Impact of long NHS waits on patients revealed, plus who waits longest

Published

1 day ago

July 25, 2025

admin

People who wait longer for NHS treatment are significantly more likely to seek emergency care in the months after eventually receiving it, compared with those who are seen quickly.

People treated within 18 weeks of being on the waiting list made 18% fewer A&E visits per week in the three months following their treatment, compared to how often they visited A&E while waiting for treatment.

In contrast, people who waited over a year ended up making 31% more A&E visits in the three months following their care.

The Health Foundation, which carried out the research and shared the findings with the Sky News Data and Forensics Unit, say that the fact people need more emergency care after long waits for treatment “may indicate additional aftercare needs or decreased effectiveness of treatment following a longer wait”.

They analysed detailed patient-level data that had previously not been available for research use.

It complements new NHS data published last week which revealed the make-up of the waiting list for the first time, in terms of the gender, age, ethnicity and deprivation status of the patients on it.

Government targets being missed

One of the targets most commonly highlighted by the government is to ensure that, by the end of this parliament, fewer than 8% of patients wait longer than 18 weeks for treatment.

Currently, almost five times as many patients in England wait longer than that, with significant differences depending on where you live.

It’s the same in emergency care. The target is that fewer than 5% of people should wait longer than four hours at A&E. As it stands, one in four people wait longer than that.

The Health Foundation explained that, as well as patients having to live with the “consequences of debilitating conditions for longer”, long waits can also lead to “more complex, difficult and expensive treatment” being required.

They also “significantly increase consumption of pain relief medication”. In some cases, while waiting, conditions for the patient become permanent and untreatable.

The NHS has paid out more than £8.3bn in compensation claims for injury and deaths caused by delays in care since 2010, in addition to the extra cost to the NHS of more A&E and GP attendances.

Dr Hilary Williams, incoming clinical vice president of the Royal College of Physicians, told Sky News: “People’s health clearly deteriorates overall as they wait for treatment. For example, waiting for heart or knee treatment can lead to increased risk of worsening health due to inactivity.

“When patients are then waiting too long, their conditions can worsen and complications can occur, meaning people may end up needing emergency care even after their planned treatment. In other words, the issue with long waits isn’t just the delay itself, but the lasting health impacts that those longest waits can cause.

“Not only does this significantly impact individual patients, but it also adds further avoidable strain to an already overstretched workforce.”

Shorter waits for wealthier people, white people and men

Data released by the NHS for the first time last week also shows that women, Asian people, and those in more deprived areas are more likely to experience longer waits for NHS treatment, compared with men, white people and the least deprived.

The differences are not extreme – less than two percentage points between the top and bottom groups – but they are statistically significant.

Health Foundation analysis also reveals that Asian people are more likely to wait longer even after accounting for the age, frailty and deprivation level of patients.

The research addresses the reasons why people left the waiting list – fewer than half of people removed from the waiting list did so because they actually started treatment.

A third of people had a “decision not to treat”. This is a broad category that includes people who dropped off the NHS list to receive private care. It also includes cases where a clinician has decided that the patient’s condition can be treated in primary care.

About one in 12 people went on to “active monitoring” instead of treatment, meaning their symptoms are monitored by specialists but they are not due for further clinical intervention or diagnostics procedures.

In about one in 20 cases the patient declines treatment themselves. In about one in 200 cases, equivalent to 30,000 people on a waiting list of over six million, the patient dies while waiting for care.

A similar number are taken off the waiting list because they have missed appointments, although this figure is higher among people from more deprived areas.

Longest waits for oral surgery, shortest for elderly services

There are significant differences in wait time depending on what you’re waiting for.

More than half of patients waiting for mouth or jaw surgery wait longer than 18 weeks for treatment, compared with fewer than a third of patients referred for heart and lung or eye appointments.

The Health Foundation said that conditions that are less likely to lead to death, for example many of those associated with gynaecology or ear, nose and throat problems, had been de-prioritised as part of efforts to increase access to care after the pandemic.

They said that some treatments that typically required overnight stays had longer wait times, as capacity was more limited. In some cases, waits were longer because there was a shortage of specialists for that specific condition.

Discussing the findings of the research, Charles Tallack, Director of Research and Analysis at the Health Foundation, told Sky News: “Reducing the elective care waiting list is rightly a major government priority. But while long waits continue, it’s vital to understand the impact of those waits. The NHS should consider how to better support people on waiting lists who have higher needs and longer waiting times.

“To enable informed decisions, the NHS must make better use of the rich data already available on elective care. That includes improving the quality of data to answer questions like why people leave a waiting list – which is essential for truly understanding and addressing the backlog.”

Health and Social Care Secretary Wes Streeting said: “We inherited an NHS which after years of neglect had left all patients worse off – but some more than others.

“Sunlight is the best disinfectant. Only by being upfront and shining a light on inequalities can we begin to tackle the problem. We will give all patients the care they need when they need it as part of our Plan for Change.”

See how waits in your trust differ for cancer treatment, elective operations and emergency care with our table:

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.

