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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.”

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Phones turned off during Yom Kippur, worshippers leaving synagogue hear news of attack

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Phones turned off during Yom Kippur, worshippers leaving synagogue hear news of attack

It’s just gone 7.30pm – and outside a synagogue in north Manchester, we’ve heard the shofar, a ceremonial horn, being blown to mark the end of the long day of prayers.

The streets, which had been so quiet all day, fill with people and families.

We’re just minutes away from where the attack took place.

But people haven’t had their phones on in synagogue – and we find ourselves in the slightly surreal position of having to tell people what happened to members of their community, just a few roads away.

Manchester synagogue latest: Suspect in killing named

Rachel gasped as she heard the news
Image:
Rachel gasped as she heard the news

“Did many people get hurt?” Rachel, in her 70s, asks me.

I tell her two have died.

She gasps and says: “My gosh. It’s the holiest day of the year.

“Very, very frightening. We’re not safe.”

Read more:
Witnesses describe how attack unfolded

What we know about synagogue attack

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Earlier in the day on these streets, we saw additional police patrols, with officers telling us they were here to reassure members of the public.

But people are accustomed to seeing security here.

Both paid and volunteer security staff, in their hi-vis jackets, are a permanent fixture outside every synagogue.

It’s to help protect a community that, even before this attack, has felt under threat.

'The security is not the solution,' this man said
Image:
‘The security is not the solution,’ this man said

“The security is not the solution,” one man tells me as he heads home from prayers. “Those who really want to do [something like this], they will do it with lots of security, it doesn’t matter.”

Among everyone we spoke to, there was a sense of shock at what had happened, but perhaps not necessarily surprise amid rising acts of antisemitism in the UK.

David Yehudi
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David Yehudi

David Yehudi and the rabbi he studied with said it had felt like a long time coming.

“As a grandchild of a Holocaust survivor, I feel as if this is before 1935 again,” he says. “That’s the overwhelming feeling all over the world.”

The rabbi asked 'where is the United Nations?'
Image:
The rabbi asked ‘where is the United Nations?’

The rabbi adds: “The United Nations was set up with the intention of ‘never again’, and where is the United Nations? In terms of the global support against antisemitism. It’s just not there anymore. We are as unsafe as we were before the war.”

It is a shocking thing to hear, on this, the most solemn of days.

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Attack ‘sadly something we feared was coming’, Jewish leaders say

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Attack 'sadly something we feared was coming', Jewish leaders say

The UK’s chief rabbi has described the terror attack at a synagogue in Manchester as “the tragic result of Jew hatred”.

Two Jewish men were killed outside Heaton Park Synagogue on Yom Kippur, the holiest day in the Jewish calendar.

The attacker, named by police as Jihad al Shamie, a British citizen of Syrian descent, was shot dead by police seven minutes after officers were alerted to the incident.

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Britain's chief rabbi Sir Ephraim Mirvis. Pic: PA
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Britain’s chief rabbi Sir Ephraim Mirvis. Pic: PA

Sir Ephraim Mirvis said it was “the day we hoped we would never see, but which deep down, we knew would come”.

He celebrated the “courageous leadership” of rabbi Daniel Walker, who has been praised for his efforts to keep his congregation safe as the terrorist tried to get inside.

In a post on X, Sir Ephraim wrote: “For so long we have witnessed an unrelenting wave of Jew hatred on our streets, on campuses, on social media and elsewhere – this is the tragic result.

“This is not only an assault on the Jewish community, but an attack on the very foundations of humanity and the values of compassion, dignity and respect which we all share.”

He added: “May the victims’ memories be for a blessing and may the injured be granted a swift recovery.

“I pray that this tragedy strengthens our collective resolve to confront antisemitism, in all its guises, once and for all.”

Read more:
Witnesses describe how attack unfolded

What we know about synagogue attack

What is Yom Kippur?

Yom Kippur is the holiest day of the Jewish year.

It is a solemn day of observance and atonement, and marks the peak of the High Holidays.

It comes after Jewish New Year, Rosh Hashanah, with both occasions bookmarking the Ten Days of Repentance.

Jews observe Yom Kippur by prayer and fasting from sunset the day before to the sunset of the day itself.

No work is permitted, and for some, the day is spent at a synagogue.

The occasion falls on the 10th day of Tishrei – a Hebrew month between late September and early October.

The Board of Deputies of British Jews and the Jewish Leadership Council said the attack “was sadly something we feared was coming” at a time of rising antisemitism in the UK.

They said: “We are devastated at the loss of two members of our Jewish community, and our thoughts are with their families, those who are injured and receiving treatment, and all those who have been affected by this act of antisemitic terror.”

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Thanking the government, the King, the prime minister and senior politicians for their support, they added: “At this dark time, these acts of solidarity will be a comfort to our community.

