The NHS is facing the “most difficult winter in its history”, with almost 90% of hospital trust leaders feeling “extremely concerned”, research has found.
NHS Providers, which carried out the survey, said that while cases of COVID-19 are “well below” their peak in January, some trusts are “beyond full stretch”.
It is urging the government to offer cash bonuses of about £500 to stop social care staff leaving for jobs in “hospitality, supermarkets, or online firms such as Amazon”.
Image: Almost 90% of trust leaders surveyed said they were extremely concerned. File pic
Chris Hopson, chief executive of NHS Providers, said the bill would come to about £750m.
He said: “While £500 is not as high as some employers in retail and hospital are offering as a ‘golden hello’ in the run up to Christmas, this is a price worth paying if it helps keep social care functioning as we need it to through the winter.”
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The organisation said the “traditional peak of winter demand usually runs from mid-November to end-February, with pressure often greatest in January”.
Health leaders are calling on the government to take “immediate, emergency action to support social care”, it added.
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Image: Many trusts are said to be finding it difficult to recruit staff. File pic
NHS Providers said it had spoken to 172 board level trust leaders from 114 trusts,
According to its results, 87% are extremely concerned about the impact of winter on their trust and local area.
When asked the same question last year, the figure was 56%.
Moreover, 94% said they are extremely or moderately concerned about staff burnout.
Mr Hopson said that some trust leaders are “finding it impossible to recruit extra staff”.
People who work in care homes in England must now be double-vaccinated, while those in other health settings have been given an April deadline.
Image: The BHF says there is a ‘cardiology NHS workforce crisis’. File pic
Meanwhile, the number of people waiting more than six weeks for a heart scan is 20 times higher than it was before the pandemic, a charity has said.
In addition, analysis from the British Heart Foundation (BHF) has found that NHS England is doing 10,000 fewer echocardiograms (echos) each month than before the pandemic.
Echos look at the structure of the heart and are routinely used to diagnose congenital disease and problems with valves.
The BHF said it is concerned that reduced access to the tests may have created a large backlog of people who need treatment.
“Long waits put lives at risk,” it said. “Delaying a heart disease diagnosis increases the likelihood of death or disability.”
It said the government “must act now” to address the “cardiology NHS workforce crisis” and outline how “newly announced diagnostic centres” could be brought into play.
The most recent figures show that at the end of September, 64,962 people in England had waited more than six weeks for an echo, compared to 3,238 at the end of February 2020, BHF said.
The total waiting list is 149,050, with 44% waiting six weeks or more.
Image: Diane Phillimore is waiting for a scan, and says the ‘whole situation is shocking’
Diane Phillimore, 63, a carer from Calnein Wiltshire, needs an echocardiogram to show if she requires surgery to repair or replace a valve in her heart.
Her original appointment in March 2020 was cancelled because of the pandemic. It has now been rescheduled for this month – 20 months later.
“The whole situation is shocking,” she said. “I just want to know if I need surgery or if my heart is working properly, so I can move forward. Until then, it’s always there in the back of my mind.”
Sonya Babu-Narayan, Associate Medical Director at BHF, said: “Waiting lists for heart treatments were too long even before the pandemic began.
“Without an echocardiogram, doctors can’t see how well the heart is working and if someone needs potentially life saving treatment for heart disease.”
The Department for Health and Social Care has been approached for comment.
Migrants convicted of sex offences in the UK or overseas will be unable to claim asylum under government plans to change the law to improve border security.
The Home Office announcement means foreign nationals who are added to the sex offenders register will forfeit their rights to protection under the Refugee Convention.
As part of the 1951 UN treaty, countries are allowed to refuse asylum to terrorists, war criminals and individuals convicted of a “particularly serious crime” – which is currently defined in UK law as an offence carrying a sentence of 12 months or more.
The government now plans to extend that definition to include all individuals added to the Sex Offenders’ Register, regardless of the length of sentence, in an amendment to the Border Security, Asylum and Immigration Bill, which is currently going through parliament. It’s understood they also hope to include those convicted of equivalent crimes overseas.
Those affected will still be able to appeal their removal from the UK in the courts under the European Convention on Human Rights (ECHR).
Image: More than 10,000 people have now been detected crossing the Channel. Pic: PA
It is unclear how many asylum seekers will be affected, as the government has been unable to provide any projections or past data on the number of asylum seekers added to the Sex Offenders’ Register.
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Home Secretary Yvette Cooper said: “Sex offenders who pose a risk to the community should not be allowed to benefit from refugee protections in the UK.
“We are strengthening the law to ensure these appalling crimes are taken seriously.”
Safeguarding and Violence Against Women and Girls Minister Jess Philips said: “We are determined to achieve our mission of halving violence against women and girls in a decade.
“That’s exactly why we are taking action to ensure there are robust safeguards across the system, including by clamping down on foreign criminals who commit heinous crimes like sex offences.”
The Home Office would like voters to see this as a substantial change. But that’s hard to demonstrate without providing any indication of the scale of the problem it seeks to solve.
Clearly, the government does not want to fan the flames of resentment towards asylum seekers by implying large numbers have been committing sex crimes.
But amid rising voter frustration about the government’s grip on the issue, and under pressure from Reform – this measure is about signalling it is prepared to take tough action.
