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A workforce the size of the population of Newcastle needs to be recruited urgently to ease the “gridlocked” health and care system and to prevent serious harm to patients, the country’s care regulator has warned.

The Care Quality Commission (CQC) says it is getting “tougher and tougher” to access care because of a massive shortage in the workforce.

There are around 132,000 vacancies in the NHS and 165,000 across social care, about the same size as the population of the north east city.

And this shortfall in the care sector is having a huge impact on NHS waiting lists, hospital bed availability and accident and emergency response times.

The CQC described the entire health and care system as “gridlocked” and “unable to operate effectively”.

The CQC echoes the warnings raised by health leaders about the need to address the crisis in social care to ease the pressure on the rest of the health system.

Chief Executive Ian Trenholm said the recruitment challenge faced by health and care leaders “is going to translate into real difficulty” this winter and in the years ahead.

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Mr Trenholm said the impact of the gridlock is that people are struggling to see their GP or dentist, wait for longer to get to hospital, and once there can become stuck due to a lack of social care to help them once they are ready to leave.

He said: “And this is not just a care consequence. There’s an economic consequence to all of this as well.

“People who are ill can’t go back to work because they’re in a backlog, in some kind of queue waiting for care.”

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Amanda Pritchard, NHS England chief executive, said there are around 10,000 patients in hospitals who are medically fit to be discharged but must stay because there is no care provision for them in the community.

The CQC said only two in five people are able to leave hospital when they are ready, contributing to record-breaking waits in emergency departments following a decision to admit, and dangerous ambulance handover delays.

It found in some cases almost half a hospital is full of people who are medically fit to be discharged but are waiting for social care support, it said.

Beds are available but some care homes are closing their doors to new arrivals because they cannot provide safe staffing levels.

And some nursing homes are having to re-register as care homes because nursing staff are leaving and they are struggling to recruit replacements.

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Figures from the Association of Directors of Adult Social Services show that more than half a million people (542,002) were estimated to be waiting for assessments, reviews or care to start as of 30 April this year.

Separate data from the workforce body Skills for Care show that the number of filled posts fell – by about 50,000 – between 2020-21 and 2021-22 for the first time on record.

The CQC’s annual report on the state of health and social care in England also warned that the rising cost of living could result in more care staff leaving for better-paid work.

The regulator also pointed to an unprecedented number of care workers in the South East resigning in May and June because of fuel costs.

The CQC said that, without action, more health and care staff will quit, services will be further stretched, and people will be at greater risk of harm.

This will be especially pronounced in more deprived areas, where access to care outside hospitals is under the most pressure.

Analysis: For too long the focus has been on acute care while the crisis in social care has been allowed to grow.

All health and care leaders are saying the same thing.

Health and social care must be seen as the same integrated system.

For too long the focus has been on acute care while the crisis in social care has been allowed to grow.

Years of chronic underfunding has left social care in the state it is now.

But the impact on hospitals and the rest of the health service is now being felt.

The pandemic has swelled the waiting lists and to make any headway on the numbers, patients need to go into hospital and get out as soon as it is safe for them to be discharged.

But patients are going into hospital and staying there because there is nobody left to care for them in the community.

The pandemic helped to change the way we look at social care.

We saw just how vulnerable many people were, and we saw just how undervalued and underpaid social care staff were feeling.

That is why so many have left the sector. Unless pay and rewards are addressed care staff will keep leaving and new recruits will not take their place.

The NHS recognises the importance of social care in preventing patients from coming to hospital in the first place.

Among other measures it is setting up rapid response units to attend to people who have suffered falls.

The vast majority of these patients will not need hospital admittance.

Every time an ambulance crew attends a fall it cannot attend to another emergency.

I spent a day with the London Ambulance Service last week.

Our third emergency that morning was to attend to a 78 year woman who had fallen from her bed.

Elizabeth was thoroughly examined and no serious injury was found.

Records showed that Elizabeth had more than 200 ambulance visits for falls the year before.

If she had a good care package in place then those ambulance visits would not all have been necessary and the paramedics could have been responding more quickly to another emergency.

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‘This shouldn’t have happened’: Bishop who interrupted church choir in dressing gown apologises

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'This shouldn't have happened': Bishop who interrupted church choir in dressing gown apologises

A bishop who interrupted a church concert in his dressing gown – and told singers to “leave his house” – has formally apologised to the choir.

