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A record number of people were left waiting at least four hours from the decision to admit to admission in A&E, NHS England figures show.

The number waiting reached a peak of 150,922 in October, up from 131,861 the previous month.

More than 30% of people had to wait over four hours to be seen in A&E in October, including 45% of people attending Major A&Es (excluding minor injuries units and specialist centres).

The operational standard is that at least 95% of patients attending A&E should be admitted, transferred or discharged within four hours, but this has not been met nationally since 2015.

The number of people waiting more than 12 hours in A&E departments in England from a decision to admit to actually being admitted has also risen to a new record high.

New NHS England data shows that 43,792 people waited longer than 12 hours in October, up 34% from 32,776 in September and the highest number in records going back to August 2010.

It comes as the number of people in England waiting to start routine hospital treatment has risen to a new record high.

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A total of 7.1 million people were waiting to start treatment at the end of September, NHS England said.

This is up from 7.0 million in August and is the highest number since records began in August 2007.

Meanwhile, 401,537 people have been waiting longer than a year to start hospital treatment, up from 387,257 at the end of August and equivalent to around one in 18 people on the entire waiting list.

Very long waits of more than two years have fallen slightly, while the number of people waiting 18 months for treatment has dropped by almost 60% in one year, NHS England said.

The rate cancer patients in England saw a specialist within two weeks of seeing their GP has also slumped to an all time low.

Data shows 251,977 urgent cancer referrals were made by GPs in September, but only 72.6% were seen within the two week timeframe.

It also showed that nearly 6,000 cancer referral patients waited more than two months to be seen by a specialist.

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Ambulance waiting times were also a long way outside their targets, with the average response time to people with life-threatening injuries outside London clocking in at nine minutes 56 seconds, almost three minutes over the target time of seven minutes.

Figures also revealed the number of people in England waiting longer than six weeks for a key diagnostic test has risen to the highest level in two years.

Some 463,930 patients – 29.8% of the total – had been waiting longer than six weeks for one of 15 standard tests in September, including MRI scans, non-obstetric ultrasound or gastroscopies.

This is up from 461,400 the previous month and the highest number since August 2020 when 472,517 patients had been waiting longer than six weeks.

Analysis

The figures are stark. There is no other way to say it.

Even gains made in previous months are reversing or slowing down.

And the worrying thing is as it gets busier we are still nowhere near peak winter.

Covid, flu and A&E attendances are driving the pressure according to the NHS.

They say last month was exceptionally busy and that is reflected in the record waiting times right across the board from ambulance attendances, A&E waiting times and trolley waits.

There are more people going into hospital than leaving. The lack of social care provision is why.

So as winter really starts to bite that pressure and those waiting times are only going to rise to more record highs.

Add to the mix the impending nurses strike. We don’t know when or how many days but any operations, procedures and appointments that have to be cancelled will have to be rescheduled.

And that, again, means lists grow. And it is not just nurses who are taking industrial action.

The unions for non-clinical staff who work in hospitals, the army of people that make these buildings work, are balloting their members too.

NHS medical director Professor Sir Stephen Powis said: “There is no doubt October has been a challenging month for staff, who are now facing a tripledemic of Covid, flu and record pressure on emergency services with more people attending A&E or requiring the most urgent ambulance callout than any other October.

“Pressure on emergency services remains high as a result of more than 13,000 beds taken up each day by people who no longer need to be in hospital.

“But staff have kept their foot on the accelerator to get the backlog down, with 18-month waiters down by three-fifths on last year.

“We have always said the overall waiting list would rise as more patients come forward, and, with pressures on staff set to increase over the winter months, the NHS has a plan – including a new falls service, 24/7 war rooms, and extra beds and call handlers.”

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A year after I was surrounded in Birmingham, have community rifts healed?

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A year after I was surrounded in Birmingham, have community rifts healed?

As riots broke out across the country last summer following the Southport attack, fear spread in a majority Muslim part of Birmingham that far-right protesters were on their way.

Locals came out on to the streets, and as I was reporting live on air, I was surrounded by a small group of masked men, swearing and gesturing to the camera.

Afterwards, as we were trying to drive away from the area, a man with a knife followed us and attempted to slash a tyre on our broadcast van.

Protesters showed up after word had spread among the muslim community in Birmingham that the far right were planning a protest in the city.
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The moment Becky Johnson was confronted on camera last summer

A year on, I have returned to the area to discuss what happened with some of those who saw their city descend into chaos.

