The annual state of care report from the Care Quality Commission (CQC) highlights a stark contrast between improvements in some adult services and worsening delays for children. Health visitor and school nurse numbers continue to decline, and children with complex conditions, developmental disorders and safeguarding needs face the longest waits.
Dr Ronny Cheung of the Royal College of Paediatrics and Child Health described the situation as “wholly unacceptable”, warning that children are missing crucial windows for treatment and development. He said families are being pushed to breaking point while conditions become more complex.
The report also identifies persistent inequalities across the health system, with “unwarranted variation” in access, quality and outcomes depending on where patients live. Alongside children’s waits, the CQC raised concerns about long delays for some adults with cancer starting treatment, and sustained pressure in urgent and emergency care. However, there were some signs of progress, including more GP appointments and shorter waits for elective care.
CQC chair Julia Neuberger said while some services are working well, improvements are not keeping pace with demand, calling for a collective response. The Department of Health and Social Care acknowledged the scale of the challenge, stating that the government inherited this situation in 2024 and is committed to going further to transform support for mothers and children and deliver a national care service.
