Three and a half years ago, Tim Daly was given just a few months to live. Born with learning disabilities, he later developed cancer, which kept returning.
Despite being very sick, Tim can still live at home with his mum Valerie, because of support from his palliative care nurse Phoebe Mooney.
“It’s really sad to see him deteriorate,” Phoebe says during a visit to Tim.
Image: Tim Daly, who lives at home with his mother Valerie
“When I first started seeing him he was independently mobile in his wheelchair. He would take lots of videos. He’d be super, super chatty.”
It is clear Tim and Phoebe share a special bond, but working in such an emotionally demanding role can be challenging.
“I’m not going to lie, I do cry quite a lot at work,” Phoebe says. “Particularly when things don’t go so well, which they don’t at times.”
Image: Phoebe Mooney, Tim’s palliative care nurse
Tim’s mother Valerie Daly is 82 and says she wouldn’t be able to keep Tim at home without the support she gets from St Christopher’s Hospice in Sydenham, southeast London, where Phoebe works.
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“I couldn’t do this without them,” she says. “It’s just knowing that there’s somebody there. Somebody who cares. Somebody who knows Tim.”
The support Valerie and Tim get is far from guaranteed across the UK.
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As MPs consider legalising assisted dying, with a bill being introduced to parliament today, the quality of the country’s end-of-life care is being questioned.
“It’s really important we’re talking about funding for hospices at the same time,” says Jan Noble, the director of quality and innovation at St Christopher’s.
Image: Jan Noble, the director of quality and innovation at St Christopher’s Hospice
“Because people need to know that they’re going to get the right symptom control and support if they are approaching the end of life. And actually it’s not all about assisted dying.
“People are fearful because at the moment hospices throughout the country haven’t got the adequate funding, which means care can be a postcode lottery.”
St Christopher’s Hospice neither supports nor opposes a change in the law, but the hospice sector is a strong voice in the debate.
Image: Residents at St Christopher’s Hospice
Hospices rely on charity to survive, with the government providing only around a third of their funding.
The sector has concerns about whether the health system could cope with the additional pressure that assisted dying would bring.
“While it’s not for us to take a view either way, what we would say is that this is a very fundamental change to consider introducing into a system which is already under really significant stress,” says Charlie King, deputy director of external affairs at Hospice UK.
Image: Charlie King, deputy director of external affairs at Hospice UK
“We’ve got hospices who are cutting back their services already, making frontline staff redundant, because they’re no longer able to fund those services.
“Whether or not assisted dying is introduced by this government, we must fix the end-of-life care system in the UK,” he said.
“This government has inherited huge challenges in the hospice sector, as well as a £22bn black hole in the public finances, so these problems will take time to fix,” a spokesperson for the Department of Health and Social Care said.
“Whilst the majority of palliative and end-of-life care is provided by the NHS, we recognise the vital role voluntary organisations including hospices play in providing support to people at end of life and their families.
“We are determined to shift more healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting, and hospices will have a big role to play in that shift.”
Lynda Browne, 59, has experienced the best and worst of end-of-life care.
Image: Lynda Browne, whose mother and aunt had very difference experiences of palliative care
Her mother died peacefully and comfortably at a Marie Curie Hospice, but her aunt Mary chose to die at home and Lynda was devastated by the lack of care she received.
“We had to buy her incontinence pads, we had to buy different creams because the deliveries weren’t regular or there was nothing available or you couldn’t get through,” she says.
Image: Lynda’s aunt (left) and mother who both received palliative care
“We had to chase everyone for everything and it’s just so tiring all the time having to fight.”
It’s a problem palliative care doctors say needs to be urgently addressed.
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Sir Keir Starmer and Rachel Reeves have scrapped plans to break their manifesto pledge and raise income tax rates in a massive U-turn less than two weeks from the budget.
I understand Downing Street has backed down amid fears about the backlash from disgruntled MPs and voters.
The Treasury and Number 10 declined to comment.
The decision is a massive about-turn. In a news conference last week, the chancellor appeared to pave the way for manifesto-breaking tax rises in the budget on 26 November.
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‘Aren’t you making a mockery of voters?’
The decision to backtrack was communicated to the Office for Budget Responsibility on Wednesday in a submission of “major measures”, according to the Financial Times.
Tory shadow business secretary Andrew Griffith said: “We’ve had the longest ever run-up to a budget, damaging the economy with uncertainty, and yet – with just days to go – it is clear there is chaos in No 10 and No 11.”
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The UK’s economic slowdown gathered further momentum during the third quarter of the year with growth of just 0.1%, according to an early official estimate that makes horrific reading for the chancellor.
The Office for National Statistics (ONS) reported a surprise contraction for economic output during September of -0.1% – with some of the downwards pressure being applied by the cyber attack disruption to production at Jaguar Land Rover.
The figures for July-September followed on the back of a 0.3% growth performance over the previous three months and the 0.7% expansion achieved between January and March.
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Growth ‘slightly worse than expected’
The encouraging start to 2025 was soon followed by the worst of Donald Trump’s trade war salvoes and the implementation of budget measures that placed employers on the hook for £25bn of extra taxes.
Economists have blamed those factors since for pushing up inflation and harming investment and employment.
ONS director of economic statistics, Liz McKeown, said: “Growth slowed further in the third quarter of the year with both services and construction weaker than in the previous period. There was also a further contraction in production.
