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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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Grooming gang victims being denied compensation because of criminal records

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Grooming gang victims being denied compensation because of criminal records

Victims of grooming gangs and modern slavery are being denied compensation by a government scheme because of their criminal records, Sky News has learned.

Analysis of official figures by Sky News’ Data & Forensics team shows more than 11,000 victims of crime over the last decade have been denied payouts because of their unspent convictions, including children.

The Criminal Injuries Compensation Authority can award money to victims of violent crime, including sexual abuse.

It is the only government compensation scheme for victims – for those unable to work due to injuries, the money can be vital.

But, if an applicant has a criminal record, they are automatically refused compensation with limited exceptions.

Those with unspent convictions sometimes receive reduced sums.

Sky News has found that at least 130 children with criminal records have received reduced awards over the last 10 years, including 50 victims of sex abuse, four victims of brain damage, and one child who lost sight in an eye.

This rule on unspent convictions is based on the idea that public funds should only compensate blameless victims of crime and not, for example, a gang member who was injured in a fight.

But many argue the policy punishes those who have been forced to offend by exploiters, as well as victims of child sexual abuse.

‘I was frustrated that I wasn’t being believed’

Arthur Sherry, 43, from Perranporth in Cornwall was regularly abused by his babysitter from the age of five, including suffering rape.

In 2008, he reported it to Devon and Cornwall Police, alongside two other victims. He alleges the police did not believe him, and charges were not brought against his abuser.

Arthur Sherry, who was abused as a child, says he was denied compensation because of his criminal record
Image:
Arthur Sherry, who was abused as a child, says he was denied compensation because of his criminal record

Arthur became angry and descended into addiction as a “coping mechanism”, becoming suicidal, and was repeatedly arrested for minor offences, such as making false calls to the emergency services.

“I wasn’t getting support from any agencies, and no one asked me, ‘Why is this man ringing the emergency services all the time?'”

“It was a cry for help. I was frustrated that I wasn’t being believed.”

Eventually, Arthur’s abuser, Shaun Burton, was convicted of multiple offences against children, including 11 counts of indecency with a child in relation to Mr Sherry.

But when Arthur, who suffers from complex PTSD, subsequently tried to make a claim through the Criminal Injuries Compensation Authority in 2013, it was rejected because of his criminal record and because he submitted his application beyond CICA’s time limit.

He was not allowed to appeal the decision.

Arthur, aged 12 in the picture, was regularly abused by his babysitter, Shaun Burton, from the age of five
Image:
Arthur, aged 12 in the picture, was regularly abused by his babysitter, Shaun Burton, from the age of five

Many survivors of grooming gangs have criminal records due to being exploited and coerced.

While the government recently announced plans to disregard child prostitution convictions for these victims, many are urging authorities to go further and pardon all related offences.

Former victims’ commissioner Dame Vera Baird said: “They were not exercising their own free will and voluntarily committing crime, so there should be a discretion to look at that and say, ‘No, that wasn’t their fault’.

“They should get compensation for all the evil that was done to them by that gang.”

In 2022, the Independent Inquiry into Child Sexual Abuse recommended that the government amend the Criminal Injuries Compensation Scheme so that “applicants with unspent convictions are not automatically excluded where offences are likely to be linked to the circumstances of their sexual abuse as a child”.

The government has refused to act on this recommendation.

However, Labour MP Sarah Champion has tabled an amendment to the upcoming Victims and Courts Bill, hoping to implement it, as well as widen eligibility to the scheme.

“Victims are seen as running a cannabis farm and get a conviction, before it actually turns out that they were a victim of modern slavery.

“These people, who are very clearly recognised as victims and survivors, aren’t getting the money that’s owed to them. The system is broken and the ministers need to get rid of it.”

'I was frustrated that I wasn't being believed,' Arthur tells Sky News' Alice Porter
Image:
‘I was frustrated that I wasn’t being believed,’ Arthur tells Sky News’ Alice Porter

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A government spokesperson said: “Last year, more than £164m was paid out under the Criminal Injuries Compensation Scheme to victims, and we are going further by removing the time limit for civil personal injury claims and doubling Home Office funding for services supporting adult victims and survivors of child sexual abuse.

“Changes to the way we compensate victims have been considered by successive governments, and our priority must always be to treat all victims of violence equally.”

Devon and Cornwall Police said: “Tackling sexual offending is a key priority for Devon & Cornwall Police and we are working hard to bring offenders to justice.

“We take reports of all sexual offences seriously and will carry out thorough investigations into reports, looking at all viable lines of enquiry.”

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From ‘Xmas gifts’ to piles of cash: How ex-Reform MEP was caught doing Russia’s bidding

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From 'Xmas gifts' to piles of cash: How ex-Reform MEP was caught doing Russia's bidding

Nathan Gill was at Manchester airport, about to board a flight to Russia, when accepting bribes finally caught up with him.

Gill, the former leader of Reform UK Wales and a one-time member of the European Parliament, who on Friday was jailed for 10-a-half-years, was stopped by police before boarding and had his phone seized in 2021.

While they interrogated him, his home in Anglesey was raided, with detectives discovering more electronics and cash piles of €5,000 (£4,400) and $5,000 (£3,800) respectively.

