New Year’s Eve revellers in Wales could help the country’s ambulance service, which has declared a critical incident after a huge increase in demand, by drinking in moderation this evening, its boss has said.
There were more than 340 calls waiting to be answered when the incident was declared on Monday evening, according to the service.
At the same time, more than half of the Trust’s ambulance vehicles were waiting to hand over patients outside hospitals.
Patients were waiting for “many hours” for an ambulance as a result, according to the service.
Jason Killens, the Welsh Ambulance Service’s chief executive, issued a plea ahead of New Year’s celebrations.
“People out celebrating can help us tonight by of course, having a good time, but drinking sensibly, eating before they go out and looking after their friends,” he said.
Mr Killens said the increased demand was “a result of flu and COVID and other respiratory viruses circulating through the winter.”
“What we have seen in the last 24 to 48 hours is an acute accumulation of those pressures,” he added.
Image: Hospitals around the UK are struggling with a “quad-demic” of winter illnesses. File pic
Speaking on BBC Breakfast, Mr Killens apologised to patients “who waited too long yesterday and continue to wait this morning”.
“The pressure for us continues this morning, we had a very busy day yesterday,” he said, adding he expected waits to continue through until Tuesday evening.
‘Quad-demic’ hits UK health services
The Welsh Ambulance Service covers three million-plus people across Wales.
“It is very rare that we declare a critical incident, but with significant demand on our service and more than 90 ambulances waiting to hand over patients outside of hospital, our ability to help patients has been impacted,” said Stephen Sheldon, the organisation’s head of service.
He urged the public to only call 999 in the event of “a life-threatening emergency”.
“That’s a cardiac arrest, chest pain or breathing difficulties, loss of consciousness, choking, or catastrophic bleeding,” Mr Sheldon added.
“If it’s not a life-threatening emergency, then it’s important you use one of the many alternatives to 999, starting with the symptom checkers on our NHS 111 Wales website as well as your GP, pharmacist, and Minor Injuries Unit.”
Image: Ambulances in London – where health services are also under pressure. Pic: iStock
Hospitals around the UK are already struggling with a “quad-demic” of flu, COVID-19, RSV and norovirus, as well as preparing for a busy New Year’s Eve.
Data released by the NHS showed an average of 1,861 patients with flu were in hospital every day in the first week of December – a 70% increase from the previous week when there were 1,099 patients.
The number was also 3.5 times higher than the same time last year.
This is going to be a big budget – not to mention a complex budget.
It could, depending on how it lands, determine the fate of this government. And it’s hard to think of many other budgets that have been preceded by quite so much speculation, briefing, and rumour.
All of which is to say, you could be forgiven for feeling rather overwhelmed.
But in practice, what’s happening this week can really be boiled down to three things.
1. Not enough growth
The first is that the economy is not growing as fast as many people had hoped. Or, to put it another way, Britain’s productivity growth is much weaker than it once used to be.
The upshot of that is that there’s less money flowing into the exchequer in the form of tax revenues.
2. Not enough cuts
The second factor is that last year and this, the chancellor promised to make certain cuts to welfare – cuts that would have saved the government billions of pounds of spending a year.
But it has failed to implement those cuts. Put those extra billions together with the shortfall from that weaker productivity, and it’s pretty clear there is a looming hole in the public finances.
3. Not enough levers
The third thing to bear in mind is that Rachel Reeves has pledged to tie her hands in the way she responds to this fiscal hole.
She has fiscal rules that mean she can’t ignore it. She has a manifesto pledge which means she is somewhat limited in the levers she can pull to fill it.
Put it all together, and it adds up to a momentous headache for the chancellor. She needs to raise quite a lot of money and all the “easy” ways of doing it (like raising income tax rates or VAT) seem to be off the table.
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4:24
The Budget Explained – in 60 seconds
So… what will she do?
Quite how she responds remains to be seen – as does the precise size of the fiscal hole. But if the rumours in Westminster are to be believed, she will fall back upon two tricks most of her predecessors have tried at various points.
