NHS Chief Calls For Quality Seven-Day Service

Hospitals in England could face multi-million pound fines if they fail to maintain standards seven days a week, the NHS's medical director has warned.

Sir Bruce Keogh is set to announce his recommendations after a year-long inquiry into NHS care, amid concerns over higher death rates for patients treated on Saturdays or Sundays.

He told the Sunday Times a seven-day NHS "would undo more than 50 years of accumulated custom and practice which have failed to put the interests of patients first".

The obligation to run a full service 24/7 will be written in to hospital trusts' contractual agreements, with breaches leading to potential fines of up to 2.5% on budgets that can be more than £500m.

Sir Bruce will also publish clinical standards, which set out the level of care that patients can expect in any NHS hospital at the weekend.

He added: "Two things are key to this. One is the availability of diagnostic tests at the weekend, because the key to treating somebody is a diagnosis.

"Then you need someone experienced to interpret those tests and to institute the right treatment." 

Sir Bruce plans to end the practice of junior doctors staffing hospitals at weekends without consultants present and hospitals that fail to adapt will face losing the right to use junior doctors altogether.

He said: "Historically at the weekend our service has been delivered largely by junior doctors in training and now we are changing that."

The practice of junior doctors staffing hospitals at weekends could end

The intention is that within three years all patients admitted as an emergency at the weekend will be seen by a consultant within 14 hours.

Those already in hospital at the weekend will have their condition reviewed by a consultant every 24 hours, while routine surgery will be available at weekends for minor conditions such as hernias.

X-ray, ultrasound, CT and MRI scans will carry on at the same level as during the week, while heart checks, biopsies and blood tests will also be available seven days a week.

The hospital support network of pharmacies, physiotherapy and occupational therapy will run every day.

Sir Bruce said the NHS lacked compassion by failing patients at the weekend. "People are still kept waiting at the weekend for a diagnosis. We have a system that is not built around the convenience of patients and is not compassionate to patients for part of the week.

"Why should somebody have to take time off work, why should someone else have to take time off work to take them to and from hospital, when, if they were to have their operations on a Saturday, they could spend Sunday recovering and, in many cases, get back to work sooner?"

The inquiry team believe the change will cost about 2% of the NHS's annual operating bill of £97bn, but could be less after potential savings.

Blood tests, heart checks and biopsies would be available seven days a week

Critics suggest the cost could be billions more, but Sir Bruce believes the system of having theatres, consulting rooms and recovery wards lying empty at the weekend could be tackled to cut costs.

The BMA said it supports high quality seven-day patient care.

A spokeswoman said: "Doctors firmly believe that patient outcomes should not be affected by what day of the week they fall ill.

"The BMA is in discussions with the Government on how to develop working patterns which deliver more services across seven days while safeguarding the need for a healthy and productive work-life balance for doctors.

"This is a complicated problem, which will not be easily resolved by one single 'quick fix' solution."

Health Secretary Jeremy Hunt said: "Patients should be at the heart of the NHS and be able to depend on it every day - not just Monday to Friday.

"I want the NHS to expand to provide seven-day services so that more patients get the right care, when they need it. It is great news that Sir Bruce Keogh will be setting out his plans for the NHS to provide seven day services."

Labour shadow health secretary Andy Burnham said: "This idea is right in principle but, with the NHS in increasing financial distress, the Government must set out clearly how it will be paid for."

:: Watch NHS medical director Sir Bruce Keogh live on Sky News at 11am on Sky channel 501, Virgin Media channel 602, Freeview channel 82 and Freesat channel 202.

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Lynne Spalding: Lawyer Denies Alcohol Claim

A lawyer for a British woman found dead in a locked stairwell at San Francisco General Hospital is disputing a coroner's report that her death was probably related to "chronic alcohol abuse".

Lynne Spalding, 57, disappeared from her hospital room on September 21 but her body was not found until 17 days later on October 8.

Assistant medical examiner Ellen Moffat said in a new report that the mother-of-two had been dead for days before the discovery and probably died of "a chemical imbalance due to complications from chronic alcohol abuse".

Ms Spalding was confused and delirious on the day she disappeared and she did not know the day or time or even why she was in the hospital, Ms Moffat added.

