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.
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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.
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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 trip came just a week-and-a-half after Buckingham Palace confirmed the King had been taken to hospital following side effects related to his ongoing cancer treatment.
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0:54
Pope’s coffin passes Colosseum after Vatican service
Number 10 confirmed the prime minister received an invite and so he attended the ceremony.
Speaking on Tuesday, Sir Keir said there had been “an outpouring of grief and love” for the Pope.
He added: “I think it reflects the high esteem in which he was held, not just by millions and millions of Catholics, but by many others, across the world, myself included.”
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0:38
Trump pays respects to Pope
The US president was one of the first to confirm he would be flying to Rome, adding he would be joined by first lady Melania Trump.
Writing on his social media platform Truth Social on Monday, he said: “Melania and I will be going to the funeral of Pope Francis, in Rome. We look forward to being there!”
The Pope had been critical of Mr Trump at times during his tenure.
In January, he said it would be a “disgrace” if the president went ahead with his crackdown on immigration, telling an Italian television station: “It would make the migrants, who have nothing, pay the unpaid bill.
“It doesn’t work. You don’t resolve problems this way.”
Image: Prime Minister Giorgia Meloni (right) arrives for the funeral. Pic: AP
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0:16
Scale of funeral service from above
The Italian premier, along Argentine leader Javier Milei (below) had place of pride in the seating order for the service.
The Vatican is, of course, surrounded by the Italian capital Rome, while the Pope was born and grew up in Argentina and was once Archbishop of Buenos Aires.
The president of Pope Francis’s native Argentina was also at the ceremony, despite having launched insults at Francis in recent years.
Before taking office in December 2023, the far-right politician called him “an imbecile, the representative of evil on Earth”.
Mr Milei alluded to their “differences” in his tribute to the late Pope, writing: “It is with profound sorrow that I learned this sad morning that Pope Francis, Jorge Bergoglio, passed away today and is now resting in peace.
“Despite differences that seem minor today, having been able to know him in his goodness and wisdom was a true honour for me.”
Former US president Joe Biden, 82, was at the funeral with his wife Jill. The couple were seen taking their places in the bright sunshine prior to the service.
Mr Biden appeared to be getting some help to his seat, taking the arm of a member of the church.
• Ireland’s taoiseach Micheal Martin • Spain’s King Felipe and Queen Letizia • Albanian president Bajram Begaj • Angola’s president Joao Lourenco • Austrian president Alexander Van der Bellen • Bangladesh’s chief adviser and interim leader Muhammad Yunus • Belgium’s King Philippe and Queen Mathilde, along with prime minister Bart De Wever • Canada’s governor general Mary Simon • Cape Verde president Jose Maria Neves • Croatia’s president Zoran Milanovic • Cyprian president Nikos Christodoulides • Czech Republic’s prime minister Petr Fiala • Democratic Republic of Congo president Felix Tshisekedi • Dominican Republic’s president Luis Abinader • East Timor’s president Jose Ramos-Horta • Ecuador’s president Daniel Noboa • Estonia’s president Alar Karis • Finland’s president Alexander Stubb • Gabon’s president Brice Oligui Nguema • German president Frank-Walter Steinmeier and outgoing chancellor Olaf Scholz • Greece’s prime minister Kyriakos Mitsotakis • Honduras president Xiomara Castro • Hungary’s president Tamas Sulyok • Italy’s president Sergio Mattarella and prime minister Giorgia Meloni • Latvian president Edgars Rinkevics • Lithuanian president Gitanas Nauseda • Moldova’s president Maia Sandu • Netherlands’ prime minister Dick Schoof • New Zealand’s prime minister Christopher Luxon • Norway’s Crown Prince Haakon and Crown Princess Mette-Marit • The Philippines’ president Ferdinand Marcos Jr • Poland’s president Andrzej Duda • Portugal’s president Marcelo Rebelo de Sousa and prime minister Luis Montenegro • Romania’s interim president Ilie Bolojan • Sweden’s King Carl XVI Gustaf, Queen Silvia and prime minister Ulf Kristersson • Switzerland’s president Karin Keller-Sutter
Image: Pope Francis walks next to Putin at the Vatican in 2015. Pic: AP
The Russian president did not attend the funeral.
