Ambulance and hospital trusts across the country have declared critical incidents as a result of “sustained” and “unprecedented” pressure on services.
Declaring a critical incident allows trusts to prioritise the patients most in need and to instigate additional measures to protect patient safety, trusts said.
It comes as nurses were striking for a second day on Tuesday, and as fears grow over the impact of an ambulance strike on Wednesday – when thousands of paramedics, technicians, control room workers and other staff in England and Wales are set to walk out.
The following services have declared critical incidents:
• North East Ambulance Service • South East Coast Ambulance Service • East of England Ambulance Service • Portsmouth Hospitals University NHS Trust • Nottingham and Nottinghamshire’s health and care system • South Central Ambulance Service NHS Foundation Trust • Yorkshire Ambulance Service
Image: Members of the Royal College of Nursing (RCN) at the Queen Elizabeth Hospital in Birmingham are among those striking
The services said they took their decisions due to pressures including 999 call volumes and hospital handover delays. All the trusts have urged members of the public to call 999 only in the case of a serious medical emergency.
As well as prioritising certain patients, critical incident status allows trusts to call off training sessions and bookings for non-emergency transportation, and call on other providers for help.
What have the different trusts said?
Advertisement
North East Ambulance Service, which operates across Northumberland, Tyne and Wear, County Durham, Darlington and Teesside, said the decision was made there as a result of “significant delays for more than 200 patients waiting for an ambulance, together with a reduction in ambulance crew availability to respond because of delays in handing over patients at the region’s hospitals”.
Chief operating officer Stephen Segasby said: “Our service is under unprecedented pressure. Declaring a critical incident means we can focus our resources on those patients most in need and communicates the pressures we are under to our health system partners who can provide support.”
He said the trust had been operating at “its highest level of operational alert since 5 December”.
South East Coast Ambulance Service, which covers Brighton and Hove, East Sussex, West Sussex, Kent, Surrey and North East Hampshire, said it had experienced “more than a week of sustained pressure across our 999 and 111 services, significantly impacting on our ability to respond to patients”.
A spokesperson said the situation would be kept under close review.
The East of England Ambulance Service, which works in Bedfordshire, Hertfordshire, Essex, Norfolk, Suffolk and Cambridgeshire, said NHS services in the region “are currently under huge pressure”, while London Ambulance Service also said its 999 and 111 services “remain extremely busy” and it would be prioritising the “sickest and most severely injured patients”.
Ambulances could be seen queuing outside Lister Hospital in Stevenage, Hertfordshire, on Tuesday.
Nottingham University Hospitals NHS Trust said some appointments would be rescheduled. Medical director Dr Keith Girling said staff were working “tirelessly” to deal with a “large number of people with illnesses arriving in emergency departments seeking assistance”.
Dr Girling continued: “We regret that this will impact patients who were due to receive planned care over the next few days and sincerely apologise to all those affected.”
A spokesperson for the hospital reassured patients that these appointments “will be rescheduled as soon as possible.”
Their statement added: “If your relative is due to be discharged from hospital and needs to be collected, please do so as early as possible. This will help our teams and free up a hospital bed for someone waiting to be admitted.”
In a statement, Portsmouth Hospitals University NHS Trust, which covers health services across Portsmouth and South East Hampshire, said “demand for an emergency response is far outstripping the capacity available… at this time”.
It continued: “There are significant and unacceptable delays currently and we apologise for this. We are doing everything in our power to meet the current demand. Our capacity will only be used for life-threatening conditions or injuries.”
Ambulance workers set to stage strikes
Please use Chrome browser for a more accessible video player
0:26
Nurse: ‘We’re committed to continue strikes’
Thousands of nurses are staging a second walkout today, while ambulance workers who are GMB union members are striking on Wednesday. Both are calling for better pay, working conditions and improved conditions for patients.
The government has announced controversial plans to deploy more than 1,000 civil servants and 1,200 troops to cover striking ambulance workers and Border Force staff, who are preparing to walk out for eight days from 23 December until New Year’s Eve.
Unions branded the move a “desperate measure” and warned the servicemen and women are not “sufficiently trained” to plug staffing gaps on the front line.
During the ambulance strike, military personnel will not drive ambulances on blue lights for the most serious calls, but are expected to provide support on less serious calls.
Negotiations over which incidents should be exempt from strike action
Unions and ambulance services are still negotiating to work out which incidents should be exempt from strike action.
