Cancelled planned operations
Month ending 31 October 2025

Official statistics

Published: 02 December 2025 (Latest release)
Type: Statistical report
Author: Public Health Scotland

Waiting times

About this release

This release by Public Health Scotland (PHS) provides a monthly update on the number of operations in NHSScotland that were cancelled the day before or on the day of treatment. Cancellation reasons are grouped into cancelled by the hospital for clinical reasons, cancelled by the patient, cancelled by the hospital due to capacity or non-clinical reasons, cancelled for other reasons, and cancelled for unknown reason.

Total cancelled planned operation figures in October 2025 were affected by an ongoing issue in NHS Grampian's Central Decontamination Unit (CDU) which led to a number of elective procedures being postponed, see supplementary data tables file 'Notes' tab for additional information.

Main points

During October 2025:

There were 27,862 operations planned to take place across NHS Scotland. This is 12.2% higher (+3,038) than the number planned a year previously in October 2024 (24,824) and the highest number of operations planned since January 2020. Overall, the number of planned operations has been increasing since the COVID-19 pandemic impacted service provision, albeit with a levelling off in the 12-month rolling average between May 2024 and June 2025. In the latest 12 months, from November 2024 to October 2025, there was a 4.5% increase (+12,732) in the number of planned operations (297,014) compared to the previous 12 months (284,282). This remains 10.7% lower (-35,684) than those planned to take place in the 12 months from November 2018 to October 2019 (332,698), prior to when the pandemic began to severely impact service provision.
9.3% (2,601) of planned operations were cancelled the day before or on the day the patient was due to be treated in NHSScotland. This is higher than the rates reported during October 2024 (8.7%; 2,155) and October 2019 (8.5%; 2,468), which is the last October comparison time point before COVID-19 began to impact service provision. The 12-month rolling average of percentage of cancellations shows some decline from the start of 2023 and then a levelling off from the middle of 2024 onwards. Across NHS boards, the percentage of cancelled planned operations ranged from 5% to 21% in this month (the latter affected by the known issue in NHS Grampian).
Of all planned operations during October 2025 in NHS Scotland, 783 (2.8%) were cancelled by the hospital for clinical reasons, 828 (3.0%) were cancelled by the patient, 894 (3.2%) were cancelled by the hospital due to capacity or non-clinical reasons, and 96 (0.3%) were cancelled for other reasons.

A trend chart showing NHSScotland level data for total planned operations and percentage of cancelled planned operations, by reason, from October 2022 up to October 2025. The blue line represents the total number of planned operations in each month across the time period.

The dotted black line at the top of the graph since October 2022 shows the 12-monthly rolling average of all planned operations. The second dotted line below shows the 12 month rolling average for cancelled operations by percentage.

Each of the coloured bars represent the percentage of total planned operations cancelled for each reason: the lowest bar denotes those cancelled for clinical reasons; the next highest is those cancelled for non clinical/capacity reasons; the next highest is those cancelled by patient; the next highest percentage on the graph is operations cancelled for other reasons, and finally, the highest is for cancellations for unknown reasons.

The monthly figures over the time period have fluctuated for various reasons including seasonality and the number of working days in a month affecting number of planned operations and cancellation reasons. However, the 12-monthly rolling average for total number of planned operations has continued to increase although growth has slowed since approximately April 2024. — Image caption **NHS Scotland total planned operations and percentage of cancelled planned operations by reason to October 2025**

Please note that fluctuation in the trend in the monthly number of planned operations will be caused partly by variation in the number of working days per month, i.e. weekdays excluding public holidays, as theatre capacity tends to be lower at weekends and on public holidays.

Background

These statistics are released monthly. Data for this publication are submitted from NHS board theatre systems. Further information on the reasons for cancellation can be found on the Cancelled Planned Operations section of our website.

Further information

The next release of this publication will be 13 January 2026.

PHS is currently undertaking a review of the statistical publications we produce. All planned care waiting times outputs are being reviewed and this may lead to a change in the content, layout and frequency of future publications. Any substantial changes will be announced ahead of implementation. For more information, please contact us at phs.waitingtimes@phs.scot

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Older versions of this publication

Versions of this publication released before 16 March 2020 may be found on the Data and Intelligence, Health Protection Scotland or Improving Health websites.