“The local community had lost faith in the local elected members as well as the local policing units,” says Naeem Yousef, 48, who lives nearby. 

“They thought…the only way to protect themselves and the community was by coming out in force.”

Becky Johnson Birmingham anniversary

‘You can’t control their behaviour’

Tanveer Choudhry, 56, agrees. “In every community we have our sort of, shall we call them… idiots, and you can’t control their behaviour,” he says. 

“I think there was a concern that the far-right group that was coming may well be armed… so I think it was just trying to counteract what they thought was coming.”

We are sitting in a cafe, not far from where the unrest broke out last summer.

still from Johnson VT
Image:
Masked men surrounded the Sky team during the unrest

‘They were looking for who they thought were the enemy’

The group I’m with were invited by community activist Naveed Sadiq, who was there that day.

As well as Naveed, there are three other local Muslim men, and two white residents, including Gerry Moynihan.

He recalls deciding to stay at home that day.

“They were looking for what they thought were the enemy – white people – and trying to find white people,” he says.

“Which is why I stayed in my house, because the intelligence I had was, don’t get involved, don’t walk around, and you know, it will pass.”

I ask the group if my team and I were targeted because we were white.

Becky Johnson Birmingham anniversary
Image:
Gerry Moynihan says he decided not to leave his home

“It’s not because you’re white, it’s because they’re actually bored,” Naveed says. “They were wanting a bit of excitement.”

I ask if they think it would have happened if we were all British Asian.

“Of course,” Tanveer replies. “It wasn’t the fact that you were white… it was just the heat of the moment”.

Naeem believes it happened simply because the men involved “do not want anyone filming what they’re doing”.  

“You could have been Asian… they would still try to get you out of the area,” he insists.

Becky Johnson Birmingham anniversary
Image:
Tanveer believes our team would still have been targeted if we were a different ethnicity

‘Are we going to be accepted?’

I’m keen to understand how these men feel now and whether the sentiment that brought people out on to the streets to “protect” them has been reignited by the recent protests outside hotels housing asylum seekers.

The answer, from Joe Khann, a local Muslim man, would surprise many.

“I would like to go and join them,” he says, referring to the anti-immigration protesters who have gathered several times in Epping. 

“We have this problem within our own communities, and people don’t talk about it. We feel exactly the same and we understand how the English feel with the immigration,” he explains.

still from Johnson VT on Birmingham unrest
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‘We feel exactly the same’ on immigration, says Joe Khann

“We’re having people who are getting married back home, they get married for six months, get divorced…and the government gives them all their help to get accommodation, their national insurance numbers and all that,” he says.

“We’re getting fed up within our own community because we hear this constantly.”

However, he thinks if he did try to join in protests, people would “think I’m an immigrant”.

He says he is “born here, 58, and they look at me as a foreigner or a migrant”.

Naeem agrees. “The question is for us now, as people who are born and bred in this country, what is our identity? Who are we?” he asks. 

“As a white person born in this country, you are automatically accepted. Are we going to be accepted? How many generations will it take for us to be accepted?”

Becky Johnson Birmingham anniversary
Image:
Naeem (left) says even those born in the UK question their identity

‘You have to blame someone’

Naeem is also concerned about immigration.

“We have an influx of people that we do not know about, and they have no loyalty to the area,” he says.

“I believe that the average white guy… isn’t racist, they’re just fed up,” adds Naveed. 

However, these men do have grievances, particularly with the media.

“We feel that we have a two-tier journalists system where when the colour is like mine we get different justice and when the colour is a bit paler it’s different,” Naveed says.

still from Johnson VT on Birmingham unrest
Image:
‘When the colour is like mine we get different justice,’ says Naveed (left)

‘We have become the bogeyman’

“When there’s criminality, and it’s on the news, a Muslim has to be identified by his religion,” Naeem says. 

He believes Muslims have become the “bogeyman” in many people’s minds.

“Where you don’t have housing for example, where the crime has increased, you have to blame someone,” he says.

“Prior it was the Irish community, now it’s the Muslim community.

“It’s a distraction from the actual real issues and how you can resolve them but let’s just put it on to the Muslim community for now, let’s just distract the whole nation and say look it’s the problem with asylum, it’s a problem with Muslims,” he says.

After leaving, I head over to the spot on the roundabout where my team were targeted last year.

As I stand there, my colleague sees a man imitating pulling the trigger of a gun at me from his car.

This is Britain, in broad daylight. 

