Tackling a vital challenge

With waiting lists in England now exceeding seven million, the impact on patients, staff, and the wider economy is impossible to ignore. The government has set ambitious targets to cut waiting times — but it’s clear that traditional approaches alone won’t be enough.

That’s why the theme of our conference (taking place on 16-17 September), From Backlog to Breakthrough, is more than just a slogan — it’s a shared call to action.

Waiting lists are what systems thinkers call a wicked problem: a complex, adaptive challenge that resists simple solutions and demands new ways of thinking, Ìýlearning, and innovating together.

About the conference

We’ll explore practical ways to make progress on cutting patient waiting times and numbers. The urgency couldn’t be greater. NHS waiting lists continue to grow — and an increasing number of patients are turning to private healthcare for faster access. System-wide reform and innovation can’t wait.

Hosted by The Strategy Unit in partnership with Health Data Research UK (HDRUK), the conference will also mark the launch of the Waiting Intelligence Network (WIN) — to share learning, scale innovation, and accelerate system-wide change.

It is being co-designed by patients with lived experience of waiting lists and the patient voice will be represented throughout, including among the audience.

Sessions will draw on proven principles for understanding and addressing complexity:

  • Understanding the system – exploring the causes, consequences, and connections that shape waiting lists across the NHS.
  • Engaging diverse voices – ensuring everyone, from patients and frontline staff to national leaders, is part of the conversation.
  • Reframing assumptions – challenging long-held narratives and seeing the problem through fresh lenses informed by a diverse mix of methods.
  • Experimenting and learning – sharing prototypes, pilots, and case studies that have achieved real-world impact, including novel models of care and AI-based innovations.
  • Adapting and iterating – focusing on agility, feedback, and continuous improvement rather than one-off solutions.
  • Tackling root causes – going beyond surface symptoms to address the deeper structural, behavioural, and cultural drivers of long waits.

Contact us at Learn@hdruk.ac.uk.

Conference agenda

Day 1

08:30 – 09:30 Registration and Coffee.

09:30 – 09:40 Welcome and Overview: Simon Ball, Consultant Nephrologist and Senior Science Advisor at Health Data Research UK and Senior Responsible Owner for the West Midlands Secure Data Environment.

09:40 – 11:10: Impact Talks. Chaired by Simon Ball, 51±¬ÁÏÍø.

09:40 – 09:55 The Impact to Patients of Waiting Lists. Fiona Loud, Policy Director of Kidney Care UK.

09:55 – 10:15 Waiting lists policies and the two-tier system within the NHS: How NHS outsourcing to the private sector is driving inequalities and shrinking NHS capacity for elective surgery in England. Allyson Pollock, Co-Director of Newcastle University Centre of Excellence in Regulatory Sciences.

10:15 – 10:30 Understanding NHS Elective Waiting Lists: Past and Present. Tineke Poots, Head of Elective Recovery Analysis and Modelling at NHS England.

10:30 – 10:45 Beyond the Dashboard: What Data Misses Without the Frontline: Michelle Rigozzi, Senior Delivery Adviser, Cabinet Office.

10:45 – 11:00 Panel Q&A Session.

11:00 – 11:25 Coffee Break.

11:25 – 12:40: Late Morning Impact talks. Chaired by Simon Ball, 51±¬ÁÏÍø.

11:25 – 11:40 Waiting Lists Internationally Compared. Do Long Waits Affect Health? Luigi Siciliani, Professor of Health Economics, University of York.

11:40 – 11:55 What is Driving High Elective Waiting Times, and How can the Government Reduce Them? Ollie Harvey-Rich, Research Economist at the Institute for Fiscal Studies.

11:55 – 12:10 Is the government on track to restore the 18-week standard? Updated projections. Francesca Cavallaro, Senior Analytical Manager, The Health Foundation.

12:10 – 12:25 Do longer waits affect health? Analysis of health and care before, during, and after waits for 65,000 hospital procedures in a whole-population cohort in Scotland. Jessica Butler, Lead Data Scientist, NHS Grampian.

12:25 – 12:40 Panel Q&A Session.

12:40 – 13:40 Lunch.

13:40 – 15:00: Early afternoon impact talks. Chaired by Fraser Battye, The Strategy Unit.

13:40 – 14:00 Clinical Prioritisation: Kiran Patel, Group Chief Medical Officer & Deputy CEO, University Hospitals Birmingham NHS Foundation Trust

14:00 – 14:15 Tracking Waiting Lists at the Manchester University NHS FT: Dr Sohail Munshi; Vanessa Gardener, University of Manchester.

14:15 – 14:30 Talk title to be confirmed: Stuart Bell, Director of Performance, Imperial College.

