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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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‘Physical threat’ from Iran on people living in UK has ‘increased significantly’, watchdog says

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'Physical threat' from Iran on people living in UK has 'increased significantly', watchdog says

The threat of physical attacks by Iran on people living in the UK has increased “significantly” since 2022, according to a new report by parliament’s intelligence watchdog.

Iran poses a “wide-ranging, persistent and unpredictable threat” to the UK, according to the Intelligence and Security Committee.

It also said Iran’s intelligence services were “willing and able – often through third party agents – to attempt assassination within the UK, and kidnap from the UK”.

Iran's supreme leader Ayatollah Ali Khamenei.
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Iran’s supreme leader Ayatollah Ali Khamenei. Pic: Office of the Iranian Supreme Leader/West Asia News Agency/Reuters

The report said there have been 15 murder or kidnap attempts against British citizens or UK-based individuals since the beginning of 2022 and August 2023.

Sky News has approached the Iranian embassy for a comment.

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Millions of Iranians unite in mourning

The report authors add: “Whilst Iran’s activity appears to be less strategic and on a smaller scale than Russia and China, Iran poses a wide-ranging threat to UK national security, which should not be underestimated: it is persistent and crucially – unpredictable.”

The committee also says that while the threat is often focused on dissidents and other opponents to the regime, there is also an increased threat to Jewish and Israeli interests in the UK.

More on Iran

The report warns that while Iran has not developed a nuclear weapon, it has taken steps towards that goal.

It found that Iran had been “broadly compliant” with the 2015 Joint Comprehensive Plan of Action (JCPOA), aimed at limiting its nuclear ambitions.

But since Donald Trump withdrew from that deal in 2018, the report said the nuclear threat had increased and Tehran “had the capability to arm in a relatively short period”.

The UK government is also accused of “fire-fighting” rather than developing a real understanding of Iran.

Iranian President Masoud Pezeshkian and military commanders watch as military equipment passes by during the National Army Day parade
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Iran’s president oversees a parade in Tehran in April showing off the country’s military hardware. Pic: West Asia News Agency/Reuters

An Iranian missile is seen during the National Army Day parade ceremony in Tehran
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Missiles are paraded through the capital during the recent National Army Day ceremony. Pic: West Asia News Agency/Reuters

The report says: “The government’s policy on Iran has suffered from a focus on crisis management, driven by concerns over Iran’s nuclear programme, to the exclusion of other issues.

“As one of our expert witnesses told the committee: ‘Strategy is not a word that I think has crossed the lips of policy makers for a while, certainly not in relation to Iran’.”

The committee concluded its evidence-taking in August 2023, the result of two years of work, but the report authors say their conclusions “remain relevant”.

But the report authors questioned whether UK sanctions against individuals would “in practice deliver behavioural change. Or in fact unhelpfully push Iran towards China”.

The committee also said the British government should consider proscribing the Iranian Revolutionary Guards Corps (IRGC), although some argue it would limit the UK’s ability to talk to and influence Iran.

Read more from Sky News:
Who is Iran’s supreme leader?
Defiant Khamenei makes appearance
Anger in Iran over US and Israeli strikes

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Responding to the report, a UK government spokesperson said: “The government will take action wherever necessary to protect national security, which is a foundation of our plan for change.

“We have already placed Iran on the enhanced tier of the foreign influence registration scheme and introduced further sanctions against individuals and entities linked to Iran, bringing the total number of sanctions to 450.”

British security services say Tehran uses criminal proxies to carry out its work in Britain.

In December, two Romanians were charged after a journalist working for a Persian language media organisation in London was stabbed in the leg. In May, three Iranian men appeared in court charged with assisting Iran’s foreign intelligence service and plotting violence against journalists.

Earlier this year, the UK government said it would require the Iranian state to register everything it does to exert political influence in the UK, because of what it called increasingly aggressive activity.

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‘A constant game of cat and mouse’: Inside the crackdown on illegal moped delivery drivers

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'A constant game of cat and mouse': Inside the crackdown on illegal moped delivery drivers

The first thing you notice when immigration officers stop a possible illegal moped delivery driver is the speed in which the suspect quickly taps on their mobile.

“We’re in their WhatsApp groups – they’ll be telling thousands now that we’re here… so our cover is blown,” the lead immigration officer tells me.

“It’s like a constant game of cat and mouse.”

Twelve Immigration Enforcement officers, part of the Home Office, are joining colleagues from Avon and Somerset Police in a crackdown on road offences and migrants working illegally.

Police chase suspected illegal immigrant working as a delivery drivers

The West of England and Wales has seen the highest number of arrests over the last year for illegal workers outside of London.

“It is a problem… we’re tackling it,” Murad Mohammed, from Immigration Enforcement, says. He covers all the devolved nations.

“This is just one of the operations going on around the country, every day of the week, every month of the year.”

