Elizabeth Simpson is recovering from a nasty bout of pneumonia.
Her oxygen levels dropped so low that she could have been taken to hospital.
That made her feel anxious because at 80 years old she didn’t want to be separated from her family.
She also knew she would be at greater risk of a hospital-acquired infection.
That was a valid concern as the latest NHS data shows COVID infections caught in hospitals are rising.
“If you go into hospital at my age you might catch something else. It’s much more relaxing at your own home because you can go to bed, have a cup of coffee or whatever you want. And the side effect of it all is people having to visit you in hospital – the stress,” Mrs Simpson said.
Luckily for Mrs Simpson she was referred to the virtual wards team at Frimley Park Hospital in Surrey.
This unit, one of the first in the country to set up a remote hospital service, is tasked with treating acute patients at home.
This has benefits for the hospital and the patient.
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Image: Gemma Cash has seen an improvement in the treatment of patients using virtual wards
Firstly, it stops unnecessary patient admissions and also helps with the discharge of patients who can continue their treatment at home.
This eases pressure on hospital capacity, improving the flow of patients through the system.
Secondly, patient recovery times are known to improve when treated at home.
One of the nurses visiting Mrs Simpson at home is Gemma Cash, an advanced clinical practitioner with Frimley Health NHS Foundation Trust.
Mrs Cash says she has seen an improvement in the treatment of patients like Mrs Simpson.
“We didn’t have to wait for her to get into an ambulance to go to A&E, to wait in the queue in A&E to be assessed. From 111 we’ve cut out that middleman and we come straight here and do that assessment directly,” she said.
Image: The virtual ward is run by a team at Frimley Park Hospital
Virtual wards, remote monitoring and rapid discharge teams are all part of the wider government effort to ease pressure on the NHS.
Trusts that have been able to employ these specialist consultant-led teams report some success with the easing of pressure on acute services.
It is a model that the NHS is likely to pivot towards in the future as more emphasis is placed on preventing patients needing to attend hospital and stay for ongoing treatment.
But the success of this programme is dependent on the recruitment and retention of trained staff.
There is already a shortage of nurses and the workforce crisis extends right across the NHS.
It also does not address the long-term crisis in social care which is driving the pressure on hospitals who are unable to discharge medically-fit patients. This number has grown again to almost 14,000 across England.
This and the recruitment and retention of trained staff is an ongoing problem for doctors like Lucy Abbott, consultant geriatrician and chief of service for community services and older peoples’ medicine, who established Frimley’s virtual ward team.
Dr Abbott told me: “Clearly workforce is our biggest, biggest challenge, and we need to have highly-skilled professionals looking after people with frailty and as you say, that care, that support from social services as well.”
I asked Dr Abbott if her service could be a substitute for a lack of social care.
“No, no,” she replied. “We have to work together.”
The pressure on the NHS is easing slightly. But it would be a dangerous mistake to think the NHS winter crisis is over.
The workforce shortages, compounded by ongoing industrial action by nurses and ambulance workers and the need to address the serious problems in social care, mean the pressure is likely to continue for some time.
A weekend of protests and counter-protests outside hotels housing asylum seekers began last night, with dozens expected today. It comes as Reform UK leader Nigel Farage has vowed “mass deportations” of illegal immigrants if his party wins the next general election.
Saturday is set to see more demonstrations across major towns and cities in England, organised under the Abolish Asylum System slogan, with at least 33 planned over the bank holiday weekend.
The protests are expected in Bristol, Exeter, Tamworth, Cannock, Nuneaton, Liverpool, Wakefield, Newcastle, Horley, Canary Wharf, Aberdeen and Perth in Scotland, and Mold in Wales.
Counter-protests – organised by Stand Up To Racism – are also set to be held in Bristol, Cannock, Leicester, Liverpool, Newcastle, Wakefield, Horley and Long Eaton in Derbyshire.
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Govt to appeal migrant hotel ruling
It comes after Friday night saw the first demonstrations of the weekend, including one outside the TLK hotel in Orpington, south London.
Dozens of protesters could be heard shouting “get them out” and “save our children” next to the site, while counter protesters marched to the hotel carrying banners and placards which read: “Refugees welcome, stop the far right.”
