The impact of winter pressures and the Omicron variant of coronavirus on the Salford Royal Trust have been laid bare.
Hospitals across the country are grappling with staff absences and an increase in demand, while ambulance handover delays and bed blocking are adding strain on services.
NHS England data shows 1,291 people arrived at Salford Royal NHS Foundation Trust A&E by ambulance in the week to January 9.
Of them, 316 (24%) waited more than 30 minutes before being handed over to A&E staff, with 141 (11%) waiting more than an hour.
This was up from 20% waiting over half an hour the week before.
The NHS has a target of 15 minutes for ambulance handovers, but only delays longer than 30 minutes are recorded.
The data also shows an average of 840 staff were off sick because they had Covid-19 or were self-isolating due to the virus each day in the week to January 9 – accounting for 45% of absences.
This was up from the week before when 36% of staff were off for Covid-related reasons.
Professor Stephen Powis, NHS national medical director, said Omicron had increased the number of people in hospital with Covid, while “drastically” reducing the number of staff able to work.
He said: “Despite this, once again, NHS staff pulled out all the stops to keep services going for patients.
“But staff aren’t machines and with the number of Covid absences almost doubling over the last fortnight and frontline NHS colleagues determined to get back to providing even more routine treatments, it is vital that the public plays their part to help the NHS by getting your booster vaccine.”
Separate figures show bed blocking was also causing issues at trusts across England last week, with 72% of patients deemed fit to leave hospital on January 9 – the latest date for which data is available – failing to be discharged.
At the Salford Royal Trust, 238 patients were eligible for discharge on January 9, but just 14 (6%) left hospital.
Meanwhile, waiting lists for routine treatments are also at an all-time high nationally, with six million people waiting for non-urgent elective operations or treatment at the end of November, up from 5.98 million the month before.
NHS England figures show 1,329 more patients joined waiting lists at the Salford Royal Trust in November, bringing the total to 126,644 at the end of the month.
Shadow health secretary Wes Streeting said the NHS was unprepared for the pandemic and had no “spare capacity” when the Omicron variant hit.
He said: “Now patients are paying the price, waiting months and even years for treatment, often in pain, distress and discomfort.”
Siva Anandaciva, chief analyst at the King’s Fund, said long waits for care were becoming increasingly common.
He said: “We must remember these are not just big numbers – they are people living with pain and anxiety while they wait for months and, in some cases, more than two years for treatment.”