But the controversial leader paid tribute to the Pope, writing a message to Cardinal Kevin Farrell, who is interim chief of the Catholic Church.
“Please accept my most sincere condolences on the passing of His Holiness Pope Francis,” Mr Putin said.
“Throughout the years of his pontificate, he actively promoted the development of dialogue between the Russian Orthodox and Roman Catholic churches, as well as constructive cooperation between Russia and the Holy See.”
Image: Pope Francis and Benjamin Netanyahu meet at the Vatican in 2013. Pic: AP
Israeli Prime Minister Benjamin Netanyahu also did not attend the ceremony, with the country’s ambassador Yaron Sideman going instead.
The Jewish state and the Vatican have had strong relations in the past, with Israel sending a presidential delegation to the funeral of Pope John Paul II in 2005, and Pope Francis visiting Israel in 2014.
But their relationship has deteriorated since the start of the war in Gaza.
A month after the conflict started in 2023, a dispute broke out over whether Pope Francis had used the word “genocide” to describe events in Gaza. Palestinians who met with him said he did, but the Vatican said he did not.
The Pope met relatives of Israeli hostages on the same day.
Israeli officials have since lobbied the Vatican to be more forceful in its condemnation of Hamas.
In January, the Pope called the humanitarian situation in Gaza “shameful”, prompting criticism from Rome’s chief rabbi, Riccardo Di Segni, who accused Francis of “selective indignation”.
Rabbi Di Segni said he would be attending the funeral, despite it taking place on the Jewish sabbath.
Was there a seating plan?
The seats were assigned in advance, with the heads of state sitting in French alphabetical order based on their country’s name, rather than on the individual’s.
This applied to everyone apart from the presidents of Italy and Argentina, who got the best seats because the Pope lived in Italy and was an Argentinian native.
Virginia Giuffre, who accused Prince Andrew of sexual assault, has died aged 41.
In a statement to Sky’s US partner network NBC News on Friday, her family said she took her own life in the Perth suburb of Neergabby, Australia, where she had been living for several years.
“It is with utterly broken hearts that we announce that Virginia passed away last night at her farm in Western Australia,” her family said.
“She lost her life to suicide, after being a lifelong victim of sexual abuse and sex trafficking.
“Virginia was a fierce warrior in the fight against sexual abuse and sex trafficking. She was the light that lifted so many survivors.
“In the end, the toll of abuse is so heavy that it became unbearable for Virginia to handle its weight.”
Image: Pic: AP
Police said emergency services received reports of an unresponsive woman at a property in Neergabby on Friday night.
“Police and St John Western Australia attended and provided emergency first aid. Sadly, the 41-year-old woman was declared deceased at the scene,” a police spokeswoman said.
“The death is being investigated by Major Crime detectives; early indication is the death is not suspicious.”
Sexual assault claims
Image: Prince Andrew has denied all claims of wrongdoing. File pic: Reuters
Ms Giuffre sued the Duke of York for sexual abuse in August 2021, saying Andrew had sex with her when she was 17 and had been trafficked by his friend, the billionaire paedophile Jeffrey Epstein.
The duke has repeatedly denied the claims, and he has not been charged with any criminal offences.
In March 2022, it was announced Ms Giuffre and Andrew had reached an out-of-court settlement – believed to include a “substantial donation to Ms Giuffre’s charity in support of victims’ rights”.
She stuck by her version of events until the end
Of the many dozens of victims of Jeffrey Epstein, it was Virginia Giuffre who became the most high-profile.
She was among the loudest and most compelling voices, urging criminal charges to be brought against Epstein, waving her right to anonymity in 2015.
She told how he and Ghislaine Maxwell groomed her and “passed around like a platter of fruit” to be used by rich and powerful men.
