多米尼克·休斯报道：据英国卫生部门高级领导称，已有“不祥征兆”表明冬季的压力已经开始影响英格兰的国家医疗服务体系（NHS）。
There are "ominous signs" that winter pressures are already affecting the NHS in England, according to senior health leaders.
这一警告发布之际，最新数据显示，英格兰常规医院治疗的等候名单已连续第二个月增加。
The warning comes as new data reveals the waiting list for routine hospital treatment in England rose for the second month in a row.
截至8月底，估计有737万项治疗项目尚未完成，涉及624万名患者。
An estimated 7.37 million treatments were waiting to be carried out at the end of August, relating to 6.24 million patients.
这些数字是2025年10月以来的最高水平，也引发了人们对NHS能否在2029年前实现政府设定的“18周内为92%的患者提供治疗”这一目标的质疑。
The numbers are the highest since October 2025 and have raised questions over whether the NHS will meet a government target of treating 92% of patients within 18 weeks by 2029.
尽管英格兰的NHS在夏季提供了创纪录水平的计划性择期医疗服务，同时服务需求也达到了历史最高水平，但等候名单仍在增长。
The rise in waiting lists comes despite the NHS in England delivering what were described as record levels of planned, elective care over the summer, while demand for services also reached its highest level ever.
6月、7月和8月期间，计划性治疗、手术和预约的总次数达到了创纪录的470万次——超过了以往任何一年的夏季。
A record 4.7 million planned treatments, procedures and appointments occurred across June, July and August – more than in any previous summer.
然而，9月份，急诊科（A&E）和救护车服务也迎来了创纪录的患者数量。
But both A&Es and ambulance services also saw a record number of patients for the month of September.
英格兰NHS的国家医疗总监弗兰基·斯沃兹教授警告称，尽管一线团队取得了进展，但冬季的压力已经开始积聚。
NHS England's national medical director, Professor Frankie Swords, warned that despite the progress delivered by frontline teams, winter pressure was already building.
她说：“工作人员已经看到了压力的早期不祥征兆：与往年同期相比，因流感和其他呼吸道病毒而前往急诊科的患者更多，而且不幸的是，许多人仍然需要比我们期望的更长时间才能接受治疗。”
"Staff are already seeing the ominous early signs of pressure, with more patients coming to A&E with flu and other respiratory viruses than usual for this time of year, and unfortunately many people are still waiting longer than we would like them to," she said.
代表各医院的NHS联盟表示，英格兰政府无法实现其竞选纲领中承诺的在2029年议会任期结束前达成18周医院等候时间目标。事实上，这一18周的目标在过去十年中从未实现过。
The NHS Alliance, which represents hospitals, says the government in England is not going to achieve its manifesto promise of hitting the 18-week hospital waiting time target by the end of the parliament in 2029. That 18-week target hasn't been hit for a decade.
健康基金会智库的一项独立分析指出，在过去一年中，缩短等候时间的进展已经停滞，转诊至等候名单的患者数量增长速度远快于接受治疗的患者数量。
A separate analysis by the Health Foundation think-tank said progress on cutting waiting times had stalled over the past year, with referrals on to the waiting list rising at a much quicker rate than the number of patients being treated.
NHS联盟首席执行官西拉恩·德瓦恩爵士表示：“NHS仍在应对创纪录的医疗需求，但服务需求的持续激增正给NHS员工带来巨大压力。”健康基金会的弗朗西斯卡·卡瓦拉罗则表示：“得益于员工的辛勤工作，NHS在缩短等候时间方面取得了进展，但转诊数量的增加意味着该服务不得不加快运转，只为维持现状，而实现政府承诺的前景正逐渐渺茫。
Sir Ciarán Devane, the chief executive of the NHS Alliance which represents NHS trusts, said: "The NHS continues to respond to record demand for care, but the relentless growth in demand for services is putting NHS staff under real pressure." Francesca Cavallaro, of the Health Foundation, said: "Thanks to the hard work of staff, the NHS has made progress in bringing down waiting times, but a rise in referrals mean that the service is having to run faster just to stand still and the prospects of meeting the government's pledge are receding.
“安迪·伯纳姆的政府尚未说明是否会将18周目标与基尔·斯塔默执政时期同等重视，但我们的分析显示，这一承诺正变得越来越难以兑现。”此外，人们也担心漫长而炎热的夏季所带来的压力，几乎无缝地延续到了冬季的压力之中。更多患者，包括儿童，因流感和其他呼吸道病毒而涌入急诊科。
"Andy Burnham's government have yet to set out whether they will give the 18-week target the same priority as it had under Keir Starmer, but our analysis shows the pledge is becoming increasingly hard to deliver." There will be concern too that the pressures of a long, hot summer have merged almost seamlessly into the pressures associated with the winter months. More patients, including children, have been arriving at A&E departments with flu and other respiratory viruses.
上个月，急诊科在四小时内接诊患者的比例降至74.4%，低于8月份的75.0%。
The number of patients seen within four hours in A&Es last month fell to 74.4%, down from 75.0% in August.
9月份，从决定收治到实际入院在急诊科等候超过12小时的人数（即所谓的“走廊护理”）达到50,582人，高于8月份的44,951人。这一情况引起了急性医学学会主席维基·普莱斯博士的警觉。
The number of people waiting more than 12 hours in A&E departments from a decision to admit to actually being admitted – what is known as "corridor care" – stood at 50,582 in September, up from 44,951 in August. That has alarmed Dr Vicky Price, president of the Society for Acute Medicine.
“随着冬季临近，急诊科12小时等候时间同比上涨13%，这应该敲响警钟。
"A 13% year-on-year rise in 12-hour emergency department waits as winter approaches should set alarm bells ringing.
“9月份，超过5万名患者从决定收治到实际入院等候了超过12小时——相当于每天1,686人。“这些不仅仅是数字。”
"More than 50,000 patients waited over 12 hours from the decision to admit to admission in September - 1,686 people every day. "These are not just numbers.
他们代表着那些等待床位时间过长、以及在过度拥挤的急诊科努力提供安全护理的工作人员。政府表示，18周的目标或许仍可实现，并称其正在投资国家医疗服务体系（NHS）的建筑和设备，以提高服务效率。
"They represent vulnerable people who are waiting far too long for a bed and staff trying to deliver safe care in overcrowded emergency departments." The government says the 18-week mark could still be achieved, saying it was investing in NHS buildings and equipment to make services more productive.
政府还指出，住院医师的罢工给医疗服务带来了干扰，而这场争议现已得到解决。
It also pointed to disruption to care that was caused by the strikes by resident doctors, a dispute which has now been settled.
然而，在冬季尚未真正来临的九月，医疗服务体系就已感受到巨大压力，这无论对于NHS的领导者还是其政治主管而言，都令人担忧。
But the strain that services are feeling in September, before winter has even really got going, will be a cause for concern among NHS leaders and their political bosses alike.