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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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The political earthquake Farage has long promised is now shaking our political system

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The political earthquake Farage has long promised is now shaking our political system

It’s quite simply a political earthquake. Across England, Reform proved it can translate positive polling into real power, picking up another parliamentary seat, a mayoralty, Staffordshire and Lincolnshire councils and dozens of seats by lunchtime. The popularity surge for this anti-establishment party is real. 

Look at the votes: Reform doubling its vote share in Runcorn against the general election to 38%, clocking up 42% of the vote in the Lincolnshire mayoral race and 32% in the Doncaster mayoral race, running Labour very close. By lunchtime, Reform had taken the long-held Staffordshire council from the Tories, wiping out their five-strong majority.

The significance of these wins, added in with the big gains for the Lib Dems and Greens, cannot be overstated. It speaks in a serious way to a new era of politics in the UK, in which the decades-long duopoly of Labour versus Conservative is crumbling with the rise of the other parties.

Politics latest: PM told to ‘change course’ as Reform surge to election wins

The trend was evident in the 2024 general election, when the two main parties got their lowest ever vote share. Labour’s clever targeting of seats ensured that it won a massive majority on just 34% of the popular vote. The Lib Dems won a record 70 seats, while Reform picked up five MPs and came second in 98 constituencies.

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Farage: ‘This is Reform-quake’

If that was a loveless landslide, this is the break-up, as voters, who backed Labour’s change message, seem to be pressing the change button again and turning out for a leader who is tapping into voters’ disillusionment with his slogan that “Britain is broken and needs Reform”.

For the government to lose a by-election just 10 months after winning a massive landslide is a terrible moment for Labour. It won this seat with 53% of the vote in July, against Reform polling at 18%. To end up losing it – albeit by just six votes – is a dreadful verdict from voters here on their early performance.

Those around the PM admit it is deeply frustrating but say they expected a kicking from an angry electorate impatient for change. They are taking crumbs of comfort in, just about, holding the mayoralties of Doncaster, North Tyneside and West of England.

But in early council results, the drop in the Labour vote is big, and that raises questions as to whether Starmer’s party will struggle to hold constituencies it gained in the July election, such as Hexham in Northumberland.

The approach from No 10 is to “keep calm and carry on” with its government agenda – the immigration white paper, defence review, infrastructure strategy – to deliver for the public and win back the support they had in the last general election in time for the next.

Read more:
Full local and mayoral election results
Reform has put the two traditional parties on notice

Nigel Farage holds up six fingers to indicate the six votes his party's candidate won by in the Runcorn and Helsby by-election.
Pic: Reuters
Image:
Nigel Farage holds up six fingers to indicate the six votes his party’s candidate won by in the Runcorn and Helsby by-election. Pic: Reuters

For the Conservatives, it’s been – to quote one political rival – a “story of Tory councillors getting machine gunned”. In Staffordshire, where Farage did his final rally, Reform have taken a council where the Tories had a 50-strong majority.

The party has been absolutely hammered by Reform in the Tory heartlands of Lincolnshire, where Dame Andrea Jenkyns won the Greater Lincolnshire mayoralty by 40,000 votes. In the general election, the Conservatives held six of the eight parliamentary seats in this county, on Friday Jenkyns beat the Tories in eight out of the nine areas.

Those around Conservative leader Kemi Badenoch are trying to steady nerves, arguing that these results are disappointing but not surprising in the context of the party’s worst-ever election defeat in 2024, with the party “under new leadership” and “still in the early stages of a long-term plan to renew”.

Others are panicked and angry. “This is what political extinction looks like,” one senior Tory source told me, in a sign that questions over Badenoch’s leadership are only going to build.

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How significant are Reform’s wins?

There are many results still to come in, but what these elections are pointing to is the rise of multi-party politics with voting spread across three or four parties in many of the races and the two main parties rapidly losing ground.

It ties into the longer run trends in our voting, leaning towards more parties and less tribalism amongst voters, as the electorate shift loyalties, and frustration with Labour and the Tories fuels support for the alternatives.

Reform’s success in Runcorn and Durham, as well as Staffordshire and Lincolnshire, shows that Farage poses a significant threat to the two main parties. Add in the Lib Dems, challenging the Tories in their blue wall shires on the centre right, and what we see emerging is a party system where the two governing parties are no longer dominant.

These elections then, while relatively small, are profoundly consequential for our political system. Where we go next is hugely unclear. Much will rest on whether Labour can deliver on its promises and dull Farage’s drumbeat of change.

The shadow of Reform UK leader Nigel Farage is cast onto a branded board during a press conference at the Best Western Premier Mount Pleasant Hotel, Great North Road, Doncaster, in the run up to May's local and mayoral elections. Picture date: Monday April 7, 2025. PA Photo. See PA story POLITICS Reform. Photo credit should read: Danny Lawson/PA Wire
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Reform promised to fix ‘broken’ councils. Pic: PA

Reform’s challenge will be to prove that it can govern and sustain the additional scrutiny that being in office entails.

