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Nearly all of the new NHS funding announced by the chancellor will be eaten up by the costs of inflation and growing demand, with just £800m left over for the improvement of services.

In his autumn statement, Jeremy Hunt promised an additional £3.3bn in funding for the NHS for each of the next two years.

Analysis by the Nuffield Trust, shared exclusively with Sky News, suggests that rising prices and growing demand will use up three quarters of next year’s increase, and the entirety of the increase scheduled for 2024/25.

Half of the total funding boost is likely to be eaten up by inflation, as the UK endures a second year of rising prices. A Sky News analysis found that energy price increases added £121m to the running cost of NHS buildings in the year to March.

Inflation is expected to cost the health service £3.2bn over the next two years, while increased demand from a growing and ageing population is expected to cost the NHS a further £852m next year and £1.7bn the year after.

That leaves just £795m left over for improving services next year, a quarter of the £3.3bn headline funding boost.

The increase scheduled for 2024/25, meanwhile, is set to be entirely taken up in dealing with the pressures of inflation and growing demand.

More on Autumn Statement 2022

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John Appleby, chief economist at the Nuffield Trust, said that the final amount “could be higher or lower”, depending on whether trusts overspend and whether certain key costs, like nurses’ pay, increase faster than expected.

Nurses are set to go on strike next month over the government’s decision not to raise their pay in line with inflation.

Rising energy costs are already putting NHS England’s finances under strain. Sky News analysis of data from NHS Digital found that an 18% rise in fuel prices added £121m to the running costs of the health service’s buildings in the year to March.

Many NHS trusts expect costs to rise further. A recent report by the British Medical Journal found that some trusts were budgeting for an additional £2m per month in fuel costs next year.

Nottingham University Hospitals NHS Trust confirmed to Sky News that it expects its annual energy bills to more than triple in 2023, adding £24m to its running costs.

It’s not just energy prices that are rising. The increased costs of hiring cleaners, for instance, has added £76m to the health service’s expenses over the past year, while higher costs for providing inpatient meals has added a further £38m.

Matthew Taylor, chief executive of NHS Providers, told Sky News that the new money promised by the chancellor would allow the NHS to “just about keep the show on the road”.

“It will enable us to continue to manage a very difficult situation, and hopefully make further progress in areas like waiting lists.

“What it won’t do is address the fundamental issues and get the NHS to where the public would like it to be.”

More than 7 million people in England are currently waiting for treatment. That’s nearly one in eight of the population, and the number has been rising for 28 consecutive months.

The number of people waiting more than four hours at A&E is also at record levels, while ambulance response times are far above target.

David Maguire, senior analyst at the King’s Fund, told Sky News that local NHS trusts were likely to face “really, really tough decisions” about where to focus their resources in the coming years.

“You always have to prioritise emergency and urgent care. That might mean less focus on goals like improving productivity or investing in preventative care. We’re already seeing a pull back at the NHS England-level on some of the funding for transformation efforts, for example around digital technology and data usage.”

This wouldn’t be the first time the NHS has cut back on long-term investments in order to free up resources for frontline services.

Between 2014 and 2019, £4.3bn earmarked for capital investment was instead used to fund day-to-day spending.

That decision has left the NHS with a backlog of maintenance work worth £10.2bn – equivalent to 92% of the entire annual cost of running the NHS estates.

Nearly a fifth of that backlog (£1.8bn worth) is classified as “high risk”, meaning it could result in “catastrophic failure, major disruption to clinical services or deficiencies in safety liable to cause serious injury or prosecution”.

“We’ve got some hospitals which are currently being held up by struts,” said Mr Taylor.

“That’s not what you want people to be doing – lying in a hospital bed looking at a temporary strut holding up the roof. These hospitals aren’t currently dangerous, but in time they will become dangerous and this needs to be addressed.”

Dealing with the maintenance backlog is increasingly hampering the ability of trusts to invest in improving services. Last year, the NHS spent £1.4bn dealing with the maintenance backlog, 16% of its entire capital budget.

