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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”.

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Sky’s Ashish Joshi speaks to NHS staff to find out if the government’s plans are enough

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.”

To register your interest and share your story, please email TheGreatDebate@sky.uk

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Sara Sharif’s father tells jurors he ‘takes full responsibility’ for her death

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Sara Sharif's father tells jurors he 'takes full responsibility' for her death

Sara Sharif’s father – who is accused of her murder – has told jurors he “takes full responsibility” for the death of his daughter.

Minicab driver Urfan Sharif, 42, called police in the early hours of 10 August last year saying he had beaten her “too much” for being “naughty”, the court previously heard.

The 10-year-old’s body was found in a bunkbed at the family home in Woking, Surrey, with dozens of injuries, including bruises, burns, broken bones and bite marks, after he and the rest of the family had fled to Pakistan.

Sharif is on trial alongside Sara’s stepmother Beinash Batool, 30, and uncle Faisal Malik, 29, at the Old Bailey in central London.

They all deny murder and an alternative charge of causing or allowing her death.

Sharif said he had initially taken responsibility to save his family, but giving evidence in court blamed his wife for killing his daughter, saying he was out working when she was abused.

He told jurors on Wednesday: “I accept every single thing.”

He made the admission under cross-examination from Batool’s barrister Caroline Carberry KC as his wife sobbed in the dock.

Urfan Sharif, Beinash Batool and Faisal Malik. Pics: Surrey Police
Image:
Urfan Sharif, Beinash Batool and Faisal Malik. Pics: Surrey Police

Ms Carberry asked him about a handwritten note left next to his daughter’s body in which he wrote: “Love you Sara.

“Whoever see this note it’s me Urfan Sharif who killed my daughter by beating. I am running away because I am scared but I promise that I will hand over myself and take punishment.”

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Ms Carberry asked if he did kill his daughter by beating and Sharif replied: “Yes, she died because of me.”

She suggested: “In the weeks before she died she suffered multiple fractures to her body, didn’t she, and it was you who inflicted those injuries?”

“Yes,” Sharif replied, before accepting causing Sara’s injuries apart from the burn and bite marks.

“I take responsibility. I take full responsibility,” he said, admitting to causing at least 25 fractures by hitting Sara with a cricket bat or pole and breaking her hyoid neck bone.

Ms Carberry said: “I suggest on the night of the 6 August you badly beat Sara.”

Speaking barely above a whisper in the witness box, Sharif replied: “I accept everything.”

The note left by Sara's father. Pic: Surrey Police
Image:
The note left by Sara’s father. Pic: Surrey Police

After a short break, Ms Carberry asked: “Do you accept that you killed her by beating her? Do you accept you had been beating Sara severely over a number of weeks?

“Do you accept using the cricket bat to beat her? Do you accept using the cricket bat as a weapon on her on a number of occasions? Do you accept that you used that cricket bat on her with force?”

Sharif replied: “Yes ma’am.”

He also agreed when asked if he hit her intending to cause Sara “really serious harm” – the legal definition of murder.

Ms Carberry said: “You have pleaded not guilty to the offence of murder. Would you like that charge to be put to you again?”

Sharif replied: “Yeah,” but following a break the cross-examination continued as he insisted: “I didn’t intend to kill her.”

The barrister suggested: “When you confirmed earlier today you beat her to death and you intended to cause her really serious harm that was an admission to the offence of murder.”

Sharif said: “I did not want to hurt her. I didn’t want to harm her.”

Ms Carberry asked: “Do you accept that your beating of her caused her death?”

“Yes,” said Sharif.

But this time he answered “no” when she asked him: “Do you accept by beating her in the way that you did you intended to cause her really serious harm?”

The trial continues.

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Wes Streeting orders review into potential costs of introducing assisted dying

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Wes Streeting orders review into potential costs of introducing assisted dying

Health Secretary Wes Streeting has ordered his department to carry out a review of the costs of potentially changing the law to legalise assisted dying.

Mr Streeting, who intends to vote against a landmark bill on the issue, has warned that a new assisted dying law could come at the expense of other NHS services if it is implemented.

It comes as MPs weigh up whether to vote for a change in the law when given the opportunity to do so later this month.

The Terminally Ill Adults (End of Life) Bill, put forward by Labour MP Kim Leadbeater, would give terminally ill people with six months to live the choice to end their lives.

