A regional breakdown of response times for ambulances across England.
One of the biggest problems is that hospitals can't take the patients ambulances bring to A&E fast enough as they are already chockablock.
Freddy Cooke underwent radical 'cooling treatment' to prevent brain damage. His Mum is leading a drive to raise awareness of the treatment.
Attendance at Accident and Emergency departments in England has risen by 11% over the past four years, according to data published by the Health and Social Care Information Centre (HSCIC).
Driving the increase was the number of admissions to minor injury units, which has risen at 11 times the rate of population.
The HSCIC's Focus on Accident and Emergency report found over 60,000 per day use A&E services in England and there were 22 million in 2012/13.
NHS England welcomed the report, saying, We know that A&E services are under increasing pressure ... We know that systemic change is needed across our urgent and emergency care system".
Over the past 10 years, 1,158 care home residents died of thirst or while suffering from severe dehydration - an average of almost 10 people a month - according to a report by The Daily Telegraph.
Here are some symptoms of severe dehydration, according to the NHS:
- Low level of consciousness
- Dry mouth, eyes that don't produce tears
- Not passing urine for eight hours
- Dry skin that sags slowly into position when pinched up
- Rapid heartbeat
- Blood in stools/vomit
- Low blood pressure
- Sunken eyes
- Weak pulse
- Cool hands and feet
– Gary FitzGerald Chief Executive, Action on Elder Abuse
It is appalling that frail vulnerable people can die from a lack of basic sustenance in the heart of care provision.
This is a major scandal that should never have occurred, and all levels must bear some responsibility, including care providers, regulators and the Government. The quality and safety of care of our older people has been an afterthought for too long.
What we need is a Cabinet-led strategy that makes this a major priority for change. We cannot go on like this.
As a report reveals more than 1,000 British care home residents over the past decade died of thirst or while suffering from severe dehydration, we look at some recent cases.
- Norma Spear, 71, died in September 2010 after losing 35lbs in five weeks in Druids Meadow care home, Birmingham. An inquest found dehydration played a part in her death.
- Josephine Cunningham, 86, won compensation from Care UK in 2011 after being left badly dehydrated at Appleby House, Epsom.
- Gloria Foster, 81, died in February 2013 after being left nine days without food, following the closure of her care provider Agency Carefirst24, which shut with no replacement, a report by Surrey Safeguarding Adults Board found.
- Siegfried Jaeckel, 84, died on Christmas Day 2010 at St Andrew's Lodge care home, Nottingham, with the nature of his death prompting a council enquiry. Deputy Coroner for Nottingham Heidi Connor said the cause of death was pneumonia, but that dehydration had contributed to this.
Care and support minister Norman Lamb said care failings that contribute to people being malnourished or dehydrated are "entirely unacceptable".
– Care and support minister Norman Lamb
The law requires that care homes must ensure residents receive enough to eat and drink and we expect the Care Quality Commission to take swift action when this is not the case.
We want everyone to get better care, which is why the CQC are bringing in new rules so that it can crack down on poor care more effectively and why we're taking action so that company directors will be personally responsible for the quality of care their organisation provides.
A charity has warned that an improvement in training for care home staff was necessary to look after patients.
The warning comes after figures published in The Daily Telegraph showed that over 1,000 care home residents had died of thirst or while suffering from severe dehydration in the past decade.
– Dr Alison Cook, director of external affairs at the Alzheimer's Society
It makes you sick to the stomach that you are handing your loved ones over with even the remotest possibility they could starve to death or die of thirst.
There is a real need for better training for those who are looking after elderly and vulnerable people. But even more important is allowing people the time to really care for someone.
Over the past decade more than 1,000 care home residents in England and Wales died of thirst or while suffering from severe dehydration, The Daily Telegraph reports.
Some 1,158 care home residents suffered dehydration-related deaths from 2003 to 2012, figures obtained by the newspaper showed.
Dehydration was noted on death certificates as either the main cause of death or a contributory factor, according to the newspaper.
Some 318 care home residents died from starvation or when severely malnourished over the same period, and 2,815 deaths were related to bed sores.
The figures showed that more people died while dehydrated last year than when the coalition came to power in 2010, but the number was lower than the 2006 peak.
Charities have used World Aids Day to call for more to be done to encourage people to get tested for HIV.
It comes as the number of those living with the virus in the UK reaches 100,000, and the reason the virus is spreading faster than it ever has before is because of the the amount of people, estimated at around 20,000, who are unaware of their infections.
Joanna Simpson reports.
The number of people diagnosed with HIV in the UK has reached a record high, passing 100,000 for the first time, the Terrence Higgins Trust said.
Though the number is "worryingly high" according to Paul Ward from the Terrence Higgins Trust, it is better to have people diagnosed and getting the world class treatment available in the UK, than continuing unaware of their infection.