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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

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.

NHS tracker postcode search: See how your local trust is performing through the year

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

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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
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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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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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Liam Payne’s family criticise media for causing ‘indescribable damage’

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Liam Payne's family criticise media for causing 'indescribable damage'

The family of pop star Liam Payne has criticised the media for causing “indescribable, lasting damage” in the wake of his death.

The singer, 31, died in October last year, after falling from a hotel balcony in Argentina.

He was honoured with a video montage, played at Saturday night’s BRIT awards, celebrating his legacy – with clips including his time on X-Factor and during his time with One Direction. The band won seven BRIT awards before they split in 2016.

In a statement, released to the media after the tribute was played, his family called the death an “unspeakable tragedy”.

The family also criticised the “attention and speculation” in the press that caused “indescribable, lasting damage on the family, particularly on Liam’s son, who is trying to process emotions which no seven-year-old should have to experience”.

It said the family accepted the Court of Appeal’s decision to drop all charges in relation to Payne’s death.

File photo dated 19/02/14 of (left to right) Zayn Malik, Harry Styles, Liam Payne, Louis Tomlinson and Nial Horan from One Direction with their Awards in the press room at the 2014 Brit Awards at the O2 Arena, London.. Liam Payne has died after falling from the third floor of a hotel in Buenos Aires, according to local officials. He was 31. Issue date: Wednesday October 16, 2024.
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One Direction pictured at the 2014 Brit Awards – the band won seven gongs during their time together. Pic: PA

Louis Tomlinson, Harry Styles, Zian Malik, Liam Payne & Niall Horan of One Direction One Direction meet fans at HMV Oxford Circu s in 2011.
Pic:MediaPunch/AP
Pic: AP
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One Direction, pictured in 2011. Pic: AP


Charges were dropped against three defendants: Payne’s friend Roger Nores, who had accompanied him during his trip to Buenos Aires; Gilda Martin, the manager of the Casa Sur Palermo Hotel where Payne died; and Esteban Grassi, the hotel’s main receptionist.

Two others are still facing prosecution for allegedly supplying Payne with drugs. Supplying drugs in Argentina carries a sentence of up to 15 years in prison.

Toxicology tests revealed that before his death, he had traces of alcohol, cocaine, and a prescription antidepressant in his body. A postmortem ruled his cause of death as “polytrauma” from multiple injuries and internal and external bleeding.

The family’s statement in full

Liam’s death was an unspeakable tragedy. This is a time of tremendous grief and pain for those who knew and loved him.

“Liam ought to have had a long life ahead of him. Instead, Bear has lost his father, Geoff and Karen have lost their son, Ruth and Nicola have lost their brother and all of Liam’s friends and fans have lost someone they held very dear.

We understand that the investigation into Liam’s death was absolutely necessary and the family recognises the work done by the Argentinian authorities. However, the family accepts the Court of Appeal’s decision to drop all charges.

The constant media attention and speculation which has accompanied the process has exacted indescribable, lasting damage on the family, particularly on Liam’s son, who is trying to process emotions which no seven-year-old should have to experience.

The family has always wished for privacy to grieve and asks that they be given the space and time to do so.

This weekend, at the Brit Awards, Liam was remembered for his phenomenal contribution to British music and for his wider, positive impact on millions of adoring fans the world over.

We joined in that celebration of his life and will forever remember the joy that his music brought to the world.

Liam, you are so loved and missed.

‘Beautiful’ Brits tribute

After the video aired, Payne’s former band member Louis Tomlinson thanked the BRIT Awards and said: “Beautiful tribute. Miss you always, brother x.”

Awards host Jack Whitehall introduced the tribute to the singer and said: “He achieved so much in the short time that he was on this earth, and was not only a supremely gifted musician but an incredibly kind soul who touched the lives of everyone he came into contact with.

Themed  tributes for singer Liam Payne are seen outside St. Mary's Church on the day of his funeral.
Pic: Reuters
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Themed tributes for singer Liam Payne were seen outside St. Mary’s Church on the day of his funeral.
Pic: Reuters

Fans sing One Direction around a candle-lit tribute for Liam Payne
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Fans sing One Direction around a candle-lit tribute for Liam Payne

“We have so many amazing memories with Liam here at The BRITs. So, tonight we celebrate his legacy and look back and remember, the remarkable Liam Payne.”

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