Data, analytics and AI

On this channel page we focus on programmes and news on data, analytics and artificial intelligence. 

We’ll cover news from industry, and leaders in the field, aiming to raise awareness of success.

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Healthcare information management in the KSA

UK and Australian consultancy to complete health information management governance strategy for Saudi Arabia

Beamtree, a UK and Australia-based service provider, led by Tim Kelsey former director at NHS England, has been awarded a contract to complete the health information management governance strategy for the Kingdom of Saudi Arabia (KSA) in conjunction with its partner Lean. The strategy, which will be developed over the ...

Researchers explore approaches for predictive cancer patient digital twins

A research report has been published in Frontiers in Digital Health that explores the use of digital twin technology to advance new methods for precision and predictive cancer care. Entitled ‘Exploring approaches for predictive cancer patient digital twins: Opportunities for collaboration and innovation’, the report focuses on a review of ...

Teesside University develops AI agent to support pain management

A team from Teesside University’s School of Health and Life Sciences is collaborating with American technology company Storyfile and pain champion Pete Moore on a project to help people manage persistent pain. Pete, who lives with persistent pain, asthma and osteoarthritis himself, took part in a pain management programme in ...

Department of Health and Social Care publishes new data strategy

The Department of Health and Social Care has published a new strategy entitled “Data saves lives: reshaping health and social care with data”. It sets out the department’s vision for how data will be used to improve care for the population in a safe, trusted and transparent way, providing an ...

Interview Series: Jon Payne of InterSystems talks data strategy

As we’ve launched our new Integrated Care Systems (ICS) channel, which is dedicated to bringing you the latest ICS news and content, there’s set to be plenty of focus on data strategies, as organisations seek to glean insights from their vast repositories of combined information. With this in mind, HTN ...

Swansea scoops £2.4 million in funding renewal for dementia data portal

Swansea University has been awarded a funding boost of £2.4 million to continue its development of a dementia data portal. The Dementias Platform UK (DPUK) Data Portal – a Trusted Research Environment (TRE) – aims to be a ‘world-class data repository’ to support research into dementia. Its goal is to ...

Northern Ireland publishes new COVID-19 vaccination data dashboard

A new COVID-19 vaccination dashboard, which charts the progress of Northern Ireland’s roll-out, went live this week. Northern Ireland’s Department of Health says the platform is the ‘first step’ in plans to publish detailed vaccination data on a daily basis. Work on the dashboard’s infrastructure will continue, with the aim ...

UK Gov updates good practice guide for digital health tech

The Department of Health and Social Care has updated its guidance on ‘good practice for digital and data-driven technologies’, with ‘strengthened and expanded’ practical advice. As of 6 January 2021, the government has published its latest code of conduct to support ‘innovators’ in the digital healthcare technology sector. The advice ...

Dorset Care Record expands with physical health data and new datasets

The Dorset Care Record (DCR) is expanding this month to include community physical health data and new datasets such as allergy information and clinic letters. Allergy information from University Hospitals Dorset NHS Foundation Trust and Poole Hospital is to be available this month through the DCR. It means allergy details from ...

5 AI suppliers join NHS AI Lab for testing and evaluation

5 health tech suppliers have been named as part of phase 3 of the AI in Health and Care Award programme, part of the NHS AI Lab. Phase 3 aims to support real-world testing in health and social care settings to develop evidence to support further adoption. 42 suppliers were announced today ...

Elsevier acquires Cambridge based semantic AI company

Elsevier has acquired SciBite, a Cambridge based company specialising in extracting insight from structured and unstructured text. The solutions from the company help to extract scientific insights from content to identify key concepts such as drugs, proteins, companies, targets, and outcomes, to help understand better the complexities of life sciences data. Dr. Harland, the company ...

DHSC seeks new national data guardian

The Department for Health and Social Care is searching for a new national data guardian to be an independent champion for patients and the public when it comes to matters of their confidential health and care information. DHSC is offering up to £45,000 for two to three days per week, ...

Morecambe Bay introduces Robotic Process Automation

University Hospitals of Morecambe Bay NHS FT has introduced Robotic Process Automation (RPA) technology from Blue Prism. The technology is being used in the maternity department to search, download and print women’s blood test results for antenatal and newborn screening programmes when the are available. The trust said the technology ...

