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Eye-watering energy price rises have left millions of people worried about the cost of turning on their heating as sub-zero temperatures hit Britain this winter.

Sky News presenter Jonathan Samuels is joined by a panel to answer viewers’ questions. The experts are: GP Dr Helen Salisbury; personal finance expert Jasmine Birtles; and Helen Barnard from the Joseph Rowntree Foundation, a charity which conducts and funds research aimed at ending poverty in Britain.

What’s your advice to vulnerable people who are really concerned about the cost of heating their homes?

Dr Helen Salisbury: It’s a really, really difficult time, but it’s important to remember that being in a cold home is actually not good for your health at all.

So we recommend that you keep the room that you’re in at about 18C, particularly if you’re over 65, particularly if you have mobility problems.

Ideally get up and move around every hour-or-so, because if you’re sitting still, you’re more likely to get cold.

What are the best settings to use for central heating to heat your home? Is it better to have a timer on and have big bursts at those moments in the day when you really need it, or is it better to perhaps have it on a lower setting, but keep it on all day?

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Jasmine Birtles: This has come up a lot recently. I checked with the Energy Savings Trust and they said it’s better to do it here and there, as and when you need it, not have it on all the time.

I have it on for an hour-or-so and once it’s sort of warmed up a bit I’ve got my jumpers on, layers, sheepskin boots, sheepskin and wool are the best ways of staying warm.

Another thing that I have is a heated overblanket. That means that, frankly it doesn’t matter what’s happening in the rest of the room – you’re warm.

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We know the government is helping, and there have been lots of headlines recently… but just remind us what help is available?

Helen Barnard: There has been help, there have been the cost-of-living packages with one-off grants and so on.

When we get to next April there will be a significant rise in benefits, but there isn’t more help coming this winter.

We’ve just done new research and we’ve found that three million low-income households can’t afford to heat their homes and actually 2.5 million can’t afford to eat properly or heat their homes.

So all the things the health experts are telling people to do – to have hot drinks, to keep the room warm – people simply can’t afford to do those things because the support is just inadequate to meet the situation we are in.

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‘I’ve had to disconnect my gas’

If I can’t afford to turn on the heating are there places I can go – especially if there are power cuts this winter?

Helen Barnard: There are quite a lot of people in communities who have started doing “warm hubs” so it’s worth looking on your local community page. I’ve heard there are some bakers actually, because they have got their ovens on all the time, who are opening up rooms.

But there is actually quite a lot of financial support some people may not be getting, so an awful lot of people don’t claim the benefits they could, and that would really help.

It’s worth going on to a website like the Turn 2 Us charity where you can do a benefit check and there is also a tool where you can find local grants.

The other thing is to talk to your energy supplier – they are legally obliged to help you come to a solution if you’re struggling to pay the bills.

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People get very scared and they don’t want to ask for help. This is a moment to absolutely ask for help, ask local charities, local authorities, and your energy supplier.

Cost of living calendar – reveal a different story every day

One thing people really worry about is being cut off – can you reassure people that won’t happen?

Jasmine Birtles: Yes, it won’t happen – particularly if you are on a contract, a direct debit.

Of course if you are on a pay-as-you-go meter then obviously if you are paying it, it’s not going to come out.

But if you are on direct debit, or if you are supposed to be on a contract and you can’t pay, they are not going to cut you off. However, those debts will mount.

Actually, a lot of them do have money to help. It tends to be one-off payments, but all the major energy suppliers they have, frankly, a few hundred pounds to give in certain circumstances if you qualify, so go first to your supplier and, as Helen says, try Turn 2 Us.

Also, try your local council. Some local councils – not all – have some discretionary money they use to help people who are suffering.

And if I can just add to what Helen said about the warm hubs, there is a website called warmwelcome.uk, which has a really helpful map of the UK, with all the various warm hubs that they are aware of, and I think more are being added.