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UK-France migrant returns deal comes into force

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UK-France migrant returns deal comes into force

Sir Keir Starmer and Emmanuel Macron’s migrant deal comes into force today, with detentions set to begin by the end of the week.

The “one in, one out” pilot scheme – which allows the UK to send some people who have crossed the Channel back to France in exchange for asylum seekers with ties to Britain – was signed last week, and has now been approved by the European Commission.

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It comes as 2025 is on course to be a record year for crossings.

Approximately 25,436 people have already made the journey this year, according to PA news agency analysis of Home Office figures – 49% higher than at the same point in 2024.

The prime minister and the French president hailed the deal as a “good agreement” when it was first announced during the latter’s visit to the UK last month.

The scheme also means that anyone arriving in a small boat can be detained immediately, with space set aside at immigration removal centres in anticipation of their arrival.

Sir Keir said the ratification of the treaty will “send a clear message – if you come here illegally on a small boat you will face being sent back to France”.

Ministers have so far declined to say how many people could be returned under the deal, however, there have been reports that under the scheme only 50 people a week will be returned to France.

Analysis: Deal will need to go much further to work

Sky News political correspondent Rob Powell said while it was a “policy win” for the government, the numbers must eventually “go a lot higher” than 50 per week if it is to work as a deterrent.

“The average crossing rate is about 800 a week, so this will need to go up by a sizeable factor for that message to start seeping through to people trying to make that crossing,” Powell added.

The aim will be to make asylum seekers believe the “risk of going back to France is so big that they shouldn’t bother parting with their cash and paying smugglers” to make the crossing.

Read more:
What is the UK-France migrant returns deal?
Clampdown on social media ads for Channel crossings unveiled

Migrants in Dunkirk, France, preparing to cross the English Channel
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Migrants in Dunkirk, France, preparing to cross the English Channel.

The Conservatives have branded the agreement a “surrender deal” and said it will make “no difference whatsoever”.

Under the terms of the agreement, adults arriving on small boats will face being returned to France if their asylum claim is inadmissible.

In exchange, the same number of people will be able to come to the UK on a new legal route, provided they have not attempted a crossing before and subject to stringent documentation and security checks.

The pilot scheme is set to run until June 2026, pending a longer-term agreement.

Home Secretary Yvette Cooper will face questions on the agreement on Sky News Breakfast this morning.

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Police warn of mass arrests if Palestine Action protest goes ahead

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Police warn of mass arrests if Palestine Action protest goes ahead

Police are warning of mass arrests if a protest in support of the banned group Palestine Action goes ahead on Saturday.

Hundreds of people are expected to turn out for the demonstration, which is understood to be planned for London.

However, the Metropolitan Police said “anyone showing support for the group can expect to be arrested.”

“We are aware that the organisers of Saturday’s planned protest are encouraging hundreds of people to turn out with the intention of placing a strain on the police and the wider criminal justice system,” said a spokesperson.

The organisers, a pressure group called Defend Our Juries, denied their protest will try to overwhelm the police and justice system.

“If we are allowed to protest peacefully and freely, then that is no bother to anyone,” said the group in a statement.

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What’s happening to Palestine Action?

Palestine Action was banned under terrorism laws after two aircraft were damaged at RAF Brize Norton on 20 June.

Home Secretary Yvette Cooper said the vandalism of the planes was “disgraceful” and accused the group of a “long history of unacceptable criminal damage”.

The ban means membership of, or support for, Palestine Action is a criminal offence punishable by up to 14 years in prison.

More than 200 people supporting the group were arrested at Defend Our Juries protests across the UK last month, many of whom held placards with the message: “I oppose genocide, I support Palestine Action.”

Downing Street has urged people not to attend this weekend’s protest.

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Monday's protesters waved flags and banged pan lids
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Monday’s protesters waved flags and banged pan lids

It comes after around 40 people gathered outside Labour HQ on Monday to protest the party’s stance on Gaza.

They were watched by a small group of police officers as they chanted phrases including: “Shame on Keir Starmer, shame on the Labour Party, shame on David Lammy.”

Separately, the Board of Deputies of British Jews has also confirmed it will protest this weekend, with community organisations marching through central London to Downing Street on Sunday.

They are calling for the government not to recognise the state of Palestine without all hostages taken by Hamas being released.

Last week, Sir Keir Starmer said he planned to recognise Palestine by the UN General Assembly meeting in September, unless Israel met certain conditions including agreeing a ceasefire and improving the humanitarian situation in Gaza.

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