And that capital budget is already low by international standards. In the decade before the pandemic, OECD data shows, the UK’s long-term investments in the healthcare sector amounted to just 0.25% of GDP – compared to 0.38% in France and 0.69% in the US.

Reducing the waiting list

In order to reduce the number of patients waiting for treatment, NHS England set a target in February of returning NHS activity to pre-pandemic levels by early 2022-23, and increasing activity a further 29% within two years.

Thousands of additional staff have been hired in recent years, but the impact of COVID-19 and the demand of the target means that the NHS is still short of staff.

Trusts are increasingly hiring expensive agency workers to fill the gaps, adding further pressure to the budget.

Spending on agency workers reached £3bn in the year to March, up from £2.4bn two years earlier.

Hours before the chancellor’s statement on Thursday, the National Audit Office said the NHS was unlikely to meet its activity targets, pointing to the impact of inflation, staff shortages and productivity issues.

Despite a 13% increase in the number of clinical staff since 2018, the number of people being removed from the NHS waiting list each month has risen by just 2%.

NHS chief executive Amanda Pritchard said the chancellor’s decision to increase funding for the health service showed that “the government has been serious about its commitment to prioritise the NHS”.

“While I am under no illusions that NHS staff face very testing times ahead, particularly over winter, this settlement should provide sufficient funding for the NHS to fulfil its key priorities,” she said.

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Luis Piovesana: Family ‘devastated’ after body found in search for brother of judo Olympian

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3 hours ago

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March 3, 2025

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Luis Piovesana: Family 'devastated' after body found in search for brother of judo Olympian

A judo Olympian has said her family is “devastated” after the discovery of body in the search for her missing brother.

Lubjana Piovesana, 28, appealed for help to find her younger sibling, Luis, 26, on Saturday. He had not been seen since the early hours of Friday morning.

A body was found in the River Frome near Napier Road in Eastville, Bristol, at around 6pm today, Avon and Somerset Police said.

Formal identification is yet to take place, the force added.

In a post on Instagram, Ms Piovesana wrote: “Hello everyone, Luis has been found.

“We are completely devastated but he has passed away.

“I am grateful for everyone’s support. And I am so sorry this happened.

“Luis was my little brother and loved by everyone. I wish he could have seen the love from everyone. He will be remembered by us all.”

The post was signed off with a dove emoji.

Pics: Avon & Somerset Police
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Luis Piovesana did not have any money or his mobile phone with him when he went missing, police said. Pics: Avon & Somerset Police

Mr Piovesana was last seen at around 3am on Friday at the Eastgate retail park, which is less than a 10-minute walk away from where the body was found.

He had travelled there by taxi from a venue in Little Ann Street, St Jude’s, a 10-minute drive away.

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The 26-year-old’s family spent the weekend searching for him, and asked people to check their sheds and gardens.

His partner, Laurin Bohler, said loved ones had travelled from Birmingham to help.

Mounted officers and police drones were also involved in the investigation.

Ms Piovesana competed for Team GB before switching to the Austrian team, and defeated British competitor Lucy Renshall in the women’s -63kg judo event at the Paris Olympics last year.

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Sophie Evans: Man jailed for life for murdering son’s girlfriend after school run

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12 hours ago

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March 3, 2025

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Sophie Evans: Man jailed for life for murdering son's girlfriend after school run

A man has been jailed for life for murdering his son’s girlfriend after she returned home from the school run.

Officers from Dyfed-Powys Police were called to an address on Bigyn Road in Llanelli, Carmarthenshire, on 5 July last year.

Sophie Evans, 30, had sustained 72 separate injuries on the outside of the body, “all but three of them new injuries”.

Richard Jones, who is now 50, believed he was “being taken advantage of financially” by Ms Evans and his son, with whom she was in a relationship.

While the purpose of Jones’s visit was “purely normal”, he confronted her on that morning about his suspicions and Ms Evans’s reaction was such that Jones “lost [his] temper”.

He subjected Ms Evans to “gross violence” before ultimately strangling her and leaving the property to run errands, including ordering a new bank card and buying pastries from a bakery.

