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A backlog of long waiting patients is a cohort of patients that have all exceeded the clinically recommended timeframe. These patients are at greater risk of adverse clinical outcomes and require an action plan to be treated. Strategies can include redistributing patients to waiting lists (where clinically appropriate) where there is no capacity deficit, holding additional long wait clinics, outsourcing to an alternate service provider, and routine clinical and administrative auditing to understand if the patients still require care and ensuring there are no data quality issues.