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The number of people waiting to start routine hospital treatment in England has reached a record high.

In all, seven million patients were waiting to start treatment at the end of August, NHS England said.

This is up from 6.8 million in July and is the highest number since records began in August 2007.

It was also revealed total of 387,257 people in England had been waiting more than a year to start hospital treatment at the end of August, up from 377,689 at the end of July.

This is means one out of every 18 people on the waiting list is waiting over 12 months to begin treatment.

Figures also showed that 2,646 people had been waiting over two years to begin routine hospital treatment at the end of August, slightly down from 2,885 the previous month and markedly down from a peak of 23,778 in January this year.

NHS England had said its target was for no patients waiting longer than two years for treatment, except in instances of complex cases or when the patient themselves chooses to delay.

Ambulance waiting times were also revealed, with the wait for calls from people with life-threatening illnesses or injuries averaging nine minutes 19 seconds. The target for these types of incidents is seven minutes.

The average wait for ambulances to arrive in instances of non-life-threatening injuries was 47 minutes 59 seconds in September, over half an hour longer than the target time of 17 minutes.

The number of people waiting longer than 12 hours in A&E for a bed after being seen by a doctor also reached a new record high of 32,776 in September, up by more than 4,000 on the previous month.

This figure is higher than the total recorded in the 124 months from August 2010 (since records began) to November 2020.

A total of 71% of patients in England were seen within the target four hours at A&E departments across England last month, level with the worst performance ever recorded.

The national target is for 95% of patients to be dealt with in under four hours, a target which has not been met since 2015.

A record number of 255,055 urgent cancer referrals were made by GPs in August however only 75.6% saw a specialist within the two week target time, the second worst performance on record.

Monthly figures also showed there was more NHS activity than before the pandemic with 4% more patients receiving treatment in August compared to the same month in 2019, and more than two million tests and checks carried out.

The number of patients in hospital with Covid has also more than doubled since September to over 10,000.

Labour’s Shadow Health and Social Care Secretary, Wes Streeting, branded the news that NHS waiting lists were now the longest in history “totally unacceptable”.

He said: “Twelve years of Conservative understaffing of the health service is holding our economy back, with patients unable to work while they wait. You can’t have a healthy economy without a healthy society.”

“The next Labour government will oversee the biggest expansion of the NHS workforce in history, paid for by abolishing the non-dom tax status. We will train the doctors and nurses our NHS needs to get patients treated, healthy and back to work.”

NHS national medical director Professor Sir Stephen Powis said: “Despite huge pressures on the NHS this summer, the incredible work of colleagues across the country meant that in August we delivered more potentially life-saving cancer checks than ever before and cut 18-month waits by 60% over the last year.

“This was despite continued pressure from Covid patients in hospital, which has now risen to more than double the numbers seen in August, and more of the most serious ambulance callouts than before the pandemic.”

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Sky’s Ashish Joshi speaks to NHS staff to find out if the government’s plans are enough to save a health service on its knees.

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Steven Hutton: Three men and one woman jailed over ‘frenzied’ Dundee murder

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Steven Hutton: Three men and one woman jailed over 'frenzied' Dundee murder

Three men and a woman have been jailed for at least 20 years for the brutal murder of a much-loved son.

Steven Hutton, 43, was hit with a hammer and stabbed in the heart during a late-night home invasion at his flat in Dundee in March 2024.

He was taken to the city’s Ninewells Hospital, but died the following day.

Brian Miller, 29, Scott Henderson, 40, Barry Murray, 45, and Carri Stewart, 44, were on Monday found guilty of murder following a trial at the High Court in Glasgow.

Brian Miller. Pic: Police Scotland
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Brian Miller. Pic: Police Scotland

Scott Henderson. Pic: Police Scotland
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Scott Henderson. Pic: Police Scotland

The killers were each handed a life sentence, and will spend at least two decades behind bars.

In her sentencing statement, Judge Lady Haldane said the evidence provided a “compelling picture of a plan to inflict serious violence upon Mr Hutton in his own home”.

