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Tackling Hidden Waits: The Crisis in NHS Community Health Services

The NHS community—encompassing local services that support patients outside hospitals—faces mounting challenges, as revealed in a recent Nuffield Trust briefing. Over 300,000 young people are currently waiting for community health treatments, highlighting a “hidden” backlog that rivals hospital waiting lists in scale and impact.

These delays affect essential services like speech therapy, mental health support, and physiotherapy, often disrupting children’s physical, social, and educational development. Long waits can lead to lifelong health issues, poorer economic prospects, and increased pressure on the wider NHS. Despite dedicated efforts by community teams, chronic underfunding and demand surges have exacerbated the problem.

Rory Deighton, director at the NHS Confederation, calls for a paradigm shift: moving from illness treatment to prevention through reformed contracts and payments. Expanding community services could enable early interventions, keeping people healthier longer and reducing hospital admissions. This is especially critical for children, where timely care yields the greatest long-term benefits.

To address this, policymakers must prioritize investment in community infrastructure, fostering collaboration between NHS leaders, trusts, and government. By strengthening these vital services, the NHS can build resilient communities, ensuring equitable access and better outcomes for all.

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