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The bodies that coordinate and deliver NHS care across England are on track to spend £4.9bn more than previously planned this financial year, Sky News has found.

The data was obtained through freedom of information requests to England’s 42 integrated care systems (ICSs), which are responsible for allocating the NHS budget to local trusts and commissioning services in their area.

Sky News obtained figures from 41 ICSs, every one of whom reported being in deficit in their latest financial disclosures.

As of September, six months into the current financial year, England’s ICSs had overspent by an estimated £2.5bn. If overspending continues at the same pace, that will mean spending of £4.9bn more than planned by the end of March 2024.

“This is the most worried I’ve been about financial pressures in the NHS since 2017,” says Siva Anandaciva, chief analyst at the King’s Fund, a health thinktank.

“In the old days, you would have had maybe a handful or two of organisations that are under serious financial pressure, but these figures show that financial pressures are incredibly widespread.”

ICSs can’t go bankrupt, but they can be forced to cut back on services and long-term investment.

“That’s been the same story now for over five years,” says Sally Gainsbury, senior policy analyst at the Nuffield Trust.

“There’s money put aside in the budget for improving services, and then much of it never gets spent on that because it ends up that they can’t even afford the day-to-day running costs.”

On 7 December, NHS England announced that additional funding had been made available to ICSs, some of which was taken from other areas of spending.

The additional funding has reduced the deficit faced by ICSs to £420m as of October. However, no additional funding has yet been made available to address additional costs resulting from the upcoming strike by junior doctors.

As part of their regular financial reporting, ICSs produce their own forecasts for where they think their deficit will end up at the end of the year.

Across the 41 systems, which accrued an estimated £2.5bn deficit by September, forecasts for the next six months suggested that the ICSs will cut this deficit to just £745m.

“Winter is not the time when the NHS makes money,” Mr Anandaciva says.

“What happens during winter, at least during the last 15 years, is you start cancelling electives and losing income on those.

“I look at those charts and I just don’t… I think they’re optimistic. Wildly optimistic, in some cases.”

Which areas are struggling most financially?

Sky News was able to obtain the latest financial disclosures for 41 of England’s 42 ICSs. Every one of them, as of their latest disclosure, was in deficit.

Many ICSs were already facing challenging spending targets at the start of this financial year in March, with one in three submitting deficit plans.

Systems are supposed to submit balanced budgets for the year. Mr Anandaciva says it’s an “incredibly painful” process for a system to agree a deficit plan with NHS England.

All of the 15 ICSs that submitted deficit plans have overspent those plans, according to their most recent published disclosures.

“So, they were planning for a bad-case scenario and things have gotten even worse,” he adds.

Lancashire and South Cumbria ICS, for instance, was planning for a £27m deficit by July, but instead overspent by £112m – equivalent to 8.4% of its overall budget for that part of the year.

Like many ICSs facing large, unplanned deficits, Lancashire and South Cumbria forecast in July that it would meet its year-end commitments and cut its deficit to the planned £80m. That would have required a surplus of £32m in the final eight months of the year.

A spokesperson for Lancashire and South Cumbria Integrated Care Board said: “During the financial year 2023/2024, the Lancashire and South Cumbria Integrated Care System has responded to a number of in year pressures which have contributed to the reported financial deficit.

“At month 04 [July], the cumulative reported position across the system as a whole was off plan and organisations are working hard, both individually and collectively to improve this.”

In Shropshire, Telford and Wrekin, the six months to September saw the local ICS accrue a deficit of £74.5m – equivalent to 7.9% of the entire budget for that half of the year.

A spokesperson for NHS Shropshire, Telford and Wrekin, said: “Shropshire, Telford and Wrekin Integrated Care System continues to be financially challenged due to increased and sustained system pressures in urgent and emergency care, planned care activity costs and inflation related cost pressures in areas such as prescribing and the purchase of individual care packages.

“We are working to reduce the deficit and each organisation within the system is currently assessing how they could improve the financial position, with a focus on efficiency, productivity and building a sustainable workforce in order to help achieve targets.”

Industrial action adding to soaring spending

One of the major pressures on NHS budgets this year has been industrial action, with strikes forcing NHS systems to hire expensive temporary staff to fill the gaps left by striking workers.

