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.
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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.”
Sharon Holland sits surrounded by fresh flowers as she scrolls through photos on her phone of her daughter, Chloe.
Warning: This article contains references to suicide and domestic abuse
Beautiful, poised, Chloe stares back at her from the screen. She was a fun, independent young women – until she wasn’t.
Caught up in an abusive relationship with a former partner, who her mother calls a “monster”, Chloe became a shadow of her former self.
Sharon never met him as Chloe kept the ongoing relationship a secret but she had suspicions when her daughter, who had moved out of home, retreated from her friends and family.
“As far as I knew, they’d split up in September 2022 and she was living happily in Southampton,” she says.
But Sharon began to suspect the relationship might be back on after she spotted her daughter liking some of her ex-boyfriend’s Facebook posts.
Image: Chloe was full of life before she met her abuser
“I saw a few hearts on his pictures, and thought ‘here we go’. But she would always deny it and say she would never get back with him. Of course, she was lying to me.”
Increasingly isolated from her loved ones, Chloe’s only communication with Sharon was through text messages and the occasional phone call.
“She turned up at people’s houses with black eyes and made excuses for marks around her neck and everything else,” says Sharon. “No one told me.”
Chloe took her own life in February 2023.
Her family is not alone in their grief. There are now more victims of domestic abuse who take their own life, than those who are killed by their partners.
Between April 2022 to March 2023, there were 93 people who took their own lives following domestic abuse. A 29% rise compared to the previous year.
Image: Sharon and Sky News’ Ashna Hurynag
Assaulted with a dumbbell and handed a knife
Marc Masterton, Chloe’s boyfriend at the time, was routinely assaulting her, controlling her appearance, isolating her from friends and family, belittling her and encouraging her to self-harm.
On one occasion after he assaulted her with a dumbbell, Chloe threatened to take her own life.
In response, Masterton handed her a knife.
“She said on a few occasions, his eyes went from blue to black and it terrified her,” Sharon says.
The abuse was happening in plain sight – in hotels, hostels and on public transport. Chloe eventually chose to report the abuse to police. But two weeks later, she attempted to take her own life.
At the intensive care unit she was taken to before she died, Sharon didn’t leave her bedside. It was here she learnt from a police officer about Chloe’s testimony a fortnight before.
Image: Chloe and her mother, Sharon
Chloe’s evidence
“They told me she’d done a video statement for over two hours and were investigating him,” Sharon says.
“I’ve watched it. She was crying for lots of it and was distraught. I was devastated and angry. He was telling her to take her life. He was giving her knives up against her neck and then saying, you do it.”
Her evidence led to the conviction of her abuser. Masterton admitted coercive and controlling behaviour and was jailed for three years, nine months.
Justice which, Sharon feels, fell well below her expectations.
“We needed to get over four years for him to go on this dangerous person’s list, so he could be monitored as high risk,” she adds.
Sharon is now calling for tougher sentences for those convicted of coercive control.
The current maximum sentence a perpetrator can get for the offence is five years, but Sharon points to countries like France where the maximum sentence is 10 years.
“No amount of years is going to bring her back… But he needed to get more than that.”
The overlooked victims of a growing crisis
It’s incredibly rare to get a criminal investigation in these cases, says Hazel Mercer from the national charity, Advocacy After Fatal Domestic Abuse.
“Most of the families that come to us where there’s been a suicide as result of domestic abuse, the biggest issue for them is the lack of acknowledgement of what has happened to their loved one. Is there going to be any justice that says this domestic abuse was a crime against this person who’s now dead?
“They ask, is anything like that going to happen, and at the moment, nine times out of ten, the answer is no.”
Image: Hazel Mercer advocates for families who have a lost a loved one after domestic abuse
Hazel works with families who feel a lack of “professional curiosity” by authorities means critical connections are often missed.
“When we have a homicide, resources are put into it, there is a real investigation… For a suicide, we seldom see that investigative desire or professional curiosity to look behind that suicide and why it happened.”
Fighting for change
The Crown Prosecution Service is investigating the link between suicide and domestic abuse more closely.
Efforts are being made to educate police and prosecutors on coercive control’s deadly trajectory after the high-profile death of mother Kiena Dawes, who was abused before she died by suicide on 22 July 2022.
Sky News has learnt the CPS is actively assessing similar cases, but Chief Crown Prosecutor Kate Brown says “it isn’t straightforward”.
