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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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Ukraine presses Russia for 30-day ceasefire as Starmer among leaders in Kyiv for talks

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Ukraine presses Russia for 30-day ceasefire as Starmer among leaders in Kyiv for talks

Sir Keir Starmer has joined other European leaders in Kyiv to press Russia to agree an unconditional 30-day ceasefire.

The prime minister is attending the summit alongside French President Emmanuel Macron, recently-elected German Chancellor Friedrich Merz and Polish Prime Minister Donald Tusk.

It is the first time the leaders of the four countries have travelled to Ukraine at the same time – arriving in the capital by train – with their meeting hosted by President Volodymyr Zelenskyy.

Britain's Prime Minister Keir Starmer meets with French President Emanuel Macron and German Chancellor Friedrich Merz on board a train to the Ukrainian capital Kyiv where all three will hold meetings with Ukrainian President Volodymyr Zelensky, May 9, 2025. Stefan Rousseau/Pool via REUTERS
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Sir Keir Starmer, Emmanuel Macron and Friedrich Merz travelling in the saloon car of a special train to Kyiv. Pic: Reuters

Leaders arrive in Kyiv by train. Pic: PA
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Leaders arrive in Kyiv by train. Pic: PA

It comes after Donald Trump called for “ideally” a 30-day ceasefire between Kyiv and Moscow, and warned that if any pause in the fighting is not respected “the US and its partners will impose further sanctions”.

Security and defence analyst Michael Clarke told Sky News presenter Samantha Washington the European leaders are “rowing in behind” the US president, who referred to his “European allies” for the first time in this context in a post on his Truth Social platform.

“So this meeting is all about heaping pressure on the Russians to go along with the American proposal,” he said.

“It’s the closest the Europeans and the US have been for about three months on this issue.”

Sir Keir Starmer, Volodymyr Zelenskyy and Emmanuel Macron among world leaders in Kyiv. Pic: AP
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Sir Keir Starmer, Volodymyr Zelenskyy and Emmanuel Macron among world leaders in Kyiv. Pic: AP

Trump calls for ceasefire. Pic: Truth Social
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Trump calls for ceasefire. Pic: Truth Social

Ukraine’s foreign minister Andrii Sybiha said Ukraine and its allies are ready for a “full, unconditional ceasefire” for at least 30 days starting on Monday.

Ahead of the meeting on Saturday, Sir Keir, Mr Macron, Mr Tusk and Mr Merz released a joint statement.

European leaders show solidarity – but await Trump’s backing


Dominic Waghorn - Diplomatic editor

Dominic Waghorn

International affairs editor

@DominicWaghorn

The hope is Russia’s unilateral ceasefire, such as it’s worth, can be extended for a month to give peace a chance.

But ahead of the meeting, Ukrainian sources told Sky News they are still waiting for President Donald Trump to put his full weight behind the idea.

The US leader has said a 30-day ceasefire would be ideal, but has shown no willingness yet for putting pressure on Russian president Vladimir Putin to agree.

The Russians say a ceasefire can only come after a peace deal can be reached.

European allies are still putting their hopes in a negotiated end to the war despite Moscow’s intransigence and President Trump’s apparent one-sided approach favouring Russia.

Ukrainians would prefer to be given enough economic and military support to secure victory.

But in over three years, despite its massive economic superiority to Russia and its access to more advanced military technology, Europe has not found the political will to give Kyiv the means to win.

Until they do, Vladimir Putin may decide it is still worth pursuing this war despite its massive cost in men and materiel on both sides.

“We reiterate our backing for President Trump’s calls for a peace deal and call on Russia to stop obstructing efforts to secure an enduring peace,” they said.

“Alongside the US, we call on Russia to agree a full and unconditional 30-day ceasefire to create the space for talks on a just and lasting peace.”

Sir Keir Starmer and Volodymyr Zelenskyy during a meeting in March. Pic: AP
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Sir Keir and Volodymyr Zelenskyy during a meeting in March. Pic: AP

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Putin’s Victory Day parade explained

The leaders said they were “ready to support peace talks as soon as possible”.

But they warned that they would continue to “ratchet up pressure on Russia’s war machine” until Moscow agrees to a lasting ceasefire.

“We are clear the bloodshed must end, Russia must stop its illegal invasion, and Ukraine must be able to prosper as a safe, secure and sovereign nation within its internationally recognised borders for generations to come,” their statement added.