Barry Murray. Pic: Police Scotland
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Barry Murray. Pic: Police Scotland

Carri Stewart. Pic: Police Scotland
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Carri Stewart. Pic: Police Scotland

The judge described it as a “frenzied assault”, which in part was sparked due to a “missing packet of Pregabalin medication”.

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‘Callous’ behaviour

Lady Haldane stated: “Steven Hutton lost his life in these horrific circumstances, compounded by the fact that not one of you sought to seek assistance for him as he lay dying until you were all well clear of the property.

“That is behaviour that can only be described as callous.”

Read more from Sky News:
Public inquiry to probe how killer evaded justice for 19 years
‘Stakeknife’ spy inside IRA should be named, says report

The judge paid tribute to Mr Hutton’s family and friends.

She added: “Those close to Mr Hutton, in particular his mother, have attended faithfully every day of this trial, and their quiet dignity throughout what must have been at times harrowing and distressing evidence stands in stark contrast to your behaviour.

“Mrs Hutton has in addition provided a detailed and moving account of her relationship with Mr Hutton, her only son, and the impact his loss has had upon her.

“I thank her for taking the time to prepare this thoughtful document, and I have taken all that she has said into account.”

Detective Inspector Richard Baird said the killers “now face the consequences of their actions”.

He added: “This was an unprovoked attack that cost Steven Hutton his life. We hope this conviction brings some form of comfort to Steven’s family.”

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‘Stakeknife’ spy inside IRA committed ‘worst possible’ crimes and should be named, says report

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'Stakeknife' spy inside IRA committed 'worst possible' crimes and should be named, says report

A new report into the activities of the top British spy inside the IRA during The Troubles has said that he “committed crimes of the worst possible kind”, including torture and murder, and should be publicly named by the UK government. 

It’s widely accepted that the late republican Freddie Scappaticci was the agent, codenamed “Stakeknife”.

He headed the IRA‘s so-called “nutting squad”, a notorious internal security unit tasked with hunting and executing informants, but was himself operating as a mole for British intelligence.

The final report of a seven-year investigation named Operation Kenova has found that “there is a compelling ethical case” to reveal the agent’s identity.

Operation Kenova live: ‘Stakeknife’ spy inside IRA committed ‘worst possible’ crimes

Head of Kenova Sir Iain Livingstone said that “it is in the public interest that Stakeknife is named”. He urged the government to depart from its “neither confirm nor deny” (NCND) policy on the grounds of public interest.

It’s understood that the government believes Stakeknife cannot be officially named at this time due to some outstanding legal issues. Sky News has approached No 10 Downing Street for comment.

Freddie Scappaticci died two years ago denying that he was the agent, but all sides in Northern Ireland accept his denial was false.

Freddie Scappaticci. File pic: PA
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Freddie Scappaticci. File pic: PA

The report also found a “significant failure” by MI5 in its late provision of materials to the investigation. “The further material revealed MI5 had earlier and greater knowledge of the agent than previously stated,” the report says.

Sir Ian Livingstone added that “further investigative opportunities were undoubtedly lost”, and that the confidence of the communities in Northern Ireland was undermined. Sky News has approached the security agency for comment.

Stakeknife produced a “vast” amount of intelligence. 3,517 reports from the agent were discovered, including 377 from one 18-month period. But the report found the intelligence was not shared with those who could have used it to save lives.

Read more:
Bloody Sunday shootings ‘unjustified and gratuitous’
Government will ‘look at every conceivable way’ to stop Gerry Adams payout

Analysis: Report exposes failure upon failure, decade after decade

He was the most notorious spy of the Troubles. A vicious spy-catcher who was a traitor himself.

Today’s final report into the activities of “Stakeknife” will continue to gall the victims of the IRA’s brutal internal system of “justice”.

We were familiar with many of its findings from last year’s interim report.

We knew Stakeknife’s record in saving lives – the necessary evil school of thought – was greatly exaggerated, and he actually cost more lives than he saved.

