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Hospitals should free up beds by safely discharging patients in advance of “extensive disruption” caused by industrial action by ambulance crews, health chiefs have said.

They warned of “a very challenging period” when ambulance crews in England and Wales are due to walk out for two days on 21 and 28 December in a dispute over pay.

It follows Thursday’s one-day strike by nurses in England, Wales and Northern Ireland.

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In a joint letter with national medical director Professor Sir Stephen Powis and chief nursing officer Dame Ruth May to NHS trusts and integrated care boards, Sir David Sloman, NHS England’s chief operating officer, said measures should also be put in place to ensure ambulance patient handovers are kept to no more than 15 minutes.

NHS data shows ambulance handover delays at hospitals in England have hit a new high, with one in six patients last week waiting more than a hour to be passed to A&E teams.

Just over one in three had to wait at least 30 minutes. The numbers are higher than at any point in recent winters.

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Strikes every day before Christmas – which sectors are affected and why

NHS Providers’ interim chief executive Saffron Cordery said “Trust and system leaders are being asked by NHS England to focus on reducing handover delays and maximising capacity in urgent and emergency care.

“But given the scale of operational pressures on providers now including very high bed occupancy levels, rising flu admissions, ongoing COVID-19 pressures, record staff absences and increasing A&E attendances, this will be incredibly difficult to implement.

“We understand why ambulance staff have voted for industrial action but it’s vital that the government and unions talk urgently to find a way to prevent this and further strikes from happening.”

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The first nurses’ strike in a century

Meanwhile, Pat Cullen, the general secretary of the Royal College of Nursing (RCN), has said Health Secretary Steve Barclay’s “macho” negotiating style is hampering efforts to resolve the nurses’ pay dispute.

She said that when she met Mr Barclay in the House of Commons on Monday, it had been “very confrontational” with him refusing to discuss pay.

“I see a macho culture in this government,” she said.

“He needs to get to a place where he’s inspired with the value of care and treatment. He doesn’t value that because it’s a 90% female profession.”

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‘We hugely value nurses,’ says Steve Barclay

Following Thursday’s strike, RCN members are due to walk out again on Tuesday.

Ms Cullen urged Prime Minister Rishi Sunak to step in before the dispute “engulfs” the NHS, warning there would be a further “escalation” of the nurses’ action in January involving longer stoppages and more organisations.

On a visit to Belfast on Friday, Mr Sunak insisted that while “the door is always open to talks” the government was determined to stick to the recommendations of the independent pay review body.

“We want to be fair, reasonable and constructive, that’s why we accepted the recommendations of an independent pay body about what fair pay would be,” he said.

Read More:
Nurses call biggest ever strike a ‘turning point’ as No 10 says ‘no plans’ to up offer on pay

‘We are exhausted and deflated’ – nurses’ stories from picket lines across the country

The NHS pay review body has recommended below-inflation pay rises of around 4% for nurses and the government is refusing to negotiate with unions who want a higher offer because it has accepted this recommendation.

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The nurses’ strikes explained

It has emerged that nearly 16,000 appointments, procedures and surgeries were rescheduled in England – 54,000 less than the government suggested – due to Thursday’s strike.

The figures were published after Health minister Maria Caulfield said around 70,000 appointments would be lost due to the industrial action.

But, according to provisional NHS data reported by trusts where the RCN strike took place, 2,452 inpatient and day case elective procedures and 13,327 outpatient appointments were rescheduled, coming to 15,779 in total.

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Across England, 9,999 staff were absent from work due to the strike, according to figures on the NHS England website.

The highest numbers were seen in the South West where striking staff came to 2,372, with 2,023 in the Midlands and the next highest, 1,714 in the North East and Yorkshire.

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Ex-soldier Daniel Khalife tells court it was a ‘foolish idea’ to have someone with his ‘skillset’ in prison

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Ex-soldier Daniel Khalife tells court it was a 'foolish idea' to have someone with his 'skillset' in prison

A former soldier has told a jury his escape from Wandsworth prison to avoid being held with sex offenders and terrorists showed his “skillset”.

Daniel Khalife, 23, who was being held accused of passing secrets to Iran said he was “never a real spy” but planned a fake defection to the state following his arrest after watching American television show Homeland.

He said he wanted to be moved to a high-security unit because he was getting unwanted attention from the sex offenders on the vulnerable prisoners wing and feared a move to Belmarsh prison because, as a British soldier, terrorists wanted to kill him.

Khalife said he first wanted to “make a show” of escaping, acting suspiciously and covering himself in soot from a food delivery lorry on 21 August last year, while he was working in the prison kitchen.

He was spotted and reported to security but was “pretty shocked” when nothing happened so decided to take the “full measure,” he told the jury.

