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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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UK’s first taxpayer-funded injection room to open in radical move to tackle drugs epidemic

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UK's first taxpayer-funded injection room to open in radical move to tackle drugs epidemic

Glasgow has been a city crying out for solutions to a devastating drugs epidemic that is ravaging people hooked on deadly narcotics. 

We have spent time with vulnerable addicts in recent months and witnessed first-hand the dirty, dangerous street corners and back alleys where they would inject their £10 heroin hit, not knowing – or, in many cases, not caring – whether that would be the moment they die.

“Dying would be better than this life,” one man told me.

It was a grim insight into the daily reality of life in the capital of Europe’s drug death crisis.

Scotland has a stubborn addiction to substances spanning generations. Politicians of all persuasions have failed to properly get a grip of the emergency.

But there is a new concept in town.

From Monday, a taxpayer-funded unit is allowing addicts to bring their own heroin and cocaine and inject it while NHS medical teams supervise.

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It may be a UK-first but it is a regular feature in some other major European cities that have claimed high success rates in saving lives.

Glasgow has looked on with envy at these other models.

One supermarket car park less than a hundred metres from this new facility is a perfect illustration of the problem. An area littered with dirty needles and paraphernalia. A minefield where one wrong step risks contracting a nasty disease.

Drugs paraphernalia in a supermarket car park in Glasgow, near the new facility
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Drugs paraphernalia in a supermarket car park in Glasgow, near the new facility

It is estimated hundreds of users inject heroin in public places in Glasgow every week. HIV has been rife.

The new building, which will be open from 9am until 9pm 365 days a year, includes bays where clean needles are provided as part of a persuasive tactic to lure addicts indoors in a controlled environment.

There is a welcome area where people will check in before being invited into one of eight bays. The room is clinical, covered in mirrors, with a row of small medical bins.

Clean needles are provided to lure addicts to inject in a controlled environment
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Clean needles are provided to lure addicts to inject in a controlled environment

One of the eight bays users can inject in
Image:
There are eight bays users can inject in

We were shown the aftercare area where users will relax after their hit in the company of housing and social workers.

The idea is controversial and not cheap – £2.3m has been ring-fenced every year.

The aftercare area
Image:
The aftercare area

Read more: ‘Dying would be better than my £1,000 a month heroin addiction’

Authorities in the city first floated a ‘safer drug consumption room’ in 2016. It failed to get off the ground as the UK Home Office under the Conservatives said they would not allow people to break the law to feed habits.

The usual wrangle between Edinburgh and London continued for years with Downing Street suggesting Scotland could, if it wanted, use its discretion to allow these injecting rooms to go ahead.

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The stalemate ended when Scotland’s most senior prosecutor issued a landmark decision that it would not be in the public interest to arrest those using such a facility.

One expert has told me this new concept is unlikely to lead to an overall reduction in deaths across Scotland. Another described it as an expensive vanity project. Supporters clearly disagree.

The question is what does success look like?

The big test will be if there is a spike in crime around the building and how it will work alongside law enforcement given drug dealers know exactly where to find their clients now.

It is not disputed this is a radical approach – and other cities across Britain will be watching closely.

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UK weather: Temperatures could fall as low as minus 20C as big freeze continues

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UK weather: Temperatures could fall as low as minus 20C as big freeze continues

Temperatures in northern parts of the UK could fall as low as minus 20C on Friday night as wintry weather continues, the Met Office has said.

There are yellow warnings for ice on Friday morning covering the eastern coast of England and Scotland, the South West, Wales and Northern Ireland.

There is also a yellow warning for snow and ice for northern Scotland. All the warnings expire before midday.

In addition, freezing fog is predicted across central and southeast England, and in parts of Wales, which may be “quite stubborn to clear” on Friday morning, said Met Office meteorologist Liam Eslick.

“It’s going to be another cold couple of days,” he added, and all areas of the UK are likely to experience sub-zero temperatures.

St Andrew's church, Kiln Pit in Durham Pic: PA
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St Andrew’s church at Kiln Pit in Durham. Pic: PA

Friday night may bring the coldest temperatures of the current cold snap, with temperatures possibly plummeting as low as minus 15C or even minus 20C.

“That’s probably the lowest limits we’re expecting,” Mr Eslick said.

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“We probably don’t really expect many places to get close to minus 20C, but we could see one or two places that could just touch that mark overnight Friday into Saturday.”

That is because of still conditions, high pressure, “not a lot of wind and clear skies”.

In addition, snow on the ground helps to create “sort of a perfect scenario to see those temperatures just plummet”, Mr Eslick added.

Saturday is also likely to be bitterly cold, while Sunday is forecast to be a little warmer.

On Monday, temperatures are expected to be more in line with the seasonal norm, at about seven or eight degrees Celcius.

A woman feeds ducks in a frosty High Wycombe Pic; PA
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A woman feeds ducks in a frosty High Wycombe. Pic: PA

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The freezing conditions have led to travel disruption, with Manchester Airport closing both its runways on Thursday morning because of “significant levels of snow”. They were later reopened.

Transport for Wales closed some railway lines because of damage to tracks.

Hundreds of schools in Scotland and about 90 in Wales were shut on Thursday.

Meanwhile, staff and customers at a pub thought to be Britain’s highest were finally able to leave on Thursday after being snowed in.

The Tan Hill Inn in Richmond, North Yorkshire, is 1,732 feet (528m) above sea level.

Six staff and 23 visitors were stuck, the pub said on Facebook.

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Major companies part of drive to get thousands of offenders in work

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Major companies part of drive to get thousands of offenders in work

Bosses of leading high street businesses are set to lead a new drive to cut crime and get ex-offenders into stable jobs.

It’s part of a government initiative creating 11 new regional employment councils across England and Wales.

Leaders from firms including the Co-Op, Iceland, Greggs, and Oliver Bonas will provide voluntary advisory roles in conjunction with probation, job centres, and the Department for Work and Pensions.

The idea is to help ex-prisoners find work while they serve the remainder of their sentence in the community.

The government says roughly 80% of offending is reoffending, while the latest data shows offenders unemployed six weeks after leaving jail have a reoffending rate more than twice that of those in work – 35% versus 17%.

The employment councils will supplement the work of existing employment advisory boards, created by the former Timpsons chief executive, now prisons minister, Lord Timpson.

The advisory boards bring local leaders into 93 individual jails to help provide education and training advice, but largely stop at the prison gates.

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The government wants the new councils to act as better bridges for offenders, under one umbrella – bringing together probation, prisons and local employers, helping prison leavers look for work.

This will include connections with work coaches at job centres that will provide mock interviews, CV advice and training opportunities in the community.

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Lord Timpson called the new scheme and partnering with business a “win win”.

“Getting former offenders into stable work is a sure way of cutting crime and making our streets safer,” he said.

Last month Sky News heard from former offender, Terry, now employed at the cobblers and key cutters Timpsons, about what he calls an “invisible stigma” for those with criminal records seeking employment.

He said getting a secure job was life-changing because without other options “you’re probably going to think about doing crime”.

Annie Gail, head of social impact at Cook Foods, which is taking part of the government’s new scheme, also told Sky News that prison leaver programmes such as theirs are “challenging”.

She said having ex-offenders in public-facing roles “can cause concern” but insists “good business is about more than just turning a profit” and instead is about being “a force for good in society”.

The new scheme is set to start next week, and plans to get thousands of ex-offenders into stable jobs, away from a life of crime.

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