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Almost half of people in Britain (47%) think that NHS care will get worse in the coming years, according to a new international poll by Ipsos for Sky News.

Just one in ten of those surveyed in the UK said they expect the quality of their healthcare to improve (10%), compared to 15% of Swedes and 22% of Spanish people.

The new figures suggest the public have little faith in the government’s ability to resolve the crisis facing the NHS on its 75th birthday.

A record 7.4 million people are currently waiting for elective treatment in England, including 371,000 who have been waiting more than a year.

A chronic shortage of beds, exacerbated by a crisis in social care, has left the NHS struggling to clear waiting lists and attend to urgent cases.

The issue has fed into a crisis of burnout among staff, with Sky News analysis finding that a surge in resignations relating to work-life balance lost the health service 10,000 staff last year.

The new polling shows that the public are feeling the impact of the crisis, with five out of every six UK respondents (83%) describing the health service as “overstretched” – more than in any other country surveyed.

Read more: First NHS baby says service is ‘creaking at the seams’

As a result, satisfaction in the NHS has plummeted since the pandemic.

The share of people describing the quality of healthcare they have access to as “good” or “very good” fell from 74% in 2020 to just 48% this year, while the share describing their healthcare as “poor” or “very poor” has more than doubled to 22%.

As recently as 2018, the British public were more satisfied with their healthcare than people in any of the 16 countries polled. This year the UK came in sixth place, behind Sweden, Australia and the US.

“Brits have long been more worried than those in other countries about the future of their national healthcare service,” says Anna Quigley, research director at Ipsos.

“What has changed more recently is their view of the current standard of service provision. Historically, Brits were more positive than other countries about the care they were currently receiving, and this is where we are really seeing things change.

“From other data we collect, for example, on experiences of GP practices, we have seen that this is mainly linked to views around access.”

Read more: The parts of England with the highest and lowest life expectancies

The public are losing trust in the NHS

Doctors have warned that the UK’s primary care system is close to collapse, with Sky News analysis finding that GPs’ patient workloads have risen by a fifth since 2019.

A record 3,497 English GPs quit general practice in the year to March, including one in every eight newly-qualified family doctors.

The result has been lengthy waiting lists, with nearly one in five people (18%) forced to wait more than two weeks for an appointment in April – up from 11% in 2021.

Waiting times for elective care have also surged, including for those with urgent cancer referrals. Last year, almost 600,000 people were forced to wait longer than the recommended two weeks to see a cancer specialist – a thirteen-fold increase since 2010.

The survey results show that 76% of Britons think waiting times are “too long” and more than half say it’s not easy to get an appointment (52%) – in both cases, the third-highest share of any country polled.

Emergency care has also come under unprecedented strain, with A&E departments forced to “ration” care as a result of chronic bed shortages.

In May, 113,000 people spent more than 12 hours waiting in A&E, with 31,000 waiting more than 12 hours even after being told they would be admitted.

Analysis in February by the Royal College of Emergency Medicine estimated that 23,000 patients died last year due to waits over 12 hours in A&E departments.

The crisis has undermined Britons’ confidence in the ability of the NHS to offer high-quality care. Less than half of those surveyed by Ipsos (46%) said they trust the health service to provide them with the best treatment, down from around two-thirds in previous years.

That’s the sharpest fall in trust of any country surveyed.

Waiting lists have started falling in other countries

During the pandemic, health services around the world sought to free up beds and staff by delaying elective procedures. The result was an enormous backlog of care, from cataract surgeries to hip replacements, that they are now battling to bring down to acceptable levels.

Yet something different has been happening in England. The elective waiting list never went through a period of levelling off, as in Sweden, or began falling back to pre-pandemic levels, as in Ireland. Instead, it has risen relentlessly.

The result has been a continuous increase in waiting times since the pandemic began, long after waits for treatment began falling in other countries.

Tim Gardner, a senior policy fellow at the Health Foundation think tank, says that the international survey results “really aren’t surprising”.

“We went into the pandemic with some of the lowest numbers of doctors, nurses, hospital beds and key bits of diagnostic equipment of any country in Europe, so it’s not a huge surprise that our health service is struggling more than most to recover from the pandemic.

“If we had kept pace with the per person funding in Germany, we would currently be spending around £39bn a year more on our health system.”

The NHS is still core to British identity

Recent polling by Ipsos for the Health Foundation found that 80% of Britons think the NHS needs more funding, up from 72% a year ago.

Two in five people said that underfunding (40%) and staff shortages (38%) were major causes behind the NHS crisis, with more than a third (35%) also pointing to “poor government policy” as a key factor.

