In the last year, 414,137 patients are believed to have experienced some level of harm because they spent so long in the back of ambulances waiting to get into hospital.
The analysis of NHS data by the Guardian and the Association of Ambulance Chief Executives highlights the huge scale of the challenge facing Keir Starmer as he prepares to set out how he plans to rescue the NHS.
These figures underline what the ambulance sector has been saying for a long time - that thousands of patients are potentially being harmed every month as a direct result of hospital handover delays.
Ambulance handover delays occur when ambulances arrive at A&E but are unable to hand patients over to staff due to units being busy.
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