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More than 250 patients a week in England may have died unnecessarily last year due to very long waits for a bed in A&E, new estimates suggest.

A study by the Royal College of Emergency Medicine (RCEM) suggests patients are put at risk by spending hours in A&E, particularly after a decision has been made to admit them.

The NHS recovery plan set a target in March for 76% of patients attending A&E to be admitted, transferred or discharged within four hours.

But data for the month shows just 70.9% of patients were seen within that time.

In February, the number of people waiting more than 12 hours in A&E departments – from a decision to admit to actually being admitted – was 44,417.

For its new excess death estimates, the RCEM used a study of more than five million NHS patients published in the Emergency Medicine Journal (EMJ) in 2021.

This found there was an excess death for every 72 patients that spent eight to 12 hours in A&E.

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The risk of death increased after five hours and got worse with longer waiting times.

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More than 250 patients a week in England may have died unnecessarily last year

In 2022, the RCEM said it believed 300 to 500 excess deaths were likely to have occurred in England each week using this calculation.

But after a Freedom of Information audit of NHS trusts to refine this figure, it found that 65% of people waiting 12 hours or more in A&E are patients waiting for a hospital bed.

NHS data for England shows more than 1.5 million patients waited 12 hours or more in major emergency departments in 2023, meaning more than a million of those were waiting for a bed.

The RCEM has calculated that, when looking solely at patients awaiting admission, an average of 268 excess deaths are likely to have occurred each week in 2023, which is “only 17 fewer than 2022 when applying the same method”.

The college added that patients delayed in the back of ambulances, “of which there are thousands”, are not included in the figures but are also at risk.

File pic: iStock
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File pic: iStock

Professor Pat Cullen, general secretary and chief executive of the Royal College of Nurses, said her members reported hospital corridors “packed with patients” and were living with the reality of the new study’s findings.

She added: “This crisis is taking lives and nursing staff in England’s hospitals are forced to witness it every shift.

“Care is not only undignified but fatally unsafe.

“One nurse told me a lady had died on a trolley in a corridor and it went unnoticed far too long – that is the current state of our health service.”

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Dr Adrian Boyle, president of the RCEM, said: “The direct correlation between delays and mortality rates is clear. Patients are being subjected to avoidable harm.

“Urgent intervention is needed to put people first. Patients and staff should not bear the consequences of insufficient funding and under-resourcing.

“We cannot continue to face inequalities in care, avoidable delays and death.”

Asked about the figures by Sky News, business minister Kevin Hollinrake pointed to “huge demand-side pressures” – like admissions and attendances at A & E being up 8% year-on-year.

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Satisfaction with NHS slumps

The minister said the “extra demand” was partially down to “demographics”, which makes “life difficult in providing health care and social care in our system”.

He also blamed strikes in the NHS for the situation in the health service.

Mr Hollinrake said 110,000 more doctors and nurses work in the NHS now when compared to 2010, and said the government has brought in a 13% real-terms increase in funding after inflation over the past five years.

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NHS England said hospitals were responding to “significant increases in demand for A&E”, with attendance up by 8.6% in February, and emergency admissions up by 7.7%.

It added: “The latest published data shows our urgent and emergency care recovery plan – backed by extra funding with more beds, capacity and greater use of measures like same day emergency care – is delivering improvements, alongside continued work with our colleagues in community and social care to discharge patients when they are medically fit to go home, freeing up beds for other patients.

“The cause of excess deaths is down to several different factors and so it is right that the experts at the ONS – as the executive branch of the stats authority – continue to analyse these causes.”

The Department of Health and Social Care added: “We are committed to ensuring people get the emergency care they need, when they need it, and all patients attending A&E are assessed by a doctor or nurse before any treatment takes place, to ensure the most seriously unwell people are treated first.

“We are determined to continue improving experiences for patients and making access to care faster, simpler and fairer.

“We are making progress in reducing A&E waiting times, including adding an extra 5,000 permanent staffed beds this winter to increase capacity and help patients be seen as quickly as possible.”

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Teen arrested after Kayden Moy dies following ‘disturbance’ at beach in Ayrshire

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Teen arrested after Kayden Moy dies following 'disturbance' at beach in Ayrshire

A teenager has been arrested after a 16-year-old boy died following reports of a “disturbance” at a beach in Ayrshire.

Kayden Moy was found seriously injured by officers at Irvine Beach at around 6.45pm on Saturday.

The teenager, from East Kilbride, South Lanarkshire, was taken to hospital but died in the early hours.

Police Scotland said on Sunday evening that a 17-year-old boy had been arrested and enquires were continuing.

Officers believe the incident may have been filmed and have urged witnesses and anyone with information to come forward.

