Only 69% of patients were seen, admitted or discharged within four hours in October, below the 95% target.
A record number of patients had to wait at least four hours in A&E departments in October, NHS England figures show.
In October, 43,792 patients had to wait at least 12 hours in A&E after a decision to admit to a ward had been made, up 34% from 32,776 in September, and the highest number in records going back to August 2010.Data from the London Ambulance Service was not available for October. "This latest set of performance data show that standards are at an unacceptably poor level for both patients and staff, with an expectation that this will deteriorate further over the winter months," he said.
"Pressure on emergency services remains high as a result of more than 13,000 beds taken up each day by people who no longer need to be in hospital."Separate data showed the number of people in England on a waiting list to start to routine treatment, such as a knee replacement or cataract surgery, has also risen to a new record high.
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