Connect with us

Published

on

Winter pressures, an ageing population, strikes, staff shortages and COVID backlogs have left the NHS in crisis.

Reports of ambulances queuing to get into A&E, sick patients in hospital corridors and people unable to get a GP appointment have reignited the debate about whether the health service can cope in its current form.

Ahead of tonight’s Sky News debate – Can the NHS Survive? – we take a brief look at the health service in numbers.

Please use Chrome browser for a more accessible video player

Can the NHS survive?

STAFF

1,391,820 people work full-time across NHS England, according to the latest data from September 2022.

That is an increase of 2.7% or 36,040 people compared with the previous year.

More than half (52.1%) of those people are qualified clinical staff.

More on Nhs

There are 139,683 doctors, 359,495 nurses and healthcare visitors, 26,075 midwives, and 19,475 ambulance staff.

24,759 people work as managers.

VACANCIES

133,446 jobs need filling across NHS England – the equivalent of 9.7% of the total full-time workforce.

Along with about 165,000 vacancies in social care, the latest Care Quality Commission report concluded in October that the system is “gridlocked” and “unable to operate effectively”.

Please use Chrome browser for a more accessible video player

NHS under ‘immense pressure’

SIZE

The NHS is managed differently across the four nations.

There are 190 trusts in England.

Scotland has 14 health boards.

Wales has 7 health boards and 3 trusts.

Northern Ireland has 5 health and social care trusts.

The largest NHS trust in the country is Manchester University NHS Foundation Trust. It runs 10 hospitals and employs 28,371 staff.

The smallest is Dudley Integrated Health and Care Trust, which runs 2 GP surgeries and employs 445 people.

Please use Chrome browser for a more accessible video player

How NHS crisis is affecting ambulances

BEDS

There are an average of 102,065 hospital beds in England, as of 15 January.

A&E

68,632 people attended A&E each day on average in 2022.

Services in A&E can cost anything between £45 and £1,140.93, according to unit costs for 2021/22.

GPs

486,399 GP appointments took place each day on average in November 2022.

41.6% of these were same-day appointments.

46% were carried out by a GP and 22.1% by a nurse.

69.1% were face-to-face.

45,881 GPs were working across the health service that month.

A 10-minute GP appointment costs an average of £39.23, according to a 2020 study.

Please use Chrome browser for a more accessible video player

An NHS hospital under pressure

FUNDING

£277bn was spent on healthcare in the UK in 2021, which is 11.9% of total GDP.

This is compared to 17.8% of GDP in the US, 12.8% in Germany, and 10.8% in Denmark.

In 1948, when the NHS was founded, its annual budget was £373m – 3.2% of GDP at the time.

£152.6bn has been allocated for NHS England and NHS Improvement in 2022/23.

11% (£14.9bn) of £133.7bn day-to-day spending in the year 2021/22 was spent on mental health.

PAY

£35,908 was the average annual full-time salary for an NHS worker for the year ending September 2022.

This was an increase of 4.3% (£1,480) on the previous year. But inflation was 10.1% in September 2022, which means it was a real-terms decrease.

NHS pay is banded from 1 to 9.

Band 1 staff, which include drivers, nursery assistants and domestic support workers, get an annual salary of £20,270.

The hourly rate is £10.37 an hour, which is just over the 2022 National Living Wage of £9.50 for over-23s.

Click to subscribe to the Sky News Daily wherever you get your podcasts

Newly qualified nurses earn £27,055 a year.

Doctors in their first year of work earn £29,834 a year.

Band 9 staff, which include consultants, chief finance managers and estate and facilities directors, earn £109,475 a year.

Kicking off a major ongoing project on the future of the National Health Service, an hour-long debate into the future of the NHS will take place this evening, live from University Hospital Coventry.

It begins at 7pm and will be hosted by Sky News presenter Anna Botting alongside a special panel.

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

Continue Reading

UK

Family of man who committed murder after escaping from mental health unit say they were ‘failed’ by NHS trust

Published

on

By

Family of man who committed murder after escaping from mental health unit say they were 'failed' by NHS trust

The family of a man who committed murder during an escape from a secure mental health unit have told Sky News they were “failed” by the trust that was meant to be caring for him.

Joshua Carroll is currently waiting to be sentenced for the murder of Headley Thomas, known as Barry, after beating him to death in a park in Trafford, Manchester, in September 2022.

