Tens of thousands of patients were waiting for routine treatment at the Wye Valley Trust in March, figures show.
A think tank has welcomed "green shoots" for cancer care, but warned the NHS still has work on its hands to reduce the overall waiting list.
NHS England figures show 23,520 patients were waiting for non-urgent elective operations or treatment at the Wye Valley Trust at the end of March – up from 23,063 in February, and 21,776 in March 2023.
Of those, 948 (4%) had been waiting for longer than a year.
The median waiting time from referral at an NHS Trust to treatment at the Wye Valley Trust was 16 weeks at the end of March – up from 15 weeks in February.
Nationally, 7.5 million people were waiting to start treatment at the end of March.
The Nuffield Trust health charity warned progress on cutting the overall waiting list had "stagnated".
Acting director of research Sarah Scobie said: "While the NHS has made some progress getting those who have waited longest treated, it hasn’t been able to bring overall numbers down.
"The high numbers of patients waiting for care and the progress to get people seen faster will remain under intense scrutiny leading up to a general election."
Politicians should avoid "unrealistic and bold" commitments on waiting lists, Ms Scobie added.
The King's Fund think tank said there were "green shoots" for cancer care across England, as a different cancer target was met for the second month in a row.
Some 77.3% of patients in England urgently referred for suspected cancer in March were diagnosed or had cancer ruled out within 28 days.
This is down from 78.1% the previous month, but is the second time in a row the target of 75% has been exceeded.
However, chief analyst Siva Anandaciva cautioned: "the road ahead to make further progress in recovering performance in other areas of the NHS, including reducing lengthy waiting times for planned care and A&E, will be long".
Figures show that of 93 patients urgently referred by the NHS who were treated at the Wye Valley Trust in March, 58 were receiving cancer treatment within two months of their referral.
A month previously – when 59 patients were referred – 42 were treated within 62 days.
In March 2023, 54 patients were treated within this period, out of 94 that were referred.
In addition, 1.6 million patients in England were waiting for a key diagnostic test in March – the same as in February.
At the Wye Valley Trust, 5,893 patients were waiting for one of 13 standard tests, such as an MRI scan, non-obstetric ultrasound or gastroscopy at this time.
Of them, 1,250 (21%) had been waiting for at least six weeks.
Health and Social Care Secretary Victoria Atkins said: "NHS staff are working tirelessly to cut the waiting list and today’s data shows the biggest six-month reduction in over 10 years outside of the pandemic.
"This is a significant achievement in the context of record pressures and strikes, with NHS analysis showing the list could have fallen by an extra 430,000 since December 2022 without industrial action.
"We’ve also delivered on our target of ensuring over 75% of patients tested for cancer receive a diagnosis or all clear within 28 days of referral – giving patients the all-clear or a diagnosis sooner."