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Hospitals should free up beds by safely discharging patients in advance of “extensive disruption” caused by industrial action by ambulance crews, health chiefs have said.

They warned of “a very challenging period” when ambulance crews in England and Wales are due to walk out for two days on 21 and 28 December in a dispute over pay.

It follows Thursday’s one-day strike by nurses in England, Wales and Northern Ireland.

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In a joint letter with national medical director Professor Sir Stephen Powis and chief nursing officer Dame Ruth May to NHS trusts and integrated care boards, Sir David Sloman, NHS England’s chief operating officer, said measures should also be put in place to ensure ambulance patient handovers are kept to no more than 15 minutes.

NHS data shows ambulance handover delays at hospitals in England have hit a new high, with one in six patients last week waiting more than a hour to be passed to A&E teams.

Just over one in three had to wait at least 30 minutes. The numbers are higher than at any point in recent winters.

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Strikes every day before Christmas – which sectors are affected and why

NHS Providers’ interim chief executive Saffron Cordery said “Trust and system leaders are being asked by NHS England to focus on reducing handover delays and maximising capacity in urgent and emergency care.

“But given the scale of operational pressures on providers now including very high bed occupancy levels, rising flu admissions, ongoing COVID-19 pressures, record staff absences and increasing A&E attendances, this will be incredibly difficult to implement.

“We understand why ambulance staff have voted for industrial action but it’s vital that the government and unions talk urgently to find a way to prevent this and further strikes from happening.”

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The first nurses’ strike in a century

Meanwhile, Pat Cullen, the general secretary of the Royal College of Nursing (RCN), has said Health Secretary Steve Barclay’s “macho” negotiating style is hampering efforts to resolve the nurses’ pay dispute.

She said that when she met Mr Barclay in the House of Commons on Monday, it had been “very confrontational” with him refusing to discuss pay.

“I see a macho culture in this government,” she said.

“He needs to get to a place where he’s inspired with the value of care and treatment. He doesn’t value that because it’s a 90% female profession.”

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‘We hugely value nurses,’ says Steve Barclay

Following Thursday’s strike, RCN members are due to walk out again on Tuesday.

Ms Cullen urged Prime Minister Rishi Sunak to step in before the dispute “engulfs” the NHS, warning there would be a further “escalation” of the nurses’ action in January involving longer stoppages and more organisations.

On a visit to Belfast on Friday, Mr Sunak insisted that while “the door is always open to talks” the government was determined to stick to the recommendations of the independent pay review body.

“We want to be fair, reasonable and constructive, that’s why we accepted the recommendations of an independent pay body about what fair pay would be,” he said.

Read More:
Nurses call biggest ever strike a ‘turning point’ as No 10 says ‘no plans’ to up offer on pay

‘We are exhausted and deflated’ – nurses’ stories from picket lines across the country

The NHS pay review body has recommended below-inflation pay rises of around 4% for nurses and the government is refusing to negotiate with unions who want a higher offer because it has accepted this recommendation.

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The nurses’ strikes explained

It has emerged that nearly 16,000 appointments, procedures and surgeries were rescheduled in England – 54,000 less than the government suggested – due to Thursday’s strike.

The figures were published after Health minister Maria Caulfield said around 70,000 appointments would be lost due to the industrial action.

But, according to provisional NHS data reported by trusts where the RCN strike took place, 2,452 inpatient and day case elective procedures and 13,327 outpatient appointments were rescheduled, coming to 15,779 in total.

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Across England, 9,999 staff were absent from work due to the strike, according to figures on the NHS England website.

The highest numbers were seen in the South West where striking staff came to 2,372, with 2,023 in the Midlands and the next highest, 1,714 in the North East and Yorkshire.

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‘Where am I going to go with the kids?’ Mum-of-three left homeless after reporting threats to police

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'Where am I going to go with the kids?' Mum-of-three left homeless after reporting threats to police

As mother-of-three Danielle pushes two prams down the street in south London, her only thought is where will they all sleep tonight?

The 21-year-old, whose children are all under the age of five, had a council house in Southwark but had to move out because she faced threats of violence.

“I didn’t know that going to the police would end up with me being homeless,” she says.

Heartbroken and panicking, with nowhere else to go, Danielle is in a park with her three children – two daughters, aged one and four, and her two-year-old son.

“I’m so sorry, I wish this could all be better,” she tells them. Her eldest clutches a plastic toy and asks when they are going home.

