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Sir Keir Starmer has hailed a “milestone” in his plan to fix the NHS as figures show an extra two million appointments were delivered during Labour’s first five months in office.

New figures published by NHS England reveal that between July and November 2024, the health service delivered almost 2.2 million more elective care appointments compared with the same period the previous year.

This includes for chemotherapy, radiotherapy, endoscopy, and diagnostic tests, which were possible in part because of staff working extra weekend and evening shifts, the government said.

The Department of Health and Social Care (DHSC) also pointed to the end of NHS strikes, extra flu vaccinations and £1.8bn of funding into elective appointments since Labour took office.

The extra appointments come on top of figures last week showing total NHS waiting lists fell in December for the fourth month in a row – though challenges remain in other areas.

The prime minister said: “Two million extra NHS appointments and a waiting list on its way down – we’re delivering on our promise to fix the NHS and make sure people get the care they need, when they need it.

“We said we’d turn this around and that’s exactly what we’re doing – this milestone is a shot in the arm for our plan to get the NHS back on its feet and cut waiting times.”

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During the general election campaign, polls suggested the NHS was the second most important issue to voters after the economy.

The extra appointments mean Labour’s manifesto commitment for two million a year was met seven months early.

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Post-COVID anxiety causing ‘mental health crisis’

Labour have also pledged to end hospital backlogs to meet the NHS standard of 92% of patients in England waiting no longer than 18 weeks for elective treatment.

The figures last week showed the number of people waiting 18 weeks or more for elective care has started to fall.

The number who have been on the list for more than a year is also down.

Overall, an estimated 7.46 million treatments were waiting to be carried out at the end of December in England, down from 7.48 million treatments at the end of November.

However, pressure remains in other areas. Sky News found the number of patients waiting for 12 hours in A&E after a decision has been made to admit them – known as a “trolley-wait” – rose above 60,000 for the first time in January.

Waits of this length, usually indicative of a lack of available beds in the hospital, were almost non-existent before the pandemic.

The January total – equivalent to more than 15% of all patients admitted via A&E – is more than the total recorded in over 11 years from August 2010 to October 2021.

As Sky News’ health correspondent Ashish Joshi reports that health anxiety – not emergencies – is clogging up A&E.

There are also problems facing social care, with a lack of availability often preventing medically fit people from being discharged.

Sir Keir acknowledged there was more to do, saying “we’re not complacent and we know the job isn’t done”.

Keir Starmer and Wes Streeting  visits a healthcare provider in Surrey.
Pic: Reuters
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The PM and Wes Streeting visit a hospital in Surrey. Pic: Reuters

Health Secretary Wes Streeting said the next steps on the Plan for Change include “opening new surgical hubs, community diagnostics centres at evenings and weekends, and using private sector capacity to cut waiting times from 18 months to 18 weeks”.

He added: “We have wasted no time in getting to work to cut NHS waiting times and end the agony of millions of patients suffering uncertainty and pain.

“Because we ended the strikes, invested in the NHS, and rolled out reformed ways of working, we are finally putting the NHS on the road to recovery.”

The government has also announced a £40m funding pot for trusts that make the most improvements, which will be available for hospitals from next year to spend on capital projects such repairs to their estates or new tech such as AI scanners.

Sir Keir has previously promised more funding for trusts who make the fastest improvements in cutting waiting times but it was not clear how much.

More detail on how the funds will be allocated will be set out “in due course”, the government said.

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Lingering dread over what else about Prince Andrew could still emerge

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Lingering dread over what else about Prince Andrew could still emerge

Just a cursory glance at the headlines, and it’s clear the disgrace and downfall of Prince Andrew is not over.

So what next for the man and the monarchy?

The King might have hoped his involvement showed direct action had been taken.

He certainly does not want any distraction from his upcoming state visit to the Vatican.

But that might be wishful thinking.

Now the Met Police has been dragged in too. Forced to look into reports in the Mail on Sunday that Andrew asked his protection officer to smear his accuser, Virginia Giuffre.

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Police ‘looking into’ Andrew claims

The prince allegedly wanted his officer “to dig up dirt” and told an aide at the palace what he had done.

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Let’s be clear: back then, Andrew’s security was funded by the taxpayer.

So are we reaching the endgame, and what does that look like?

Andrew might have given up the use of his title, Duke of York, and other honours too.

Read more:
Call for Prince Andrew to ‘live in exile’

How Prince Andrew allegations unfolded
Everything we know about titles decision

But what about his style ‘prince’? Some want that ditched too.

It’s a complicated but not impossible process. Andrew could, of course, just stop using it voluntarily.

Some want him to give up his home, too. For a non-working royal, the stately Royal Lodge, with its plum position on the Windsor Estate, is an uncomfortable optic.

Andrew’s wider family is worried. The Sunday Times has reported that the Prince of Wales wants him cut off completely.

With the reputation of the monarchy at risk, William does not want to appear weak. He’s putting loyalty to “the firm” firmly above his familial relationships.

Prince Andrew has always strongly denied the allegations, and restated on Friday: “I vigorously deny the accusations against me”. Sky News has approached him for comment on the fresh allegations set out in the Mail on Sunday.

But with Virginia Giuffre’s tragic death and posthumous memoir due out on Tuesday, Buckingham Palace will be braced for more scandal.

When Andrew gave up his titles, there was certainly a sense of relief.

There is now a sense of dread over what else could emerge.