UK

‘Immigration is killing Europe’: Donald Trump issues warning to leaders as he arrives in Scotland

Published

2 hours ago

July 26, 2025

admin

'Immigration is killing Europe': Donald Trump issues warning to leaders as he arrives in Scotland

Donald Trump has landed in Scotland ahead of a four-day trip, which includes high-level meetings, praising Sir Keir Starmer as “a good man” but also calling illegal migration a “horrible invasion” that was “killing Europe”.

Crowds gathered at Prestwick Airport in Ayrshire amid a major security operation for the US president’s visit.

Mr Trump told reporters: “I like your prime minister. He’s slightly more liberal than I am… but he’s a good man… he got a trade deal done. It’s a good deal for the UK.”

Trump latest: Donald Trump arrives in Scotland

The pair are expected to discuss potential changes to the UK-US trade deal which came into force last month.

Trump left Air Force One to head to Turnberry, one of his Scottish golf courses. Part of the trip will include the opening of another course in Aberdeenshire, billed as “the greatest 36 holes in golf”.

“There’s no place like Turnberry. It’s the best, probably the best course in the world. And I would say Aberdeen is right up there,” the US president said.

“Sean Connery helped get me the [planning] permits. If it weren’t for Sean Connery, we wouldn’t have those great courses,” he added.

During the trip, President Trump will also hold discussions with Scotland’s First Minister John Swinney and EU Commission President Ursula von der Leyen, who is keen to secure a trade deal with the US.

Mr Trump told reporters there was “a good 50-50 chance” of an agreement with the EU but added there were “maybe 20 different” sticking points.

EU diplomats say a deal could result in a broad 15% tariff on EU goods and half of the 30% Trump is threatening to impose by 1 August.

The US president touched on illegal immigration and gave European leaders a stark warning.

“You better get your act together or you’re not going to have Europe anymore. You got to get your act together,” he said.

“But you’re allowing it to happen to your countries and you got to stop this horrible invasion that’s happening to Europe. Immigration is killing Europe,” he told reporters.

He was also scathing about the installation of wind turbines across Europe.

“Stop the windmills. You’re ruining your countries,” he said. “It’s so sad. You fly over and you see these windmills all over the place, ruining your beautiful fields and valleys and killing your birds.”

Domestically, President Trump faces the biggest political crisis of his second term in office over his administration’s handling of files linked to disgraced financier and sex offender Jeffrey Epstein, who died in prison in 2019.

He faced another round of questions after stepping off Air Force One. “You’re making a big thing over something that’s not a big thing. I’m focused on making deals, not on conspiracy theories that you are,” he said.

Mr Trump added that “now’s not the time” to discuss a pardon for Ghislaine Maxwell, Epstein’s imprisoned accomplice.

👉 Follow Trump100 on your podcast app 👈

While the president’s visit did attract some enthusiastic flag-waving supporters at Prestwick Airport, he is also likely to trigger a number of protests, prompting Police Scotland to call in support from other forces in the UK.

The Stop Trump Scotland group has planned demonstrations on Saturday in Edinburgh, Aberdeen and Dumfries.

About 70% of Scots have an unfavourable opinion of Trump, while 18% have a positive opinion, an Ipsos poll in March found.

President Trump is staying at his Turnberry property on Scotland’s west coast this weekend, before travelling to Aberdeenshire on Monday, where he will open a second 18-hole course.

He is due to return to the UK in September for a state visit hosted by the King – the first world leader in modern times to undertake two UK state visits.

UK

‘It’s the Wild West’: Dozens of women develop botulism linked to anti-wrinkle injections

Published

3 hours ago

July 25, 2025

admin

'It's the Wild West': Dozens of women develop botulism linked to anti-wrinkle injections

A woman who thought she was being injected with Botox was left unable to swallow and doctors thought she had suffered a stroke – after she contracted a life-threatening illness from a potentially illegal product.

Nicola Fairley is one of dozens of people who have developed botulism linked to unlicenced anti-wrinkle injections.

She had the procedure done with her regular beautician after winning a Facebook competition for three areas of “Botox”.

“Within two or three hours my forehead and the sides of my eyes had started to freeze,” Nicola says.

“At first I thought ‘amazing’, that’s what I wanted – then it just carried on.”

Nicola was eventually sent to A&E in Durham, where she met several other patients who all had similar symptoms.

Doctors were stumped. “They thought I’d had a stroke,” she says.

“We all had problems with our eyes, some of us with our breathing. I couldn’t swallow – they put me on nil by mouth because they were worried I would choke in the waiting room.”

It turns out all of the patients had recently had anti-wrinkle injections containing botulinum toxin.

Health officials believe they were imported, illegal products.

Botulism – the disease they caused – is so rare many doctors never see it in their entire careers.

It can cause symptoms including slurred speech and breathing problems, and can be deadly.

The disease is so unusual, and so many cases were coming in, that doctors exhausted their stocks of anti-toxin and had to ask hospitals as far away as London to get more.

The UK Health Security Agency has so far confirmed 38 cases of botulism linked to cosmetic toxin injections, but Sky News has been told of several more.