There has been much debate about the bill since its details were published on Monday evening, including that the medicine that will end a patient’s life will need to be self-administered and that people must be terminally ill and expected to die within six months.

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Ms Leadbeater, who has the support of former government minister Lord Falconer and ChildLine founder Dame Esther Rantzen, believes her proposed legislation is the “most robust” in the world and contains safeguards she hopes will “reassure” those who are on the fence.

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They include that two independent doctors must confirm a patient is eligible for assisted dying and that a High Court judge must give their approval.

The Labour MP has argued the fact terminally ill patients will have to make the choice themselves and administer the drugs themselves “creates that extra level of safeguards and protections”.

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MP discusses End of Life Bill

However, several cabinet ministers – including Mr Streeting and Justice Secretary Shabana Mahmood, who would be responsible for the new law – have spoken out against the legislation.

Announcing the review, Mr Streeting said: “Now that we’ve seen the bill published, I’ve asked my department to look at the costs that would be associated with providing a new service to enable assisted dying to go forward, because I’m very clear that regardless of my own personal position or my own vote, my department and the whole government will respect the will of parliament if people vote for assisted dying.”

While the health secretary has warned of the potential cost downsides for the NHS, his critics have pointed out there may be potential savings to be made if patients need less care because they choose to end their own lives – something Mr Streeting branded a “chilling slippery slope argument”.

“I would hate for people to opt for assisted dying because they think they’re saving someone somewhere money – whether that’s relatives or the NHS,” he said.

“And I think that’s one of the issues that MPs are wrestling with as they decide how to cast their vote.

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‘Impossible’ for assisted bill to be safe

“But this is a free vote – the government’s position is neutral.”

Speaking to reporters after delivering a speech to the NHS Providers conference in Liverpool, Mr Streeting said there were “choices and trade-offs” and that “any new service comes at the expense of other competing pressures and priorities”.

“That doesn’t mean people should vote against it on that basis,” he said.

“People need to weigh up this choice in the way that we’re weighing up all these other choices at the moment.”

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MPs will debate and vote on Ms Leadbeater’s Private Member’s Bill on 29 November, in what will be the first Commons vote on assisted dying since 2015.

The government has given MPs a “free vote” on the issue, meaning they will be able to vote according to their conscience and without the pressure to conform to party lines.

In 2015, a bill by former Labour MP Rob Marris that would have made it legal for the terminally ill to end their lives was defeated in the Commons by 330 votes to 118.

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Homebase deal leaves 2,000 jobs at risk

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Homebase deal leaves 2,000 jobs at risk

The jobs of more than half of the workforce at the DIY chain Homebase are at risk after the retailer’s owners called in administrators following a failed attempt at a sale.

Sky News reported earlier on Wednesday that around 1,500 people were set to keep their roles as 75 of the 130 stores were set to be snapped up by the saviour of Wilko in a so-called pre-pack deal.

The Range, also a general merchandise specialist, was confirmed as the buyer later in the day.

Teneo, which is handling the process, is understood to have been working to find a buyer for as many of the chain’s sites as possible.

Teneo said in a statement on Wednesday afternoon that up to 70 stores were confirmed to be included in the deal – saving up to 1,600 jobs out of 3,600.

It leaves 2,000 jobs at risk.

Forty-nine other stores will continue to trade while alternative offers are explored.

Sources told Sky’s City editor Mark Kleinman that there had been many expressions of interest in the remaining stores, despite the gloom being felt across the retail sector over the higher tax take demanded in the budget.

The sector has warned of higher inflation and job losses arising from the measures, which include increased employer national insurance contributions and minimum wage levels.

The pre-pack deal – which typically allows a buyer to cherry-pick the assets it wants – brings to an end a six-year ownership of Homebase by Hilco, the retail restructuring specialist.

Teneo had initially been attempting to find a buyer for the whole Homebase business.

The partial sale comprises all those stores in the Republic of Ireland and the Homebase brand and its e-commerce business.

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The Range is part of CDS Superstores, which is controlled by the businessman Chris Dawson – nicknamed “the Del Boy billionaire” because of the distinctive number plate on his Rolls-Royce Wraith.

Last year, it paid £7m to buy the brand and intellectual property assets of Wilko, which had collapsed into administration.

Since then, Mr Dawson has opened a string of new Wilko outlets.

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