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Public satisfaction with the NHS has dropped to the lowest level on record, according to findings from a long-running poll.

Just 24% of people said they were satisfied with the health service in 2023, with poor access to GPs and long wait times for hospital treatment the main reasons for dissatisfaction.

More than 3,000 people across England, Scotland and Wales were surveyed for the British Social Attitudes poll, which is seen as a reliable barometer for how people feel about the NHS.

Satisfaction levels were down five percentage points from the year before – falling to the lowest level since records began in 1983.

From A&E to dentistry, satisfaction with every service is at or near historic lows. Results for social care were even worse, where just 13% were happy.

When asked what the most important priorities for the NHS should be, 52% said making it easier to get a GP appointment and 51% said increasing staff numbers.

Improving waiting times in A&E and for planned operations closely followed – chosen by 47% and 45% of people respectively.

Crucially however, support for the founding principles behind the NHS – free at the point of use, available to everyone and primarily funded through taxes – has remained constant.

This indicates the public do not want a change to the NHS – they just want the model they have got to work, a report analysing the poll said.

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Public fiercely loyal to NHS principles

The headline makes grim reading for the NHS – but not for NHS staff.

There’s a clear distinction between the two.

Respondents to the survey are clearly dissatisfied with long waiting times.

That frustration is totally understandable.

But what they make clear is that they fully support NHS staff who they feel are doing a good job under extremely difficult circumstances.

They are also fiercely loyal to the institution itself and do not want its founding principle to change: free for all from cradle to grave.

They want see more funding for the health service and extra staff – and some are willing to see the extra money needed to come from more tax.

But politicians gearing up for an election will know that bringing the NHS up to the levels that recorded high satisfaction more than 10 years ago will require record investment.

‘Continual state of crisis’

Satisfaction with the NHS peaked 14 years ago in 2010, when 70% of people were satisfied with the health service. But since 2020, levels have dropped by 29 percentage points.

“A decade of squeezed funding and chronic workforce shortages followed by a global pandemic has left the NHS in a continual state of crisis,” the report said.

When it comes to funding a whopping 84% of people polled said they thought the NHS had a severe problem, with 48% voting that ministers should increase taxes and spend more on the health service.

It was people with the most monthly income that were more likely to choose “increase taxes and spend more on the NHS” than keep taxes the same or reduce them.

Dan Wellings, a senior fellow at the King’s Fund – which sponsors health and care questions in the poll – said political leaders should “take note” of how far satisfaction levels have fallen ahead of the upcoming general election.

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Professor Pat Cullen, general secretary of the Royal College of Nursing, added that any party wanting to be in Downing Street in a year “must demonstrate clear intent” of investing in nursing to improve pay conditions and stabilise the workforce.

A spokesperson for the Department of Health and Social Care said it was “fully committed” to a “faster, simpler and fairer NHS” and has seen “good progress” in cutting waiting lists in England.

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“We are providing the NHS with record funding of nearly £165bn a year by the end of this Parliament, an increase of 13% in real terms compared to 2019,” they said.

“Overall NHS waiting lists have decreased for the fourth month in a row and we’ve delivered on our commitment to provide an extra 50 million GP appointments months ahead of schedule.”

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Huge fire breaks out at electrical substation in west London

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Huge fire breaks out at electrical substation in west London

A huge fire has broken out at an electrical substation in west London.

Around 100 firefighters were tackling the blaze on Aberdeen Place in Maida Vale, where an electrical transformer was alight.

The roof of a neighbouring residential building was also alight, the London Fire Brigade said. Around 80 people have been evacuated from their homes.

Pictures from the surrounding areas show thick black smoke bellowing across the city’s skyline.

The fire bridge received more than 170 calls about the blaze from around 5.30am on Tuesday. Fifteen fire engines attended the scene.

“This is a very visible fire, which is producing lots of smoke,” said station commander Paul Morgan.

“Residents are advised to keep their windows and doors shut and avoid the area where possible.”

