Connect with us

Published

on

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.

More on Data And Forensics

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.

Please use Chrome browser for a more accessible video player

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.

Continue Reading

UK

Hundreds of barbers, car washes and American sweet shops raided in money laundering crackdown

Published

on

By

Hundreds of barbers, car washes and American sweet shops raided in money laundering crackdown

Hundreds of barber shops and other cash-heavy businesses have been targeted in a three-week money laundering blitz.

Police went to 265 premises, including vape shops, nail bars, American-themed sweet shops and car washes across England in a crackdown on high street crime.

The National Crime Agency (NCA) said 35 arrests were made, 97 people suspected to be victims of modern slavery were placed under police protection, and bank accounts containing more than £1m were frozen.

More than £40,000 in cash, some 200,000 cigarettes, 7,000 packs of tobacco, and more than 8,000 illegal vapes were also seized during Operation Machinize, which involved 19 different police forces and regional organised crime units.

Officers also found two cannabis farms containing a total of 150 plants, while 10 shops have been shut down.

The NCA estimates that £12bn of criminal cash is generated in the UK each year with businesses such as barber shops, vape shops, nail bars, American-themed sweet shops and car washes often used by criminals.

Goods seized during their visit to a vape shop in Rochdale.
Pic: GMP/PA
Image:
Goods seized during a visit to a vape shop in Rochdale. Pic: GMP/PA

Police officers at a shop in Tameside. 
Pic: GMP/PA
Image:
Police officers at a shop in Tameside. Pic: GMP/PA

Rachael Herbert, deputy director of the National Economic Crime Centre at the NCA, said: “Operation Machinize targeted barber shops and other high street businesses being used as cover for a whole range of criminality, all across the country.

More from UK

“We have seen links to drug trafficking and distribution, organised immigration crime, modern slavery and human trafficking, firearms, and the sale of illicit tobacco and vapes.

“We know cash-intensive businesses are used as fronts for money laundering, facilitating some of the highest harm and highest impact offending in the UK.”

Pic: NCA
Image:
Money laundering crackdown. Pic: NCA

Security minister Dan Jarvis said the operation “highlights the scale and complexity of the criminality our towns and cities face”.

“High street crime undermines our security, our borders, and the confidence of our communities, and I am determined to take the decisive action necessary to bring those responsible to justice,” he said.

Continue Reading

UK

Kara Alexander: Dagenham mother who murdered her two young sons in the bath jailed

Published

on

By

Kara Alexander: Dagenham mother who murdered her two young sons in the bath jailed

A skunk-smoking mother who murdered her two young sons in the bath while in a psychotic state has been jailed for life with a minimum term of more than 21 years.

Kara Alexander was found guilty of drowning Elijah Thomas, two, and Marley Thomas, five, at the home they shared in Dagenham, east London, in December 2022.

Alexander, 47, who had denied two counts of murder, was convicted at Kingston Crown Court in February.

Post-mortems on the boys found they had either been drowned or suffocated – but Alexander accepted at trial that she had placed them in the bath before they “accidentally” drowned.

Returning to Kingston Crown Court on Friday, Mr Justice Bennathan sentenced Alexander to life imprisonment with a minimum term of 21 years and 252 days.

The judge referred to the children’s father finding his deceased sons next to one another as “the stuff of nightmares”.

Mr Justice Bennathan said: “On the evening of 15 December 2022, you’d been smoking skunk.

“You’d been doing so every night for weeks, probably much longer. At some stage, both the boys were in their pyjamas ready for bed, with Elijah also wearing his nappy.

“You drowned them both by your deliberate acts.”

The judge said Alexander “unspeakably” held the boys under water for “up to a minute or two”.

“The bath was probably still run from their normal evening routine and I do not think for a moment that your dreadful acts were pre-meditated,” he said.

The judge said Alexander dried the boys, put them in clean pyjamas and laid them together, tucked in under duvets, on the same bunk bed.

“The next morning, their father, worried by your unusual silence, came and found them. The stuff of nightmares,” he said.

The jury heard how the boys’ father was due to have them that weekend and became increasingly concerned when he had not heard back from Alexander.

When he arrived at their home, she told him the children were upstairs sleeping.

When the father returned downstairs to call for help, Alexander had run away. It took the police around an hour to find her.

The Metropolitan Police said forensic analysis of Alexander’s phone, which had been found in a filled sink, showed it had been in regular use in the run-up to the murders, but on the day the children were found, no calls were made or messages sent.

This led detectives to believe that she had intentionally been avoiding people following their deaths.

Prosecutors said they built their case on showing the boys could not have accidentally drowned and that the only reasonable explanation for their deaths was that Alexander caused them to drown.

