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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%.

More on Cornwall

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’

85-year-old Koulla Mechamikos waited 26 hours in back of ambulance to be seen for broken hip in Cornwall
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‘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 is CEO of AbiCare, a company that has run so-called 'Care Hotels' since the COVID outbreak.
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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 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.”

Read more:
Two health workers open up about the daily ‘firefight’, patients lying on floors and 24-hour waits for admission

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.”

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Child who died in Minehead school coach crash was 10-year-old boy, police say

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Child who died in Minehead school coach crash was 10-year-old boy, police say

The child who died in a school coach crash in Somerset on Thursday was a 10-year-old boy, Avon and Somerset Police have said.

A specially trained officer is supporting the child’s family, the force said, adding that two children taken to Bristol Royal Hospital for Children by air ambulance remain there as of Friday.

Four children and three adults also remain in hospital in Somerset.

There were between 60 to 70 people on board when the incident happened near Minehead, just before 3pm on Thursday.

The coach was heading to Minehead Middle School when it crashed on the A396 between Wheddon Cross and Timbercombe.

Flowers outside school
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Pic: PA

Police said that 21 people were taken to hospital, including two children who were taken via air ambulance.

Gavin Ellis, chief fire officer for Devon and Somerset, said the coach “overturned onto its roof and slid approximately 20ft down an embankment”.

Rachel Gilmour, MP for Tiverton and Minehead, said the road where it happened is “very difficult to manoeuvre”.

“You have a very difficult crossing at Wheddon Cross, and as you come out to dip down into Timbercombe, the road is really windy and there are very steep dips on either side,” she told Sky’s Anna Botting.

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Tearful MP reacts to coach crash

It comes after a teacher at Minehead Middle School praised the “incredibly brave” pupils for supporting each other after the coach crash.

Read more on Sky News:
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“You have looked after each [other] in what was a life-changing event, we will get through this together,” they wrote on Facebook.

“I feel so lucky to be your teacher. I am so grateful to my wonderful colleagues during this time who were also fighting to help as many people as we could.”

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Woman handed criminal conviction despite ‘unlawful’ strip search by police in Greater Manchester

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Woman handed criminal conviction despite 'unlawful' strip search by police in Greater Manchester

Maria’s treatment by Greater Manchester Police (GMP) was so shocking the chief constable described it as “undefendable” and yet a year after a high-profile inquiry found she had been “unlawfully” arrested and strip-searched, Maria now has a criminal conviction for the crime the inquiry said she should never have been arrested for.

Warning: This story includes graphic descriptions of strip searches and references to domestic violence.

The Baird Inquiry – named after its lead Dame Vera Baird – into GMP, published a year ago, found that the force made numerous unlawful arrests and unlawful strip searches on vulnerable women. A year on, the review has led to major changes in police processes.

Strip searches for welfare purposes, where the person is deemed at risk of harming themselves, are banned, and the mayor’s office told Sky News only one woman was intimately strip-searched to look for a concealed item by GMP last year.

Women had previously told Sky News the practice was being used by police “as a power trip” or “for the police to get their kicks”.

However, several women who gave evidence to the Baird Inquiry have told Sky News they feel let down and are still fighting for accountability and to get their complaints through the bureaucracy of a painfully slow system.

The case of Maria (not her real name) perhaps best illustrates how despite an inquiry pointing out her “terrible treatment”, she continues to face the consequences of what the police did.

'Maria' said she was treated like a piece of meat by GMP
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‘Maria’ said she was treated like a piece of meat by GMP

‘Treated like a piece of meat’

The story begins with an act of poor service. A victim of domestic violence, Maria went to the police to get keys off her arrested partner but was made to wait outside for five-and-a-half hours.

The Baird Inquiry said: “This domestic abuse victim, alone in a strange city, made 14 calls for police to help her.

“She was repeatedly told that someone would contact her, but nobody did. The pattern didn’t change, hour after hour, until eventually she rang, sobbing and angry.”

The police then arrested her for malicious communications, saying she’d sworn at staff on the phone.

Inside the police station, officers strip-searched her because they thought she was concealing a vape. Maria told Sky News she was “treated like a piece of meat”.

The Baird Inquiry says of the demeaning humiliation: “Maria describes being told to take all her clothes off and, when completely naked, to open the lips of her vagina so the police could see inside and to bend over and open her anal area similarly.”

