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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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Can we mend the NHS? Watch a special programme at 1800 with Mark Austin on Sky News


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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London Underground stations shut and lines suspended as power cut hits Tube

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London Underground stations shut and lines suspended as power cut hits Tube

A power outage caused major travel disruption on London’s Tube network on Monday, stretching into rush hour.

The Elizabeth, Bakerloo, Jubilee and Northern lines were among the routes either suspended or delayed, with several stations closed and passengers forced to evacuate.

A spokesman for Transport for London (TfL) said there was an outage in southwest London for “a matter of minutes” and “everything shut down”.

National Grid confirmed a fault on its transmission network, which was resolved in “seconds”, but led to a “voltage dip” that affected some supplies.

The London Fire Brigade said the fault caused a fire at an electrical substation in Maida Vale, and it’s understood firefighters destroyed three metres of high-voltage cabling.

Piccadilly Circus
Image:
The scene in Piccadilly Circus as passengers were evacuated

That came just weeks after a fire at the same substation, which saw elderly and vulnerable residents among those moved from their homes.

But today’s fire – between Cunningham Place and Aberdeen Place – is understood to have involved different equipment to the parts in the 29 April incident.

TfL’s chief operating officer Claire Mann apologised for the disruption, adding: “Due to a brief interruption of the power supply to our network, several lines lost power for a short period earlier this afternoon.”

Passengers told Sky News of the disruption’s impact on their plans, with one claiming he would have had to spend £140 for a replacement ticket after missing his train.

He said he will miss a business meeting on Tuesday morning in Plymouth as a result.

Another said she walked to five different stations on Monday, only to find each was closed when she arrived.

Lines suspended and stations shut – as it happened

“Only on the last station did I find out it was a power outage affecting the entire Underground, after I approached ticketing staff,” she said.

“Again, no announcement made. So I looked for bus alternatives. In total, I spent two hours stranded in central London. Horrible experience.

“I feel bad for people who possibly missed their flights.”

TfL staff have said they are working to restore the entire network, with some disruption extending into Monday night.

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Minister does not rule out ‘supermax’ jails for most dangerous offenders following alleged Rudakubana attack on prison officer

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Minister does not rule out 'supermax' jails for most dangerous offenders following alleged Rudakubana attack on prison officer

“Supermax” jails could be built to house the most dangerous offenders following a spate of alleged attacks on staff, the prisons minister has said.

James Timpson told the Politics Hub with Sophy Ridge that “we shouldn’t rule anything out” when asked if the most dangerous criminals should be placed in top security prisons.

It comes after Southport triple killer Axel Rudakubana allegedly threw boiling water from a kettle at an officer at HMP Belmarsh on Thursday. Police are now investigating.

Politics latest: PM has undergone a ‘miraculous conversion’, say Tories

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Is the UK prison system broken?

Before that, three prison officers were also allegedly attacked by 28-year-old Hashem Abedi – the brother of Manchester Arena bomber Salman Abedi – with hot cooking oil and “improvised knives”, potentially made from a baking tray.

Speaking from HMP Preston for a special programme of the Politics Hub, Mr Timpson told Sophy Ridge: “We inherited a complete mess in the prison system.

“Violence is up, assaults on staff is up. But for me, we shouldn’t rule anything out.”

More on Prisons

He added: “What we need to do is to speak to our staff. They’re the experts at dealing with these offenders day in, day out. “

Mr Timpson – who was the chief executive of Timpson Group before he was appointed prisons minister last year – said the violence in prisons was “too high”.

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Are we sending too many people to prison?

He continued: “The number of people when you have prisons are so full, and the people in there are not going to education or into purposeful activity.

“You get more violence and that is totally unacceptable. Our staff turn up to work to help turn people.

“They want to turn people’s lives around. They didn’t turn up to work to get assaulted. It’s totally unacceptable.”

Read more:
Should some women offenders be spared jail?
Prison officer ‘will be killed if government does not get a grip’

Reflecting on the crisis facing the UK prison system ahead of the government’s sentencing review, Mr Timpson said a major problem was the high rate of reoffending, saying “80% of offending is reoffending”.

He said people were leaving places like HMP Preston “addicted to drugs, nowhere to live, mental health problems – and that’s why they keep coming back”.

Asked whether every prison had a drugs issue, he replied: “100%.”

“If we want to keep the public safe, we need to do a lot more of the work in here and in the community. But also we need to build more prisons.”

Put to him that making more use of community sentences – thought to be one of the recommendations in the government’s sentencing review – might be considered a “cushy option” compared to a custodial sentence, Mr Timpson said: “There are some people in this prison tonight who would prefer to be in prison than do a community sentence – but that’s not everybody.

“Community sentences need to be tough punishments outside of prison, not just to help them address their offending behaviour, but also the victims need to see punishments being done too and for me, technology has a big part to play in the future.”

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Nigel Farage says he would allow essential migration but numbers would be capped

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Nigel Farage says he would allow essential migration but numbers would be capped

Nigel Farage has told Sky News he would allow some essential migration in areas with skill shortages but that numbers would be capped.

The Reform UK leader said he would announce the cap “in four years’ time” after he was pressed repeatedly by Sky’s deputy political editor Sam Coates about his manifesto pledge to freeze “non-essential” immigration.

Politics latest: PM accused of ‘shameful’ language in migration crackdown

It was put to Mr Farage that despite his criticism of the government’s migration crackdown, allowing essential migration in his own plans is quite a big caveat given the UK’s skills shortages.

However the Clacton MP said he would allow people to plug the gaps on “time dependent work permits” rather than on longer-term visas.

He said: “Let’s take engineering, for argument’s sake. We don’t train enough engineers, we just don’t. It’s crazy.

“We’ve been pushing young people to doing social sciences degrees or whatever it is.

“So you’re an engineering company, you need somebody to come in on skills. If they come in, on a time dependent work permit, if all the right health assurances and levies have been paid and if at the end of that period of time, you leave or you’re forced to leave, then it works.”

Read more:
What are Starmer’s new immigration rules?
The choice facing Labour in face of Reform threat – analysis

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‘We need to reduce immigration’

Reform’s manifesto, which they call a “contract”, says that “essential skills, mainly around healthcare, must be the only exception” to migration.

Pressed on how wide his exemption would be, Mr Farage said he hopes enough nurses and doctors will be trained “not to need anybody from overseas within the space of a few years”.

He said that work permits should be separate to immigration, adding: “If you get a job for an American TV station and you stay 48 hours longer than your work permit, they will smash your front door down, put you in handcuffs and deport you.

“We allow all of these routes, whether it’s coming into work, whether it’s coming as a student, we have allowed all of these to become routes for long-term migration.”

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Sky’s Sam Coates questions PM on migration

Asked if he would put a cap on his essential skills exemption, he said: “We will. I can’t tell you the numbers right now, I don’t have all the figures. What I can tell you is anyone that comes in will not be allowed to stay long-term. That’s the difference.”

Pressed if that was a commitment to a cap under a Reform UK government, he suggested he would set out further detail ahead of the next election, telling Coates: “Ask me in four years’ time, all right?”

Mr Farage was speaking after the government published an immigration white paper which pledged to ban overseas care workers as part of a package of measures to bring down net migration.

The former Brexit Party leader claimed the proposals were a “knee jerk reaction” to his party’s success at the local elections and accused the prime minister of not having the vigour to “follow them through”.

However he said he supports the “principle” of banning foreign care workers and conceded he might back some of the measures if they are put to a vote in parliament.

He said: “If it was stuff that did actually bind the government, there might be amendments on this that you would support. But I’m not convinced.”

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