A record number of people were left waiting at least four hours to be admitted to hospital A&E departments, 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 patients had to wait more 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 43,792 people waited longer than 12 hours in October, up 34% on 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 also risen to a new record high.
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A total of 7m people were waiting to start treatment at the end of September, NHS England said.
This is up from 7m in August and is the highest number since records began in August 2007.
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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 had 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.”
A man has died and 10 people, including five children, have been rescued after a landslide as Storm Bert batters the UK.
A “multi-hazard event” of snow, rain and strong winds caused chaos and disruption on Saturday, with several weather warnings set to remain in place all weekend.
Separate yellow weather warnings for wind are expected to come into force from 11am on Sunday across Northern Ireland and from midday across the Scottish Highlands, with the Met Office warning delays to rail, air and ferry transport are likely.
Hampshire Police said a man in his 60s died after a tree fell on to a car on the A34 southbound near Winchester on Saturday morning.
The force said it was investigating whether the incident was linked to the weather. A yellow warning for rain and wind was in place across the area.
In North Wales, five adults and five children were rescued from a house after a landslide.
A spokesman from the North Wales Fire and Rescue Services said all 10 people were being assessed by ambulance crews away from the scene in Llanarmon Dyffryn Ceiriog, near Llangollen.
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A further landslide was reported in the area, but it is understood no one else was affected.
In Ireland, at least 11,000 properties were without power going into the evening due to the impact of the storm.
Electricity company ESB Networks said earlier on Saturday at least 60,000 homes, farms, and businesses had been left without power due to the weather.
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Severe flooding in Irish street
“Crews will continue working late into the evening to restore power to most customers currently without supply,” it said.
“While we are doing everything we can, it is anticipated that some customers will be without supply overnight.”
The National Grid’s Electricity Distribution network which connects directly to homes and businesses in the Midlands, South West England and South Wales, confirmed there were 4,345 properties without power.
Energy Secretary Ed Miliband said his department would be “keeping in close touch with the energy companies”.
A Met Office spokesperson said winds of up to 82mph were recorded in Wales and 13cm of snow fell in Staffordshire on the first day of the weekend.
Two areas in Ireland were issued a rare red warning for heavy rain, which expired at 10am.
London, East Anglia, Birmingham, Manchester, Liverpool, Hull and swathes of the Midlands are the only parts of the UK with no current weather warnings in place.
The weather also brought significant disruption to attractions and events, with Edinburgh Zoo and Glasgow Christmas Market closed on Saturday.
Also in Scotland, Perth and Kinross Council cancelled its annual Perth Christmas lights switch-on event over safety and travel concerns.
Blackburn Rovers postponed their Championship match against Portsmouth due to “torrential rain” which made the pitch “unplayable”.
A ‘multiple-hazard event’
Met Office meteorologist Jason Kelly described Storm Bert as a “multiple-hazard event”. Looking towards Sunday, he said rain is expected to become “particularly heavy and persistent”.
Accumulations of 50-75mm are expected to fall across the UK, with some places experiencing up to 100-150mm, Mr Kelly said.
He added: “Rapid melting of lying snow over the weekend may bring flooding for some. Multiple National Severe Weather Warnings are in place and will be added to and amended over the weekend.”
Going into next week, the Met Office predicts sunny spells and showers.
The forecaster says rain and strong winds may reappear on Wednesday, spreading northeast across England and Wales.
Where the warnings are and when
South coast – A yellow warning for wind is in place for the entire south coast of England from 9am until 9pm on Sunday, with a slight chance of damage to buildings and power cuts.
South West – From 6am, a yellow warning for rain is in place in the southwest of England, from Cornwall up to Oxford and stretching to Portsmouth. This is in place until 11.45pm.
Wales – Heavy rain is likely to cause some travel disruption, particularly in South Wales, with a yellow warning across the country lasting 24 hours from 6am this morning.
Midlands, north and Scotland – A yellow warning for rain and snow reaching from Stoke and Nottingham up to all of Scotland started at 4am and stays in place until 9am on Sunday. Manchester, Liverpool and Hull are not affected.