GMP's Chief Constable Stephen Watson
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Chief Constable Stephen Watson said the actions towards Maria were ‘inexplicable’

After the inquiry found all this not only “terrible” but “unlawful”, Chief Constable Stephen Watson described the actions of his officers towards Maria as “an inexplicable and undefendable exercise of police power”.

He added: “We’ve done the wrong thing, in the wrong way and we’ve created harm where harm already existed.”

Despite all of this, the charges of malicious communication were not dropped. They hung over Maria since her arrest in May 2023. Then in March this year, magistrates convicted her of the offence, and she was fined.

Dame Vera’s report describes the arrest for malicious communications as “pointless”, “unlawful”, “not in the public interest” and questions whether the officer had taken “a dislike to Maria”. Yet, while Maria gained a criminal record, no officer has been disciplined over her treatment.

A GMP spokesperson said: “The court has tested the evidence for the matter that Maria was arrested for, and we note the outcome by the magistrate. We have a separate investigation into complaints made about the defendant’s arrest and her treatment whilst in police custody.”

The complaint was referred to the Independent Office for Police Conduct (IOPC) in August 2023 and Maria was told several months ago the report was completed, but she has not heard anything since.

Dame Vera Baird of the Baird Inquiry into GMP
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Dame Vera Baird’s report catalogues the ‘unlawful’ arrest and strip search of various individuals by GMP

‘There’s been no accountability’

Dame Vera’s report also catalogues the “unlawful” arrest and strip search of Dannika Stewart in October 2023 at the same police station. Dannika is still grinding through the police complaints service to get a formal acknowledgement of their failings.

She told Sky News: “Everyone involved in it is still in the same position. There’s been no accountability from the police. We’re still fighting the complaint system, we’re still trying to prove something which has already been proved by an independent inquiry.”

Body cam footage of Dannika Stewart being arrested in October 2023
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Body cam footage of Dannika Stewart being arrested

Asked if anyone had been disciplined, Chief Constable Watson told Sky News: “There are ongoing investigations into individual failings, but for the most part the Baird review talked about systemic failings of leadership, it talked of failings in policy and failings of systems.

“In some cases, those people who may have misconducted themselves at the level of professional standards have retired. There are no criminal proceedings in respect of any individual.”

He added: “Every single element of the Baird inquiry has been taken on board – every single one of those recommendations has been implemented – we believe ourselves to be at the forefront of practice.”

Greater Manchester Police bulding and logo

‘It’s been three years’

Mark Dove who was also found by the inquiry to have been unlawfully arrested three times and twice unlawfully stripped-searched says he’s been in the complaints system for three years now.

He told Sky News: “There have been improvements in that I’m being informed more, but ultimately there’s no timeline. It’s been three years, and I have to keep pushing them. And I’ve not heard of anyone being suspended.”

Mark Dove was found by the Baird Inquiry to have been unlawfully arrested three times
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Mark Dove was found to have been unlawfully arrested three times and unlawfully strip-searched twice

Sophie (not her real name), a domestic violence victim who was also found by the review team to have been unlawfully arrested by GMP, told Sky News that although most of her complaints were eventually upheld they had originally been dismissed and no officer has faced any consequences.

She said: “They put on record that I’d accepted a caution when I hadn’t – and then tried to prosecute me. Why has no one been disciplined? These are people’s lives. I could have lost my job. Where is the accountability?”

Since the Baird Inquiry, every strip search by GMP is now reviewed by a compliance team. GMP also provides all female suspects in custody with dignity packs including sanitary products, and they work with the College of Policing to ensure all officers are trained to recognise and respond to the effects of domestic and sexual trauma on survivors.

Kate Green, deputy mayor for Greater Manchester for policing and crime
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Kate Green, deputy mayor for Greater Manchester for policing and crime

The deputy mayor for Greater Manchester for policing and crime, Kate Green, says the lessons of the Baird Inquiry should reach all police forces.

She said: “I would strongly recommend that other forces, if they don’t already follow GMP’s practise in not conducting so-called welfare strip searches, similarly cease to carry out those searches. It’s very difficult to see how a traumatising search can be good for anybody’s welfare, either the officers or the detainees. We’ve managed to do that now for well over a year.”

Ms Green also suggests a national review of the police complaints system.

Read more:
Inquiry prompted by Sky news’ investigation
What Baird Inquiry revealed

Deputy Chief Constable Terry Woods, of GMP, said: “Our reformed Professional Standards Directorate (PSD) has increased the quality of complaints handling and improved timeliness.

