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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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Public ‘at risk’ as more inmates sent to open prisons – with another manhunt under way

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Public 'at risk' as more inmates sent to open prisons - with another manhunt under way

Public safety is “at risk” because more inmates are being sent to prisons with minimal security, a serving governor has warned – as details emerge of another manhunt for a foreign national offender.

Mark Drury – speaking in his role as representative for open prison governors at the Prison Governors’ Association – told Sky News open prisons that have had no absconders for “many years” are now “suddenly” experiencing a rise in cases.

It comes after a man who was serving a 21-year sentence for kidnap and grievous bodily harm absconded from an open prison in Sussex last month.

Sky News has learned that Ola Abimbola is a foreign national offender who still hasn’t returned to HMP Ford – and Sussex Police says it is working with partners to find him.

WARNING: Some readers may find the content in this article distressing

Ola Abimbola absconded from an open prison. Pic: Sussex Police
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Ola Abimbola absconded from an open prison. Pic: Sussex Police

For Natalie Queiroz, who was stabbed 24 times by her ex-partner while she was eight months’ pregnant with their child, the warnings could not feel starker.

Natalie sustained injuries to all her major organs and her arms, while the knife only missed her unborn baby by 2mm.

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“Nobody expected either of us to survive,” she told Sky News.

Babur Raja was sentenced to 18 years for attempted murder, but Natalie has recently been told that he’s set to be moved to an open prison four years earlier than planned.

“Any day now, my ex who created this untold horror is about to go to an open prison,” Natalie said.

Open prisons – otherwise known as Category D jails – have minimal security and are traditionally used to house prisoners right at the end of their sentence, to prepare them for integrating back into society.

With overcrowding in higher security jails, policy changes mean more prisoners are eligible for a transfer to open conditions earlier on in their sentence.

Natalie Queiroz was stabbed 24 times by her ex-partner
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Natalie Queiroz was stabbed 24 times by her ex-partner

“It doesn’t feel right, it’s terrifying, and it also doesn’t feel like justice,” Natalie said, wiping away tears at points.

Previously, rules stated a transfer to open prison could only take place within three years of their eligibility for parole – but no earlier than five years before their automatic release date.

The five-year component was dropped in March last year under the previous government, but the parole eligibility element was extended to five years in April 2025.

Raja, who is due for release in 2034, has parole eligibility 12 years into his sentence, which is 2028.

Under the rule change, this eligibility for open prison is set for this year – but under the new rules it could have been 2023, which is within five years of his parole date.

Another change, introduced in the spring, means certain offenders can be assumed suitable for open prisons three years early – extended from two years.

Natalie says her ex-partner Babur Raja caused 'untold horror'
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Natalie says her ex-partner Babur Raja caused ‘untold horror’

Natalie has been campaigning to prevent violent offenders and domestic abuse perpetrators from being eligible to transfer to an open prison early.

She’s had meetings with ministers and raised both her case and others.

“They actually said – he is dangerous,” she told Sky News.

“I said to [the minister]: ‘How can you make a risk assessment for someone like that?’

“And they went: ‘If we’re honest, we can’t’.”

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What’s wrong with our prisons?

Read more UK news:
Andrew Mountbatten Windsor summoned by Congress
How Elon Musk is boosting the British right

The government told Sky News that Raja’s crimes were “horrific” and that their “thoughts remain with the victim”.

They also insist that the “small number of offenders eligible for moves to open prison face a strict, thorough risk assessment” – while anyone breaking the rules “can be immediately returned”.

Mark Drury, a representative of the Prison Governors' Association
Image:
Mark Drury, a representative of the Prison Governors’ Association

But Mr Drury describes risk assessments as an “algorithm tick box” because of “the pressure on offender management units”.

These warnings come at an already embarrassing time for the Prison Service after migrant sex offender Hadush Kebatu was mistakenly freed last month.

This week, it emerged two others have been freed in error since then, amid new release checks.

In response to this report, the Ministry of Justice says it “inherited a justice system in crisis, with prisons days away from collapse” – forcing “firm action to get the situation back under control”.

The government has promised to add 14,000 new prison places by 2031 and introduce sentencing reforms.

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Congressional letter summons Andrew Mountbatten Windsor to US to explain Epstein links

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Congressional letter summons Andrew Mountbatten Windsor to US to explain Epstein links

The US Congress has written to Andrew Mountbatten Windsor requesting an interview with him in connection with his “long-standing friendship” with paedophile financier Jeffrey Epstein.

The Committee on Oversight and Government Reform said it is investigating the late financier’s “sex trafficking operations”.

It told Andrew: “The committee is seeking to uncover the identities of Mr Epstein’s co-conspirators and enablers, and to understand the full extent of his criminal operations.

“Well-documented allegations against you, along with your long-standing friendship with Mr Epstein, indicate that you may possess knowledge of his activities relevant to our investigation.

“In the interest of justice for the victims of Jeffrey Epstein, we request that you co-operate with the committee’s investigation by sitting for a transcribed interview with the committee.”

Read the letter in full

The congressional committee wants to understand any 'activities' relevant to its Epstein investigation. PA file pic
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The congressional committee wants to understand any ‘activities’ relevant to its Epstein investigation. PA file pic

Virginia Giuffre, who died in April, accused Andrew of sexually assaulting her after being introduced by Epstein. Andrew has always vehemently denied her accusations.

