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The number of people in England waiting to start routine hospital treatment has hit a record high.

An estimated 7.68 million people were waiting to start treatment at the end of July, up from 7.57 million in June.

It is the highest number since records began in August 2007 and marks the eighth consecutive month of increases.

It comes as the government said the NHS will receive an extra £200m this winter.

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.

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.

Read more:
Number of long-term sick hits record high of 2.6m
COVID and flu vaccines rolled out to avoid potential ‘twindemic’

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.”

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Ex-England footballer Stuart Pearce’s son Harley dies in tractor crash

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Ex-England footballer Stuart Pearce's son Harley dies in tractor crash

The son of former England footballer Stuart Pearce has died in a crash, his family has said.

Harley Pearce, from Marlborough in Wiltshire, was driving a tractor near Witcombe, Gloucestershire, on Thursday, when he was involved in a collision, police said.

The 21-year-old farming worker died at the scene, on the A417 Old Birdlip Hill in Witcombe, around five miles from Gloucester.

No other vehicles were involved, Gloucestershire Constabulary said. Emergency services were called to the scene of the incident at about 2.30pm on October 16.

Stuart Pearce at last year's FA Cup Final at Wembley. Pic: PA
Image:
Stuart Pearce at last year’s FA Cup Final at Wembley. Pic: PA

Harley Pearce was 21 and worked in farming, according to reports.

‘Our shining star’

In a tribute posted on Facebook, Harley sister, Chelsea Pearce, said the family was “truly shocked and utterly heartbroken at the loss of our cherished son and devoted brother, Harley”.

He was, the family said, was a soul “who left an unforgettable imprint on all who knew him”.

“He was a golden boy with an infectious smile, and this shocking tragedy will leave a huge hole in the hearts of those who were fortunate enough to have known him.”

He had “a quiet, understated strength and deep kindness”.

The family said they were “so proud of the young man he had become, exhibiting a wonderful work ethic and entrepreneurial spirit in the farming industry.

“He will always be our shining star. Rest in Peace, our beautiful son and brother. You will never, ever be forgotten.”

What have police said?

Harley ran his own company, Harley Pearce Agricultural Service, talkSPORT said.

Gloucestershire Constabulary said on Thursday: “The driver of the tractor, a man in his 20s and from Wiltshire, was pronounced dead at the scene.

“His next of kin are aware and being supported by specially trained officers.”

The force is appealing for any witnesses or anyone with dashcam footage to contact them.

‘Tragic news’

Harley’s father, Stuart Pearce, played 78 times for England and was part of the Three Lions squads which reached the semi-finals of the 1990 World Cup and Euro 96, the FA said on its website.

He was later the head coach of the England Under-21s.

During a long club career, he made more than 400 appearances for Nottingham Forest, many of them as captain, during a 12-year spell at the City Ground.

He later managed the club, as well as another former club, Manchester City.

Pearce currently works as a pundit on talkSPORT, which said on its website that Harley and Chelsea were the two children he had with his ex-wife Liz.

Presenter Jim White said during a broadcast on Monday that “everybody here on this show and at talkSPORT sends our heartfelt condolences to the family of Stuart Pearce after that tragic news we’ve just heard”.

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Several of the clubs he played for posted tributes on X, including Forest, who said they were “deeply saddened”.

The club said: “The thoughts of everyone connected with Nottingham Forest are with Stuart and his family at this truly difficult time.”

West Ham United said: “We are saddened to hear of Harley Pearce’s passing.

“Everyone at the Club sends their deepest condolences to Stuart and his family at this tragic time.”

Manchester City said: “Everyone at Manchester City sends their love and thoughts to Stuart and his family at this very difficult time.”

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Inquiry launched into ‘repeated’ maternity failings at Leeds NHS trust

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Inquiry launched into 'repeated' maternity failings at Leeds NHS trust

After years of campaigning, bereaved families in Leeds have been told they will get a fully independent inquiry into local maternity services.

The inquiry was announced by Health Secretary Wes Streeting who said he was “shocked” that the families faced “repeated maternity failures… made worse by the unacceptable response of the trust”.

Despite running one of the largest teaching hospitals in Europe, Leeds Teaching Hospitals NHS Trust “remains an outlier on perinatal mortality”, according to official data.

In June, the Care Quality Commission downgraded maternity services at the trust to “inadequate”, describing serious risks to women and babies and a deep-rooted “blame culture” that left staff afraid to speak up.

Leeds was downgraded to "inadequate" in June by the Care Quality Commission, over serious risks to women and babies
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Leeds was downgraded to “inadequate” in June by the Care Quality Commission, over serious risks to women and babies

Grieving families have welcomed the launch of the inquiry.

In 2023, an inquest concluded Fiona Winser-Ramm and Daniel Ramm’s first baby, Aliona, died in 2020 as a result of neglect from medical staff.