“We don’t have a home anymore,” Danielle replies. She can’t hide the truth from her any longer.

Treated image for Farrell homeless piece

Danielle, who has long dark hair and is wearing a puffer jacket, is pacing, her mobile phone pressed to her ear, making a series of desperate phone calls, pleading for help.

“Where am I going to go with the kids,” she asks a housing officer. “I have nowhere to go.”

At this point it’s around 3pm and council offices will soon be closing. As her phone dies, Danielle, now sitting on a bench, her eldest daughter comforting her siblings in their buggies, breaks down in tears.

Her story exemplifies a national housing crisis where currently more than 150,000 children in England are living in temporary accommodation.

It is hard to imagine someone more vulnerable; a 21-year-old, at risk of violence, a care leaver herself, mother-of-three. If she’s fallen through the net, then who is it catching?

Treated image for Farrell homeless piece

Initially, Southwark council paid for her to have temporary accommodation elsewhere.

But things changed when police informed them it was too dangerous for her to come back to the borough.

“To sit there and tell a four-year-old little girl we can’t go home because we don’t have a home, that’s very upsetting as a mum because I brought her into this world to love her, protect her, to give her a home, and me being a mum telling her I can’t do that right now, it breaks my heart, but I know it’s not my fault,” she tells Sky News.

“Last Tuesday, I got a call to say they could no longer fund my accommodation because the police said it’s no longer safe to return back to Southwark, so they don’t owe me a duty of care.”

The council emailed her a letter which implied she was being made homeless for her own protection. The letter instructed her to present herself to another “local authority homeless person unit to seek rehousing outside of Southwark,” it said. “This is on the grounds of personal protection for you and your children.”

Treated image for Farrell homeless piece

The letter, dated 30 September, explained her current accommodation would terminate on 9 October.

But, when Danielle approached another council, they wanted more details from Southwark. In the meantime, her landlord said Southwark had stopped paying, so he evicted her and changed the locks.

“We are just going around in a loop and in the meantime me and my children are homeless, and nobody seems to care,” she told us when we found her on 10 October.

“They are not protecting me or my children, they’ve put us at an even more high risk, but they don’t seem to acknowledge that.”

As we sit on the park bench together, a Southwark housing officer calls confirming that, despite her being on the streets, they would not extend the temporary accommodation. The person on the phone says it was a management decision.

Treated image for Farrell homeless piece

At this point, we call Southwark’s press office and get a very different tone and a sense that the situation isn’t acceptable.

After an anxious wait, by late afternoon Danielle is told she can return to her temporary accommodation.

But while Danielle was on the streets, she took her child for a routine vaccination and was flagged with children’s social services, which adds to her worries.

“I know I am a good mum,” she says. “A doctor might have thought my nails were dirty or I didn’t look like a normal person, but she has to understand, I had nowhere to go that day.

“I had no keys, nowhere to live. I was living out of a black bag in my grandad’s shed. So, what do you expect?”

Treated image for Farrell homeless piece

In a statement, councillor Sarah King from Southwark told us: “This has been a very distressing situation for Danielle and her children, and I hope that she is at least relieved to be in safe accommodation now. We will be working to resolve her housing situation permanently and continue to support her until that happens.”

The council she was applying to told us they believed the issue was now being dealt with by Southwark.

Read more:
Number of children in temporary accommodation hits record high
Temporary housing spending for homeless people soars in London

Housing lawyer Simeon Wilmore told Sky he’s come across this kind of thing “many times” and believes both councils have behaved badly.

“Southwark should have been in contact with the receiving party or receiving local authority and it should be more managed and structured, and she should be at the centre of the decision making,” he said.

“If they have reason to believe she may be eligible for priority needs then the duty of care kicks in. They must accommodate.”

Danielle

The problem is councils have run out of homes. In Southwark alone 17,700 people are on the borough’s waiting list, nearly treble the figure over five years ago.

On average councils spend 1% of their budget on temporary accommodation, but research by Sky News has found 30 councils spend 10% or more, with several spending over 20% of their overall budgets on homelessness. This is council money going to private landlords.

Adam Hugg, head of housing at the Local Government Association, says the numbers of people needing support “are going through the roof” and the lack of available homes “creates a real challenge”.

He says there is a need for long-term investment to build more council houses as well as reform to housing benefit to make sure more people can be kept in their homes.

