Figures also showed a total of 389,952 people in England had been waiting more than a year – and around 7,289 people more than 18 months – to start routine hospital treatment at the end of July.
This is up from 383,083 – and 7,177 – at the end of June, respectively.
The government and NHS England set the ambition of eliminating all waits of more than 18 months by April this year, excluding exceptionally complex cases or patients who choose to wait longer – and all waits of more than a year by March 2025.
Cancer waiting times
Around 263,696 urgent cancer referrals were made by GPs in England in July, up 1% on 261,006 in June and up 10% year-on-year from 239,739 in July 2022.
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The proportion of cancer patients who saw a specialist within two weeks of being referred fell from 80.5% in June to 77.5% in July – below the target of 93%, which is being dropped from October.
There was some improvement for cancer waiting times. In July, 37% of those starting treatment received their urgent referral more than two months prior, down from 41% in June and from 38% in July 2022.
That is down significantly from the worst-ever performance of 45% in January, though still significantly above pre-pandemic levels (21% in August 2019).
Meanwhile, 74.1% of patients urgently referred for suspected cancer were diagnosed or had cancer ruled out within 28 days, up from 73.5% the previous month. The target is 75%.
Ambulance response times
Further data revealed it took ambulances an average of 31.5 minutes to respond to Category 2 incidents – such as heart attacks and strokes – in August.
This was a slight improvement compared to July (31.8 minutes) and a big improvement compared to August 2022 (42.6 minutes).
However, it is still significantly worse than before the pandemic. In Aug 2019, the equivalent response time was just 21.3 minutes, and in Aug 2018 it was 20.6 minutes.
A&E performance
The number of people waiting more than 12 hours in A&E departments in England from a decision to admit to actually being admitted was 28,859 in August, up 21% from 23,934 in July.
The figure hit a record 54,573 in December 2022.
The number waiting at least four hours from the decision to admit to admission also went up, from 109,515 in July to 120,120 in August, an increase of 10%.
Analysis: Unless pay disputes are resolved – NHS waiting lists will keep rising
There are gains that will give much encouragement to health leaders: more urgent GP referrals (263,696) for cancer than any other July. And a slight improvement for ambulance waiting times in August when it took crews an average of 31.5 minutes to respond to Category 2 incidents (e.g. heart attacks and strokes).
That’s a slight improvement compared to July (31.8 minutes) and a big improvement compared to August 2022.
There has been a slight fall in the longest waiting times too. The number of people enduring waits of more than two years has fallen slightly, from 314 to 277.
And all of this against the backdrop of the busiest summer on record for the NHS in England with higher seasonal A&E attendances than ever before.
But it’s not all good news. The number on the list who have been waiting more than 18 months (72 weeks) has risen slightly, from 7,177 to 7,289. And the total number waiting more than 18 weeks is up from 3.09 million to 3.18 million.
And the headline figure that will dominate coverage is the record 7.68 million waiting for elective care. This figure has never been higher.
The prime minister will say his key pledge to bring down this waiting list is being undermined by strikes. And to some extent he is right.
More than 800,000 people have seen their routine care delayed because of eight months of strikes.
The nurses dispute has been resolved but junior doctors and their consultant colleagues will continue their strikes possibly long into winter. And for the first time they will strike together next week.
That will effectively bring the NHS to a grinding halt.
Unless this dispute is resolved the numbers will keep rising.
Prime Minister Rishi Sunak has made cutting waiting lists one of his priorities for 2023, pledging in January that “lists will fall and people will get the care they need more quickly”.
Shadow health secretary Wes Streeting MP said: “Record numbers of patients are waiting for healthcare and they are left waiting unacceptably long, whether it’s for an operation, ambulance, or in A&E. For millions of patients across England, the NHS is no longer there for them when they need it.”
Professor Julian Redhead, NHS England’s national clinical director for urgent and emergency care, said: “Today’s figures show that despite ongoing pressures across the NHS, including record demand for emergency care this summer, and an increase in COVID cases during July and August, NHS staff are continuing to deliver for patients.
“Category 2 ambulance response times are more than 10 minutes faster than a year ago, and significant progress continues to be made to bring down the longest waits for elective care despite months of disruption from industrial action.”
