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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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Counter-terrorism police investigating after two women injured in Leeds

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Counter-terrorism police investigating after two women injured in Leeds

Counter-terrorism police are investigating after an incident involving a crossbow and a firearm left two women injured in Leeds.

Police were called to Otley Road at 2.47pm on Saturday to reports of a “serious incident involving a man seen with weapons”, West Yorkshire Police said.

Officers arrived at the scene to find two women injured – and a 38-year-old man with a self-inflicted injury. All three were taken to hospital, with the man held under arrest, but their injuries are not believed to be life-threatening.

“Two weapons have been recovered from the scene, which were a crossbow and a firearm,” Counter Terrorism Policing North East said in a statement.

The incident happened on the ‘Otley Run’ pub crawl, with one venue saying it was closed for the evening due to “unforeseen circumstances”.

Officers guard one of the crime scenes in Leeds
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Officers guard one of the crime scenes

Officers inside the cordon in Leeds
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Officers inside the cordon in Leeds

Counter Terrorism Policing’s statement added: “Due to the circumstances surrounding the incident, Counter Terrorism Policing North East have taken responsibility for leading the investigation with the support of West Yorkshire Police.

“Extensive enquiries continue to establish the full circumstances and explore any potential motivation.”

Home Secretary Yvette Cooper described it as a “serious violent incident” and said she was being kept updated by police.

“Thank you to the police and emergency services for their swift response,” she said. “My thoughts are with the victims and all those affected by this attack.”

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

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Wrexham promoted for third season in a row under Ryan Reynolds and Rob McElhenney

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Wrexham promoted for third season in a row under Ryan Reynolds and Rob McElhenney

Wrexham AFC have been promoted for the third season in a row.

The North Wales-based side has gone from the National League to the Championship in just three seasons, under its Hollywood owners Ryan Reynolds and Rob McElhenney.

Wrexham were second in the table and had a run of eight games unbeaten ahead of their match against Charlton Athletic on Saturday, which they won 3-0.

Wrexham's James McClean lifts the trophy after the Sky Bet League One match at SToK Racecourse, Wrexham. Picture date: Saturday April 26, 2025.
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Wrexham’s James McClean lifts the League One trophy. Pic: PA

Wrexham's Dan Scarr celebrates with the fans on the pitch after Wrexham won promotion to the Sky Bet Championship after the Sky Bet League One match at SToK Racecourse, Wrexham. Picture date: Saturday April 26, 2025. PA Photo. See PA story SOCCER Wrexham. Photo credit should read: Martin Rickett/PA Wire...RESTRICTIONS: EDITORIAL USE ONLY No use with unauthorised audio, video, data, fixture lists, club/league logos or "live" services. Online in-match use limited to 120 images, no video emulation. No use in betting, games or single club/league/player publications.
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Wrexham’s Dan Scarr celebrates with the fans on the pitch after Wrexham won promotion to the Championship. Pic: PA

It is the first time any club has been promoted for three consecutive seasons within the top five tiers of English football.

The third oldest association football club in the world, Wrexham AFC was bought by Reynolds and McElhenney in 2020, and has since been the subject of a Disney+ documentary, Welcome To Wrexham.

Reynolds, wearing a Wrexham sweatshirt, and McElhenney were pictured celebrating each goal, and after the game, as the fans came onto the pitch at the SToK Cae Ras (Racecourse Ground) to celebrate the victory with the players.

Wrexham co-owners Rob McElhenney (left) and Ryan Reynolds (right) and Ryan's wife Blake Lively before the Sky Bet League One match at SToK Racecourse, Wrexham. Picture date: Saturday April 26, 2025.
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Wrexham co-owners Rob McElhenney (L) and Ryan Reynolds and Ryan’s wife Blake Lively, before the match. Pic: PA

Both stars came onto the pitch after the supporters returned to the stands.

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Speaking to Sky Sports, McElhenney praised those behind the scenes, referring to “so many that don’t get the credit they deserve, people who aren’t talked about”.

Reynolds said bringing success back to the club “seemed like an impossible dream” when they arrived in North Wales in 2020.

