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Almost half of people in Britain (47%) think that NHS care will get worse in the coming years, according to a new international poll by Ipsos for Sky News.

Just one in ten of those surveyed in the UK said they expect the quality of their healthcare to improve (10%), compared to 15% of Swedes and 22% of Spanish people.

The new figures suggest the public have little faith in the government’s ability to resolve the crisis facing the NHS on its 75th birthday.

A record 7.4 million people are currently waiting for elective treatment in England, including 371,000 who have been waiting more than a year.

A chronic shortage of beds, exacerbated by a crisis in social care, has left the NHS struggling to clear waiting lists and attend to urgent cases.

The issue has fed into a crisis of burnout among staff, with Sky News analysis finding that a surge in resignations relating to work-life balance lost the health service 10,000 staff last year.

The new polling shows that the public are feeling the impact of the crisis, with five out of every six UK respondents (83%) describing the health service as “overstretched” – more than in any other country surveyed.

Read more: First NHS baby says service is ‘creaking at the seams’

As a result, satisfaction in the NHS has plummeted since the pandemic.

The share of people describing the quality of healthcare they have access to as “good” or “very good” fell from 74% in 2020 to just 48% this year, while the share describing their healthcare as “poor” or “very poor” has more than doubled to 22%.

As recently as 2018, the British public were more satisfied with their healthcare than people in any of the 16 countries polled. This year the UK came in sixth place, behind Sweden, Australia and the US.

“Brits have long been more worried than those in other countries about the future of their national healthcare service,” says Anna Quigley, research director at Ipsos.

“What has changed more recently is their view of the current standard of service provision. Historically, Brits were more positive than other countries about the care they were currently receiving, and this is where we are really seeing things change.

“From other data we collect, for example, on experiences of GP practices, we have seen that this is mainly linked to views around access.”

Read more: The parts of England with the highest and lowest life expectancies

The public are losing trust in the NHS

Doctors have warned that the UK’s primary care system is close to collapse, with Sky News analysis finding that GPs’ patient workloads have risen by a fifth since 2019.

A record 3,497 English GPs quit general practice in the year to March, including one in every eight newly-qualified family doctors.

The result has been lengthy waiting lists, with nearly one in five people (18%) forced to wait more than two weeks for an appointment in April – up from 11% in 2021.

Waiting times for elective care have also surged, including for those with urgent cancer referrals. Last year, almost 600,000 people were forced to wait longer than the recommended two weeks to see a cancer specialist – a thirteen-fold increase since 2010.

The survey results show that 76% of Britons think waiting times are “too long” and more than half say it’s not easy to get an appointment (52%) – in both cases, the third-highest share of any country polled.

Emergency care has also come under unprecedented strain, with A&E departments forced to “ration” care as a result of chronic bed shortages.

In May, 113,000 people spent more than 12 hours waiting in A&E, with 31,000 waiting more than 12 hours even after being told they would be admitted.

Analysis in February by the Royal College of Emergency Medicine estimated that 23,000 patients died last year due to waits over 12 hours in A&E departments.

The crisis has undermined Britons’ confidence in the ability of the NHS to offer high-quality care. Less than half of those surveyed by Ipsos (46%) said they trust the health service to provide them with the best treatment, down from around two-thirds in previous years.

That’s the sharpest fall in trust of any country surveyed.

Waiting lists have started falling in other countries

During the pandemic, health services around the world sought to free up beds and staff by delaying elective procedures. The result was an enormous backlog of care, from cataract surgeries to hip replacements, that they are now battling to bring down to acceptable levels.

Yet something different has been happening in England. The elective waiting list never went through a period of levelling off, as in Sweden, or began falling back to pre-pandemic levels, as in Ireland. Instead, it has risen relentlessly.

The result has been a continuous increase in waiting times since the pandemic began, long after waits for treatment began falling in other countries.

Tim Gardner, a senior policy fellow at the Health Foundation think tank, says that the international survey results “really aren’t surprising”.

“We went into the pandemic with some of the lowest numbers of doctors, nurses, hospital beds and key bits of diagnostic equipment of any country in Europe, so it’s not a huge surprise that our health service is struggling more than most to recover from the pandemic.

“If we had kept pace with the per person funding in Germany, we would currently be spending around £39bn a year more on our health system.”

The NHS is still core to British identity

Recent polling by Ipsos for the Health Foundation found that 80% of Britons think the NHS needs more funding, up from 72% a year ago.

Two in five people said that underfunding (40%) and staff shortages (38%) were major causes behind the NHS crisis, with more than a third (35%) also pointing to “poor government policy” as a key factor.

By contrast, just 13% blame increased immigration, while 8% point to the recent strikes as a reason for the health service’s poor performance.

“The public are clearly pretty dissatisfied with the standards of the service they’re receiving at the moment,” says Gardner.

“But we also see that they’re really concerned about the pressures and workload of NHS staff. So, they’re not necessarily blaming the health service – support for the NHS’s founding principles is really rock-solid.”

More than half of respondents (54%) said that the NHS makes them “proud to be British”, while 72% agreed that the NHS is “crucial” to British society.