But attorney Haig Harris insisted Ms Spalding's death was not related to alcoholism and that she had died of starvation or dehydration.

He told the San Francisco Chronicle that the mention of alcoholism "demeans the memory of this woman, without telling us when she died, how long she was out there suffering".

A spokesman for Ms Spalding's family, David Perry, has also denied she had a drinking problem.

Ms Spalding, originally from Peterlee, Co Durham, had been admitted for a bladder or urinary tract infection and arrived at the hospital thin and frail with her children worried about her condition.

Ms Spalding was found dead in a stairwell at San Francisco General Hospital

Although sheriff's deputies at the hospital did a "perimeter search" of the hospital's 24-acre campus within an hour of her disappearance, it was not until September 30 that they attempted a more extensive search of the grounds.

The next day, after it became clear that not all the stairwells used as fire exits had been searched, a supervisor ordered the stairwell searches to continue, yet "only about half the stairwells" ever were, Sheriff Ross Mirkarimi said.

Ms Spalding's friends and relatives spent days scouring the streets of the Californian city with flyers because they were "under the assumption that San Francisco General had been searched and Lynne was not here".

On October, 4 a hospital staff member told the sheriff's department that someone had reported seeing a body in a locked stairwell of the building where Ms Spalding had been a patient.

A sheriff's dispatcher told hospital officials the department would respond, but there was "no indication that any one was dispatched to that stairwell".

Ms Spalding had lived in the city for more than 20 years and had two grown-up children, a 19-year-old son and 23-year-old daughter, who both live in the US.

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Jayden Parkinson: Police Launch Murder Inquiry

Police investigating the disappearance of teenager Jayden Parkinson now believe she was murdered.

Jayden, 17, from Oxford, was last seen leaving Didcot Parkway train station at 4.27pm on December 3 - and did not return home that evening as planned.

In a news conference, Detective Chief Superintendent Andy Murray revealed that police have upgraded the case to a murder investigation and are looking for a man who was seen in an open field near Upton on December 9 at 2am.

"The father in me would like to think that Jayden is still out there, but I'm afraid the detective in me leads me to conclude that Jayden may well have been murdered," said Mr Murray. 

Jayden Parkinson has been missing for 12 days

The man spotted in Upton was carrying a large suitcase in the rural area and notably struggling to "manage" the heavy case.

"This man was having difficulty wheeling that suitcase," said Mr Murray.

He said the same man was seen in Didcot around 30 minutes later with the same suitcase, and police are appealing for sightings of the man or the case. 

The man is described as a white male in his early 20s, with short dark hair and of medium to slim build. 

The case was approximately 3ft long and 2ft wide, likely a pale blue colour, and had an extendable handle and wheels, said Mr Murray. 

A Sky graphic of the man and suitcase based on police descriptions

Police said a recycling bin has been recovered as part of the investigation from the former Crown Pub in Queensway in Didcot. 

An address in Abbott Road, Didcot, is also cordoned off by police while a search is carried out on the property.

Thames Valley Police are currently holding two people - a 22-year-old man and 17-year-old boy - in relation to the case.

Police said earlier this week that the 22-year-old was in a relationship with Jayden. 

Jayden was living with her mother in Didcot until November this year, when she found herself homeless.

Didcot and Upton

The teenager relocated to an Oxford service called One Foot Forward, which offers assisted and supported accommodation for young people.

Police said Jayden has made no financial transactions, or accessed the internet or her phone since she went missing 12 days ago.

A team of 50 detectives are currently assisting with the case and specialist teams will be scouring the Upton area for the next week.

Anyone with information has been urged to contact Thames Valley Police on 101 and quote URN 542 10/12, or Crimestoppers anonymously on 0800 555 111.

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UK Plans Cap On EU Immigrants - Leaked Report

The number of people allowed to move to the UK from European Union countries could be capped at 75,000 under proposals set out by the Home Office, it has been claimed.

A leaked Government report on the effect on Britain of the EU's policy allowing free movement of people suggests a cap could cut net migration from EU countries by 30,000 from the current 106,000 a year.

The document, seen by The Sunday Times, also suggests blocking EU immigrants from claiming benefits or tax credits for their first five years in the UK.

