DELAIS for routine surgery is on the poorest level since January 2009, according to NHS data from England.
Some 4.3 million people waited at the end of September as well as hip and cataract.
Hospitals are designed to treat patients who need non-urgent care within 18 weeks – but 13.3 percent, about 570 000, are waiting longer.
This is the worst performance in the near decade when this value was 14.5 percent.
Reception in emergency cases reached a record level last month at 542,435, an increase of 5.7 percent per year.
Tom Sandford, of the Royal College of Nursing, said: "Everywhere you see how you see our health care system."
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Rob Harvood, of the British Medical Association, said: "We no longer experience the winter crisis in the NHS, it is now a crisis all year round.
"These numbers need to ring the alert alarm for the NHS and the government as we approach the winter."
NHS England said: "The NHS continues to look after the growing number of people who need our care."