Connect with us

Published

on

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.

More on Nhs

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.”

Read more:
Heart attack and stroke patients waiting half an hour longer for ambulances than pre-pandemic
More than 1,000 people waiting longer than 12 hours in A&E every day, figures reveal

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.

Read more:
Woman angrily confronts health secretary over ‘people dying’ due to lengthy ambulance waits

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.

Continue Reading

UK

Hundreds of ‘high-value’ artefacts stolen from museum in Bristol as police issue appeal

Published

on

By

Hundreds of 'high-value' artefacts stolen from museum in Bristol as police issue appeal

More than 600 artefacts have been stolen from a building housing items belonging to a museum in Bristol.

The items were taken from Bristol Museum’s British Empire and Commonwealth collection on 25 September, Avon and Somerset Police said.

The force described the burglary as involving “high-value” artefacts, as they appealed for the public’s help in identifying people caught on CCTV.

It is not clear why the appeal is being issued more than two months after the burglary occurred.

The break-in took place between 1am and 2am on Thursday 25 September when a group of four unknown males gained entry to a building in the Cumberland Road area of the city.

Detectives say they hope the four people on CCTV will be able to aid them with their enquiries.

This breaking news story is being updated and more details will be published shortly.

More from UK

Please refresh the page for the latest version.

You can receive breaking news alerts on a smartphone or tablet via the Sky News app. You can also follow us on WhatsApp and subscribe to our YouTube channel to keep up with the latest news.

Continue Reading

UK

‘They know Britain is a soft country’: The visa overstayers living under the radar

Published

on

By

'They know Britain is a soft country': The visa overstayers living under the radar

Ramesh lives in fear every day. A police siren is enough to alarm him.

He’s one of up to 400,000 visa overstayers in the UK, one lawyer we spoke to believes.

It’s only an estimate because the Home Office has stopped collecting figures – which were unreliable in the first place.

Britain is being laughed at, one man told us, “because they know it’s a soft country”.

'Ramesh' came to the UK from India
Image:
‘Ramesh’ came to the UK from India

We meet Ramesh (not his real name) at a Gurdwara, a Sikh place of worship, where he goes for food and support.

He insists he can’t return to India where he claims he was involved in political activism.

Ramesh says he came to the UK on a student visa in 2023, but it was cancelled when he failed to continue his studies after being involved in a serious accident.

He tells us he is doing cash-in-hand work for people who he knows through the community where he is living and is currently working on a house extension where he gets paid as little as £50 for nine hours labouring.

“It’s very difficult for me to live in the UK without my Indian or Pakistani community – also because there are a lot of Pakistani people who give me work in their houses for cleaning and for household things,” he adds.

‘What will become of people like us?’

Anike has lived in limbo for 12 years.

Now living in Greater Manchester, she came to the UK from Nigeria when her sister Esther was diagnosed with a brain tumour – she had a multi-entry visa but was supposed to leave after three months.

Esther had serious complications from brain surgery and says she is reliant on her sister for care.

Immigration officials are in touch with her because she has to digitally sign in every month.

Anike has had seven failed applications for leave to remain on compassionate grounds refused but is now desperate to have her status settled – afraid of the shifting public mood over migration.

“Everybody is thinking ‘what will become of people like us?'” she adds.

It’s a shambles’

The government can’t say with any degree of accuracy how many visa overstayers there are in Britain – no data has been collated for five-and-a-half years.

But piecing together multiple accounts from community leaders and lawyers the picture we’ve built is stark.

Immigration lawyer Harjap Singh Bhangal told us he believed there could be several hundred thousand visa overstayers currently in Britain.

He says: “At this time, there’s definitely in excess of about 200,000 people overstaying in the UK. It might even be closer to 300,000, it could even be 400,000.”

Asked what evidence he has for this he replies: “Every day I see at least one overstayer, any immigration lawyers like me see overstayers and that is the bulk of the work for immigration lawyers.

The Home Office doesn’t have any accurate data because we don’t have exit controls. It’s a shambles. It’s an institution where every wall in the building is cracked.”

The number of those who are overstaying visas and working cash in hand is also virtually impossible to measure.