First, she will deploy “fiscal drag” to squeeze extra income tax and national insurance payments out of families for the coming five years.
What this means in practice is that even though the headline rate of income tax might not go up, the amount of income we end up being taxed on will grow ever higher in the coming years.
Second, the chancellor is expected to squeeze government spending in the distant years for which she doesn’t yet need to provide detailed plans.
Together, these measures may raise somewhere in the region of £10bn. But Reeves’s big problem is that in practice she needs to raise two or three times this amount. So, how will she do that?
Most likely is that she implements a grab-bag of other tax measures: more expensive council tax for high value properties; new CGT rules; new gambling taxes and more.
No return to austerity, but an Osborne-like predicament…
If this summons up a particular memory from history, it’s precisely the same problem George Osborne faced back in 2012. He wanted to raise quite a lot of money but due to agreements with his coalition partners, he was limited in how many big taxes he could raise.
The resulting budget was, at the time at least, the single most complex budget in history. Consider: in the years between 1970 and 2010 the average UK budget contained 14 tax measures. Osborne’s 2012 budget contained a whopping 61 of them.
And not long after he delivered it, the budget started to unravel. You probably recall the pasty tax, and maybe the granny tax and the charity tax. Essentially, he was forced into a series of embarrassing U-turns. If there was a lesson, it was that trying to wodge so many money-raising measures into a single fiscal event was an accident waiting to happen.
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2:34
Can the budget fix economic woes?
Except that… here’s the interesting thing. In the following years, the complexity of budgets didn’t fall – it rose. Osborne broke his own complexity record the next year with the 2013 budget (73 tax measures), and then again in 2016 (86 measures). By 2020 the budget contained a staggering 103 measures. And Reeves’s own first budget, last autumn, very nearly broke this record with 94 measures.
In short, budgets have become more and more complex, chock-full of even more (often microscopic) tax measures.
In part, this is a consequence of the fact that, long ago, chancellors seem to have agreed that it would be political suicide to raise the basic rate of income tax or VAT. The consequence is that they have been forced to resort to ever smaller and fiddlier measures to make their numbers add up.
The question is whether this pattern continues this week. Do we end up with yet another astoundingly complex budget? Will that slew of measures backfire as they did for Osborne in 2012? And, more to the point, will they actually benefit the UK economy?
Reports of a “board-level orchestrated coup” at the BBC are “complete nonsense”, non-executive director Sir Robbie Gibb has told MPs.
Sir Robbie, whose position on the BBC board has been challenged by critics in recent weeks, was among senior leaders, including the broadcaster’s chair, Samir Shah, to face questions from the Culture, Media and Sport committee about the current crisis.
The hearing took place in the wake of the fallout over the edit of a speech by US President Donald Trump, which prompted the resignation of the corporation’s director-general and the chief executive of BBC News, and the threat of a lawsuit from the US president.
Image: Former BBC editorial adviser Michael Prescott wrote the memo that was leaked. Pic: PA
Former editorial adviser Michael Prescott, whose leaked memo sparked the recent chain of events, also answered questions from MPs – telling the hearing he felt he kept seeing “incipient problems” that were not being tackled.
He also said Mr Trump’s reputation had “probably not” been tarnished by the Panorama edit.
During his own questioning, Sir Robbie addressed concerns of potential political bias – he left BBC News in 2017 to become then prime minister Theresa May’s director of communications, a post he held until 2019, and was appointed to the BBC board in 2021 by Boris Johnson.
Image: BBC board member Sir Robbie Gibb appearing before the Culture, Media and Sport committee. Pic: PA
“I know it’s hard to marry the fact that I spent two years as director of communications for the government… and my genuine passion for impartiality,” he said.
“I want to hear the full range of views… I don’t want the BBC to be partisan or favour any particular way.”
Asked about reports and speculation that there has been a “board-level orchestrated coup”, Sir Robbie responded: “It’s up there as one of the most ridiculous charges… People had to find some angle.
