80 people had to wait more than 12 hours to be admitted from the A&E department at the Royal Stoke University Hospital in January.
Figures released this morning show 14,046 attended the department during the first month of 2017, up from 11,172 in January 2016.
67.4% of those were seen within four hours.
At Macclesfield District General Hospital, 69.8% of patients were seen within that time, and at Leighton Hospital in Crewe it was 80%.
The target set by the Department of Health is 95%.
Nationally it was the worst month on record, with A&E departments in England seeing 85.1% within four hours.
In his budget yesterday, Chancellor Philip Hammond announced £100 million for A&E departments so they can provide more on-site GP facilities and increase their ability to assess patients more quickly when they arrive.
The Health Secretary Jeremy Hunt admits things have to change. He said: "Its not going to be overnight.
"I am expecting the NHS to return to that target during the course of the next calendar year.
"Some of the tools now have been put in place, but also it is going to take a huge focus by management and staff in the NHS."