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Average ambulance response times in England last month were the longest on record – as more than half of people at major A&Es had to wait longer than four hours for the first time since records began in 2011.

New figures show the average response time in December for ambulances in England dealing with the most urgent incidents – defined as calls from people with life-threatening illnesses or injuries – was 10 minutes and 57 seconds.

This is the longest on record and compares with the target standard response time for urgent incidents of seven minutes.

The average wait times for Category 2 ambulance calls – emergencies such as heart attacks and strokes – was over an hour and a half for the first time (1hr 32m54s). The target for these calls is 18 minutes.

Key figures at a glance:

  • Average December response time for ambulances dealing with most urgent incidents, defined as calls from people with life-threatening illnesses or injuries, was 10 mins 57 secs. The target is seven minutes
  • Average wait times for Category 2 ambulance calls – emergencies such as heart attacks and strokes – was 1hr 33mins. The target is 18 minutes
  • 50.4% of patients attending major A&E departments not seen within the target time of four hours – the first time on record the figure has been more than half
  • NHS England waiting lists for routine procedures such as cataracts operations falls from 7.21m to 7.19m – although this is still the second highest figure on record
  • The proportion of cancer patients in England who saw a specialist within two weeks of an urgent GP referral grows from 77.8% in October to 78.8% in November

The latest NHS England figures also showed a total of 50.4% of patients attending major A&E departments were not seen within the target time of four hours.

That is 4.9% worse than November and 19% worse than the equivalent month pre-pandemic, in December 2019.

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If you are an NHS worker and would like to share your experiences with us anonymously, please email NHSstories@sky.uk

More than a third (35%) of people attending all A&Es – including specialist centres and minor injuries units – waited longer than four hours. That is also the worst level on record and the only time that figure has been higher than a third.

It is 3.9% worse than November and 14.8% worse than December 2019.

Meanwhile, NHS England waiting lists for routine procedures such as cataracts operations fell for the first time since May 2020 – but the number of people waiting over a year for treatment is still 220 times more than before the pandemic.

A total of 7.19m are waiting for NHS treatment – down from 7.21m.

The peak of 7.21m recorded in October was a rise of 3.3m on 3.95m in May 2020 – and followed 29 months of consecutive growth for the waiting list.

However, 7.19m is still the second highest number there has ever been on the waiting list at the end of a month since records began in 2007.

The number of people waiting more than two years fell from 1,907 to 1,423, the number waiting 18 months or more dropped from 50,124 to 48,961 and the number waiting more than a year fell from 410,983 to 406,575.

The figures were revealed a day after up to 25,000 ambulance workers walked out on strike in a dispute with the government over pay.

More strikes are scheduled, with nurses scheduled to walk out next Wednesday and Thursday, and another ambulance strike the week after, on 23 January.

The new NHS England figures showed a record 264,391 urgent cancer referrals were made by GPs in England in November, the highest number in records going back to 2009.

The proportion of cancer patients in England who saw a specialist within two weeks of being referred urgently by their GP grew from 77.8% in October to 78.8% in November – but was still below the 93% target.

Some 61% of the record 16,296 cancer patients who had their first treatment in November after an urgent referral by their GP had waited less than two months – an increase from 60.3% the previous month but below the 85% target.

And a record average of 14,069 hospital beds per day last week in England were occupied by people ready to be discharged – up from 13,134 the previous week and 11,795 at this point last year.

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Mpox: More cases of new Clade 1b strain detected in UK

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Mpox: More cases of new Clade 1b strain detected in UK

More cases of a new strain of mpox have been detected in the UK, officials say.

Last week, the UK Health Security Agency (UKHSA) said a single case of the mpox virus variant Clade 1b had been confirmed in London.

The agency has now announced a further two cases have been detected.

The two patients are household contacts of the first and are currently under specialist care at Guy’s and St Thomas’ NHS Foundation Trust in London, it added.

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Mpox: What is the risk?

“The risk to the UK population remains low,” the UKHSA said.

“There has been extensive planning under way to ensure healthcare professionals are equipped and prepared to respond to any further confirmed cases.”

A health professional prepares a syringe with the mpox vaccine. File pic: AP
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A health professional prepares a syringe with the mpox vaccine. File pic: AP


The UKHSA’s chief medical adviser, Professor Susan Hopkins, said: “Mpox is very infectious in households with close contact and so it is not unexpected to see further cases within the same household.

“The overall risk to the UK population remains low. We are working with partners to make sure all contacts of the cases are identified and contacted to reduce the risk of further spread.”

The first case detected in London last week was a person who had been on holiday in Africa.