‘They know Britain is a soft country’

“They’re laughing at us because they know Britain is a soft country, where you won’t be picked up easily,” says the local man we’ve arranged to meet as part of our investigation.

We’re in Kingsbury in northwest London – an area which people say has been transformed over the past five years as post-Brexit visa opportunities opened up for people coming from South Asia.

‘Mini-Mumbai’

The man we’re talking to lives in the community and helps with events here. He doesn’t want to be identified but raises serious questions about visa abuse.

“Since the last five years, a huge amount of people have come in this country on this visiting visa, and they come with one thing in mind – to overstay and work in cash,” he says.

“This area is easy to live in because they know they can survive. It looks like as if you are walking through mini-Mumbai.”

Please use Chrome browser for a more accessible video player

‘The system is more than broken’

‘It’s taxpayers who are paying’

And he claims economic migrants are regularly arriving – who’ve paid strangers to pretend they’re a friend or relative in order to obtain a visitor visa to get to Britain.

He says: “I’ve come across so many people who have come this way into this country. It’s widespread. When I talk to these people, they literally tell me, ‘Oh, someone is coming tomorrow, day after tomorrow, someone is coming’.

“Because they’re hidden they may not be claiming benefits, but they can access emergency healthcare and their children can go to school.

“And who is paying for it? It’s the taxpayers who are paying for all this,” says the man we’ve met in north London.

Read more from Sky News:
Net migration figures hit four-year low
How Denmark may inspire UK asylum reforms

A Home Office spokesperson said: “We will not tolerate any abuse of our immigration system and anyone found to be breaking the rules will be liable to have enforcement action taken against them.

“In the first year of this government, we have returned 35,000 people with no right to be here – a 13% rise compared to the previous year.

“Arrests and raids for illegal working have soared to their highest levels since records began, up 63% and 51%.”

Continue Reading

UK

The government doesn’t know how many people are overstaying their visas – here’s why

Published

on

By

The government doesn't know how many people are overstaying their visas - here's why

The government can’t say with accuracy how many visa overstayers there are in Britain – no data has been collated for five-and-a-half years.

Sky News has spoken to immigration lawyers about the numbers, and one believes there could be as many as 400,000 living across the country.

Harjap Singh Bhangal described the situation as a “shambles”.

The Home Office doesn’t have any accurate data because we don’t have exit controls. It’s a shambles. It’s an institution where every wall in the building is cracked,” he told Sky’s Lisa Holland.

Please use Chrome browser for a more accessible video player

The visa overstayers in ‘soft’ Britain

Why doesn’t the government know?

The Home Office used to gather data on visa overstayers by effectively checking a list of passport numbers associated with visas against a list of passport numbers of people leaving the UK, taken from airlines and other international travel providers.

If there was a passport number match in the arrivals and departures part of their database, that person was recorded to have left when they should have. If there wasn’t, they were a potential overstayer.

They stopped producing the figures because a combination of Brexit and COVID added complications that made the Home Office conclude they wouldn’t be able to get to a reliable number using the same method.

It’s now four and a half years since EU citizens had freedom of movement to the UK revoked, and more than three and a half years since pandemic-era travel restrictions ended.

And yet we are still waiting to see what a new method might look like.

Read more from Sky News:
Is this what the beginning of a war looks like?
There’s one big problem with Australia’s social media ban

The old method wasn’t perfect. If someone changed their passport while in the UK, for example, or if the airline or individual entered the number wrong when they were leaving, there wouldn’t be a match.

The Home Office regarded the statistics as likely overestimating the true number of overstayers, and the Office for National Statistics designated the figures as “experimental” rather than “official” statistics, meaning the conclusions should be treated with caution. But they were a reasonable best guess.

With all that in mind, between April 2016 and March 2020 upwards of 250,000 people were flagged as potential overstayers, equivalent to 63,000 per year.

That’s more than the 190,000 people who are recorded to have arrived in the UK on small boats since 2018.

It represents 3.5% of the seven million visas that expired over that period, so at least 96.5% of people left when they should.

Other Home Office data reveals that more than 13 million visas were issued between 2020 and the end of June 2025, including a record 3.4 million in 2023.

But what we don’t know is how many have expired, which means it’s difficult for us to even guess how many people might have overstayed.

Continue Reading

Trending