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The letter to the former prince, is addressed to Royal Lodge, Windsor Great Park, the home he agreed last week to leave, when he was stripped of his royal titles.

It outlines his “close relationship” with Epstein and references a recently revealed 2011 email exchange in which Andrew told him “we are in this together”.

And it says the committee has identified “financial records containing notations such as ‘massage for Andrew’ that raise serious questions”.

Read more:
Andrew’s fall from grace
Can William escape Andrew questions in Brazil?

The committee said Andrew’s links to Epstein “further confirms our suspicion that you may have valuable information about the crimes committed by Mr Epstein and his co-conspirators”.

The letter, signed by 16 members of Congress, requested Andrew responds by 20 November.

It came as the King officially stripped his disgraced brother of both his HRH style and his prince title.

The move followed the publication Ms Giuffre’s posthumous memoirs, and the US government’s release of documents from the paedophile’s estate.

Ms Giuffre alleged she was forced to have sex with Andrew three times – once at convicted sex trafficker Ghislaine Maxwell’s home in London, once in Epstein’s address in Manhattan, and once on the disgraced financier’s private island, Little St James.

The incident at Maxwell’s home allegedly occurred when Ms Giuffre was 17 years old.

Epstein took his own life in a New York prison in 2019 while awaiting trial on sex trafficking and conspiracy charges.

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Congress requests Andrew explain Jeffrey Epstein friendship – read letter in full

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Congress requests Andrew explain Jeffrey Epstein friendship - read letter in full

Andrew Mountbatten Windsor has been summoned by Congress to answer questions about his friendship with Jeffrey Epstein.

The Committee on Oversight and Government Reform said it is investigating the late financier’s “sex trafficking operations”.

Andrew’s friendship with the paedophile has come under intense scrutiny in recent years and has led to him being stripped of his titles and made to leave his accommodation at Royal Lodge on the Windsor estate.

The memoir of Virginia Giuffre, one of Epstein’s victims, was posthumously published last month and in it she alleged she had sex with Andrew three times while she was a teenager.

Andrew paid a settlement to Ms Giuffre in 2022 and has always denied wrongdoing. He has previously resisted calls to be summoned to the US.

Here is the letter in full:

We write to seek your cooperation in the Committee on Oversight and Government Reform’s (Committee) investigation into Jeffrey Epstein’s sex trafficking operations. The Committee is seeking to uncover the identities of Mr. Epstein’s co-conspirators and enablers and to understand the full extent of his criminal operations.

More on Andrew Mountbatten Windsor

Well-documented allegations against you, along with your long-standing friendship with Mr. Epstein, indicate that you may possess knowledge of his activities relevant to our investigation. In the interest of justice for the victims of Jeffrey Epstein, we request that you cooperate with the Committee’s investigation by sitting for a transcribed interview with the Committee.

It has been publicly reported that your friendship with Mr. Epstein began in 1999 and that you remained close through and after his 2008 conviction for procuring minors for prostitution.

It has also been reported that you traveled with Mr. Epstein to his New York residence, the Queen’s residence at Balmoral, and to Mr. Epstein’s private island in the U.S. Virgin Islands, where you have been accused of abusing minors.

This close relationship with Mr. Epstein, coupled with the recently revealed 2011 email exchange in which you wrote to him “we are in this together,” further confirms our suspicion that you may have valuable information about the crimes committed by Mr. Epstein and his co-conspirators.

As you are well aware, Virginia Roberts Giuffre made several allegations that you abused her when she was just 17 years old.

In her 2021 lawsuit, Ms. Giuffre alleged that she was forcibly “lent out” to you for sexual purposes on three separate occasions. In addition to these allegations, flight logs document several instances in which you were a passenger on Mr. Epstein’s plane between 1999 and 2006, while his criminal activities were ongoing.

In response to a subpoena issued to the Epstein estate, the Committee has identified financial records containing notations such as “massage for Andrew” that raise serious questions regarding the nature of your relationship with Mr. Epstein and related financial transactions.

In her posthumous memoir, Ms. Giuffre expressed a fear of retaliation if she made allegations against you, and writes that the settlement agreement you executed with her restricted her to one-year gag order designed to protect the Crown’s reputation.

Recent reporting confirms those fears, as law enforcement authorities in the United Kingdom have launched an investigation into allegations that you asked your personal protection officer to “dig up dirt” for a smear campaign against Ms. Giuffre in 2011.

This fear of retaliation has been a persistent obstacle to many of those who were victimized in their fight for justice. In addition to Mr. Epstein’s crimes, we are investigating any such efforts to silence, intimidate, or threaten victims, and are interested in any avenues that may further shed light on these activities.

Given these recent events and the appalling allegations that have come to light from Ms. Giuffre’s memoir and other reliable sources, the Committee requests that you make yourself available for a transcribed interview with the Committee and provide insight into the crimes of Jeffrey Epstein’s co-conspirators.

Due to the urgency and gravity of this matter, we ask that you provide a response to the Committee’s interest by November 20, 2025.

The Committee on Oversight and Government Reform is the principal oversight committee of the House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X. If you have any questions about this request, please contact Committee Democratic staff at (202) 225-5051. Thank you for your prompt attention to this request.

The letter is signed by 16 members of the Committee on Oversight and Government Reform.

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