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A year in the cost of living crisis

Dr Helen, what are your patients telling you? I’m sure you have seen people who have come to you in a real state, because it is not just your physical wellbeing but it is your mental wellbeing as well?

Absolutely, and people are very worried. And I think sometimes it is the fear that is so harmful to their health. They are thinking about looking after themselves, they are thinking about looking after their families.

I would quite like to add that there has been lots of talk here about going on websites, but a lot of people might not have that capacity, they might not be people who use sites on their mobile phones, they might not have mobile phones.

I think we also need to think about our neighbours, our friends, elderly people we know might need checking up on, just to make sure they have turned their heating on and they are not sitting there scared of the bills and not turning on the heating.

Being in too cold of an environment really increases your risk of strokes and heart attacks and it is just not worth it, so we need to be checking up on people and unfortunately sometimes we may get bills much higher than wanted, but we do need to keep warm.

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‘I’m very scared my rent will go up’

People with underlying health conditions need to be careful in cold weather, don’t they?

Dr Helen Salisbury: Absolutely, and partly that is about being unable to move about, but also you have lung diseases like COPD, that makes them more vulnerable and you are more likely to get inflections like flu and probably COVID-19 too, so you are less likely to be able to fight things off if you are cold and breathe in cold air.

The other thing that is quite worrying is people who are reliant on electricity for aids around the home for medical machinery, I think that is a real concern for some people with prices going so high.

Is it better to have a smart meter? If you don’t should you be taking regular meter readings?

Jasmine Birtles: There are two schools of thought with this.

On the one hand smart meters can be useful, particularly as a number of energy companies have apps that work with them. For example, there is one called Ivy Bud and you can find out how much you are using, when you are using it. You can also find out which appliances are using more than others.

But I’m hearing quite a number of people who are rather concerned about control – a lot of their information being known by goodness knows who.

If you are not keen on having a smart meter, I think it is a good idea to take some meter readings, once a month, so you are clear how much you are using and if you are not sure about your bills, or you don’t think the bills and readings match, you can complain to your supplier.

Read more:
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What are the benefits of having a smart meter?

Jasmine Birtles: You can see what you’re using quite quickly, you can connect it to various apps and gizmos that will give you more control and knowledge of what you are using in real time.

You can look at one of these apps or one of these gizmos and it will say you are using up a lot of electricity and you will find you have left the iron on or something like that, so that’s useful.

But primarily it is useful to the energy company.

Energy companies tell me that smart meters enable them to see when people are using electricity and that means they can sort out the grid better and have less wastage. So I would say it is useful to the companies and the country as a whole, rather than individuals.

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Pensioner faces Christmas alone

What is being done for homeless people?

Helen Barnard: “Of course, we have got local authorities who are re-upping their policies to try and get people in during these very cold nights. But of course we have a problem in that we don’t have enough affordable homes, so what we often find is that people are brought in for a night or two and then finding themselves a sustainable place to live is very difficult.

I do think we need to be slightly careful because some of the advice we are giving to use apps can ring quite hollow for people who are out there who simply don’t have the money to turn the lights on, turn the heating on.

I think we need to get to grips with the fact that we have allowed our basic social security to fail so woefully.

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Justice system ‘frustrating’, Met Police chief says – as he admits London’s ‘shameful’ racism challenge

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Justice system 'frustrating', Met Police chief says - as he admits London's 'shameful' racism challenge

It is “shameful” that black boys growing up in London are “far more likely” to die than white boys, Metropolitan Police chief Sir Mark Rowley has told Sky News.

In a wide-ranging interview with Sunday Morning with Trevor Phillips, the commissioner said that relations with minority communities are “difficult for us”, while also speaking about the state of the justice system and the size of the police force.

Sir Mark, who came out of retirement to become head of the UK’s largest police force in 2022, said: “We can’t pretend otherwise that we’ve got a history between policing and black communities where policing has got a lot wrong.