Telemedicine robots support Liverpool Women’s and Alder Hey

Liverpool Women’s Hospital and Alder Hey Children’s Hospital are utilising telemedicine robots during COVID-19 for clinicians to be virtually on the ward, without needing to be in the room, or hospital. Clinicians have been using new telemedicine robots, funded by Alder Hey Children’s Charity, to treat young patients. Paediatric and ...

Kent and Medway implements tool to manage COVID-19 care across seven hospitals

A digital dashboard has been utilised across Kent and Medway to consolidate all relevant information for the management of COVID-19 care. The COVID-19 NHS response team at Kent and Medway CCG can now instantly check the availability of staff, beds and crucial equipment used to care for coronavirus patients, thanks ...

£250m cyber security framework launched

A new cyber security framework has been launched providing access to 25 suppliers specialising in managing cyber risks, recovering from attacks, cyber consultancy and security personnel. The £250m Cyber Security Services Framework has been developed and launched by NHS Shared Business Services. It will run until May 2022, with an ...

Government releases significant COVID data sharing contracts

On the 5th June, the government released its data sharing contracts with private tech firms, Amazon, Microsoft, Google as well as AI firms Faculty and Palantir.  The contracts were released to openDemocracy and tech justice firm Foxglove and reveal details of the transfer of personal health information of NHS users to the aforementioned tech ...

King’s to develop AI COVID-19 decision support tool

Researchers from King’s College Hospital NHS FT and King’s College London are to launch a new COVID-19 research project. The study aims to analyse chest X-rays and clinical data over several months to support the development of artificial intelligence technology. In this study, up to 10,000 adults with suspected COVID-19 ...

AI test detects early signs of glaucoma progression

A sponsored clinical trial from University College London has suggested a new test using artificial intelligence can detect very early signs of glaucoma progression, up to 18 months earlier.  The technology, supported by an artificial intelligence algorithm, could be used in detection and diagnostics, according to the Wellcome-funded study published ...

Health Call app to support northern data initiative

Health Call, a collaboration between seven NHS Foundation Trusts in the North East and North Cumbria, will be providing its Digital Care Home app to support a northern data initiative in care homes. The project forms part of the Northern Better Care Partnership, which brings together experts from universities and NHS ...

Mayo Clinic launches AI study to investigate how COVID-19 attacks the heart

A collaboration between Ultromics, a specialist AI system to support clinicians in the diagnosis of cardiovascular disease has partnered with the Mayo Clinic to quantify cardiac involvement in COVID-19 and help triage high-risk patients with myocardial injury. The research team is applying the artificial intelligence system to map how the COVID-19 ...

COVID-19 insights report published

Following in-depth analysis from across a wide breadth of metrics and performance indicators, revolving around translation to robust COVID-19-focused support, a detailed insights report has been published at both global, national, and individual trust-level. The report builds from a foundation of comparable data collated from a range of sources, in ...

UCL to use supercomputers to research COVID-19 

University College London researchers are to use supercomputers to support ‘urgent investigations’ into COVID-19 disease.  The aim is to be able to accelerate the development of vaccines and antiviral drugs by using the most powerful supercomputers commonly used for high intensive tasks such as quantum mechanics and climate research. A consortium ...

Health app in China to control citizen movements after relaxing lockdown measures 

Two of the most popular apps in China are hosting a new health survey app to control the movements of Chinese citizens, following cities relaxing lockdown measures this week. To travel, a user must complete the quick survey. The software issues them with a coloured health code, green, yellow, or ...

NHS Digital partners with email and data security supplier

NHS Digital has partnered with email and data security supplier Egress for NHSmail. Egress Protect will integrate into NHSmail to improve protection and security, following a recent successful pilot of the solution. Chris Parsons, NHSmail Programme Lead at NHS Digital said “NHSmail is already a safe, secure email system, used ...

NHS Digital publishes data on COVID-19 symptoms reported

NHS Digital has published a new dashboard that shows the total number of COVID-19 symptoms reported through NHS Pathways triages through 111 and 999, and online assessments in 111 online. NHS Digital said the data is based on potential COVID-19 symptoms reported and is not a count of people, where a ...

AI content analysis on COVID-19 archive literature

A team of US health tech specialists this week announced a new programme to use artificial intelligence to scan 24,000 papers on COVID-19 to find patterns, signs and insights about the virus. The aim is to help to find answers to questions raised by the World Health Organisation about the pandemic. ...

