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 letterto 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.
“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.
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.
Comedy writer Bill Dare, – who worked on shows including Spitting Image and Dead Ringers – has died after an accident overseas, his agent said.
Described as a “super producer” by his peers, Dare, 64, worked on eight series of hugely popular satire puppet show Spitting Image.
Airing on ITV during the 1980s and 1990s, the show delighted in lampooning public figures including politicians, celebrities and royalty, winning BAFTAs and Emmys. It was rebooted in 2020.
Dare also created Dead Ringers, a comedy impressions show broadcast on BBC Radio 4.
He also produced The Now Show, a satirical take on the news which ran on Radio 4 from 1998 to 2024.
Dare worked on a wide range of comedy shows during his career, including the radio production of The Mary Whitehouse Experience in the late 1980s and early 1990s. He had also written several novels.
In a statement released on Monday, his agent JFL Agency confirmed he died at the weekend.
A spokesperson said: “We are shocked and greatly saddened to have to announce the death of our brilliant client Bill Dare, who died at the weekend following an accident overseas.
“Our thoughts are with his wife Lucy, daughter Rebecca, and with all of Bill’s family and friends who will be devastated by his loss.
“Bill was a truly legendary producer and writer, and his comedy instincts were second to none.”
Image: Oasis depicted on Spitting Image in 1996. Pic: ITV/Shutterstock
Colleagues were quick to pay tribute and reflect on his talent.
Impressionist Jon Culshaw wrote on X: “It’s impossible to express the unreal sense of loss at the passing of the incredible Bill Dare. The wisest comedy alchemist and the dearest, dearest friend. Much love to Lucy and all Bill’s family and friends. We shall all miss him more than we can say.”
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David Baddiel posted on the social media platform: “Just heard that the original producer of The Mary Whitehouse Experience on radio, Bill Dare, has died. Bill was an amazing creative force. I owe him much. RIP.”
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Former EastEnders actress Tracy-Ann Oberman said she was “devastated” and that her “entire comedy career was down to Bill”.
She wrote: “When I was on the BBC Radio 4 rep company early on in career – I ran into Bill in the corridors – He asked if I was good at accents. I said yes.
“He cast me in a sketch show. I had to do about 15 different accents. We recorded in front of a live audience at Broadcasting House – afterwards Bill said ‘Why have I never met you – you’re going to have a big career’.
“He was incredibly loyal and supportive and really opened a path for me into the R4 comedy world and then TV having come out of the RSC and theatre it was all new. I will always be grateful. Fly high Bill.”
Comedian and writer Mark Steel wrote: “This is so grim. Bill was a compassionate hearty soul with the ability to be beautifully grumpy, a marvellously thoughtful comic mind.
“He’d argue but always listen and you’d always laugh, he made a million shows and wanted them all to matter and would have made a million more.”
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Have I Got News for You writer Pete Sinclair said: “I am utterly devastated by Bill’s death. I still can’t believe it. He was a comedy genius. A hugely talented writer as well as a brilliant producer. A close friend and co-writer. I cannot begin to say how much I’ll miss him.”
Julia McKenzie, comedy commissioner for Radio 4, said: “I am so terribly sorry to hear this tragic news and my thoughts are with Bill’s wife, family and friends.
“Bill has been a huge part of Radio 4 comedy for decades, as a writer and producer, and listeners will have heard his legendary name at the end of many of their favourite shows.
“Bill was a comedy obsessive, and very instinctive about making the funniest choices when it came to writing, directing and editing.
“He cared so much about his work that in the production booth during Dead Ringers you’d see him crouched over the script, utterly focused on the show.
“He was funny and very dry in person, amusingly cynical when he needed to be and always pushed to keep the comedy he made, and particularly satire, spiky.
“I’ve known and worked with him for 18 years and like many I can’t believe he has gone, he will leave a big hole in the comedy world and in our hearts.”
An ex-prison officer who boasted about performing a sex act on an inmate who “manipulated” her has been jailed.
Mother-of-one Katie Evans, 26, burst into tears in court as the judge described how she was “corrupted” by an “experienced criminal” not long after she started work at Doncaster Prison when she was just 21.
As well as starting an intimate relationship with the prisoner, Daniel Brownley, Evans had more than 140 phone calls with him, moved money around bank accounts for him, and supplied him with information the prison held on him, the court heard.
Brownley had been jailed in 2016 for attempted robbery, burglary and handling stolen goods, the court heard.
“It appears you indulged in some form of sexual activity in the prison. It has been described that on one occasion you had oral sex with him,” Judge Jeremy Richardson KC told Evans at Sheffield Crown Court.
“It is truly a terrible situation for a judge to be passing sentence on a former prison officer who has been branded a corrupt prison officer.”
Judge Richardson told Evans “he corrupted you and not the reverse”, adding: “I’m entirely satisfied you were manipulated by an experienced criminal to assist him.”
He said Evans was “young and immature” at the time but added: “Your misconduct materially affected the good order and discipline of the prison.”
“You were inexperienced and immature but that is, however, no excuse for what you did.”
Judge Richardson said the sentence of 21 months should have been longer but, “purely as an act of mercy”, he reduced it to take into account the effect it will have on Evans’ relationship with her young daughter and the difficulties she will have in prison as a former officer.
Evans, of Hatfield, Doncaster, admitted misconduct in a public office at a previous hearing.
Still crying, she waved at family members in the public gallery as she was led from the dock.