The NHS is confronting escalating A&E wait times as it faces one of its most difficult winters. In England, only 69.7% of patients were seen within the four-hour target last month. Ambulance delays have worsened, with one-third of patients experiencing waits of more than 30 minutes at hospitals. The Association of Ambulance Chief Executives (AACE) reported significant ambulance service delays, leading to 149,000 lost hours and potential harm to 37,000 patients. The College of Paramedics highlighted the urgent need for investment in ambulance services and emergency department improvements. Despite preparations, the NHS's situation remains challenging compared to last year. The Health Foundation notes that its performance this winter depends on weather and seasonal viruses. Lib Dem spokeswoman Daisy Cooper criticised the government for inadequate preparation. NHS England's medical director and PM Rishi Sunak acknowledged the challenges, mentioning government efforts in early planning and funding to enhance A&E, ambulance services, and patient discharge processes.