“And we get a lot more right today, but we do still make mistakes. That’s not in doubt. I’m being as relentless in that as it can be.”

He said the “vast majority” of the force are “good people”.

However, he added: “But that legacy, combined with the tragedy that some of this crime falls most heavily in black communities, that creates a real problem because the legacy creates concern.”

Sir Mark, who also leads the UK’s counter-terrorism policing, said black boys growing up in London “are far more likely to be dead by the time they’re 18” than white boys.

“That’s, I think, shameful for the city,” he admitted.

“The challenge for us is, as we reach in to tackle those issues, that confrontation that comes from that reaching in, whether it’s stop and search on the streets or the sort of operations you seek.

“The danger is that’s landing in an environment with less trust.

“And that makes it even harder. But the people who win out of that [are] all of the criminals.”

Met Police Commissioner Sir Mark Rowley said racism is still an issue in the force
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Met Police Commissioner Sir Mark Rowley

The commissioner added: “I’m so determined to find a way to get past this because if policing in black communities can find a way to confront these issues, together we can give black boys growing up in London equal life chances to white boys, which is not what we’re seeing at the moment.

“And it’s not simply about policing, is it?”

Sir Mark said: “I think black boys are several times more likely to be excluded from school, for example, than white boys.

“And there are multiple issues layered on top of each other that feed into disproportionality.”

‘We’re stretched, but there’s hope and determination’

Sir Mark said the Met is a “stretched service” but people who call 999 can expect an officer to attend.

“If you are in the middle of a crisis and something awful is happening and you dial 999, officers will get there really quickly,” Sir Mark said.

“I don’t pretend we’re not a stretched service.

“We are smaller than I think we ought to be, but I don’t want to give a sort of message of a lack of hope or a lack of determination.”

“I’ve seen the mayor and the home secretary fighting hard for police resourcing,” he added.

“It’s not what I’d want it to be, but it’s better than it might be without their efforts.”

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How police tracked and chased suspected phone thief

‘Close to broken’ justice system facing ‘awful’ delays

Sir Mark said the criminal justice system was “close to broken” and can be “frustrating” for police officers.

“The thing that is frustrating is that the system – and no system can be perfect – but when the system hasn’t managed to turn that person’s life around and get them on the straight and narrow, and it just becomes a revolving door,” he said.

“When that happens, of course that’s frustrating for officers.

“So the more successful prisons and probation can be in terms of getting people onto a law-abiding life from the path they’re on, the better.

“But that is a real challenge. I mean, we’re talking just after Sir Brian Leveson put his report out about the close-to-broken criminal justice system.

“And it’s absolutely vital that those repairs and reforms that he’s talking about happen really quickly, because the system is now so stressed.”

Giving an example, the police commissioner went on: “We’ve got Snaresbrook [Crown Court] in London – it’s now got more than 100 cases listed for 2029.”

Sir Mark asked Trevor Phillips to imagine he had been the victim of a crime, saying: “We’ve caught the person, we’ve charged him, ‘great news, Mr Phillips, we’ve got him charged, they’re going to court’.

“And then a few weeks later, I see the trial’s listed for 2029. That doesn’t feel great, does it?”

Asked about the fact that suspects could still be on the streets for years before going to trial, Sir Mark conceded it’s “pretty awful”.

He added: “If it’s someone on bail, who might have stolen your phone or whatever, and they’re going in for a criminal court trial, that could be four years away. And that’s pretty unacceptable, isn’t it?”

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Leveson explains plans to fix justice system

Challenge to reform the Met

The Met chief’s comments come two years after an official report found the force is institutionally racist, misogynistic and homophobic.

Baroness Casey was commissioned in 2021 to look into the Met Police after serving police officer Wayne Couzens abducted, raped and murdered Sarah Everard.

She pinned the primary blame for the Met’s culture on its past leadership and found stop and search and the use of force against black people was excessive.