Conservatives: ‘Too little, too late’
The Conservatives claim Labour are engaged in “pre-election posturing”.
Chris Philp MP, the shadow home secretary, said: “This is too little, too late from a Labour government that has scrapped our deterrent and overseen the worst year ever for small boat crossings – with a record 10,000 people crossing this year already.
“Foreign criminals pose a danger to British citizens and must be removed, but so often this is frustrated by spurious legal claims based on human rights claims, not asylum claims.”
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Has Labour tackled migration?
The Home Office has also announced plans to introduce a 24-week target for appeal hearings (known as “first-tier tribunals”) to be held for rejected asylum seekers living in taxpayer-supported accommodation, or for foreign national offenders.
The current average wait is 50 weeks. The idea is to cut the asylum backlog and save taxpayers money – Labour have committed to end the use of asylum hotels by the end of this parliament.
It’s unclear how exactly this will be achieved, although a number of additional court days have already been announced.
The government also plans to crack down on fake immigration lawyers who advise migrants on how to lodge fraudulent asylum claims, with the Immigration Advice Authority given new powers to issue fines of up to £15,000.
A 14-year-old girl who attempted to murder two teachers and a pupil at a school in Wales has been sentenced to 15 years in detention.
The girl, who cannot be named for legal reasons, was previouslyfound guilty of attempting to murder teachers Fiona Elias and Liz Hopkin and a pupil at Ysgol Dyffryn Aman in Ammanford.
Emergency services were called to the school on 24 April last year, in what the trial heard was a “serious episode of violence” during the mid-morning break after the girl took her father’s fishing “multi-tool” to school.
She had admitted to three counts of wounding with intent and possession of a bladed article on a school premises, but a jury found her guilty of attempted murder in February after a week-long trial.
Following her arrest, the teenager told officers she was “pretty sure” the incident would be on the news, and added “that’s one way to be a celebrity”.
Both Mrs Elias and Mrs Hopkin “received significant and serious injuries”, Swansea Crown Court heard.
Mrs Hopkin was airlifted to the University Hospital of Wales in Cardiff after she sustained “four stab wounds”, while Mrs Elias and the pupil also attended hospital for treatment.
Image: Ammanford in Carmarthenshire
‘Changed my life forever’
Reading her victim personal statement from the witness box on Monday, Fiona Elias said the incident had shown her that life was “fragile” and had been “a steep learning curve”.
“Walking out on duty that day would change my life forever,” she said – a moment which “replays itself over and over no matter how much time passes”.
“It’s not easy, and I know I’ll continue to face challenges, but every day I’m taking step towards healing,” Mrs Elias said.
Addressing the defendant, Mrs Elias said “your motive was clear, you intended to murder me” but that she was stopped “thanks to Liz’s selfless actions”.
She said she was not “ruling out the possibility of a meeting with [the pupil] in the future,” but that she first needed to know she would “engage with the interventions that will be put in place”.
Outlining her plans to campaign for safer working conditions at schools, Mrs Elias said: “I never expected to give my blood, but I will always give my heart to Ysgol Dyffryn Aman and to the world of education.”
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The teenager, who can’t be named, is due to be sentenced in April.
‘Right place at the right time’
Liz Hopkin said it had been “the worst experience of [her] life” but that she was “glad” she was “in the right place at the right time” to protect Mrs Elias.
“I’m still here, I’m still alive, though at the time I was sure that I was going to die,” she told the court.
“Physically, my wounds have healed but the scars remain.”
Mrs Hopkin added that the thought of returning to a career in teaching now filled her with “anxiety and dread”.
“You were prepared to kill someone you did not know,” she said, addressing the defendant, who sat in the court for proceedings, until she moved to the dock for sentence.
“The decision to end my life was never yours to make.”
But Mrs Hopkin said she worried about the defendant’s future, adding: “I don’t want you to be punished forever but I do want you to take every opportunity to make your life better.”
Concluding her victim personal statement, Mrs Hopkin said: “It has changed me in ways I never wanted and that is something I will have to live with for the rest of my life.”
Image: Pic: PA
‘Very complex young girl’
Prosecuting, William Hughes KC said aggravating factors in the case included use of a knife, the fact two of the victims were “carrying out a public service” and that the offending took place in public.
In mitigation, Caroline Rees KC said the defendant was “a very complex young girl”.
She said she had shown remorse, had a “difficult background” and also the fact there were two trials.
Handing down his sentence, Judge Paul Thomas said the defendant would serve half of the 15-year sentence before she can be considered for release.
Addressing the defendant, he said: “What you did in school almost a year ago the day has caused a large number of people a great deal of harm and upset. It has hugely affected many lives, including, of course, your own.”
“The simple fact is you tried to kill three people, two teachers and another pupil,” he added.
“I think that it is very important here that what you did you did in full of so many other pupils…In my view you wanted as many of your fellow pupils as possible to see what you intended to do.”
The Judge added that “for one reason or other, [the defendant wasn’t] really listening” to the victim impact statements of Mrs Elias and Mrs Hopkin.
He said he did not think the teenager was “genuinely sorry” for what she did, adding: “You showed no emption or even interest in how they felt that day or ever since.”