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.
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.
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.
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“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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2:39
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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1:02
‘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.
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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1:07
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.
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.
There are 1,210 completed homes which cannot be occupied because of delays in the work of the government’s building safety regulator, Sky News can reveal.
The safety inspection regime created in the wake of the Grenfell tragedy, which claimed 72 lives, is “not fit for purpose”, according to those who depend on its work.
Sky News has visited an empty block of 99 flats in west London where future residents – who have purchased the properties – have been unable to move in for over a year because of the lack of regulator approval.
New data obtained exclusively by Sky News through a Freedom of Information request shows the extent of the issue.
Image: An empty block of 99 flats in Acton, west London
As of 1 August, there is “no decision” on eight applications covering 1,210 completed new residential units. For sites yet to be built, there are 156 applications with no decision, covering 34,965 new residential units.
Sir Keir Starmer says economic growth is his top priority and the 1.5 million new homes target this parliament is a key part of this agenda. But two years after its creation, the government agency has come under fire for failing to fulfil vital functions in a timely manner.
After complaints, the regulator has already faced one overhaul, and will shortly move from part of the Health and Safety Executive (HSE) to become an arm’s length body which is part of Angela Rayner’s Ministry of Housing, Communities and Local Government. But developers say they are still struggling to get answers from the body.
Image: Sir Keir Starmer has made new homes a major priority. Pic: Jack Taylor/PA
Sky News has conducted an analysis of public data and found the backlog growing.
New buildings ought to be signed off within a 12-week period, but Sky News found the percentage of applications determined inside that window is falling – from 47% at the end of September last year, to 32% by the end of March.
In a statement, leading financial analyst S&P said delays by the regulator are pushing up building costs and making it harder to deliver the key government target.
Chris Williamson, chief business economist at S&P, said: “We have received anecdotal feedback from a few companies regarding the Building Safety Act, indicating that some may be experiencing challenges related to orders. This could contribute to an increase in costs within the construction sector, which is already facing financial pressures.”
In an apparent admission of the issues, the government told Sky News it is now in the process of recruiting over 100 new staff to strengthen capacity by the end of the year.
In a statement to Sky News, the building safety regulator (BSR) itself said it had been a complex task creating a new safety body post Grenfell, in such a short time, and improvements are already being made.
It said: “BSR is working closely with industry to deliver safer, higher-quality buildings while advancing a culture of excellence in building safety.”
Executives from the BSR will appear before a Commons Select Committee later today. It also points the finger at property developers for failing to submit paperwork correctly. The industry vehemently rejects the claim, saying there are few guidelines of what to submit and the BSR makes little attempt to clarify what it wants.
A bad sign
However, problems persist.
Sky News saw how in one newly built property in Acton, west London, the sign-off for a building by the BSR was delayed in part because a sign was two millimetres too small and all the signs had to be changed.
This has contributed to a 14-month delay in a green light for residents to move in.
According to the Federation of Master Builders and the Chartered Institute of Building, 38% of developers believe planning delays are the number one issue.
Developers have told Sky News the agency was meant to speed up approvals by ending a system where they have to bring in external consultants to approve the application, but this has not yet happened.
Jon Spring, the managing director of Fairview Homes, said: “We currently have three applications that are delayed within the BSR. The current dates we’re looking at, that they’ve given us, one is six months, one is nine months, and one is 12 months. Clearly extremely different to the original three months that the process is supposed to take.
“That makes forecasting for when we’re going to start on site very difficult. We have tens of millions of pounds tied up in the three sites that we’re waiting to develop. And inevitably, the holding costs of those are considerable and affect the viability of the project.”
Image: Jon Spring, managing director of Fairview Homes
Mr Spring said the delays could make building unviable.
“If you look at each of our projects have been delayed, if […] it’s going to take 25% longer to deliver that project, that means that our productivity is ultimately reduced by 25%. That would be the same for all developers and therefore the reduction in housing that’s been delivered will be considerable.”
