This research report from Future Health has been commissioned and funded by Acumentice. The report was authored by Future Health and the final content is editorially independent.

This report identifies 16 of 42 regions where primary and secondary care services are under high levels of pressure going into this winter. The research finds widespread variation in access to services including a nearly four-fold variation in the proportion of patients waiting three weeks or more for a GP appointment. Analysis from nine different NHS data sources including appointment access, waiting times and ratios of staff to patients is used to look at relative pressures between new integrated care systems, established in July 2022 and now responsible for regionally managing health services.