Distributional burden of the English urology elective waiting list after the 2024 reporting reset

Distributional burden of the English urology elective waiting list after the 2024 reporting reset. Download PDF Abstract Headline referral to treatment metrics can conceal where waiting-list mass lies. This study quantified the distributional and operational burden of the English C_101 Urology Service waiting list in the post-reset series, defined as April 2024 onward after consultant-led community service pathways were excluded from RTT submissions.

A population-level analysis used all public NHS England Commissioner RTT incomplete-pathway workbooks from April 2024 to February 2026 and February 2026 flow workbooks. Outcomes included list size, 18-week performance, long-wait tails, the integer 92% standard gap, pathway-weeks beyond 18 weeks, flow balance and cross-specialty ranks. Trends used heteroskedasticity-and-autocorrelation-consistent regression.

National 2019–2023 trends were shown descriptively but were not combined with the post-reset models. In February 2026, 385,949 urology pathways were incomplete; 246,524 (63.9%) were within 18 weeks and 139,425 (36.1%) were beyond 18 weeks. The integer gap to the 92% standard was 108,550.

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