NHS accident and emergency departments in England recorded their lowest-ever performance in December.
The latest figures show 79.8% of patients were seen within four hours in all A&E departments last month, compared with 81.4% in November 2019 and 86.5% in December 2018.
It comes as pressures on the health service continue to grow.
The number of patients visiting A&E departments in December increased 6.5% on the same month last year, with 2,181,024 people attending.
There were 560,801 emergency admissions in the month, 2.9% higher than the same month last year.
There were 4.6 million people on the waiting list to start treatement as of the end of November 2019, up from 4.4 million.
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