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The NHS is setting up data-driven “war rooms” as it prepares for what could be England’s “toughest winter on record”, new plans have revealed.

Under the government’s winter preparation plan, which aims to help the NHS cope during the colder months, the 24/7 “care traffic control centres” are expected to be created in every local area.

The hubs, led by teams of clinicians and experts, will manage demand and capacity across England by constantly tracking the number of beds available and people attending hospital.

It is hoped the centres will make it easier and quicker for decisions, such as if hospitals need extra assistance or if ambulances need to be diverted, to be made.

It will mark the first time a system has been used to take stock of all activity and performance within the NHS.

Rapid response teams to help people who have fallen at home are also being set up across the country to prevent unnecessary hospital trips.

NHS England believes this expansion could see about 55,000 ambulance trips freed up to treat other patients each year.

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Under the plans, care providers will also be given more support to deal with falls, with around two in five hospital admissions from care homes currently related to patients falling over.

On top of that, NHS chiefs have vowed to roll out around-the-clock access to professional mental health advice within ambulance services to help give more people access to the correct community support.

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Hospital waiting time hits new high

‘Be prepared for things to get even tougher’

In a letter to all NHS foundation trusts, signed by the health service’s chief executive Amanda Pritchard, chief financial officer Julian Kelly and chief operating officer David Sloman, staff have been told “the coming weeks and months will be difficult”.

“We continue to be in a Level 3 incident, and services are under continued, significant pressure, with challenges including timely discharge of patients impacting on patient flow within hospitals, alongside ongoing pressures in mental health services,” it stated.

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“We therefore all need to be prepared for things to get even tougher over the coming weeks and months.

“We will support you in doing your best under these very difficult circumstances, including as you work with and support clinical leaders to ensure risk is managed appropriately across local systems.”

Respiratory infections expected to take up half of all NHS beds

It comes as the NHS is expecting to see a “very challenging winter”, with respiratory infections, including COVID, flu and pneumonia, predicted to be one of the most significant pressures.

Recent modelling has suggested that such health issues could occupy up to half of all NHS beds throughout the already busy season.

Grandmother had more than 200 emergency call outs in a year – will the new NHS plan help?

The government’s winter preparation plan is designed to take treatment and care to patients in the community as much as possible to ease pressure on hospital attendances and capacity.

So-called “rapid response teams” will target people who have had a fall either at home or in a care home but are not seriously hurt and do not need to be admitted to hospital for treatment.

I spent a day last week with paramedics from the London Ambulance Service. Our third emergency call was to visit Elizabeth 78-year-old grandmother, who lived on her own and who had fallen from her bed.

The paramedics had been called by Elizabeth’s carer. When we got there, they undertook a thorough assessment and thankfully Elizabeth had not suffered any broken bones or bruising.

We spent over an hour with Elizabeth, and rightfully so. She was a Category 2 emergency and needed to be seen by a trained paramedic in case she had seriously hurt herself.

Elizabeth had three ambulances visit her the day before and more than 200 emergency call-outs in the previous year.

If she had adequate care or somebody else to respond to her fall, then all those ambulance trips would not have been necessary.

There will also be a “new 24/7 system control centre created in every local area, which will manage demand and capacity across the entire country”.

This needs more detail. One trust chief executive I spoke to said this (on the face of it, at least) sounded “a bit like spin”.

If the idea is to manage patient flows to hospitals, to see where bottlenecks are building, and then diverting resources to hospitals and trusts in need of urgent help, it should already, to some extent, be happening.

It might be the first time ambulance data is available nationally and monitored 24/7 to react to live situations, but his fear was patients being transported long distances.

What is apparent is that there are genuine fears about what this winter will bring. The government says it “is preparing earlier and more extensively than ever before”.

New “respiratory hubs” will be built locally to look after patients with infections such as acute bronchitis and pneumonia.

There is expected to be a surge in winter respiratory infection, including flu and COVID. Again, the same day access to specialist care is to stop patients being admitted to hospital where possible.

Therefore, the NHS is preparing earlier and more extensively than usual, with the plans also aiming to create extra bed capacity in hospitals and in the community, and a drive to increase the number of 111 and 999 call handlers.

“This winter could be the toughest on record for the NHS, which is exactly why services are working together early to make sure patients get the care they need, where they need it most,” said Matthew Taylor, chief executive of the NHS Confederation.

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Ms Pritchard added: “Winter comes hot on the heels of an extremely busy summer – and with the combined impact of flu, COVID and record NHS staff vacancies – in many ways, we are facing more than the threat of a ‘twindemic’ this year.”

The autumn COVID booster programme will continue to be rolled out throughout winter, with more than eight million people already receiving their top-up jab.

People aged 50 or over and those considered at high risk of catching COVID are among those currently able to get the extra dose.