Developers ‘won’t touch’ high-rises
Jamie Lester, an estate agent from Haus Properties, said: “The government are encouraging property developers to build, build, build, and just get on with it – I think that’s what Keir Starmer said.
“But when there are buildings like this that can’t be signed off for over a year and are costing property developers, in this instance, £100,000 a week, I don’t understand.
“The government won’t encourage property developers to build like this any more. I know many property developers who won’t touch high-rise buildings at the moment simply because the building safety regulator can’t get their act together and sign these buildings off.”
Image: Jamie Lester, estate agent from Haus Properties
‘High standards’
A spokesperson for the HSE said: “Protecting residents, making sure there is never another tragedy like Grenfell, has been our priority throughout this process. Setting up a new regulator has been complex, and huge progress has been made in a short time. The construction industry must meet standards that will keep residents safe in high-rise buildings.
“The recently announced innovation unit is the result of ongoing discussions between industry and BSR to uphold high standards. BSR is working closely with industry to deliver safer, higher-quality buildings while advancing a culture of excellence in building safety.”
‘It has turned out to be a disaster’
Some have blamed the government, not the regulator itself. The boss of one major house building company, who did not want to be named, said ministers aren’t willing to face up to reality.
“Regulation comes from the government and the regulator is implementing the rules,” they said. “Their mandate is nothing to do with housing supply so it’s up to ministers to balance that. All the house builders said this would be a disaster and funnily enough it has turned out to be a disaster.”
A government spokesman from the housing department said problems were already being tackled and safety was important: “We’ve announced a package of reforms to reduce delays, including a fast track process to speed up new build decisions.”
Facing criticism for being on the back foot after a summer of protest outside asylum hotels, they were keen to defend their record and get back on track – but is it too late?
It’s a clear nod to the political void Reform UK has seized on while the prime minister has been on holiday.
Last week, Nigel Farage unveiled his party’s mass deportation policy – though the issue of women and children still seems to be worked out.
But perhaps none of that matters as voters overwhelmingly believe Reform cares about this issue – and as Chris Philp, the shadow home secretary, pointed out on Monday, voters have lost confidence in the government somewhat to solve what many see as an immigration crisis on their doorstep.
So it’s clear the strategy has changed from the government.
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15:11
‘Substantial reforms are needed now’
Gone are the bold slogans of “smashing the gangs” and instead, detail and policy was given on Monday. It was nothing new, but more substance on what the government has done and where they want to move to. Even controversially, reassessing their relationship with the European Convention on Human Rights (ECHR).
The biggest update though, was on their one-in-one-out policy agreement with France, which will now set to start returns later this month.
It’s finally hit home for the government that the public want proof not just rhetoric, and they want to know crucially when they will start to see change.
But the fightback, the reset, whatever the government wants to call it, will only make a difference once that finally starts to work.
Police are asking for help with an unsolved case, 52 years after the murder of a schoolboy in Belfast.
Brian McDermott was 10 when he disappeared from Ormeau Park on Sunday 2 September 1973. His remains were recovered from the River Lagan almost a week later.
Detectives from the Police Service of Northern Ireland’s Legacy Investigation Branch have given a timeline of events as part of their appeal.
Brian left his home on Well Street in the lower Woodstock Road area of east Belfast at around 12.30pm and failed to return for his Sunday dinner.
Detectives said he was last seen playing alone in the playground between 1pm and 3pm that afternoon.
His remains were recovered in the water, close to the Belfast Boat Club.
Image: River Lagan, where the remains of schoolboy Brian McDermott were recovered. Pic: PSNI handout/PA
A PSNI spokesperson said: “We are acutely aware of the pain and suffering that Brian’s family continue to feel, and our thoughts very much remain with the family at this time.
“Despite the passage of time, this murder case has never been closed and I am hopeful that someone may be able to provide information, no matter how small, which may open a new line of inquiry, or add a new dimension to information already available.
“It is also possible that someone who did not volunteer information at the time may be willing to speak with police now. Legacy Investigation Branch Detectives will consider all investigative opportunities as part of the review into Brian’s murder.”