Undated handout photo of sling under the truck used in the prison escape of Daniel Khalife, which was shown to a jury at the Old Bailey, London, during his trial. Khalife, 23, is alleged to have fled his Army barracks in January 2023 when he realised he would face criminal charges over allegations he passed classified information on to the Middle Eastern country's intelligence service. Later, while on remand, he is alleged to have escaped from HMP Wandsworth in September 2023 by tying himself to the underside of a food delivery truck using bedsheets. Issue date: Wednesday October 23, 2024. PA Photo. See PA story COURTS Army. Photo credit should read: Metropolitan Police/PA Wire ..NOTE TO EDITORS: This handout photo may only be used in for editorial reporting purposes for the contemporaneous illustration of events, things or the people in the image or facts mentioned in the caption. Reuse of the picture may require further permission from the copyright holder.
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A makeshift sling. Pic: Met Police

Talking about his escape for the first time at his Woolwich Crown Court trial, Khalife told how he fashioned a makeshift sling from kitchen trousers and carabiners used by inmates to keep their possessions safe from rats.

He attached it to the Bidfood lorry on 1 September last year, to see if it would be spotted by officers at Wandsworth or other prisons on the delivery route.

“I put the two carabiners and the makeshift rope underneath the lorry,” he said.

“When I had made the decision to actually leave the prison I was going to do it properly so I tested the security not just in Wandsworth

“Strangely, over the coming days, I could see it but it wasn’t spotted in Wandsworth or any other prison.”

Then on the morning of 6 September, Khalife said he concealed himself underneath the lorry, resting his back on the sling as the lorry was searched.

“They did normal checks around with torches but they didn’t find me. After that, a governor came to the tunnel and said, ‘Have you searched the vehicle?’

“I was facing upwards. There was action around the lorry.”

Daniel Khalife
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Daniel Khalife joined the Army aged 16

He said that when the vehicle stopped he “came out underneath the lorry and stayed in the prone position” until the lorry moved off.

Khalife, who joined the Army aged 16 and took up a post with the Royal Signals, based in Beacons barracks, Staffordshire, said he made no attempt to leave the country and had no intention to “run away” from the charges he was facing.

He was arrested three days later on the footpath of the Grand Union Canal in Northolt, west London, after a nationwide manhunt.

Asked why he had not handed himself in after his escape, Khalife said: “I was finally demonstrating what a foolish idea it was to have someone of my skillset in prison. What use was that to anyone?”

“I accept that I left the prison and didn’t have any permission to do so,” he said. “I accept absolutely that I shouldn’t have done what I did.”

Daniel Abed Khalife
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Daniel Khalife

Inspired by Homeland

The court has heard Khalife initiated contact with Iranian intelligence officers after he was told he could not pass developed vetting because his mother was born in Iran.

Khalife told MI5 he wanted to be a “double agent” and he said in court he thought he would be “congratulated” but described his arrest as like a “punch in the face”.

Read more from Sky News:
Teenager who murdered 15-year-old ex-girlfriend jailed for life
Public schoolboy guilty of hammer attack named for first time

Wearing a blue checked shirt and chinos, he said police were “blinded at the prospect of a successful prosecution” but he did not think being in prison would be in “the public interest”.

“I didn’t do anything that harmed our national security. I wanted to put myself in a position where I could help my country,” he said.

“I believed I could continue my work actually located in the state – the state being Iran.”

Khalife said he took inspiration from watching Homeland, starring Claire Danes and Damian Lewis, in which Americans and terrorists go undercover, on Netflix.

“I had seen one of the characters in the programme had actually falsely defected to a particular country and utilised that position to further the national security interests of that character’s country,” he said.

“The country in question, Iran, thought it was real. She did it to further the interests of her own country.”

Khalife told jurors he is a “patriot”, adding: “I do love my country. All I wanted to do was help. I never wanted to do any harm, I never did do any harm.”

He added: “It is tragic it has come to this and I would do anything to go back to my career.”

Khalife, from Kingston, southwest London, denies a charge of committing an act prejudicial to the safety or interests of the state under the Official Secrets Act between 1 May 2019 and 6 January 2022.

He has also pleaded not guilty to a charge under the Terrorism Act of eliciting information about Armed Forces personnel on 2 August 2021, perpetrating a bomb hoax on or before 2 January 2023 and escaping from prison on 6 September last year.

The trial continues.

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Thomas Wei Huang: Public schoolboy who attacked sleeping students with hammers named for first time

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Thomas Wei Huang: Public schoolboy who attacked sleeping students with hammers named for first time

A public schoolboy who claimed he was sleepwalking when he attacked two students and a teacher with hammers can now be named.