At the time of the attack, Joshua was in the care of Greater Manchester Mental Health Trust (GMMH). He was being treated as an inpatient at Park House, a unit which has now closed down.

Joshua’s mum and sister say he escaped from the unit 21 times – and they repeatedly complained to the trust and asked for help.

Headley Barry Thomas
Image:
Headley Thomas, who was known as Barry

Leanne Carroll, Joshua’s sister, told Sky News: “The night it happened, Joshua had come to my house. And it was just a normal ‘oh Joshua has escaped from hospital again’. Nothing appeared any different.”

She says they didn’t find out about what had happened until Joshua was arrested weeks later – and “everything fell apart from there”.

Julie and Leanne Carroll
Image:
Julie and Leanne Carroll

“My heart broke,” said Joshua’s mum, Julie Carroll. “It’s just a horrible, horrible situation.”

More on Manchester

Joshua had been diagnosed with conditions including schizoaffective disorder, and had been in and out of inpatient care for around 15 years, his family said.

They showed me more than 20 pages of complaints and responses from GMMH about his repeated escapes, dating back eight years before the murder.

After Joshua’s fourth escape from Park House, his family asked for him to be moved to another unit, saying they were concerned about security.

This didn’t happen, with the trust citing capacity issues. His family complained once again about his escapes just five weeks before the murder, in August 2022.

“We are very, very angry and disappointed,” said Julie. “You think if your child is in hospital, and they are very poorly, that they are going to be looked after – they will be safe and they will be secure. But that wasn’t the case for Josh.”

Julie Carroll
Image:
Julie Carroll says her “heart broke” after her son’s crime came to light

Although Joshua was convicted of murder, Leanne says his family hold GMMH partly responsible.

“If you had done your job properly – none of this would have happened,” she said. “Two families wouldn’t have been destroyed and so many hearts wouldn’t have been broken.”

Since 2022, GMMH has been served with several Section 29A warning notices by the Care Quality Commission. These are issued when the commission decides a service needs to make significant improvements, and there is a risk of harm.

In the case of GMMH, their concerns included “ward security systems not consistently keeping people safe”.

Dr John Mulligan is a clinical psychologist for GMMH, working in the community for the early intervention in psychosis service, and a representative for the union Unite.

Dr John Mulligan is
Image:
Dr John Mulligan

He and his colleagues have been going on strike repeatedly across the past seven months, saying they just don’t have the staffing levels they need to keep people safe.

“Thankfully, violent incidents among our service users are quite rare, they are much more likely to be the victims of violence and aggression,” he said. “But serious incidents are happening regularly. Far too regularly.

“It’s very upsetting for staff and for patients and families.”

Joshua Carroll mug shot Pic: Greater Manchester Police
Image:
Joshua Carroll . Pic: Greater Manchester Police

Salli Midgley, chief nurse at the Greater Manchester Mental Health NHS Foundation Trust said: “On behalf of GMMH, we express our heartfelt condolences to Headley Thomas’s loved ones at this very sad time.

“Our thoughts and sympathies remain with everyone who has been affected by this most devastating incident. We are deeply sorry that it happened while Joshua Carroll was under our care.

“Under the trust’s new leadership, we have been working closely with NHS England, our commissioners and the CQC to create better, safer and well-led services for all.”

Notes the Carroll family have kept about their complaints
Image:
The Carroll family asked for Joshua to be moved to a different unit after his escapes

She continued: “A huge amount of progress has already been made but we know we still have a lot to do to improve our services.

“As part of this work, we are currently carrying out an in-depth investigation into the care and treatment provided to Mr Carroll, and the circumstances leading to Mr Thomas’ death, the findings of which will be shared with NHS England.

“We are unable to comment further on this case whilst the investigation is ongoing.”

Barry Thomas’s family told Sky News mental health is a very serious issue – but they believe Joshua Carroll tried to “play down his actions”.

They said: “Let’s all remember that a life was taken. Our brother, father, and uncle. The evidence the police gathered was in plain sight for all to see.

“We, the family, would like to thank all the police involved for the work they have done, in bringing justice for Barry.”

Continue Reading

UK

Hashem Abedi: Manchester bomb plotter moved back to Belmarsh prison after guards attacked in jail in Durham

Published

on

By

Hashem Abedi: Manchester bomb plotter moved back to Belmarsh prison after guards attacked in jail in Durham

The Manchester Arena bomb plotter Hashem Abedi has been moved back to Belmarsh prison after an alleged attack at HMP Frankland on Saturday.

