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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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Officials accused of ‘failing’ to tell Lords about three large-scale illegal waste sites

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Officials accused of 'failing' to tell Lords about three large-scale illegal waste sites

Environment Agency bosses have been accused of “failing” to tell a cross-party committee of peers about three large-scale illegal waste sites – including one that was recently exposed by Sky News. 

Our investigation into waste crime in Wigan heard from residents who repeatedly complained to the Environment Agency that 20 to 30 lorries a day drove down their street last winter and dumped industrial amounts of waste.

The rubbish now sits at a staggering 25,000 tonnes. It burnt for nine days in July, and has seen local homes infested with rats and flies.

Since then, a similarly sized site in Kidlington near the River Cherwell in Oxfordshire sparked national outrage. One man has been arrested in connection with the dumping.

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‘Epidemic’ of waste crime in Britain

Despite the scale of these two locations – which were well known to the Environment Agency – it neglected to name them when asked by the Lord’s Environment Committee’s inquiry into waste crime how many “significant” sites there were around the country.

Phil Davies and Steve Molyneux of the Environment Agency gave evidence on 17 September.

Just six sites were cited, but three more have been exposed in the past few weeks alone. These are Wigan, Kidlington and a mound of dumped waste in Wadborough.

Now, the Lords are worried there are more environmentally destructive locations the public aren’t aware of.

Read more:
A community plagued by 25,000 tonnes of illegal waste

Urgent action needed to stop fly-tipping by gangs, peers say

In a letter to the EA’s chair Alan Lovell and chief executive Philip Duffy, Baroness Sheehan, chair of the Environment and Climate Change Committee, said: “We are increasingly concerned that there may be other sites of a similarly large and environmentally damaging scale.”

She asked how much progress has been made to remove waste from the various sites, why restriction notices in places like Wigan weren’t served sooner – and for a full list of other sites of a similar size.

Baroness Sheehan also expressed her “disappointment” that these three new locations “were not deemed necessary to bring to the committee’s attention”, though she thanked journalists for “bringing these sites to the public attention”.

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UK’s ‘biggest ecological disaster’

Her original report saw the Lords call for an independent “root and branch” inquiry into how waste crime is tackled. She said the crime, which costs the UK £1bn every year, has been “critically under-prioritised”.

Sky News has been investigating the scourge of waste crime all year, exposing how criminal gangs involved in drugs, weapons and people trafficking can make “millions” from illegally dumping waste.

In the summer, we tracked down a group of suspected organised fly-tippers who waved wads of cash on TikTok after dumping waste in the countryside.

It’s so lucrative, it was dubbed the “new narcotics” by a former head of the Environment Agency.

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Starmer wants to lift half a million children out of poverty – but does his plan go far enough?

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Starmer wants to lift half a million children out of poverty - but does his plan go far enough?

A new long-awaited child poverty strategy is promising to lift half a million children out of poverty by the end of this parliament – but critics have branded it unambitious. 

The headline announcement in the government’s plan is the pledge to lift the two-child benefit cap, announced in Rachel Reeves’s budget last week.

It also includes:

• Providing upfront childcare support for parents on universal credit returning to work
• An £8m fund to end the placement of families in bed and breakfasts beyond a six-week limit
• Reforms to cut the cost of baby formula
• A new legal duty on councils to notify schools, health visitors, and GPs when a child is placed in temporary accommodation

Many of the measures have previously been announced.

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Two-child cap ‘a real victory for the left’

The government also pointed to its plan in the budget to cut energy bills by £150 a year, and its previously promised £950m boost to a local authority housing fund, which it says will deliver 5,000 high-quality homes for better temporary accommodation.

Downing Street said the strategy would lift 550,000 children out of poverty by 2030, saying that would be the biggest reduction in a single parliament since records began.

More on Poverty

But charities had been hoping for a 10-year strategy and argue the plan lacks ambition.

A record 4.5 million children (about 31%) are living in poverty in the UK – 900,000 more since 2010/11, according to government figures.

Phillip Anderson, the Strategic Director for External Affairs at the National Children’s Bureau (NCB), told Sky News: “Abolishing the two-child limit is a hell of a centre piece, but beyond that it’s mainly a summary of previously announced policies and commitments.

“The really big thing for me is it misses the opportunity to talk about the longer term. It was supposed to be a 10-year strategy, we wanted to see real ambition and ideally legally binding targets for reducing poverty.

“The government itself says there will still be around four million children living in poverty after these measures and the strategy has very little to say to them.”

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‘A budget for benefits street’

‘Budget for benefits street’ row

The biggest measure in the strategy is the plan to lift the two-child benefit cap from April. This is estimated to lift 450,000 children out of poverty by 2030, at a cost of £3bn.

The government has long been under pressure from backbench Labour MPs to scrap the cap, with most experts arguing that it is the quickest, most cost-effective way to drive-down poverty this parliament.

The cap, introduced by Conservative chancellor George Osborne in 2017, means parents can only claim universal credit or tax credits for their first two children. It meant the average affected household losing £4,300 per year, the Institute for Fiscal Studies calculated in 2024.

The government argues that a failure to tackle child poverty holds back the economy, and young people at school, cutting their employment and earning prospects in later life.

However, the Conservatives argue parents on benefits should have to make the same financial choices about children as everyone else.

Shadow chancellor Mel Stride said: “Work is the best way out poverty but since this government took office, unemployment has risen every single month and this budget for Benefits Street will only make the situation worse. “

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OBR leak: This has happened before

‘Bring back Sure Start’

Lord Bird, a crossbench peer who founded the Big Issue and grew up in poverty, said while he supported the lifting of the cap there needed to be “more joined up thinking” across government for a longer-term strategy.