“We will continue to increase our support for Ukraine.”

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The European leaders are set to visit the Maidan, a central square in Ukraine’s capital where flags represent those who died in the war.

They are also expected to host a virtual meeting for other leaders in the “coalition of the willing” to update them on progress towards a peacekeeping force.

Military officers from around 30 countries have been involved in drawing up plans for a coalition, which would provide a peacekeeping force in the event of a ceasefire being agreed between Russia and Ukraine.

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This force “would help regenerate Ukraine’s armed forces after any peace deal and strengthen confidence in any future peace”, according to Number 10.

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Special constable jailed after taking pictures of dying man from bodycam footage

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Special constable jailed after taking pictures of dying man from bodycam footage

A special constable has been jailed after taking pictures on his phone from bodycam footage showing a dying man.

Former police volunteer William Heggs, 23, was sentenced to 12 months’ imprisonment at Leicester Crown Court on Friday after showing the photos of victim William Harty, 28, to a female colleague and storing them on his Snapchat account.

Mr Harty was found seriously injured in a residential street in Leicester on 25 October 2021 and Heggs had attended the scene, helping with CPR before paramedics arrived.

Mr Harty died in hospital a day later and the man responsible for his injuries, his brother-in-law Martin Casey, was subsequently convicted of his manslaughter.

Heggs showed the pictures he had taken of bodycam footage of Mr Harty’s body to a Leicestershire Police constable, who reported Heggs and said she did not like seeing blood.

His phone was seized and officers discovered other photographs and video clips of bodyworn footage of incidents Heggs had attended on duty, including of a knife seizure, use of baton and pepper spray, and a man with an injured hand receiving first aid.

He also took pictures of a police computer screen, showing details of crimes and suspects, without consent.

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Heggs stored the materials in a Snapchat folder and disclosed graphic details – most of which were not in the public domain – about the injuries to a woman who was killed in a road traffic collision he had attended, to a friend on the social media platform.

Heggs was suspended from the force in November 2021 and resigned in October 2024 before pleading guilty to 11 computer misuse and data protection offences this March.

Widow Mandy Casey. Pic: PA
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William Harty’s widow Mandy Casey. Pic: PA

‘He has traumatised me’

Mr Harty’s widow, Mandy Casey, said in a victim impact statement read to the court that Heggs “took (her) husband’s dignity when he was most vulnerable”.

“You don’t take someone’s dignity and pride from them on their deathbed.”

She continued: “When I found out special constable Heggs had done this, I just wanted to ask why. He has traumatised me. I feel I will never know if he showed them to others.”

Ms Casey said she was still scared that photos of her husband’s body might appear on social media.

She added that she had lost trust in the police.

Public trust in police ‘significantly undermined’

Judge Timothy Spencer told Heggs, who has autism and ADHD, that he was “probably too immature to be working as a police officer” as he handed down the sentence.

He said Heggs had received “extensive training”, including on the importance of data protection, and knew he should only share materials for “a genuine policing purpose”.

Heggs’s actions had “significantly undermined” public trust and confidence in police, according to the judge.

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Malcolm McHaffie, from the Crown Prosecution Service, added: “William Heggs abused the public’s trust in the office he held as a special police constable.

“He violated the dignity of the deceased victims for no apparent reason other than what could be considered personal fascination and to gain credibility among his peers.”

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Man charged with murder after 87-year-old dies following alleged robbery

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Man charged with murder after 87-year-old dies following alleged robbery

A man has been charged with the murder of an 87-year-old after an alleged robbery in north London, police say.

Peter Augustine, 58, of Hornsey, is accused of killing pensioner John Mackey in Manor House.

Augustine appeared at Willesden Magistrates’ Court on Saturday charged with murder and robbery.

He was remanded in custody to appear at the Old Bailey next week.

The Metropolitan Police said officers were called to a report of a robbery on Goodchild Road just before 6pm on Tuesday.

The London Ambulance Service attended the scene and an 87-year-old man was taken to hospital, where he died on Thursday.

The victim’s family have been informed and are being supported by specialist officers.

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Speaking at the scene on Friday, neighbour Sandra Murphy, 65, described Mr Mackey as a “beautiful, kind man”, who “would do anything for anyone”.

“He was so loved around here. No-one would have a bad word to say about John,” she said.

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