Three prison officers at the high-security jail in County Durham were attacked with cooking oil before being stabbed with an improvised weapon.

Abedi has been transferred to Belmarsh prison in southeast London where he’d previously been found guilty of attacking a prison officer in 2020, along with two other convicted terrorists.

Belmarsh is considered the most high-security prison in the UK.

Abedi has been moved to the only available highly-controlled ‘suite’ cell in the country – a standalone self-contained unit monitored by a minimum of five people at any one time, and a prison dog.

There are only four such cells across England and Wales.

Abedi was convicted of assisting the Manchester terror plot, in which his brother Salman Abedi killed himself and 22 other people by detonating a bomb in a rucksack at an Ariana Grande concert in May 2017.

More from UK

Hashem Abedi was sentenced in 2020 to at least 55 years in prison after being found guilty of 22 counts of murder over the atrocity.

Salman Abedi killed 22 innocent people
Image:
Salman Abedi before the concert attack. File pic: PA

Meanwhile, the government has said it will commission a review into the incident at HMP Frankland, after suspending access to cooking facilities in separation units, which is where the alleged attack took place.

Sky News understands the Prison Officers Association, after visiting staff who were on duty at the category A jail this week, have written to Prime Minister Sir Keir Starmer calling for urgent action in order to protect prison staff in the high-security estate.

The union wants to see prison officers working there given stab-proof vests, access to tasers in certain situations, and not just a suspension of self cooking facilities in separation units but a full ban.

Separation units house the country’s most dangerous and violent criminals.

Read more from Sky News:
‘Likely’ British Steel will be nationalised, says business secretary
Ukrainian forces ‘strike Russian brigade’ behind Sumy missile attack

Belmarsh prison
Image:
Belmarsh prison in southeast London. File pic: PA

There have been a series of violent attacks across prisons in England and Wales, only days apart.

On Sunday, convicted killer John Mansfield was found dead at a category A prison, HMP Whitemoor, in Cambridgeshire. Police said they arrested a 44-year-old man on suspicion of murder.

Sky News also understands there was an incident on Tuesday lunchtime at HMP Lowdham Grange in Nottinghamshire.

A specialist ‘response group’ consisting of officers from outside the prison were deployed to bring the situation under control, along with a ‘hostage’ situation, while prisoners climbed on the roof and netting. The situation was brought under control within an hour.

Prisons minister Lord Timpson said it was “another sign of the problems we are facing in our prison with prisons that are overcrowded and violent”.

Continue Reading

UK

More than 1,000 miles of roadworks lifted to allow ‘smooth’ Easter getaway

Published

on

By

More than 1,000 miles of roadworks lifted to allow 'smooth' Easter getaway

More than 1,000 miles of roadworks are set to be lifted in England to allow for millions of motorists to have a “smooth” journey over the Easter holidays.

Roadworks from 1,127 miles of motorways and major A roads will be removed by National Highways from 6am on Thursday, meaning 97.5% of its network will be free of traffic cones.

The roadworks will only be reintroduced after Easter Monday.

According to the AA, an estimated 19.1 million people in the UK will drive on Good Friday, along with 18.5 million hitting the road on Saturday and 18.2 million on Easter Sunday and Easter Monday respectively.

National Highways director of operational services, Andrew Butterfield, said: “We expect the roads to be busy with people looking to make the most of a long Easter weekend.

“That’s why we are making journeys easier by removing a huge number of roadworks.”

Despite that the RAC warned that drivers face a “hat-trick of hold-ups” on Thursday, Good Friday and Saturday as families try to get the most out of the end of the school holidays for many.

More on Roads

‘Plan ahead’

Mr Butterfield urged motorists to “take time to plan ahead” as he said: “Two of the top three causes of breakdowns are tyre issues and empty fuel tanks.

“You can help prevent any breakdowns by following our advice: top up your fuel, oil and screen wash, plan your journey, check your tyres and prepare for all weather conditions.”

Read more from Sky News:
Easter eggs up to 56% more expensive than last year – Which?

Do not eat a whole Easter egg in one go, NHS doctor urges

Transport Secretary Heidi Alexander said: “Cutting journey times and saving drivers money every year is all part of our Plan for Change to raise living standards and put more money in people’s pockets.

“We are tackling the real problems that drivers face by lifting 1,127 miles of roadworks over Easter and cracking down on disruptive streetworks to make journeys to see loved ones as smooth as possible.”

Continue Reading

Trending