The proposals would mean professionals and highly-skilled migrants from countries such as Germany, Holland or Austria could only move to the UK if they had a job offer.

Lower-skilled workers would be allowed to settle if they had jobs on an approved list of occupations for which there was a national shortage.

The leaked open borders review was overseen by Home Secretary Theresa May as part of the Government's assessment of the balance of powers between the UK and Brussels.

Other proposals in the paper include giving British citizens a "national preference" by explicitly reserving jobs for them and limiting labour movement from poorer countries joining the EU to the UK until their GDP is 75% of Britain's.

Prime Minister David Cameron on Saturday said tougher controls on freedom of movement within the EU will be needed in the future and suggested a GDP-based restriction.

The report was overseen by Home Secretary Theresa May

He said: "When other countries join the European Union we should be insisting on longer transitions and perhaps even saying until you reach a proper share of an average European Union GDP you can't have freedom of movement.

"The reason for that is if you look at migration between Britain and Germany or France and Germany, countries of pretty even GDP, the movements are pretty much balanced.

"Its only when you have a real imbalance when you have a poor country and a much wealthier country that you get these vast movements."

But any attempt to challenge free movement rules is likely to face resistance in Europe.

European Commissioner Laszlo Andor recently hit out at British politicians' comments about the lifting of restrictions on Bulgaria and Romania at the end of this month, saying on Twitter: "Responsible politicians should avoid legitimising xenophobic reactions that indeed weaken the European spirit."

He also served notice that the UK could be taken to court over existing proposals to tighten the rules on migrants claiming benefits.

Asked about the report, a Home Office spokesman said: "We do not comment on leaked documents."

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Lynne Spalding Death Linked To Alcoholism

A British woman found dead in a locked stairwell 17 days after going missing from her San Francisco hospital room probably died of a chemical imbalance due to complications from alcohol abuse, a coroner has said.

Lynne Spalding, 57, disappeared from the city's general hospital on September 21 but her body was not found until October 8.

Assistant medical examiner Ellen Moffat said in a new report that the mother-of-two had been dead for days before the discovery.

The medical examiner's office said Ms Spalding was confused and delirious on the day she disappeared.

Ms Moffat said Ms Spalding, originally from Peterlee, Co Durham, didn't know the day or time or even why she was in the hospital.

She had been admitted for a bladder or urinary tract infection and arrived at the hospital thin and frail with her children worried about her condition.

San Francisco General Hospital

Although sheriff's deputies at the hospital did a "perimeter search" of the hospital's 24-acre campus within an hour of her disappearance, it was not until September 30 that they attempted a more extensive search of the grounds.

The next day, after it became clear that not all the stairwells used as fire exits had been searched, a supervisor ordered the stairwell searches to continue, yet "only about half the stairwells" ever were, Sheriff Ross Mirkarimi said.

Ms Spalding's friends and relatives spent days scouring the streets of the Californian city with flyers because they were "under the assumption that San Francisco General had been searched and Lynne was not here".

On October 4 a hospital staff member told the sheriff's department that someone had reported seeing a body in a locked stairwell of the building where Ms Spalding had been a patient.

A sheriff's dispatcher told hospital officials the department would respond, but "there is no indication that any one was dispatched to that stairwell".

Ms Spalding had lived in the city for more than 20 years and had two grown-up children, a 19-year-old son and 23-year-old daughter, who both live in the US.

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Belfast Bomb Was 'Attempt To Injure Or Kill'

A bomb which exploded in the centre of Belfast where hundreds of people were packed into bars and restaurants had the potential to kill, police have said.

The blast in the city's bustling Cathedral Quarter has been blamed on dissident republicans opposed to the peace process.

Christmas partygoers were evacuated when the device detonated just before 7pm on Friday evening. There were no reports of any injuries.

Chief Superintendent Alan McCrum said the bombing had been a totally reckless attack that could have killed or maimed anyone nearby when the device went off.

"This was an attack on the people of Belfast going about their normal lives on a busy night for socialising in the city. This attack ruined the night out for these people., " he said.