He has been pushing for the creation of a government ministry of “poverty prevention and cure”, and for legally binding targets on child poverty.

“You have to be able to measure yourself, you can’t have the government marking its own homework,” he told Sky News.

Lord Bird also said he was a “great believer” in resurrecting Sure Start centres and expanding them beyond early years.

The New Labour programme offered support services for pre-school children and their parents and is widely seen to have improved health and educational outcomes. By its peak in 2009-2010 there were 3,600 centres – the majority of which closed following cuts by the subsequent Conservative government.

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Lord Bird on the ‘great distraction’ from child poverty

PM to meet families

Sir Keir Starmer’s government have since announced 1,000 Best Start Family Hubs – but many Labour MPs feel this announcement went under the radar and ministers missed a trick in not calling them “Sure Starts” as it is a name people are familiar with.

The prime minister is expected to meet families and children in Wales on Friday, alongside the Welsh First Minister, to make the case for his strategy and meet those he hopes will benefit from it.

Several other charities have urged ministers to go further. Both Crisis and Shelter called for the government to unfreeze housing benefit and build more social rent homes, while the Children’s Commissioner for England, Dame Rachel de Souza, said that “if we are to end child poverty – not just reduce it” measures like free bus travel for school-age children would be needed.

The strategy comes after the government set up a child poverty taskforce in July 2024, which was initially due to report back in May. The taskforce’s findings have not yet been published – only the government’s response.

Sir Keir said: “Too many children are growing up in poverty, held back from getting on in life, and too many families are struggling without the basics: a secure home, warm meals and the support they need to make ends meet.

“I will not stand by and watch that happen, because the cost of doing nothing is too high for children, for families and for Britain.”

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Nigel Farage launches tirade at BBC over allegations he was racist at school

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Nigel Farage launches tirade at BBC over allegations he was racist at school

Nigel Farage has launched a tirade against the BBC after he was asked about claims he used racist and antisemitic language when he was at school, which he denied. 

The Reform UK leader accused the broadcaster of “double standards”, pointing to its past television shows when he claimed the BBC “were very happy to use blackface”.

The outburst comes as he faces continued pressure over allegations he made racist and antisemitic comments while a pupil at top private school Dulwich College nearly 50 years ago.

Mr Farage was asked by the BBC about an interview his deputy, Richard Tice, gave on Thursday, in which he claimed those accusing his boss of racism were engaging in “made-up twaddle”.

The Reform leader said the framing of the question by the BBC interviewer had been “despicable”.

“I think to frame a question around the leader of Reform’s ‘relationship with Hitler’, which is how she framed it, was despicable, disgusting beyond belief,” he said.

“The double standards and hypocrisy of the BBC are absolutely astonishing.

More from Politics

“At the time I was alleged to have made these remarks, one of your most popular weekly shows was ‘The Black and White Minstrels’. The BBC were very happy to use blackface.”

He added: “I cannot put up with the double standards at the BBC about what I’m alleged to have said 49 years ago, and what you were putting out on mainstream content.

“So I want an apology from the BBC for virtually everything you did during the 1970s and 80s.”

Reform UK leader Nigel Farage. Pic: PA
Image:
Reform UK leader Nigel Farage. Pic: PA

Turning to the substance of the allegations, Mr Farage read out a letter that he said was from someone who he went to school with.

He quotes the unnamed Jewish pupil as saying: “While there was plenty of macho, tongue-in-cheek schoolboy banter, it was humour. And yes, sometimes it was offensive […] but never with malice.

“I never heard him racially abuse anyone. If he had, he would have been reported and punished. He wasn’t.”

Mr Farage went on to quote the unnamed former school mate as saying claims from former pupils reported by the Guardian and BBC were “without evidence, except for belatedly politically-dubious recollections from nearly half a century ago”.

He said the former pupil who had written to him had described the culture in the 1970s and at Dulwich College as “very different”, and “lots of boys said things they’d regret today”.

Read More:
How record-breaking Reform UK donor Christopher Harborne made his millions
Reform UK gets record £9m donation from ex-Tory donor

Mr Farage has been under pressure since mid-November when reports from former classmates of alleged racist comments surfaced. The Guardian claims it has spoken to 20 former classmates who recall such language.

Challenged in an interview on 24 November if the claims were true, Mr Farage said: “No, this is 49 years ago by the way, 49 years ago. Have I ever tried to take it out on any individual on the basis of where they’re from? No.”

He added: “I would never, ever do it in a hurtful or insulting way. It’s 49 years ago. It’s 49 years ago. I had just entered my teens. Can I remember everything that happened at school? No, I can’t. Have I ever been part of an extremist organisation or engaged in direct, unpleasant, personal abuse, genuine abuse, on that basis? No.”

Challenged again about whether he had racially abused anyone, Farage responded: “No, not with intent.”

A Conservative spokesman said Mr Farage was too busy defending himself to “defend democracy” from election postponements announced by Labour.

“Nigel Farage just called a press conference and used it to rant at journalists over historic allegations of racism and antisemitism – allegations he has just admitted are true.

“Farage is too busy furiously defending himself to defend democracy from the Labour Party’s elections delays.

“Reform’s one-man band is in chaos once again.”

Labour Party chair Anna Turley said: “Nigel Farage can’t get his story straight. It really shouldn’t be this difficult to say whether he racially abused people in the past.

“So far, he’s claimed he can’t remember, that it’s not true, that he never ‘directly’ abused anyone, that he was responsible for ‘offensive banter’, and deflected by saying other people were racist too.

“Instead of shamelessly demanding apologies from others, Nigel Farage should be apologising to the victims of his alleged appalling remarks.”

She added that Reform UK was “simply not fit for high office”.

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