“It’s complete nonsense. It’s also deeply offensive to fellow board members… people of great standing in different fields.”
He said his political work has been “weaponised” – and that it was hard as a non-executive member of the BBC to respond to criticism.
‘We should have made the decision earlier’
Image: BBC chair Samir Shah also answered questions. Pic: PA
Mr Shah admitted the BBC was too slow in responding to the issue of the Panorama edit of Mr Trump, which had been flagged long before the leaked memo.
“Looking back, I think we should have made the decision earlier,” he said. “I think in May, as it happens.
“I think there is an issue about how quickly we respond, the speed of our response. Why do we not do it quickly enough? Why do we take so much time? And this was another illustration of that.”
Following reports of the leaked memo, it took nearly a week for the BBC to issue an apology.
Mr Shah told the committee he did not think Mr Davie needed to resign over the issue and that he “spent a great deal of time” trying to stop him from doing so.
Is director-general role too big for one person?
Image: Tim Davie is stepping down as BBC director-general
Asked about his own position, Mr Shah said his job now is to “steady the ship”, and that he is not someone “who walks away from a problem”.
A job advert for the BBC director-general role has since gone live on the corporation’s careers website.
Mr Shah told the hearing his view is that the role is “too big” for one person and that he is “inclined” to restructure roles at the top.
He says he believes there should also be a deputy director-general who is “laser-focused on journalism”, which is “the most important thing and our greatest vulnerability”.
Earlier in the hearing, Mr Prescott gave evidence alongside another former BBC editorial adviser, Caroline Daniel.
He told the CMS committee that there are “issues of denial” at the BBC and said “the management did not accept there was a problem” with the Panorama episode.
Mr Prescott’s memo highlighted concerns about the way clips of Mr Trump’s speech on January 6 2021 were spliced together so it appeared he had told supporters he was going to walk to the US Capitol with them to “fight like hell”.
‘I can’t think of anything I agree with Trump on’
Mr Trump has said he is going to pursue a lawsuit of between $1bn and $5bn against the broadcaster, despite receiving an official public apology.
Asked if the documentary had harmed Mr Trump’s image, Mr Prescott responded: “I should probably restrain myself a little bit, given that there is a potential legal action.
“All I could say is, I can’t think of anything I agree with Donald Trump on.”
He was later pushed on the subject, and asked again if he agreed that the programme tarnished the president’s reputation, to which he then replied: “Probably not.”
Mr Prescott, a former journalist, also told the committee he did not know how his memo was leaked to the Daily Telegraph.
“At the most fundamental level, I wrote that memo, let me be clear, because I am a strong supporter of the BBC.
“The BBC employs talented professionals across all of its factual and non-factual programmes, and most people in this country, certainly myself included, might go as far as to say that they love the BBC.
He said he “never envisaged” the fallout that would occur. “I was hoping the concerns I had could, and would, be addressed privately in the first instance.”
Asked if he thinks the BBC is institutionally biased, he said: “No, I don’t.”
He said that “tonnes” of the BBC’s work is “world class” – but added that there is “real work that needs to be done” to deal with problems.
Mr Davie, he said, did a “first-rate job” as director-general but had a “blind spot” toward editorial failings.
A teenage boy is in a life-threatening condition after being shot in Sheffield.
Police said the 16-year-old was taken to hospital after suffering a gunshot wound on Monday evening.
The incident happened shortly before 5.20pm in London Road.
Officers will remain in the area overnight as they carry out “extensive enquiries to identify those responsible”, with increased patrols in the coming days, said a statement from South Yorkshire Police.
London Road is partly closed, and traffic disruption is expected to continue today.
Meanwhile, the boy’s family are with him in hospital.
Image: London Road is closed from the junction at Sitwell Place to the junction at Crowther Place
‘Terrible incident’
Detective Chief Inspector Emma Knight, the senior investigating officer, said it was a “terrible incident”.
“I want to assure residents that a dedicated team of officers and staff are working tirelessly to understand the circumstances that led to this attack and to trace those responsible,” she added.