Kayden Moy. Pic: Facebook
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Kayden. Pic: Facebook

Pic: iStock
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The incident happened at Irvine Beach in Ayrshire, Scotland. File pic: iStock

Detective Chief Inspector Campbell Jackson said: “An extensive investigation is under way to establish the full circumstances surrounding this death.

“Our officers are supporting the boy’s family at this very difficult and heartbreaking time.

“From our investigation so far, we know there were a number of people on the beach around the time of the disturbance.

“We believe several of them were filming at the time and may have footage of what happened.

“I would urge people to review the footage they have and contact police if they think the footage captured could be of significance to our investigation.”

This can be submitted anonymously, the force said.

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Superintendent Jim McMillan added: “We understand this death will be of great concern for the local community, but please be assured that we are doing everything we can to identify those involved.

“There will be additional patrols in the area as we carry out our enquiries and anyone with any concerns can approach these officers.”

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Post-Brexit EU reset negotiations ‘going to the wire’, says minister

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Post-Brexit EU reset negotiations 'going to the wire', says minister

Negotiations to reset the UK’s post-Brexit relationship with the EU are going “to the wire”, a Cabinet Office minister has said.

“There is no final deal as yet. We are in the very final hours,” the UK’s lead negotiator Nick Thomas-Symonds told Sky’s Sunday Morning with Trevor Phillips.

On the possibility of a youth mobility scheme with the EU, he insisted “nothing is agreed until everything is”.

“We would be open to a smart, controlled youth mobility scheme,” he said. “But I should set out, we will not return to freedom of movement.”

Politics latest: PM outlines ‘benefits’ for UK from closer EU ties

The government is set to host EU leaders in London on Monday.

Put to the minister that the government could not guarantee there will be a deal by tomorrow afternoon, Mr Thomas-Symonds said: “Nobody can guarantee anything when you have two parties in a negotiation.”

But the minister said he remained “confident” a deal could be reached “that makes our borders more secure, is good for jobs and growth, and brings people’s household bills down”.

“That is what is in our national interest and that’s what we will continue to do over these final hours,” he said.

“We have certainly been taking what I have called a ruthlessly pragmatic approach.”

On agricultural products, food and drink, Mr Thomas-Symonds said supermarkets were crying out for a deal because the status quo “isn’t working”, with “lorries stuck for 16 hours and food rotting” and producers and farmers unable to export goods because of the amount of “red tape”.

Asked how much people could expect to save on shopping as a result of the deal the government was hoping to negotiate, the minister was unable to give a figure.

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On the issue of fishing, asked if a deal would mean allowing French boats into British waters, the minister said the Brexit deal which reduced EU fishing in UK waters by a quarter over five years comes to an end next year.

He said the objectives now included “an overall deal in the interest of our fishers, easier access to markets to sell our fish and looking after our oceans”.

Turning to borders, the minister was asked if people would be able to move through queues at airports faster.

Again, he could not give a definitive answer, but said it was “certainly something we have been pushing with the EU… we want British people who are going on holiday to be able to go and enjoy their holiday, and not be stuck in queues”.

PM opens door to EU youth mobility scheme

A deal granting the UK access to a major EU defence fund could be on the table, according to reports – and Prime Minister Sir Keir Starmer has appeared to signal a youth mobility deal could be possible, telling The Times that while freedom of movement is a “red line”, youth mobility does not come under this.

The European Commission has proposed opening negotiations with the UK on an agreement to facilitate youth mobility between the EU and the UK. The scheme would allow both UK and EU citizens aged between 18 and 30 years old to stay for up to four years in a country of their choosing.

Earlier this month, Home Secretary Yvette Cooper told Phillips a youth mobility scheme was not the approach the government wanted to take to bring net migration down.

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Lack of UK training ‘big driver of net migration’

When this was put to him, Mr Thomas-Symonds insisted any deal on a youth mobility scheme with Europe will have to be “smart” and “controlled” and will be “consistent” with the government’s immigration policy.

Asked what the government had got in return for a youth mobility scheme – now there had been a change in approach – the minister said: “It is about an overall balanced package that works for Britain. The government is 100% behind the objective of getting net migration down.”

Phillips said more than a million young people came to the country between 2004 and 2015. “If there isn’t a cap – that’s what we are talking about,” he said.

The minister insisted such a scheme would be “controlled” – but refused to say whether there would be a cap.

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‘It’s going to be a bad deal’

Shadow cabinet office minister Alex Burghart told Phillips an uncapped youth mobility scheme with the EU would lead to “much higher immigration”, adding: “It sounds very much as though it’s going to be a bad deal.”

Asked if the Conservatives would scrap any EU deal, he said: “It depends what the deal is, Trevor. And we still, even at this late stage, we don’t know.