Public Health England publishes live coronavirus tracking dashboard

Public Health England have published an interactive tracking dashboard for the spread of COVID-19. The dashboard includes statistics on total cases, daily confirmed cases and total deaths in the UK. The information is displayed in bar chart format broken down into England, Ireland, Scotland and Wales. There is also a ...

Data visualisation tools to support large cardiovascular clinical trials

Data visualisation tools developed by Zegami will be used by Oxford University for large cardiovascular clinical trials. Oxford University researchers at the Oxford Cardiovascular Clinical Research Facility will apply data visualisation techniques to hundreds of thousands of images of the heart, making it easier to categorise them and identify new ...
Manchester University NHS Foundation Trust welcomes new CDIO

Digital tool to help spot signs of delirium to be rolled out in Greater Manchester

A digital tool to help spot signs of delirium quickly is to be rolled out to two hospitals in Greater Manchester following success in Salford. The digital tool will support all patients aged 65 or over or with a diagnosis of dementia on admission to hospital. It will now be ...

Apple and Johnson & Johnson team up on new stroke study

Johnson & Johnson and Apple have joined to launch a new study called Heartland to explore the potential of the Apple Watch to be used to reduce the risk of stroke. The partnership opened enrolement in the Heartline™ Study this week. The study aims to assess whether the Heartline™ Study app ...

Scientists discover antibiotic using AI

Using artificial intelligence scientists at Massachusetts Institute of Technology (MIT)  have discovered a new type of antibiotic to kill dangerous drug-resistant bacteria. The team from MIT using a machine learning algorithm have identified a powerful new antibiotic compound. In laboratory tests, the drug killed many of the world’s most problematic disease-causing bacteria, ...

AI study at University Hospitals of Leicester shows potential

A study at University Hospitals of Leicester using an algorithm developed by health tech start up Behold.ai has shown promising results in investigating AI’s ability to prioritise potential cancers in the lungs. The team worked with the trust to test the software which was run on the chest X-rays of 1,513 patients who ...

NHS Digital to align independent provider data

NHS Digital has entered into a consultation with an independent provider network to align private healthcare data with NHS recorded activity. The consultation with Private Healthcare Information Network (PHIN) will focus on changes to how data is recorded and managed across private and NHS care. It will include common standards ...

Health Education England and Uni of Manchester launch AI for Healthcare online learning

Health Education England and the University of Manchester have developed and launched a free online course to explore AI in healthcare.The course is aimed at health and social care professionals who want to understand the basic concepts, challenges and opportunities of AI in their respective healthcare systems. The five week course ...

Microsoft launches new $40m AI for Health

Microsoft has launched a new $40 million, five year program to leverage the use of artificial intelligence for health. Part of the AI for Good initiative, which recently announced its latest cohort, aims to leverage AI technology to empower researchers and organisations address many global health challenges. Brad Smith, president, Microsoft “Artificial ...

Matt Hancock announces £140m AI Award open for applications

Matt Hancock has today announced a new £140m Artificial Intelligence Award to be run by the Accelerated Access Collaborative (AAC) in partnership with NHSX and the National Institute for Health Research (NIHR) now open for applications. It will make £140million available over three years to accelerate the testing and evaluation of the most ...

NHS Digital moves national services to the cloud

NHS Digital has moved the NHS e-Referral Service (e-RS) and the NHS 111 Directory of Services (DoS) to the cloud. The NHS 111 Directory of Services handles over 16 million searches each year to support clinicians, call handlers, commissioners and patients by providing information about appropriate alternative services and clinicians, across ...

Babylon agrees 10 year deal with The Royal Wolverhampton to build an integrated, AI-based health app

The Royal Wolverhampton NHS Trust and Babylon have agreed a 10 year deal to build an integrated, AI-based health app to serve over 300,000 people. The financial details of the deal remain disclosed. The solution will connect healthcare professionals from across the region, providing remote access to GPs and hospital specialists, live ...

Bolton NHS FT goes live with eObs tap & go tech from Imprivata in eight weeks

Bolton NHS Foundation Trust has gone live with tap & go eObs technology from Imprivata, the healthcare IT security company, in just eight weeks. The new solution ensures clinicians have the fastest route to access eObservations, in the Patientrack system used at the trust. Phillipa Winter, Chief Informatics Officer, Bolton ...