Fire crews from Paddington, Euston and other stations were fighting the fire.

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It is not known what has caused the blaze.

It comes a month after Heathrow was shut down following a fire at a nearby electrical substation.

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Moment Heathrow substation ignites

The Metropolitan Police said it was not treating that fire as a criminal matter after more than 1,000 flights were cancelled and hundreds of thousands of passengers affected.

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Sex offenders to be denied refugee status under plans to improve women’s safety

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Sex offenders to be denied refugee status under plans to improve women's safety

Migrants convicted of sex offences in the UK or overseas will be unable to claim asylum under government plans to change the law to improve border security.

The Home Office announcement means foreign nationals who are added to the sex offenders register will forfeit their rights to protection under the Refugee Convention.

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As part of the 1951 UN treaty, countries are allowed to refuse asylum to terrorists, war criminals and individuals convicted of a “particularly serious crime” – which is currently defined in UK law as an offence carrying a sentence of 12 months or more.

The government now plans to extend that definition to include all individuals added to the Sex Offenders’ Register, regardless of the length of sentence, in an amendment to the Border Security, Asylum and Immigration Bill, which is currently going through parliament. It’s understood they also hope to include those convicted of equivalent crimes overseas.

Those affected will still be able to appeal their removal from the UK in the courts under the European Convention on Human Rights (ECHR).

More than 10,000 people have now been detected crossing the Channel. Pic: PA
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More than 10,000 people have now been detected crossing the Channel. Pic: PA

It is unclear how many asylum seekers will be affected, as the government has been unable to provide any projections or past data on the number of asylum seekers added to the Sex Offenders’ Register.

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Home Secretary Yvette Cooper said: “Sex offenders who pose a risk to the community should not be allowed to benefit from refugee protections in the UK.

“We are strengthening the law to ensure these appalling crimes are taken seriously.”

Safeguarding and Violence Against Women and Girls Minister Jess Philips said: “We are determined to achieve our mission of halving violence against women and girls in a decade.

“That’s exactly why we are taking action to ensure there are robust safeguards across the system, including by clamping down on foreign criminals who commit heinous crimes like sex offences.”

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The Home Office would like voters to see this as a substantial change. But that’s hard to demonstrate without providing any indication of the scale of the problem it seeks to solve.

Clearly, the government does not want to fan the flames of resentment towards asylum seekers by implying large numbers have been committing sex crimes.

But amid rising voter frustration about the government’s grip on the issue, and under pressure from Reform – this measure is about signalling it is prepared to take tough action.

Conservatives: ‘Too little, too late’

The Conservatives claim Labour are engaged in “pre-election posturing”.

Chris Philp MP, the shadow home secretary, said: “This is too little, too late from a Labour government that has scrapped our deterrent and overseen the worst year ever for small boat crossings – with a record 10,000 people crossing this year already.

“Foreign criminals pose a danger to British citizens and must be removed, but so often this is frustrated by spurious legal claims based on human rights claims, not asylum claims.”

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Has Labour tackled migration?

The Home Office has also announced plans to introduce a 24-week target for appeal hearings (known as “first-tier tribunals”) to be held for rejected asylum seekers living in taxpayer-supported accommodation, or for foreign national offenders.

The current average wait is 50 weeks. The idea is to cut the asylum backlog and save taxpayers money – Labour have committed to end the use of asylum hotels by the end of this parliament.

It’s unclear how exactly this will be achieved, although a number of additional court days have already been announced.

The government also plans to crack down on fake immigration lawyers who advise migrants on how to lodge fraudulent asylum claims, with the Immigration Advice Authority given new powers to issue fines of up to £15,000.

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Schoolgirl who attempted to murder teachers and pupil sentenced to 15 years in detention

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Schoolgirl who attempted to murder teachers and pupil sentenced to 15 years in detention

A 14-year-old girl who attempted to murder two teachers and a pupil at a school in Wales has been sentenced to 15 years in detention.

