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UNFORTUNATELY, your very welcome NHS feature ( Medics express alarm at ‘full and bursting’ Scots hospital wards , June 21) was barely able to scratch the surface of our current NHS emergency. Recent Public Health Scotland data showed 28,203 patients on an NHS waiting list for at least a year at the end of March, up 86.4 per cent from December 2020. Yet this overall figure conceals an even worse position for chronically under-resourced areas like Orthopaedics. Covid added to pre-existing shortcomings, creating a situation that can only be seen as a national disgrace. More than 20% of people will suffer from arthritis, and in Scotland we currently need more than 17,000 hip and knee replacements annually, notwithstanding Scotland’s ageing population.

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