At the end of September, 401,537 patients had waited over 52 weeks to start treatment. The total number of people waiting for routine hospital treatment is a record high 7.1 million. NHS England and the government have set a goal of eliminating all waits of more than a year by March 2025. Meanwhile nurses are about to strike nationally, for the first time ever, sending up distress flares about the state of their service. The majority of NHS members voted to strike for fair pay and safe staffing. Strikes will be at NHS trusts or health boards which meet relevant legal requirements. Many of the biggest hospitals in England will see strike action by RCN members, but others narrowly missed the legal turnout thresholds to qualify for action. Nurses worry they cannot care as they should.