By contrast, just 13% blame increased immigration, while 8% point to the recent strikes as a reason for the health service’s poor performance.

“The public are clearly pretty dissatisfied with the standards of the service they’re receiving at the moment,” says Gardner.

“But we also see that they’re really concerned about the pressures and workload of NHS staff. So, they’re not necessarily blaming the health service – support for the NHS’s founding principles is really rock-solid.”

More than half of respondents (54%) said that the NHS makes them “proud to be British”, while 72% agreed that the NHS is “crucial” to British society.

When asked what specifically makes them proud of the NHS, more than half (55%) pointed to the fact that it is free at the point of use or funded by taxation.

However, just one in four respondents (25%) said they expect all NHS services that are currently free at the point of use to still be free in ten years’ time.

A Department of Health and Social Care spokesperson said: “The NHS will always be free at the point of use and never be for sale. Cutting waiting times is one of the government’s top five priorities and we are making progress on our plans to recover and improve services, backed by record funding.

“The NHS has already reduced the number of patients waiting more than 18 months by over 90% since the September 2021 peak and virtually eliminated two-year waits for treatment, despite more people coming forward for treatment.

“The NHS has published the first ever Long Term Workforce Plan, backed by over £2.4 billion government funding to deliver the biggest training expansion in NHS history, with hundreds of thousands more staff over the next 15 years.”

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The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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Abusive boyfriend whose partner Kiena Dawes blamed him for her death in suicide note jailed

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Abusive boyfriend whose partner Kiena Dawes blamed him for her death in suicide note jailed

An abusive boyfriend whose girlfriend blamed him for her death in a suicide note – after he subjected her to years of violence – has been jailed for six-and-a-half years for controlling and coercive behaviour and assault.

Ryan Wellings, 30, was found guilty of the offences but was cleared of Kiena Dawes’s manslaughter by a jury at Preston Crown Court on Monday.

He was the first defendant in England to face trial for the unlawful killing of his partner after her suicide following domestic violence.

Shortly after Ms Dawes wrote her note on her phone, in which she described Wellings as a “monster”, the 23-year-old hairdresser left it with a friend before she took her own life on 22 July 2022.

Prosecuting, Paul Greaney KC cited the suicide note at Wellings’s trial. In it, Ms Dawes said he had “killed [her]”.

“He ruined every bit of strength I had left,” the note said. “I had dreams. I had a future at one point. That was taken away from me.”

Ryan Wellings. Pic Lancashire Police
Image:
Ryan Wellings. Pic: Lancashire Police

Wellings denied the allegations against him and told jurors “I’m not a monster”.

While a jury cleared Wellings of Kiena’s manslaughter, Mr Greaney invited the court to sentence the defendant “on the basis that [the offending of which he was convicted] formed the background to and set the scene for her death”.

He said the abuse was “both regular and routine across the relationship”.

On one occasion, the court heard the defendant “held a drill to Kiena’s face, switched the drill on and threatened to drill out her teeth”.

‘Breaks my heart’

In a personal statement read out on her behalf in court, Angela Dawes, Kiena’s mother, said: “It breaks my heart that [Kiena’s] beautiful baby doesn’t have her mummy here because of that monster.”

“I truly hope that no other young lady or child has to go through what he did to my daughter and her baby,” she added.

Kiena Dawes took her own life. Pic: Lancashire Police
Image:
Kiena Dawes took her own life. Pic: Lancashire Police

Kiena’s grandmother, Irene Ball, said she had noticed at times during Kiena’s relationship with Wellings that her smile was “false” but recalled her granddaughter “tried to reassure [her]”.

“It was extremely shocking to see my granddaughter hurt and with injuries to her beautiful face,” she said.

“I told Kiena that he would really badly hurt her one day and I pleaded with her not to go back to him.”

Kynan Dawes, Kiena’s brother, said: “I introduced Kiena to this monster and I will regret that for the rest of my life.”

Mr Dawes said he felt “justice [had] been served” as “the world now knows what a monster he is”.

Addressing those who’d been following Kiena’s case online, he added: “I want people to see that domestic violence is not OK and men should respect their partners.”

He also urged anyone experiencing domestic violence to “go to the police”, adding “if you don’t feel like you can do this, speak to family or friends”.

‘Friendly and kind young woman’

In sentencing, Judge Robert Altham said Ms Dawes was “a popular, vivacious, friendly and kind young woman”.

“She pleaded with you to stop hitting her, but you just carried on. You tried to persuade her that it was her fault for upsetting you,” he added.

Ms Dawes had attempted suicide in the past, before her relationship with Wellings, and lawyers for Wellings told the court her death was because of “multiple factors”.