In their annual plans in March, 34 ICSs set out what they expected to spend on agency and locum over the course of the year.

Six months into the year, in September, Sky News estimates that these 34 ICSs had already spent three-fifths of this budget.

Altogether, these 34 ICSs spent an estimated £1.4bn on agency and locum staff in the first half of this financial year.

Shropshire, Telford and Wrekin ICS has been one of the largest over-spenders, spending £29.5m on agency and locum staff in the six months to September. That’s already more than the £27.2m annual limit on agency spending that the system had agreed with NHS England at the start of the year.

“The strikes are a big part of the story this year, but I still think we’d be in financial pressure without them,” Mr Anandaciva says.

“I think fundamentally, the story is there wasn’t enough funding in the system to meet the demands that were being asked of the system.”

An NHS spokesperson said:

“This story is misleading – although significant additional costs have been caused by the impact of strike action and higher than expected inflation, further funding has been made available to local areas which means their remaining year to date overspend is £471million – which is £2 billion less than Sky has estimated.

“Thanks to the NHS expanding staff numbers, agency staff spend has dropped compared to last year – despite strikes meaning the NHS needed to employ more agency staff than planned.”

A Department of Health and Social Care spokesperson said:

“While spending has increased in the last year due to workforce pressures, industrial action and the recovery of services, we are supporting the NHS with record funding, with the budget in England due to increase to £162.5 billion in 2024-25, up from £121.7 billion in 2019-20.

“Where organisations do get into financial difficulty, NHS England will provide intensive support with their Recovery Support Programme. To ensure the continuity of patient services, the government will provide short-term cash support to help pay their bills.”

Methodology

Sky News obtained financial data from 41 out of England’s 42 Integrated Care Systems through their board papers and freedom of information requests. Not all ICSs provided data to September 2023.

Where necessary, and following consultation with the Nuffield Trust and King’s Fund, data was extrapolated based on current trends. Aggregated estimates for September required data for some ICSs to be extrapolated from July or August. Estimates for March 2024 were based on extrapolations from the latest data available (July, August or September), in order to provide a full-year estimate based on current trends.

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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FTSE 100 closes at record high

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FTSE 100 closes at record high

The UK’s benchmark stock index has reached another record high.

The FTSE 100 index of most valuable companies on the London Stock Exchange closed at 8,505.69, breaking the record set last May.

It had already broken its intraday high at 8532.58 on Friday afternoon, meaning it reached a high not seen before during trading hours.

Money blog: Major boost for mortgage holders

The weakened pound has boosted many of the 100 companies forming the top-flight index.

Why is this happening?

Most are not based in the UK, so a less valuable pound means their sterling-priced shares are cheaper to buy for people using other currencies, typically US dollars.

This makes the shares better value, prompting more to be bought. This greater demand has brought up the prices and the FTSE 100.

The pound has been hovering below $1.22 for much of Friday. It’s steadily fallen from being worth $1.34 in late September.

Also spurring the new record are market expectations for more interest rate cuts in 2025, something which would make borrowing cheaper and likely kickstart spending.

What is the FTSE 100?

The index is made up of many mining and international oil and gas companies, as well as household name UK banks and supermarkets.

Familiar to a UK audience are lenders such as Barclays, Natwest, HSBC and Lloyds and supermarket chains Tesco, Marks & Spencer and Sainsbury’s.

Other well-known names include Rolls-Royce, Unilever, easyJet, BT Group and Next.

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FTSE stands for Financial Times Stock Exchange.

If a company’s share price drops significantly it can slip outside of the FTSE 100 and into the larger and more UK-based FTSE 250 index.

The inverse works for the FTSE 250 companies, the 101st to 250th most valuable firms on the London Stock Exchange. If their share price rises significantly they could move into the FTSE 100.

A good close for markets

It’s a good end of the week for markets, entirely reversing the rise in borrowing costs that plagued Chancellor Rachel Reeves for the past ten days.

Fears of long-lasting high borrowing costs drove speculation she would have to cut spending to meet self-imposed fiscal rules to balance the budget and bring down debt by 2030.

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They Treasury tries to calm market nerves late last week

Long-term government borrowing had reached a high not seen since 1998 while the benchmark 10-year cost of government borrowing, as measured by 10-year gilt yields, was at levels last seen around the 2008 financial crisis.

