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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.

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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.

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.

‘Worst we’ve ever seen’

On 1 January, Sky News counted 24 ambulances parked outside the A&E department at the Royal Stoke University Hospital.

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.

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Half of Staffordshire ambulances queuing outside hospital

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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.

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Asylum seekers face being removed from Epping hotel after council granted High Court injunction

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Asylum seekers face being removed from Epping hotel after council granted High Court injunction

A council has won its bid to temporarily block asylum seekers from being housed at a hotel in Essex.

Epping Forest District Council sought an interim injunction to stop migrants from being accommodated at the Bell Hotel in Epping, which is owned by Somani Hotels Limited.

A government attempt to delay the application was rejected by the High Court judge earlier on Tuesday.

The interim injunction now means the hotel has to be cleared of its occupants within 14 days.

Somani Hotels said it intended to appeal the decision.

Several protests have been held outside the hotel in recent weeks after an asylum seeker housed there was charged with sexually assaulting a 14-year-old girl.

Hadush Gerberslasie Kebatu, 38, was charged with trying to kiss a teenage girl and denies the allegations. He is due to stand trial later this month.

Police officers ahead of a demonstration outside The Bell Hotel in July. Pic: PA
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Police officers ahead of a demonstration outside The Bell Hotel in July. Pic: PA

At a hearing last week, barristers for the council claimed Somani Hotels breached planning rules because the site is not being used for its intended purpose as a hotel.

Philip Coppel KC, for the council, said the problem was “getting out of hand” and “causing great anxiety” to local people.

He said the hotel “is no more a hotel [to asylum seekers] than a borstal to a young offender”.

File pic: PA
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File pic: PA

Piers Riley-Smith, for Somani Hotels Limited, said a “draconian” injunction would cause “hardship” for those in the hotel, arguing “political views” were not grounds for an injunction to be granted.

He also said contracts to house asylum seekers were a “financial lifeline” for the hotel, which was only 1% full in August 2022, when it was open to paying customers.

Protesters and counter-demonstrators outside The Bell Hotel in July. Pic: PA
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Protesters and counter-demonstrators outside The Bell Hotel in July. Pic: PA

The hotel housed migrants from May 2020 to March 2021, then from October 2022 to April 2024, with the council never instigating any formal enforcement proceedings against this use, Mr Riley-Smith said.

They were being placed there again in April 2025 and Mr Riley-Smith said a planning application was not made “having taken advice from the Home Office”.

At the end of the hearing last week, Mr Justice Eyre ordered that Somani Hotels could not “accept any new applications” from asylum seekers to stay at the site until he had made his ruling on the temporary injunction.

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TikTok and Instagram accused of targeting teens with suicide and self-harm content

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TikTok and Instagram accused of targeting teens with suicide and self-harm content

TikTok and Instagram have been accused of targeting teenagers with suicide and self-harm content – at a higher rate than two years ago.

The Molly Rose Foundation – set up by Ian Russell after his 14-year-old daughter took her own life after viewing harmful content on social media – commissioned analysis of hundreds of posts on the platforms, using accounts of a 15-year-old girl based in the UK.

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The charity claimed videos recommended by algorithms on the For You pages continued to feature a “tsunami” of clips containing “suicide, self-harm and intense depression” to under-16s who have previously engaged with similar material.

One in 10 of the harmful posts had been liked at least a million times. The average number of likes was 226,000, the researchers said.

Mr Russell told Sky News the results were “horrifying” and showed online safety laws are not fit for purpose.

Molly Russell died in 2017. Pic: Molly Rose Foundation
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Molly Russell died in 2017. Pic: Molly Rose Foundation

‘This is happening on PM’s watch’

He said: “It is staggering that eight years after Molly’s death, incredibly harmful suicide, self-harm, and depression content like she saw is still pervasive across social media.

“Ofcom’s recent child safety codes do not match the sheer scale of harm being suggested to vulnerable users and ultimately do little to prevent more deaths like Molly’s.

“The situation has got worse rather than better, despite the actions of governments and regulators and people like me. The report shows that if you strayed into the rabbit hole of harmful suicide self-injury content, it’s almost inescapable.

“For over a year, this entirely preventable harm has been happening on the prime minister’s watch and where Ofcom have been timid it is time for him to be strong and bring forward strengthened, life-saving legislation without delay.”

Ian Russell says children are viewing 'industrial levels' of self-harm content
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Ian Russell says children are viewing ‘industrial levels’ of self-harm content

After Molly’s death in 2017, a coroner ruled she had been suffering from depression, and the material she had viewed online contributed to her death “in a more than minimal way”.

Researchers at Bright Data looked at 300 Instagram Reels and 242 TikToks to determine if they “promoted and glorified suicide and self-harm”, referenced ideation or methods, or “themes of intense hopelessness, misery, and despair”.

They were gathered between November 2024 and March 2025, before new children’s codes for tech companies under the Online Safety Act came into force in July.

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What are the new online rules?

Instagram

The Molly Rose Foundation claimed Instagram “continues to algorithmically recommend appallingly high volumes of harmful material”.

The researchers said 97% of the videos recommended on Instagram Reels for the account of a teenage girl, who had previously looked at this content, were judged to be harmful.

Some 44% actively referenced suicide and self-harm, they said. They also claimed harmful content was sent in emails containing recommended content for users.

A spokesperson for Meta, which owns Instagram, said: “We disagree with the assertions of this report and the limited methodology behind it.

“Tens of millions of teens are now in Instagram Teen Accounts, which offer built-in protections that limit who can contact them, the content they see, and the time they spend on Instagram.

