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Without political input, many important decisions on budgets and public sector pay have been impossible to pass.

Successive suspensions at Stormont over the years have contributed to long-term issues in the public sector, with impacts seen across all areas of public services.

But perhaps nowhere more so than in the health and social care sector.

There are over 420,000 people currently waiting for their first consultant-led outpatient appointment following referral, an increase of more than fivefold since 2008.

While some individuals may appear on the list more than once awaiting separate treatments, this is still a huge figure in a population of 1.9 million.

In the latest available figures to the end of September, half of these had been waiting for more than a year to see a consultant, up from 5% in June 2015.

And nearly one in three patients had been waiting for more than two years for their initial consultation, up from 0.1% in September 2015.

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Health and Social Care Northern Ireland’s figures are not directly comparable with NHS England, which uses a different measure (from referral to treatment rather than to first appointment).

However, as a broad comparison, while waiting times have also been poor in England in November, only 4.7% had been waiting more than a year to complete their entire treatment journey following initial referral and less than 0.01% for more than two years.

Meadbhba Monaghan, chief executive of the Patient and Client Council (PCC), told Sky News: “The issues facing Health and Social Care (HSC) services in Northern Ireland are significant and varied; they have been building over a long period of time, and will not be fixed overnight.

“Through our work in supporting the public, we can clearly see many people are concerned about how they are communicated with, and how they experience services. This includes the quality of care they are receiving and how long they have to wait to access that care.

“Our physical and mental health is fundamental to our wellbeing, the current pressures on the HSC system and staff will be having a negative impact on individuals and their families.”

What has happened in the political vacuum

The devolved government has been suspended on five other occasions since it first sat in 1999 following the Good Friday peace agreement, with the longest suspension lasting for four-and-a-half years between October 2002 and May 2007.

However, in the context of post-pandemic recovery and an unprecedented cost of living crisis, the recent suspension has been “vastly more difficult”, according to recently retired senior civil servant Andrew McCormick.

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Stormont deal divides MPs

The former director general of international relations in the Executive Office and ex-permanent secretary at the Department for the Economy told Sky News: “Civil servants can make some routine decisions to keep things going as best they can, but it’s very limited.

“I know that my former colleagues have found it incredibly, incredibly difficult this last couple of years, with the cost of living and inflation making the situation much more fraught [than the last suspension of 2017-2020].

“It’s been a ridiculous position to be in and a complete abdication of responsibility.”

In the absence of ministers in Stormont, the Westminster parliament can still pass legislation and have taken responsibility for budgets and other ad hoc areas of legislation.

In the past two years, departmental budgets have plateaued despite exceptionally high levels of inflation.

And there has been a vacuum in which civil servants cannot take day-to-day decisions which are political in nature.

This includes coming to public sector pay deals because any commitments would take departments over current budgets.

Public sector pay

Last month saw one of the biggest strikes in Northern Ireland’s history, with an estimated 150,000 public sector workers joining marches and picket lines across the country to demand a resolution to pay disputes.

Median pay for public sector workers in the UK as a whole increased by 20% from £30,540 to £36,708 between 2016 and 2023. In Northern Ireland, pay has increased at a slower rate of 16.1% over the same period from £31,570 to £36,651 and is now below the UK average.

In its latest employee earnings report, the Department for the Economy noted real earnings in the public sector fell by 7.2% in the year to 2023, compared with an increase of 1.4% in the private sector.

Carmel Gates, general secretary of Northern Ireland’s largest public sector union NIPSA, which has around 45,000 members, told Sky News: “Quite frankly, what we are witnessing is haemorrhaging of public servants out of Northern Ireland, either to different parts of these islands where they’re better paid or to further abroad.

“It isn’t just in the last two years that the problems emerge, Northern Ireland has been underfunded for quite a period of time.

“The strikes on 18 September is the most galvanised and unified the trade union movement here has been probably ever and involved almost all public service unions.”

After many years of disruption over Brexit, COVID, the cost of living crisis, and prolonged periods without governance, many are hoping for swift and decisive action from the newly resumed executive in the coming days to stabilise the situation in Northern Ireland.

“When they get back they will need to set a budget very quickly, and that will help a lot in the short term,” says Andrew McCormick.

“They then have to face up to the longer-term issues. Much more needs to be done on stabilising public services.”


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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Sir Keir Starmer vows to defend budget decisions ‘all day long’ as farmers slam ‘disrespectful’ PM

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Sir Keir Starmer vows to defend budget decisions 'all day long' as farmers slam 'disrespectful' PM

Sir Keir Starmer has said he will defend the decisions made in the budget “all day long” amid anger from farmers over inheritance tax changes.

Chancellor Rachel Reeves announced last month in her key speech that from April 2026, farms worth more than £1m will face an inheritance tax rate of 20%, rather than the standard 40% applied to other land and property.

The announcement has sparked anger among farmers who argue this will mean higher food prices, lower food production and having to sell off land to pay for the tax.

Sir Keir Starmer

Sir Keir defended the budget as he gave his first speech as prime minister at the Welsh Labour conference in Llandudno, North Wales, where farmers have been holding a tractor protest outside.

Sir Keir admitted: “We’ve taken some extremely tough decisions on tax.”

He said: “I will defend facing up to the harsh light of fiscal reality. I will defend the tough decisions that were necessary to stabilise our economy.

“And I will defend protecting the payslips of working people, fixing the foundations of our economy, and investing in the future of Britain and the future of Wales. Finally, turning the page on austerity once and for all.”

He also said the budget allocation for Wales was a “record figure” – some £21bn for next year – an extra £1.7bn through the Barnett Formula, as he hailed a “path of change” with Labour governments in Wales and Westminster.