The judge said the defendant was aware of Ms Dawes’s history of mental health issues, he “called her names connected with her illness” and “repeatedly told her that she may as well kill herself”.

However, he said his sentence was based on the jury’s conclusion that the defendant had “no criminal responsibility” for Kiena’s death.

In mitigation, John Jones KC told the court the relationship between Ms Dawes and Wellings, a landscape gardener from Bispham who had a previous conviction for battering an ex-partner, was “inconsistent” throughout its two-and-a-half years.

“It would be wrong to say that that coercive relationship was in existence throughout,” he said.

The court heard the abuse of Ms Dawes included regular slapping and “ragging” by her hair, and threats to use a drill to take out her teeth and throw acid in her face.

After she became pregnant, Wellings gave her a black eye and began criticising her weight, calling her “fat” while contacting escorts and prostitutes online.

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Police were called more than once, but Wellings threatened Ms Dawes that their daughter would be taken from them if she told them what was happening, so she declined to help prosecute him.

But she did report Wellings following an attack which left her needing hospital treatment and he was arrested.

He broke his bail conditions but was not locked up, leaving Ms Dawes feeling let down by police. Four days later, she killed herself.

Wellings’ sentences, to run consecutively, were for controlling or coercive behaviour in an intimate relationship and for assault occasioning actual bodily harm.

A further count of assault on the defendant’s former friend Scott Fletcher was also included as part of the sentence, an offence to which he had previously pleaded guilty.

Wellings will serve half of the sentence in prison before he is released on licence.

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.

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Elianne Andam: Teenager who stabbed 15-year-old to death in Croydon guilty of murder

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Elianne Andam: Teenager who stabbed 15-year-old to death in Croydon guilty of murder

The teenager who stabbed 15-year-old Elianne Andam to death in a row over a teddy bear has been found guilty of murder.

Hassan Sentamu, 18, attacked Elianne with a kitchen knife in “white-hot anger at having been disrespected” after she stood up for his ex-girlfriend, the Old Bailey heard.

He had been due to return items including a teddy bear to Elianne’s friend following their break-up but instead came armed, wearing two pairs of gloves and a facemask.

Elianne collapsed outside the Whitgift Centre in central Croydon, south London, after being stabbed four times in what police described as a “frenzied” attack, which was caught on CCTV, on 27 September 2023.

Body worn footage of Hassan Sentamu being arrested following the fatal stabbing of Elianne Andam. Pic: Met Police
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Sentamu was arrested within 90 minutes. Pic: Met Police

Her friend compared Sentamu to a character from the Netflix crime drama Top Boy and said Elianne had her hand out begging him to “stop”.

He threw his gloves and mask in a bin and hid the knife in a garden but was arrested within 90 minutes after police stopped a bus near his home in New Addington.

Sentamu, who was 17 at the time, admitted manslaughter but denied murder on the basis of “loss of control” because he has autism.

There were sobs in the public as he was found guilty by a majority verdict of 10 to two, while he stood propping himself up with both arms in the dock and crying.

He was also found guilty on a charge of having a blade. Sentamu had also denied this charge – claiming he had a lawful reason for carrying it.

Grime artist Stormzy was among thousands of mourners who gathered at a candlelit vigil after Elianne – who went to the private Old Palace of John Whitgift School – was killed, and there is now a memorial to her at the scene.

Stormzy
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Stormzy among mourners. Pic: PA

‘I’ll do it again’

The month after Elianne’s death, Sentamu got into a row with a fellow inmate in youth custody and when he was accused of killing girls, said: “I’ll do it again,” the court heard.

“I’ll do it to your mum,” he said. “Do you want to end up like her, six feet under? I’ll do the same again.”

Sentamu, who came to the UK aged five with his mother and three sisters, had a history of violent and aggressive behaviour, as well as making repeated threats to take his own life.

He was given a police caution after pulling a knife out in class and telling a teacher he wanted to kill himself when he was just 12 years old.

Sentamu was expelled from one school after threatening another child with a knife and in other incidents put girls in headlocks and threatened to stab a student with a pair of scissors.

While in foster care he threatened to harm a cat or chop off its tail, the court heard.

Elianne with her friends. Pic: Met Police/PA
Image:
Elianne with her friends. Pic: Met Police/PA

‘I can’t let this slide’

Weeks before he killed Elianne, who wanted to become a human rights lawyer, Sentamu said: “The real me is evil, dark and miserable” in a message to a friend.

The day before the attack, he had met Elianne and her friend, who had recently split up with him, at the Whitgift Centre, where the girls “teased” him and his ex-girlfriend splashed him with water.