Health Data Research launches £2m health data science partnerships

Health Data Research UK, the national institute for health data science, is launching a new opportunity that aims to help patients benefit from health and care decisions that are informed by analysing large scale data. The work includes up to four projects and a new partnership that will integrate with ...

NHS Wales partners with AdviseInc for spend analytics

NHS Wales Shared Services Partnership (NWSSP) Procurement Services has partnered with AdviseInc to implement advanced spend analytics across NHS Wales. The analytics tool will support NWSSP have visibility of all non-pay spend, including analysis and insight into product switching, supply route switching, EU exit analysis and price variation tracking. The ...

Royal Free London and Barts Health roll out 3D image analysis software

The Royal Free London NHS Foundation Trust and Barts Health NHS Trust will be rolling out 3D image analysis software to improve heart disease diagnosis. The new image analysis software aims to improve accuracy rates for coronary heart disease diagnoses and reduce the use of invasive patient testing. Dr Parmajit ...

Paris start-up launches smart monitoring t-shirt

Chronolife, a Paris-based company has launched a new smart t-shirt that monitors six key physiological parameters to enable prevention and monitoring. The company has also this week closed a new round of fund raising to help in its commercial phase. The platform uses wearable electronics to integrate 10 biometric scanners ...

PinPoint raises £1m to fund AI cancer detection tech

PinPoint a startup that is developing a test aiming to quickly ‘rule out’ cancer from using a blood sample has raised £1 million in funding from the Angel Investment Network. The company is developing its test using AI/Machine Learning with an aim to rapidly ‘rule out’ or detect cancer from ...

Cerner picks AWS as its preferred cloud and machine learning provider

At the 2019 Amazon Web Services (AWS) re:Invent in Las Vegas, Cerner CEO and Chairman of the Board Brent Shafer announced the corporations plans with Amazon Web Services. Cerner has selected AWS as its preferred cloud, artificial intelligence (AI), and machine learning (ML) provider. Shafer said to the audience “For ...

Owkin, NVIDIA and King’s College London partner to deliver AI

Owkin, a company that develops AI algorithms for cancer centres and pharmaceutical companies has announced its partnering with NVIDIA and King’s College London (KCL) to deliver Federated Learning, a model of AI, into the healthcare and life sciences sector. Owkin recently passed a proof-of-concept phase and is now providing its  AI ...

Moorfields to develop prediction model from large-scale glaucoma biobank

Moorfields Eye Hospital is developing a tool to help personalise glaucoma treatment and identity patients most at risk of sight loss at the point of glaucoma diagnosis. A team at Moorfields, led by Dr Anthony Khawaja, will establish a data resource, known as the Moorfields Glaucoma BioResource, that will be ...

Health Tech Trends Survey: Machine Learning in Healthcare

In the latest report in the HTN Health Tech Trends Series sponsored by InterSystems, we asked healthcare professionals about machine learning. There were two striking details which emerged from this particular survey question; firstly, inline with our survey article from last week, where respondents overwhelmingly thought positively about the potential ...

Health Tech Trends Survey: Artificial Intelligence

In the latest report from our HTN Health Tech Trends Series sponsored by InterSystems, we asked NHS professionals about artificial intelligence. Since March 2019, we surveyed health care professionals to understand more about artificial intelligence to support health care delivery. In this article we highlight some of the responses. When asked ...

NHSX publishes state of AI in healthcare report

NHSX, the body responsible for delivering the Health Secretary’s Tech Vision has today published a new report on the state of AI in healthcare. The report highlights where the organisation sees practical examples for AI and what the organisation is doing to build ethics and transparency into the use of AI. ...

Algorithm detects vertebral fractures for 2,000 patients


Over 2,000 patients that previously had undiagnosed spinal fractures, have now had fractures detected by an artificial intelligence algorithm. A programme funded by the National Institute for Health Research Invention for Innovation programme, has supported University of Manchester and Central Manchester Hospitals NHS Foundation Trust and Optasia Medical Ltd with ...

NHSX publishes listening to digital health innovators report

Following the launch of NHSX in July 2019, the organisation held a listening event where innovators were asked one key question: ‘If NHSX and partners were to focus on one or two things, what do you think are the most important priorities?’. Today the organisation has published its insight and learnings ...