"Those who carried out this attack have nothing to offer except disruption and destruction. Police would appeal for continued community support and vigilance on the run up to Christmas in seeking to disrupt or deter any further attack on the city."

Hundreds of people were evaucated. Pic: Mark Ashbridge

A warning had been given about a device, however it was left at a different location to that named in a call to a newspaper.

It is understood the device was contained in a box that was left on a pavement in front of a busy restaurant.

Stormont's Justice Minister David Ford said the blast was an "attempt to kill or injure innocent people".

"The people carrying out these attacks have set out no reason and explained no cause for their acts of senseless violence. Their only aim seems to be to injure and disrupt. They ignore the strength of public support for normality and peace, especially at this Christmas season."

Security has been ramped up in the city since a man was forced by masked dissidents to drive a car bomb to a shopping centre that faces a police station last month. That 60kg (132lb) device only partially exploded and no-one was injured.

While the threat posed by the violent extremists has remained classed as severe, police have acknowledged a "surge" in activity has taken place in recent weeks.

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Boy, 11, Sexually Assaulted On Country Lane

An 11-year-old boy was sexually assaulted as he walked along a country lane in Wendover, Buckinghamshire, police have said.

Thames Valley Police said the attack by a man believed to be in his 40s happened at around 4.40pm on Friday.

The schoolboy was walking along Bacombe Lane, close to a bridleway, when the man approached him.

He was sexually assaulted before being able to run away.

Detective Inspector Ben Gasson said: "I am appealing for anyone who saw a man matching the description or anyone seen acting suspiciously in this area to contact police.

"The victim was not hurt during the incident but has understandably been left shaken.

"Incidents of this nature are extremely rare and are investigated thoroughly however if anyone has any concerns they can call their local neighbourhood team via our non-emergency number 101."

Neighbourhood patrols are taking place in the area and inquiries are ongoing.

The offender is described as a white man aged approximately 40, with stubble on his face.

He was wearing a grey and black diamond-patterned hooded top, dark blue jeans and black shoes.

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Portsmouth Shipyard Job Losses: Protests

By Alex Rossi, Sky News Correspondent

Hundreds of people are expected to take to the streets of Portsmouth this morning to protest against job losses by defence giant BAE Systems.

It was announced last month that more than 900 jobs are being axed, ending shipbuilding in the historic naval city for good.

Lisa Fletcher, a community support officer for Unite, says the job cuts are a disaster not just for Portsmouth, but for the entire Solent region.

"It's not just about the jobs ... it's going to affect the industries in the pubs, restaurants, schools even and transport, " she told Sky News.

According to the local university, for every 100 jobs lost in shipbuilding a further 66 are lost in the wider economy in pubs, restaurants and other service industries.

BAE systems and the Government claim warship building in the UK needs to be consolidated into one site on the Clyde in Scotland if it is to remain sustainable.

And although maintenance and repairs will remain in Portsmouth, the end of shipbuilding is a massive blow to a city steeped in maritime history - ships have been built in Pompey for more than 500 years.

HMS Duncan was built at Portsmouth dockyards

Workers at the BAE dockyard are apprehensive about the future.

Geoff Collins, a shop steward and pipe worker, is still coming to terms with his imminent redundancy. He fears at the age of 63 he will never find work again.

"It's taken the wind out of my sails really, slowed me right up. Thinking what's going to happen next. And what's going to happen for the younger generation with the skills ...?"

But trade union leaders believe the fight for shipbuilding in Portsmouth is not over yet.

They hope the Government will have a change of heart and instead elect for a three-dock solution which would also mean fewer job losses at the shipyards in Scotland that have also been affected.

Prospect negotiator John Ferrett hopes the decision will be reversed: "We believe that there is a solution, whilst that would mean job reductions right across the three yards, we believe we would be able to retain the capability."

The redundancies will begin as the work on two aircraft carriers finishes.

If the decision is not changed, people in Portsmouth fear centuries of shipbuilding will be sunk forever.

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Food Poverty: 1.5m UK Pensioners Struggling

By Ashish Joshi, Sky News Correspondent

More than 1.5 million British pensioners are now living in food poverty - and the situation is set to worsen this winter, according to new research.

