Ambulance response times are currently the worst on record and the NHS is struggling to cope with a surge in demand this winter.
Sky News joined West Midlands Ambulance Service paramedic Danny Thompson and ambulance technician Dan Fiedler for a 12-hour shift.
7am: Elderly couple ‘too scared’ to call 999
Freezing fog hangs over Coventry as Danny and Dan make sure their radios are charged and vehicle fully stocked before heading out.
It is unusually quiet to begin with, but just before 8am they get their first call.
The patient is an elderly man who has fallen and injured his arm. They switch on the sirens and the blue lights flash as they speed through the fog.
Arriving at the house, they find the patient, 86-year-old Edward, in bed. Norma, his wife, is sitting next to him.
More on Nhs
Related Topics:
Edward’s arm is swollen and purple. It turns out he fell two days ago.
“It said on the television only call if it’s a matter of life and death,” Norma tells Danny.
Advertisement
Image: Danny and Edward in the ambulance
He tells her to call straight away in future. They’re worried patients who need help have been put off calling by the advice given on strike days.
“People are a bit scared to call ambulances because they think they’re going to be stuck in corridors or in the back of an ambulance,” Dan says.
As they prepare to take Edward, who has advanced Parkinson’s, to A&E – they chat.
Dan asks Edward how long he and Norma have been married. “62 years,” he says. “How did you meet?” Dan asks. “In the pictures,” Edward replies.
“He thinks I’m superwoman,” Norma tells Danny, as she details how they manage without any carers.
But she’s relieved to see the paramedics.
“When I rang my heart sank because they stop halfway through and say use www… we’re not on world wide web,” she says. “I’m not moaning really, it’s just that we haven’t kept up to date with our technology”.
Image: Rosemary is reluctant to return to A&E after a previous long wait
10am: Woman refuses to ‘freeze’ in A&E despite blood clot fear
“Straight in… very unusual,” Danny remarks as they wheel Edward into the A&E department in Coventry where he’ll have an X-ray to check if his arm is broken.
Back outside in the ambulance, their radio beeps to let them know it’s been 12 minutes since they handed Edward over.
That means they’re expected to be ready for the next call.
The next stop is an elderly patient whose district nurse fears could have a blood clot in her leg.
When they get to her house, Rosemary is sitting upstairs.
Her daughter explains they went to A&E a couple of weeks ago and spent hours waiting in a freezing corridor. They don’t want to go back.
After doing some tests Danny and Dan believe it’s fluid and not a blood clot causing the swelling.
They agree to take her to a same-day emergency care unit at the hospital in Nuneaton.
But on their way a category one call comes in. They’re the closest ambulance, so they apologise to Rosemary, switch on blue lights and head in the direction of the call.
A couple of minutes later though, they’re told to stand down.
They continue on their way with Rosemary and apologise for the diversion as they leave her at the hospital.
Image: Rosemary arrives at hospital
1pm: Seizure and slow heartbeat dealt with in five minutes
They don’t even get the chance to finish their lunch before another category one call comes in.
The details indicate that an elderly woman is having a seizure.
Inside the house they quickly establish there’s a problem with her heart and it’s serious. She’s already lost consciousness once.
They wheel her into the ambulance and carry out ECG tests. Her heart rate is dropping, there’s a risk it could stop.
Danny calls the hospital in Coventry to tell them to have a team ready.
Machines beep and the patient tells them she’s scared.
Danny and Dan work quickly to stabilise her heart rate. Their reassuring tone as they tell her not to worry contrasts with the urgency of the situation.
They get her to A&E within five minutes. Her heart is still beating, but very slowly.
They’re both just relieved that this wasn’t one of the days they’ve been stuck queuing outside hospital.
“The cardiac condition she had can often result in death if it’s not caught in time,” Danny says.
Image: Dan (left) and Danny
4pm: Good news but it was close
After completing all their paperwork, they finally get a lunch break at about 4.30pm. They can take half an hour, unless a category one call comes in. They head back to base where Dan joins a small group of colleagues.
After 30 minutes, Danny comes to get him. There’s another call.
Sirens on, they make their way to a house nearby. They can’t be sure the patient doesn’t have a blood clot, so they take her to A&E.
While there they find out the heart patient has had emergency surgery to fit a pacemaker. She’s doing well.
It’s good news to end the day. But they know it was close.
“Things can’t go on as they are,” Danny says. “Because we’re going to see patients suffering as a result of that.”
Image: Danny with the female cardiac patient
7pm: 12-hour shift over
It’s rare to finish on time this winter – but on this occasion, they pull back into base exactly 12 hours after their shift began.
They restock the ambulance and wave to the teams taking over, before heading off into the night.
The government has announced it will cut GCSE exam time by up to three hours per student.
The final report from a curriculum and assessment review – commissioned by Labour last year, and the biggest of its kind for a decade – recommends cutting the overall volume of exams at Key Stage 4 by 10%, ruling the current amount as “excessive”.