Danielle has few home comforts in her temporary flat, which has plain white walls and a TV on the floor. Her wish is for a place she can make her own and paint her daughter’s bedroom walls pink.

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She has Halloween decorations on a shelf, while in a corner of the living room there is a long box containing a Christmas tree. On top, there is a child’s yet-to-be-filled-out wish list for Father Christmas, while a pack of red and white baubles and a can of snow spray sit nearby.

“These are all my little Christmas bits I’m going to do with the kids when we eventually have a home,” Danielle says, but she still has no idea when that might be.

“They have told me I’m not going to be here for Christmas,” she says. “So, I don’t know where I’ll be. I just hope it’s not on the street.”

It seems the housing crisis has reached a point where even extreme vulnerability is no guarantee of help.

Councils want more secure longer-term government funding so they can build more homes, but with more children than ever living in temporary accommodation, this is a chronic national problem that will take more than one Christmas to solve.

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Sara Sharif: 10-year-old’s stepmother said girl’s father beat her up ‘like crazy’, according to WhatsApp messages read in court

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Sara Sharif: 10-year-old's stepmother said girl's father beat her up 'like crazy', according to WhatsApp messages read in court

Sara Sharif’s stepmother sent her sister some pictures of the 10-year-old looking bruised and miserable – and told her to “delete” them, a court has heard.

“Look what he’s doing,” Beinash Batool told Qandeela Saboohi, referring to the beatings Sara was allegedly getting from her father, Urfan Sharif.

“Delete the pictures.”

A series of WhatsApp messages exchanged between 2020 and 2023, in which Batool told her sister about the physical attacks Sharif was allegedly inflicting on his daughter, were read out to a jury at the Old Bailey.

Sara Sharif
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Sara Sharif

Batool repeatedly told her sister that Sharif was hitting Sara for being “naughty”, “rude and rebellious”, and because she had cut up his clothes, hidden keys and torn up documents.

Batool, 30, Urfan Sharif, 42, and Sara’s uncle, 29-year-old Faisal Malik, are accused of carrying out a campaign of abuse culminating in Sara’s murder on 8 August last year.

As early as February 2020, Batool described Sharif as going on a “rampage” after spilling hot tea, saying he was “possessed”.

Writing about 10 photographs of Sara, she wrote: “This is how bad he is beating her… I feel really sorry for her. He beat the crap out of her.”

On another occasion, Batool said Sharif “went ballistic” and “beat Sara up like crazy”. She expressed fears he could break an arm or leg.

In May 2021, Batool told Ms Saboohi: “Not great in our house, it’s all a bit manic. Urfan beat the crap out of Sara and my mind is all in bits. I really want to report him.

“Why the hell doesn’t Urfan learn – she’s covered in bruises, literally beaten black.”

Afterwards, Sharif sat “on his fat bum” and played the board game Ludo, she said.

She went on: “Why the hell I’m even letting him in the house. I’m sorry for Sara, poor girl cannot walk. She literally fainted in the kitchen in the morning. He made her do sit-ups all night.”

Asked what Sara had done, Batool said: “Because she hid the keys.”

By 2022, Batool said she was planning to get some “legal advice” but was advised by her sister to give it time and not to rush.

Urfan Sharif, Beinash Batool and Faisal Malik. Pics: Surrey Police
Image:
Urfan Sharif, Beinash Batool and Faisal Malik. Pics: Surrey Police

In an update later that year, Batool said she was thinking about taking Sara out of school, saying: “I don’t want to but kinda don’t have a choice.

“I’m just fed up of her behaviour and Urfan’s. Sara’s body is literally bruised because Urfan beat her up. I cannot even cover it up.

“He beat Sara up yesterday and I can’t send her to school on Monday looking like that.

“She ripped Urfan’s documents in front of him and was being rude and rebellious.”

Referring to an image of Sara in a hijab, Batool wrote: “You haven’t even seen her body, it’s a whole lot worse.”

Days later, she said Sara’s school was worried about her and Sharif was “stressed” about it.

In an apparent reference to Sara’s injuries, she wrote: “Urfan told me to cover it up with makeup and she’s going to wear sunglasses.”

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Two months before Sara died, Batool referred to “Sara’s antics”, telling her sister: “Urfan beat the crap out of Sara… Yeah, he beat her up like crazy.

“Her oxygen level dropped really low, she’s finding it hard to stay awake.”

Asked if Sharif had hit her on the head, Batool said: “Nah, but she’s breathing really rapidly.”

