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Hospitals in England are being offered unlimited bonus payments to remove people they decide do not need treatment from their waiting lists amid warnings that thousands of patients most in need are still facing unacceptable delays.

The waiting list for hospital treatment fell for the sixth month in a row in February, according to data published on Thursday.

In an attempt to cut waiting lists and free up consultants to see those most in need, NHS trusts have this week been ordered to “validate” their entire waiting list. This will involve reviewing every patient and removing anyone who could be treated elsewhere or does not need an appointment with a specialist. Those whose symptoms have eased or who have already used private healthcare to undergo surgery, for example, will also be removed.

Hospitals will receive an “incentive payment” for each patient they remove, and a payment cap of 5% of a trust’s waiting list is being scrapped, according to documents seen by the Guardian. It means there is no limit to the payments NHS trusts could receive for taking patients off their lists.

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Source: The Guardian, 10 April 2025

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