Jeremy Hunt's vision for a seven-day NHS is "impossible" to deliver with current levels of funding and staffing that have left it at brekaing point, according to one of the country's most senior health officials.

NHS Trust chairs and chief executives said they were sounding a "warning bell" to ministers, days after the health service released its worst performance statistics to date for services such as A&E, planned operations and ambulance response times.

"Years of underfunding means the NHS is increasingly failing to do the job it wants to do, and the public needs it to do, through no fault of its own," said Chris Hopson, chief executive of NHS Providers, the organisation's largest trade body.

Hospitals now face “impossible” demands, he said.

Unless the NHS is given extra funding in the Autumn Statement in November, it will have to make “unpalatable” decisions that could include 'draconian' rationing of access to care, relaxing performance targets, shutting services, extending and increasing charges, and laying off staff.

"We face a stark choice: invest the resources required to keep up with demand or watch the NHS slowly deteriorate," Mr Hopson said, in an article published in the Observer, which detailed a grim prognosis for UK healthcare.

"It is impossible to provide the right quality of service and meet performance targets on the funding available. Something has to give."

The NHS is facing the kind of decline last experienced in the 1990s, according to NHS Providers, which speaks for hospital trust chairs and chief executives, citing widespread breaches of performance targets, chronic understaffing and huge overspends by hospitals.

“It is now time for our national health chiefs and political leaders to acknowledge publicly that the NHS can no longer deliver what is being asked of it for the funding available,” Mr Hopson said, going on to catalogue the service's failings.

“In the first three months of this year, only four of the 138 large A&E departments saw the required 95 percent of patients within four hours. One in 10 patients had to wait more than four hours, the highest level at this time of year since 2003-04," he said.

“Waiting lists for operations, with 3.9 million patients, are now at their highest point since December 2007. The three million mark used to be considered a line not to cross, but experts have suggested the waiting list target is irrecoverable.

"There are similar problems of dropping performance against cancer and ambulance standards, with mental health and community services under similar pressure

He added that the NHS ended the last financial year with the largest deficit in its history of at least £2.45bn.

“These challenges are being matched by unprecedented staff shortages, including nurses, key specialists, GPs and emergency doctors. These have led to closures of A&E departments and other services, unsustainable pressure on GPs and, in 2015-16, an unaffordable extra £3.6bn agency staff bill," he said.

He linked the failings to wider cuts in social care, and the lack of capacity in community and mental health services. A record number of health patients cannot be discharged because social care is not available, which means “hospitals are now being asked to routinely run at capacity levels that risk patient safety”.

The Commons Health Select Committee is expected to make a decision this month on whether to launch a special inquiry into the state of the NHS in England.

NHS staff strike: Midwives and nurses stage four-hour walk out Show all 17 1 /17 NHS staff strike: Midwives and nurses stage four-hour walk out NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in London National Health Service (NHS) workers, including a midwife and her baby (C), gather outside St Thomas' Hospital in London NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in London Midwives picket during a strike outside a hospital in central London NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in London Midwives picket during a strike outside a hospital in central London NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Manchester Midwives shout as they stand on a picket line outside St Mary's Hospital in Manchester NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Bristol NHS workers picket outside the Bristol Royal Infirmary Hospital, Bristol, where staff are protesting against pay rise conditions NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Bristol NHS workers picket outside Saint Michael's Hospital in Bristol NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Basingstoke NHS health workers protest outside the Basingstoke and North Hampshire Hospital in Basingstoke NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in London NHS workers strike outside University College Hospital in central London NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in London NHS workers strike outside University College Hospital in central London NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in London NHS workers hold placards during a strike, outside St Pancras Hospital in London NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Liverpool NHS workers protest outside the Liverpool Womens Hospital as hundreds of thousands of health workers have walked out on strike, many for the first time in their lives, in protest at the Government's decision not to give them a recommended 1% pay rise NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Liverpool NHS workers protest outside the Liverpool Womens Hospital NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Liverpool An ambulance passes strikers outside the Royal Liverpool Hospital in Liverpool NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Liverpool A striker holds up a placard outside the Royal Liverpool Hospital in Liverpool NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Reading An NHS health worker holds a UNISON placard outside the Royal Berkshire Hospital in Reading NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Reading NHS health workers including midwives protest outside the Royal Berkshire Hospital in Reading NHS staff strike: Midwives and nurses stage four-hour walk out NHS strike in Reading NHS workers protest outside the Royal Berkshire Hospital in Reading

"Trusts will, of course, do all they can to deliver efficiency savings and productivity improvements," Mr Hopson said. "But they are now saying it is impossible to provide the right quality of service and meet performance targets on the funding available."

A government spokesman told the BBC: “On the back of a strong economy, we are giving the NHS the £10bn it asked for to fund its own plan for the future, including almost £4bn this year to transform services and improve standards of care.