At the time, Sir Mark, who had been commissioner for six months when the report was published, said he would not use the labels of institutionally racist, institutionally misogynistic and institutionally homophobic, which Baroness Casey insisted the Met deserved.

However, London Mayor Sadiq Khan, who helped hire Sir Mark – and could fire him – made it clear the commissioner agreed with Baroness Casey’s verdict.

A few months after the report, Sir Mark launched a two-year £366m plan to overhaul the Met, including increased emphasis on neighbourhood policing to rebuild public trust and plans to recruit 500 more community support officers and an extra 565 people to work with teams investigating domestic violence, sexual offences and child sexual abuse and exploitation.

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UK measles cases rising among children – with leading NHS hospital ‘concerned’

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UK measles cases rising among children - with leading NHS hospital 'concerned'

A leading NHS hospital has warned measles is on the rise among children in the UK, after treating 17 cases since June.

Alder Hey Children’s Hospital in Liverpool said it is “concerned” about the increasing number of children and young people who are contracting the highly contagious virus.

It said the cases it has treated since June were for effects and complications of the disease, which, in rare cases, can be fatal if left untreated.

“We are concerned about the increasing number of children and young people who are contracting measles. Measles is a highly contagious viral illness which can cause children to be seriously unwell, requiring hospital treatment, and in rare cases, death,” the hospital said in a statement to Sky News.

In a separate open letter to parents and carers in Merseyside earlier this month, Alder Hey, along with the UK Health and Security Agency (UKHSA) and directors of Public Health for Liverpool, Sefton and Knowsley, warned the increase in measles in the region could be down to fewer people getting vaccinated.

The letter read: “We are seeing more cases of measles in our children and young people because fewer people are having the MMR vaccine, which protects against measles and two other viruses called mumps and rubella.

“Children in hospital, who are very poorly for another reason, are at higher risk of catching the virus.”

What are the symptoms of measles?

The first symptoms of measles include:

• A high temperature

• A runny or blocked nose

• Sneezing

• A cough

• Red, sore or watery eyes

Cold-like symptoms are followed a few days later by a rash, which starts on the face and behind the ears, before it spreads.

The spots are usually raised and can join together to form blotchy patches which are not usually itchy.

Some people may get small spots in their mouth too.

What should you do if you think your child has measles?

Ask for an urgent GP appointment or call 111 if you think your child has measles.

If your child has been vaccinated, it is very unlikely they have measles.

You should not go to the doctor without calling ahead, as measles is very infectious.

If your child is diagnosed with measles by a doctor, make sure they avoid close contact with babies and anyone who is pregnant or has a weakened immune system.

The skin of a patient after 3 days of measles infection
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The skin of a patient after three days of measles infection

It comes after a Royal College of Paediatrics and Child Health (RCPCH) report released earlier this month determined that uptake of vaccines in the UK has stalled over the last decade and is, in many cases, declining.

It said none of the routine childhood vaccinations have met the 95% coverage target since 2021, putting youngsters at risk of measles, meningitis and whooping cough.

The MMR vaccine has been available through the NHS for years. Two doses gives lifelong protection against measles, mumps and rubella.

File photo of a MMR vaccine
Image:
Two doses of the MMR vaccine give lifelong protection against measles, mumps and rubella. Pic: iStock

According to the latest NHS data, Liverpool was one of the cities outside London with the lowest uptake of the MMR vaccination in 2023-2024.

By the time children were five years old, 86.5% had been give one dose, decreasing to 73.4% for a second dose.

The RCPCH report put the nationwide decline down to fears over vaccinations, as well as families having trouble booking appointments and a lack of continuous care in the NHS, with many seeing a different GP on each visit.

Read more from Sky News:
Met Police chief on London’s ‘shameful’ racism challenge
‘My voice box was removed after NHS missed cancer’

In the US, measles cases are at their highest in more than three decades.

Cases reached 1,288 on Wednesday this week, according to the US Centres for Disease Control and Prevention, with 14 states battling active outbreaks.

