Revealed: NHS trusts tell patients to go private and jump hospital queues

Observer investigation finds a ‘two-tier’ health system emerging in England, with rapid access available to those able to pay

NHS trusts with record waiting lists are promoting “quick and easy” private healthcare services at their own hospitals, offering patients the chance to jump year-long queues, the Observer can reveal.

Hospitals are offering hip replacements from £10,000, cataract surgery for £2,200 and hernia repairs for £2,500. MRI scans are offered for between £300 and £400.

East Sussex healthcare NHS trust has thousands of patients waiting for diagnostic tests but offers “fast access” to scans through its private division.

Great Western hospitals NHS trust in Wiltshire is warning patients that services are “extremely busy”, while its private division promotes self-pay treatment for those who “don’t want to wait for an NHS referral”.

James Paget university hospitals NHS trust in Norfolk is advertising private services on its NHS website, stating: “We provide highly experienced consultant-led services … without the waiting list.”

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More than 2,600 ambulance workers from Unite to join existing strike

Industrial action on 23 January in England and Wales will coincide with strike by Unison members

More than 2,600 additional ambulance workers plan to strike in late January over pay, the trade union Unite announced on Friday.

Unite’s members will join colleagues belonging to Unison in striking on 23 January, with hospital bosses calling for “serious talks” between the government and unions to avoid “even more pressure on already overstretched NHS services”.

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Quarter of ambulance patients in England wait an hour to get into A&E after arrival

Waiting times for admission to A&E in last week of year likely to be highest recorded by the service

More than a quarter of ambulance patients in England waited more than an hour to be admitted to A&E in the last week of 2022, amid “one of the most difficult” winters in NHS history.

Of all those arriving by ambulance in the week to 1 January, 26.3% waited with crews for more than 60 minutes.

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Sunak invites unions to talks on Monday as senior Tory calls on government to improve pay offer to nurses– UK politics live

PM offers no hint he will compromise on pay offers as former cabinet minister says nurses key to dealing with NHS pressures

The journalist interviewing Rishi Sunak this morning did not press Sunak on excess deaths because he needed to ask some questions about Prince Harry’s memoir. But Sunak would not go near the topic.

Asked how he felt seeing the royal family “torn apart” by these claims and revelations, Sunak replied:

As you would expect, it is not appropriate for me to comment on matters to do with the royal family.

I wouldn’t comment on matters to do with the royal family. I would just say I am enormously grateful to our armed forces for the incredible job they do in keeping us all safe. We’re all very fortunate for their service.

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NHS recruiting from ‘red list’ countries after Brexit loss of EU staff, says report

Specialisms such as dentistry have shortages and EU exit still causes issues with medicines in Northern Ireland, thinktank finds

NHS trusts in England have increased recruitment from low-income “red list” countries to make up for the post-Brexit loss of EU staff, despite a code of practice to safeguard health services in those developing countries.

A report by the Nuffield Trust thinktank also identified shortages in vital specialist areas since Brexit, including dentistry, cardiothoracic surgery and anaesthesiology.

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Sunak strives to be reassuring but is five-point plan all sleight of hand?

PM plans a ‘no tricks’ reset but with an inflation fall already expected this is more about hanging on at an election

In his first big speech since taking over at No 10, Rishi Sunak promised “no tricks, no ambiguity” as he announced his five promises to reset the government after a difficult year.

The prime minister said he would be focusing on halving inflation, growing the economy, reducing debt, cutting NHS waiting lists, and stopping small-boat crossings to the UK.

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PPE Medpro: UK government alleges firm supplied defective gowns to NHS

Exclusive: DHSC alleges gowns were not sterile, could not be used within NHS ‘for any purpose’, and technical labelling was ‘invalid’

The UK government has accused a company linked to the Conservative peer Michelle Mone of supplying defective gowns that could have compromised the safety of patients had it been used in the NHS.

The Department of Health and Social Care (DHSC) paid the company, PPE Medpro, £122m for 25m sterile surgical gowns under a contract awarded in June 2020 after Mone first approached ministers offering to supply PPE. However, the DHSC has alleged the gowns were rejected because they were not sterile, their technical labelling was “invalid” and “improper”, and they “cannot be used within the NHS for any purpose”.