Nathan Gill being questioned. Pic: Met Police
Image:
Nathan Gill being questioned. Pic: Met Police


The evidence on Gill’s phone would damn him – he was in contact with a pro-Russian politician in Ukraine, Oleg Voloshyn, and had agreed to boost pro-Russia viewpoints in exchange for money.

Voloshyn would dictate the statement, and Gill would repeat it – in some cases, almost word for word – in the media or the European Parliament.

In one instance, Gill appeared on the now-banned Ukrainian TV channel, 112 Ukraine, which was known for its pro-Russian stance.

In the interview, he was critical of the Ukrainian decision to open criminal proceedings against Viktor Medvedchuk, the owner of the television channel and a personal friend of Vladimir Putin.

Nathan Gill. Pic: Met Police
Image:
Nathan Gill. Pic: Met Police

Speaking to the outlet, he said he was “very concerned” about the investigation, and wondered whether it was meant to silence “opposition politicians”.

Prosecutors said messages on Gill’s phone showed that this was at his paymaster’s instruction, with Voloshyn offering a “reward” if he would say that it was unacceptable to persecute a person for their political convictions.

Read more:
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Trump’s 28-point Ukraine peace plan in full

Voloshyn also offered the MEP €2,000 (£1,750) if he would express concern that Mr Medvedchuk could no longer mediate with Russia on Ukraine’s behalf, the court heard.

He added that “V” – understood to be Mr Medvedchuk – did not believe Ukrainian President Volodymyr Zelenskyy had “true intentions to pursue a peace agenda”, prosecutors said.

Bundles of cash were recovered from Gill's home. Pic: Met Police
Image:
Bundles of cash were recovered from Gill’s home. Pic: Met Police

Sure enough, Gill appeared on 112 Ukraine saying it was “very sad” that Mr Medvedchuk felt he no longer had Mr Zelensky’s backing to act as a mediator with Russia, and suggested that using him “would be a sensible thing to do”.

The messages traded in innuendo, referring to the exchange of “Xmas gifts” or “postcards” instead of money.

But as the pair grew more comfortable with each other, they bargained more explicitly, with the sum of “£5k” quoted for Gill’s work.

Dominic Murphy, head of Counter Terrorism Command at the Met Police, said Gill had also offered access to other MEPs.

“This is where we get into that slightly odd situation where it feels very much like a real effort to undermine democracy here,” he said.

“This is Nathan Gill reaching out to individuals that he knows, who are Brits, who might be willing to be paid to go and make speeches.”

Commander Murphy declined to name names, but said there was an ongoing investigation and that other people had been spoken to.

None of the pro-Brexit MEPs Gill allegedly approached have been interviewed under caution.

Pic: Met Police
Image:
Pic: Met Police

Police confirmed there was no evidence to suggest Reform UK leader Nigel Farage was involved.

Gill was stopped at Manchester Airport on 13 September 2021, under schedule 3 of the Counter Terrorism and Borders Security Act 2019.

He offered police no explanation for his actions and answered no comment in a March 2022 police interview.

But the 52-year-old is believed to have had financial problems.

Mr Murphy added that while Gill appeared to have pro-Russian sympathies, he was primarily motivated by money.

The ex-MEP has been jailed for 10-and-a-half years after pleading guilty to eight counts of bribery between December 2018 and July 2019.

Following an investigation by counter-terrorism police, officers said they believe Gill likely took a minimum of £40,000 in cash and was offering to introduce other British MEPs so they could be bribed.

Voloshyn was picked up by the authorities on a trip to the US in 2021, which enabled the FBI to discover his end of the conversation.

He is now believed to be in Russia, but has been sanctioned by the UK government over allegations of trying to destabilise Ukraine.

Nathan Gill pleaded guilty to eight counts of bribery over pro-Russian statements. Including to media outlet 112 Ukraine. Pic: Met Police
Image:
Nathan Gill pleaded guilty to eight counts of bribery over pro-Russian statements. Including to media outlet 112 Ukraine. Pic: Met Police

He remains wanted in both Britain and Ukraine.

A Reform UK spokesman said: “Mr Gill’s actions were reprehensible, treasonous and unforgivable.

“We are glad that justice has been served and fully welcome the sentence Nathan Gill has received.”

Mr Farage, the Reform UK leader, said: “An investigation into Russian and Chinese influence over British politics would be welcome.”

The MP for Clacton previously described his former colleague as a “bad apple” and said he was “shocked” after Gill pleaded guilty to eight counts of bribery.

He said: “Any political party can find in their midst all sorts of terrible people.

“You can never, ever guarantee 100% that everyone you meet in your life, you shake hands with in the pub, is a good person.”

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BBC board member resigns – and criticises ‘governance issues’ at top of corporation

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BBC board member resigns - and criticises 'governance issues' at top of corporation

A BBC board member has resigned after criticising “governance issues” at the top of the corporation.

Shumeet Banerji confirmed the news in a letter on Friday, according to BBC News.

It comes after the corporation’s director-general Tim Davie and chief executive of BBC News Deborah Turness resigned earlier this month after a row over the editing of a Panorama documentary on Donald Trump.

This breaking news story is being updated and more details will be published shortly.

Please refresh the page for the latest version.

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