Almost half of ambulance crews were delayed by more than half an hour dropping off patients at England’s A&E departments in the week to New Year’s Day, new figures reveal.
Some 44% were delayed by 30 minutes or more – the highest proportion on record.
More than a quarter (26%) were delayed by more than an hour.
The figures lay bare the pressures hospitals have faced in recent weeks, with flu cases rising by 47%.
Prime Minister Rishi Sunak acknowledged the “enormous pressure” the NHS is under, and repeated his commitment to tackling waiting lists, which he first outlined during his first major speech of 2023 on Wednesday.
Speaking to broadcasters during a visit to a London school, Mr Sunak said that moving people out of hospitals into social care and communities, in order to free up hospital beds, is “one of the most powerful” ways to cut down ambulance waiting times and ease pressures on A&E departments.
He added that the government is also supporting the NHS “with billions of pounds of extra funding,” blaming the COVID-19 pandemic for current challenges.
More on Nhs
Related Topics:
Flu cases up almost half in a week
New figures from NHS England showed there were 5,105 patients with flu in general and acute hospital beds, up from 3,479 the previous week.
Advertisement
The number of patients in critical care beds with flu also increased by 26%, up from 267 the previous week, to 336. The NHS 111 service answered the second highest number of calls ever in a week – 410,618.
The importance of ‘flow’ in the context of NHS pressures
Anyone following the media coverage of the NHS winter crisis will have heard health leaders use the word “flow”.
It’s a deceptively simple word and its importance in the context of NHS pressures can’t be understated.
It explains how a functioning health system should work: sick patients arrive, are treated and then discharged. The uninterrupted flow of patients through a hospital.
But too many patients are stuck in hospital when they should be back in the community. That is because there are no social care packages for them in place for a safe discharge.
This week’s NHS winter data shows a slight fall in the number of these patients. That is an encouraging sign.
There are huge efforts underway to manage these patients with initiatives like virtual wards and more rapid community discharge teams. These all help but are not a solution to an underfunded and under resourced social care system.
There is also the caveat that any figures covering Christmas and New Year might not be totally accurate. The next set of figures will show if that trend continues.
Professor Sir Stephen Powis, NHS national medical director, said that adding extra call handlers and establishing community services would ensure the NHS is in the “best place possible to provide care”.
He maintained that “good progress” is being made on the effort to put 7,000 extra beds in place by March.
A member of ambulance staff told Sky News that at one point in the day their official dashboard showed 32 ambulances were stuck waiting to transfer patients at the hospital, with additional vehicles waiting round the back of the hospital after space at the front was taken.
Please use Chrome browser for a more accessible video player
2:35
Half of Staffordshire ambulances queuing outside hospital
Paramedic and representative of the UNISON union, Dennis Hodgkins, who works in Staffordshire, said that the situation is the “worst we’ve ever seen”.
He added that the “chances of survival are going to be reduced massively” following some Category One calls – like heart attacks or anaphylactic shocks – having taken him 25 minutes to respond to, 18 minutes more than the seven minute target.
European leaders who make up the ‘coalition of the willing’ are set to hold a conference call on Sunday – ahead of crunch talks between Donald Trump and Ukraine’s Volodymyr Zelenskyy next week.
The coalition – co-chaired by Sir Keir Starmer, France’s President Emmanuel Macron and Germany’s Chancellor Friedrich Merz – has the aim of bringing countries together to protect a peace deal in Ukraine.
Top of the agenda at Sunday’s meeting will be securing a concrete commitment from Mr Trump on a security guarantee that would act as a powerful backstop in any Russia-Ukraine peacekeeping arrangement.
European leaders seemed buoyed by the US president’s most recent hints on the subject, in the knowledge that US military might is likely to deter Vladimir Putin from advancing in the future.
They will also discuss how to bring Mr Zelenskyy into talks after Mr Trump and Mr Putin’s Alaska meeting saw him left out in the cold.