The outbreak began in the North East but cases have now been seen in the East of England and East Midlands as well.

There are only a handful of legal botulinum toxin products in the UK – of which Botox is one.

But cosmetic treatments are largely unregulated, with anyone allowed to inject products like fillers and toxins without any medical training.

Cheap, illegal products imported from overseas are easily available.

‘It’s the Wild West’

Dr Steven Land runs Novellus Aesthetics clinic in Newcastle upon Tyne. He worked for decades as an emergency medicine doctor before moving into aesthetics.

He says he has been warning health officials of an outbreak for years.

“It’s the Wild West,” Dr Land told Sky News.

“Because anyone can do this, there is a lack of knowledge around what is legal, what’s not legal, what is okay to be injected.

“These illegal toxins could have 50 units, 5,000 units or rat poison – there could be anything in there.”

Dr Land showed us messages that he says he gets on a weekly basis, from sellers trying to push him cheap, unlicenced products.

They advertise “limited time offers” and cheap bundles on toxins imported from overseas. He calls them “drug dealers”.

“They are preying on the lack of knowledge among non-medical practitioners,” he says.

Consultations on how to regulate the aesthetics industry have been ongoing for years – but so far, no changes have been introduced.

The UK government now says it does plan to regulate certain procedures, but it’s not said how it will do this, or when.

“What will it take?” Nicola says. “One of the women we were with did almost die – she had to be resuscitated.”

Nicola’s beautician has stopped responding to her messages, so she says she still has no idea what the product was “or how much of it is in me”.

She doesn’t know how long her symptoms will last, but just hopes she will eventually recover.

UK

Over 200 MPs sign cross-party letter demanding Starmer recognise Palestine as a state

Published

8 hours ago

July 25, 2025

admin

Over 200 MPs sign cross-party letter demanding Starmer recognise Palestine as a state

Sir Keir Starmer is under increasing pressure to recognise a Palestinian state, with 221 MPs signing a cross-party letter demanding he take the step.

The letter is being organised by the Labour backbencher Sarah Champion, who also sits as the International Development Committee chair.

They write: “British recognition of Palestine would be particularly powerful given its role as the author of the Balfour Declaration and the former Mandatory Power in Palestine.

“Since 1980 we have backed a two-state solution. Such a recognition would give that position substance as well as living up to a historic responsibility we have to the people under that Mandate.”

Explainer: What does recognising a Palestinian state mean?

Earlier this month, nearly 60 Labour MPs called on David Lammy and the Foreign Office to immediately recognise Palestine as a state in a private letter, but this new call shows how dissatisfied many still are with the government’s refusal to change its stance on the issue.

As Number 10 came under growing pressure, Sir Keir on Friday released a statement on Gaza calling the “appalling scenes” in the Strip “unrelenting”.

Israel has denied there is a food shortage in Gaza – despite earlier this week more than 100 aid agencies warning of mass starvation in Gaza – and claims it had to take control of the supply and distribution of aid because Hamas fighters have been stealing aid before it reached civilians. Hamas has denied this, as have some humanitarian groups, including USAID.

Talking about the need for a regional “lasting peace”, the prime minister said: “Recognition of a Palestinian state has to be one of those steps. I am unequivocal about that. But it must be part of a wider plan which ultimately results in a two-state solution and lasting security for Palestinians and Israelis.”

In light of a tweet by the French President Emmanuel Macron, also sent last night, declaring France would recognise a Palestinian state in September at a UN conference, a number of MPs now say Number 10’s current position is untenable.

“They had said they wanted to be in lockstep with allies, but this means that position won’t hold,” said one Labour MP.

US President Donald Trump, speaking to reporters at the White House before heading to Scotland, was dismissive of Mr Macron’s statement. “What he says doesn’t matter,” he said. “He’s a very good guy. I like him, but that statement doesn’t carry weight.”

Israeli Prime Minister Benjamin Netanyahu said: “We strongly condemn President Macron’s decision to recognise a Palestinian state next to Tel Aviv in the wake of the October 7 massacre. Such a move rewards terror and risks creating another Iranian proxy, just as Gaza became.

“A Palestinian state in these conditions would be a launch pad to annihilate Israel – not to live in peace beside it.

Peter Kyle, the technology secretary, on Friday morning defended the government’s resistance to calls for immediate UK recognition of a Palestinian state.

“We want Palestinian statehood. We desire it, and we want to make sure the circumstances can exist where that kind of long-term political solution can have the space to evolve and make sure that it can become a permanent circumstance that can bring peace to the entire region,” he told Sky News.

“But right now, today, we’ve got to focus on what will ease the suffering, and it is extreme, unwarranted suffering in Gaza that has to be the priority for us today.”

An emergency call with Germany and France was scheduled for Friday to discuss what Sir Keir described as a “human catastrophe” which has “reached new depths”.

The Foreign Office has maintained it is committed to recognising a Palestinian state but has expressed a willingness to do so only when it will have the “most impact in support of a peace process”.

It said: “We continue to provide lifesaving aid to support Palestinians in Gaza and the West Bank, and to work closely in support of the Palestinian Authority.”