All Category 1 calls (the most life-threatening, such as cardiac arrest) will be responded to, while some ambulance trusts have agreed exemptions with unions for specific incidents within Category 2 (serious conditions, such as stroke or chest pain).
It means those who suffer trips, falls or other non-life-threatening injuries may not receive treatment.
The London Ambulance Service has said that “patients whose conditions are not life-threatening are unlikely to get an ambulance on industrial action days”.
GMB members are set to stage a second ambulance worker walkout on 28 December.
Rachel Harrison, a national secretary at the GMB trade union, has told MPs that unless the health secretary is willing to talk about pay, ambulance strikes will go ahead.
At a community food table in Staffordshire, produce is being handed out for free.
“I need to come here otherwise we’d be living on bread,” Rebecca Flynn told Sky News.
The 51-year-old said: “I’m earning pretty decent money, but it’s not enough.”
Image: Rebecca Flynn
It gives you an insight into just how deeply the cost of living crisis is biting – because Rebecca is working full-time as an office manager for a day service for people with learning difficulties.
On top of that, she has a second job going door-to-door on evenings and weekends, selling cosmetics and homeware.
“There’s nothing more I can do. Unless I win the lottery or get another job. It should be noticed that people are in this state,” she says.
“Local councils, local governments, they need to see what’s going on, come to ground level. It’s 2025. It shouldn’t be like this.”
But it’s not just Rebecca working all hours and needing food handouts to survive.
Alex Chapman is the co-founder of the Norton Canes Community Food Table, and says a third of the people who use it are working full-time.
“It’s mad that you’re working a good job and you think you’d be able to afford everything and go on holiday and everything like that, but in reality they’re struggling to put food on the table,” he says.
“We’re seeing a massive increase in the people that are using the food table. We see them in their work outfits. Professionals, nurses – you don’t expect them to be struggling because they’re working full-time. People who aren’t working – you expect them to be struggling. But it’s across the board.”
Image: Cannock Chase
The food table is in Cannock Chase.
Sky News analysis of local authorities gives an insight into why people are feeling dissatisfied their salaries are no longer delivering the comfortable lifestyles they thought hard work and a good job would deliver.
Over the past few years, Cannock Chase has gone from being a middle-class part of Britain to one of the lowest-earning areas in the UK.
In 2021, UK average annual salaries were just short of £26,000 – Cannock Chase was almost identical, according to Sky News analysis of Annual Survey of Hours and Earnings data from the Office for National Statistics (ONS).
Since then, the UK average wage has increased by 21.6% – or more than £5,000 a year – keeping pace with high inflation.
But in Cannock Chase, salaries have only risen by 8.4% – meaning on average people are now £300 worse off per month than the average worker across the UK.
SEE HOW YOUR AREA HAS COPED WITH THE COST OF LIVING CRISIS
It won’t have escaped your attention that prices have gone up, by a lot – by a fifth since 2021, the highest sustained rate since the 1990s – with some of the biggest rises among essentials like energy and food.
But, across the whole country, wages have actually done a pretty good job at keeping up with inflation. The problem is that the wage increase is an average, made up of highs and lows, while the price rises affect us more uniformly.
That means if you haven’t had a pay-rise, you will quite quickly find that you can’t afford as many of the things you used to.
People in places like Brentwood in Essex, the Cotswolds in rural Gloucestershire, and Melton in Leicestershire, have seen their wages increase at twice the rate of prices in the last few years, on average.
But on the other end of the scale are places like Cannock Chase, where inflation has been more than double the rate of wage increases.
It used to be a place where average earnings pretty much exactly reflected the UK midpoint. Now, people in Cannock are about £300 worse-off every month than the average person.
See how your area compares with our look-up.
Louise Schwartz, who has two children, describes herself as middle-class. After 20 years in the classroom she now has three jobs, working 50 hours a week as a teaching coach, at a software firm and giving private music lessons.
Her husband is an estate agent. They have a mortgage and three cars and together earn around £80,000 a year.
She says the family loves travelling together but can’t afford to go on holiday this year: “It makes me feel sad for my kids, more than anything, that we can’t give them a week away.
“We have food on the table, we’ve got heating, we’ve got cars to drive. But there are definitely some luxuries that we’ve cut back on recently.
“We don’t do expensive supermarkets. We don’t do expensive brands. We do whatever’s on offer for that particular week. My eldest son has started driving, which has then had an impact on my daughter’s horse-riding lessons.”