The day before Sara died, Ms Saboohi tried to make contact but Batool told her she was “not in the mood to speak”.

Two days later, the defendants were captured on CCTV as they prepared to board a flight to Pakistan from Heathrow Airport.

That CCTV has now been shown to the jury.

On 10 August last year, police found Sara’s body in a bunkbed after Sharif called from Pakistan to say he had beaten her up “too much” for “being naughty”.

William Emlyn Jones KC, the prosecutor, has previously told jurors it was disputed whether messages Batool sent to two of her sisters were accurate or gave a full picture.

All three defendants, formerly of Hammond Road in Woking in Berkshire, have denied murder and causing or allowing the death of a child between 16 December 2022 and 9 August 2023.

The trial continues.

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Budget: Hostile market response as chancellor suffers Halloween nightmare

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Budget: Hostile market response as chancellor suffers Halloween nightmare

First things first: don’t panic.

What you need to know is this. The budget has not gone down well in financial markets. Indeed, it’s gone down about as badly as any budget in recent years, save for Liz Truss’s mini-budget.

The pound is weaker. Government bond yields (essentially, the interest rate the exchequer pays on its debt) have gone up.

That’s precisely the opposite market reaction to the one chancellors like to see after they commend their fiscal statements to the house.

In hindsight, perhaps we shouldn’t be surprised.

After all, the new government just committed itself to considerably more borrowing than its predecessors – about £140bn more borrowing in the coming years. And that money has to be borrowed from someone – namely, financial markets.

But those financial markets are now reassessing how keen they are to lend to the UK.

More on Budget 2024

The upshot is that the pound has fallen quite sharply (the biggest two-day fall in trade-weighted sterling in 18 months) and gilt yields – the interest rate paid by the government – have risen quite sharply.

This was all beginning to crystallise shortly after the budget speech, with yields beginning to rise and the pound beginning to weaken, the moment investors and economists got their hands on the budget documentation.

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Chancellor challenged over gilt yield spike

But the falls in the pound and the rises in the bond yields accelerated today.

This is not, to be absolutely clear, the kind of response any chancellor wants to see after a budget – let alone their first budget in office.

Indeed, I can’t remember another budget which saw as hostile a market response as this one in many years – save for one.

That exception is, of course, the Liz Truss/Kwasi Kwarteng mini-budget of 2022. And here is where you’ll find the silver lining for Keir Starmer and Rachel Reeves.

The rises in gilt yields and falls in sterling in recent hours and days are still far shy of what took place in the run up and aftermath of the mini-budget. This does not yet feel like a crisis moment for UK markets.

But nor is it anything like good news for the government. In fact, it’s pretty awful. Because higher borrowing rates for UK debt mean it (well, us) will end up paying considerably more to service our debt in the coming years.

Rachel Reeves and Chief Secretary to the Treasury Darren Jones prepare to leave 11 Downing Street
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Rachel Reeves leaving 11 Downing Street before the budget. Pic: PA

And that debt is about to balloon dramatically because of the plans laid down by the chancellor this week.

And this is where things get particularly sticky for Ms Reeves.

In that budget documentation, the Office for Budget Responsibility said the chancellor could afford to see those gilt yields rise by about 1.3 percentage points, but then when they exceeded this level, the so-called “headroom” she had against her fiscal rules would evaporate.

Read more:
Chancellor defends £40bn tax rises
Hefty tax and spending plans a huge gamble – analysis

In other words, she’d break those rules – which, recall, are considerably less strict than the ones she inherited from Jeremy Hunt.

Which raises the question: where are those gilt yields right now? How close are they to the danger zone where the chancellor ends up breaking her rules?

Short answer: worryingly close. Because, right now, the yield on five-year government debt (which is the maturity the OBR focuses on most) is more than halfway towards that danger zone – only 56 basis points away from hitting the point where debt interest costs eat up any leeway the chancellor has to avoid breaking her rules.

Now, we are not in crisis territory yet. Nor can every move in currencies and bonds be attributed to this budget.

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Markets are volatile right now. There’s lots going on: a US election next week and a Bank of England decision on interest rates next week.

The chancellor could get lucky. Gilt yields could settle in the coming days. But, right now, the UK, with its high level of public and private debt, with its new government which has just pledged to borrow many billions more in the coming years, is being closely scrutinised by the “bond vigilantes”.

A Halloween nightmare for any chancellor.

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