Accident and emergency departments across England have failed to see 95% of their patients within four hours for 20 weeks running.
The crucial target was not met in the second week of February - with just 91.6% of patients being admitted, transferred or discharged in the four hours after they arrive at a ward.
In comparison, 92.9% of casualty patients were treated in line with NHS England's expectations in the seven days to 8 February.
"Last week saw a sharp increase in A&E attendance and emergency admissions - up by nearly 15,000 on the week before. These are the highest levels since Christmas and are also up on the same week last year," said Dr Barbara Hakin of NHS England.
An estimated 420,700 patients went to an accident and emergency department last week.
This admissions figure is the highest seen since the week before Christmas, when 446,473 attendances were recorded.
Dr Hakin added: "This has resulted in a slight impact on waiting times, but we continue to admit, treat and discharge more than nine out of ten patients within four hours."
In recent weeks, the Royal College of Nursing has said the system is in crisis - with chronic underfunding and staffing shortages to blame.
A growing number of NHS hospitals have had to declare "major incidents" as they struggle to cope with the rising number of admissions.
"Bed blocking" also continues to be a serious issue - and last week, 4,000 hospital beds were unavailable because of delays in transferring patients who could be discharged to other care facilities.
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