The gilt yield is effectively the interest rate investors demand to lend money to the UK government.

Only the pound has yet to recover the losses incurred during the market turbulence. Without that dropped price, however, the FTSE 100 record may not have happened.

Also acting to reduce sterling value is the chance of more interest rates. Currencies tend to weaken when interest rates are cut.

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Nazi-obsessed terrorist Callum Parslow jailed after trying to murder asylum seeker at Worcestershire hotel

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Nazi-obsessed terrorist Callum Parslow jailed after trying to murder asylum seeker at Worcestershire hotel

A Nazi-obsessed man has been jailed for attempted murder after he stabbed an asylum seeker in a terrorist attack.

Callum Parslow was handed a life sentence and will serve a minimum of 22 years and eight months in prison after he knifed the man at a Worcestershire hotel on 2 April last year, as a “protest” against small boat crossings.

The victim, Nahom Hagos, from Eritrea, said it was a “miracle” he survived after being stabbed in the chest and hand.

Parslow, 32, has Hitler’s signature tattooed on his arm and used a £770 knife he had bought online to attack Mr Hagos when he was eating in the conservatory of the Pear Tree Inn at Hindlip.

During sentencing, the judge, Mr Justice Dove, told Parslow: “You committed a vicious and unprovoked assault on a complete stranger Nahom Hagos who suffered devastating injuries as a result of your violence.”

The judge also said Parslow, from Worcester, was “motivated by your adoption of a far-right neo-Nazi mindset which fuelled your warped, violent and racist views”, and added: “This was undoubtedly a terrorist attack.”

He was found guilty of attempted murder in October last year.

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Callum Parslow. 
Pic: West Midlands Police/PA
Image:
Callum Parslow. Pic: West Midlands Police/PA

Leicester Crown Court heard at the time that Mr Hagos, who used to live at the hotel, was visiting a friend and was stabbed after Parslow asked him for directions to the toilet.

CCTV from the scene showed Mr Hagos fleeing to a car park and being chased by Parslow. He was able to run back into the main reception area, where the hotel manager locked the front door.

Parslow later re-entered through another door apparently searching for further victims, the court heard.

The hotel manager and a builder used a van to take Mr Hagos to hospital in Worcester, as they felt he was losing too much blood, where he was found to have an 8cm-long wound which had not penetrated any of his vital organs.

After trying to kill Mr Hagos, Parslow ran towards a canal and was spotted with what appeared to be blood on his hands.

Officers found blood containing a DNA profile matching that of the victim on the blade of the knife abandoned by Parslow.

The knife belonging to Callum Ulysses Parslow.
Pic: West Midlands Police/PA
Image:
The knife belonging to Parslow. Pic: West Midlands Police/PA

Failed manifesto post

After the stabbing and as police closed in, Parslow tried to post a “terrorist manifesto” on X, tagging Tommy Robinson and politicians including Nigel Farage, Suella Braverman and Sir Keir Starmer.

He wrote that he “just did my duty to England” and had tried to “exterminate” Mr Hagos. However, it failed to send as he copied in too many people.

Others on his list included Laurence Fox, Lee Anderson, Boris Johnson, Donald Trump and various news organisations.

Nazi memorabilia at bedsit

During the trial last October, the court heard an axe, metal baseball bat and a second knife were found at Parslow’s bedsit in Bromyard Terrace in Worcester.

Police also discovered a swastika armband, a Nazi-era medallion and copies of Hitler’s book Mein Kampf.

Nazi memorabillia seized at the bedsit of Callum Parslow in Worcester. 
Pic:West Midlands Police/PA
Nazi memorabillia seized at the bedsit of Callum Ulysses Parslow in Worcester.  
Pic: West Midlands Police/PA
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Nazi memorabilia which was seized at Parslow’s bedsit in Worcester. Pics: West Midlands Police/PA

Jurors were also told Parslow had Hitler’s signature tattooed on his arm “in order to demonstrate his affiliation to the ideals of the leader of the German Nazi party”.

He also pleaded guilty to an unconnected sexual offence and two charges of sending electronic communications with intent to cause distress and anxiety at the time.

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‘The pain feels unbearable’

Mr Hagos told the court in an impact statement he continues to feel “excruciating pain” in his hand after the attack by Parslow.

