers to ensure that children and families are not overlooked in the government's shift towards more localized healthcare. The Department of Health and Social Care acknowledged the need for improvement, stating that efforts are underway to reverse years of neglect in the health service.

Children face growing delays in NHS community care

Critics argue that while the government has set ambitious goals for community care, the current state of services is inadequate. Dr. Luisa Pettigrew from the Health Foundation stated that the report serves as a wake-up call for the government, emphasizing the necessity of addressing long waits in community care to fulfill its commitment to preventive health.

‘Forgotten generation’s’ life chances harmed as waiting list soars

• “For the families affected it can feel like life is on hold while they’re stuck waiting for support.” — Jessica Morris, Nuffield Trust Fellow

‘Forgotten generation’s’ life chances harmed as waiting list soars

• “This report underlines NHS trusts leaders’ worries that a forgotten generation’s life chances are being harmed due to delays accessing care.” — Daniel Elkeles, Chief Executive of NHS Providers

Children face growing delays in NHS community care

• “Waiting lists for community services are a major problem, with too many people, including children, waiting far too long for vital care.” — Dr. Luisa Pettigrew, Senior Policy Fellow at The Health Foundation

‘Forgotten generation’s’ life chances harmed as waiting list soars

The Nuffield Trust's findings underscore a critical situation within the NHS, where increasing waiting lists for community care services pose significant risks to the health and well-being of children and young people. As the government aims to enhance community services, it faces the challenge of addressing existing delays and ensuring that vulnerable populations receive timely care.

One in four children wait over a year for community services