Jonathan Baker was filmed standing barefoot at a microphone as he criticised performers for making a “terrible racket” at St Andrew’s Church in central London.

Addressing the City Academy Voices choir directly, the bishop of Fulham said: “I write to apologise for the distress and offence I caused in bringing the concert to a premature end.

“This should not have happened … I also apologise for remarks which were made in haste, and which have understandably caused hurt and distress.”

The bishop, in his dressing gown, gave the choir a dressing down
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The bishop, in his dressing gown, gave the choir a dressing down

Mr Baker had demanded for the performance to stop because it was 10pm – and says he didn’t realise the choir had booked the church until 11pm.

In the statement obtained by Sky News, he added: “I have lived here on site at St Andrew’s for 10 years, for much of which City Academy has rehearsed and performed here.

“You have been, and continue to be, welcome – and I hope that you will be able to continue the relationship with us.

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“I can give you every assurance that the events of Friday evening will not recur, and I apologise again to performers (especially those unable to perform at the end of the evening) and the audience alike.”

The choir performed their last song
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The choir performed their last song

The choir was performing to a 300-strong audience in Holborn when the lights were suddenly turned off, with Mr Baker declaring the concert was “over”.

A church employee then asked the crowd to leave quietly and for the musicians to step down from the stage, attracting boos from the audience.

The choir went on to perform one last song, an A cappella version of ABBA’s Dancing Queen, before bringing their show to a close.

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Bishop
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Jonathan Baker has apologised

One member of the audience, who was attending with his 10-year-old daughter, told Sky News he initially thought the interruption was a staged joke.

Benedict Collins had told Sky News: “This work deserves respect, not to be disparaged as a ‘terrible racket’. The people here had put their heart and soul into it.

“The bishop cut them off in midstream, preventing soloists who had worked their hardest from singing – and preventing the audience, which included people of all ages, from enjoying it to the end.”

The choir told Sky News it was “upsetting” that they were unable to finish their show as planned, but “hold no hard feelings and wish the bishop well”.

A spokesperson added: “If anyone is thinking of joining one of our choirs, the City Academy Voices rehearse on Mondays in central London. Dressing gowns optional.”

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X criticises Online Safety Act – and warns it’s putting free speech in the UK at risk

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X criticises Online Safety Act - and warns it's putting free speech in the UK at risk

The Online Safety Act is putting free speech at risk and needs significant adjustments, Elon Musk’s social network X has warned.

New rules that came into force last week require platforms such as Facebook, YouTube, TikTok and X – as well as sites hosting pornography – to bring in measures to prove that someone using them is over the age of 18.

The Online Safety Act requires sites to protect children and to remove illegal content, but critics have said that the rules have been implemented too broadly, resulting in the censorship of legal content.

X has warned the act’s laudable intentions were “at risk of being overshadowed by the breadth of its regulatory reach”.

It said: “When lawmakers approved these measures, they made a conscientious decision to increase censorship in the name of ‘online safety’.

“It is fair to ask if UK citizens were equally aware of the trade-off being made.”

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What are the new online rules?

X claims the timetable for platforms to meet mandatory measures had been unnecessarily tight – and despite complying, sites still faced threats of enforcement and fines, “encouraging over-censorship”.

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“A balanced approach is the only way to protect individual liberties, encourage innovation and safeguard children. It’s safe to say that significant changes must take place to achieve these objectives in the UK,” it said.

A UK government spokesperson said it is “demonstrably false” that the Online Safety Act compromises free speech.

“As well as legal duties to keep children safe, the very same law places clear and unequivocal duties on platforms to protect freedom of expression,” they added.

Users have complained about age checks that require personal data to be uploaded to access sites that show pornography, and 468,000 people have already signed a petition asking for the new law to be repealed.

In response to the petition, the government said it had “no plans” to reverse the Online Safety Act.

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Why do people want to repeal the Online Safety Act?

Reform UK’s leader Nigel Farage likened the new rules to “state suppression of genuine free speech” and said his party would ditch the regulations.

Technology Secretary Peter Kyle said on Tuesday that those who wanted to overturn the act were “on the side of predators” – to which Mr Farage demanded an apology, calling Mr Kyle’s comments “absolutely disgusting”.

