The number of elective operations cancelled last minute at four hospitals in Oxfordshire has reached its highest level since records resumed after the covid pandemic.

The hospitals, which form the Oxford University Hospitals NHS Foundation Trust, include the John Radcliffe Hospital, the Churchill Hospital, the Nuffield Orthopaedic Centre, and the Horton General Hospital.

NHS England figures show 126 elective operations were cancelled in the three months to December 2022.

This represents a rise of 89 from the previous quarter and is the highest level since October to December 2021, when data collecting resumed following the coronavirus pandemic.

It meant a total of 402 operations were cancelled on the day the patient arrived at hospital, after they arrived, or on the day of the operation itself, in 2022.

Nationally, cancelled operations rose by nine per cent in the three months to December from the previous quarter and 10 per cent on the same time period in 2021.

The proportion of cancelled operations has remained consistent at around one per cent of the total number of operations planned since before the pandem

The Royal College of Surgeons of England said no surgeon wants to cancel operations, but high demand and the lack of social care leading to a delay in discharging patients has made this impossible.

Vice president Tim Mitchell said: "No surgeon wants to be in the position of telling a patient their surgery has to be cancelled but the very high demand we have seen in emergency departments since the summer, and problems discharging patients who are ready to leave hospital when there is a lack of social care, mean this is too often what has to happen.

"Gaps in the workforce also play a huge part. Often there will be a surgeon available to operate, but no theatre nurses or anaesthetists."

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More patients of cancelled operations across England also had to wait longer to be treated again.

Some 4,590 patients were forced to wait more than 28 days to be treated following their operation being cancelled in the three months to December – up from 4,150 the previous quarter.

Of these, 13 were at Oxford University Hospitals Trust – in line with the previous quarter.

Earlier this month, NHS England announced 37 new surgical hubs, 10 expanded existing hubs and 81 new theatres dedicated to elective care.

Mr Mitchell said: "We would like to see surgical hubs established in every area of the country with a particular focus on underserved areas and struggling to bring down waiting times.

"All of this will also mean nothing in the long term unless we have a resilient workforce to staff hubs. The government’s much-anticipated workforce plan cannot come soon enough."

The department for health and social care said bringing down waiting lists and providing the highest quality care is a "top priority", and that the rise in cancellations was driven by the increase in booked operations.

A spokesperson added: "The NHS has already made strong progress in tackling the covid backlogs, virtually eliminating waits of over two years for treatment – the first target in the elective recovery plan – and all efforts are being made to deliver the next ambition to eliminate waits of 18 months or more by April."