A care worker who reported the alleged abuse of an elderly care home resident, which triggered a criminal investigation, is facing destitution and potential removal from Britain after speaking up.
“Meera”, whose name we have changed to protect her identity, said she witnessed an elderly male resident being punched several times in the back by a carer at the home where she worked.
Sky News is unable to name the care home for legal reasons because of the ongoing police investigation.
“I was [a] whistleblower there,” said Meera, who came to the UK from India last year to work at the home.
“Instead of addressing things, they fired me… I told them everything and they made me feel like I am criminal. I am not criminal, I am saving lives,” she added.
Image: ‘Meera’ spoke up about abuse she said she witnessed in the care home where she worked
Like thousands of foreign care workers, Meera’s employer sponsored her visa. Unless she can find another sponsor, she now faces the prospect of removal from the country.
“I am in trouble right now and no one is trying to help me,” she said.
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Meera said she reported the alleged abuse to her bosses, but was called to a meeting with a manager and told to “change your statement, otherwise we will dismiss you”.
She refused. The following month, she was sacked.
The care home claimed she failed to perform to the required standard in the job.
She went to the police to report the alleged abuse and since then, a number of people from the care home have been arrested. They remain under investigation.
‘Migrants recruited because many are too afraid to speak out’
The home has capacity for over 60 residents. It is unclear if the care home residents or their relatives know about the police investigation or claim of physical abuse.
Since the arrests, the regulator, the Care Quality Commission (CQC), carried out an investigation at the home triggered by the concerns – but the home retained its ‘good’ rating.
Meera has had no reassurance from the authorities that she will be allowed to remain in Britain.
In order to stay, she’ll need to find another care home to sponsor her which she believes will be impossible without references from her previous employer.
She warned families: “I just want to know people in care homes like these… your person, your father, your parents, is not safe.”
She claimed some care homes have preferred to recruit migrants because many are too afraid to speak out.
“You hire local staff, they know the legal rights,” she said. “They can complain, they can work anywhere… they can raise [their] voice,” she said.
Image: Sky’s Becky Johnson spoke to ‘Meera’
Sky News has reported widespread exploitation of care visas and migrant care workers.
Currently migrants make up around a third of the adult social care workforce, with the majority here on visas that are sponsored by their employers.
As part of measures announced in April in the government’s immigration white paper, the care visa route will be closed, meaning care homes will no longer be able to recruit abroad.
‘Whole system is based on power imbalance’
But the chief executive of the Work Rights Centre, a charity that helps migrants with employment issues, is warning that little will change for the tens of thousands of foreign care workers already here.
“The whole system is based on power imbalance and the government announcement doesn’t change that,” Dr Dora-Olivia Vicol told Sky News.
She linked the conditions for workers to poor care for residents.
Image: Work Rights Centre CEO Dr Dora-Olivia Vicol
“I think the power that employers have over migrant workers’ visas really makes a terrible contribution to the quality of care,” she said.
Imran agrees. He came to the UK from Bangladesh, sponsored by a care company unrelated to the one Meera worked for. He says he frequently had to work 14-hour shifts with no break because there weren’t enough staff. He too believes vulnerable people are being put at risk by the working conditions of their carers.
Migrant workers ‘threatened’ over visas
“For four clients, there is [a] minimum requirement for two or three staff. I was doing [it] alone,” he said, in broken English.
“When I try to speak, they just directly threaten me about my visa,” he said.
“I knew two or three of my colleagues, they are facing the same issue like me. But they’re still afraid to speak up because of the visa.”
A government spokesperson called what happened to Imran and Meera “shocking”.
“No one should go to work in fear of their employer, and all employees have a right to speak up if they witness poor practice and care.”
James Bullion, from the CQC, told Sky News it acts on intelligence passed to it to ensure people stay safe in care settings.
Donald Trump may be denied the honour of addressing parliament on his state visit to the UK later this year, with no formal request yet submitted for him to be given that privilege.
Sky News has been told the Speaker of the House of Commons, Sir Lindsay Hoyle, hasn’t so far received a request to invite the US president to speak in parliament when he is expected to visit in September.
It was confirmed to MPs who have raised concerns about the US president being allowed to address both houses.
