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A record number of people were left waiting at least four hours from the decision to admit to admission in A&E, NHS England figures show.

The number waiting reached a peak of 150,922 in October, up from 131,861 the previous month.

More than 30% of people had to wait over four hours to be seen in A&E in October, including 45% of people attending Major A&Es (excluding minor injuries units and specialist centres).

The operational standard is that at least 95% of patients attending A&E should be admitted, transferred or discharged within four hours, but this has not been met nationally since 2015.

The number of people waiting more than 12 hours in A&E departments in England from a decision to admit to actually being admitted has also risen to a new record high.

New NHS England data shows that 43,792 people waited longer than 12 hours in October, up 34% from 32,776 in September and the highest number in records going back to August 2010.

It comes as the number of people in England waiting to start routine hospital treatment has risen to a new record high.

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A total of 7.1 million people were waiting to start treatment at the end of September, NHS England said.

This is up from 7.0 million in August and is the highest number since records began in August 2007.

Meanwhile, 401,537 people have been waiting longer than a year to start hospital treatment, up from 387,257 at the end of August and equivalent to around one in 18 people on the entire waiting list.

Very long waits of more than two years have fallen slightly, while the number of people waiting 18 months for treatment has dropped by almost 60% in one year, NHS England said.

The rate cancer patients in England saw a specialist within two weeks of seeing their GP has also slumped to an all time low.

Data shows 251,977 urgent cancer referrals were made by GPs in September, but only 72.6% were seen within the two week timeframe.

It also showed that nearly 6,000 cancer referral patients waited more than two months to be seen by a specialist.

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Ambulance waiting times were also a long way outside their targets, with the average response time to people with life-threatening injuries outside London clocking in at nine minutes 56 seconds, almost three minutes over the target time of seven minutes.

Figures also revealed the number of people in England waiting longer than six weeks for a key diagnostic test has risen to the highest level in two years.

Some 463,930 patients – 29.8% of the total – had been waiting longer than six weeks for one of 15 standard tests in September, including MRI scans, non-obstetric ultrasound or gastroscopies.

This is up from 461,400 the previous month and the highest number since August 2020 when 472,517 patients had been waiting longer than six weeks.

Analysis

The figures are stark. There is no other way to say it.

Even gains made in previous months are reversing or slowing down.

And the worrying thing is as it gets busier we are still nowhere near peak winter.

Covid, flu and A&E attendances are driving the pressure according to the NHS.

They say last month was exceptionally busy and that is reflected in the record waiting times right across the board from ambulance attendances, A&E waiting times and trolley waits.

There are more people going into hospital than leaving. The lack of social care provision is why.

So as winter really starts to bite that pressure and those waiting times are only going to rise to more record highs.

Add to the mix the impending nurses strike. We don’t know when or how many days but any operations, procedures and appointments that have to be cancelled will have to be rescheduled.

And that, again, means lists grow. And it is not just nurses who are taking industrial action.

The unions for non-clinical staff who work in hospitals, the army of people that make these buildings work, are balloting their members too.

NHS medical director Professor Sir Stephen Powis said: “There is no doubt October has been a challenging month for staff, who are now facing a tripledemic of Covid, flu and record pressure on emergency services with more people attending A&E or requiring the most urgent ambulance callout than any other October.

“Pressure on emergency services remains high as a result of more than 13,000 beds taken up each day by people who no longer need to be in hospital.

“But staff have kept their foot on the accelerator to get the backlog down, with 18-month waiters down by three-fifths on last year.

“We have always said the overall waiting list would rise as more patients come forward, and, with pressures on staff set to increase over the winter months, the NHS has a plan – including a new falls service, 24/7 war rooms, and extra beds and call handlers.”

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David Fuller: Offences committed by hospital worker who sexually abused dozens of corpses ‘could happen again’

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David Fuller: Offences committed by hospital worker who sexually abused dozens of corpses 'could happen again'

An inquiry into the case of a hospital worker who sexually abused dozens of corpses has concluded that “offences such as those committed by David Fuller could happen again”.

It found that “current arrangements in England for the regulation and oversight of the care of people after death are partial, ineffective and, in significant areas, completely lacking”.

The first phase of the inquiry found Fuller, 70, was able to offend for 15 years in mortuaries without being suspected or caught due to “serious failings” at the hospitals where he worked.

Phase 2 of the inquiry has examined the broader national picture and considered if procedures and practices in other hospital and non-hospital settings, where deceased people are kept, safeguard their security and dignity.

What were Fuller’s crimes?

Fuller was given a whole-life prison term in December 2021 for the murders of Wendy Knell and Caroline Pierce in Tunbridge Wells, Kent, in 1987.

During his time as a maintenance worker, he also abused the corpses of at least 101 women and girls at Kent and Sussex Hospital and the Tunbridge Wells Hospital before his arrest in December 2020.