Richard Jones. Pic: Dyfed-Powys Police
Image:
Richard Jones. Pic: Dyfed-Powys Police

‘Last time on their school run’

During sentencing on Monday, the defendant kept his head bowed for most of the hearing.

He will have to serve at least 20 years behind bars before he can be considered for release by the parole board.

Swansea Crown Court heard Ms Evans was the mother of two young children.

Passing his sentence, Judge Geraint Walters said Ms Evans “had just taken her two children for the last time on their school run” prior to the attack.

“She wasn’t to know that when she parted company with them that morning,” he added.

The court heard the Jones believed he was being defrauded by Ms Evans and his son.

“There is clear evidence, that in the days leading up to this, that you had begun harbouring thoughts that Sophie Evans and your own son were in fact financially scamming you,” he said.

“What precisely brought about that view is difficult to determine.”

Judge Walters said Jones “lost [his] temper when [he] didn’t get the answer that [he] thought [he] deserved”.

He added that, having lost his temper, the defendant “subjected [Ms Evans] to gross violence over a period of time, before you ultimately extinguished her life by strangulation”.

The court was told in evidence that at the time of the attack, Ms Evans was wearing only a bath towel.

‘The rock of our family’

In a victim personal statement, Ms Evans’s sister Kerry Quinlan told the court she was “the rock of our family”.

She said Ms Evans was taken from them in a “senseless and cruel act”.

“Words cannot express fully how much of a loss this has been to her children,” she added.

“When they cry themselves to sleep wanting their mum, she isn’t there and never will be.”

Ms Quinlan added that Jones had “taken everything from us, all in the most despicable way possible”.

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Ms Evans’s partner at the time, and the defendant’s son, Jamie Davies, said in a victim personal statement, read on his behalf, that they had both “trusted” Jones, and that Ms Evans had even been planning the defendant’s 50th birthday.

“The thought of having to live my life without Sophie causes me extreme pain and heartache,” he added.

Prosecuting, Michael Jones KC said the offence was aggravated by the defendant’s previous convictions and the fact Ms Evans was murdered in her home.

In mitigation, David Elias KC said there was a “lack of premeditation”.

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Third man charged with murder over house fire in Bradford that killed mother and her three children

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13 hours ago

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March 3, 2025

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Third man charged with murder over house fire in Bradford that killed mother and her three children

A third man has been charged with murder over a house fire that killed a mother and her three children in Bradford last year.

Bryonie Gawith, 29, Denisty Birtle, nine, Oscar Birtle, five, and 22-month-old Aubree Birtle were killed in the fire on 21 August 2024.

Sharaz Ali, 39, from Bradford, has been charged with four counts of murder and one count of attempted murder.

He will appear at Bradford Magistrates Court today.

Two other men, Mohammed Shabir, 44, and Calum Sunderland, 25, both of Keighley, are due to go on trial next week after pleading not guilty to murdering Ms Gawith and the three children, and attempting to murder Ms Gawith’s sister, Antonia.

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The children’s father Jonathan said at the time he was “absolutely distraught” by the “sudden loss” of his fiancee and “three beautiful children”.

“Bryonie and I were together for a long time, and we had a good life together. She was a beautiful woman and a loving mother to Oscar, Aubree and Denisty,” he said.

“I loved them with all my heart and if I had the chance, I would take their place in a heartbeat. I cannot imagine life without them.”

A family statement added: “Our B (Ms Gawith) was the life and soul of the party, music was a big part of her life, she loved music, singing and dancing, she would always be singing and dancing with Chuch (Denisty), Oggy (Oscar) and Strawberry (Aubree).

“B was always a really happy, joyful, bubbly beautiful woman, who cared for everyone and was loved by everyone, her kids were everything to her, her whole life.

“Oggy had the cheekiest smile, he was cheeky but he was a shy boy, Strawbs was shy and bashful with big blue eyes and blonde hair and Chuch was a beautiful, confident, outgoing and creative young girl.

“We are still trying to comprehend what has happened to our beautiful family. No words can describe how we are feeling and no words could ever make up for the profound loss we are now faced with.”

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