Ambulance to A&E transfers: New data reveals the worst region in England for handover times
Patients in the South West of England are having to wait nearly three and a half times longer to get out of ambulances and into A&E compared to the national average.
Analysis of NHS data by Sky News has found in the week ending 1 January 2023, it took an average of two hours and 39 minutes to hand over patients to hospitals in the region, compared to 46 minutes nationally.
The target in England is 15 minutes.
Figures also show the six NHS Hospital Trusts with the longest handover times in England are all in the South West.
They are: University Hospitals Plymouth, Torbay and South Devon, Great Western Hospitals, Royal Cornwall Hospitals, North Bristol and Gloucestershire Hospitals.
So bad is the problem, that hospitals in the region have begun discharging patients who are well enough into local hotels, usually used by tourists, in a bid to free up bed space.
Sky News also found 55% of ambulances in the South West had handover delays of more than an hour, twice as bad as the England average of 26%.
An older population, spread more remotely, is part of the reason, but NHS England told Sky News that staff recruitment and illness, the number of sick patients and delays in discharging patients from hospital are all causes.
In Helston in Cornwall, 85-year-old Koulla Mechamikos is recovering from a broken hip.
She fell in her hallway last August – and had to wait 14 hours for an ambulance to arrive – and then another 26 hours in the back of an ambulance outside the Royal Cornwall Hospital.
‘I would have been better to die’
‘I was scared’, said Koulla Mechamikos
“They said we are just waiting for an ambulance to free up to come to you – we don’t know how long it’s going to be as we are so busy,” said Koulla’s daughter, Marianna Flint.
“It was a bit panicky because with that length of time, mum was then getting to a point of looking quite pale and was in a great amount of pain,” she added.
While she praised the care the paramedics and hospital staff gave her mother, having to wait in the back of an ambulance for more than an entire day was worrying.
“Basically the ambulances are now waiting rooms – because there’s no room in the hospital to take them – there’s no extra wing, there’s no bed space.”
Koulla told Sky News she remembers being “freezing” while on the floor. “It was scary, more scary than anything. I lost my mind completely. I would have been better [to] die…so many hours.”
The Royal Cornwall Hospital offered its “sincere” apologies to Koulla and Marianna.
If you are an NHS worker and would like to share your experiences with us anonymously, please email NHSstories@sky.uk
Anne-Marie Perry
Anne-Marie Perry is CEO of AbiCare, a company that has run so-called ‘Care Hotels’ since the COVID outbreak.
“One of the one of the blockages coming out of hospital is community care provision, social care,” she said.
“So, if there’s no provision in the community, you can’t get people home, if you can’t get people home, they stay in hospital. If they stay in hospital, there’s a whole host of challenges associated to that hospital acquired dependency.”
She told Sky News the care offered can be cheaper than hospital beds.
“These are people that are deemed medically fit to get out of hospital to go home, but they can’t go home because there isn’t a package of care to wrap around them.
“We offer rehabilitation, we offer exercise classes, we offer social activity as well. So we’re a great interim.”
What the NHS had to say
Responding to the situation in the South West, a spokesperson for NHS England South West said: “There are multiple interdependent reasons for ambulance handover delays including the number of sick patients being seen at hospital, staffing recruitment and staff sickness, as well as delays with discharging patients when they are well enough.
“We are working hard with Integrated care boards, hospital trusts and our ambulance service to address these delays and ensure patients are handed over at hospitals in a timely way, to ensure ambulance crews can get back on the road to help other patients as quickly as possible.”
Negotiations to reset the UK’s post-Brexit relationship with the EU are going “to the wire”, a Cabinet Office minister has said.
“There is no final deal as yet. We are in the very final hours,” the UK’s lead negotiator Nick Thomas-Symonds told Sky’s Sunday Morning with Trevor Phillips.
On the possibility of a youth mobility scheme with the EU, he insisted “nothing is agreed until everything is”.
“We would be open to a smart, controlled youth mobility scheme,” he said. “But I should set out, we will not return to freedom of movement.”
Politics latest: PM outlines ‘benefits’ for UK from closer EU ties
The government is set to host EU leaders in London on Monday.
Put to the minister that the government could not guarantee there will be a deal by tomorrow afternoon, Mr Thomas-Symonds said: “Nobody can guarantee anything when you have two parties in a negotiation.”
But the minister said he remained “confident” a deal could be reached “that makes our borders more secure, is good for jobs and growth, and brings people’s household bills down”.
“That is what is in our national interest and that’s what we will continue to do over these final hours,” he said.
“We have certainly been taking what I have called a ruthlessly pragmatic approach.”
On agricultural products, food and drink, Mr Thomas-Symonds said supermarkets were crying out for a deal because the status quo “isn’t working”, with “lorries stuck for 16 hours and food rotting” and producers and farmers unable to export goods because of the amount of “red tape”.
Asked how much people could expect to save on shopping as a result of the deal the government was hoping to negotiate, the minister was unable to give a figure.
Read more:
What could a UK-EU reset look like?
Starmer’s stance on immigration criticised
On the issue of fishing, asked if a deal would mean allowing French boats into British waters, the minister said the Brexit deal which reduced EU fishing in UK waters by a quarter over five years comes to an end next year.
He said the objectives now included “an overall deal in the interest of our fishers, easier access to markets to sell our fish and looking after our oceans”.
Turning to borders, the minister was asked if people would be able to move through queues at airports faster.
