‘Shocking waste’: NHS is spending £1m a week on private ambulances for emergencies, union says
The NHS has been accused of “shocking waste” after research by a trade union found it was spending more than £1m a week on private ambulances for emergency calls.
Unison – whose members have just accepted a new government pay deal – says it had responses from two-thirds of ambulance trusts in England that paid private companies to provide emergency cover for critical patients.
It said more than a dozen private companies have been used by trusts in England to try and plug holes and meet response times amid what it called overwhelming demand.
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Intensive care nurses to stike
Crews and vehicles are booked up to a year in advance, Unison claimed, so they are available to response to emergency incidents such as strokes and road traffic accidents.
It added that spending the money on private 999 care was a “short-term fix, not a long-term solution to the crisis in ambulance services”.
Speaking ahead of the union’s annual health conference in Bournemouth, Unison’s head of health Sara Gorton said: “This spend on private 999 services shows a lack of long-term planning and is a shocking waste of money.
“It’s nothing more than a sticking plaster solution. Ambulance services are in a desperate state because the government has failed to invest long term.
“Patients are waiting ages for help to arrive or worse still dying before crews can reach them. Others are stuck in emergency vehicles outside hospitals for hours and hours on end waiting for a bed.”
She urged ministers to offer “proper funding to tackle increasing demand and pay staff properly”.
A Department of Health and Social Care spokesperson said: “We are working hard to improve ambulance waiting times which have substantially reduced from the peak of winter pressures in December 2022.
“Our Urgent and Emergency Care Recovery Plan will allow people to be seen quicker by scaling up community teams, expanding virtual wards, and getting 800 new ambulances on the road. This is on top of £750m we provided this winter to speed up hospital discharge and free up beds.”
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‘Full and final offer’ on nurses pay
Despite Unison members accepting a pay deal, negotiations continue with the Royal College of Nursing, which announced on Friday that its members will strike for 48 hours from 8pm on 30 April after rejecting the offer.
NHS nurses in emergency departments, intensive care and cancer wards will also take industrial action for the first time.
Matthew Taylor, chief executive of the NHS Confederation, which represents health trusts, raised concerns over the possibility of nurses and junior doctors walking out at the same time in the dispute over pay.
“We are concerned about the speculation that the possibility of a combination of junior doctors’ and nurses’ action, so both of these things would be a significant escalation,” he told Sky News.
“It’s very difficult to see how either of those things wouldn’t endanger patient safety and dignity.”
Health Secretary Steve Barclay has told the union: “The decision to refuse at this stage any exemptions for even the most urgent and life-threatening treatment during this action will, I fear, put patients at risk.”
The Royal College of Nursing has said there are currently no plans to coordinate strike action with the British Medical Association.
World
Joe Biden allows Kyiv to begin firing US rockets deep into Russia – as politician warns it ‘risks World War Three’
Joe Biden has authorised Ukraine to begin firing US-supplied rockets deep into Russia – as Sir Keir Starmer prepares to push for “further support” for Kyiv at the G20 summit.
Mr Biden’s policy shift means Kyiv will now be able to use Army Tactical Missile Systems (ATACMS) for long-range attacks, two American officials have told Sky News’ US partner network NBC News.
Ukraine plans to conduct its first such attacks in the coming days, the sources said, without revealing details due to operational security concerns.
The US has eased restrictions on the use of ATACMS, which have a range of up to 190 miles, after Russia began deploying North Korean ground troops to supplement its own forces in the conflict.
The development was condemned by Biden officials as a possible expansion of the war.
Joe Biden meets with Volodymyr Zelenskyy in the Oval Office in September last year. Pic: AP
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A Russian politician and the son of president-elect Donald Trump have both likened the move to risking a third world war.
Maria Butina told the Reuters news agency: “These guys, Biden’s administration, is trying to escalate the situation to the maximum while they still have power and are still in office.
“I have a great hope that Trump will overcome this decision if this has been made because they are seriously risking the start of World War Three which is not in anybody’s interest.”
Meanwhile, Donald Trump Jr wrote on X: “The Military Industrial Complex seems to want to make sure they get World War 3 going before my father has a chance to create peace and save lives… Imbeciles!”
The outgoing Biden administration’s move comes as there are concerns about the level of support the Trump White House may be willing to give Ukraine.
Mr Trump has previously vowed to limit US support for Ukraine and end its war with Russia.
In an evening address after Kyiv was given permission to fire deep into Russia, Ukrainian President Volodymyr Zelenskyy said: “Today, there’s a lot of talk in the media about us receiving permission for respective actions. But strikes are not carried out with words. Such things are not announced. Missiles will speak for themselves. They certainly will.”