Regulator Ofcom said on Thursday it had launched an investigation into how four companies – that collectively run 34 pornography sites – are complying with new age-check requirements.

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These companies – 8579 LLC, AVS Group Ltd, Kick Online Entertainment S.A. and Trendio Ltd – run dozens of sites, and collectively have more than nine million unique monthly UK visitors, the internet watchdog said.

The regulator said it prioritised the companies based on the risk of harm posed by the services they operated and their user numbers.

It adds to the 11 investigations already in progress into 4chan, as well as an unnamed online suicide forum, seven file-sharing services, and two adult websites.

Ofcom said it expects to make further enforcement announcements in the coming months.

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British children who drowned off Spanish coast named

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British children who drowned off Spanish coast named

Two siblings who drowned while on holiday in Spain have been named – with a fundraiser for their family reaching £40,000.

Ameiya and Ricardo Junior Parris, aged 13 and 11, died on Tuesday evening after getting into difficulty off Llarga beach in Salou, Catalonia.

Their father Ricardo tried to rescue them, but he also got into difficulty and was unconscious when he was pulled from the water. He was later released from hospital with a concussion.

Ricardo Senior and his partner, Shanice Del-Brocco, 31, were staying at the Hotel Best Negresco right by the beach with their six children when tragedy struck.

Ameiya and Ricardo Junior. Pic: Kayla Del-Brocco/PA Wire
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Ameiya and Ricardo Junior have been described as “hilarious, sensitive and loving”. Pic: Kayla Del-Brocco/PA Wire

The construction worker from Birmingham had taken their two oldest children for one final swim while Shanice had taken the younger ones back to the hotel.

“They’d gone out. They were being sensible. They’re very good swimmers,” the children’s aunt, Kayla Del-Brocco, said.

“They knew it was late. However, they’d been doing this every day on holiday, so that day was no different. They didn’t go out far, but the current was just too strong and pulled them.”

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A hotel worker saw the siblings struggling in the water and called for help. When Shanice returned to the beach, emergency services were already at the scene, with Junior, nicknamed Joby, taken away in a helicopter.

“It’s breaking (Ricardo), if I’m honest, because he was in the water, and I know he said things to my sister like: ‘I had him, I had Joby in my arms, and we got smacked up the rocks, and that’s the last thing I remember,'” Shanice’s sister said.

Ricardo Senior suffered a “nasty concussion and some bumps and batters”, Ms Del-Brocco said, adding that he was the first to be rescued.

Little Ameiya and her baby brother Ricardo Junior. Pic: Kayla Del-Brocco/PA Wire
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Little Ameiya and her oldest brother Ricardo Junior. Pic: Kayla Del-Brocco/PA Wire

The couple were unable to see their children’s bodies until Thursday at the mortuary and are now waiting for them to be repatriated to the UK, which they were told “could be anything from seven to 15 days”, Ms Del-Rocco said.

“They are just numb. They’re holding each other up and keeping it together for the little ones at the minute; going through the motions and desperately waiting to come home now.”

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The GoFundMe page to help cover the cost of repatriating the bodies of Ameiya and Ricardo Junior, which was set up by her cousin, has already raised around £40,000, which Ms Del-Rocco described as “phenomenally overwhelming”.

“Maya was intelligent, thoughtful, and growing into a strong young woman. Ricardo Junior was playful, kind, and always smiling. They brought so much love, laughter, and energy into the lives of everyone around them,” the fundraising page reads.

“Their absence has left an unbearable silence not just for their parents, but for their whole family, who were incredibly close and shared an unbreakable bond.”

Pic: Kayla Del-Brocco/PA Wire
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Ameiya and Ricardo Junior were doting older siblings. Pic: Kayla Del-Brocco/PA Wire

Ms Del-Brocco said that Ameiya and Junior, who were in Years 7 and 8 at North Birmingham Academy, were doting older siblings, with their mother describing them as “hilarious, sensitive and loving – the best big brother and sister anyone could want”.

Their aunt said that Ameiya, a talented runner with ambitions of going to the Olympics, was “unapologetically just herself” and “driven by being unique”.

Ricardo Junior was a “very, very special one-of-a-kind character” who wanted to become a famous YouTuber.

A Foreign, Commonwealth and Development Office spokesperson said: “We are supporting the family of two British children who have died in Spain and are in contact with the local authorities.”

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