And he confirmed a £160m investment zone in Wrexham and Flintshire will be going live in 2025.

‘PM should have addressed the protesters’

Among the hundreds of farmers demonstrating was Gareth Wyn Jones, who told Sky News it was “disrespectful” that the prime minister did not mention farmers in his speech.

He said “so many people have come here to air their frustrations. He (Starmer) had an opportunity to address the crowd. Even if he was booed he should have been man enough to come out and talk to the people”.

He said farmers planned to deliver Sir Keir a letter which begins with “‘don’t bite the hand that feeds you”.

Farmers' tractor protest outside the Welsh Labour conference in Llandudno, North Wales
Image:
Farmers’ tractor protest outside the Welsh Labour conference in Llandudno, North Wales

Mr Wyn Jones told Sky News the government was “destroying” an industry that was already struggling.

“They’re destroying an industry that’s already on its knees and struggling, absolutely struggling, mentally, emotionally and physically. We need government support not more hindrance so we can produce food to feed the nation.”

He said inheritance tax changes will result in farmers increasing the price of food: “The poorer people in society aren’t going to be able to afford good, healthy, nutritious British food, so we have to push this to government for them to understand that enough is enough, the farmers can’t take any more of what they’re throwing at us.”

Mr Wyn Jones disputed the government’s estimation that only 500 farming estates in the UK will be affected by the inheritance tax changes.

“Look, a lot of farmers in this country are in their 70s and 80s, they haven’t handed their farms down because that’s the way it’s always been, they’ve always known there was never going to be inheritance tax.”

On Friday, Sir Keir addressed farmers’ concerns, saying: “I know some farmers are anxious about the inheritance tax rules that we brought in two weeks ago.

“What I would say about that is, once you add the £1m for the farmland to the £1m that is exempt for your spouse, for most couples with a farm wanting to hand on to their children, it’s £3m before anybody pays a penny in inheritance tax.”

Read more:
Ex-Labour adviser suggests doing to farms ‘what Thatcher did to coal mines’
Farmers ‘could block ports and disrupt food supply’

Welsh farmer Gareth Wyn Jones
Image:
Welsh farmer Gareth Wyn Jones

Ministers said the move will not affect small farms and is aimed at targeting wealthy landowners who buy up farmland to avoid paying inheritance tax.

But analysis this week said a typical family farm would have to put 159% of annual profits into paying the new inheritance tax every year for a decade and could have to sell 20% of their land.

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The Country and Land Business Association (CLA), which represents owners of rural land, property and businesses in England and Wales, found a typical 200-acre farm owned by one person with an expected profit of £27,300 would face a £435,000 inheritance tax bill.

The plan says families can spread the inheritance tax payments over 10 years, but the CLA found this would require an average farm to allocate 159% of its profits each year for a decade.

To pay that, successors could be forced to sell 20% of their land, the analysis found.

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Trump policies could take DeFi, BTC staking mainstream: Redstone co-founder

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Trump policies could take DeFi, BTC staking mainstream: Redstone co-founder

Trump’s administration could push DeFi from niche to mainstream, with crypto advocates eyeing potential pro-crypto policy shifts.

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William Wragg: Ex-Tory MP feels ‘enormous guilt’ over Westminster honeytrap scandal

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William Wragg: Ex-Tory MP feels 'enormous guilt' over Westminster honeytrap scandal

A former Conservative MP has said he felt “enormous guilt” when he found out he was the victim of a Westminster honeytrap scandal.

William Wragg resigned from the parliamentary party in April after he admitted giving out fellow politicians’ phone numbers to the suspected perpetrator of the sexting scam.

He said he felt threatened and pressured by the “catfish” after exchanging explicit photos with them.

Mr Wragg divulged the numbers to what he thought was a real person on a dating app, amid fears that the intimate images of himself would be leaked.

The former Tory party whip said he first saw news articles about the scandal when he was on a train.

The 36-year-old told the BBC: “My stomach just dropped.

“When I found out some of the things that had been going on, I just felt enormous guilt, enormous remorse.”

After the former Hazel Grove MP handed over the personal information, the catfish told Mr Wragg to vouch for their identity with their next potential victims, with the catfish telling their fresh targets they were a former researcher for Mr Wragg.

Mr Wragg agreed and this is what he feels “the most regret for” as it was “deceitful”.

William Wragg
Image:
Pic: PA

Panic attacks

After he was allegedly blackmailed, Mr Wragg started having panic attacks, with instances of yelling, crying, and swearing shocking his sleeping flatmates.

Police are investigating the scandal with at least 12 men with links to Westminster believed to have received unsolicited messages from the aliases “Charlie” and “Abi”.

The fake accounts were allegedly part of the scam to get MPs and other people in politics to send explicit images and other private or sensitive information.

Unlike others who were approached by the catfish accounts, Mr Wragg approached “Charlie” himself after spotting the profile on gay dating app Grindr.

And he thought the account was a real person before exchanging explicit photos with the catfish.

Suicidal thoughts

When the scandal broke, the humiliation and shame became too much for Mr Wragg.

He recounted photographers and the media camped outside his parents’ house, which is where he went to as he began to have suicidal thoughts.

Shortly after receiving medical attention, he returned to Westminster to resign as Conservative whip and from his posts on two parliamentary committees.

He had already announced he would not run in the next general election.

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Man detained

In June, a member of the Labour Party aged in his mid-20s was apprehended in Islington, north London, on suspicion of harassment and offences under the Online Safety Act.

He has since been released on bail.

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK.

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