When asked what specifically makes them proud of the NHS, more than half (55%) pointed to the fact that it is free at the point of use or funded by taxation.

However, just one in four respondents (25%) said they expect all NHS services that are currently free at the point of use to still be free in ten years’ time.

A Department of Health and Social Care spokesperson said: “The NHS will always be free at the point of use and never be for sale. Cutting waiting times is one of the government’s top five priorities and we are making progress on our plans to recover and improve services, backed by record funding.

“The NHS has already reduced the number of patients waiting more than 18 months by over 90% since the September 2021 peak and virtually eliminated two-year waits for treatment, despite more people coming forward for treatment.

“The NHS has published the first ever Long Term Workforce Plan, backed by over £2.4 billion government funding to deliver the biggest training expansion in NHS history, with hundreds of thousands more staff over the next 15 years.”

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Can we mend the NHS? Watch a special programme at 1800 with Mark Austin on Sky News


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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‘Crushing blow’ for care homes as they face ban on overseas recruitment

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'Crushing blow' for care homes as they face ban on overseas recruitment

Care workers will no longer be recruited from abroad under plans to “significantly” bring down net migration, the home secretary has said.

Yvette Cooper told Sky News’ Sunday Morning with Trevor Phillips programme the government will close the care worker visa route as part of new restrictions which aim to cut the number of low-skilled foreign workers by about 50,000 this year.

Politics live: Govt launches crackdown on migration

She said: “We’re going to introduce new restrictions on lower-skilled workers, so new visa controls, because we think actually what we should be doing is concentrating on the higher-skilled migration and we should be concentrating on training in the UK.

“Also, we will be closing the care worker visa for overseas recruitment”.

The move comes ahead of the Immigration White Paper to be laid out this week, which will give more details on the government’s reforms.

Care England, a charity which represents independent care services, described Ms Cooper’s comments as a “crushing blow to an already fragile sector” and said the government “is kicking us while we’re already down”.

Its chief executive Martin Green said international recruitment is a “lifeline” and there are “mounting vacancies” in the sector.

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Reform: Immigration ‘should be frozen’

Cooper refuses to give immigration target

Ministers have already announced changes to the skilled visa threshold to require a graduate qualification and higher salary.

Ms Cooper told Trevor Phillips that this – along with the care worker restrictions – will result in a reduction “probably in the region of up to 50,000 low-skilled worker visas in the course of this year alone”.

However, she refused to give a wider target on the amount the government wants to see net migration come down by overall, only saying that it needs to come down “substantially”.

Ms Cooper said the Conservatives repeatedly set targets they couldn’t meet and her plan was about “restoring credibility and trust”.

She said: “It’s about preventing this chaotic system where we had overseas recruitment soar while training in the UK was cut and we saw low-skilled migration in particular, hugely go up at the same time as UK residents in work or in training fell. That is a broken system. So that is what we need to change.”

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Care companies say they can’t carry on after NI hike

The government is under pressure after it’s drubbing at the local elections, when Reform UK took control of 10 councils in England.

Richard Tice, Reform’s deputy leader, said the party’s strong performance was because people are angry about both legal and illegal immigration and called for immigration to be “frozen”.

He told Trevor Phillips: “The reality is that we’ve just won by an absolute landslide – the elections Thursday last week – because people are raging, furious, about the levels of both illegal and legal immigration in this country.

“We need to freeze immigration because the way to get our economy going is to freeze immigration, get wages up for British workers, train our own people, get our own people who are economically inactive back into work.”

Net migration – the difference between the number of people immigrating and emigrating to a country – soared when the UK left the EU in January 2020.

It reached 903,000 in the year to June 2023 before falling to 728,000 in mid-2024.

According to the Home Office, the number of ‘Health and Care Worker’ visas increased from 31,800 in 2021 to 145,823 in 2023, with the rise primarily due to an increase in South Asian and Sub-Saharan African nationals coming to work as care workers.

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Sky News investigates UK care homes

The number decreased significantly in 2024 to 27,174 – due to measures introduced by the Tories and greater compliance activity, the government said.

The crackdown is likely to cause concern in the care sector, which has long warned that low wages are driving a recruitment crisis and is now also being hit by the rise in employer National Insurance.

Speaking to the BBC’s Sunday with Laura Kuenssberg, Ms Cooper said there are around 10,000 people in the UK who came on care worker visas for jobs that didn’t exist and “care companies should recruit from that pool”.

“They came in good faith but there were no proper checks, they were badly exploited,” she said.

👉 Click here to listen to Electoral Dysfunction on your podcast app 👈

Nadra Ahmed, of the National Care Association, told Sky News this was a “scandal of the Home Office’s own making”, with care workers allowed to come to the UK “legitimately but with spurious contracts from profiteers preying on an already fragile sector”.

She added: “Understandably, many of those who are displaced have a preference of which part of the sector they work in or are qualified to do so, based on the promises made to them.