We knew his British security forces handlers failed to use intelligence to save lives, in order to protect their “golden egg” from exposure.

We didn’t know their special unit was called “the rat hole”, or that the agent’s betrayal was effectively carried out for financial reward… details that make the whole episode seem even more sordid.

Relatives of those he helped to murder will be disgusted at revelations that his handlers twice took him on holiday out of Northern Ireland – even flying him on military aircraft – at a time when the police were hunting him for murder.

Even now, after an exhaustive inquiry into his activities, Operation Kenova finds that MI5 are responsible for “a significant failure” in the late discovery of important material – costing the team investigative opportunities.

Failure upon failure, decade after decade.

The time for official silence over the spy’s identity must be over.

The dogs on the street in West Belfast know it was Freddie Scappaticci.

Kenova wants the prime minister to authorise his official naming. With no prosecutions in the offing, and Scappaticci in his grave, it may at least bring some succour to the victims’ families today.

Their loved ones were deemed traitors at the height of a dirty war. Tortured, shot in the head, and dumped.

Funerals were low-key, stigma-bound affairs, often taking place early in the morning, with few attendees. Shame hung over these republican families for years.

The man responsible fled Northern Ireland and died in hiding.

Today’s report contains few shocks, but similarly little comfort for the victims of the nutting squad.

Last year, Operation Kenova’s interim report found the security forces were frequently aware of imminent abductions and murders but failed to protect those at risk.

Today’s report found his army handlers even took Stakeknife out of Northern Ireland for two holidays, at a time when he was sought by police for murder and kidnapping. He was flown on military aircraft and given military ID.

As a result, preventable deaths occurred with the security forces’ knowledge and those responsible were not brought to justice and were instead left free to reoffend.

 Investigation lead Sir Iain Livingstone and Northern Irish police chief Jon Boutcher speak at a conference following the report
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Investigation lead Sir Iain Livingstone and Northern Irish police chief Jon Boutcher speak at a conference following the report

‘Wholly unjustified criminality’

The 2024 report also concluded that Stakeknife was involved in “very serious and wholly unjustifiable criminality”, including murder, and claims his intelligence saved “countless” or “hundreds” of lives were exaggerated. It found that the number of lives saved by his spying ranged from the high single figures to low double figures.

This contradicted claims that Scappaticci had saved hundreds of lives during the years he was active, with a former defence chief describing him as “the goose that laid the golden eggs”. The interim report found that claim to be “inherently implausible” and “a comparison rooted in fables and fairy tales”.

The 2024 report also called on the UK government to apologise to bereaved families, given that many murders were avoidable.

‘Each evil act being the epitome of cowardice’

There was also a call for an apology from republican leaders for “the most shameful and evil” actions of the Provisional IRA (PIRA). “It was PIRA that committed the brutal acts of torture and murder, each evil act being the epitome of cowardice,” the report stated.

No prosecutions connected with Stakeknife will take place, prosecutors in Northern Ireland have already decided.

Families of IRA victims associated with Stakeknife will give their response to the Kenova report in a news conference later today.

They want Scappaticci to be officially named, and many are seeking an apology from the British government.

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Emma Caldwell: Public inquiry formally under way which will probe how killer Iain Packer evaded justice for almost 20 years

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Emma Caldwell: Public inquiry formally under way which will probe how killer Iain Packer evaded justice for almost 20 years

A public inquiry into the murder of a woman is now formally under way and will examine what went wrong in the police investigation that allowed a serial rapist to evade justice for almost 20 years.

Iain Packer murdered Emma Caldwell, 27, in 2005.

In February 2024, he was ordered to serve a minimum of 36 years behind bars after being convicted of a string of violent offences.

Alongside double-murderer Andrew Innes, it is the second longest sentence ever handed down by a Scottish court, behind the 37-year minimum jail term given to World’s End killer Angus Sinclair in 2014.