Again, he could not give a definitive answer, but said it was “certainly something we have been pushing with the EU… we want British people who are going on holiday to be able to go and enjoy their holiday, and not be stuck in queues”.
PM opens door to EU youth mobility scheme
A deal granting the UK access to a major EU defence fund could be on the table, according to reports – and Prime Minister Sir Keir Starmer has appeared to signal a youth mobility deal could be possible, telling The Times that while freedom of movement is a “red line”, youth mobility does not come under this.
The European Commission has proposed opening negotiations with the UK on an agreement to facilitate youth mobility between the EU and the UK. The scheme would allow both UK and EU citizens aged between 18 and 30 years old to stay for up to four years in a country of their choosing.
Earlier this month, Home Secretary Yvette Cooper told Phillips a youth mobility scheme was not the approach the government wanted to take to bring net migration down.
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Lack of UK training ‘big driver of net migration’
When this was put to him, Mr Thomas-Symonds insisted any deal on a youth mobility scheme with Europe will have to be “smart” and “controlled” and will be “consistent” with the government’s immigration policy.
Asked what the government had got in return for a youth mobility scheme – now there had been a change in approach – the minister said: “It is about an overall balanced package that works for Britain. The government is 100% behind the objective of getting net migration down.”
Phillips said more than a million young people came to the country between 2004 and 2015. “If there isn’t a cap – that’s what we are talking about,” he said.
The minister insisted such a scheme would be “controlled” – but refused to say whether there would be a cap.
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‘It’s going to be a bad deal’
Shadow cabinet office minister Alex Burghart told Phillips an uncapped youth mobility scheme with the EU would lead to “much higher immigration”, adding: “It sounds very much as though it’s going to be a bad deal.”
Asked if the Conservatives would scrap any EU deal, he said: “It depends what the deal is, Trevor. And we still, even at this late stage, we don’t know.
“The government can’t tell us whether everyone will be able to come. They can’t tell us how old the young person is. They can’t tell us what benefits they would get.
“So I think when people hear about a youth mobility scheme, they think about an 18-year-old coming over working at a bar. But actually we may well be looking at a scheme which allows 30-year-olds to come over and have access to the NHS on day one, to claim benefits on day one, to bring their extended families.”
He added: “So there are obviously very considerable disadvantages to the UK if this deal is done in the wrong way.”
Jose Manuel Barroso, former EU Commission president, told Phillips it “makes sense” for a stronger relationship to exist between the European Union and the UK, adding: “We are stronger together.”
He said he understood fishing and youth mobility are the key sticking points for a UK-EU deal.
“Frankly, what is at stake… is much more important than those specific issues,” he said.
Gary Lineker is to leave the BBC after this season’s final Match Of The Day and will no longer present its coverage of the World Cup, Sky News understands.
It comes after he “apologised unreservedly” for a social media repost featuring a rat – used in propaganda by Nazi Germany to dehumanise Jewish people – and said he would “never knowingly share anything antisemitic”.
Lineker’s last appearance on the BBC will be on 25 May, the final day of the season, with confirmation expected on Monday.
The former England star announced in November he would step down from Match Of The Day this year, but was set to return to front the World Cup in 2026, as well as FA Cup coverage.
Lineker, 64, said he was unaware the post he shared was antisemitic and it went against “everything I believe in”.
In response to the presenter resharing the post, the Campaign Against Antisemitism said his “continued association with the BBC is untenable”.
And when asked about Lineker last week, BBC director general Tim Davie said: “When someone makes a mistake, it costs the BBC reputationally.”
The presenter was temporarily suspended from the BBC in March 2023 after an impartiality row over comments he made criticising the then Conservative government’s asylum policy.
Read more from Sky News:
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Lineker has hosted Match Of The Day since 1999 and has been the BBC’s highest-paid on-air talent for seven consecutive years. He also has a successful podcast production company.
Kelly Cates, Mark Chapman and Gabby Logan will share the role of presenting Match of the Day. Pic BBC/PA
Mark Chapman, Kelly Cates and Gabby Logan will take over the highlights show from next season.
When the trio take over as hosts, it will be the first time the role has been shared by three people.
Sky News has contacted the BBC for comment.
A teenager has been arrested after a 16-year-old boy died following reports of a “disturbance” at a beach in Ayrshire.
Kayden Moy was found seriously injured by officers at Irvine Beach at around 6.45pm on Saturday.
The teenager, from East Kilbride, South Lanarkshire, was taken to hospital but died in the early hours.
Police Scotland said on Sunday evening that a 17-year-old boy had been arrested and enquires were continuing.
Officers believe the incident may have been filmed and have urged witnesses and anyone with information to come forward.
Kayden. Pic: Facebook
The incident happened at Irvine Beach in Ayrshire, Scotland. File pic: iStock
Detective Chief Inspector Campbell Jackson said: “An extensive investigation is under way to establish the full circumstances surrounding this death.
“Our officers are supporting the boy’s family at this very difficult and heartbreaking time.
“From our investigation so far, we know there were a number of people on the beach around the time of the disturbance.
“We believe several of them were filming at the time and may have footage of what happened.
“I would urge people to review the footage they have and contact police if they think the footage captured could be of significance to our investigation.”
This can be submitted anonymously, the force said.
Read more from Sky News:
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UK’s negotiations with EU ‘going to the wire’
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Superintendent Jim McMillan added: “We understand this death will be of great concern for the local community, but please be assured that we are doing everything we can to identify those involved.
“There will be additional patrols in the area as we carry out our enquiries and anyone with any concerns can approach these officers.”
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