They developed flu-like symptoms more than 24 hours after returning to the UK and later developed a rash which worsened in the following days.

The agency said contacts of all three cases are being followed up on and would be offered testing and vaccination as needed.

Read more from Sky News:
Real Madrid boss blasts decision to play football matches after deadly Spain floods
How firefighter worked 36 hours to rescue flood victims
Unmarried people ‘more likely to be depressed’

What are the symptoms of mpox and how is it passed on?

Common symptoms of the disease include a skin rash or pus-filled lesions, which can last between two to four weeks. It can also cause fever, headaches, muscle aches, back pain, low energy and swollen lymph nodes.

Mpox, and the Clade 1b strain, is usually passed on by close physical contact, contact with infected animals, or sexual transmission.

The UK has a stock of mpox vaccines and last month announced more were being procured to support a routine immunisation programme.

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Valencia floods: British couple Don and Terry Turner found dead in their car after going missing

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Valencia floods: British couple Don and Terry Turner found dead in their car after going missing

A British couple have been found dead in Spain after being caught in the floods last week, their daughters have said.

At least 217 people have died after heavy rain in eastern Spain caused flash floods, with thousands of cars left wrecked in the streets and an unknown number still missing.

Ruth O’Loughlin and Renee Turner told Sky News their parents Don, 78, and 74-year-old Terry Turner, from Pedralba, about 20 miles (33km) west of central Valencia, went missing during the floods – only for their bodies to be found in their car days later.

An FCDO spokesperson said it is “supporting the family” and is “in contact with the local authorities”.

It comes as a red alert warning of “extreme danger” from torrential rain has been issued for Barcelona today, with 180mm of rain set to fall in 12 hours according to the national weather agency Aemet.

Speaking to Sky News, Ms O’Loughlin said she last spoke to her mother on Monday last week, and a day later saw her messages to Mr Turner were not delivering on WhatsApp.

After seeing reports of the floods, she tried to contact her father and again received no response, before her nephew rang on Thursday to say her parents were reported as missing.

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Despite social media campaigning and calls to the British Consulate, Renee Turner said it was Saturday when they found out Mr and Mrs Turner had died.

“My sister and I both got a phone call to say that they’d been found in their car, and unfortunately they had died,” she said.

Don Turner, a British man whose body has been found in Spain, and his daughter Ruth Turner
Image:
Don Turner with his daughter Ruth O’Loughlin (right)

Ms O’Loughlin added: “We’d got told they’d nipped out for gas, as they do.

“Obviously, they weren’t aware of how bad the area was, and their friend said they were aware [the couple went out] as they used to talk all the time.

“And then they didn’t come home.”

Terry Turner, a British woman whose body has been found in Spain, and her daughter Ruth Turner
Image:
The daughters said ‘everybody knew’ Terry – pictured here with her daughter Ruth (left)

Renee Turner insisted both Mr and Mrs Turner would have “without a doubt” heeded flood warnings, but told Sky News “there was no alert”.

“My parents would not have been out,” she added. “We are so angry at the slackness of the Spanish authorities in that respect.

“Not just our mum and dad [have died], there’s hundreds of people, hundreds, and they have to be held accountable for that.”

Ruth O'Loughlin and Renee Turner, whose parents died in the Valencia floods
Image:
Ruth O’Loughlin (L) and Renee Turner

In their hometown of Burntwood, Staffordshire, Ms O’Loughlin said “everybody knows my mum and dad”. As kids, she recalled how people would come over when Ruth was baking.

She added that Mr Turner “was the clown – everyone loved Dad… he made our childhood absolutely wonderful,” before saying that when they moved to Spain, “everyone knew them there”.

Read more:
Authorities fear how many they will find in flooded car park
Angry crowds hurl mud and insults at King of Spain

Terry Turner, a British woman whose body has been found in Spain
Image:
Terry Turner

Terry volunteered at a local dog rescue centre and adopted two kittens, Ms O’Loughlin said, which are currently being looked after by the couple’s friends in the area.

“We sort of knew [they were dead] because we knew that our mum would have done anything to get back to those pets,” Ms O’Loughlin added.

Location of Pedralba, near Valencia

Both Renee Turner and Ms O’Loughlin had wanted to move their parents back to England, and the couple had been expected to return home permanently soon.

“We had plans,” Ms O’Loughlin said. “Mum was desperate to come back. She’s a shopper, she missed Morrisons.

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“We were looking at maybe getting a bigger house and moving mum and dad in with us. We could keep our eye on them, we could make sure they were okay.

“The thought of that: My mum said to me that ‘that’s more than I could ever wish for’.”

