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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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Last UK blast furnaces days from closure as Chinese owners cut off crucial supplies

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Last UK blast furnaces days from closure as Chinese owners cut off crucial supplies

​​​​​​​The last blast furnaces left operating in Britain could see their fate sealed within days, after their Chinese owners took the decision to cut off the crucial supply of ingredients keeping them running. 

Jingye, the owner of British Steel in Scunthorpe, has, according to union representatives, cancelled future orders for the iron ore, coal and other raw materials needed to keep the furnaces running.

The upshot is that they may have to close next month – even sooner than the earliest date suggested for its closure.

Read more: Thousands of jobs at risk as British Steel consults unions over closure

The fate of the blast furnaces – the last two domestic sources of virgin steel, made from iron ore rather than recycled – is likely to be determined in a matter of days, with the Department for Business and Trade now actively pondering nationalisation.

The upshot is that even as Britain contends with a trade war across the Atlantic, it is now working against the clock to secure the future of steelmaking at Scunthorpe.

British Steel proceesing

The talks between the government and Jingye broke down last week after the Chinese company, which bought British Steel out of receivership in 2020, rejected a £500m offer of public money to replace the existing furnaces with electric arc furnaces.

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The sum is the same one it offered to Tata Steel, which has shut down the other remaining UK blast furnaces in Port Talbot and is planning to build electric furnaces – which have far lower carbon emissions.

These steel workers could soon be out of work
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These steel workers could soon be out of work

However, the owners argue that the amount is too little to justify extra investment at Scunthorpe, and said last week they were now consulting on the date of shutting both the blast furnaces and the attached steelworks.

Since British Steel is the main provider of steel rails to Network Rail – as well as other construction steels available from only a few sites in the world – the closure would leave the UK more reliant on imports for critical infrastructure sites.

British Steel in action

However, since the site belongs to its Chinese owners, a decision to nationalise the site would involve radical steps government officials are wary of taking.

They also fear leaving taxpayers exposed to a potentially loss-making business for the long run.

British Steel

The dilemma has been heightened by the sharp turn in geopolitical sentiment following Donald Trump’s return to the White House.

The incipient trade war and threatened cut in American support to Europe have sparked fresh calls for countries to act urgently to secure their own supplies of critical materials, especially those used for defence and infrastructure.

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Gareth Stace, head of UK Steel, the industry lobby group, said: “Talks seem to have broken down between government and British Steel.

“My advice to government is: please, Jonathan Reynolds, Business Secretary, get back round that negotiating table, thrash out a deal, and if a deal can’t be found in the next few days, then I fear for the very future of the sector, but also here for Scunthorpe steelworks.”

British Steel declined to comment.

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Prince Andrew’s Pitch@Palace branded ‘crude attempt to enrich himself’ as Chinese spy documents set to be released

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Prince Andrew's Pitch@Palace branded 'crude attempt to enrich himself' as Chinese spy documents set to be released

Prince Andrew’s efforts to make money from his Pitch@Palace project have been branded as a “crude attempt to enrich himself” at the expense of “unsuspecting tech founders”, as new documents may shed more light on what he and his team have been attempting to sell.

Today is the deadline for documents to be released relating to Prince Andrew‘s former senior adviser Dominic Hampshire and his interactions with the alleged Chinese spy Yang Tengbo.

In February, an immigration tribunal heard how the intelligence services had contacted Mr Hampshire about Mr Yang back in 2022. Mr Yang helped set up Pitch@Palace China, a branch of the duke’s scheme to help young entrepreneurs.

The alleged Chinese spy, Yang Tengbo, has links with Prince Andrew
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The alleged Chinese spy, Yang Tengbo, has links with Prince Andrew

Pic: Pitch@Palace
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Yang Tengbo. Pic: Pitch@Palace

Judges banned Mr Yang from the UK, saying his association with a senior royal had made Prince Andrew “vulnerable” and posed a threat to national security. Mr Yang challenged that decision at the Special Immigration Appeals Commission (SIAC).

Since that hearing, media organisations have applied for certain documents relating to the case and Mr Hampshire’s support for Mr Yang to be made public. SIAC agreed to release some information of public interest. It is hoped they may include more details on deals that he was trying to do on behalf of Prince Andrew.

So what do we know about potential deals for Pitch@Palace so far?

In February, Sky News confirmed that palace officials had a meeting last summer with tech funding company StartupBootcamp to discuss a potential tie-up between them and Prince Andrew relating to his Pitch@Palace project.

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The palace wasn’t involved in the fine details of a deal but wanted guarantees to make sure it wouldn’t impact the Royal Family in the future. Sky News understands from one source that the price being discussed for Pitch was around £750,000 – there are, however, reports that a deal may have stalled.