Bayer launches new AI Hub to optimise drug discovery

Bayer UK has unveiled a new Artificial Intelligence (AI) ‘LifeHub’ to optimise data-driven drug discovery and disease detection and diagnosis. The company has launched LifeHub UK designed to accelerate and optimise disease detection and drug discovery by developing Artificial Intelligence enabled imaging solutions. The Reading-based hub is the newest member of ...

Northern Care Alliance and Hitachi to deliver Digital Control Centre

The Northern Care Alliance NHS Group and Hitachi Consulting have announced a partnership to deliver a Digital Control Centre. Known as the Digital Control Centre, the 10-year project will be deployed across Salford Royal NHS Foundation Trust, part of the Northern Care Alliance, with an aim to revolutionise the organisation utilising ...

Microsoft and SilverCloud to pioneer AI in mental health

SilverCloud Health, an evidence based digital mental health company has announced a new research project with Microsoft to enhance its online offering with artificial intelligence (AI). The organisations are using machine learning and artificial intelligence to accelerate the understanding and delivery of personalised mental healthcare that responds to each patient’s unique ...

DATA-CAN to transform how cancer clinical data can be used

£4.7m has been pledged for DATA-CAN, the Health Data Research Hub for Cancer announced this month, one of 7 new data hubs launched. The DATA-CAN initiative aims to transform how cancer clinical data across the UK can be used to improve patient care, diagnose the disease earlier, and enable people to ...

Data and analytics supporting the stranded patients challenge

HTN met with Orlando Agrippa, CEO and Richard Parker, COO of Draper & Dash to understand how their technology, the use of data and analytics on historic and live data is now being used by some trusts to identify, understand and review trends and issues that lead to patients becoming ...

RCGP invites primary care insight on impact of AI

The Royal College of GPs is inviting clinicians and healthcare professionals in primary care to provide insight on how AI will impact them. Together with UCL, the RCGP is in the early stages of piloting an AI tool for educational purposes. However the College has called for help, via a survey ...

Circle Health partners with EQL AI-driven physio tool

EQL, a start-up part of the NHS DigitalHealth.London accelerator programme will be providing its AI-driven physio tool to Circle Health. Cicle Health will be rolling out the tool across all its NHS MKS contracts. Patients will utilise Phio, the digital physiotherapist that uses powerful decision trees to accurately evaluate the right ...

CQC invites AI innovators to help develop regulatory approach

The Care Quality Commission has today launched a regulatory sandbox round 2 for machine learning in diagnostic and screening services. CQC is seeking providers and innovators who use AI in their diagnostic and imaging services to help develop their regulatory approach. The round will include technology for the interpretation and delivery ...

NHS Digital partners with University of Oxford, Microsoft and IBM for new hub for clinical trials

NHS Digital has partnered with the University of Oxford, Microsoft and IBM to develop a new hub that aims to revolutionise the way in which clinical trials are delivered. NHS DigiTrial, the NHS Health Data Research Hub for Clinical Trials, is one of seven hubs announced this week to enable cutting-edge ...

7 new health data hubs launched

Seven new data hubs are to be rolled out across the UK to speed up research for new medicines, treatments, and technologies that support quicker diagnoses and save lives. The hubs will use the latest advances in technology to connect and analyse health data from existing locations and in partnership ...

New research study supports SkinVision App

A new study published in the Journal of the European Academy of Dermatology and Venereology (JEADV) has determined SkinVision, a skin cancer application has a sensitivity of 95.1% in detecting the most common forms of skin cancer. SkinVision’s awareness and tracking solution supports individuals with the early recognition of skin cancer. ...

£130m investment for gene-based therapies and artificial intelligence

The Government has today announced it will invest over £130 million in life-changing treatments for arthritis and cancer and for pioneering gene-based therapies for diseases including dementia and Parkinson’s. An investment of £50 million with support NHS diagnostic services and support the work of existing Centres of Excellence in digital pathology ...

Moorfields researchers opening up development of AI

Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology are researching ways to open up the development of AI algorithms to healthcare professionals without programming experience. The team is using Google AutoML, a machine-learning algorithm that learned to build an algorithm to analyse medical images and provide diagnoses. For simple ...