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Attack caught on CCTV

Sentamu, who was studying sports science at Croydon College, later sent what police called a “chilling” message to a friend saying: “I can’t let this slide bro.”

He met Elianne, his ex-girlfriend and another of their friends the following day to swap belongings.

The girl handed him a plastic bag of his clothes, but he did not have her teddy bear as arranged, and Eliane snatched the bag back.

compile of screengrabs from court-released video linked to the trial of Hassan Sentamu accused of fatally stabbing 15-year-old Elianne Andam in Croydon
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Pics: Met Police

Sentamu stabbed Elianne with kitchen knife. Pic: Met Police/PA
Image:
Sentamu stabbed Elianne with a kitchen knife. Pic: Met Police/PA

A Snapchat video shows Elianne smiling and laughing before her expression turned to “abject terror,” jurors were told.

Sentamu pulled the kitchen knife from his trousers and repeatedly stabbed her, plunging the blade 12cm into her neck.

‘He exacted vengeance on a girl running away’

Prosecutor Alex Chalk KC earlier told jurors Sentamu was “angry… having brooded on the insult and he took the knife to the scene to reassert dominance”.

“He exacted vengeance on a young girl clearly running away from him and posing no threat,” he said.

Sentamu, who was diagnosed with autism in 2020, did not give evidence.

His barrister Pavlos Panayi KC said it was not disputed the killing was a “grotesque overreaction” but the “central issue” in the case was Sentamu’s autism history and symptoms.

Metropolitan Police Detective Chief Inspector Becky Woodsford said it was a “violent, aggressive and frenzied knife attack on a young girl”.

“Elianne was doing what was right, she was standing up for her friend,” she added.

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Russian drone shot down near presidential palace during Starmer’s Ukraine visit

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Russian drone shot down near presidential palace during Starmer's Ukraine visit

Sir Keir Starmer’s visit to the presidential palace in Kyiv was met with a message from Russia when a drone was blasted out of the sky above.

The prime minister was meeting President Volodymyr Zelenskyy to discuss the next steps for Ukraine, on Sir Keir’s first visit to Kyiv since his election victory last July.

The sound of anti-aircraft gunfire was audible in the palace courtyard as air sirens warned of possible drone attacks. While air sirens blaring are a daily occurrence in Ukraine, it’s rare for drones to be shot out of the sky over the presidential palace.

One drone was shot down, although eyewitnesses think there were at least two drones operating and suspect they were probably surveillance drones, as the one taken out didn’t explode on impact.

President Zelenskyy gave his Russian enemies short shrift, saying when the drone was detected: “We will say hello to them too.”

Politics latest: UK to give Ukraine new air defence system

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Starmer and Zelenskyy lay flowers at memorial

An audacious move by Moscow, Sir Keir said the drone threat was “a reminder of what Ukraine is facing every day” and that the war was brought about by “Russian aggression”.

The PM reiterated his support for Ukraine’s eventual accession to NATO, and noted the discussion at the NATO summit in Washington last year – when its allies put Ukraine on an “irreversible path” to NATO membership.

However, President Zelenskyy, perhaps with an eye on the incoming Trump administration, was more forthright in his response to the question of Western allies supporting Ukraine’s membership. He told reporters the US, Slovakia, Germany and Hungary “cannot see us in NATO”.

President Trump has recently acknowledged Moscow’s longstanding opposition to Ukraine’s ambition to join NATO, given it would mean, as the president-elect said: “Russia has somebody right on their doorstep, and I can understand their feeling about that.”

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Starmer visits burns victims

‘Nothing is off the table’

This was a news conference big on symbolism as Sir Keir vowed to stand by Ukraine for as long as it takes and put Kyiv in the strongest possible position for negotiations with Russia.

He pledged to work with Ukraine in the months ahead to ensure security guarantees for the country in any ceasefire deal, while also opening the door to possible troop deployments in training or a peacekeeping capacity, saying “nothing is off the table”.

“We must be totally clear – a just and lasting peace comes through strength,” said Sir Keir.

Keir Starmer poses for photos with staff members at a hospital in Kyiv.
Pic: PA
Image:
Keir Starmer poses for photos with staff members at a hospital in Kyiv. Pic: PA

The PM also pledged to send 1,540 artillery barrels to Ukraine as President Zelenskyy called for more weapons, blaming Russia’s advance in the eastern part of Ukraine on the slow supply of weapons.

A new mobile defence system and a ramping up in the training of troops were also promised by Sir Keir.

President Zelenskyy also acknowledged in the news conference that much is uncertain around this conflict and what security guarantees Ukraine might get from its allies ahead of conversations with Trump.

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