But her name and face became known around the world after she accused Prince Andrew of sexually abusing her when she was 17 years old.
The picture of her together with the prince and Maxwell at the top of a staircase, his hand around her waist, is the defining image of the whole scandal.
Prince Andrew said he had no memory of the occasion. But Giuffre stuck by her version of events until the end.
‘An incredible champion’
Sigrid McCawley, Ms Giuffre’s attorney, said in a statement that she “was much more than a client to me; she was a dear friend and an incredible champion for other victims”.
“Her courage pushed me to fight harder, and her strength was awe-inspiring,” she said. “The world has lost an amazing human being today.”
“Rest in peace, my sweet angel,” she added.
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Dini von Mueffling, Ms Giuffre’s representative, also said that “Virginia was one of the most extraordinary human beings I have ever had the honour to know”.
“Deeply loving, wise, and funny, she was a beacon to other survivors and victims,” she added. “She adored her children and many animals.
“She was always more concerned with me than with herself. I will miss her beyond words.
“It was the privilege of a lifetime to represent her.”
Ms Giuffre said at the end of March she had four days to live after a car accident, posting on social media that “I’ve gone into kidney renal failure”. She was discharged from hospital eight days later.
Raised mainly in Florida, she said she was abused by a family friend early in life, which led to her living on the streets at times as a teenager.
She said that in 2000, she met Ghislaine Maxwell, a British socialite who was convicted in 2021 on federal sex trafficking and conspiracy charges and was sentenced to 20 years in prison.
Image: Ghislaine Maxwell and Jeffrey Epstein. Pic: US Department of Justice
Ms Giuffre said Maxwell then introduced her to Epstein and hired her as his masseuse, and said she was sex trafficked and sexually abused by him and associates around the world.
‘A survivor’
After meeting her husband in 2002, while taking massage training in Thailand at what she said was Epstein’s behest, she moved to Australia and had a family.
She founded the sex trafficking victims’ advocacy charity SOAR in 2015, and is quoted on its website as saying: “I do this for victims everywhere.
“I am no longer the young and vulnerable girl who could be bullied. I am now a survivor, and nobody can ever take that away from me.”
:: 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.
Image: Pope Francis meets King Charles and Queen Camilla during a private audience at the Vatican on 9 April. Pic: Vatican Media/Reuters
The trip came just a week-and-a-half after Buckingham Palace confirmed the King had been taken to hospital following side effects related to his ongoing cancer treatment.
Number 10 has confirmed the prime minister received an invite and will attend the ceremony.
Speaking on Tuesday, Sir Keir said there had been “an outpouring of grief and love” for the Pope.
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1:10
Sky News inside Vatican
He added: “I think it reflects the high esteem in which he was held, not just by millions and millions of Catholics, but by many others, across the world, myself included.”
Image: Donald Trump and Pope Francis meet at the Vatican in 2017. Pic: Reuters
The US president was one of the first to confirm he would be flying to Rome, adding he would be joined by first lady Melania Trump.
Writing on his social media platform Truth Social on Monday, he said: “Melania and I will be going to the funeral of Pope Francis, in Rome. We look forward to being there!”
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0:45
Trump: ‘Pope Francis loved the world’
The Pope had been critical of Mr Trump at times during his tenure.
In January, he said it would be a “disgrace” if the president went ahead with his crackdown on immigration, telling an Italian television station: “It would make the migrants, who have nothing, pay the unpaid bill.
“It doesn’t work. You don’t resolve problems this way.”
Mr Milei alluded to their “differences” in his tribute to the late Pope, writing: “It is with profound sorrow that I learned this sad morning that Pope Francis, Jorge Bergoglio, passed away today and is now resting in peace.
“Despite differences that seem minor today, having been able to know him in his goodness and wisdom was a true honour for me.”
Image: Pope Francis meets Ursula von der Leyen at the Vatican in 2022. Pic: Vatican Media/Reuters
The EU Commission President confirmed she would be attending after calling Francis a worldwide inspiration.
