The number of people waiting to start routine hospital treatment in England has reached a record high.
In all, seven million patients were waiting to start treatment at the end of August, NHS England said.
This is up from 6.8 million in July and is the highest number since records began in August 2007.
It was also revealed total of 387,257 people in England had been waiting more than a year to start hospital treatment at the end of August, up from 377,689 at the end of July.
This is means one out of every 18 people on the waiting list is waiting over 12 months to begin treatment.
Figures also showed that 2,646 people had been waiting over two years to begin routine hospital treatment at the end of August, slightly down from 2,885 the previous month and markedly down from a peak of 23,778 in January this year.
NHS England had said its target was for no patients waiting longer than two years for treatment, except in instances of complex cases or when the patient themselves chooses to delay.
Ambulance waiting times were also revealed, with the wait for calls from people with life-threatening illnesses or injuries averaging nine minutes 19 seconds. The target for these types of incidents is seven minutes.
The average wait for ambulances to arrive in instances of non-life-threatening injuries was 47 minutes 59 seconds in September, over half an hour longer than the target time of 17 minutes.
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The number of people waiting longer than 12 hours in A&E for a bed after being seen by a doctor also reached a new record high of 32,776 in September, up by more than 4,000 on the previous month.
This figure is higher than the total recorded in the 124 months from August 2010 (since records began) to November 2020.
A total of 71% of patients in England were seen within the target four hours at A&E departments across England last month, level with the worst performance ever recorded.
The national target is for 95% of patients to be dealt with in under four hours, a target which has not been met since 2015.
A record number of 255,055 urgent cancer referrals were made by GPs in August – however only 75.6% saw a specialist within the two week target time, the second worst performance on record.
Monthly figures also showed there was more NHS activity than before the pandemic with 4% more patients receiving treatment in August compared to the same month in 2019, and more than two million tests and checks carried out.
The number of patients in hospital with COVID has also more than doubled since September to over 10,000.
Labour’s Shadow Health and Social Care Secretary, Wes Streeting, branded the news that NHS waiting lists were now the longest in history “totally unacceptable”.
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Sky’s Ashish Joshi speaks to NHS staff to find out if the government’s plans are enough
He said: “Twelve years of Conservative understaffing of the health service is holding our economy back, with patients unable to work while they wait. You can’t have a healthy economy without a healthy society.”
“The next Labour government will oversee the biggest expansion of the NHS workforce in history, paid for by abolishing the non-dom tax status. We will train the doctors and nurses our NHS needs to get patients treated, healthy and back to work.”
NHS national medical director Professor Sir Stephen Powis said: “Despite huge pressures on the NHS this summer, the incredible work of colleagues across the country meant that in August we delivered more potentially life-saving cancer checks than ever before and cut 18-month waits by 60% over the last year.
“This was despite continued pressure from Covid patients in hospital, which has now risen to more than double the numbers seen in August, and more of the most serious ambulance callouts than before the pandemic.”
The threat of physical attacks by Iran on people living in the UK has increased “significantly” since 2022, according to a new report by parliament’s intelligence watchdog.
Iran poses a “wide-ranging, persistent and unpredictable threat” to the UK, according to the Intelligence and Security Committee.
It also said Iran’s intelligence services were “willing and able – often through third party agents – to attempt assassination within the UK, and kidnap from the UK”.
Image: Iran’s supreme leader Ayatollah Ali Khamenei. Pic: Office of the Iranian Supreme Leader/West Asia News Agency/Reuters
The report said there have been 15 murder or kidnap attempts against British citizens or UK-based individuals since the beginning of 2022 and August 2023.
Sky News has approached the Iranian embassy for a comment.
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Millions of Iranians unite in mourning
The report authors add: “Whilst Iran’s activity appears to be less strategic and on a smaller scale than Russia and China, Iran poses a wide-ranging threat to UK national security, which should not be underestimated: it is persistent and crucially – unpredictable.”
The committee also says that while the threat is often focused on dissidents and other opponents to the regime, there is also an increased threat to Jewish and Israeli interests in the UK.
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The report warns that while Iran has not developed a nuclear weapon, it has taken steps towards that goal.
It found that Iran had been “broadly compliant” with the 2015 Joint Comprehensive Plan of Action (JCPOA), aimed at limiting its nuclear ambitions.
But since Donald Trump withdrew from that deal in 2018, the report said the nuclear threat had increased and Tehran “had the capability to arm in a relatively short period”.
The UK government is also accused of “fire-fighting” rather than developing a real understanding of Iran.
Image: Iran’s president oversees a parade in Tehran in April showing off the country’s military hardware. Pic: West Asia News Agency/Reuters
Image: Missiles are paraded through the capital during the recent National Army Day ceremony. Pic: West Asia News Agency/Reuters
The report says: “The government’s policy on Iran has suffered from a focus on crisis management, driven by concerns over Iran’s nuclear programme, to the exclusion of other issues.
“As one of our expert witnesses told the committee: ‘Strategy is not a word that I think has crossed the lips of policy makers for a while, certainly not in relation to Iran’.”
The committee concluded its evidence-taking in August 2023, the result of two years of work, but the report authors say their conclusions “remain relevant”.
But the report authors questioned whether UK sanctions against individuals would “in practice deliver behavioural change. Or in fact unhelpfully push Iran towards China”.