Back in September, Russian President Vladimir Putin said if the US were to lift the ban on long-range missile use it would be seen as NATO’s “direct participation” in the war.
He added: “This, of course, will significantly change the very essence, the very nature of the conflict.”
The US military tests an early version of an Army Tactical Missile System in 2021. Pic: AP
Meanwhile, the UK prime minister has said he has “no plans” to speak with the Russian president as world leaders gather for the G20 summit in Rio de Janeiro.
Mr Putin will not be attending the two-day summit which starts on Monday after saying in October that his presence would “disrupt the normal work of this forum”. Russia’s foreign minister Sergei Lavrov will be attending instead.
It will take place days after German Chancellor Olaf Scholz spoke to Mr Putin on what was the Russian leader’s first publicly announced conversation with the sitting head of a major Western power in nearly two years.
Asked if he had any plans to make a similar call, Sir Keir said: “It’s a matter for Chancellor Scholz who he speaks to. I have no plans to speak to Putin.”
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Firefighters work at the site of a residential area hit by a Russian missile strike in the Lviv region of Ukraine. Pic: Reuters
Speaking to reporters while on his way to the summit, he added: “We are coming up to the 1,000th day of this conflict on Tuesday.
“That’s 1,000 days of Russian aggression, 1,000 days of huge impact and sacrifice in relation to the Ukrainian people and recently we’ve seen the addition of North Korean troops working with Russians which does have serious implications.
“I think on one hand it shows the desperation of Russia, but it’s got serious implications for European security […] and for Indo-Pacific security and that’s why I think we need to double down on shoring up our support for Ukraine and that’s top of my agenda for the G20.
“There’s got to be full support as long as it takes and that certainly is top of my agenda, shoring up that further support for Ukraine.”
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One of Russia’s ‘largest air attacks’
Keep up with all the latest news from the UK and around the world by following Sky News
The latest developments come after Russia launched a large-scale attack on Ukraine on Sunday, with Mr Zelenskyy claiming Moscow had launched a total of 120 missiles and 90 drones.
Two major strikes, which left a total of 18 people dead, hit a residential building in the northeastern city of Sumy as well as energy infrastructure across Ukraine, prompting emergency power cuts.
Hours later, Moscow mayor Sergei Sobyanin said Russia’s air defence units had destroyed a drone heading towards the city.
World
Biden allows Kyiv to begin firing US rockets deep into Russia – as Starmer calls on allies to ‘double down’ on support
Joe Biden has authorised Ukraine to begin firing US-supplied rockets deep into Russia – as Sir Keir Starmer prepares to push for “further support” for Kyiv at the G20 summit.
Mr Biden’s policy shift means Kyiv will now be able to use Army Tactical Missile Systems (ATACMS) for long-range attacks, two American officials have told Sky News’ US partner network NBC News.
Ukraine plans to conduct its first such attacks in the coming days, the sources said, without revealing details due to operational security concerns.
The US has eased restrictions on the use of ATACMS, which have a range of up to 190 miles, after Russia began deploying North Korean ground troops to supplement its own forces in the conflict.
The development was condemned by Biden officials as a possible expansion of the war.
Joe Biden meets with Volodymyr Zelenskyy in the Oval Office in September last year. Pic: AP
Follow latest: Ukraine war live updates
The son of president-elect Donald Trump has criticised the move to allow Ukraine to fire deep into Russia.
Donald Trump Jr wrote on the X social media platform: “The Military Industrial Complex seems to want to make sure they get World War 3 going before my father has a chance to create peace and save lives… Imbeciles!”
The outgoing Biden administration’s move comes as there are concerns about the level of support the Trump White House may be willing to give Ukraine.
Mr Trump has previously vowed to limit US support for Ukraine and end its war with Russia.
In an evening address after Kyiv was given permission to fire deep into Russia, Ukrainian President Volodymyr Zelenskyy said: “Today, there’s a lot of talk in the media about us receiving permission for respective actions. But strikes are not carried out with words. Such things are not announced. Missiles will speak for themselves. They certainly will.”
Back in September, Russian President Vladimir Putin said if the US were to lift the ban on long-range missile use it would be seen as NATO’s “direct participation” in the war.
He added: “This, of course, will significantly change the very essence, the very nature of the conflict.”
The US military tests an early version of an Army Tactical Missile System in 2021. Pic: AP
Meanwhile, the UK prime minister has said he has “no plans” to speak with the Russian president as world leaders gather for the G20 summit in Rio de Janeiro.