The Centre for Economics and Business says a quarter of over-65s have had to make cutbacks on food over the past three years, and over one million are malnourished or at risk of malnutrition because they are struggling to afford basic nutritious food.

The reason is that while the cost of living has continued to rise, incomes have not kept pace.

Increasing food prices in particular have hit the elderly the most.

The study shows over-65s will spend an average of £699 on food between October and December this year - that's an increase of £138 compared to the same quarter five years ago.

And by 2018 there will be an additional increase of £297 on top of that bill. It all adds up to the over-65s being harder hit than any other demographic.

Members describe the lunch clubs as a lifeline

Raina Barnes, 82, from Perivale, Middlesex, has been attending the Age Concern lunch club in Greenford for the past few months. Hot meals and warm company are provided by the charity.

Mrs Barnes, who was widowed last year, remembers when a £30 shop would easily last a few weeks. These days, she says, you get "hardly anything" for that amount.

"I think the supermarkets are taking us for a ride. One minute they're putting their prices down. The next they're going higher. You've only got a certain amount of money to spend," she says.

"All the basics like bread, milk and eggs are the things you need all the time. I mean eggs have just gone up terrible. You just have to see how it goes."

Sharing the dinner table with Mrs Barnes is 88-year-old Harry Thomas, a World War Two veteran. Mr Thomas says he shops around to compare the best prices in local supermarkets.

"It's a very hard thing these days for people, the price of things. You go to one shop and the price might have been dropped and you go to another and the price goes up a little bit.

"You never know what to buy. All I do is look at the price and say 'too high' and I don't bother."

Danny Woolcott, 87, has been a regular at the lunch club for more than six years. The retired mechanic, from Southall, visits three times a week.

He blames the Government for "letting pensioners down".

"I would like to see any government looking after the elderly people of this country.

"The people who brought this country along are being neglected badly and I think it's disgusting the way things have been left, honestly and truthfully."

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Migrants Told 'Speak English Or No Benefits'

Migrants who cannot speak English well enough to get a job face being denied benefits under a new tougher test, the Work and Pensions Secretary has said.

The upgraded test for migrants who want to claim income-related benefits will be rolled out across Jobcentres this week.

Those applying will have to answer more individually tailored questions, provide more detailed answers and submit more evidence before they can claim.

For the first time migrants will be quizzed about whether their English language skills will be a barrier to them finding employment and about what efforts they had made to find work before coming to the UK.

Officials will have 200 questions to choose from when assessing claimants - 100 more than previously.

Iain Duncan Smith said: "It is vitally important that we have strict rules in place to protect the integrity of our benefits system.

"The British public are rightly concerned that migrants should contribute to this country and not be drawn here by the attractiveness of our benefits system.

"And we are taking action to ensure that that is the case.

"The roll-out of the new habitual residence test is the first in a series of measures to ensure that we have a fair system: one which provides support for genuine workers and jobseekers, but does not allow people to come to our country and take advantage.

"It is a crucial part of our long-term plan to secure Britain's economy."

Iain Duncan Smith says the public is 'rightly concerned' about immigration

Britain is already in a legal battle with the European Commission which says that it unlawful to test immigrants before they can claim benefits.

It comes amid concerns over an influx of Romanians and Bulgarians next month when they will be entitled to come to the UK for work and will be able to claim benefits like other EU citizens.

The Prime Minister was accused of "hysteria" and turning Britain into the "nasty country" last month when he announced new measures that would bar EU migrants from claiming out-of-work benefits, such as jobseeker's allowance, for their first three months in the UK.

Labour's shadow welfare minister Chris Bryant said: "For generations, people have come to this country and worked hard to contribute to Britain, but the principle of contribution is an important one, and the controls on immigration must be fair to those who live here.

"That is why Labour called for stronger restrictions on benefits for new arrivals from the EU, including proposals eight months ago to strengthen the habitual residence test to make it clear that people should not be able to claim benefits when they first arrive.

"At the time, the Government dismissed those proposals, but eight months later they have changed their minds and keep re-announcing their proposals.

"Yet the Government are still doing nothing to tackle the serious problem of low-skilled migrant workers being exploited, undercutting local workers and responsible businesses too.

"That is bad for everyone, yet they are doing nothing about it."

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