The girl, who cannot be named for legal reasons, was previously found guilty of attempting to murder teachers Fiona Elias and Liz Hopkin and a pupil at Ysgol Dyffryn Aman in Ammanford.

Emergency services were called to the school on 24 April last year, in what the trial heard was a “serious episode of violence” during the mid-morning break after the girl took her father’s fishing “multi-tool” to school.

She had admitted to three counts of wounding with intent and possession of a bladed article on a school premises, but a jury found her guilty of attempted murder in February after a week-long trial.

Following her arrest, the teenager told officers she was “pretty sure” the incident would be on the news, and added “that’s one way to be a celebrity”.

Both Mrs Elias and Mrs Hopkin “received significant and serious injuries”, Swansea Crown Court heard.

Mrs Hopkin was airlifted to the University Hospital of Wales in Cardiff after she sustained “four stab wounds”, while Mrs Elias and the pupil also attended hospital for treatment.

Ammanford in Carmarthenshire
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Ammanford in Carmarthenshire

‘Changed my life forever’

Reading her victim personal statement from the witness box on Monday, Fiona Elias said the incident had shown her that life was “fragile” and had been “a steep learning curve”.

“Walking out on duty that day would change my life forever,” she said – a moment which “replays itself over and over no matter how much time passes”.

“It’s not easy, and I know I’ll continue to face challenges, but every day I’m taking step towards healing,” Mrs Elias said.

Addressing the defendant, Mrs Elias said “your motive was clear, you intended to murder me” but that she was stopped “thanks to Liz’s selfless actions”.

She said she was not “ruling out the possibility of a meeting with [the pupil] in the future,” but that she first needed to know she would “engage with the interventions that will be put in place”.

Outlining her plans to campaign for safer working conditions at schools, Mrs Elias said: “I never expected to give my blood, but I will always give my heart to Ysgol Dyffryn Aman and to the world of education.”

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The teenager, who can’t be named, is due to be sentenced in April.

‘Right place at the right time’

Liz Hopkin said it had been “the worst experience of [her] life” but that she was “glad” she was “in the right place at the right time” to protect Mrs Elias.

“I’m still here, I’m still alive, though at the time I was sure that I was going to die,” she told the court.

“Physically, my wounds have healed but the scars remain.”

Mrs Hopkin added that the thought of returning to a career in teaching now filled her with “anxiety and dread”.

“You were prepared to kill someone you did not know,” she said, addressing the defendant, who sat in the court for proceedings, until she moved to the dock for sentence.

“The decision to end my life was never yours to make.”

But Mrs Hopkin said she worried about the defendant’s future, adding: “I don’t want you to be punished forever but I do want you to take every opportunity to make your life better.”

Concluding her victim personal statement, Mrs Hopkin said: “It has changed me in ways I never wanted and that is something I will have to live with for the rest of my life.”

Pic: PA
Image:
Pic: PA

‘Very complex young girl’

Prosecuting, William Hughes KC said aggravating factors in the case included use of a knife, the fact two of the victims were “carrying out a public service” and that the offending took place in public.

In mitigation, Caroline Rees KC said the defendant was “a very complex young girl”.

She said she had shown remorse, had a “difficult background” and also the fact there were two trials.

Handing down his sentence, Judge Paul Thomas said the defendant would serve half of the 15-year sentence before she can be considered for release.

Addressing the defendant, he said: “What you did in school almost a year ago the day has caused a large number of people a great deal of harm and upset. It has hugely affected many lives, including, of course, your own.”

“The simple fact is you tried to kill three people, two teachers and another pupil,” he added.

“I think that it is very important here that what you did you did in full of so many other pupils…In my view you wanted as many of your fellow pupils as possible to see what you intended to do.”

The Judge added that “for one reason or other, [the defendant wasn’t] really listening” to the victim impact statements of Mrs Elias and Mrs Hopkin.

He said he did not think the teenager was “genuinely sorry” for what she did, adding: “You showed no emption or even interest in how they felt that day or ever since.”

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