His victims ranged in age from nine to 100.

Phase 1 of the inquiry found he entered one mortuary 444 times in the space of one year “unnoticed and unchecked” and that deceased people were also left out of fridges and overnight during working hours.

‘Inadequate management, governance and processes’

Presenting the findings on Tuesday, Sir Jonathan Michael, chair of the inquiry, said: “This is the first time that the security and dignity of people after death has been reviewed so comprehensively.

“Inadequate management, governance and processes helped create the environment in which David Fuller was able to offend for so long.”

He said that these “weaknesses” are not confined to where Fuller operated, adding that he found examples from “across the country”.

“I have asked myself whether there could be a recurrence of the appalling crimes committed by David Fuller. – I have concluded that yes, it is entirely possible that such offences could be repeated, particularly in those sectors that lack any form of statutory regulation.”

Sir Jonathan called for a statutory regulation to “protect the security and dignity of people after death”.

After an initial glance, his interim report already called for urgent regulation to safeguard the “security and dignity of the deceased”.

On publication of his final report he describes regulation and oversight of care as “ineffective, and in significant areas completely lacking”.

David Fuller was an electrician who committed sexual offences against at least 100 deceased women and girls in the mortuaries of the Kent and Sussex Hospital and the Tunbridge Wells Hospital. His victims ranged in age from nine to 100.

This first phase of the inquiry found Fuller entered the mortuary 444 times in a single year, “unnoticed and unchecked”.

It was highly critical of the systems in place that allowed this to happen.

His shocking discovery, looking at the broader industry – be it other NHS Trusts or the 4,500 funeral directors in England – is that it could easily have happened elsewhere.

The conditions described suggest someone like Fuller could get away with it again.

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MasterChef is ‘bigger than individuals’ and ‘can survive’, BBC says

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MasterChef is 'bigger than individuals' and 'can survive', BBC says

BBC director-general Tim Davie has said MasterChef can survive its current scandal as it is “much bigger than individuals” – but the corporation must “make sure we’re in the right place in terms of the culture of the show”.

On Monday, it was revealed an independent review into “inappropriate behaviour” by MasterChef presenter Gregg Wallace had upheld more than half of the allegations against him.

A few hours later, Wallace’s former MasterChef co-presenter, John Torode, said an allegation he used “racial language” was upheld in the report as part of a review.

After the report was published, Wallace, 60, said he was “deeply sorry” for causing any distress, and never set out to “harm or humiliate”.

Torode, 59, said he had “no recollection of the incident” and said he “did not believe that it happened,” and said he was “shocked and saddened by the allegation”.

Mr Davie said the BBC’s leadership team would not “tolerate behaviour that is not in line with our values,” while BBC chair Samir Shah acknowledged there were still pockets within the broadcaster where “powerful individuals” can still “make life for their colleagues unbearable”.

They said several BBC staff members had been dismissed in the last three months, following an independent review into workplace culture.

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Wallace, who was sacked from MasterChef last week, is not included in that count as he was not directly contracted by the corporation, but employed by independent production company Banijay.

The corporation has yet to decide if the unseen MasterChef series – filmed with both Wallace and Torode last year – will be aired or not.

BBC Broadcasting House in Portland Place, London. Pic: Jordan Pettitt/PA
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BBC Broadcasting House in Portland Place, London. Pic: Jordan Pettitt/PA

News of the findings in the Gregg Wallace report came just hours before the BBC was deemed to have breached its editorial guidelines by failing to disclose that the child narrator of a Gaza documentary was the son of a Hamas official.

Media watchdog Ofcom subsequently launched its own investigation into the programme.

While the 2024-25 annual report showed a small rise in trust overall for the corporation, Mr Davie acknowledged it had been a year which saw the reputation of the BBC damaged by “serious failings” in the making of the documentary.

The BBC boss acknowledged: “It was important that the BBC took full responsibility for those failings and apologised for them,” and later in response to a question, called the documentary – Gaza: How To Survive A Warzone – “the most challenging editorial issue I’ve had to deal with”.

He went on: “The importance of fair balance reporting, the need for high-quality homegrown programming in the face of massive pressure, I think has never, ever been greater. And I believe my leadership and the team I’ve assembled can really help the BBC thrive in that environment and very competitive environment.”

BBC Director-General Tim Davie. Pic: PA
Image:
BBC Director-General Tim Davie. Pic: PA

BBC boss has chair’s ‘full support’

Despite a series of failings in recent months – including livestreaming the controversial Bob Vylan set at Glastonbury last month – Mr Davie insisted he can “lead” the organisation in the right direction.

When asked if he would resign, he replied: “I simply think I’m in a place where I can work to improve dramatically the BBC and lead it in the right way.