14:30 – 14:45 Untimely Care: Notes from the Waiting Times Project: Lisa Baraitser, Professor of Psychosocial Theory at Birkbeck, University of London; Michael J Flexer, lecturer at the University of Exeter; Laura Salisbury, Professor of Modern Literature and Medical Humanities at the University of Exeter Untimely Care.

14:45 – 15:00 Panel Q&A Session.

15:00 – 15:25 Coffee Break.

15:25 – 16:20: Late afternoon impact talks. Chaired by Neil Walton, Durham University Business School.

15:25 – 15:40 Building Trust in AI Within Healthcare: James Crisp, MBI Health.

15:40 – 15:55 Using Clinical language AI to Prioritise Elective Care Waiting Lists and Reduce Lost to Follow-Up in Outpatient Pathways. James Teo, Associate Medical Director of Patient Outcomes; Co-founder of CogStack and ThomasÌý Searle, Data Scientist, Kings College NHS Foundation Trust – CogStack

15:55 – 16:10: Reducing the Administrative Burden: Can AI-Generated Discharge Summaries Help Address Waiting Lists? Benjamin Atkins, Core Surgical Trainee, Imperial College London.

16:10 – 16:25: Panel Q&A.

16:35 – 16:45 Closing Remarks: Fraser Battye, The Strategy Unit.

16:45 – 18:00 Coffee and Networking.

Day 2

08:30 – 09:30 Registration and Coffee.

09:30 – 09:35 Welcome and Overview: Neil Walton, Professor of Operations Management, Durham Business School.

09:35 – 11:10: Early Morning Talks. Chaired by Neil Walton, Durham University Business School.

09:35 – 09:50 The Patient Perspective.

09:50 – 10:10 Managing long waits? Or the causes of long waits? Rob Findlay, Director of Strategic Solutions, Insource Ltd.

10:10 – 10:25 Using Queuing Theory and Simulation in NHS Planning: Applying the NHSR Waiting List R Package: Chris Mainey, Senior Data Scientist, NHS Birmingham and Solihull ICB.

10:25 – 10:40 Application of waiting list theory to service planning within a large tertiary-level ENT service: Dan Gordon, Director of Elective Recovery and Reform, Greater Manchester Integrated Care Board.

10:40 – 10:55 Adjusting for the Impact of the Waiting List Backlog in Medium Term Planning Using the NHP Demand and Capacity Model: Lucy Morgan, Analytics Manager (Simulation), The Strategy Unit.

10:55 – 11:10 NHS Waiting Times and Privately Funded Hip and Knee Surgery in England: A Causal Analysis Using National Joint Registry Data (2013–2023): Steven Wyatt, Head of Strategic Analytics, The Strategy Unit.

11:10 – 11:25 Panel Q&A Session.

11:25 – 11:50 Coffee Break.

11:50 – 13:05: Late Morning Impact Talks. Chaired by Simon Ball, 51±¬ÁÏÍø.

11.50 – 12:05 Additional healthcare use among patients awaiting elective care: evidence of failure demand impacting NHS resource use and indicating patient harm. Cheryl McQuire, Research Fellow in Public Health Evaluation, University of Bristol.

12:05 – 12:20 Do Surgical Hubs and Community Diagnostic Centres Work? Estimated Impacts on Activity, Waiting Time and Equity in the NHS. Peter Sivey, Reader in Health Economics, Centre for Health Economics, University of York.

12:20 – 12:35 One Queue, Unequal Risk: MRI Waiting Lists and Prostate Cancer Diagnosis: OdunolaÌýFridauz Atitebi, Research and Evaluation Worker, Can-Survive UK.

12:35 – 12:50ÌýThe indirect health costs of the COVID-19 pandemic: Inequalities in the number of undelivered elective surgeries in the English NHS accumulated since March 2020. Adrián Villaseñor.

12:50 – 13:05 Panel Q&A.

13:05 – 14:05 Lunch.

14:05 – 14:30 Patient Panel Discussion. Facilitated by Fraser Battye.

14:30-15:20: Working Groups. Interactive breakout sessions focused on identifying priorities, shaping actionable recommendations, and defining next steps emerging from the conference themes.

15:20 – 15:35 Feedback Discussion.

15:35 – 15:50 Closing Remarks: Fraser Battye, The Strategy Unit.

15:50 – 16:30 Coffee and Networking.

Register now

This is an in-person event. Places are limited, with priority given to NHS and social care staff. Please register your interest on the form below to attend. Further instructions on how to apply for a space will be released in due course.


ELAB sessions

The conference will be complemented by a series of free, focused, expert-led ELABs in the weeks leading up to the event — including training sessions, international perspectives, and thematic seminars designed to deepen learning and spark new ideas.

ELABs