Foreign Secretary David Lammy expressed the UK’s condolences on X, saying: “The UK government expresses its heartfelt condolences to those affected by the tragic floods across Spain – our thoughts are with those that have lost their lives, their families and all those affected. I have offered the UK’s full support to my friend @jmalbares.”

Don Turner, a British man whose body has been found in Spain
Image:
Don Turner

Meanwhile, the local government in Catalonia warned of “continuous and torrential” rain in two regions today, saying people should avoid travel and stay away from streams and ravines.

Authorities told those nearby the “extreme danger” warning issued for the Barcelona region: “Do not travel unless strictly necessary.”

Authorities have also suspended train services in northeast Catalonia on request from civil protection officials.

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University tuition fees to increase in England for first time in eight years

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University tuition fees to increase in England for first time in eight years

University tuition fees in England will increase for the first time in eight years, the education secretary has announced.

Fees have been frozen at an annual level of £9,250 since the 2017/18 academic year.

Education Secretary Bridget Phillipson said the maximum cap will now rise in line with inflation from April 2025.

That will increase the cost of tuition to £9,535 next year – a rise of £285.

Politics latest: Badenoch announcing shadow cabinet

Ms Phillipson also announced a rise in maximum maintenance loans so they will now increase in line with inflation, giving an increase of £414 a year to help students with living costs.

The education secretary tried to ward off any panic from students as she said: “I want to reassure students already at university when you start repaying your loan, you will not see higher monthly repayments as a result of these changes to fee and maintenance loans.

“That’s because student loans are not like consumer loans, monthly repayments depend on earnings, not simply the amount borrowed or interest rates – and the end of any long term, any outstanding loan balance, including interest built up, will be written off.”

She said the decision had not been easy but added: “It is no use keeping tuition fees down for future students if the universities are not there for them to attend, nor if students can’t afford to support themselves while they study.”

Sir Keir Starmer had pledged to abolish tuition fees when he stood to be Labour leader in 2020.

However, the prime minister rowed back on that promise early last year, saying it was no longer affordable because of the “different financial situation” the country was in, and he was choosing to prioritise the NHS.

He said Labour would set out a “fairer solution” for students if they won the election – which they did with a landslide in July.

British Secretary of State for Education Bridget Phillipson speaks on stage at Britain's Labour Party's annual conference in Liverpool, Britain, September 25, 2024. REUTERS/Phil Noble
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Bridget Phillipson announced tuition fees will rise up to £9,535 in England next year. Pic: Reuters

The change comes as universities have been dealing with a funding crisis, largely driven by a huge drop in overseas students.

Rules brought in by Rishi Sunak’s government made it harder for international students, who pay higher fees than British ones, to bring their families with them to the UK.

Universities have been pleading for more investment, but Ms Phillipson said recently institutes should seek to manage their own budgets before hoping for a bailout from the taxpayer.

When she was in opposition, she also touted the idea of reducing the monthly repayments “for every single graduate” by changing how the loan is paid back.

Writing in The Times in June 2023, she said: “Reworking the present system gives scope for a month-on-month tax cut for graduates, putting money back in people’s pockets when they most need it.”

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However, the idea did not make it into Labour’s 2024 manifesto, which only says that “the current higher education funding settlement does not work for the taxpayer, universities, staff, or students”.

It adds: “Labour will act to create a secure future for higher education and the opportunities it creates across the UK.”

Independent MP Zarah Sultana, who lost the Labour whip after rebelling over the two-child benefit cap, called the latest development “wrong”.

“It’s time to abolish tuition fees and cancel student debt because education is a public good, not a commodity,” she posted on X.

‘Maintenance loans bigger issue’

Money saving expert Martin Lewis earlier explained how higher fees will not necessarily lead to students facing higher yearly repayments, as that “solely depends on what you earn not on what you borrow”.

In a thread on X, he said a more damaging policy was the Tories’ decision last year to drop the salary threshold at which repayments must be made – from £27,000 to £25,000 – and increase the time to clear the loan before it is written off, from 30 to 40 years.

He said: “Increasing tuition fees will only see those who clear the loan in full over the 40yrs pay more. That is generally mid-high to higher earning university leavers only, so the cost of increasing them will generally be born by the more affluent.”

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University fees of £1,000 per year were first introduced by the Labour government in 1998, going up to £3,000 in 2006.

The coalition government then tripled the amount to £9,000 in 2012, sparking a huge backlash, particularly against the Lib Dems who had vowed to scrap fees in the 2010 general election campaign.

Since then, there have been further changes to student finance such as the abolition of maintenance grants and NHS bursaries, moving student support increasingly away from non-repayable grants and towards loans.

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