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England’s NHS has instructed regional integrated care boards to limit or cap elective activity to keep within 2025-26 budgets, prompting thousands of planned operations, scans and outpatient bookings to be delayed or cancelled.
NHS and media estimates on Feb. 8, 2026 indicate up to 140,000 patients could have procedures altered or deferred by the end of March.
There are 42 ICBs; NHS England warned of a combined deficit of at least £445 million, and caps or limits have been reported in Greater Manchester, Cheshire and Merseyside, Lincolnshire, Nottinghamshire, Somerset, Suffolk and north-east Essex.
Many cancellations affect NHS-funded treatment delivered by private providers; some January appointments have been rebooked for April 1 when the financial year resets.
Health Secretary Wes Streeting has prioritised reducing the 7.3 million-treatment waiting list, but think-tank and provider figures say the slowdowns will reduce the number removed from lists by about 140,000.
Clinicians and policy experts warned caps risk leaving operating theatres underused and prioritising finances over clinical need.






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