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Why Andrew hasn’t given up being a prince – amid call for him to ‘live in exile’

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Why Andrew hasn't given up being a prince - amid call for him to 'live in exile'

Sky News’ royal commentator has explained why Prince Andrew has not given up being called a prince – while another expert has said “the decent thing” for him to do would be “go into exile” overseas.

Andrew announced on Friday that he would stop using his Duke of York title and relinquish all other honours, including his role as a Royal Knight Companion of the Most Noble Order of the Garter.

However, he will continue to be known as a prince.

Royal commentator Alastair Bruce said that while Andrew’s other honours and titles were conferred to him later in life, he became a prince when he was born to Elizabeth II while she was queen.

He told presenter Kamali Melbourne: “I think […] that style was quite special to the late Queen,” he said. “And perhaps the King, for the moment, thinks that can be left alone.

“It’s a matter really for the King, for the royal household, perhaps with the guidance and advice of government, which I’m sure they are taking.”

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Who pushed Andrew to drop his titles?

Since Andrew’s announcement, there has been speculation over whether any further measures will be taken – and one author has now called for him to “go into exile”.

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Andrew Lownie, author of The Rise And Fall Of The House Of York, said: “The only way the story will go away is if he leaves Royal Lodge, goes into exile abroad with his ex-wife, and is basically stripped of all his honours, including Prince Andrew.”

Royal Lodge is the Windsor mansion Andrew lives in with his ex-wife, Sarah Ferguson, who has also lost her Duchess of York title.

Andrew and his former wife continue to live on the Windsor estate. Pic: Reuters
Image:
Andrew and his former wife continue to live on the Windsor estate. Pic: Reuters

Mr Lownie continued: “He makes out he’s an honourable man and he’s putting country and family first. Well, if he is, then the optics look terrible for the monarchy. A non-working royal in a 30-room Crown Estate property with a peppercorn rent.

“He should do the decent thing and go. And frankly, he should go into exile.”

Mr Lownie added if the Royal Family “genuinely want to cut links, they have to put pressure on him to voluntarily get out”.

Read more from Sky News:
How Prince Andrew allegations unfolded
William and Camilla’s influential roles

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Windsor’s take on Prince Andrew

Andrew’s decision to stop using his titles was announced amid renewed scrutiny of his relationship with paedophile Jeffrey Epstein, and fresh stories linked to the late Virginia Giuffre.

Ms Giuffre, who was trafficked by Epstein, alleged she was sexually assaulted by Andrew on three occasions – which he has always vigorously denied.

The former duke paid to settle a civil sexual assault case with Ms Giuffre in 2022, despite insisting he had never met her.

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Families whose loved ones took their lives after buying poison online write to PM

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Families whose loved ones took their lives after buying poison online write to PM

Bereaved families whose loved ones took their own lives after buying the same poison online have written to the prime minister demanding urgent action.

Warning: This article contains references to suicide

The group claims there have been “multiple missed opportunities” to shut down online forums that promote suicide and dangerous substances.

They warn that over 100 people have died after purchasing a particular poison in the last 10 years.

Among those who have written to Downing Street is Pete Aitken, whose daughter Hannah was 22 when she took her own life after buying the poison from a website.

Hannah was autistic and had ADHD. She was treated in six different mental health hospitals over a four-year period.

Mr Aitken recently spoke to Sky News around the second anniversary of Hannah’s death.

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He said: “Autistic people seem to be most vulnerable to this kind of sort of poison and, you know, wanting to take their lives.”

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Pete Aitken speaking to Sky News

Sky News is not naming the poison, but Hannah was able to buy a kilogram of it online. Just one gram is potentially fatal.

“There’s this disparity between the concentration required for its legitimate use and that required for ending your life. And it seems quite clear you could make a distinction,” Mr Aitken said.

Analysis from the Molly Rose Foundation and the group Families and Survivors to Prevent Online Suicide Harms says at least 133 people have died because of the poison. It also says coroners have written warnings about the substance on 65 separate occasions.

The report accuses the Home Office of failing to strengthen the regulation of the poison and says not enough is being done to close dangerous suicide forums online.

Lawyers representing the group want a public inquiry into the deaths.

In a joint letter to the prime minister, the families said: “We write as families whose loved ones were let down by a state that was too slow to respond to the threat.

“This series of failings requires a statutory response, not just to understand why our loved ones died but also to prevent more lives being lost in a similar way.”

Read more from Sky News:
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Warning of six million new cancer cases – with these areas worst hit
Hospital accused of ‘covering up’ concerns about suspended surgeon

The group’s lawyer, Merry Varney, from Leigh Day, said: “The government is rightly committed to preventing deaths through suicide, yet despite repeated warnings of the risks posed by an easily accessible substance, fatal in small quantities and essentially advertised on online forums, no meaningful steps have been taken.”

Hannah's dad is one of the family members to have signed the letter
Image:
Hannah’s dad is one of the family members to have signed the letter

A government spokesperson said: “Suicide devastates families and we are unequivocal about the responsibilities online services have to keep people safe on their platforms.

“Under the Online Safety Act, services must take action to prevent users from accessing illegal suicide and self-harm content and ensure children are protected from harmful content that promotes it.

“If they fail to do so, they can expect to face robust enforcement, including substantial fines.”

They added that the position is “closely monitored and reportable under the Poisons Act, meaning retailers must alert authorities if they suspect it is being bought to cause harm”.

“We will continue to keep dangerous substances under review to ensure the right safeguards are in place,” they said.

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK.

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