Read more from Sky News:
Family die in sightseeing helicopter crash
Man who murdered taxi driver after being refused cigarette is jailed

The judge said there was every sign Alexander was a “caring and affectionate” mother to both children before the events of 15 December 2022.

He pointed out that their father said Alexander “never shouted or raised her voice at the boys” and “never showed violence to the boys”.

The judge said: “From all that I have read and seen of you, I have no doubt that every day when you awake you will remember and grieve for the little boys whose lives you snatched away.”

Mr Justice Bennathan said Alexander was in a psychotic state when she killed her sons and that it was cannabis induced.

He said Alexander had a previous psychotic episode in 2016 in which cannabis also probably played a part, but acknowledged he could not be sure she was aware that the drug could trigger another psychotic state.

In his sentencing remarks, Mr Justice Bennathan warned of the dangers of drugs.

He said: “The heavy use of skunk or other hyper-strong strains of cannabis can plunge people into a mental health crisis in which they may harm themselves or others.

“If any drug user does not know that, it’s about time they did.

“At your trial, Kara Alexander, the three psychiatrists who gave evidence disagreed about a number of things, but on that they were unanimous.

“It will comfort nobody connected to this case, but if these events bring home that message to even a few people, some slight good may come from what is otherwise an unmitigated tragedy.”

Detective Chief Inspector Paul Waller, who led the investigation, said: “This is an incredibly tragic case, which has left a father without his two beloved boys and a family without two young brothers.

“Kara Alexander will spend the next two decades behind bars, where the memory of what she has done will haunt her forever.

“To the family and friends of Elijah and Marley, while no amount of time will erase the pain of such a loss, I hope this sentence serves to bring some semblance of justice.

“I hope you can now move on with your life, remembering the boys as you knew them, and treasuring the happy times you spent with them.”

Continue Reading

UK

‘I don’t look at myself as a dying person anymore’: New drug that slows incurable breast cancer now available on the NHS

Published

on

By

'I don't look at myself as a dying person anymore': New drug that slows incurable breast cancer now available on the NHS

A groundbreaking new cancer treatment, hailed by patients as “game-changing”, will be available via the NHS from today.

The drug capivasertib has been shown in trials to slow the spread of the most common form of incurable breast cancer.

Taken in conjunction with an already-available hormonal therapy, it has been shown in trials to double how long treatment will keep the cancer cells from progressing.

“I don’t look at myself anymore as a dying person,” says Elen Hughes, who has been using the drug since February this year.

“I look at myself as a thriving person, who will carry on thriving for as long as I possibly can.”

Ellen Hughes has been using the drug capivasertib
Image:
Elen Hughes says capivasertib has extended her life and improved its quality

Mrs Hughes, from North Wales, was first diagnosed with primary breast cancer in 2008.

Eight years later, then aged 46 and with three young children, she was told the cancer had returned and spread.

More on Cancer

She says that capivasertib, which she has been able to access via private healthcare, has not only extended her life but improved its quality with fewer side effects than previous medications.

It also delays the need for more aggressive blanket treatments like chemotherapy.

New breast cancer drug capivasertib
Image:
Capivasertib is now available from the NHS

“What people don’t understand is that they might look at the statistics and see that [the therapy] is effective for eight months versus two months, or whatever,” says Mrs Hughes.

“But in cancer, and the land that we live in, really we can do a lot in six months.”

Mrs Hughes says her cancer therapy has allowed her “to see my daughter get married” and believes it is “absolutely brilliant” that the new drug will be available to more patients via the NHS.

The National Institute for Health and Care Excellence approved capivasertib for NHS-use after two decades of research by UK teams.

Professor Nicholas Turner, from the Institute of Cancer Research which led the study, told Sky News it was a “great success story for British science”.

Professor Nicholas Turner, from the Institute of Cancer Research which led the study
Image:
Professor Nicholas Turner wants urgent genetic testing of patients with advanced breast cancers to see if they could benefit

The new drug is suitable for patients’ tumours with mutations or alterations in the PIK3CA, AKT1 or PTEN genes, which are found in approximately half of patients with advanced breast cancer.

Read more:
How AI could transform breast screening results
Breast cancer cases and deaths set to surge – study

Prof Turner says hundreds of patients could see the benefit in the immediate future, with thousands more people identified over time.

“We need new drugs that will help our existing therapies work for longer, and that’s where this new drug, capivasertib comes in,” says Prof Turner.

“It doubles how long hormone therapy treatment works for, giving patients precious extra time with their families.”

He called for urgent genetic testing of patients with advanced breast cancers to see if they could benefit.

Continue Reading

Trending