Mr Putin will not be attending the two-day summit which starts on Monday after saying in October that his presence would “disrupt the normal work of this forum”. Russia’s foreign minister Sergei Lavrov will be attending instead.
It will take place days after German Chancellor Olaf Scholz spoke to Mr Putin on what was the Russian leader’s first publicly announced conversation with the sitting head of a major Western power in nearly two years.
Asked if he had any plans to make a similar call, Sir Keir said: “It’s a matter for Chancellor Scholz who he speaks to. I have no plans to speak to Putin.”
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Firefighters work at the site of a residential area hit by a Russian missile strike in the Lviv region of Ukraine. Pic: Reuters
Speaking to reporters while on his way to the summit, he added: “We are coming up to the 1,000th day of this conflict on Tuesday.
“That’s 1,000 days of Russian aggression, 1,000 days of huge impact and sacrifice in relation to the Ukrainian people and recently we’ve seen the addition of North Korean troops working with Russians which does have serious implications.
“I think on one hand it shows the desperation of Russia, but it’s got serious implications for European security […] and for Indo-Pacific security and that’s why I think we need to double down on shoring up our support for Ukraine and that’s top of my agenda for the G20.
“There’s got to be full support as long as it takes and that certainly is top of my agenda, shoring up that further support for Ukraine.”
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One of Russia’s ‘largest air attacks’
Keep up with all the latest news from the UK and around the world by following Sky News
The latest developments come after Russia launched a large-scale attack on Ukraine on Sunday, with Mr Zelenskyy claiming Moscow had launched a total of 120 missiles and 90 drones.
The sweeping attack, which left at least eight people dead, targeted energy infrastructure across Ukraine overnight and prompted emergency power cuts.
Hours later, Moscow mayor Sergei Sobyanin said Russia’s air defence units had destroyed a drone heading towards the city.
World
It’s a stunning shift in US policy – but Biden’s announcement will trigger fury and fresh threats from Moscow
Joe Biden’s belated decision to allow Ukraine to use US-supplied, long-range missiles inside Russia will be cheered by Kyiv and will almost certainly prompt the UK to follow suit.
But the stunning shift in US policy – just weeks before Donald Trump takes over as US president – will also trigger fury and fresh threats from Moscow at a time of increasing uncertainty about the future course of its war.
President Vladimir Putin has warned the West they would be playing with fire if they allowed Ukrainian forces to launch Western-supplied cruise and ballistic missiles at Russia, saying it could even trigger a global conflict.
British and US officials, though, have repeatedly advised their respective capitals not to be intimidated by Moscow’s sabre rattling.
Ukraine war latest: Biden lifts ban on Russia strikes
Yet there has been hesitancy, particularly in Washington, over the unleashing of US Army Tactical Missile System (ATACMS) ballistic missiles beyond the borders of Ukraine.
However, it seems that a move by North Korea to send thousands of its troops to fight with Russia has changed US calculations.
The New York Times, which was among the US media organisations to break news of the Biden administration’s decision on long-range missiles, reported that the first time the American weapons will be used inside Russia will likely be against Russian and North Korean troops battling a Ukrainian incursion in the Russian region of Kursk.
While a significant step up in support for Ukraine, the ability to use American long-range missiles inside Russia is not a war-winning development.
But it does expand Kyiv’s capacity to hit important military targets deliberately positioned by Russian commanders far back from the frontline. This includes stockpiles of missiles, drones and other ammunition used to strike Ukraine.
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Biden lifts ban on Russia strikes
Just as important as the military impact, though, is the political signal that the US decision sends to the Kremlin about Washington’s willingness to defy Russian warnings about dire consequences should Mr Biden dare to grant Ukraine the permission it’s so long been seeking.
The dramatic move by the United States comes after months of lobbying by Ukraine’s leader, Volodymyr Zelenskyy.
A key thing to watch now will be how Mr Putin reacts the first time an American missile kills Russian soldiers on Russian soil.
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The city where schools go underground
Moscow does not want a direct war with the United States and NATO – nuclear-armed forces with far greater combined firepower – but the Kremlin could well ramp up an already heightened campaign of sabotage and other forms of hybrid warfare across Europe.
Another important reaction to track will be how Mr Trump responds to Mr Biden’s move and whether he continues to allow Ukraine this permission once he takes over as the US commander-in-chief.
The president-elect has vowed to end Russia’s war in Ukraine quickly but he has not said how. Yet he has voiced fierce opposition to the continued gifting of vast quantities of American weapons to the Ukrainian military.
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