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The number of people in England waiting to start routine hospital treatment has hit a record high.

An estimated 7.68 million people were waiting to start treatment at the end of July, up from 7.57 million in June.

It is the highest number since records began in August 2007 and marks the eighth consecutive month of increases.

It comes as the government said the NHS will receive an extra £200m this winter.

Figures also showed a total of 389,952 people in England had been waiting more than a year – and around 7,289 people more than 18 months – to start routine hospital treatment at the end of July.

This is up from 383,083 – and 7,177 – at the end of June, respectively.

The government and NHS England set the ambition of eliminating all waits of more than 18 months by April this year, excluding exceptionally complex cases or patients who choose to wait longer – and all waits of more than a year by March 2025.

Cancer waiting times

Around 263,696 urgent cancer referrals were made by GPs in England in July, up 1% on 261,006 in June and up 10% year-on-year from 239,739 in July 2022.

The proportion of cancer patients who saw a specialist within two weeks of being referred fell from 80.5% in June to 77.5% in July – below the target of 93%, which is being dropped from October.

There was some improvement for cancer waiting times. In July, 37% of those starting treatment received their urgent referral more than two months prior, down from 41% in June and from 38% in July 2022.

That is down significantly from the worst-ever performance of 45% in January, though still significantly above pre-pandemic levels (21% in August 2019).

Meanwhile, 74.1% of patients urgently referred for suspected cancer were diagnosed or had cancer ruled out within 28 days, up from 73.5% the previous month. The target is 75%.

Ambulance response times

Further data revealed it took ambulances an average of 31.5 minutes to respond to Category 2 incidents – such as heart attacks and strokes – in August.

This was a slight improvement compared to July (31.8 minutes) and a big improvement compared to August 2022 (42.6 minutes).

However, it is still significantly worse than before the pandemic. In Aug 2019, the equivalent response time was just 21.3 minutes, and in Aug 2018 it was 20.6 minutes.

A&E performance

The number of people waiting more than 12 hours in A&E departments in England from a decision to admit to actually being admitted was 28,859 in August, up 21% from 23,934 in July.

The figure hit a record 54,573 in December 2022.

The number waiting at least four hours from the decision to admit to admission also went up, from 109,515 in July to 120,120 in August, an increase of 10%.

Analysis: Unless pay disputes are resolved – NHS waiting lists will keep rising

There are gains that will give much encouragement to health leaders: more urgent GP referrals (263,696) for cancer than any other July. And a slight improvement for ambulance waiting times in August when it took crews an average of 31.5 minutes to respond to Category 2 incidents (e.g. heart attacks and strokes).

That’s a slight improvement compared to July (31.8 minutes) and a big improvement compared to August 2022.

There has been a slight fall in the longest waiting times too. The number of people enduring waits of more than two years has fallen slightly, from 314 to 277.

And all of this against the backdrop of the busiest summer on record for the NHS in England with higher seasonal A&E attendances than ever before.

But it’s not all good news. The number on the list who have been waiting more than 18 months (72 weeks) has risen slightly, from 7,177 to 7,289. And the total number waiting more than 18 weeks is up from 3.09 million to 3.18 million.

And the headline figure that will dominate coverage is the record 7.68 million waiting for elective care. This figure has never been higher.

The prime minister will say his key pledge to bring down this waiting list is being undermined by strikes. And to some extent he is right.

More than 800,000 people have seen their routine care delayed because of eight months of strikes.

The nurses dispute has been resolved but junior doctors and their consultant colleagues will continue their strikes possibly long into winter. And for the first time they will strike together next week.

That will effectively bring the NHS to a grinding halt.

Unless this dispute is resolved the numbers will keep rising.

Read more:
Number of long-term sick hits record high of 2.6m
COVID and flu vaccines rolled out to avoid potential ‘twindemic’

Prime Minister Rishi Sunak has made cutting waiting lists one of his priorities for 2023, pledging in January that “lists will fall and people will get the care they need more quickly”.

Shadow health secretary Wes Streeting MP said: “Record numbers of patients are waiting for healthcare and they are left waiting unacceptably long, whether it’s for an operation, ambulance, or in A&E. For millions of patients across England, the NHS is no longer there for them when they need it.”

Professor Julian Redhead, NHS England’s national clinical director for urgent and emergency care, said: “Today’s figures show that despite ongoing pressures across the NHS, including record demand for emergency care this summer, and an increase in COVID cases during July and August, NHS staff are continuing to deliver for patients.

“Category 2 ambulance response times are more than 10 minutes faster than a year ago, and significant progress continues to be made to bring down the longest waits for elective care despite months of disruption from industrial action.”

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Hashem Abedi: Manchester Arena bomb plotter charged with three counts of attempted murder

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Hashem Abedi: Manchester Arena bomb plotter charged with three counts of attempted murder

Manchester Arena bomb plotter Hashem Abedi has been charged with three counts of attempted murder.

It comes after four prison officers were injured in an attack at the maximum security prison HMP Frankland in Co Durham on 12 April.

Abedi has also been charged with one count of assault occasioning actual bodily harm and one count of unauthorised possession of a knife or offensive weapon.

Counter Terrorism Policing North East has said it carried out a “thorough investigation” of the incident with Durham Constabulary and HMP Frankland.

He remains in prison and is due to appear at Westminster Magistrates’ Court on 18 September.

Three prison officers were taken to hospital with serious injuries following the incident.

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Three teenagers charged with murder after death of man, 49, in Kent

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Three teenagers charged with murder after death of man, 49, in Kent

Three teenagers have been charged with the murder of a man in Kent.

Kent Police were called to an incident in Leysdown-on-Sea, on the Isle of Sheppey, shortly after 7pm on Sunday.

