Some A&E departments are in a “complete state of crisis”, the Royal College of Emergency Medicine has said, as it highlighted the extreme pressures facing the NHS this winter.

Dr Ian Higginson, the college’s vice-president, said he was in “no doubt” there was a risk to patients.

Hospitals are facing soaring demands, which experts believe is in part driven by winter illnesses like flu and Covid.

The government said it recognised the pressures faced by the NHS.

According to the Royal College of Emergency Medicine (RCEM) – which monitors standards of care in UK A&E departments – the NHS is facing the worst winter for A&E waits on record.

A number of hospitals have declared critical incidents in recent days, meaning they cannot function as usual due to extraordinary pressure. Other trusts have told patients to avoid emergency departments unless their condition is life-threatening.

On Sunday, RCEM president Dr Adrian Boyle said between 300 and 500 people were dying every week as a result of delays to emergency care.

He said a severe flu outbreak, which was made worse by a lack of immunity because of Covid isolation measures, has resulted in bed occupancy reaching record levels.

“What we’re seeing now in terms of these long waits is being associated with increased mortality, and we think somewhere between 300-500 people are dying as a consequence of delays and problems with urgent and emergency care each week,” he told Times Radio. “We need to actually get a grip of this.”

But NHS England’s Chris Hopson said care needed to be taken “jumping to conclusions about excess mortality rates and their cause without a really full and detailed look at the evidence”.

He said a study of the evidence was “under way”, but until detailed work is conducted “it’s really difficult to say”.

 

Speaking on BBC Radio 5 Live, emergency consultant Dr Higginson said: “Emergency departments are in a really difficult and in some cases a complete state of crisis right now… and in many cases we are unable to provide care at the standard we would like.”

“There’s no doubt that if you can’t get an ambulance to someone who’s having a heart attack or a stroke, that some of those patients are going to come to harm and may die as a result of that.

“And there’s no doubt that when we’re trying to treat frail, elderly vulnerable patients on trolleys in corridors that we can’t do the best thing by them. “

He said staff were doing their best, but investment was needed to support the health service.

In November, more than 37,000 people waited more than 12 hours in A&E for a decision to be admitted to a hospital department, according to data from NHS England. This was more than triple the equivalent figure for November 2021, when an estimated 10,646 waited longer than 12 hours.

Chris Hopson from NHS England said it was evident that the NHS was “under significant pressure at the moment” which he said could result in patients waiting longer for treatment.

He told BBC Radio 5 Live he feels “deeply uncomfortable” about the level of care sometimes being provided at moments of pressure.

Mr Hopson listed multiple factors that have contributed to pressures on NHS services including:

  • 18% more people coming into A&E in the last six weeks compared to the same period last year
  • Covid patients in England increasing to 9,500 compared to 4,500 a few weeks ago
  • Some 3,750 flu sufferers in hospital beds compared to 520 one month ago
  • Delayed discharges of medically fit patients, which currently stands at 12,000
  • A growing population and a decline in living standards

He said adding all these together left “25,000 of the 100,000 NHS beds” filled with either medically fit patients waiting to be discharged and people suffering with either Covid or the flu.

Mr Hopson also said there were 9,500 NHS staff absent at the moment due to Covid.

However, the chief strategy officer urged people in need of medical attention to “come forward”, but reminded patients to “use the best route” of support.

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Saffron Cordery, interim chief executive of NHS Providers – which represent trusts in England – said the pressure on the NHS was “equivalent” to that of the early stage of the coronavirus pandemic.

She said the causes were coming from “various directions” including a backlog of operations, a worn-out workforce, staff shortages, lack of investment and continued Covid and flu cases.

Mr Cordery told PA news agency there were up to 133,000 staff vacancies across the NHS at the time.

There have been repeated warnings about the staffing crisis facing the health service, which last year was described as the worst workforce crisis in NHS history.

 

Meanwhile, separately nurses and paramedics went on strike in December and the British Medical Association has said it will ballot junior doctors this month. Nurses will again strike in England on 18 and 19 January and ambulance staff in parts of England on 11 and 23 January.

The government says it recognises the pressures being faced, and said it was providing £14.1bn in additional funding for health and social care over the next two years, as well as an extra £500m to try to speed up hospital discharges.

Soldier martyred, four terrorists killed in Bannu operation

RAWALPINDI: A soldier was martyred and four terrorists gunned down in a clash in Khyber Pakhtunkhwa’s Bannu, the Inter-Services Public Relations (ISPR) said on Saturday.

The incident took place when security forces conducted an intelligence-based operation (IBO) in Bannu’s general area of Jani Khel, the military’s media wing said.

When the operation was underway, intense fire exchange took place between own troops and terrorists; however, the soldiers effectively engaged the terrorists’ location, the ISPR said.

As a result, according to the ISPR, not only were four terrorists killed in the process but weapons and ammunition were also recovered from the militants.

“The killed terrorists remained actively involved in terrorist activities against security forces and killing of innocent citizens,” the military’s media wing said.

However, during the exchange of fire, Sepoy Muhammad Wasim (aged 25 and a resident of Khairpur) fought gallantly and embraced martyrdom.