The Metropolitan Police said a large cordon was formed between the two groups and the hotel, and later confirmed that no arrests were made.
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Abolish Asylum System protests were also held in Altrincham, Bournemouth, Cheshunt, Chichester, Dudley, Leeds, Canary Wharf, Portsmouth, Rhoose, Rugby, Southampton and Wolverhampton.
Image: Protesters outside the Holiday Inn Central, Ashford, Kent. Pic: PA
Tensions around the use of the hotels for asylum seekers are at a high after statistics showed there were more than 32,000 asylum seekers currently staying in hotels, marking a rise of 8% during Labour’s first year in office.
Regular protests had been held outside the Bell Hotel in Epping, Essex, which started after an asylum seeker housed there was charged with sexually assaulting a 14-year-old girl on 10 July.
Image: Police officers separate people taking part in the Stand Up To Racism rally and counter protesters in Orpington. Pic: PA
Farage vows ‘mass deportations’ if elected
Meanwhile, Nigel Farage has told The Times there would be “mass deportations” of illegal immigrants if Reform UK wins the next general election, vowing to remove the UK from the European Convention on Human Rights and other international agreements to facilitate five deportation flights a day.
When asked by the newspaper whether that would include Afghan nationals at risk of torture or death, he said: “I’m really sorry, but we can’t be responsible for everything that happens in the whole of the world.
“Who is our priority? Is it the safety and security of this country and its people? Or are we worrying about everybody else and foreign courts?”
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Asylum hotel closures ‘must be done in ordered way’
Minister of State for Border Security and Asylum Angela Eagle said in response that the Reform UK leader is “simply plucking numbers out of the air, another pie in the sky policy from a party that will say anything for a headline”.
She added: “This Labourgovernment has substantially increased returns with 35,000 people removed from the country in the last year alone, a huge increase on the last government.
“We are getting a grip of the broken asylum system. Making sure those with no right to be here are removed or deported.”
Labourhas pledged to end the use of hotels to house asylum seekers by the end of this parliament in 2029.
ConservativeMP and shadow home secretary Chris Philp also accused Reform UK of recycling Tory ideas on immigration.
“Nigel Farage previously claimed mass deportations were impossible, and now he says it’s his policy,” he added. “Who knows what he’ll say next.”
Home Office stops Norfolk hotel
It comes after South Norfolk Council said it had been told that the Home Office intends to stop housing asylum seekers at the Park Hotel in the town of Diss – which has also seen demonstrations over the last month.
Protests broke out there after officials said they would send single men to the hotel rather than women and children. The hotel’s operator had warned it would close if the change was implemented.
A Home Office spokesperson said on Friday that “we are not planning to use this site beyond the end of the current contract”.
In response, Conservative council leader Daniel Elmer said: “The Home Office thought it could just impose this change and that we would accept it.
“But there is a right way of doing things and a wrong way, and the decision by the Home Office was just plain wrong.”
He added that while “I welcome the decision, in reality it does mean that the women and children who we fought so hard to protect will now be moved elsewhere, and that is a shame”.
“The government isn’t listening to the public or to the courts,” said Tory shadow home secretary Chris Philp.
The politics is certainly difficult.
Government sources are alive to that fact, even accusing the Tory-led Epping Council of “playing politics” by launching the legal challenge in the first place.
That’s why ministers are trying to emphasise that closing the Bell Hotel is a matter of when, not if.
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What do migration statistics tell us?
“We’ve made a commitment that we will close all of the asylum hotels by the end of this parliament, but we need to do that in a managed and ordered way”, said the security minister Dan Jarvis.
The immediate problem for the Home Office is the same one that caused hotels to be used in the first place.
There are vanishingly few accommodation options.
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Asylum hotel closures ‘must be done in ordered way
Labour has moved away from using old military sites.
That’s despite one RAF base in Essex – which Sir Keir Starmer had promised to close – seeing an increase in the number of migrants being housed.
Back in June, the immigration minister told MPs that medium-sized sites like disused tower blocks, old teacher training colleges or redundant student accommodation could all be used.
Until 2023, regular residential accommodation was relied on.
But getting hold of more flats and houses could be practically and politically difficult, given shortages of homes and long council waiting lists.
All of this is why previous legal challenges made by councils have ultimately failed.