Image: Kiena Dawes was abused before she died by suicide
“Invariably because of the nature of coercive and controlling behaviour, a lot of that offending happens in private. So without the victim, that’s quite difficult,” she says.
They are working with police to unpick the detail of the abuse a victim suffered in the lead up to their death. Collating evidence from family, friends or even doctors if the victim’s medical records show there’s been a history of physical violence.
Image: Chief Crown Prosecutor Kate Brown
The Ministry of Justice told Sky News: “This government is committed to halving violence against women and girls. The independent sentencing review is looking at sentences for offences primarily committed against them.
“Victims of controlling and coercive behaviour will also now be better protected through a new law that ensures more abusers are subject to joined-up management by police and probation.”
For Sharon, her campaign is a way of honouring her daughter’s memory. “I won’t stop till I get justice for Chloe,” she says.
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK
A child has died and another has been injured after a car was driven on to a sports pitch in Cumbria.
Police say they were called at 4.58pm to reports of a collision involving a BMW i40 and two children on a pitch at Kendal Rugby Union Football Club on Shap Road, in Kendal.
Cumbria Police say one child died, while the second is being treated by paramedics.
A man aged in his 40s has been arrested on suspicion of causing death by dangerous driving.
A spokesperson for Cumbria Police said: “Specialist investigators are at the scene and the area has been cordoned off as initial investigation enquiries take place.”
The force said the incident was not believed to be terror-related. Immediate family members of both children have been informed, it added.
In a post on its Facebook page, the club said it was “deeply saddened to confirm that an incident occurred today at Kendal Rugby Club.”
The post, attributed to club chairman Dr Stephen Green, continued: “Our thoughts are with their family and friends and we kindly ask for privacy for all involved at this difficult time.”
The club and its facilities are now temporarily closed while it cooperates “fully” with authorities, it added.
Tim Farron MP, whose constituency includes Kendal, posted on X: “This is devastating, utterly heartbreaking news. I’m praying for the children and for their families and friends.
“Our community in Kendal is stunned and in mourning.”
A man has been convicted of drugging and raping 10 women in London and China between 2019 and 2023.
Chinese PhD student Zhenhao Zou, 28, filmed nine of the attacks as “souvenirs”, and kept a trophy box of women’s belongings, jurors in his trial were told.
Warning: This article contains details of sexual offences
He was accused in court of drugging and raping three women in London and seven in China between 2019 and 2023.
Jurors at Inner London Crown Court found him guilty of 11 charges of rape against 10 women, including two who have been identified and another eight who have yet to be traced.
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Moment police arrest student guilty of rape
The mechanical engineering student was also convicted of three counts of voyeurism, 10 of possession of an extreme pornographic image, one of false imprisonment and three of possession of a controlled drug with intent to commit a sexual offence, namely butanediol.
He was cleared of two further counts of possession of an extreme pornographic image and one of possession of MDMA with intent to commit a sexual offence.
Image: The trial heard Zou kept a ‘lost property box’ full of women’s belongings. Pic: Met Police
The jury has not reached verdicts on four counts of possession of drugs with intent to commit a sexual offence.
Zou – who first moved to Belfast in 2017 to study mechanical engineering at Queen’s University before moving to London in 2019 – showed no visible reaction as the verdicts were read out in court.
Catherine Farrelly KC, prosecuting, told jurors during the trial that Zou “presents as a smart and charming young man” but is “also a persistent sexual predator; a voyeur and a rapist”.
Image: A discreet camera belonging to Zou. Pic: Met Police
Zou, who also used the name Pakho online, befriended fellow Chinese students on WeChat and dating apps, before inviting them for drinks and drugging them at his flats in London or an unknown location in China, the court heard.
The jury heard how he would secretly film his attacks using a mobile device and hidden cameras, and was shown evidence found on SD cards at his accommodation of him raping unconscious women in London and in China.
Senior Crown Prosecution Service prosecutor Saira Pike thanked the “incredibly strong and brave” women who came forward to report his “heinous” crimes.
“Zou is a serial rapist and a danger to women,” she said.
“In some instances, we have not been able to identify Zou’s victims. Without knowing who these women are, we have not been able to support them through a deeply distressing period of time.
“We have always been determined to seek justice for both the unidentified and identified victims in this case.”