“The government can’t tell us whether everyone will be able to come. They can’t tell us how old the young person is. They can’t tell us what benefits they would get.

“So I think when people hear about a youth mobility scheme, they think about an 18-year-old coming over working at a bar. But actually we may well be looking at a scheme which allows 30-year-olds to come over and have access to the NHS on day one, to claim benefits on day one, to bring their extended families.”

He added: “So there are obviously very considerable disadvantages to the UK if this deal is done in the wrong way.”

Jose Manuel Barroso, former EU Commission president, told Phillips it “makes sense” for a stronger relationship to exist between the European Union and the UK, adding: “We are stronger together.”

He said he understood fishing and youth mobility are the key sticking points for a UK-EU deal.

“Frankly, what is at stake… is much more important than those specific issues,” he said.

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Teenager living in ‘continuous pain’ after surgeon Dr Yaser Jabbar carried out ‘inappropriate’ operations

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Teenager living in 'continuous pain' after surgeon Dr Yaser Jabbar carried out 'inappropriate' operations

A 15-year-old boy who was operated on twice by a now unlicensed Great Ormond Street surgeon is living with “continuous” pain.

Finias Sandu has been told by an independent review the procedures he underwent on both his legs were “unacceptable” and “inappropriate” for his age.

The teenager from Essex was born with a condition that causes curved bones in his legs.

Aged seven, a reconstructive procedure was carried out on Finias’s left leg, lengthening the limb by 3.5cm.

A few years later, the same operation was carried out on his right leg which involved wearing an invasive and heavy metal frame for months.

He has now been told by independent experts these procedures should not have taken place and concerns have been raised over a lack of imaging being taken prior to the operations.

Dr Yasser Jabbar. Pic: Linkedin
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Yaser Jabbar rescinded his UK medical licence last year. Pic: LinkedIn

His doctor at London’s prestigious Great Ormond Street Hospital was former consultant orthopaedic surgeon Yaser Jabbar. Sky News has spoken to others he treated.

Mr Jabbar also did not arrange for updated scans or for relevant X-rays to be conducted ahead of the procedures.

The surgeries have been found to have caused Finias “harm” and left him in constant pain.

“The pain is there every day, every day I’m continuously in pain,” he told Sky News.

“It’s not something really sharp, although it does get to a certain point where it hurts quite a lot, but it’s always there. It just doesn’t leave, it’s a companion to me, just always there.”

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Finias Sandu's surgery pictures
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Finias’s surgery pictures

Care of over 700 patients being assessed

Mr Jabbar rescinded his UK medical licence in January last year after working at Great Ormond Street between 2017 and 2022.

The care of his 700-plus patients is being assessed, with some facing corrective surgery, among them Finias.

Finias Sandu in hospital

“Trusting somebody is hard to do, knowing what they have done to me physically and emotionally, you know, it’s just too much to comprehend for me,” he said.

“It wasn’t something just physically, like my leg pain and everything else. It was emotionally, because I put my trust in that specific doctor. My parents and I don’t really understand the more scientific terms, we just went by what he said.”

Finias Sandu in hospital

Doctors refused to treat Finias because of his surgeries

Finias and his family relocated to their native Romania soon after the reconstructive frame was removed from his right leg in the summer of 2021.

The pain worsened and they sought advice from doctors in Romania, who refused to treat Finias because of the impact of his surgeries.

Finias Sandu in hospital

Dozens of families seeking legal claims

His mother Cornelia Sandu is “furious” and feels her trust in the hospital has been shattered. They are now among dozens of families seeking legal claims.

Cyrus Plaza from Hudgell Solicitors is representing the family. He said: “In cases where it has been identified that harm was caused, we want to see Great Ormond Street Hospital agreeing to pay interim payments of compensation for the children, so that if they need therapy or treatment now, they can access it.”

Finias Sandu in hospital

Finias is accessing therapy and mental health support as he prepares for corrective surgery later in the year.

A spokesperson for Great Ormond Street Hospital told Sky News: “We are deeply sorry to Finias and his family, and all the patients and families who have been impacted.

“We want every patient and family who comes to our hospital to feel safe and cared for. We will always discuss concerns families may have and, where they submit claims, we will work to ensure the legal process can be resolved as quickly as possible.”

Finias Sandu with his mother and sister
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Finias with his mother and sister

Service not ‘safe for patients’

Sky News has attempted to contact Mr Jabbar.

An external review into the wider orthopaedic department at the hospital began in September 2022.

It was commissioned after the Royal College of Surgeons warned the hospital’s lower limb reconstruction service was not “safe for patients or adequate to meet demand”.

The investigation is expected to be completed by the end of the year.

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