Photos we found on the Chinese Chamber of Commerce website show an event held in Asia between StartupBootcamp and Innovate Global, believed to be an offshoot of Pitch.

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Who is alleged Chinese spy, Yang Tengbo?

Documents, released in relation to the investigations into Mr Tengbo, have also shown how much the duke has always seen Pitch as a way of potentially making money. One document from 21 August 2021 clearly states “the duke needed money at the time, and saw the relationships with China through Pitch as one possible source of funding”.

But Prince Andrew’s apparent intention to use Pitch to make money has led to concerns about whether he is unfairly using the contacts and information he gained when he was a working royal.

Norman Baker, former MP and author of books on royal finances, believes it is “a crude attempt to enrich himself” and goes against what the tech entrepreneurs thought they were signing up for.

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He told Sky News: “The data given by these business people was given on the basis it was an official operation and not something for Prince Andrew, and so in my view, Prince Andrew had no right legally or morally to take the data which has been collected, a huge amount of data, and sell it…

“And quite clearly if you’re going to sell it off to StartupBootcamp, that is not what people had in mind. The entrepreneurs who joined Pitch@Palace did not do so to enrich Prince Andrew,” he said.

Rich Wilson was one tech entrepreneur who was approached at the start of Pitch@Palace to sign up, but he stepped away when he spotted a clause in the contract saying they’d be entitled to 2% equity in any funding he secured.

He feels Prince Andrew is continuing to use those he made a show of supporting.

He said: “It makes me feel sick. I think it’s terrible – that he is continuing to exploit unsuspecting tech founders in this way. A lot of them, I’m quite grey and old in the tooth now, I saw it coming, but clearly most didn’t. And a lot of them were quite young.

“It’ll be their first venture and you’re learning on the trot, so to speak. So to take advantage of people in such a major way – that’s an awful, sickening thing to do.”

We approached StartupBootcamp who said they had no comment to make, and the Duke of York’s office did not respond.

With reports that a deal may have stalled, it could be a big setback for the duke – especially with questions still about how he’ll continue to pay for his home on the Windsor estate now that the King no longer gives him financial support.

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UK in talks with Brazil over ‘potential sale’ of two Royal Navy amphibious assault ships

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UK in talks with Brazil over 'potential sale' of two Royal Navy amphibious assault ships

The UK is in talks with Brazil over the “potential sale” of the Royal Navy’s two amphibious assault ships that are being ditched to cut costs, the Ministry of Defence has confirmed.

Defence experts said the fact HMS Bulwark – which has only just received an expensive refit – and HMS Albion are being flogged off underlines the pressure on the defence budget even though Sir Keir Starmer keeps talking up his promises to boost expenditure.

The two warships can be used to deploy Royal Marines to shore – a vital capability at a time of growing global threats.

News of the possible sale was first revealed in Latin American media.

One report said the Royal Navy and Brazilian Navy had signed an agreement that would see the UK giving information to the Brazilians on the state of the two ships prior to any purchase.

Asked about the claim that the UK would sell the assault ships to Brazil, a Ministry of Defence spokesperson said: “We can confirm we have entered discussions with the Brazilian Navy over the potential sale of HMS Bulwark and HMS Albion.

“As announced in November, both ships are being decommissioned from the Royal Navy. Neither were planned to go back to sea before their out of service dates in the 2030s.”

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James Cartlidge, the shadow defence secretary, appeared to question the wisdom of the move.

“At Defence orals [House of Commons questions] on January 6th Defence Secretary John Healey said: ‘HMS Bulwark and HMS Albion were not genuine capabilities’,” Mr Cartlidge wrote in a post on social media.

“They’ve just been sold to Brazil.”

Matthew Savill, the director of military science at the Royal United Services Institute, said the plan to sell the vessels demonstrates there “is still life in both these ships”.

He said: “The fact that the UK is prepared to sell off useful amphibious capability – which could be used in evacuation operations or other cases where air transport is difficult – shows just how tight finances are even with the promised budget increase.

“The replacements for these ships are still several years away and won’t be available until the 2030s.”

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Mr Savill added: “As an aside, Brazil will probably have greater amphibious capacity than the UK, having previously bought HMS Ocean, the UK’s helicopter assault ship.”

HMS Albion and HMS Bulwark entered service two decades ago.

Both are currently held at lower readiness having not been to sea since 2023 and 2017 respectively.

HMS Ocean, a helicopter-landing vessel and once the largest warship in the Royal Navy, was sold to the Brazilian Navy in 2018 after 20 years in service.

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