Image: The Russian and US presidents met in Alaska on Friday. Pic: AP
Image: Volodymyr Zelenskyy. Pc: Reuters
In coordinated statements, European leaders said Mr Zelenskyy must play a greater role in future talks, and that peace cannot be achieved without him.
The hard bit will be to persuade the unpredictable US administration to change its approach, something that has proved almost impossible in the past.
Please use Chrome browser for a more accessible video player
5:55
Trump and Putin’s body language analysed
When Mr Trump re-entered the White House and made it clear the US would no longer provide a blank cheque to protect peace in Europe, others decided they had to step up, and the ‘coalition of the willing’ was thrown together in March.
Since then, information about the allied peacekeeping effort has been patchy, but we know it includes over 30 countries, which have been asked to pledge whatever military support they can, including troops.
Please use Chrome browser for a more accessible video player
In a small hut next to Newlyn Harbour at the bottom of Cornwall, the next generation of fishermen are quite literally learning the ropes.
Around a dozen students are on the eighth day of a two-week intensive course to become commercial fishers.
From knot and ropework to chart plotting, navigation to sea survival, by the end of the course they’ll be qualified to take a berth on a vessel.
While many are following in the footsteps of their fathers, others are here to try an entirely different career.
Image: Elliot Fairbairn
Elliot Fairbairn, 28, is originally from London and has been working as a groundworker.
“I’m not from a fishing family – I just like a challenge,” he says.
He’s put his current job on hold to see how fishing works out.
More on Cornwall
Related Topics:
“It makes you feel good doing a hard job.I think that’s what’s getting lost these days, people want an easy job, easy money and they don’t understand what it takes to be successful. Sometimes you’ve got to put that in the work.”
Elliot already has a job lined up for next week on a ring-netter boat.
“I’m ecstatic – I’m very pumped!” he tells me.
Image: Students take part in a two-week intensive course to become commercial fishers
Also on the course is 17-year-old Oscar Ashby. He’s doing his A-Levels at Truro College and training to be a healthcare worker at the main hospital in Cornwall.
“I’m part of the staff bank so can work whatever hours I want – which would fit quite well if I wanted to do a week’s fishing,” he says.
It’s his love of being outside that has drawn him to get qualified.
“It’s hands-on, it’s not a bad way to make money. It’s one of the last jobs that is like being a hunter-gatherer really – everything else is really industrialised, ” Oscar says.
The course was over-subscribed.
The charity that runs it – Seafood Cornwall Training – could only offer places to half those who applied.
‘A foot in the door’
“The range of knowledge they’re gathering is everything from how to tie a few knots all the way on how to register with HMRC to pay and manage their tax because they’d be self-employed fishermen,” manager Clare Leverton tells me.
“What we’re trying to do with this course is give them a foot in the door.
“By meeting our tutors, skippers on the quay, vessel managers, they start to understand who they’re going to have to talk to to get jobs.”
Getting fresh blood into the industry is vital.
Over the last 30 years, the number of fishermen in the UK has nearly halved – from around 20,000 to 10,000.
The average age of a fisherman in the UK is 55.
Aging workforce
Image: Mike Cohen, chief executive of the National Federation of Fishermen’s Organisations
“I think we’re seeing the effects of having an aging workforce,” says Mike Cohen, chief executive of the National Federation of Fishermen’s Organisations (NFFO).
“Fishing is a traditional occupation in most places around the country. A lot of family businesses, and as people are getting older, they’re starting to retire out of the industry.”
The decline comes at a time of frustration and anger in the industry too.
Many feel the prime minister’s post-Brexit deal with the EU back in May sold fishing out by guaranteeing another 12 years of access to EU boats to fish in UK waters, rather than allowing it to be negotiated annually.
“A large part of the effort the EU exerts in UK waters is within our territorial waters, so within 12 miles of the shore. And that’s the area that’s most pressured,” adds Mr Cohen.