Murad Mohammed from Immigration Enforcement
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Murad Mohammed, from Immigration Enforcement, says his team are attempting to tackle the issue

Just outside the Cabot Circus shopping complex, we stop a young Albanian man who arrived in the UK on the back of a truck.

He’s on an expensive and fast-looking e-bike, with a new-looking Just Eat delivery bag.

He says he just uses it for “groceries” – but the officer isn’t buying it. He’s arrested, but then bailed instantly.

A man inspects the Just Eat food delivery bag of a suspected illegal immigrant working as a delivery driver

We don’t know the specifics of his case, but one officer tells me this suspected offence won’t count against his asylum claim.

Such is the scale of the problem – the backlog, loopholes and the complexity of cases – that trying to keep on top of it feels impossible.

This is one of many raids happening across the UK as part of what the government says is a “blitz” targeting illegal working hotspots.

Angela Eagle, the border security and asylum minister, joins the team for an hour at one of Bristol’s retail parks, scattered with fast food chains and, therefore, delivery bikes.

Angela Eagle, Minister for Border Security and Asylum
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Border security and asylum minister, Angela Eagle, speaks to Sky News

She says arrests for illegal working are up over the last year by 51% from the year before, to more than 7,000.

“If we find you working, you can lose access to the hotel or the support you have [been] given under false pretences,” she said.

“We are cracking down on that abuse, and we intend to keep doing so.”

A suspected illegal immigrant working as a delivery driver being arrested

There are reports that asylum seekers can rent legitimate delivery-driver accounts within hours of arriving in the country – skipping employment legality checks.

Uber Eats, Deliveroo, and Just Eat all told Sky News they’re continuing to strengthen the technology they use to remove anyone working illegally.

But a new Border Security Bill, working its way through Parliament, could see companies fined £60,000 for each illegal worker discovered, director disqualifications and potential prison sentences of up to five years.

“I had them all in to see me last week and I told them in no uncertain terms that we take a very tough line on this kind of abuse and they’ve got to change their systems so they can drive it out and off their platforms,” the minister tells me.

Read more:
Welfare bill passes final Commons stage after another concession
Ex-Tory chairman defects to Reform
Wealth tax could be coming to the UK – what is it?

The gig economy – so prevalent in every city – creates another incentive for those wanting to risk their lives coming to the UK illegally.

More than 20,000 migrants have crossed the English Channel to the UK in 2025 – a record number at this point of the year.

A suspected illegal immigrant working as a delivery driver holds his helmet

For some of those who arrive, a bike and a phone provide a way to repay debts to gang masters.

There were eight arrests today in Bristol, one or two taken into custody, but it was 12 hours of hard work by a dozen immigration officers and the support of the police.

As two mopeds are pushed onto a low-loader, you can’t help but feel, despite the best intentions, that at the moment, this is a losing battle.

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This flimsy vessel carrying migrants could reach British waters in a few hours’ time

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This flimsy vessel carrying migrants could be hours away from reaching British waters

We see the boat from a distance – the orange of the life jackets reflected in the rising sun.

And as we draw closer, we can make out dozens of people crowded on board as it sets off from the shore, from a beach near Dunkirk.

There is no sign of any police activity on the shore, and there are no police vessels in the water.

Instead, the migrants crammed into an inflatable dinghy are being watched by us, on board a private boat, and the looming figure of the Minck, a French search and rescue ship that soon arrives.

Picture to go with Adam Parsons' eyewitness of migrants crossing on 10/07/25
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Minck, a French search and rescue ship, shadows the boat

The dinghy meanders. It’s not heading towards Britain but rather hugging the coast.

A few of the passengers wave at us cheerfully, but then the boat starts to head back towards the shore.

Picture to go with Adam Parsons' eyewitness of migrants crossing on 10/07/25
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Sky’s Adam Parsons at the scene

As it nears a different beach, we see a police vehicle – a dune buggy – heading down to meet it.

Normal practice is for French police officers to slice through the material of any of these small boats that end up back on shore.

Two police officers get out of the buggy and wait. A police helicopter arrives and circles above, performing a tight circle over the heads of the migrants.

The police think they might be about to go back on to the beach; in fact, these passengers know that most of them are staying put.

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The boat stops a short distance from the shore and four people jump out. As they wade towards the beach, the boat turns and starts to head back out to sea.

We see the two police officers approach these four men and have a brief conversation.

They don’t appear to check the bags they are carrying and, if they do question them about why they left the boat, it is the most cursory of conversations.

In reality, these people probably don’t speak French but they were almost certainly involved in arranging this crossing, which is against the law. But all four walk away, disappearing into the dunes at the back of the beach.

Read more:
Why do so many from around the world try to cross the Channel?
Channel crossings rise by 50% in first six months of 2025

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Why do migrants want to come to the UK?

We follow the boat as it chugs off in the direction of Britain, carrying around 50 people.

The Minck returns to shadowing its progress, but its job is limited to offering help if the boat gets into trouble.

Otherwise, if the engine keeps working, then this flimsy vessel will reach British waters in a few hours’ time.

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