The committee also said the British government should consider proscribing the Iranian Revolutionary Guards Corps (IRGC), although some argue it would limit the UK’s ability to talk to and influence Iran.
Responding to the report, a UK government spokesperson said: “The government will take action wherever necessary to protect national security, which is a foundation of our plan for change.
“We have already placed Iran on the enhanced tier of the foreign influence registration scheme and introduced further sanctions against individuals and entities linked to Iran, bringing the total number of sanctions to 450.”
British security services say Tehran uses criminal proxies to carry out its work in Britain.
In December, two Romanians were charged after a journalist working for a Persian language media organisation in London was stabbed in the leg. In May, three Iranian men appeared in court charged with assisting Iran’s foreign intelligence service and plotting violence against journalists.
Earlier this year, the UK government said it would require the Iranian state to register everything it does to exert political influence in the UK, because of what it called increasingly aggressive activity.
The first thing you notice when immigration officers stop a possible illegal moped delivery driver is the speed in which the suspect quickly taps on their mobile.
“We’re in their WhatsApp groups – they’ll be telling thousands now that we’re here… so our cover is blown,” the lead immigration officer tells me.
“It’s like a constant game of cat and mouse.”
Twelve Immigration Enforcement officers, part of the Home Office, are joining colleagues from Avon and Somerset Police in a crackdown on road offences and migrants working illegally.
The West of England and Wales has seen the highest number of arrests over the last year for illegal workers outside of London.
“It is a problem… we’re tackling it,” Murad Mohammed, from Immigration Enforcement, says. He covers all the devolved nations.
“This is just one of the operations going on around the country, every day of the week, every month of the year.”
Image: Murad Mohammed, from Immigration Enforcement, says his team are attempting to tackle the issue
Just outside the Cabot Circus shopping complex, we stop a young Albanian man who arrived in the UK on the back of a truck.
He’s on an expensive and fast-looking e-bike, with a new-looking Just Eat delivery bag.
He says he just uses it for “groceries” – but the officer isn’t buying it. He’s arrested, but then bailed instantly.
We don’t know the specifics of his case, but one officer tells me this suspected offence won’t count against his asylum claim.
Such is the scale of the problem – the backlog, loopholes and the complexity of cases – that trying to keep on top of it feels impossible.
This is one of many raids happening across the UK as part of what the government says is a “blitz” targeting illegal working hotspots.
Angela Eagle, the border security and asylum minister, joins the team for an hour at one of Bristol’sretail parks, scattered with fast food chains and, therefore, delivery bikes.
Image: Border security and asylum minister, Angela Eagle, speaks to Sky News
She says arrests for illegal working are up over the last year by 51% from the year before, to more than 7,000.
“If we find you working, you can lose access to the hotel or the support you have [been] given under false pretences,” she said.
“We are cracking down on that abuse, and we intend to keep doing so.”
There are reports that asylum seekers can rent legitimate delivery-driver accounts within hours of arriving in the country – skipping employment legality checks.
Uber Eats, Deliveroo, and Just Eat all told Sky News they’re continuing to strengthen the technology they use to remove anyone working illegally.
But a new Border Security Bill, working its way through Parliament, could see companies fined £60,000 for each illegal worker discovered, director disqualifications and potential prison sentences of up to five years.
“I had them all in to see me last week and I told them in no uncertain terms that we take a very tough line on this kind of abuse and they’ve got to change their systems so they can drive it out and off their platforms,” the minister tells me.
For some of those who arrive, a bike and a phone provide a way to repay debts to gang masters.
There were eight arrests today in Bristol, one or two taken into custody, but it was 12 hours of hard work by a dozen immigration officers and the support of the police.
As two mopeds are pushed onto a low-loader, you can’t help but feel, despite the best intentions, that at the moment, this is a losing battle.
We see the boat from a distance – the orange of the life jackets reflected in the rising sun.
And as we draw closer, we can make out dozens of people crowded on board as it sets off from the shore, from a beach near Dunkirk.
There is no sign of any police activity on the shore, and there are no police vessels in the water.
Instead, the migrants crammed into an inflatable dinghy are being watched by us, on board a private boat, and the looming figure of the Minck, a French search and rescue ship that soon arrives.
Image: Minck, a French search and rescue ship, shadows the boat
The dinghy meanders. It’s not heading towards Britain but rather hugging the coast.
A few of the passengers wave at us cheerfully, but then the boat starts to head back towards the shore.
Image: Sky’s Adam Parsons at the scene
As it nears a different beach, we see a police vehicle – a dune buggy – heading down to meet it.
Normal practice is for French police officers to slice through the material of any of these small boats that end up back on shore.
Two police officers get out of the buggy and wait. A police helicopter arrives and circles above, performing a tight circle over the heads of the migrants.
The police think they might be about to go back on to the beach; in fact, these passengers know that most of them are staying put.
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The boat stops a short distance from the shore and four people jump out. As they wade towards the beach, the boat turns and starts to head back out to sea.
We see the two police officers approach these four men and have a brief conversation.
They don’t appear to check the bags they are carrying and, if they do question them about why they left the boat, it is the most cursory of conversations.
In reality, these people probably don’t speak French but they were almost certainly involved in arranging this crossing, which is against the law. But all four walk away, disappearing into the dunes at the back of the beach.