Image: Louise Schwartz
Louise adds that the family have a hot tub in the garden that they bought years ago, but because of the cost of electricity, they don’t use it.
I ask her: “What does it say that a teacher and an estate agent both working full time can’t afford to go on holiday this year?”
She replies: “I think a lot of people might not be surprised by that because I think people are probably in a similar position but maybe we just don’t talk about it.”
Full-time workers tell us again and again they thought their lifestyles would be more comfortable – that the work ethic would be delivering more than it is.
Image: Heidi Boot
It seems the dissatisfaction is not only what one person described as “robbing Peter to pay Paul”, but also the lack of what people refer to as “pleasure money”.
Heidi Boot is what you might call the backbone of the middle classes – running a small business full-time called HB Aesthetics, a salon that does eyebrows, eyelashes and nails.
“I feel like everybody is stretching their appointments. People are working so hard for their money and they’ve got nothing to show for it. They’ve paid all their bills and now they’ve got nothing left to spend on themselves,” she says.
“It shouldn’t be that way. But because I see it all the time I feel like it’s just the normal now.”
A man’s death may be linked to a “brutal” attack on a priest in a church, police have said.
Officers have begun a murder investigation after receiving a report that a man was found dead in Co Down.
The discovery was made at an address in the Marian Park area of Downpatrick at about 12pm on Sunday.
Police have arrested a 30-year-old man on suspicion of murder and he is in custody.
This comes after a priest was left in a serious condition in hospital following a “brutal attack” in a church in Downpatrick on Sunday morning.
It was reported to police that at about 10.10am, a man walked into St Patrick’s Church and hit Fr John Murray on the head with a bottle.
Superintendent Norman Haslett, district commander for Newry, Mourne and Down, said officers suspect the murder may be linked to the attack on the priest.
More from UK
“Inquiries are at an early stage and, at this time, we suspect this may be connected to a serious assault in the St Patrick’s Avenue area of Downpatrick on Sunday,” he said.
Detective Chief Inspector David McBurney said it was a “brutal attack” on the priest and appealed for people with information to come forward.
Sinn Fein MP for South Down, Chris Hazzard, said the attack on the priest and the death of the man in Downpatrick were “deeply shocking”.
“The death of a man, along with the vicious attack on Fr Murray in St Patrick’s Church, has deeply saddened and horrified the local community,” he said.
Please use Chrome browser for a more accessible video player
2:17
July: Why does it feel hotter in the UK?
Sky News meteorologist Christopher England said the high pressure that brought the warmth of the last few days via the “heat dome” effect is moving east, as low pressure moves in towards the west.
This will bring even warmer air up from the near continent, making it hotter for most over the next few days.
“Southern Britain can expect temperatures widely into the low 30s then, perhaps exceeding 35C (95F) in places,” Mr England said.
“There’s around a 10% chance Wales may exceed its august peak temperature of 35.2C recorded at Hawarden on 2 August 1990.”
More on Weather
Related Topics:
He also predicts “some very muggy nights” in the South, with temperatures quite widely holding above 20C (68F) in towns and cities, known as “tropical nights”.
X
This content is provided by X, which may be using cookies and other technologies.
To show you this content, we need your permission to use cookies.
You can use the buttons below to amend your preferences to enable X cookies or to allow those cookies just once.
You can change your settings at any time via the Privacy Options.
Unfortunately we have been unable to verify if you have consented to X cookies.
To view this content you can use the button below to allow X cookies for this session only.
A yellow health alert is in place from 12pm on Monday through to Wednesday evening for most of England – covering all regions except for the North West and North East.
The warning issued by the UK Health Security Agency means it expects heat-related issues such as an increase in deaths of over-65s, a higher demand on health services and an increased risk of overheating for vulnerable people.
Please use Chrome browser for a more accessible video player
2:11
Drought in England explained
The Met Office’s criteria for a heatwave are met when temperatures are above a certain level for three consecutive days. This threshold varies from 25C to 28C (77F to 82F) depending on location.
Meteorologist Tom Morgan said there would be a “North-South split in the weather” today.
He said it would be “quite cloudy across Scotland, Northern Ireland and parts of northern England, the rain tending to come and go, but most persistent in western Scotland”.
The remnants of ex-tropical storm Dexter has headed towards the UK from the Atlantic.
This could bring the potential of rain and thunderstorms tonight and into tomorrow.