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A record number of people were left waiting at least four hours to be admitted to hospital A&E departments, 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 patients had to wait more 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 43,792 people waited longer than 12 hours in October, up 34% on 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 also risen to a new record high.

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A total of 7m people were waiting to start treatment at the end of September, NHS England said.

This is up from 7m 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 had 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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UK weather: Amber warning for snow issued – and temperatures could drop to -16C this week

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UK weather: Amber warning for snow issued - and temperatures could drop to -16C this week

An amber warning has been issued for snow in a part of the UK, likely to cause travel delays and “stranding some vehicles and passengers”.

The warning, which covers south west England, also warns some rural communities could become cut off and is in place until 2pm this evening.

Pic: Met Office
Image:
Pic: Met Office

There is also a yellow weather warning for snow covering the southern counties of England until midnight on Wednesday.

The warning stretches from Kent to Cornwall and up to south London and the Met Office said between 2cm and 5cm of snow could accumulate fairly widely, with as much as 10cm over higher ground.

This week is expected to see the coldest nights of the year, with temperatures potentially reaching -14C on Wednesday night and -16C on Thursday night, both in the North East of England and Scotland, the Met Office said.

Weather warnings issued on Tuesday for snow and ice covering the parts of Wales, the North West of England, west and northern parts of Scotland as well as Northern Ireland will remain in place until midnight tomorrow.

The forecaster said some roads and railways are likely to be affected and there could be icy patches on untreated roads.

Members of the public walk through heavy snowfall on the high street of Saddleworth.
Pic: AP
A woman walks through heavy snowfall on the high street of Saddleworth.
Pic: AP
Image:
Pics: AP

Meanwhile the Environment Agency has said at least 300 properties have flooded across England since New Year’s Eve. It estimates more than 41,000 properties have been protected.

Heavy rainfall over the New Year caused significant river and surface water flooding across the North West of England and Yorkshire and snowmelt has brought further disruption to parts of England, particularly the Midlands, the agency said.

Read more from Sky News:
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Homes destroyed – how people are coping with floods

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Man says flooding ‘came out of nowhere’

Floods minister Emma Hardy said: “My sympathies go out to the people, businesses and communities impacted by the recent flooding across the country.

“I want to express my heartfelt thanks for the vital work that the Environment Agency and emergency services are doing to keep people safe. People must continue to follow their advice and sign up for flood warnings.”

Flood warnings

Some 100 flood warnings were in force across England on Wednesday, with people urged to remain vigilant over the coming days.

A danger-to-life warning was issued on Tuesday morning for the River Soar near Barrow upon Soar, Leicestershire, but was later removed.

People living in caravan parks in the area were urged by the Environment Agency to act, with a large-scale evacuation needed to save lives.

Firefighters have rescued dozens of people across Leicestershire since Monday, Leicestershire Fire and Rescue Service said.

Hundreds of schools were closed across the UK, with road and rail links blocked, as Manchester, Bristol and Liverpool John Lennon airports suspended flights because of the conditions.

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UK Athletics and former games head of sport charged with manslaughter over Paralympian’s death

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UK Athletics and former games head of sport charged with manslaughter over Paralympian's death

UK Athletics Ltd and a former head of sport for a major London games have been charged with manslaughter following the death of Paralympian Abdullah Hayayei, the Crown Prosecution Service said.

United Arab Emirates athlete Mr Hayayei died aged 36 after a metal throwing cage fell on him while he was shot put training at Newham Leisure Centre in London in 2017.

The Paralympian was pronounced dead at the scene after he was struck by a metal pole in the incident.

He was training in preparation to represent his country in the shot put, discus and javelin at the World Para Athletics Championships which began in London later that week.

Teams and coaches from several nations were present at the time of the tragedy.

Keith Davies, 77, the former head of sport for the 2017 World Para Athletics Championships, has been charged with gross negligence manslaughter and a health and safety offence.

UK Athletics has been charged with corporate manslaughter and a Health and Safety at Work Act offence.

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Both UK Athletics and Davies are due to appear at Westminster Magistrates’ Court on Friday 31 January.

Malcolm McHaffie, head of the CPS Special Crime Division, said: “The Crown Prosecution Service reminds everyone that criminal proceedings are active and both UK Athletics Ltd and Davies have the right to a fair trial.

“It is extremely important that there be no reporting, commentary or sharing of information online which could in any way prejudice these proceedings.”

Read more:
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Body found in search for missing British hikers
British tourist dies in Thailand motorbike crash

The Met Police launched an investigation following Mr Hayayei’s death on 11 July 2017, with the Crown Prosecution Service saying today that it has authorised charges following a review of evidence provided by the force.

Mr Hayayei made his Paralympic debut in Rio de Janeiro in 2016 and was set to feature in his second World Championships in 2017.

Ed Warner, who was co-chair of London 2017, said after Mr Hayayei’s death: “This is a devastating event and everyone within the London 2017 Organising Committee is shocked and saddened.

“We will be working closely with all the competitors and teams over the days ahead to offer support wherever it is needed.”

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Boy, 14, stabbed to death on London bus named as Kelyan Bokassa

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Boy, 14, stabbed to death on London bus named as Kelyan Bokassa

The 14-year-old who was stabbed to death on a bus in southeast London yesterday has been named as Kelyan Bokassa.

He was stabbed to death on a bus in Woolwich Church Street, close to the Woolwich Ferry, just before 2.30pm on Tuesday.

The teenager died at the scene shortly after medical help arrived.

No arrests have been made so far but officers are appealing for witnesses who were on the 472 bus.

Police called the stabbing a “horrific attack”.

Detective Chief Inspector Martin Thorpe, who is leading the investigation, said: “Following Kelyan’s tragic death yesterday, specialist officers are now leading the investigation which is progressing at pace.

“If anyone saw this horrific attack or was in the area then I urge them to come forward and speak to officers.

“We’re particularly interested in any mobile phone footage that captured this incident or any dash cam or doorbell footage from around the surrounding area at the time of this incident.”

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