It comes after a judge lifted an order preventing the identification of 17-year-old international student, Thomas Wei Huang.

Last week, he was detained for life with a minimum term of 12 years after he was found guilty of three charges of attempted murder in June following a 10-week trial.

Blundell's school, Tiverton, Devon
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Blundell’s school, Tiverton, Devon

Blundell's school, Tiverton, Devon
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Police at the school after the attack

Huang, who turns 18 in January, was dressed only in his boxer shorts when he repeatedly hit his dormmates as they slept in one of the boarding houses at the co-ed Blundell’s School in Tiverton, Devon, in June last year.

Both boys suffered skull fractures, as well as injuries to their ribs, spleen, a punctured lung and internal bleeding. He then attacked a teacher who attempted to intervene.

They had been asleep in cabin-style beds when Huang climbed up and attacked them shortly before 1am on 9 June last year.

Maths teacher Henry Roffe-Silvester told Exeter Crown Court he was asleep in his own quarters when he was awoken by noises coming from the boarding house and went to investigate.

He said he saw a silhouetted figure standing in front of him in the room who then turned and repeatedly hit him over the head with a hammer.

“Physically I stumbled backwards into the corridor. There was a second blow – I can’t remember if it was before I stumbled back – that’s a little bit hazy for me,” said Mr Roffe-Silvester, who suffered six blows to the head.

Another student heard Mr Roffe-Silvester shouting and swearing as he fled the bedroom and dialled 999 – believing there was an intruder.

The two boys were discovered in their beds a few minutes later.

Undated general view of Blundell's School, Tiverton, Devon. A 16-year-old boy has been arrested after two students sustained multiple serious injuries at the private school. Devon and Cornwall Police were called to the site of the school, following reports of a serious assault at about 1am on Friday. Issue date: Friday June 9, 2023.
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Blundell’s School, Tiverton, Devon. Pic: PA

Huang, from Malaysia, who was 16 at the time, admitted carrying out the attacks but said he was sleepwalking. He denied three charges of attempted murder on the basis he was not guilty by reason of insanity.

But the court was told he had an obsession with the killing of children and hammers, which he said he kept by his bed for “protection” from the “zombie apocalypse”.

Prosecutors said the boy armed himself with three claw hammers and waited for the two boys to be asleep before attacking them.

At his sentencing hearing last month, judge Mrs Justice Cutts said experts could not say how long he would pose a risk to the public as she jailed him for life with a minimum term of 12 years.

“You planned your offences and used hammers you had bought as weapons,” she told Huang, adding that, as an “intelligent boy”, he “knew full well if you hit the boys multiple times with the hammers they would die”.

She told him there was a significant risk he could repeat his attack and therefore he posed “a high level of danger to the public because of the nature of your offences”.

In evidence, Huang told the jury he wanted to come to England to study in a boarding school and was “excited” to do so.

Asked if he was happy at the school, he replied: “Yes I was. I liked my friends, my teachers and the academic aspect of it. I didn’t like the sports and the food at the school.”

He described life at the boarding school, including pupils sharing takeaways and tubs of sweets.

The court heard Huang’s brother, who is two years older than him, also went to Blundell’s.

Huang can be named after a court official confirmed his lawyers would not be appealing the judge’s earlier decision to lift the reporting restriction, which was made at the sentencing hearing following an application by the PA news agency.

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‘Where am I going to go with the kids?’ Mum-of-three left homeless after reporting threats to police

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'Where am I going to go with the kids?' Mum-of-three left homeless after reporting threats to police

As mother-of-three Danielle pushes two prams down the street in south London, her only thought is where will they all sleep tonight?

The 21-year-old, whose children are all under the age of five, had a council house in Southwark but had to move out because she faced threats of violence.

“I didn’t know that going to the police would end up with me being homeless,” she says.

Heartbroken and panicking, with nowhere else to go, Danielle is in a park with her three children – two daughters, aged one and four, and her two-year-old son.

“I’m so sorry, I wish this could all be better,” she tells them. Her eldest clutches a plastic toy and asks when they are going home.

“We don’t have a home anymore,” Danielle replies. She can’t hide the truth from her any longer.

Treated image for Farrell homeless piece

Danielle, who has long dark hair and is wearing a puffer jacket, is pacing, her mobile phone pressed to her ear, making a series of desperate phone calls, pleading for help.

“Where am I going to go with the kids,” she asks a housing officer. “I have nowhere to go.”

At this point it’s around 3pm and council offices will soon be closing. As her phone dies, Danielle, now sitting on a bench, her eldest daughter comforting her siblings in their buggies, breaks down in tears.