Northern Ireland – A yellow warning for wind comes into force from 11am on Sunday until 6pm, bringing with it the potential of travel disruption.
Scottish Highlands – A second warning will last from midday to midnight on Sunday.
What the weather warnings mean
• Yellow – people are advised to check the details of the forecast and consider extra steps to minimise any impact, while disruption is likely, particularly for travel
• Amber – disruption is more likely and more widespread and people are advised to change plans impacted by weather
• Red – reserved for very dangerous weather that can pose a danger to life and cause substantial travel disruption
The UK is on a “slippery slope towards death on demand”, according to the justice secretary ahead of a historic Commons vote on assisted dying.
In a letter to her constituents, Shabana Mahmood said she was “profoundly concerned” about the legislation.
“Sadly, recent scandals – such as Hillsborough, infected blood and the Post Office Horizon – have reminded us that the state and those acting on its behalf are not always benign,” she wrote.
“I have always held the view that, for this reason, the state should serve a clear role. It should protect and preserve life, not take it away.
“The state should never offer death as a service.”
On 29 November, MPs will be asked to consider whether to legalise assisted dying, through Kim Leadbeater’s Terminally Ill Adults (End of Life) Bill.
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Minister ‘leans’ to assisted dying bill
Details of the legislation were published last week, including confirmation the medicine that will end a patient’s life will need to be self-administered and people must be terminally ill and expected to die within six months.
Ms Mahmood, however, said “predictions about life expectancy are often inaccurate”.
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“Doctors can only predict a date of death, with any real certainty, in the final days of life,” she said. “The judgment as to who can and cannot be considered for assisted suicide will therefore be subjective and imprecise.”
Under the Labour MP’s proposals, two independent doctors must confirm a patient is eligible for assisted dying and a High Court judge must give their approval.
The bill will also include punishments of up to 14 years in prison for those who break the law, including coercing someone into ending their own life.
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However, Ms Mahmood said she was concerned the legislation could “pressure” some into ending their lives.
“It cannot be overstated what a profound shift in our culture assisted suicide will herald,” she wrote.
“In my view, the greatest risk of all is the pressure the elderly, vulnerable, sick or disabled may place upon themselves.”
Labour MP Kim Leadbeater, who put forward the bill, said some of the points Ms Mahmood raised have been answered “in the the thorough drafting and presentation of the bill”.
“The strict eligibility criteria make it very clear that we are only talking about people who are already dying,” she said.
“That is why the bill is called the ‘Terminally Ill Adults (End of Life) Bill’; its scope cannot be changed and clearly does not include any other group of people.
“The bill would give dying people the autonomy, dignity and choice to shorten their death if they wish.”
In response to concerns Ms Mahmood raised about patients being coerced into choosing assisted death, Ms Leadbeater said she has consulted widely with doctors and judges.
“Those I have spoken to tell me that they are well equipped to ask the right questions to detect coercion and to ascertain a person’s genuine wishes. It is an integral part of their work,” she said.
In an increasingly fractious debate around the topic, multiple Labour MPs have voiced their concerns.
In a letter to ministers on 3 October, the Cabinet Secretary Simon Case confirmed “the Prime Minister has decided to set aside collective responsibility on the merits of this bill” and that the government would “therefore remain neutral on the passage of the Bill and on the matter of assisted dying”.
“Immediate action” is being taken after blueprints of jail layouts were shared online.
The maps detailing the layouts of prisons in England and Wales were leaked on the dark web over the past fortnight, according to The Times.
The detailed information is said to include the locations of cameras and sensors, prompting fears they could be used to smuggle drugs or weapons into prisons or help inmates plan escapes.
Security officials are now working to identify the source of the leak and who might benefit from the details.
The Ministry of Justice did not disclose which prisons were involved in the breach.
A government spokesperson said in a statement: “We are not going to comment on the specific detail of security matters of this kind, but we are aware of a breach of data to the prison estate and, like with all potential breaches, have taken immediate action to ensure prisons remain secure.”
The leak comes amid a chronic prison overcrowding crisis, which has led to early release schemes and the re-categorising of the security risks of some offenders to ease capacity pressures.