“He inspired millions, far beyond the Catholic Church, with his humility and love so pure for the less fortunate,” she said in her tribute.
Council President Antonio Costa, Parliament President Roberta Metsola are also expected to attend.
Here are some of the other notable attendees:
• Ireland’s taoiseach Micheal Martin • Spain’s King Felipe and Queen Letizia • Albanian president Bajram Begaj • Angola’s president Joao Lourenco • Austrian president Alexander Van der Bellen • Bangladesh’s chief adviser and interim leader Muhammad Yunus • Belgium’s King Philippe and Queen Mathilde, along with prime minister Bart De Wever • Canada’s governor general Mary Simon • Cape Verde president Jose Maria Neves • Croatia’s president Zoran Milanovic • Cyprian president Nikos Christodoulides • Czech Republic’s prime minister Petr Fiala • Democratic Republic of Congo president Felix Tshisekedi • Dominican Republic’s president Luis Abinader • East Timor’s president Jose Ramos-Horta • Ecuador’s president Daniel Noboa • Estonia’s president Alar Karis • Finland’s president Alexander Stubb • Gabon’s president Brice Oligui Nguema • German president Frank-Walter Steinmeier and outgoing chancellor Olaf Scholz • Greece’s prime minister Kyriakos Mitsotakis • Honduras president Xiomara Castro • Hungary’s president Tamas Sulyok • Italy’s president Sergio Mattarella and prime minister Giorgia Meloni • Latvian president Edgars Rinkevics • Lithuanian president Gitanas Nauseda • Moldova’s president Maia Sandu • Netherlands’ prime minister Dick Schoof • New Zealand’s prime minister Christopher Luxon • Norway’s Crown Prince Haakon and Crown Princess Mette-Marit • The Philippines’ president Ferdinand Marcos Jr • Poland’s president Andrzej Duda • Portugal’s president Marcelo Rebelo de Sousa and prime minister Luis Montenegro • Romania’s interim president Ilie Bolojan • Sweden’s King Carl XVI Gustaf, Queen Silvia and prime minister Ulf Kristersson • Switzerland’s president Karin Keller-Sutter
Image: Pope Francis walks next to Putin at the Vatican in 2015. Pic: AP
The Russian president will not be attending the funeral, the Kremlin has confirmed.
But the controversial leader paid tribute to the Pope, writing a message to Cardinal Kevin Farrell, who is interim chief of the Catholic Church.
“Please accept my most sincere condolences on the passing of His Holiness Pope Francis,” Mr Putin said.
“Throughout the years of his pontificate, he actively promoted the development of dialogue between the Russian Orthodox and Roman Catholic churches, as well as constructive cooperation between Russia and the Holy See.”
Image: Pope Francis and Benjamin Netanyahu meet at the Vatican in 2013. Pic: AP
The Israeli prime minister is not expected to attend, with the country’s ambassador Yaron Sideman going instead.
The Jewish state and the Vatican have had strong relations in the past, with Israel sending a presidential delegation to the funeral of Pope John Paul II in 2005, and Pope Francis visiting Israel in 2014.
But their relationship has deteriorated since the start of the war in Gaza.
A month after the conflict started in 2023, a dispute broke out over whether Pope Francis had used the word “genocide” to describe events in Gaza. Palestinians who met with him said he did, but the Vatican said he did not.
The Pope met relatives of Israeli hostages on the same day.
Israeli officials have since lobbied the Vatican to be more forceful in its condemnation of Hamas.
In January, the Pope called the humanitarian situation in Gaza “shameful”, prompting criticism from Rome’s chief rabbi, Riccardo Di Segni, who accused Francis of “selective indignation”.
Rabbi Di Segni says he will be attending the funeral, despite it taking place on the Jewish sabbath.
Is there a seating plan?
The seats are assigned in advance, with the heads of state sitting in French alphabetical order based on their country’s name, rather than on the individual’s.
This applies to everyone apart from the presidents of Italy and Argentina, who get the best seats because the Pope lived in Italy and was an Argentinian native.