The government has a legal duty to house asylum seekers at risk of destitution, so judges have tended to decide that blocking off the hotel option runs the risk of causing ministers to act unlawfully.
So to return to the previous question.
Yes, the government may well have walked into a political trap here.
In their eyes, carnival has been tainted by the memories of last year when 32-year-old Cher was killed in front of her young daughter in an unexpected, unprovoked attack in the middle of carnival’s ‘family day’.
Image: Cher Maximen was fatally stabbed at last year’s carnival
Cher’s family say she would not want the event to stop, but that its “current format” is unsafe.
“Where some people say, wrong place, wrong time. She was in the right place, at the right time, where she should have been, and still she wasn’t safe,” says Lawrence Hoo, Cher’s cousin.
Mr Hoo says the event is not set up to protect carnival-goers: “She was in the safest location possible on family day with her daughter and she was murdered directly in front of police officers, so if it can happen there, it can happen anywhere, in all honesty, it’s an unmanageable event.”
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Last year, the number of carnival-related crimes were down on the year before, and the majority were related to drug offences.
Cher was one of two people murdered at last year’s event.
Image: Lawrence Hoo, Cher Maximen’s cousin, thinks the current format of the carnival is unsafe
Mr Hoo says the threat of violence hasn’t gone away: “Really, one murder is a murder too many. I believe that has become too dangerous.
“Could it happen again? Of course it could happen again. Of course, it could happen again. You could turn up the day before, you could be there, you can step out of the front door, you’re in the site. I think it’s an unmanageable location.”
Cher’s grandmother, Vyleen Maximen, wants the international three-day event to be moved.
Image: Vyleen Maximen, Cher’s grandmother, wants the carnival to be moved
“When I had the meeting with them, I said ‘why can’t you move it to a different place? ie Hyde Park – that’s a big enough park’. I was told ‘well, it wouldn’t be called Notting Hill Carnival’.”
For the family it comes down to concerns around who attends the street parade. The perceived lack of screening for individuals with weapons worries them.
“This is why I would like it moved,” Ms Maximen said.
“I mean, it’s not up to me. This is just my personal opinion. Have it structured, this is the way in, then the way out, but on the streets you can do whatever and just escape through the streets.”
Image: Vyleen Maximen proudly wears a T-shirt showing images of her granddaughter
This weekend, carnival organisers say 7,000 officers and staff will be on site each day with live facial recognition cameras and screening arches used at the busiest entry points.
The option of moving the event however is not up for discussion, says Matthew Phillip, Notting Hill Carnival’s chief executive.
“Carnival should remain on the streets of Notting Hill. It’s where it started, it’s a community event. Unfortunately, it has been marred by incidents.
“Our hearts are very much with the family, but carnival should remain on in the streets of Notting Hill. What we need to do is actually tackle the root causes of the issues of violence that we have in the capital that happen 365 days of the year.”
In the run-up to the event, the Metropolitan Police have arrested more than 100 people who had planned to attend and seized dozens of knives and firearms.
Commander Charmain Brenyah from the force explains that while the event “creates unique challenges” due to its size and scale, the security operation has been months in the planning.
“All of that work doesn’t just start at carnival. It started in the weeks and months previous to that, where we’ve been taking people off the streets to make sure they don’t come to carnival to cause harm.
“We’ve made 100 arrests of people for various offences. We’ve recalled 21 people to prison. We’ve taken 11 firearms off the street and 40 knives. This is all about making sure that people come to the event and have a safe and secure carnival.”
Image: Carnival CEO Matthew Phillip has rejected calls for the event to be moved
Mr Phillip, the carnival’s chief executive, is adamant, the event is safe.
“We’ve put a lot of measures in place, as we always do, but even more so this year, to keep people safe,” says Mr Phillip.
“Carnival is a safe space, it’s no more unsafe than the rest of London. So I would say come and, you know, be respectful. We want everybody to come and be respectful and care for each other. But carnival it’s a safe space.”
Cher’s family say she would not want the event stopped, the young mother adored music and dancing, especially at carnival.
But moving it, her cousin Mr Hoo says, could keep everyone safe.
“They can’t put enough precautions in place to make it safe. That’s the reality. It’s absolutely unmanageable in its current format.”