NHS Digital and Accenture agree perimeter security deal

NHS Digital has signed a contract with Accenture to provide the NHS with free-to-adopt, perimeter security services. The deal includes technology from Palo Alto, an American cybersecurity company with headquarters in Santa Clara, California. Its core products are a platform that includes advanced firewalls and cloud-based offerings that extend those ...

Wellbeing and Brainomix partner to support stroke diagnosis

Wellbeing Software has partnered with AI Specialist Brainomix to accelerate the introduction of AI and deep learning to assist clinical decision making for ischemic stroke patients. The Brainomix solution utilises Artificial Intelligence, deep learning algorithms and clinical engineering to assist healthcare professionals with imaging decision support. When a patient is admitted ...

DeepMind using AI to give doctors a 48-hour head start on life-threatening illness

A new research report from Google DeepMind has found artificial intelligence can help support the treatment of acute kidney injury earlier. DeepMind has developed technology that could give doctors a head-start in treating acute kidney injury, a condition that is associated with over 100,000 people in the UK every year. The team ...

NHSX to oversee industry access to data

The newly formed tech unit, NHSX will be assuming responsibility of the sharing of NHS patient data with industry. In a new guidance document published on 15th July, it sets out defining principles for data-sharing agreements and provides new guidance for the use of data sharing for commercial purposes. The ...

Data sharing between GP clinical system suppliers on general release

Data sharing between TPP and EMIS Health is now available on general release. The agreement means healthcare professionals can view important patient information across different systems and care settings. It includes data from both GP and community records, providing staff with information such as allergies, medication, problems and consultations, recorded by ...

AI skin mapping tech available to patients

An AI-powered skin mapping technology normally used by clinicians to deter the most common warning signs of melanoma is now available to patients. The Miiskin app has introduced the technology to help alert adults to new moles and marks on their skin. Research from the Office of National Statistics found ...

Dartford and Gravesham NHS Trust implements AI in radiology

Dartford and Gravesham NHS Trust has partnered with Behold.ai to support quicker diagnosis workflows. The Trust has deployed artificial intelligence (AI) algorithms to support quicker radiology reporting by utilising the Behold.ai red dot® prioritisation platform.  The red dot® AI algorithm separates radiology studies into normal and abnormal categories alerting radiographers to urgent ...

Darren Atkins, CTO: How Intelligent Automation can deliver a brighter future for the NHS

For HTN by Darren Atkins, Chief Technology Officer (Artificial Intelligence and Automation), East Suffolk and North Essex NHS Foundation Trust (ESNEFT) As the NHS continues to struggle under the weight of increasing demand, reduced budgets and crippling skills shortages, senior stakeholders continue to search for innovative ways to create efficiencies ...

UK healthtech startup raises £1.1 million for AI-powered disease diagnosis

UK healthtech startup Feebris has announced a successful seed investment raise of £1.1 million. The funding enables the company to continue its innovation in AI for precision diagnosis of respiratory conditions in elderly patients in the UK and young children in India. The company founded by Elina Naydenova and Adam Bacon ...

How can artificial intelligence and machine learning radically transform readmissions?

By Orlando Agrippa, Draper & Dash Predictive HealthcareAnalytics AI continues to offer a huge opportunity for sectors from pharmaceuticals and trials to factories, healthcare and more. Over 40 per cent of companies believe that their current models today will cease to exist in the next five years. Though many healthcare ...

AI-enabled mental health treatment platform goes live

Ieso Digital has announced it will integrate Artificial Intelligence into its therapist platform for the first time. It will enable therapists in the UK and US to receive data-led insights about each patient during the assessment stage of treatment, providing them with predictions of a patient’s presenting condition, severity of ...

AI research programme launched in London

CAP-AI, a pioneering research programme in Artificial Intelligence (AI), is underway at Barts Life Sciences involving project teams from Barts Health NHS Trust and Queen Mary University of London. The organisations will support London-based Small/Medium Enterprise (SME) with the aim of creating a new product that can be commercialised. Comprised ...

Using AI and ML to predict staffing and patient demand in A&E departments

By Orlando Agrippa, CEO, Draper & Dash Latest figures from January show that A&E waits across the country have reached their worst level since the 4-hour waiting time target was introduced. With only 84.4% of patients being treated or admitted within the 4-hour target, making it drastically lower than the acceptable ...