The largest outbreak started five months ago in communities in West Texas, where vaccination uptake is low. Since then, three people have died – including two children in Texas and an adult in New Mexico – with dozens more in hospital.

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‘My voice box was removed after NHS missed my throat cancer’

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'My voice box was removed after NHS missed my throat cancer'

Steve Barton is angry, and he has every right to be.

The 68-year-old retired engineer stares at his medical notes that, he says, expose in black and white the moment his life changed forever.

“I have somehow missed… due to my mistake,” a doctor writes in one of the notes, after it became apparent that Mr Barton had not been urgently referred to specialists over what later became an aggressive form of throat cancer.

Steve now has a prosthetic voice box and is one of many British patients fighting medical negligence claims after being misdiagnosed.

NHS officials in Scotland are dealing with thousands of cases annually. Meanwhile, Westminster’s Public Affairs Committee (PAC) recently disclosed England’s Department of Health and Social Care has set aside £58.2bn to settle clinical lawsuits arising before 2024.

Mr Barton, who lives in Alloa near Stirling, repeatedly contacted his doctors after he began struggling with his breathing, speaking and swallowing. His concerns were recorded by the NHS as sinus issues.

As panic grew and his voice became weaker, Mr Barton paid to see a private consultant who revealed the devastating news that a massive tumour had grown on his larynx and required part of his throat to be removed immediately.

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“I am angry, I am upset, I don’t want anyone else to go through this,” Mr Barton told Sky News.

“There were at least four, possibly five, conversations on the phone. He [the doctor] said to me that it sounds like I’ve got reflux.”

‘He was palmed off’

Mr Barton is now unable to work and cannot shower by himself because if water enters the hole in his neck, he could drown.

And a windy day can cause a debilitating coughing fit if a gust catches his prosthetic voice box.

Steve in hospital
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Steve Barton is one of thousands battling medical negligence cases

Asked if he believes this was avoidable, Mr Barton replied: “Absolutely. 100%.”

His wife, Heather, told Sky News: “He hates this. You see him crying. It breaks my heart. It’s been hard emotionally.”

She added: “Everybody knows their own body. He was palmed off and the consequence is a neck dissection. It [life] changed overnight.”

Legal battle over compensation

The Barton family have been locked in a legal battle over their ordeal with the Medical and Dental Defence Union Scotland (MDDUS) – a body which indemnifies GPs.

It has not admitted formal liability in this case but has agreed to settle financial compensation to Mr Barton.

Steve

Izabela Wosiak, a solicitor from Irwin Mitchell who represents the Bartons, said: “Cases like Steve’s are complex and usually quite difficult, but solicitors have accepted there was no defence to this case.

“They have arranged to make an interim payment; however we are still in the process of negotiating final settlement.”

A MDDUS spokeswoman refused to comment while talks are being finalised.

What is the scale of medical negligence in Britain?

The NHS in Scotland is under the devolved control of the Scottish government.

Figures suggest there were almost 14,000 clinical negligence claims and incidents in 2023/24, an increase on the previous year.

It comes as PAC warned that the total liabilities in England’s health service has hit £58.2bn.

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PAC chair Sir Geoffrey Clifton-Brown MP told Sky News: “I extend my sympathies to Steve and his family. Unfortunately, he is not alone.

“Some are really heart-wrenching tales. Every single claim somebody is involved, someone has been in some way injured, so this is a terrible thing.

“We are going to be working on how we can make the whole system less litigious and get compensation paid out quickly because if the state does harm to somebody, the least they could do is to compensate them as quickly as possible.”

Paul Whiteing, the chief executive of patient safety charity Action Against Medical Accidents, told Sky News: “The NHS itself last year [in England] paid out just over £5bn in compensational set aside money for compensation that it would need to pay out.

“It’s a huge cost and of course that doesn’t speak to the cost to every individual, every family, every person who is impacted by the consequences of some form of medical accident and the trauma that can go with that.”

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