Iain Packer. Pic: Police Scotland
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Iain Packer. Pic: Police Scotland

Packer was found guilty of 33 offences following a trial at the High Court in Glasgow, including Ms Caldwell’s murder, 11 rapes and multiple sexual assaults against other women.

Following the killer’s conviction, Sky News heard testimony from several former sex workers who raised concerns to police about his dangerous sexual behaviour years before Ms Caldwell was murdered.

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Police interviewing Packer following his arrest over Ms Caldwell’s murder

The Scottish government last year ordered a judge-led public inquiry into the police handling of the case, which will be chaired by Lord Scott.

In an update on Tuesday, Justice Secretary Angela Constance announced it has now been formally set up and work is under way.

The inquiry will examine the investigative strategy and decision-making by what was then Strathclyde Police, including the direction given by the Crown Office and Procurator Fiscal Service (COPFS).

It will probe what steps could reasonably have been taken that might have resulted in Packer being apprehended and prosecuted at an earlier stage, and any other factors relevant to the circumstances of the investigation and related prosecution.

The inquiry will also examine if any failings in training, procedures, operating models or systems of working contributed to any failures in the police and COPFS case.

The subsequent findings and any recommendations will be reported to Scottish ministers.

Justice Secretary Angela Constance. Pic: PA
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Justice Secretary Angela Constance. Pic: PA

Ms Constance said: “My thoughts continue to be with Emma Caldwell’s mother Margaret and her family, who have suffered unimaginable heartbreak.

“The public inquiry will look at what went wrong in the investigation of Emma’s murder and I hope it will provide the answers that the family need and deserve.

“I consulted with the chair, Lord Scott, on the terms of reference for the inquiry and also met the Caldwell family and other parties to discuss the inquiry’s remit.

“While these terms do not feature all of the issues raised with me during discussions, I am satisfied that they are both well focused and sufficiently flexible and broad enough to allow the chair to examine wider issues he may consider relevant to a robust, efficient and effective inquiry.”

Ms Caldwell. Pic: Family handout
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Ms Caldwell. Pic: Family handout

Ms Caldwell vanished in April 2005 just days after telling her mother about her hopes to defeat a heroin addiction, which began after her sister’s death.

She went missing in Glasgow while working as a sex worker. Her body was discovered the following month in Limefield Woods, South Lanarkshire.

During Packer's trial, jurors were taken to the forest where Ms Caldwell's body was dumped. Pic: Sky News
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During Packer’s trial, jurors were taken to the forest where Ms Caldwell’s body was dumped. Pic: Sky News

Investigating officers interviewed Packer that June but he was not convicted until almost two decades later after cold case detectives re-examined the case in 2015.

Police Scotland apologised to Ms Caldwell’s family and Packer’s other victims for how the original inquiry was handled by Strathclyde Police, saying they were “let down”.

Margaret Caldwell, Ms Caldwell's mother. Pic: PA
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Margaret Caldwell, Ms Caldwell’s mother. Pic: PA

Margaret Caldwell, Ms Caldwell’s mother, has never given up on her pursuit of the truth.

Solicitor Aamer Anwar, the family’s lawyer, said: “The reference to Strathclyde Police in the terms of reference may be interpreted by some to mean that the inquiry can only deal with the police force up until, but not beyond when it became Police Scotland.

“Strathclyde Police ceased on 1 April 2013 when it merged into a single national service, as Police Scotland.

“If this inquiry is to pursue the truth, then it must look not only at Strathclyde Police, but what happened when Police Scotland took over responsibility.”

Solicitor Aamer Anwar (centre) alongside Ms Caldwell's family earlier this year. Pic: PA
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Solicitor Aamer Anwar (centre) alongside Ms Caldwell’s family earlier this year. Pic: PA

Mr Anwar said Packer’s survivors “deserve their place at the heart of this inquiry”.

He added: “A toxic culture of misogyny and corruption meant the police failed so many women and girls who came forward to speak up against Packer.

“Instead of receiving justice and compassion, they were humiliated, dismissed and in some instances arrested, whilst the police gifted freedom to an evil predator to rape and rape again.”

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