The Conservatives are in the most desperate place of all, squeezed by Reform on the right flank and the Lib Dems on the left. But what is clearer after today is that the political earthquake Farage has long promised is now shaking our political system in a perhaps epochal way.

The Reform leader has long been saying he is this country’s next prime minister. Looking at the way he and his party have translated poll leads into real power means that prospect is no longer a pipe dream.

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Sycamore Gap: Man says friend wanted to cut down world’s ‘most famous tree’

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Sycamore Gap: Man says friend wanted to cut down world's 'most famous tree'

One of two men on trial for cutting down the Sycamore Gap tree told a court his co-defendant had wanted to cut down the “most famous tree in the world”.

Daniel Graham, 39, said Adam Carruthers, 32, rang him the morning after to claim responsibility for felling the tree beside Hadrian’s Wall.

He said Carruthers had asked him to take the blame “because he had mental health issues”, believing he would be treated more leniently.

The prosecution allege that Graham and Carruthers drove from Carlisle to the Northumberland landmark in September 2023 during Storm Agnes.

Both men deny two counts of criminal damage to the sycamore and to the Roman Wall.

Adam Carruthers and Daniel Graham. Pic: CPS/PA
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Daniel Graham and Adam Carruthers. Pic: CPS/PA

On the fourth day of the trial, Graham was asked about a call Carruthers made to him on the morning of 28 September 2023.

“It was Adam claiming he had cut down the Sycamore Gap tree, claiming that it was him that cut it down,” he said.

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“I told him he was talking shite, I didn’t believe it.”

While Graham said his former friend had spoken of wanting to cut down the tree in the past, he “didn’t take it seriously”.

“At the time I didn’t know of the tree … He told me it was the most famous tree in the world.”

He told Newcastle Crown Court that he remembered Carruthers ordering a chainsaw and saying it was big enough to cover the Sycamore Gap’s circumference.

Adam Carruthers. Pic: CPS/PA
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Adam Carruthers. Pic: CPS/PA

Defence barrister Chris Knox said two people had been involved on the night in question, one feling the tree and the other filming.

But while Graham said that Carruthers felled the tree, he “[didn’t] know 100% who the other person was”.

Speaking from the witness box, Graham said he was not the one using his Range Rover or mobile phone on the night the tree was cut down, which were both traced to the tree’s location.

At the time, the pair were the “best of pals”, according to Graham.

When questioned by Mr Knox on whether Carruthers had asked to borrow his Range Rover, he added: “Adam wouldn’t need to ask to borrow anything of mine. He was welcome to it.”

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Jurors have been told that an anonymous call was made to the emergency services on 23 August last year, by a man believed to be Graham, in which Carruthers was named as being responsible for felling the Sycamore Gap.

The trial continues.

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Comedian and actor Russell Brand bailed after appearing in court charged with rape and sexual assault

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Comedian and actor Russell Brand bailed after appearing in court charged with rape and sexual assault

Russell Brand has been granted bail after appearing in court charged with sexual offences including rape.

During the brief hearing at Westminster Magistrates’ Court, the 49-year-old spoke only to confirm his name, date of birth, and address, also confirming to the judge that he understood his bail conditions.

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Russell Brand outside Westminster Magistrates’ Court. Pic: Reuters

Brand, who has been living in the US, was charged by post last month with one count each of rape, indecent assault and oral rape – as well as two counts of sexual assault – in connection with incidents involving four separate women between 1999 and 2005.

The allegations were first made in a joint investigation by The Sunday Times, The Times and Channel 4 Dispatches in September 2023.

Rusell Brand
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The comedian and actor did not say anything as he entered the court

The comedian, actor and author has denied the accusations and said he has “never engaged in non-consensual activity”.

Appearing before Senior District Judge Paul Goldspring, Brand stood to confirm his name and address. He then sat down while the charges were read to the court.

Russell Brand surrounded by media as he arrives at Westminster Magistrates' Court.
Pic: Reuters
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Brand surrounded by media. Pic: Reuters

Brand is charged with the rape of a woman in 1999 in the Bournemouth area. She alleges that after meeting Brand at a theatrical performance and chatting to him later in her hotel room, she returned from the toilet to find he’d removed some of his clothes. She claims he asked her to take photos of him, and then raped her.

The court also heard of another of Brand’s alleged victims, who has accused him of indecently assaulting her in 2001 by “grabbing her arm and dragging her towards a male toilet” at a TV station.

Brand is accused of the oral rape and sexual assault of a woman he met in 2004 in London. He is accused of grabbing her breasts before allegedly pulling her into a toilet.

The final complainant is a radio worker who has accused Brand of sexually assaulting her between 2004 and 2005 by “kissing” and “grabbing” her breasts and buttocks.

Russell Brand leaves court.
Pic: Reuters
Image:
Brand leaves court. Pic: Reuters

The judge referred the case up to the Central Criminal Court – informally known as the Old Bailey.

Brand was asked to supply both his US and UK addresses to the court.

When asked if he understood his bail conditions, he replied, “Yes”.

The case was adjourned and Brand, of Hambleden, Buckinghamshire, was told he must appear at the Old Bailey on 30 May.

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