“Our preference would always be to recruit from within our domestic options but sadly we are not able to generate enough interest in social care when the funding remains a barrier to ensure that pay adequately rewards the skills and expertise of our workforce.”

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Labour’s shift on migration may assuage voters’ concerns – but risks harming struggling care sector

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Labour's shift on migration may assuage voters' concerns - but risks harming struggling care sector

Labour and the Conservatives have been left reeling from Reform UK’s rampant success at the local elections.

And it seems both have taken a clear message from the insurgent party’s signature attitude towards migration.

Politics live: Care homes face ban on overseas recruitment

Polls regularly show the issue is a top concern for voters. While stopping the boats driving illegal migration is proving as difficult for Labour as it was for the Tories – the government has the levers to control legal migration much more directly.

This week, Sir Keir Starmer and Yvette Cooper have decided it’s time to pull them, with their long-awaited white paper due to be published on Monday. But the trade offs involved in reforming the system certainly aren’t without controversy.

Speaking to Sky’s Sir Trevor Phillips to sell her plans to reduce visa numbers, the home secretary repeatedly talked about “restoring control”.

It’s no coincidence to hear her invoking the language of Brexit – highlighting the fact it was Boris Johnson who presided over the spiralling increase in migration after the vote to leave the European Union – and attempting to court the voters who believed doing so would close the borders to the influx of overseas workers.

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“It’s about restoring control and order,” she said. “It’s about preventing this chaotic system where we had overseas recruitment soar while training in the UK was cut…

“That is a broken system. So that is what we need to change.”

The home office plan is to link the reduction in overseas workers with government efforts to get the economically inactive back into work. In future, only those with degree-level qualifications will be eligible for skilled worker visas.

Employers who want to employ lower-skilled workers, on a temporary basis, will have to demonstrate they are training and recruiting UK workers as well.

The home secretary says 180 occupations will be removed from the shortage list, with the shortfall filled by training schemes to fill the gaps with home-grown workers. Questions abound about how training schemes will marry up with immediate business needs now.

But it’s the closure of the specific care worker visa which is leading to the loudest alarm bells thus far.

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Reform: Immigration ‘should be frozen’

Many in the sector are desperately worried about pre-existing staffing shortfalls, unconvinced by government advice to recruit from a pool of 10,000 workers already in the UK on care visas.

Professor Martin Green, of Care England, said: “This is a crushing blow to an already fragile sector. The government is kicking us while we’re already down.”

But the government is determined to try and wean the economy off its dependence on overseas labour.

The increase in net migration is staggering. Before Brexit, the highest figure was 329,000, in the year up to June 2015.

But by June 2023, the annual number had soared to 906,000. While last year that figure fell to 728,000, following restrictions on dependents on care and student visas – the number is still strikingly high.

Kemi Badenoch’s Tories have decided there’s no room for evasion and have regularly issued dramatic apologies for the decisions of the past.

“The last government,” said Shadow Home Secretary Chris Philp on Sunday, as if he had no part of it, “made some very serious mistakes with immigration. They allowed it to be far, far too high…that was a huge mistake.”

But Mr Philp is characteristically full of criticism of Labour’s “failure” on the “radical reforms” needed.

He wants to see parliament voting for an annual cap on numbers, although hasn’t specified what that would be.

👉 Click here to listen to Electoral Dysfunction on your podcast app 👈

Ms Cooper says migration targets have no credibility after years of Tory failures – but also acknowledged that she wants the numbers to fall “substantially” and “significantly” below 500,000.

Read More:
The ‘tricky balancing act’ facing Starmer over US trade deal
Chancellor insists Labour rebels ‘know the welfare system needs reform’

She claims the skilled worker visa changes will lead to 50,000 fewer visas being issued this year alone – a small proportion of that overall too, but a quick result all the same.

Will it be enough?

Reform UK are clearly delighted to be directing the government’s policy agenda.

Deputy leader Richard Tice told Sir Trevor “the Labour Party is talking the talk. Will they actually walk the walk? I actually think the people are voting for us because they know that we mean it.”

But the policy is a risk.

Assuaging voters’ concerns on migration could mean taking a serious hit to an already anaemic economy and struggling care sector. Not to mention the longer-term political decision to move the party firmly to the right.

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Woman arrested after allegedly trying to abduct baby in Blackpool

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Woman arrested after allegedly trying to abduct baby in Blackpool

A woman has been arrested after allegedly trying to abduct a baby in Blackpool.

Police said it was reported that a woman had approached a baby in a pram on Central Drive, near to the Coral Island amusement arcade in the Lancashire seaside town, at around 11.55am on Saturday.

Members of the public and the baby’s parent intervened, Blackpool Police said, adding the baby was unharmed.

A 51-year-old woman has been arrested on suspicion of child abduction and police assault.

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Enquiries are ongoing and the force has advised people to avoid speculating about the incident online.

Chief Inspector John Jennings-Wharton said: “We know that something like this can be very concerning for the community to hear about.

“We are in the early stages of our investigation and are working to establish the full circumstances.”

He added: “If you do have information or footage that could assist those enquiries, we ask you report them to us through the appropriate channels.”

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