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Rising number of foreign objects found in patients after surgery in England

In what NHS calls ‘never events’, items including swabs, blades and drill bits left in patients 291 times in England in 2021-22

A rising number of medical foreign objects, including wire cutters, scalpel blades and drill bits, have been left inside hospital patients after surgery in England, new figures reveal.

Blunders involving a “foreign object accidentally left in body during surgical and medical care” led to 291 “finished consultant episodes” in 2021-2022, official data shows.

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No 10 says NHS is getting ‘funding it needs’ and refuses to accept service is ‘in crisis’ – UK politics live

Downing Street says NHS is receiving funding it needs despite Royal College of Emergency Medicine saying ministers are in denial

Earlier today the vice president of the Royal College of Emergency Medicine said ministers were in denial over the extent of problems facing hospital A&E departments. (See 11.19am.) At the Downing Street lobby briefing this morning the prime minister’s spokesperson tried to avoid sounding complacent, but he did claim the NHS has the funding it needs this winter. He told journalists:

We are confident we are providing the NHS with the funding it needs, as we did throughout the pandemic, to deal with these issues …

We have been upfront with the public, long in advance of this winter, that, because of the pandemic and the pressures it’s placed in the backlog of cases, that this would be an extremely challenging winter. And that is what we are seeing.

We have continued to put billions of pounds of additional funding into the NHS – £7.5bn for adult social care and for delayed discharge over the next two years. And there’s £14.1bn in additional funding to improve urgent and emergency care and tackle the backlogs.

This is certainly an unprecedented challenge for the NHS, brought about by a number of factors.

Could Johnson really win a parliamentary ballot? Or might Conservative members impose him on unwilling Tory MPs (which proved less than successful in the case of Truss)? Above all, is it likely that he would stand in the first place? For all his reputation for recklessness, Johnson has a prudent streak. Both last year and in 2016 he decided not to stand, bruising the feelings of some of those who had invested hope in his candidacy …

It’s possible that a reinstalled Johnson could confound his critics, as he has done so many times before, and win the Conservatives a fifth term. Let Sunak do the hard work, Johnsonians will say – the tax rises, the spending cuts. Then their man can breeze in with his unquenchable optimism, cut taxes and cheer Britain up. Really?

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‘Intolerable’ NHS crisis to continue until April, health leaders warn

Ministers urged to recall parliament amid warnings patients are dying needlessly due through inaction

The crisis engulfing the NHS will continue until Easter, health leaders have warned, as senior doctors accused ministers of letting patients die needlessly through inaction.

More than a dozen trusts and ambulance services have declared critical incidents in recent days, with soaring demand, rising flu and Covid cases and an overstretched workforce piling pressure on the health service.

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People turning to DIY health treatment amid shortage of GP appointments

Lib Dems say face-to-face GP bookings ‘almost extinct’ in some areas as their survey shows a rise in self-prescribing

Almost one in four people have bought medicine online or at a pharmacy to treat their illness after failing to see a GP face to face, according to a UK survey underlining the rise of do-it-yourself treatment.

Nearly one in five (19%) have gone to A&E seeking urgent medical treatment for the same reason, the research commissioned by the Liberal Democrats shows.

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A&E delays causing up to 500 deaths a week, says senior medic

President of the Royal College of Emergency Medicine believes waiting times for December will be the worst he has ever seen

As many as 500 people could be dying each week because of delays to emergency care, a senior healthcare official has said.

The president of the Royal College of Emergency Medicine, Dr Adrian Boyle, believes waiting times for December will be the worst he has ever seen, with more than a dozen NHS trusts and ambulance services declaring critical incidents over the festive period.

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Sunak’s U-turn on China Covid tests is a political move, say scientists

Chief medical officer Chris Whitty told health secretary Steve Barclay there was no evidence tests on travellers would have any effect

Rishi Sunak’s decision to perform a U-turn and impose Covid checks on travellers from China was dismissed on Saturday night as a purely political manoeuvre that would make no difference to the rise or fall of cases in the UK.