“Where officers have been found to breach our standards then we have not hesitated to remove them from GMP, with more than 100 officers being dismissed on the chief constable’s watch.

“Out of 14 complaints relating to Dame Vera’s report, four have been completed. Our PSD continues to review and investigate the other complaints.

“We’re committed to being held to account for our use of arrests and our performance in custody.

“By its nature, custody has – and always will be – a challenging environment.

“However, basic provisions and processes must always be met and, while we’re confident our progress is being recognised across policing, we stand ready to act on feedback.”

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One child dies after coach crashes in Somerset on way back from school trip

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One child dies after coach crashes in Somerset on way back from school trip

One child has died after a coach bringing children back from a school trip crashed and overturned near Minehead, Somerset, police have said.

A major incident was declared after the vehicle, which had 60-70 people on board, crashed on the A396 Cutcombe Hill, between Wheddon Cross and Timbercombe, shortly before 3pm on Thursday afternoon.

The coach was heading to Minehead Middle School at the time.

At a news conference on Thursday night, officials confirmed one child died at the scene.

A further 21 patients were taken to hospital, including two children who were transported via air ambulance. “Several” other people were treated at the scene, they added.

A police officer near the scene of a coach crash in Somerset. Pic: PA
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A police officer near the scene of the coach crash in Somerset. Pic: PA

“This has been an incredibly challenging scene for all emergency services,” Chief Superintendent Mark Edgington said.

“Today’s events are truly tragic, we know the whole community and wider area will be utterly devastated to learn of this news.”

An investigation into what caused the crash will be carried out, he added.

Gavin Ellis, the chief fire officer for Devon and Somerset Fire & Rescue Service, said the coach “overturned onto its roof and slid approximately 20ft down an embankment”.

He praised an off-duty firefighter who was travelling behind the vehicle for helping at the scene, before crews then arrived to carry out rescues “in extremely difficult circumstances”.

“I’m grateful for the tireless effort and actions of the crews in doing everything they could for those who were trapped and as quickly as safely as possible,” he said.

“I’m extremely proud of the efforts that my firefighters took today at this tragic event.”

Eight fire engines were sent to the scene, with two specialist rescue appliances and around 60 fire personnel, Mr Ellis said.

A total of 20 double-crewed ambulances, three air ambulances and two hazardous area response teams were also sent to the scene, a representative for the South Western Ambulance Service said.

Emergency services near the scene in Minehead
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Pic: PA

Ch Supt Mark Edgington said: “Many passengers either sustained minor injuries or were physically unharmed and were transferred to a rest centre.

“Work to help them return to Minehead has been taking place throughout the evening.

“An investigation into the cause of this incident will be carried out.”

Minehead Middle School has pupils aged between nine and 14, and is five days away from the end of term.

‘I don’t have words,’ says local MP

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‘From one mother to another, I feel your pain’

Rachel Gilmour, MP for Tiverton and Minehead, has said the road where the coach crashed is “very difficult to manoeuvre”.

Speaking to Sky News chief presenter Anna Botting, Ms Gilmour said she visited Minehead Middle School recently, where she “met the children and they were full of joy, enthusiasm and were very positive”.

“I know many of their parents,” she said. “I don’t have words.”

Describing the scene, Gilmour continued: “You have a very difficult crossing at Wheddon Cross, and as you come out to dip down into Timbercombe, the road is really windy and there are very steep dips on either side.

“If the coach, as the police are saying, went 20ft off the road, you are literally on a really, really steep bank.”

The MP, whose constituency is partly in Devon and partly in Somerset, said there is a “really, really close community”.

“We will pull together, but it would be crass of me to say to a parent who’s just lost their child that I could make things better, I can’t,” she said.

“All I can say is that from one mother to another, I feel your pain.”

Cutcombe Hill near Minehead, where the accident took place. Pic: Google Maps
Image:
Cutcombe Hill near Minehead, where the accident took place. Pic: Google Maps

Sir Keir Starmer said in a post on X: “There are no adequate words to acknowledge the death of a child. All my thoughts are with their parents, family and friends, and all those affected.

“Thank you to the emergency workers who are responding at pace – I’m being kept up to date on this situation.”

Education Secretary Bridget Phillipson wrote: “It is heartbreaking to hear that a child has died and others are seriously injured following the incident in Minehead earlier today.

“My thoughts are with their friends and families, and all those affected by this tragic event.”

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