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.
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“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”.
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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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“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.
Israel pounded the outskirts of Gaza City overnight, as Benjamin Netanyahu’s government vowed to press on with a planned offensive on the city.
Families streamed out of the city as the explosions hit.
“I stopped counting the times I had to take my wife and three daughters and leave my home in Gaza City,” said Mohammad, 40.
“No place is safe, but I can’t take the risk. If they suddenly begin the invasion, they will use heavy fire.”
Image: Mahmoud Abedrabo mourns over the body of his son Hamada in Gaza City on 24 August. Pic: Reuters
Others said they would prefer to die and not leave.
“We are not leaving, let them bomb us at home,” said Aya, 31, who has a family of eight, adding that they couldn’t afford to buy a tent or pay for the transportation.
“We are hungry, afraid and don’t have money,” she said.
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Image: Mourners pray next to the body of Palestinian boy Hamada Abedrabo on 24 August. Pic: Reuters
Witnesses said that overnight they heard nonstop explosions in Zeitoun and Shejaia.
Tanks shelled houses and roads in Sabra, and buildings were blown up in Jabalia.
On Sunday, the IDF said its forces had returned to combat in Jabalia to strengthen its control of the area and dismantle militant tunnels.
Image: Smoke rises following an Israeli strike in Gaza City. Pic: Reuters
It added that the operation there “enables the expansion of combat into additional areas and prevents Hamas terrorists from returning to operate in these areas.”
This month, Israel approved a plan to seize control of Gaza City. The offensive isn’t expected to start for another few weeks.
In the meantime, mediators in Egypt and Qatar are trying to resume ceasefire talks between the two sides.
On Friday, Israel’s defence minister Israel Katz said that Gaza City will be razed unless Hamas releases all its remaining hostages and ends the war on Israel’s terms.
Image: Mourners transport the body of Ahmed Balata on 24 August. Pic: Reuters
Around half of Gaza’s two million residents currently live in the city and on Friday a global hunger monitor said that Gaza City and its surrounding areas are officially suffering from famine that will likely spread.
Israel said the monitor ignores steps Israel has taken since late July to increase aid supplies into and across Gaza.
Eight more people died of malnutrition and starvation in Gaza, according to the Hamas-run Gaza health ministry on Saturday.
281 people, including 114 children, have now died of malnutrition and starvation since the war started, according to the ministry.
The war began on 7 October 2023, when Hamas-led gunmen killed around 1,200 people in southern Israel, mainly civilians, and took 251 hostages.
Since then, Israel has killed at least 62,000 Palestinians, according to the Gaza health ministry, and internally displaced nearly its entire population.
Two married couples have died after a British car veered off the road and crashed in Germany, according to police.
The fatal accident happened shortly after midnight on Saturday in the trees near a highway in the Kassel district, north of Hesse in central Germany.
The 32-year-old male driver, a 31-year-old female passenger, a 32-year-old female passenger, and a 30-year-old female passenger all died at the scene, despite the efforts of German emergency services.
Sky News understands UK officials have not been contacted for assistance.
At roughly 12.30am on Saturday, the car appears to have veered off the road and crashed into nearby trees around 30m from the road, according to the Kassel police department.
Image: Pic: Feuerwehr Reinhardshagen
One of the victim’s phones automatically alerted the emergency services to the incident, who sent an ambulance to the scene.
Soon, fire engines, ambulances, command vehicles and emergency support vehicles were all dispatched.
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When emergency workers arrived, the car was lying on its side, wedged between several trees.
It wasn’t until they removed the roof that they found all four passengers.
Image: Pic: Feuerwehr Reinhardshagen
Image: The accident happened on Highway L3229
The emergency workers who dealt with the victims were immediately supported by the specialist mental health workers at the fire station in Reinhardshagen.
“This high number of deaths is an extraordinary operation for our Reinhardshagen Volunteer Fire Department,” said a fire department spokesperson.
“For some of the emergency personnel, it is the first time they have been confronted with death in this way.
“Therefore, a great deal is being done to help us process these images. We will also discuss this among ourselves and within families, because not everyone can easily shake off what they have seen.”
An investigation into the accident is ongoing and is being conducted by the Hofgeismar police station.
Legendary boxer Julio César Chávez Jr. will stand trial over alleged cartel ties and arms trafficking, his lawyer has said.
A Mexican court has granted a three-month extension for further investigation into the case, according to Chávez’s lawyer, Rubén Fernando Benítez Alvarez.
He said the claims against his client were “speculation” and “urban legends” after a court hearing on Saturday in the northern Mexican city of Hermosillo.
If convicted, Chávez – who took part in the hearing virtually from a detention facility – could face a prison sentence of four to eight years, Mr Alvarez said.
Chávez, 39, who has been living in the United States for several years, was arrested in early July by federal agents outside his Los Angeles home for overstaying his visa and providing inaccurate details on an application to obtain a green card.
The arrest came just days after a fight he had with famed American boxer Jake Paul in Los Angeles.
Mexican prosecutors have been investigating the boxer since 2019 after US authorities filed a complaint against the Sinaloa Cartel for organized crime, human trafficking, arms smuggling, and drug trafficking.
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The case prompted investigations into 13 individuals, including Ovidio Guzmán López – the son of convicted drug lord Joaquín “El Chapo” Guzmán – as well as several associates, hitmen, and accomplices of the criminal organization. Guzmán López was arrested in January 2023 and extradited to the US eight months later.
Following the inquiry, the Federal Attorney General’s Office issued several arrest warrants, including one against Chávez.
The boxer was deported by the US on 9 August and handed over to agents of the Federal Attorney General’s Office in Sonora state, who transferred him to the Federal Social Reintegration Center in Hermosillo.
The high-profile case comes amid the Trump administration’s efforts to pressure Mexico into cracking down on organized crime, including cancelling visas of prominent Mexican artists and celebrities, and increasing deportations.
Chávez has struggled with drug addiction throughout his career and has been arrested multiple times. In 2012, he was found guilty of driving under the influence in Los Angeles and was sentenced to 13 days in jail.
The boxer was arrested last year for weapons possession. Police said Chávez had two rifles.
He was released shortly afterward upon posting $50,000 bail (£36,000), on the condition that he attend a facility to receive treatment for his addiction.