Wrexham's Sam Smith celebrates in front of the fans on the pitch after Wrexham won promotion to the Sky Bet Championship after the Sky Bet League One match at SToK Racecourse, Wrexham. Picture date: Saturday April 26, 2025. PA Photo. See PA story SOCCER Wrexham. Photo credit should read: Martin Rickett/PA Wire...RESTRICTIONS: EDITORIAL USE ONLY No use with unauthorised audio, video, data, fixture lists, club/league logos or "live" services. Online in-match use limited to 120 images, no video emulation. No use in betting, games or single club/league/player publications.
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Wrexham’s Sam Smith celebrates in front of the fans after Wrexham won promotion to the Championship. Pic: PA

He put the three promotions down to “the coaching staff, the greatest dressing room” and an “all for one, one for all” attitude throughout the club, adding he was “speechless with their commitment and their emotion”.

As for the mouth-watering prospect of another promotion to the promised land of the Premier League, the pair agreed it was “for tomorrow”, before ending the interview with a joint mic-drop.

Veteran striker Steven Fletcher said, “as soon as I came to this club, I knew it was something special. We want to go again. We’ll reset in the summer, take a break and go again”.

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Direct action group Just Stop Oil holds final protest, claiming it has been ‘successful’

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Direct action group Just Stop Oil holds final protest, claiming it has been 'successful'

“It has been a success.”

Just Stop Oil (JSO) insists it’s been “successful” – as its members ceremoniously hang up their orange high-vis vests during a march in central London.

Since the group formed three years ago, it’s drawn attention and criticism for its colourful, controversial protests, which ranged from disrupting sporting events to throwing soup on Vincent van Gogh’s Sunflowers, and climbing on gantries over the M25. It sprayed orange paint over Stonehenge, and cost police forces tens of millions of pounds.

Those days are now behind it; to the relief of many.

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As a few hundred activists marched through London on Saturday, blocking roads as they went; taxi drivers blared their horns and football fans shouted abuse from the pavement.

The PA News Agency filmed the moment a white minivan seemed to drive towards a group of protesters blocking the road.

Protesters shouted “I’m being pushed back!” to police, while the driver could be heard shouting “What about my right to get home?” to the officers gathered.

But JSO never set out to be popular. And it believes its tactics – though hated – have been successful; thanks to the new Labour government’s commitment to not issue new oil or gas exploration licences.

That’s why, it says, its ceasing direct action.

JSO hangs up its high vis jackets in central London on Saturday
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JSO hangs up its high-vis jackets in central London on Saturday

A washing line of high-vis jackets signifies JSO's disbanding
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A washing line of high-vis jackets signifies JSO’s disbanding

“This moment marks the success of the JSO campaign – our demand was to end new oil and gas licences and that is now government policy.

“As a result of which four billion barrels of oil are being kept under the North Sea. The campaign has reached a natural end.”

Dr Oscar Berglund, senior lecturer in international public and social policy, disagrees that JSO is disappearing because it’s been “successful”.

He told Sky News policing strength and public perception might have more to do with it.

“They have very low levels of popularity. About 17% of the British population are kind of broadly supportive of what Just Stop Oil do. And that’s too low to recruit.

“It’s difficult to recruit members to something that is that unpopular, and then that a lot of people for good reason I think have kind of stopped believing in that kind of disruption as a means to achieve meaningful change.”

Group triggers specific new protest laws

One thing it did change is the law.

Policing commentator Graham Wettone tells us: “Obstruction of the highway, obstruction of rail networks for example, these are specific offences now.

“It’s given the police more tactics, more methods, more offences they can consider, even stopping and searching somebody who may have something to either lock themselves on or glue themselves to something.”

A JSO activist holds a picture of an imprisoned colleague
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A JSO activist holds a picture of an imprisoned colleague

Emma Smart was held in prison for her activism with both Insulate Britain and Just Stop Oil.

“The high-vis might be going away,” she tells me, “but we aren’t.”

“These people aren’t going anywhere, we are still committed, dedicated, terrified by the failings of this government and governments around the world.”

JSO activists throw orange paint at van Gogh's sunflowers
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JSO activists throw orange paint at van Gogh’s sunflowers

Orange smoke set off by JSO protesters at Stonehenge
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Orange smoke set off by JSO protesters at Stonehenge

She hopes for a time of reflection before it returns in a new form but says the need for climate activism is stronger than ever.

She also believes that while most people dislike JSO tactics, it still raises awareness of the cause and might even push people to more moderate campaign groups.

Just Stop Oil came behind other, similarly controversial climate campaign groups like Insulate Britain and Extinction Rebellion, and as it says goodbye, its disruptive methods have been seized upon by other organisations like the Pro-Palestinian Youth Justice.

The infamous Just Stop Oil orange vests might be going away, but the individual activists, their cause and campaign tactics feel here to stay.

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