The security forces, following the incident, are carrying out a sanitisation of the area to eliminate any other terrorists found in the area, the ISPR added.

The IBO comes days after militants belonging to the outlawed Tehreek-e-Taliban Pakistan (TTP) overpowered security personnel at a Counter-Terrorism Department (CTD) in Bannu.

The facility was cleared almost three days after the take over but left four soldiers martyred in the process, while 25 terrorists were also killed in the centre.

For the past few weeks, Pakistan has witnessed a fresh wave of terrorism with the most recent spate of terror attacks carried out in Balochistan and Khyber Pakhtunkhwa.

In response, Pakistan Army’s top brass Wednesday resolved to uproot terrorism “without any distinction” as the country battles a fresh wave of insurgency, which has left many soldiers martyred and several others injured.

The National Security Committee (NSC) had also, a day earlier, decided to turn up the heat on the militancy with relentless counter and preemptory measures to neutralise the threats present in the country in any form.

“Terrorists are Pakistan’s enemies and the entire nation is united on the single narrative of standing against terrorism,” the NSC participants were quoted as saying according to a statement from the PM’s Office.

COAS calls for national consensus to defeat terrorism as Pakistan at ‘critical juncture’

Chief of Army Staff (COAS) General Syed Asim Munir said Saturday the ongoing situation demanded national consensus among stakeholders to defeat terrorism and overcome economic challenges.

The army chief’s comments — at the Commissioning Parade of 118th Midshipmen and 26th Short Service Commission held at Pakistan Naval Academy in Karachi — come as Pakistan sees a rise in terrorism.

“Pakistan is passing through one of her most critical junctures and this requires development of national consensus by all stakeholders to sail through the confronted challenges of economy and terrorism,” the army chief told the participants of the event.

In its annual report released today, the Center for Research and Security Studies (CRSS), said Pakistan saw as many as 376 terror attacks in the last year, resulting in increased casualties in the Khyber Pakhtunkhwa (KP) and Balochistan provinces.

For the past few weeks, Pakistan has witnessed a fresh wave of terrorism with the most recent spate of terror attacks carried out in Balochistan and KP.

In response, Pakistan Army’s top brass Wednesday resolved to uproot terrorism “without any distinction” as the country battles a fresh wave of insurgency, which has left many soldiers martyred and several others injured.

The National Security Committee (NSC) had also, a day earlier, decided to turn up the heat on the militancy with relentless counter and preemptory measures to neutralise the threats present in the country in any form.

“Terrorists are Pakistan’s enemies and the entire nation is united on the single narrative of standing against terrorism,” the NSC participants were quoted as saying according to a statement from the PM’s Office.

The ceremony

During the ceremony, he congratulated the commissioning term for successfully completing training and becoming guardians of the maritime frontiers of Pakistan, according to a statement from the Inter-Services Public Relations (ISPR).

While congratulation the term, the army chief also brought attention to the fact that the maritime domain is continuously shifting, the military’s media wing said.

 

 

This change in the domain of the marines, he said, was mainly a result of technological advancement.

COAS stressed the importance of staying up-to-date on technology and added: “Herein, only those navies will prevail and prove effective that would align with professionalism and modern trends of warfare.”

At the parade, Gen Munir lauded the efforts of the Pakistan Naval Academy to impart quality education. He commended them for providing quality not only to Pakistani cadets but to the cadets of friendly countries.

At the end of his address, the army chief shared some words of advice for the young officers present at the parade. He reminded them that as future leaders of the country, they must work to ensure that they lead by their conduct, character, professional acumen and foresight.

Later, Gen Munir gave away several awards to the prize winners, including the prestigious Quaid-i-Azam Gold Medal, which was awarded to Lt Kashif Abdul Quyyom PN for his Overall Best Performance, and the coveted Sword of Honour, which is awarded to Midshipman Naufil Malik for his overall best performance.

The COAS also visited the Malir Garrison where he laid a floral wreath at the Martyr’s Monument and addressed the officers of Karachi Corps, Rangers, and other CAFs.

While speaking to them, General Munir highlighted the need to focus on the profession and demands of modern warfare and directed information operations.

More countries roll out China traveller checks amid COVID surge

BEIJING: Travellers from China now face restrictions when entering more than a dozen countries as concern grows over its surge in COVID-19 cases, with Australia the latest to demand a negative test before arrival.

Last month, Beijing abruptly began dismantling its “zero-COVID” containment policy of lockdowns and mass testing, three years after the coronavirus first emerged in the city of Wuhan.

As COVID overwhelms Chinese hospitals and crematoriums, officials have insisted that the wave is “under control” despite acknowledging that the true scale of infections is “impossible” to track.

Australia’s health minister on Sunday cited Beijing’s “lack of comprehensive information” about COVID cases as the reasoning behind the travel requirement, which will take effect on January 5. The move will “safeguard Australia from the risk of potential new emerging variants,” he said.

In recent days, Canada, the United States, the United Kingdom, France, Italy, Spain, Japan, South Korea and Taiwan have also imposed either a negative COVID test requirement or testing upon arrival for travellers from China.