It also calls for the introduction of new maths and English tests in Year 8 to help teachers identify learning gaps sooner, the addition of mandatory citizenship lessons in primary schools, and a major overhaul of the Key Stage 2 grammar, punctuation, and spelling test.
AI among new subjects
The reforms to the national curriculum will also include a focus on AI and data science for post-16 students.
For the first time, primary-aged children will be taught how to spot fake news and identify misinformation and disinformation. This will help them develop their critical thinking skills and protect them when online.
Primary pupils will also learn more about the fundamentals of money. The review recognises that children are now consumers often before they reach secondary school.
A new compulsory reading test in Year 8 will be introduced. This will be in addition to a writing assessment in Year 6, as well as SATs, to identify pupils who need extra support.
Are more exams the only way standards can be improved?
Primary colleagues have said SATs are not the best way to assess children. Previously, primary teachers have taken industrial action over this issue.
There is a danger this additional exam will exacerbate an exam factory culture which already exists in many schools. As a former secondary school teacher and parent I have seen first-hand how many hours of exams the system expects fifteen and sixteen-year-olds to do for their GCSEs.
There has been a huge rise in issues in young people’s mental health and the topic of exams is one of huge stress for young people. To introduce another compulsory exam seems rather short-sighted.
Exams are not the only way to drive up standards for young people and improve their life chances. Is the new system setting up another opportunity to fail?
Schools will also be expected to work towards offering triple science GCSE as standard.
This comes alongside the government exploring a new qualification for 16-18 year olds in data science and AI, with a view to encourage more young people into science and tech careers.
Education Secretary Bridget Phillipson said the changes “will help young people step boldly into the future, with the knowledge to achieve and the skills to thrive as the world around us continues to rapidly evolve”.
Additionally, the government will publish an oracy framework to help ensure more young people become confident and effective speakers, building on the success of existing reading and writing frameworks.
It is also committed to ensuring all pupils retain access to sport and the arts.
A major review to unearth failures to tackle grooming gangs has found that potential human error led to some police investigations being dropped.
The review – named Operation Beaconport – is looking into cases between 1 January 2010 and 31 March this year.
Thousands of cases are expected to come under scrutiny.
So far, 1,273 files from 23 police forces have been referred to the review, led by the National Crime Agency (NCA), of which 236 are being examined as a priority because they involve allegations of rape.
NCA deputy director Nigel Leary said initial reviews suggest there were mistakes in some investigations.
He said: “Initial reviews have identified that in some cases where there has been a decision to take no further action (NFA), there were available lines of inquiry that could have been pursued.
“We’ve seen in those cases what appears to be potentially human error.”
Mr Leary said that in some cases the inquiries haven’t followed what the NCA would characterise as “proper investigative practice”.
“That includes, for example, lines of inquiry being identified but not being followed, victim accounts not being taken in a way that we would recognise as best practice, and suspects not being pursued or interviewed in the ways that we would anticipate,” he said.
Last month, the Metropolitan Police announced officers were reviewing 9,000 cases of child sexual exploitation.
It is expected that some of these will be referred to Operation Beaconport, which is looking at cases involving two or more suspects, more than one victim, contact offences, where the suspects are still alive, and that have not already been independently reviewed.
The investigation into grooming gangs and other non-familial sexual abuse in Rotherham between 1997 and 2013, Operation Stovewood, has cost £89m over 11 years. It is not clear how much the latest investigation will cost.
However, Mr Leary said it would be the “most comprehensive investigation of its type in UK history”, with the NCA estimating thousands of officers will be involved in the overall operation.
Victims will fear that wrongs are discovered, but not righted
There is already a system in place for what are known as “non-recent” sexual abuse cases to be reviewed called Operation Hydrant.
But the NCA is looking to identify cases in the last five years, which could show that women and girls are still being failed by police forces.
Worryingly, the NCA says it has “already identified investigations that were incorrectly closed with no further action taken” as police chiefs are ordered to hand over their files in hundreds of closed cases under powers unique to the NCA.
This often comes with mixed feelings for the survivors. When Sky News investigated a closed case called Operation Marksman into an alleged grooming gang in Hull in 2021 – the case was reopened. A review team found the initial investigation was “flawed” and a new team in Humberside was ordered to re-investigate.
But, two years on, the young women involved told Sky News they were angry and frustrated to discover the new team had only just finished going through the original files. What is more, evidence gets old – phones and laptops get swapped and deleted, DNA evidence has long disappeared.
This will run alongside the government’s national public inquiry, which has faltered after two potential chairs pulled out due to pressure from victims on the inquiry panel.
With police resources stretched in many directions, what may happen is wrongs are discovered but not righted.
However, encouragingly, this isn’t just a review exercise by the NCA but also an effort to learn from mistakes, improve methodology, share more data which, if done well, could build a better success rate.