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A year after I was surrounded in Birmingham, have community rifts healed?

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A year after I was surrounded in Birmingham, have community rifts healed?

As riots broke out across the country last summer following the Southport attack, fear spread in a majority Muslim part of Birmingham that far-right protesters were on their way.

Locals came out on to the streets, and as I was reporting live on air, I was surrounded by a small group of masked men, swearing and gesturing to the camera.

Afterwards, as we were trying to drive away from the area, a man with a knife followed us and attempted to slash a tyre on our broadcast van.

Protesters showed up after word had spread among the muslim community in Birmingham that the far right were planning a protest in the city.
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The moment Becky Johnson was confronted on camera last summer

A year on, I have returned to the area to discuss what happened with some of those who saw their city descend into chaos.

“The local community had lost faith in the local elected members as well as the local policing units,” says Naeem Yousef, 48, who lives nearby. 

“They thought…the only way to protect themselves and the community was by coming out in force.”

Becky Johnson Birmingham anniversary

‘You can’t control their behaviour’

Tanveer Choudhry, 56, agrees. “In every community we have our sort of, shall we call them… idiots, and you can’t control their behaviour,” he says. 

“I think there was a concern that the far-right group that was coming may well be armed… so I think it was just trying to counteract what they thought was coming.”

We are sitting in a cafe, not far from where the unrest broke out last summer.

still from Johnson VT
Image:
Masked men surrounded the Sky team during the unrest

‘They were looking for who they thought were the enemy’

The group I’m with were invited by community activist Naveed Sadiq, who was there that day.

As well as Naveed, there are three other local Muslim men, and two white residents, including Gerry Moynihan.

He recalls deciding to stay at home that day.

“They were looking for what they thought were the enemy – white people – and trying to find white people,” he says.

“Which is why I stayed in my house, because the intelligence I had was, don’t get involved, don’t walk around, and you know, it will pass.”

I ask the group if my team and I were targeted because we were white.

Becky Johnson Birmingham anniversary
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Gerry Moynihan says he decided not to leave his home

“It’s not because you’re white, it’s because they’re actually bored,” Naveed says. “They were wanting a bit of excitement.”

I ask if they think it would have happened if we were all British Asian.

“Of course,” Tanveer replies. “It wasn’t the fact that you were white… it was just the heat of the moment”.

Naeem believes it happened simply because the men involved “do not want anyone filming what they’re doing”.  

“You could have been Asian… they would still try to get you out of the area,” he insists.

Becky Johnson Birmingham anniversary
Image:
Tanveer believes our team would still have been targeted if we were a different ethnicity

‘Are we going to be accepted?’

I’m keen to understand how these men feel now and whether the sentiment that brought people out on to the streets to “protect” them has been reignited by the recent protests outside hotels housing asylum seekers.

The answer, from Joe Khann, a local Muslim man, would surprise many.

“I would like to go and join them,” he says, referring to the anti-immigration protesters who have gathered several times in Epping. 

“We have this problem within our own communities, and people don’t talk about it. We feel exactly the same and we understand how the English feel with the immigration,” he explains.

still from Johnson VT on Birmingham unrest
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‘We feel exactly the same’ on immigration, says Joe Khann

“We’re having people who are getting married back home, they get married for six months, get divorced…and the government gives them all their help to get accommodation, their national insurance numbers and all that,” he says.

“We’re getting fed up within our own community because we hear this constantly.”

However, he thinks if he did try to join in protests, people would “think I’m an immigrant”.

He says he is “born here, 58, and they look at me as a foreigner or a migrant”.

Naeem agrees. “The question is for us now, as people who are born and bred in this country, what is our identity? Who are we?” he asks. 

“As a white person born in this country, you are automatically accepted. Are we going to be accepted? How many generations will it take for us to be accepted?”

Becky Johnson Birmingham anniversary
Image:
Naeem (left) says even those born in the UK question their identity

‘You have to blame someone’

Naeem is also concerned about immigration.

“We have an influx of people that we do not know about, and they have no loyalty to the area,” he says.

“I believe that the average white guy… isn’t racist, they’re just fed up,” adds Naveed. 

However, these men do have grievances, particularly with the media.

“We feel that we have a two-tier journalists system where when the colour is like mine we get different justice and when the colour is a bit paler it’s different,” Naveed says.

still from Johnson VT on Birmingham unrest
Image:
‘When the colour is like mine we get different justice,’ says Naveed (left)

‘We have become the bogeyman’

“When there’s criminality, and it’s on the news, a Muslim has to be identified by his religion,” Naeem says. 

He believes Muslims have become the “bogeyman” in many people’s minds.

“Where you don’t have housing for example, where the crime has increased, you have to blame someone,” he says.

“Prior it was the Irish community, now it’s the Muslim community.

