England’s NHS faces its largest backlog, with the routine waiting list at 6.21 million patients and 7.33 million treatments by the end of July, the highest since late 2025 and signaling record demand beyond winter.

Cancer referrals show a mixed picture: 79.3% of urgent referrals were diagnosed or had cancer ruled out within 28 days in July (up slightly from June but below the 80% target), while 71.2% of urgent referrals began a first treatment within 62 days (up from June but still under the 80% March 2027 target).

Experts attribute pressure to heatwaves, seasonal demand, and structural issues, with calls for stronger climate resilience and a shift toward preventive care in health policy.

Nurses report dehydration, slower wound healing, reduced mobility, and heat-related safety concerns during treatments like chemotherapy, with some describing conditions as inhumane compared to usual care standards.

The Department of Health was contacted for comment on the findings.

Medical leaders warn of persistent structural problems and morale challenges among NHS staff amid relentless workloads.

RCN chief executive urged immediate and long-term investment to improve cooling and resilience in hospitals, care homes, and other settings as extreme heat persists.

A survey found 74% of respondents lacked confidence that the government is taking sufficient action to mitigate climate impacts on the NHS and social care.

Industry voices stress climate pressures and systemic issues: The King’s Fund calls for climate resilience and prevention-focused policy, while the Society for Acute Medicine notes ongoing pressure and morale challenges.

The government announced 1.5 billion pounds for building and resilience in NHS facilities to cope with heat and maintain services, funded from a 6.75 billion estate safety fund through 2034/35.

Surgeons warn that the 18-week target for routine treatment by 2029 is unlikely to be met, noting uneven regional progress and persistent gaps.

A palliative care case during the heatwave highlighted severe care-quality and comfort issues, with wounds festering and maggots observed in a patient ward without adequate cooling.