Her story exemplifies a national housing crisis where currently more than 150,000 children in England are living in temporary accommodation.

It is hard to imagine someone more vulnerable; a 21-year-old, at risk of violence, a care leaver herself, mother-of-three. If she’s fallen through the net, then who is it catching?

Treated image for Farrell homeless piece

Initially, Southwark council paid for her to have temporary accommodation elsewhere.

But things changed when police informed them it was too dangerous for her to come back to the borough.

“To sit there and tell a four-year-old little girl we can’t go home because we don’t have a home, that’s very upsetting as a mum because I brought her into this world to love her, protect her, to give her a home, and me being a mum telling her I can’t do that right now, it breaks my heart, but I know it’s not my fault,” she tells Sky News.

“Last Tuesday, I got a call to say they could no longer fund my accommodation because the police said it’s no longer safe to return back to Southwark, so they don’t owe me a duty of care.”

The council emailed her a letter which implied she was being made homeless for her own protection. The letter instructed her to present herself to another “local authority homeless person unit to seek rehousing outside of Southwark,” it said. “This is on the grounds of personal protection for you and your children.”

Treated image for Farrell homeless piece

The letter, dated 30 September, explained her current accommodation would terminate on 9 October.

But, when Danielle approached another council, they wanted more details from Southwark. In the meantime, her landlord said Southwark had stopped paying, so he evicted her and changed the locks.

“We are just going around in a loop and in the meantime me and my children are homeless, and nobody seems to care,” she told us when we found her on 10 October.

“They are not protecting me or my children, they’ve put us at an even more high risk, but they don’t seem to acknowledge that.”

As we sit on the park bench together, a Southwark housing officer calls confirming that, despite her being on the streets, they would not extend the temporary accommodation. The person on the phone says it was a management decision.

Treated image for Farrell homeless piece

At this point, we call Southwark’s press office and get a very different tone and a sense that the situation isn’t acceptable.

After an anxious wait, by late afternoon Danielle is told she can return to her temporary accommodation.

But while Danielle was on the streets, she took her child for a routine vaccination and was flagged with children’s social services, which adds to her worries.

“I know I am a good mum,” she says. “A doctor might have thought my nails were dirty or I didn’t look like a normal person, but she has to understand, I had nowhere to go that day.

“I had no keys, nowhere to live. I was living out of a black bag in my grandad’s shed. So, what do you expect?”

Treated image for Farrell homeless piece

In a statement, councillor Sarah King from Southwark told us: “This has been a very distressing situation for Danielle and her children, and I hope that she is at least relieved to be in safe accommodation now. We will be working to resolve her housing situation permanently and continue to support her until that happens.”

The council she was applying to told us they believed the issue was now being dealt with by Southwark.

Read more:
Number of children in temporary accommodation hits record high
Temporary housing spending for homeless people soars in London

Housing lawyer Simeon Wilmore told Sky he’s come across this kind of thing “many times” and believes both councils have behaved badly.

“Southwark should have been in contact with the receiving party or receiving local authority and it should be more managed and structured, and she should be at the centre of the decision making,” he said.

“If they have reason to believe she may be eligible for priority needs then the duty of care kicks in. They must accommodate.”

Danielle

The problem is councils have run out of homes. In Southwark alone 17,700 people are on the borough’s waiting list, nearly treble the figure over five years ago.

On average councils spend 1% of their budget on temporary accommodation, but research by Sky News has found 30 councils spend 10% or more, with several spending over 20% of their overall budgets on homelessness. This is council money going to private landlords.

Adam Hugg, head of housing at the Local Government Association, says the numbers of people needing support “are going through the roof” and the lack of available homes “creates a real challenge”.

He says there is a need for long-term investment to build more council houses as well as reform to housing benefit to make sure more people can be kept in their homes.

Danielle has few home comforts in her temporary flat, which has plain white walls and a TV on the floor. Her wish is for a place she can make her own and paint her daughter’s bedroom walls pink.

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She has Halloween decorations on a shelf, while in a corner of the living room there is a long box containing a Christmas tree. On top, there is a child’s yet-to-be-filled-out wish list for Father Christmas, while a pack of red and white baubles and a can of snow spray sit nearby.

“These are all my little Christmas bits I’m going to do with the kids when we eventually have a home,” Danielle says, but she still has no idea when that might be.

“They have told me I’m not going to be here for Christmas,” she says. “So, I don’t know where I’ll be. I just hope it’s not on the street.”

It seems the housing crisis has reached a point where even extreme vulnerability is no guarantee of help.

Councils want more secure longer-term government funding so they can build more homes, but with more children than ever living in temporary accommodation, this is a chronic national problem that will take more than one Christmas to solve.

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