Officials are recording the ethnicity of suspects and victims as part of the review, and have found gaps in the existing data that they are trying to fill.
As they examine cases, they aim to flag any dangerous suspects, and any that are at risk of fleeing the UK.
Investigators have vowed to be “honest and transparent” with victims from the start, to avoid giving them unrealistic expectations.
Richard Fewkes, from the National Police Chiefs’ Council, said while going after perpetrators is important, some victims will just want to feel they are being listened to.
He said: “Justice means different things for different victims and survivors, and no one victim and survivor is the same.
“For some, justice is just being believed, perhaps for the first time, by someone in authority – being listened to.
“Or it might even be understanding that the review has taken place, a reinvestigation has taken place in an appropriate, focused, robust way, but nothing more can be done.
The number of female MPs could plummet for the first time in more than a century if action is not taken now, campaigners have warned.
If Reform UK, which has led voting intention polls since April, or the Conservatives, win the next general election, women’s representation would fall drastically.
A Labour win would stall the current percentage of female MPs, which stands at its highest ever at 41% (264 out of 650) – but is still lower than the UK population, of which 51% are women.
If Reform win the next election, set for 2029, women’s representation could fall to 26%, analysis of Electoral Calculus polling data by 50:50 Parliament found.
If the Tories win, 33% of MPs would be women, while Labour would remain the same.
What does history tell us?
Every parliament since women were allowed to be MPs in 1918 has seen an increase, apart from small drops in 1950, 1979 and 2001.
Nancy Astor was the first woman to take her seat in the Commons and served from 1919 to 1945.
Image: A statue of Nancy Astor in Plymouth, unveiled in 2019 by then PM Theresa May. Pic: Reuters
The 80s saw a substantial increase in female MPs before a large jump in 1997, and there has been a big rise from 128 women MPs in 2005 to the current 264.
Despite this, no major party reached gender parity in its selection of candidates for last year’s election.
Labour selected 47% women, Greens were at 44%, Conservatives 34%, Lib Dems 28% and Reform 16%.
Image: Female MPs in 2014 campaign to ‘Bring Back Our Girls’ in support of 200 schoolgirls abducted in Nigeria. Pic: Reuters
50:50 Parliament, which campaigns for gender equality in politics, is calling for people to “Ask Her to Stand” to encourage more women to get involved with politics to help balance the scales.
It has installed a “push for equality” panic button outside parliament to raise awareness of the gender disparity.
Stella Creasy, Labour MP for Walthamstow since 2010, has campaigned for abortion rights, childcare reform, and became the first MP to appoint a locum MP to manage constituency work during her maternity leave, after campaigning for better maternity rights for MPs.
She told Sky News gender parity in parliament is important, as a broad range of views and experiences is needed “to shape good quality policymaking”.
Image: Labour MP Stella Creasy in the Commons with her baby
“For me, this is not about electing women for the sake of it, or because they champion women’s rights per se; it is because gender balance will lead to better outcomes for all and the furthering of all of our rights,” she said.
“There is strength in diversity, and we cannot hope to make decent policy, or pass good legislation, if half of the population are not adequately represented in the House.
“Childcare is a perfect example – it isn’t just good for mums, it is essential infrastructure for society and therefore the economy to get it right.”
‘Why would you think men are better at politics?’
Harriet Harman, a Labour peer and co-host of Sky News’ Electoral Dysfunction podcast, is a former minister who put forward the Equality Bill, now the Equality Act 2010, which protects people from discrimination in the workplace and in wider society.
She told Sky News: “The time is long past that women could be expected to put up with men making all the decisions.
“Male-dominated parliaments are evidence of discrimination. Unless you think men are just better at politics than women. And why would you think that?
“A team of men and women with a breadth of experience is what works best. Who wants to go back to the old boys’ network running the country? Not me.”
Image: (L to R) Ruth Davidson with her podcast co-hosts, Sky News political editor Beth Rigby and Baroness Harriet Harman. Pic: PA
‘Different voices make better decisions’
Former leader of the Scottish Conservatives Baroness Ruth Davidson, also a co-host of Electoral Dysfunction, said parliament “works better when it looks and feels closer to the country it seeks to represent”.
“Women politicians often have different experiences before entering parliament, including in their prior interactions with public services,” she added.
“It is important that laws and funding decided in the Commons and elsewhere are informed by the widest experience of how such decisions impact in practice.
“Having different voices round the table, offering challenge from a variety of perspectives, is how you make better laws, better decisions and a better Britain.”
Please use Chrome browser for a more accessible video player
2:26
Sky News goes inside a Reform meeting in Scotland
Lyanne Nicholl, CEO of 50:50 Parliament, said the impact of their prediction playing out will be “devastating”, as she pointed out gender parity “isn’t about party politics – it’s about democracy”.
She said “we risk turning back the clock” and policymaking “ignoring half the population”, as she called the data a “wake-up call” for everyone.