Accident and Emergency departments in England have fallen to a new low for waiting times over the festive period, figures are expected to reveal later.
Already this winter has seen waiting times in A&E departments hit record levels, with many hospitals failing to meet the target of dealing with 95% of patients within four hours.
The latest figures, which cover October to December, are expected to be the worst since this target was introduced a decade ago.
Once all beds are full, ambulance queues build up outside departments with patients waiting on trolleys for extended periods of time before they are seen by doctors.
The new figures are to be released by NHS England as emergency units up and down the country struggle to deal with a surge in demand.
The University Hospitals of North Midlands, which operates in Staffordshire, has declared a major incident because of unprecedented demand for healthcare services.
It follows a similar decision by Scarborough Hospital in North Yorkshire, and hospitals in Cheltenham and Gloucester which have also activated major incident plans.
Last month, Sir Bruce Keogh, the medical director of the NHS in England, admitted Accident and Emergency departments were under pressure.
"The system is creaking, it is under pressure at the moment," he said.
"A&Es are having to address increasing demand, the ambulance services are struggling in many parts of the country and we have a number of issues to deal with, which we are tackling."
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