“At a time of rising antisemitism in the UK, this attack was sadly something we feared was coming. We call on all those in positions of power and influence to take the required action to combat hatred against Jewish people.”

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‘We’re not safe, we’re not safe’

The chief executive of the Holocaust Memorial Day Trust, Olivia Marks-Woldman, said antisemitism “has no place in our society” and “we must confront it whenever it arises”.

“We are horrified by today’s antisemitic attack in Manchester. Taking place on Yom Kippur, a moment of atonement and reflection, it is a truly horrendous event,” she said.

“Our thoughts are first and foremost with the victims and with the Jewish community in Manchester and across the UK, who will understandably feel shocked and afraid.”

The president of the Conference of European Rabbis, Pinchas Goldschmidt, called for more to be done to “stamp out murderous ideologies”.

He added: “Jews in Manchester, England, woke up this morning to pray, and were murdered in their own synagogue. Governments from the world over should spare us the statements about fighting antisemitism and instead ensure Jews are safe.”

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Prince William hints at ‘changes’ to come when he is king

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Prince William hints at 'changes' to come when he is king

Prince William has said “change is on my agenda” when he becomes king, in his most open and personal explanation to date about how he sees his future role and the future of the monarchy. 

The revelations come during a discussion with Hollywood actor Eugene Levy as they were filming at Windsor Castle for Levy’s travel series The Reluctant Traveller.

When asked if the monarchy will be shifting in a slightly different direction when he becomes king, William says: “I think it’s safe to say that change is on my agenda.

“Change for good, and I embrace that and I enjoy that change. I don’t fear it, that’s the bit that excites me – the idea of being able to bring some change. Not overly radical change, but changes that I think need to happen.”

Pic: Apple TV+
Image:
Pic: Apple TV+

What could be described as William’s manifesto for the monarchy comes out in an unexpectedly candid interview with the Schitt’s Creek star.

The Prince of Wales also opens up about being “overwhelmed” by family problems last year – as both Kate and the King were diagnosed with cancer – and his desire to try to “make sure you don’t do the same mistakes as your parents”.

Describing how he is driven by both his passion to protect his family and his desire to ensure everything is in place when Prince George one day becomes king, he says: “I want to create a world in which my son is proud of what we do, in a world and a job that actually does impact people’s lives for the better.

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“That is caveated with, I hope we don’t go back to some of the practices in the past that Harry and I grew up in. And I’ll do everything I can to make sure we don’t regress in that situation.”

Pic: Apple TV+
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Pic: Apple TV+

Analysis: Interview was personal, open and significant

Over a pint of cider, with his pet dog Orla by his feet, Prince William sets out, in one sentence, his manifesto for the monarchy: “Change is on my agenda.”

The setting and the choice of platform for it, a travel series with a Hollywood actor, could not feel more unexpected, and we are told it wasn’t necessarily planned to happen this way.

A free-flowing conversation is how it was described to me. And the result was the most personal and open interview, on topics that would usually be considered off limits.

Those close to William would say it’s the most publicly vulnerable we have seen him.

Read Rhiannon’s full analysis here.

On being monarch one day, he says: “It’s not something I wake up in the morning and think about.”

But in an earlier part of the programme, he does talk more about his desire to potentially shake things up, albeit with a caveat.

He says: “I think it’s very important that tradition stays, and tradition has a huge part in all of this, but there’s also points where you look at tradition and go, is that still fit for purpose today?”

In an incredibly open admission about sometimes feeling overwhelmed, especially last year – “the hardest year” – he also appears to reveal a man now more at peace with the role that lies ahead for him.

Eugene Levy and Prince William. Pic: Apple TV+
Image:
Eugene Levy and Prince William. Pic: Apple TV+

Speaking in St George’s Hall inside the castle, he says: “Stuff to do with family overwhelms me, quite a bit.

“You know, worry or stress around the family side of things, that does overwhelm me quite a bit. But in terms of doing the job and things like that, I don’t feel too overwhelmed by that. Not now anyway.”

His own childhood, and how that has impacted his thoughts on the media, also come across clearly, at times appearing to echo his brother Prince Harry’s thoughts on the press and drive to protect his own family from what they went through as children.

William, front, pictured with his mother, Princess Diana, and Harry in 1985. Pic: Reuters
Image:
William, front, pictured with his mother, Princess Diana, and Harry in 1985. Pic: Reuters

As he talks to Levy in a pub in Windsor, William says: “Growing up, I saw that with my parents … the media were so insatiable back then.

“And if you let that creep in, the damage it can do to your family life is something that I vowed would never happen to my family.”

Those close to the prince believe the interview is the most publicly vulnerable they’ve ever seen him on camera.

The special episode of The Reluctant Traveller With Eugene Levy on Apple TV+ with William airs from today.

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