Canada cited “the limited epidemiological and viral genomic sequence data available” on recent COVID cases in China for its negative test demand.

Meanwhile, Morocco moved to ban all arrivals from China on Saturday, “to avoid a new wave of contaminations in Morocco and all its consequences”.

The flurry of global travel restrictions began as countries anticipated a surge in Chinese visitors after Beijing announced mandatory quarantine for inbound passengers would end on January 8.

The World Health Organisation has called the precautionary measures “understandable” in light of the lack of outbreak information provided by Beijing.

But the European branch of the International Airports Council — which represents more than 500 airports in 55 European countries — said the restrictions were not justified or risk-based.

European countries will meet next week to discuss a joint response to the issue, with incoming EU presidency holder Sweden saying it was “seeking a common policy for the entire EU when it comes to the introduction of possible entry restrictions”.

‘Light of hope’

While a few major Chinese cities seem to be emerging from the current wave of infections, under-resourced smaller cities and rural areas have been hit especially hard.

In response to the outbreak, Taiwanese President Tsai Ing-wen said on Sunday that she is “willing to provide necessary assistance based on humanitarian concerns,” but did not specify what kind of aid might be extended to Beijing, which considers the self-ruled island a breakaway province.

But in his televised New Year address, Chinese President Xi Jinping struck an optimistic note.

“Epidemic prevention and control is entering a new phase… Everyone is working resolutely, and the light of hope is right in front of us,” Xi said in a speech broadcast on state media on Saturday.

It was Xi’s second time commenting on the outbreak this week. On Monday, he called for measures to “effectively protect people’s lives”.

Despite the jump in infections, large crowds still gathered for New Year’s Eve celebrations in Shanghai and Wuhan, although some social media users said the festivities seemed more subdued than in past years.

China on Sunday reported more than 5,100 new infections and one death linked to COVID out of its population of 1.4 billion — but the figures appear to be out of step with the reality on the ground.

The UK has celebrated the new year with firework displays and street parties for the first time fully since the beginning of the Covid pandemic.

Despite wet weather, revellers remained undeterred and took to the streets to usher in 2023.

More than 100,000 people gathered in London for the fireworks display which paid tribute to the late Queen.

And in Edinburgh, the world-famous Hogmanay street party attracted more than 30,000 party-goers to the city.

It was the first time since 2019 that people gathered along the Thames Embankment to watch the 12-minute firework display in London, which the city’s mayor Sadiq Khan said was the biggest in Europe.

As Big Ben rang out to mark the new year, London’s famous skyline exploded into colour with a barrage of fireworks.

The sold-out show in the capital, set to music, featured a voice recording from the late Queen and words from Dame Judi Dench. It then went on to honour King Charles with a message about the need to preserve our planet’s future.

A tribute was paid to the late Queen Elizabeth during London’s fireworks display

 

The show was designed to send a message of “love and unity”, as it highlighted the Lionesses’ history-making Euro win at Wembley, marked 50 years of London’s Pride with a message from Peter Tatchell from the Gay Liberation Front, and sent a message of support to Ukraine.

Music from the display included hits from Stormzy, Calvin Harris, Rihanna and finished with the traditional Auld Lang Syne.

Last year, a smaller display with drones had been broadcast near London’s landmarks.

Partygoers celebrated the new year at the Hogmanay street party

Earlier in the day, the Met Office had issued yellow warnings for rain in the south-west of England and warnings for ice and snow across the Scottish Highlands.

Organisers of the sold-out Hogmanay street party in Edinburgh said it was back in its “rightful home” after three years off due to the coronavirus pandemic.

First Minister Nicola Sturgeon described it as the “first full Hogmanay celebrations in three years”.

In a new year message on Twitter, she wrote: “Thinking back to Hogmanay last year and indeed the year before that, we’re reminded of just how far we have come from the very darkest days of the pandemic.”

Fireworks lit up Edinburgh’s Castle and The Pet Shop Boys headlined the event in Princes Street Gardens.

The street party, which has previously offered 60,000 spaces, was scaled back to just 30,000 tickets.

In Cardiff, families partied in the city’s Winter Wonderland, while people in Belfast celebrated at Europa Hotel’s annual Gala Ball.

But elsewhere, one new year celebration did not take place as a result of an arctic walrus being spotted on the coast.

The walrus was discovered in Scarborough’s town harbour on New Year’s Eve and the council decided to cancel its show after warnings it could cause distress to the animal.

Drones were used to create light displays during the fireworks in London

Prime Minister Rishi Sunak released a video message on social media marking the new year, in which he said he was confident “better times lie ahead” and he wanted people to feel “hopeful” going into 2023.

“I may have only had the job for several weeks at this point, but actually I feel good about the future,” he said.

“I feel positive about the change that we can bring so that we can improve everyone’s lives, so that we can deliver the peace of mind that people are looking for in the here and now.”

Mr Sunak’s video address struck a more upbeat tone than an earlier message when he said the UK’s problems will not go away in 2023.