“For new people getting into the industry it’s the area that they can reach in the sort of small boats that new starters tend to work in. They’re increasingly pressured in that space and by keeping all of those European boats having access to it for free, for nothing, that puts them under even more pressure.”
The government says it will always back “our great British fishing industry” and insists the EU deal protects Britain’s fishing access.
‘A brilliant career’
To further promote getting young people into commercial fishing, the Cornwall Fish Producers Organisation has helped set up the Young Fishermen Network.
Skipper Tom Lambourne, 29, helped set up the group.
“There’s not enough young people coming into it and getting involved in it,” he says.
“It’s actually a brilliant career. It’s a hard career – you do have to sacrifice a lot to get a lot out of fishing – your time is one of them. But the pros of that certainly outweigh it and it’s a really good job.”
Image: Tom Lambourne, from the Young Fishermen Network
Tom says the network supports new fishers by holding social events and helping them find jobs: “There’s never been a collective for young fishermen.
“For a youngster getting into the fishing industry to be sort of part of that – knowing there’s other youngsters coming in in the same position – they can chat to one another, it’s pretty cool really.”
A man was ejected from Anfield after reports of racial abuse directed at Bournemouth winger Antoine Semenyo during the season’s opening Premier League game against Liverpool.
Match referee Anthony Taylor paused play in the 29th minute after Semenyo accused a spectator of racist abuse.
An anti-discrimination message was read out to the Anfield crowd, and it is understood that police officers went into the referee’s room at half-time.
Merseyside Police said an investigation is under way after the 47-year-old man’s identity was confirmed and he was removed from the ground.
Chief Inspector Kev Chatterton, the match commander for the Liverpool v Bournemouth game, said: “Merseyside Police will not tolerate hate crime of any form.
“We take incidents like this very seriously, and in cases like this we will be proactively seeking football banning orders, with the club, against those responsible.”
He added: “There is no place for racism and it is vital that anyone who witnesses such an offence reports it to stewards, or the police immediately, so we can take the necessary action like we did this evening.
More on Racism In Football
Related Topics:
“As with all matches, we work very closely with both Liverpool and Everton FC to ensure the safety of the public, and the players.”
A spokesperson for Liverpool said the club was “aware of an allegation of racist abuse made during our Premier League game against Bournemouth”.
Image: Semenyo with his teammates during the match. Pic: PA
The Liverpool spokesperson said: “We condemn racism and discrimination in all forms, it has no place in society, or football.
“The club is unable to comment further as tonight’s alleged is incident is the subject of an ongoing police investigation, which we will support fully.”
After the incident, Semenyo scored twice in the second half to help bring Bournemouth back from two goals down at Anfield before Liverpool went on to eventually win the contest 4-2.
Bournemouth captain Adam Smith told Sky Sports News afterwards: “It shouldn’t be happening. I don’t know how Ant’s played on to be honest and come up with those goals. It’s totally unacceptable.
“Something needs to be done. Taking the knee isn’t having an effect. We’re supporting him and hopefully he’ll be OK.
“I wanted him to react because that’s what I would have done, but this shows what type of man he is…to come up with those goals showed the type of guy he is.
“To be fair the Liverpool players were very supportive as well towards Antoine and the rest of the team. It was handled in the right way but… so angry.
“I don’t know what else we can do. No one’s getting it. I don’t know what to say anymore. I just feel for Ant… shocking.”
The Premier League said in a statement that its “on-field anti-discrimination protocol” had been followed and the incident “will now be fully investigated”.
“We offer our full support to the player and both clubs,” it added. “Racism has no place in our game, or anywhere in society. We will continue to work with stakeholders and authorities to ensure our stadiums are an inclusive and welcoming environment for all.”
The Football Association said it was “concerned” about the allegation of racism towards Semenyo and that it would ensure “appropriate action” would be taken.
The incident comes two days after Tottenham Hotspur player Mathys Tel faced racist abuse online following a missed penalty in his team’s UEFA Super Cup victory over Paris Saint-Germain.