“It’s a distraction from the actual real issues and how you can resolve them but let’s just put it on to the Muslim community for now, let’s just distract the whole nation and say look it’s the problem with asylum, it’s a problem with Muslims,” he says.

After leaving, I head over to the spot on the roundabout where my team were targeted last year.

As I stand there, my colleague sees a man imitating pulling the trigger of a gun at me from his car.

This is Britain, in broad daylight. 

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UK-France migrant returns deal comes into force

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UK-France migrant returns deal comes into force

Sir Keir Starmer and Emmanuel Macron’s migrant deal comes into force today, with detentions set to begin by the end of the week.

The “one in, one out” pilot scheme – which allows the UK to send some people who have crossed the Channel back to France in exchange for asylum seekers with ties to Britain – was signed last week, and has now been approved by the European Commission.

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It comes as 2025 is on course to be a record year for crossings.

Approximately 25,436 people have already made the journey this year, according to PA news agency analysis of Home Office figures – 49% higher than at the same point in 2024.

The prime minister and the French president hailed the deal as a “good agreement” when it was first announced during the latter’s visit to the UK last month.

The scheme also means that anyone arriving in a small boat can be detained immediately, with space set aside at immigration removal centres in anticipation of their arrival.

Sir Keir said the ratification of the treaty will “send a clear message – if you come here illegally on a small boat you will face being sent back to France”.

Ministers have so far declined to say how many people could be returned under the deal, however, there have been reports that under the scheme only 50 people a week will be returned to France.

Analysis: Deal will need to go much further to work

Sky News political correspondent Rob Powell said while it was a “policy win” for the government, the numbers must eventually “go a lot higher” than 50 per week if it is to work as a deterrent.

“The average crossing rate is about 800 a week, so this will need to go up by a sizeable factor for that message to start seeping through to people trying to make that crossing,” Powell added.

The aim will be to make asylum seekers believe the “risk of going back to France is so big that they shouldn’t bother parting with their cash and paying smugglers” to make the crossing.

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Migrants in Dunkirk, France, preparing to cross the English Channel
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Migrants in Dunkirk, France, preparing to cross the English Channel.

The Conservatives have branded the agreement a “surrender deal” and said it will make “no difference whatsoever”.

Under the terms of the agreement, adults arriving on small boats will face being returned to France if their asylum claim is inadmissible.

In exchange, the same number of people will be able to come to the UK on a new legal route, provided they have not attempted a crossing before and subject to stringent documentation and security checks.

The pilot scheme is set to run until June 2026, pending a longer-term agreement.

Home Secretary Yvette Cooper will face questions on the agreement on Sky News Breakfast this morning.

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Police warn of mass arrests if Palestine Action protest goes ahead

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Police warn of mass arrests if Palestine Action protest goes ahead

Police are warning of mass arrests if a protest in support of the banned group Palestine Action goes ahead on Saturday.

Hundreds of people are expected to turn out for the demonstration, which is understood to be planned for London.

However, the Metropolitan Police said “anyone showing support for the group can expect to be arrested.”

“We are aware that the organisers of Saturday’s planned protest are encouraging hundreds of people to turn out with the intention of placing a strain on the police and the wider criminal justice system,” said a spokesperson.

The organisers, a pressure group called Defend Our Juries, denied their protest will try to overwhelm the police and justice system.

“If we are allowed to protest peacefully and freely, then that is no bother to anyone,” said the group in a statement.

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What’s happening to Palestine Action?

Palestine Action was banned under terrorism laws after two aircraft were damaged at RAF Brize Norton on 20 June.

Home Secretary Yvette Cooper said the vandalism of the planes was “disgraceful” and accused the group of a “long history of unacceptable criminal damage”.

The ban means membership of, or support for, Palestine Action is a criminal offence punishable by up to 14 years in prison.

More than 200 people supporting the group were arrested at Defend Our Juries protests across the UK last month, many of whom held placards with the message: “I oppose genocide, I support Palestine Action.”

Downing Street has urged people not to attend this weekend’s protest.

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Monday's protesters waved flags and banged pan lids
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Monday’s protesters waved flags and banged pan lids

It comes after around 40 people gathered outside Labour HQ on Monday to protest the party’s stance on Gaza.

They were watched by a small group of police officers as they chanted phrases including: “Shame on Keir Starmer, shame on the Labour Party, shame on David Lammy.”

Separately, the Board of Deputies of British Jews has also confirmed it will protest this weekend, with community organisations marching through central London to Downing Street on Sunday.

They are calling for the government not to recognise the state of Palestine without all hostages taken by Hamas being released.

Last week, Sir Keir Starmer said he planned to recognise Palestine by the UN General Assembly meeting in September, unless Israel met certain conditions including agreeing a ceasefire and improving the humanitarian situation in Gaza.

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