“We will make mistakes, but I think as a leadership and myself, I’ve been very clear, and I think we have been decisive.”

He said the organisation was setting a “global standard” for media.

Mr Shah, reiterated his support for Mr Davie.

“Tim Davie and his team, and Tim in particular, has shown very strong leadership throughout all this period and he has my full support.”

The report also revealed its top earners, which saw former Match Of The Day host Gary Lineker top the chart once again.

Meanwhile, Australian children’s cartoon Bluey proved a boon for the broadcaster, and was the most watched show in the US across all genres – with 55 billion minutes viewed.

The top 10 shows watched over Christmas 2024 were also all from the BBC.

Recent annual reviews have been overshadowed by the Huw Edwards scandal and allegations of a toxic environment around flagship show Strictly Come Dancing.

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Sycamore Gap tree stump ‘showing signs of life’ as men face sentencing for felling landmark

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Sycamore Gap tree stump 'showing signs of life' as men face sentencing for felling landmark

The iconic Sycamore Gap tree “can never be replaced” but its stump is showing signs of life, the National Trust has said, as the two men who felled it face sentencing.

Adam Carruthers, 32, and Daniel Graham, 39, drove 30 miles through a storm from Cumbria to Northumberland on 27 September 2023 before felling the landmark in less than three minutes.

Prosecutors said their “moronic mission” caused more than £620,000 worth of damage to the tree and more than £1,000 worth of damage to Hadrian’s Wall, where it fell.

They took a wedge as a trophy, which has never been recovered, and seemed to revel in the media coverage, exchanging messages and voice notes about the story going “wild” and “viral”.

Footage of the moment the tree was felled was played during the men’s trial at Newcastle Crown Court, where they both denied but were found guilty of two counts of criminal damage.

Adam Carruthers and Daniel Graham. Pic: Northumbria Police/PA
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Adam Carruthers and Daniel Graham. Pic: Northumbria Police/PA

An image of the Sycamore Gap standing, which was shown in evidence. This image was taken at approx. 5.20pm on Wednesday 27 September 2023.
Pic: CPS
Image:
A picture of the tree taken hours before it was felled. Pic: CPS

In a victim impact statement read at their sentencing hearing, National Trust general manager Andrew Poad, said the “iconic tree can never be replaced”.

“While the National Trust has cared for it on behalf of the nation, it belonged to the people,” he wrote.

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“It was a totemic symbol for many; a destination to visit whilst walking Hadrian’s Wall, a place to make memories, take photos in all seasons; but it was also a place of sanctuary – a calming, reflective space that people came to year after year.

“While what was lost cannot be replaced, the stump is showing signs of life, with new shoots emerging at the base – as the decades progress, there is hope that some may grow and establish.”

Mr Poad said the “outpouring of emotion” to the felling was “unprecedented”, with one message from a member of the public described it as “like losing a close family member”.

Pictures were shown in court of a “celebration room” in memory of the tree, including a note which says: “How dare he steal our JOY,” while another reads: “Nature at it’s best over 300 years. Humanity at its worst over one night”.

Mr Poad added: “The overwhelming sense of loss and confusion was felt across the world.

“When it became clear that this was a malicious and deliberate act the question was why anyone would do this to such a beautiful tree in such a special place, it was beyond comprehension.”

Both men deny all charges against them.
Image:
The pair were found guilty of criminal damage

Graham has a previous caution for theft after he cut up a “large quantity of logs using a chainsaw”, the court heard.

He also has convictions for violence including battery and public order offences, which were said to be “relationship-based”, while Carruthers has no previous cautions or convictions.

The tree, which had stood for more than 100 years in a dip in the landscape, held a place in popular culture and was featured in the 1991 Kevin Costner film Robin Hood: Prince Of Thieves.

It also formed part of people’s personal lives, as the scene of wedding proposals, ashes being scattered and countless photographs.

A 6ft section of the trunk is now on public display at The Sill: National Landscape Discovery Centre, around two miles from where it once stood, while 49 saplings taken from the tree have been conserved by the National Trust.

Graham and Carruthers, who were once close friends, gave no explanation for why they targeted the tree, and since their arrests, they have fallen out and come to blame each other.

At their trial, Graham claimed Carruthers had a fascination with the sycamore, saying he had described it as “the most famous tree in the world” and spoken of wanting to cut it down, even keeping a piece of string in his workshop that he had used to measure its circumference.

Carruthers denied this and told the court he could not understand the outcry over the story, saying it was “just a tree”.

Prosecutor Richard Wright KC said the pair have now accepted they went on the mission in pre-sentencing reports.

But Carruthers claimed he was “drunk” and didn’t realise what happened until the next day, while Graham said it was “only when the blade made contact with the tree he realised it was serious,” the court heard.

Mr Wright added: “The court can be sure they were sober, prepared and planned to do exactly what they did.”

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