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If you can’t see the NHS Tracker, click or tap here.

The letter from doctors in England and Wales sets out some of the impact of this pressure.

It says:

• Patients are having to sleep in makeshift wards set up in side rooms
• Trolley waits of up to 12 hours are being routinely seen as staff struggle to find free beds
• Thousands of patients are left stuck in the back of ambulances waiting for A&E staff to take them in
• More than 120 patients a day are being managed in corridors in some places, some dying prematurely

The letter has been sent on the day it has been revealed that England’s A&Es missed their four-hour waiting time target by a record margin in December – more than 300,000 patients waited longer than they should.

Just over 85% of patients were seen in four hours – well below the 95% target – and marginally worse than the previous low in January 2017.

Chris Hopson, of NHS Providers, said hospitals were unsafe and overcrowded, and the NHS was at a “watershed moment”, requiring long-term funding.

• 10 charts that show why the NHS is in trouble
• Kuenssberg: Time for an answer on the NHS?

The rest of the UK is also struggling. Waits in Scotland’s major A&E units hit their worst levels at the end of December.

The Welsh government has said the health service was facing “significant pressure” and in Northern Ireland the Antrim Area Hospital has had to bring in St John Ambulance volunteers to help with a surge in demand.

‘There was no dignity – it was chaos’

Rosie Dawson, 37, is only one of the patients who has been caught up in the problems.

She was taken to Torbay General A&E on 3 January with a gynaecological problem which had left her with severe pain and bleeding.

She said it was chaos, with trolleys everywhere, staff running up and down corridors and queues of ambulances outside.

Staff could not find a private area for her in which to assess her, so she ended up being examined in front of other patients.

“There was no dignity. It was degrading,” she said. “I couldn’t fault the staff, there was nothing they could do. It was chaos.”

This is a ‘watershed moment’

Speaking to the BBC, Mr Hopson said last year was “the first time ever” in NHS history that all of its key targets for A&E, cancer and planned operations across the UK had been missed.

He said hospitals were short of 10,000 to 15,000 beds and it was time for the government to decide how to fund the NHS in the long term.

Since 2010 the budget has been rising at about 1% a year on average whereas traditionally the NHS received more than 4%.

“We have reached a watershed moment where either we fund the NHS to the extent that is needed to meet those standards or, and this is absolutely not what we want, we abandon those standards.

“But it is a watershed moment. We are now at the point where we cannot deliver the NHS constitutional standards without a long-term funding settlement.”

Mr Hopson said mild weather and low flu rates had helped hospitals “scrape by” during previous winters.

“Maybe if we had been lucky again this year we could, just about, have coped,” he added.

“But it has not turned out that way. Flu is rising, there is more respiratory illness and the cold weather is taking its toll.”

Figures from Public Health England show “medium” levels of flu are circulating across the community, but they are causing “very high” rates of admission to hospital.

On both measures, flu rates are the highest since 2011, the year after the pandemic when there was a lot of swine flu circulating.

Prime Minister Theresa May insisted the government was still doing enough to support the health service, but blamed flu for the pressures on hospitals.

A spokesman for the Department of Health and Social Care in England added: “We know there is a great deal of pressure in A&E departments. We are grateful to all NHS staff for their incredible work in challenging circumstances.”

But he added that plans were in place to help, including extra money for council-run care services so people could be moved out of hospital more quickly and the single biggest expansion in doctoring training places in the history of the NHS – 25% in the coming years.

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