Alexander Cashford, 49, from Kent, was found dead at the scene, having suffered multiple injuries.

He was allegedly assaulted following a “disturbance involving a small group of people”, according to police.

Police at the scene in the Leysdown-on-Sea resort on the Isle of Sheppey. Pic: PA
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Police at the scene in the Leysdown-on-Sea resort on the Isle of Sheppey. Pic: PA

A 16-year-old girl and two boys, aged 14 and 15, were arrested and taken into custody shortly after.

The three suspects, who were all from London, were charged with murder by joint venture on Tuesday.

They are due to appear before Medway Magistrates’ Court on Wednesday. The teenagers cannot be named for legal reasons.

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Police officers carry out searches near the scene where Mr Cashford was found dead. Pic: PA
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Police officers carry out searches near the scene where Mr Cashford was found dead. Pic: PA

A 12-year-old girl was arrested on Tuesday in Basildon, Essex, in connection with the incident.

She remains in custody while enquiries continue.

Read more from Sky News:
Jay Blades appears in court charged with rape
Backlash over police vans with facial recognition

Kent Police are appealing for witnesses who have not yet spoken to detectives to contact the force.

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‘Disturbing’ rise in abusive teen relationships – as experts warn of signs to look out for

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'Disturbing' rise in abusive teen relationships - as experts warn of signs to look out for

Marnie’s first serious relationship came when she was 16-years-old.

Warning: This article contains references to strangulation, coercive control and domestic abuse.

She was naturally excited when a former friend became her first boyfriend.

But after a whirlwind few months, everything changed with a slow, determined peeling away of her personality.

“There was isolation, then it was the phone checking,” says Marnie.

As a survivor of abuse, we are not using her real name.

“When I would go out with my friends or do something, I’d get constant phone calls and messages,” she says.

“I wouldn’t be left alone to sort of enjoy my time with my friends. Sometimes he might turn up there, because I just wasn’t trusted to just go and even do something minor like get my nails done.”

The internet is said to be helping to fuel a rise in domestic abuse among teens. Pic: iStock
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The internet is said to be helping to fuel a rise in domestic abuse among teens. Pic: iStock

He eventually stopped her from seeing friends, shouted at her unnecessarily, and accused her of looking at other men when they would go out.

If she ever had any alone time, he would bombard her with calls and texts; she wasn’t allowed to do anything without him knowing where she was.

He monitored her phone constantly.

“Sometimes I didn’t even know someone had messaged me.

“My mum maybe messaged to ask me where I was. He would delete the message and put my phone away, so then I wouldn’t even have a clue my mum had tried to reach me.”

The toll of what Marnie experienced was only realised 10 years later when she sought help for frequent panic attacks.

She struggled to comprehend the damage her abuser had inflicted when she was diagnosed with PTSD.

This is what psychological abuse and coercive control looks like.

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‘His hands were on my throat – he didn’t stop’

Young women and girls in the UK are increasingly falling victim, with incidents of domestic abuse spiralling among under-25s.

Exclusive data shared with Sky News, gathered by domestic abuse charity Refuge, reveals a disturbing rise in incidents between April 2024 and March 2025.

Psychological abuse was the most commonly reported form of harm, affecting 73% of young women and girls.

Of those experiencing this form of manipulation, 49% said their perpetrator had threatened to harm them and a further 35% said their abuser had threatened to kill them.

Among the 62% of 16-25 year olds surveyed who had reported suffering from physical violence, half of them said they had been strangled or suffocated.

Earlier this year, Sky News reported that school children were asking for advice on strangulation, but Kate Lexen, director of services at charity Tender, says children as young as nine are asking about violent pornography and displaying misogynistic behaviour.

Kate Lexen, director of services at charity Tender
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Kate Lexen, director of services at charity Tender

“What we’re doing is preventing what those misogynistic behaviours can then escalate onto,” Ms Lexen says.

Tender has been running workshops and lessons on healthy relationships in primary and secondary schools and colleges for over 20 years.

Children as young as nine ‘talking about strangulation’

Speaking to Sky News, Ms Lexen says new topics are being brought up in sessions, which practitioners and teachers are adapting to.

“We’re finding those Year 5 and Year 6 students, so ages 9, 10 and 11, are talking about strangulation, they’re talking about attitudes that they’ve read online and starting to bring in some of those attitudes from some of those misogynistic influencers.

“There are ways that they’re talking about and to their female teachers.

“We’re finding that from talking to teachers as well that they are really struggling to work out how to broach these topics with the students that they are working with and how to make that a really safe space and open space to have those conversations in an age-appropriate way, which can be very challenging.”

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Hidden domestic abuse deaths

Charities like Tender exist to prevent domestic abuse and sexual violence.

Ms Lexen says without tackling misogynistic behaviours “early on with effective prevention education” then the repercussions, as the data for under 25s proves, will be “astronomical”.

At Refuge, it is already evident. Elaha Walizadeh, senior programme manager for children and young people, says the charity has seen a rise in referrals since last year.

Elaha Walizadeh, senior programme manager for children and young people at Refuge
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Elaha Walizadeh, senior programme manager for children and young people at Refuge

“We have also seen the dynamics of abuse changing,” she adds. “So with psychological abuse being reported, we’ve seen a rise in that and non-fatal strangulation cases, we’ve seen a rise in as well.

“Our frontline workers are telling us that the young people are telling them usually abuse starts from smaller signs. So things like coercive control, where the perpetrators are stopping them from seeing friends and family. It then builds.”

Misogyny to violent behaviour might seem like a leap.

But experts and survivors are testament to the fact that it is happening.

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