“We continue to use automated technology to remove content encouraging suicide and self-injury, with 99% proactively actioned before being reported to us. We developed Teen Accounts to help protect teens online and continue to work tirelessly to do just that.”

TikTok

TikTok was accused of recommending “an almost uninterrupted supply of harmful material”, with 96% of the videos judged to be harmful, the report said.

Over half (55%) of the For You posts were found to be suicide and self-harm related; a single search yielding posts promoting suicide behaviours, dangerous stunts and challenges, it was claimed.

The number of problematic hashtags had increased since 2023; with many shared on highly-followed accounts which compiled ‘playlists’ of harmful content, the report alleged.

A TikTok spokesperson said: “Teen accounts on TikTok have 50+ features and settings designed to help them safely express themselves, discover and learn, and parents can further customise 20+ content and privacy settings through Family Pairing.

“With over 99% of violative content proactively removed by TikTok, the findings don’t reflect the real experience of people on our platform which the report admits.”

According to TikTok, they not do not allow content showing or promoting suicide and self-harm, and say that banned hashtags lead users to support helplines.

Read more:
Backlash against new online safety rules
Musk’s X wants ‘significant’ changes to OSA

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Why do people want to repeal the Online Safety Act?

‘A brutal reality’

Both platforms allow young users to provide negative feedback on harmful content recommended to them. But the researchers found they can also provide positive feedback on this content and be sent it for the next 30 days.

Technology Secretary Peter Kyle said: “These figures show a brutal reality – for far too long, tech companies have stood by as the internet fed vile content to children, devastating young lives and even tearing some families to pieces.

“But companies can no longer pretend not to see. The Online Safety Act, which came into effect earlier this year, requires platforms to protect all users from illegal content and children from the most harmful content, like promoting or encouraging suicide and self-harm. 45 sites are already under investigation.”

An Ofcom spokesperson said: “Since this research was carried out, our new measures to protect children online have come into force.

“These will make a meaningful difference to children – helping to prevent exposure to the most harmful content, including suicide and self-harm material. And for the first time, services will be required by law to tame toxic algorithms.

“Tech firms that don’t comply with the protection measures set out in our codes can expect enforcement action.”

Peter Kyle has said opponents of the Online Safety Act are on the side of predators. Pic: PA
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Peter Kyle has said opponents of the Online Safety Act are on the side of predators. Pic: PA

‘A snapshot of rock bottom’

A separate report out today from the Children’s Commissioner found the proportion of children who have seen pornography online has risen in the past two years – also driven by algorithms.

Rachel de Souza described the content young people are seeing as “violent, extreme and degrading”, and often illegal, and said her office’s findings must be seen as a “snapshot of what rock bottom looks like”.

More than half (58%) of respondents to the survey said that, as children, they had seen pornography involving strangulation, while 44% reported seeing a depiction of rape – specifically someone who was asleep.

The survey of 1,020 people aged between 16 and 21 found that they were on average aged 13 when they first saw pornography. More than a quarter (27%) said they were 11, and some reported being six or younger.

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.

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Ed Conway: Something odd is happening in the markets – with no compelling explanation

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Ed Conway: Something odd is happening in the markets - with no compelling explanation

There is one thing scarier than markets lurching around. And that’s markets lurching around without a very compelling explanation.

Just yesterday, the yield on the government’s 30-year bonds – the best measure out there of the UK government’s long-term cost of borrowing – closed at the highest level since 1998, not long after Oasis released the album Be Here Now. Indeed, the yields on pretty much all UK government debt has been creeping up in recent weeks, though not all are back to Britpop era levels.

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In some senses, this looks very odd indeed. After all, the Bank of England just cut interest rates. In normal circumstances, you would expect measures of borrowing costs to be falling across the board. But clearly these are not normal times.

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‘Is the Bank worried about recession risk?’

All of which raises the question: is this a UK-specific phenomenon? Are markets singling out Britain for particular concern, much as they did after Liz Truss’s notorious mini-budget? Actually, there are more questions on top of that one. For instance, is this all about Rachel Reeves’s recent woes, and her need to find another £20bn, give or take, to make her sums add up? Are investors fretting about the Bank of England’s inflation-fighting credibility, given its cutting rates even as prices rise?

The short answer, I’m afraid, is that no one really knows. But a glance at a few metrics can at least provide a bit of context.

The first thing to note is that while government borrowing costs in the UK are up, they have also been rising in other leading economies. The UK, it’s worth saying, is a bit of an outlier with higher yields than in fellow G7 nations. But that’s not exactly a new thing: it’s been the case since the mini-budget. But the UK is a particularly ugly duckling in a lake full of them.

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Are taxes going to rise?

Indeed, look at other nations, and you see that Britain’s budgetary challenges are hardly unique. The US and France have ballooning budget deficits which are rising rapidly. Most European nations have pledged enormous increases in military spending to satisfy Donald Trump’s demands of NATO.

And over the Atlantic, the US administration has just committed to a sweeping set of generous fiscal measures, under its One Big Beautiful Bill Act. Even Elon Musk has voiced concerns about what this means for the deficit (which is set to continue rising ad infinitum, at least on paper).

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All of which brings us to the broader, possibly scarier, lesson. There are signs afoot that while G7 nations could depend for decades on other surplus countries – most notably China and other Asian countries – buying vast amounts of their debt in recent years, that might no longer be the case. In short, even as rich countries borrow like crazy, it’s becoming less clear who will lend them the money.

That’s an enormous conundrum, and not good news for anyone.

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