Health
England’s busiest A&E department overwhelmed by flu patients, with hundreds arriving daily
A team from the BBC has visited Leicester Royal Infirmary to observe the hospital’s response to a seasonal increase in winter-related illnesses.
England's busiest emergency unit reaches full capacity by midday, with all beds occupied.

At Leicester Royal Infirmary's acute unit, a rapid turnover of patients is evident, as cleaning staff promptly prepare rooms for new arrivals, using bleach to sanitize the areas.
The moment a patient vacates a room, hospital staff swiftly prepare it for the next person, who is often already waiting to be admitted.
The BBC observed the hospital's operations over a two-day period, gaining insight into its response to the early onset of winter bug cases.
This year's flu season has commenced a month earlier than usual, with experts warning of a potentially more severe strain of the virus, known as mutated H3N2, currently circulating.
Hospitals nationwide, including Leicester Royal Infirmary, are taking measures to prevent being overwhelmed by the surge in winter bug cases.
Staff at the Royal Infirmary report that the increasing number of patients with flu and other winter illnesses, combined with existing pressures, is significantly impacting the hospital's resources.
Hospital staff are concerned about their ability to cope with the demands of the upcoming winter months.
Upon arrival at the hospital by ambulance, 19-year-old Paige is placed on a trolley while a resus bed is prepared for her; she is suffering from the flu and has dangerously high sugar levels due to her type 1 diabetes.
Consultant Saad Jawaid notes that every cubicle is occupied, and another ambulance has just arrived, as Paige is wheeled into the resus unit.
The consultant and his colleagues work to find available bed spaces, highlighting the challenges faced by the hospital in managing patient flow.
According to Consultant Jawaid, when beds are fully occupied, patients who are able to sit are sometimes relocated to chairs to free up bed space for more critical cases.
Paige receives insulin and fluids to stabilize her sugar levels, and doctors hope to bring her diabetes under control soon, although recovery from the flu will take longer.

The following day, Paige is transferred to a side room on the acute assessment unit, where she reflects on her experiences.
Paige mentions that she struggles significantly during the winter months, having been hospitalized two or three weeks prior due to infections that affect her more severely than usual.
The number of flu patients in English hospitals has reached a record high for this time of year, prompting NHS leaders to warn of an unprecedented flu season.
During its busiest periods, the emergency unit at Leicester Royal Infirmary saw over 1,000 patients per day last winter; on one of the days the BBC visited, 932 patients were treated, with this number expected to increase in the coming weeks.
Attendance levels at the unit are approximately 8% higher this year compared to the previous year, with a daily shortage of between 50 to 70 beds.
Currently, around 64 beds at the Royal Infirmary are occupied by patients with respiratory viruses, including flu.
The BBC spoke with patients who experienced significant delays in receiving a bed on a ward, including one who waited 106 hours and another who waited 34 hours.
By late afternoon, the children's waiting area is fully occupied, with parents standing and trying to comfort crying babies as all seats are taken.

Cases of flu and bronchiolitis, a condition affecting the lungs of young patients, are increasing rapidly at the hospital.
Within a 30-minute period, 30 children arrive at the department, placing additional pressure on hospital resources.
Five-month-old Oscar is experiencing his first winter and first visit to A&E, having been brought in by his mother due to wheezing and breathing difficulties; he is later diagnosed with bronchiolitis.
Oscar's mother attributes his illness to his older brother, who brought the bug home from school, highlighting the ease with which these illnesses spread.
Richard Mitchell, chief executive of University Hospitals Leicester NHS Trust since 2021, has witnessed the increasing challenges faced by the hospital during each successive winter.
Mitchell expresses concern about the high levels of flu cases, anticipating that numbers will continue to rise into January, which is one of the many issues currently worrying him.
At present, he feels that the hospital is operating at the limits of its capacity.
In response to growing pressure on front-line services, the hospital has introduced a new system to manage patient flow at its emergency department.
A team of staff, including receptionists, nurses, and consultants, are now based at the entrance, assessing patients as they arrive to expedite the triage process.
This approach enables the hospital to quickly direct patients away from the front door and ensure that those in greatest need receive urgent care.
Hospital staff report that the range of cases has become increasingly polarized, with some seriously ill patients being driven to the hospital by relatives due to long ambulance wait times.
Conversely, some patients present with minor complaints, such as cold sores, after struggling to secure GP appointments.
Experienced staff can redirect patients with non-urgent conditions, helping them to book GP appointments or access alternative services; currently, one in 10 patients are sent away, although this can lead to frustration.
Following a violent incident, the hospital has enhanced security measures, including the installation of glass screens and the presence of 24-hour guards.
Leicester Royal Infirmary has introduced new measures annually to boost capacity and manage rising demand, as winter pressures continue to grow and the traditional quieter summer months become a rarity.
To reduce ambulance queues, the hospital has converted prefabricated structures into a permanent unit with 14 beds, all of which were occupied during the BBC's visit, thereby preventing 14 ambulances from queueing for hours.
Unlike many hospitals, Leicester's emergency unit does not have a disproportionate number of elderly patients, as frail patients are directed to specialist areas, such as a frailty unit, or supported in the community to minimize hospital stays.
The trust's acquisition of Preston Lodge, a former care home, has resulted in the provision of 25 beds, with an additional 14 beds scheduled to become available on December 15. This facility serves as a transitional space for patients who no longer require acute care but still need rehabilitation or support while awaiting care packages.
According to Emma Roberts, head of nursing, the primary objective is to ensure patients are adequately prepared for discharge and empowered to maintain their independence, thereby reducing the likelihood of repeated hospitalizations during the winter months.
Mr. Mitchell anticipates that the coming weeks will bring increased waits and delays for patients, exacerbating existing challenges.
In preparation for the first week of January, typically the busiest period of the year, the hospital plans to allocate additional emergency beds, which will necessitate the postponement of other operations and procedures.
Mr. Mitchell acknowledges that providing timely care to all patients this winter will be unfeasible, but emphasizes the commitment to treating patients with dignity and respect, ensuring safe care, and implementing strategies to manage waiting times.
Hospital leaders are adopting a proactive approach, seeking to mitigate crises rather than merely responding to them. However, both staff and patients caution that the healthcare system is under significant strain, with many believing it is nearing a breaking point.
The Department of Health and Social Care has issued a statement recognizing the challenges posed by the upcoming winter season, acknowledging that it will be a difficult period for the NHS.
A department spokesperson noted that the rising incidence of flu cases underscores the importance of vaccination. This autumn, nearly 17 million vaccines have been administered, representing an increase of 350,000 compared to the same period last year.
The spokesperson emphasized that there is no national shortage of the flu vaccine and encouraged all eligible individuals to get vaccinated to protect themselves and their loved ones.
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Health
Study Explores if Brain Stimulation Can Reduce Selfish Behavior
Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.
Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.
The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.
According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.
Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.
The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.
Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.
However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.
Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.
This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.
These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.
When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.
The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.
One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.
The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.
The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.
Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.
Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.
By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.
Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.
The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.
Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.
Health
NHS Workers to Receive 3.3% Pay Increase
Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.
The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.
Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.
However, several health unions have expressed disappointment with the announced pay award.
Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.
Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."
She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."
Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.
The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".
Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."
Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."
"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.
In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.
A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."
The pay increase is expected to be implemented by the start of April.
However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.
The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.
Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.
Health
NHS Waiting List Hits Three-Year Low
In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.
England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.
However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.
In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.
This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.
According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.
Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.
Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.
Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.
Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.
Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".
Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.
Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.
A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.
Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.
According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.
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