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Last-minute knee surgery cancellations ‘cost millions and ramp up waiting lists’

A study found 25% of knee surgery cancellations occur less than 24 hours before operation, costing the NHS over £15.5 million across six hospitals in five years.

  • A new study by University of Bristol researchers found last-minute knee replacement cancellations cost the NHS millions and lengthen waiting lists amid over 110,000 annual procedures.
  • Study data show a quarter of cancellations occurred within 24 hours and 60% within two to 14 days, often due to pre-op medication or running out of theatre time.
  • The research team calculated each short‑notice knee replacement cancellation costs between 6500 and 11000, with authors warning cancellations pose a substantial, underappreciated problem.
  • Patients often face waits exceeding a year, with cancellations erasing hope, while the NHS has opened 123 surgical hubs and offers personalised support to reduce delays.
  • Authors urged striving for zero avoidable cancellations and said prevention programmes are a first step, acknowledging more work is needed to reduce patient and resource costs.
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Last-minute knee surgery cancellations ‘cost millions and ramp up waiting lists’

There was also a ‘great cost’ for affected patients.

·London, United Kingdom
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The Independent broke the news in London, United Kingdom on Monday, December 1, 2025.
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