“When after our daughter died, we were told that they had never seen anything like it before. And we believed it initially,” said Ms Winser-Ramm.

Fiona Winser-Ramm's baby died in 2020 after failings by staff
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Fiona Winser-Ramm’s baby died in 2020 after failings by staff


“We believed that we were the first people, the only people that this had ever happened to. And in the depths of our despair and grief, we needed to find other people that understood this, that were the same as us,” she added.

More on Leeds

Mr Ramm said the inquiry had been “a long time coming”.

“We have, as a group of families, spent years trying to essentially expose what the problems have been at least that we’ve known have existed all along,” he said.

Daniel Ramm says the inquiry has been 'a long time coming'
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Daniel Ramm says the inquiry has been ‘a long time coming’

Lauren Caulfield’s baby Grace was stillborn in 2022 and an investigation found failings in her care.

“We shouldn’t… as bereaved, grieving parents have to do this [campaigning] for so many years. [It’s] quite a relief to know that, you know, we don’t have to keep fighting,” she said.

Bereaved parent Lauren Caulfield is relieved, saying 'we don't have to keep fighting'
Image:
Bereaved parent Lauren Caulfield is relieved, saying ‘we don’t have to keep fighting’

Mr Streeting said: “This stark contradiction between scale and safety standards is precisely why I’m taking this exceptional step to order an urgent inquiry in Leeds.

“We have to give the families the honesty and accountability they deserve and end the normalisation of deaths of women and babies in maternity units.

“These are people who, at a moment of great vulnerability, placed their lives and the lives of their unborn children in the hands of others – and instead of being supported and cared for, found themselves victims.”

Read more from Sky News:
Hospital trusts face maternity probe
‘Toxic cover-up’ culture in NHS
Nottingham trust admits baby failings

Brendan Brown, chief executive of Leeds Teaching Hospitals NHS Trust, said: “I want to start by offering the families an unreserved apology, not only for their experience, but also for the fight that they’ve had in raising these concerns.

“And I want to assure them of our commitment to engage with the independent inquiry openly, honestly and transparently.”

Chief executive of the Trust, Brendan Brown, has offered families an unreserved apology
Image:
Chief executive of the Trust, Brendan Brown, has offered families an unreserved apology

The families are waiting for the terms of reference of the investigation to be confirmed, but feel the police should be involved.

They also called for it to be chaired by midwife Donna Ockenden, who is heading the independent review of maternity services at the Nottingham University Hospitals NHS Trust.

Leeds now joins a growing list: Morecambe Bay, Shrewsbury, East Kent, and the ongoing Nottingham inquiry, all uncovering shocking failures in maternity care across England.

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King visits scene of fatal Manchester synagogue attack

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King visits scene of fatal Manchester synagogue attack

The King has visited the scene of a fatal attack at a synagogue in Manchester.

The monarch was greeted by Rabbi Daniel Walker when he arrived at the Heaton Park Hebrew Congregation Synagogue.

He spent a few minutes at an outside memorial area next to the synagogue, where flowers and messages have been left by those paying their respects.

Rabbi Daniel Walker and the King
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Rabbi Daniel Walker and the King

Pics: PA
Image:
Pics: PA

It was the King’s first official engagement since Prince Andrew‘s decision to relinquish his titles under intense public scrutiny following allegations he sexually abused Virginia Giuffre. The prince vehemently denies the allegations.

Andrew also faces the Metropolitan Police looking into reports he asked an officer to help with an attempted smear campaign against Ms Giuffre.

Pics: PA
Image:
Pics: PA

During the attack at the Manchester synagogue on the Jewish holiday of Yom Kippur, father-of-three Melvin Cravitz, 66, was killed, along with Adrian Daulby.

Mr Daulby, 53, was believed to have been inadvertently shot by police as he ran to block the synagogue doors to stop the attacker getting inside to continue his knife rampage.

(L-R) Victims Adrian Daulby and and Melvin Cravitz. Pics: Family handout/Greater Manchester Police
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(L-R) Victims Adrian Daulby and and Melvin Cravitz. Pics: Family handout/Greater Manchester Police


Attacker Jihad al Shamie, 35, called 999 during his deadly rampage, pledging allegiance to the so-called Islamic State terror group.

He drove his car at Jews gathering at the Heaton Park Hebrew Synagogue for the holy day of Yom Kippur, then attacked others with a knife and tried to storm the synagogue, wearing a fake suicide belt, before armed police shot him dead.

Last week, Yoni Finlay, who is believed to have been hit by a police bullet during the attack and underwent seven hours of surgery, was discharged from hospital.

He reportedly helped barricade the doors at the synagogue.

Read more:
The father of Jihad al Shamie calls for unity
How attacker became radicalised

Greater Manchester Police said two other men injured in the attack, a security guard who was hurt when the attacker rammed his car outside the synagogue and a volunteer who was stabbed, remain in stable conditions.

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