The health secretary Steve Barclay was briefed by the chief medical officer Chris Whitty on Thursday and was told there was no clear evidence of significant benefits from testing travellers from China. The Observer has learnt that on the following day, Barclay discussed the issues with Sunak, who nevertheless decided it was more important for Britain to align itself with those nations – the US, Japan, Italy and Spain – that had already imposed such tests.

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Inflation, waiting lists, strikes, rail chaos, climate emergency: the 2022 polycrisis

Almost every facet of life in the UK – courts to cost of living, transport to healthcare, environment to asylum system – is at breaking point

In mid-November Rishi Sunak was asked in a Channel 4 interview to name one public service that “was working, adequately, working properly”.

The prime minister didn’t give a direct answer. But the exchange feeds into an ever-more-common discourse: that the UK is facing “polycrisis” in almost every facet of life in Britain. From courts to the cost of living, transport to healthcare, environment to the asylum system – everywhere appears to be affected.

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NHS on track to eliminate hepatitis C five years ahead of global targets

England to become first country to eliminate virus thanks to targeted screening campaigns and effective treatments

The NHS is set to eliminate hepatitis C in England by 2025 due to targeted screening campaigns for those at risk and effective drug treatments, according to health officials. NHS England said the measures are helping to dramatically cut deaths from the virus five years ahead of global targets.

Deaths from hepatitis C – including liver disease and cancer – have fallen by 35% since NHS England struck a five-year deal worth almost £1bn to buy antiviral drugs for thousands of patients in 2018.

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Ministers plan to scrap NHS England targets to ‘boost efficiency’

Labour says plan to ditch national targets equates to ‘scrapping standards altogether’ , after review by Patricia Hewitt

The government is preparing to ditch NHS national targets in an attempt to “boost efficiency”, as part of recommendations from a review led by a former Labour health secretary.

Patricia Hewitt led the government-commissioned review into the NHS in England, looking at how the new integrated care systems (ICSs) could operate efficiently. The chancellor, Jeremy Hunt, announced the assessment during the autumn budget.

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Stay at home if you’re unwell, say experts, as flu and Covid cases rise in England

‘Don’t mingle’ advice comes as UK Health Security Agency says scarlet fever and strep A infections continue to rise

Flu and Covid are on the rise in England, with experts stressing the importance of vaccination and warning that people who feel unwell should stay at home rather than mingling with others during the festive season.

The figures come as cases of scarlet fever and strep A infections continue to rise.

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UK government might block Scottish gender recognition reform bill – as it happened

Scottish secretary hints that Westminster may use rare power to block new law which removes need for diagnosis of gender dysphoria for gender recognition certificate

At the Scottish parliament Nicola Sturgeon, the first minister, is taking questions. Douglas Ross, the Scottish Conservative leader, asks about the gender recognition reform (Scotland) bill and amendments rejected by the Scottish government. He says the bill would allow a man standing trial for raping a woman to force his victim to refer to him as a woman, not a man, and he asks Sturgeon why she voted against an amendment that would have prevented this.

In response, Sturgeon says many amendments have been rejected in the past days. She says where amendments were rejected, it was often because there were alternative ways to add safeguards to the bill. These new safeguards covered sex offenders, she says.

Health and care is under huge strain in the run-up to Christmas. These figures suggest there is absolutely no slack in the system, which is dangerously close to overheating completely.

A key part of the problem is that the vast majority of hospital beds are full – around 95% – including with thousands of patients fit to be discharged. The lack of community and social care means they’ll be spending this Christmas in hospital.

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Ambulance workers in England announce further strikes in January

Unison members to take industrial action on 11 and 23 January in dispute over pay and staffing

Ambulance workers across England will stage two further strikes on 11 and 23 January in the dispute over pay and staffing, Unison has announced.

Members of the union in five ambulance services in England will take industrial action.

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NHS braced for surge of patients after ambulance workers’ strike

Doctors warn of a backlog of patients and ‘deteriorating health’, with calls to 999 down 25% during paramedics’ 24-hour stoppage

The NHS is bracing itself for an influx of patients between now and Christmas after thousands of people deferred seeking treatment during the ambulance workers’ strike on Wednesday.

Senior doctors are warning that the decision by many people in England and Wales not to request help while paramedics were staging a 24-hour stoppage will leave the NHS struggling to cope at a time when hospitals would traditionally be scaling back their services for the festive break.

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