Kate Osborne, Labour MP for Jarrow and Gateshead East, wrote to the speaker in April asking him to stop Mr Trump from addressing parliament, and tabled an early-day motion outlining her concerns.
“I was happy to see Macron here but feel very differently about Trump,” she said.
“Trump has made some very uncomfortable and worrying comments around the UK government, democracy, the Middle East, particularly around equalities and, of course, Ukraine.
“So, I think there are many reasons why, when we’re looking at a state visit, we should be looking at why they’re being afforded that privilege. Because, of course, it is a privilege for somebody to come and address both of the houses.”
But the timing of the visit may mean that any diplomatic sensitivities, or perceptions of a snub, could be avoided.
Image: France’s President Emmanuel Macron addressed parliament during his state visit this month
Lord Ricketts, a former UK ambassador to France, pointed out that parliament isn’t sitting for much of September, and that could help resolve the issue.
In 2017, he wrote a public letter questioning the decision to give Donald Trump his first state visit, saying it put Queen Elizabeth II in a “very difficult position”.
Parliament rises from 16 September until 13 October due to party conferences.
The dates for the state visit haven’t yet been confirmed by Buckingham Palace or the government.
However, they have not denied that it will take place in September, after Mr Trump appeared to confirm they were planning to hold the state visit that month. The palace confirmed this week that the formal planning for his arrival had begun.
With the King likely to still be in Scotland in early September for events such as the Braemar Gathering, and the anniversary of his accession and the death of Queen Elizabeth on the 8th September, it may be expected that the visit would take place sometime from mid to the end of September, also taking into consideration the dates of the Labour Party conference starting on the 28th September and possibly the Lib Dem’s conference from the 20th-23rd.
Image: Mr Trump has said he believes the trip to the UK will take place in September. Pic: Reuters
When asked about parliamentary recess potentially solving the issue, Ms Osborne said: “It may be a way of dealing with it in a very diplomatic way… I don’t know how much control we have over Trump’s diary.
“But if we can manoeuvre it in a way that means that the House isn’t sitting, then that seems like a good solution, maybe not perfect, because I’d actually like him to know that he’s not welcome.”
A message from the speaker’s office, seen by Sky News, says: “Formal addresses to both Houses of Parliament are not automatically included in the itinerary of such a state visit.
“Whether a foreign head of state addresses parliament, during a state visit or otherwise, is part of the planning decisions.”
Image: Mr Trump made his first state visit to the UK in June 2019 during his first presidency. File pic: Reuters
It’s understood that if the government agrees to a joint address to parliament, the Lord Chamberlain’s office writes to the two speakers, on behalf of the King, to ask them to host this.
It will be Mr Trump’s second state visit.
During his first, in 2019, he didn’t address parliament, despite the fact that his predecessor, Barack Obama, was asked to do so.
It was unclear if this was due to the fact John Bercow, the speaker at the time, made it clear he wasn’t welcome to do so.
However, it didn’t appear to dampen Mr Trump’s excitement about his time with the Royal Family.
Speaking earlier this year, he described his state visit as “a fest” adding “it’s an honour… I’m a friend of Charles, I have great respect for King Charles and the family, William; we have really just a great respect for the family. And I think they’re setting a date for September.”
It is expected that, like Mr Macron, the pageantry for his trip this time will revolve around Windsor, with refurbishment taking place at Buckingham Palace.
Liverpool have retired the number 20 shirt in honour of Diogo Jota – the first time it has made such a gesture.
The club said it was a “unique tribute to a uniquely wonderful person” and the decision was made in consultation with his wife and family.
The number 20 will be retired at all levels, including the men’s and women’s first teams and academy squads.
A statement said: “It was the number he wore with pride and distinction, leading us to countless victories in the process – and Diogo Jota will forever be Liverpool Football Club’s number 20.”
The club called it a “recognition of not only the immeasurable contribution our lad from Portugal made to the Reds’ on-pitch successes over the last five years, but also the profound personal impact he had on his teammates, colleagues and supporters and the everlasting connections he built with them”.
Image: Jota’s wife joined Liverpool players to view tributes at Anfield on Friday. Pic: Liverpool FC
Image: Pic: Liverpool FC
Newly-married Jota died alongside his brother when his Lamborghini crashed in northern Spain on 3 July.