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“Across the quarter as a whole, manufacturing drove the weakness in production. There was a particularly marked fall in car production in September, reflecting the impact of a cyber incident, as well as a decline in the often-erratic pharmaceutical industry.
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What next for the UK economy?
“Services were the main contributor to growth in the latest quarter, with business rental and leasing, live events and retail performing well, partially offset by falls in R&D [research and development] and hair and beauty salons.”
When measured by per head of population- a preferred measure of living standards – zero growth was registered during the third quarter.
The weaker-than-expected figures will add fuel to expectations that the Bank of England can cut interest rates at its December meeting after November’s hold.
The vast majority of financial market participants now expect a reduction to 3.75% from 4% on 18 December.
Data earlier this week showed the UK’s unemployment rate at 5% – up from 4.1% when Labour came to power with a number one priority of growing the economy.
Since then, the government’s handling of the economy has centred on its stewardship of the public finances.
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Chancellor questioned by Sky News
The chancellor was accused by business groups of harming private sector investment and employment through hikes to minimum wage levels and employer national insurance contributions.
The Bank has backed the assertion that hiring and staff retention has been hit as a result of those extra costs.
There is also evidence that rising employment costs have been passed on to consumers and contributed to the UK’s stubbornly high rate of inflation of 3.8% – a figure that is now expected to ease considerably in the coming months.
Rachel Reeves has blamed other factors – such as Brexit and the US trade war – for weighing on the economy, leaving her facing a similar black hole to the one she says she inherited from the Conservatives.
She said of the latest economic data: “We had the fastest-growing economy in the G7 in the first half of the year, but there’s more to do to build an economy that works for working people.
“At my budget later this month, I will take the fair decisions to build a strong economy that helps us to continue to cut waiting lists, cut the national debt and cut the cost of living.”
Shadow chancellor Sir Mel Stride responded: “Today’s ONS figures show the economy shrank in the latest month, under a Prime Minister and Chancellor who are in office but not in power.”
The Scottish government and For Women Scotland’s long-running legal battle over the definition of a woman is yet to come to a close.
For Women Scotland (FWS) won the case in April when the country’s highest court ruled “woman” and “sex” in the Equality Act 2010 refers to “a biological woman and biological sex”.
The Scottish government was ordered to pay a portion of the campaign group’s legal costs.
FWS told Sky News the bill of costs for the Supreme Court element of the case was more than £270,000, however various parts have reportedly been disputed by the Scottish government.
That has now been submitted to the court for determination and a decision is awaited.
Image: Pic: PA
The Outer and Inner House element of the case at the Court of Session in Edinburgh was said to be more than £150,000.
Trina Budge, co-director of FWS, said the group is also due an uplift – a small percentage of the final expenses awarded.
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Ms Budge claimed Scottish ministers are yet to enter into any negotiations on settlement and a date has been set in January for a hearing before the Auditor of the Court of Session to confirm the amount the government will have to pay.
Ms Budge said: “The delay always suits the paying party but I think it’s quite unusual to decline to enter into any discussions at all.
“It’s highly likely this is a deliberate tactic in the hope of starving us of funds to prevent us continuing our latest case on the lawfulness of housing male prisoners on the female estate.
“However, it should come as no surprise to the government that we have massive support and we will, of course, be continuing regardless of any sharp practices.”
Image: Susan Smith and Marion Calder, co-directors of For Women Scotland, outside the Supreme Court in London in April. Pic: PA
It is understood the bill of costs for the Supreme Court case was lodged by FWS in August, while the expenses linked to the Court of Session action was submitted in September.
Figures revealed by a recent Freedom of Information (FOI) request show the Scottish government has spent at least £374,000 on the case.
Final costs are yet to be confirmed but will be published once complete.
A Scottish government spokesperson said: “There is an established process to be undertaken to agree the final costs for a legal case and these will be calculated and published in due course.”
If possible, schools can also provide gender neutral toilets for transgender students.
However, court proceedings continue over transgender prisoners.
Current SPS guidance allows for a transgender woman to be admitted into the female estate if the inmate does not meet the violence against women and girls criteria, and there is no other basis “to suppose” they could pose an “unacceptable risk of harm” to those also housed there.
First Minister John Swinney and Justice Secretary Angela Constance have both dodged questions on the case, citing it would be inappropriate to comment on live court proceedings.
Image: Justice Secretary Angela Constance and First Minister John Swinney. Pic: PA
On Tuesday, Ms Constance was accused by former Scottish Tory leader Douglas Ross of “misleading” Holyrood, saying she could give full answers under contempt of court legislation.
Scottish Tory MSP Tess White, the party’s equalities spokesperson, added she was “spine-chillingly concerned” of a repeat of the Isla Bryson case.
Image: The case of Isla Bryson sparked a public outcry after the double rapist was sent to a women-only prison. Pic: PA
Bryson, a transgender woman born Adam Graham, was initially sent to a women-only prison despite being convicted of raping two women.
The offender was later transferred to the male estate following a public outcry.
Speaking to Sky News, Ms White said: “John Swinney was quick to waste taxpayers’ money fighting a case which confirmed what the vast majority of the public knew beforehand: a woman is an adult human female.”
The MSP for North East Scotland urged the SNP administration to “pay up and finally respect the clear judgment from the Supreme Court”.
A Scottish government spokesperson said: “It is the Scottish government’s long-held position that it is inappropriate for Scottish ministers to comment on live litigation.
“In all cases, we have an obligation to uphold the independence of the judiciary. We do not want the government to ever be seen as interfering in the work of the independent courts.”