Read out by the prosecution on Friday, he said: “The pain is unbearable and keeps me awake all night long.

“The pain feels like an electric shock going through my hand and I now have insomnia.”

He then said he had been “living and pursuing a happy life before the incident,” but added: “I feel lonely and don’t feel safe on the street.

“My life has been turned upside down.”

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Missing sisters in Aberdeen made earlier visit to same bridge where they were last seen, CCTV shows

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Missing sisters in Aberdeen made earlier visit to same bridge where they were last seen, CCTV shows

Two missing sisters in Aberdeen made an earlier visit to the bridge where they were last seen hours before they disappeared, CCTV footage has revealed.

Police Scotland said a text message was also sent to the women’s landlady on the morning they vanished, indicating they would not be returning to the flat.

Eliza and Henrietta Huszti, both aged 32, were last spotted in the city’s Market Street at Victoria Bridge at about 2.12am on Tuesday 7 January.

The siblings – who are part of a set of triplets and originally from Hungary – were seen crossing the bridge and turning right on to a footpath next to the River Dee in the direction of Aberdeen Boat Club.

Their disappearance has sparked a major search operation.

The Huszti sisters. Pic: Police Scotland
Image:
The Huszti sisters. Pic: Police Scotland

In an update on Friday, Police Scotland said the sisters were seen at the same bridge at around 2.50pm on Monday 6 January – around 12 hours before they were last seen.

The force said the siblings, who were both wearing rucksacks, spent five minutes at the footpath and the Victoria Bridge but did not engage with anyone else.

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Officers are now appealing for anyone who may have seen the sisters at this earlier time to come forward.

Police have been searching the River Dee
Image:
Police have been searching the River Dee

A Police dive boat on the River Dee in Aberdeen during the ongoing search for missing sisters, Eliza and Henrietta Huszti. The pair were last seen on CCTV on Market Street at Victoria Bridge, Aberdeen, at about 2.12am on Tuesday January 7. Picture date: Tuesday January 14, 2025. PA Photo. See PA story POLICE Sisters. Photo credit should read: Andrew Milligan/PA Wire
Image:
Pic: PA

After visiting the bridge, the women were then seen on CCTV making their way through the city centre, via Union Square shopping centre, back to their flat in the Charlotte Street area.

Police Scotland said there is “nothing to indicate” that the siblings left their flat again until shortly before they were last seen at the River Dee in the early hours of the following morning.

A text message was sent from Henrietta’s mobile phone to their landlady at the same time they were last seen, indicating they would not be returning to the flat.

The phone was then disconnected from the network and has not been active since.

The following day, the sisters’ personal belongings were found inside in the flat and the landlady reported her concerns to police.

The Huszti sisters. Pic: Police Scotland
Image:
The Huszti sisters were captured on CCTV before their disappearance on 7 January. Pic: Police Scotland

Superintendent David Howieson said: “We have carried out a significant trawl of public and private CCTV footage as we try to establish the sisters’ movements.

“We have had a positive response from the public to our appeals and I would like to thank everyone who has already come forward.

“I would again urge anyone with any information which could help find Eliza and Henrietta to get in touch.

“We remain in regular contact with Eliza and Henrietta’s family in Hungary and we will continue to provide them with support at this very difficult time.

“Searches will continue in the coming days and our officers will continue to do everything they can to find Eliza and Henrietta.”

Read more:
How the case of the missing sisters is just as mysterious a week after they disappeared

The search team has included specialist advisers, emergency service partners, a police helicopter, and the force’s dog branch and marine unit.

Police Scotland previously said there has been “no evidence” of the missing sisters leaving the immediate area.

Henrietta Huszti. Pic: Police Scotland
Image:
Henrietta Huszti. Pic: Police Scotland

Eliza Huszti.
Pic: Police Scotland/PA
Image:
Eliza Huszti. Pic: Police Scotland

Officers are keeping an open mind about what happened to the women but said they have not found anything to suggest any “suspicious circumstances or criminality”.

It previously emerged the sisters did not tell their relatives they were “immediately” going to move out of their rented flat.

In a statement released through Police Scotland earlier this week, the women’s family said: “This has been a very worrying and upsetting time for our family.

“We are really worried about Eliza and Henrietta and all we want is for them to be found.”

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