Minister confuses people and cases on the NHS waiting list
The Treasury and Department for Work and Pensions minister Emma Reynolds said on BBC Radio 4’s Any Questions? on Friday: “The situation that we inherited which is seven and a half million people waiting on waiting lists for operations.” [27:30]
This mixes up the number of people on the NHS England waiting list with the number of cases—a common mistake we’ve seen many times before, and which our AI tools have spotted at least 50 times in the past year.
In fact, in July 2024, the month of the general election, there were about 6.4 million people on the waiting list, according to non-emergency referral-to-treatment (RTT) data, in a total of about 7.6 million cases. Some people are waiting for treatment for more than one thing, so there are always more cases than people.
Cases on the waiting list are also not necessarily waits “for operations”, as Ms Reynolds said. Although some people will be admitted for surgery, others may receive medicine, equipment or advice to help with their condition, or a decision might be taken to monitor their progress, or not to treat them at all.
NHS England’s RTT data doesn’t cover everyone waiting for any kind of NHS service, but it’s what people usually mean by “the waiting list”. Survey data collected by the Office for National Statistics last winter found that about 25% of adults in Great Britain were “currently waiting for a hospital appointment, test, or to start receiving medical treatment through the NHS”.
We approached Ms Reynolds for comment.
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What’s the law on spiking?
We’ve seen some confusion online following Prime Minister Sir Keir Starmer’s claim today that “spiking will be made a criminal offence”, with some commentators saying this is already the case or accusing him of “sloppy and misleading” wording.
‘Spiking’ involves adding either alcohol or drugs to drinks without the drinker’s knowledge or consent (‘drink spiking’), or injecting someone with drugs or another substance without their knowledge or consent (‘needle spiking’).
As this Home Office fact sheet from last December makes clear, spiking is already a crime. The government’s announcement today suggests that spiking will become a specific offence—though that wasn’t made clear in Mr Starmer’s post on X.
Currently spiking may be prosecuted under a number of existing laws, including:
- Offences against the Person Act 1861
- Sexual Offences Act 2003
- Criminal Justice Act 1988.
However, none of these laws include a specific offence of ‘spiking’ or appear to directly use the term. Instead, spiking can currently be prosecuted under a number of broader offences, such as “maliciously administering poison” so as to endanger life or inflict grievous bodily harm or “administering a substance with intent” to engage in a non-consensual sexual activity.
Speaking to ITN, the minister for safeguarding and violence against women and girls Jess Phillips MP said: “Currently spiking sits across various different pieces of legislation and isn’t necessarily that easy to spot and also charge in criminal law, so we’re going to introduce a new crime of spiking.”
In response to claims that difficulties in tackling spiking did not stem from inadequate legislation, Ms Phillips told BBC Radio 4’s Today programme [starts 1:36:00] that “new legislation in and of itself won’t necessarily change anything” but that the government was also announcing changes to the way police and bar staff deal with spiking incidents.
In a report on spiking published in December 2023 the previous government decided not to create a new “bespoke” offence, but did commit to amending its Criminal Justice Bill to “modernise the language of the current offence(s) which may help increase public awareness of the illegality of spiking and encourage the reporting of such incidents”.
These changes were introduced in January 2024, but the Bill did not pass ahead of the general election.
The commemorative poppy originated in a poem about fighting in Belgium, not the UK
An article in the Independent today said: “During World War 1, parts of the UK’s countryside were destroyed amid bombing and fighting. But bright red poppies flourished in the muddy fields and inspired a poem by Canadian doctor, Lieutenant Colonel John McCrae.”
The article goes on to say that this poem, In Flanders Fields, inspired the adoption of the poppy as a symbol of remembrance.
This is correct, according to the Royal British Legion, except of course the poem is not about fighting in the UK countryside, but in Flanders, which is part of Belgium. (Others made this point on social media.)
Although the UK was one of the belligerents, and thousands of people in the UK were killed or wounded in air raids, the first world war was primarily fought in other countries.
The Independent quickly corrected the article following contact from Full Fact.
Josh MacAlister corrects waiting list claim
Josh MacAlister is the first MP newly elected in 2024 to correct an error following a request from Full Fact.
Full Fact’s AI tools detected a message on Mr MacAlister’s Facebook page on 29 October that inaccurately said “over 7.5 million people” were waiting for NHS treatment when the Conservatives left office. After we contacted Mr MacAlister, he corrected the figure.
According to data provided by NHS England, there were 7.6 million cases involving about 6.4 million people waiting for treatment when the Conservatives left office. Some patients await treatment for more than one thing, as our explainer on NHS waiting lists shows.
Our AI has detected over 50 claims confusing waiting lists data on patients and cases in the last year.
We’re very grateful to Mr MacAlister for making the correction.
What are the rules on foreigners volunteering in US elections?
Former president and current Republican presidential candidate Donald Trump’s campaign has filed a complaint to the US Federal Election Commission (FEC), in response to reports of current and former Labour party staff preparing to campaign in support of Vice President and Democratic presidential candidate Kamala Harris ahead of the upcoming US presidential election.
The letter from Mr Trump’s campaign calls for “an immediate investigation into blatant foreign interference in the 2024 Presidential Election in the form of apparent illegal foreign national contributions made by the Labour Party of the United Kingdom and accepted by Harris for President, the principal campaign committee of Vice President Kamala Harris”.
It comes after Labour’s head of operations reportedly wrote in a LinkedIn post (since deleted) that “nearly 100 Labour party staff, current and former” were heading to the US to campaign in swing states ahead of the election on 5 November. The post reportedly said there were 10 “spots available” for additional volunteers, adding “we will sort your housing”.
Labour has said that the party did not fund any of the trips. At Prime Minister’s Questions today, Deputy Prime Minister Angela Rayner said: “People in their own time often go and campaign, and that’s what we have seen. It happens in all political parties.”
What are the rules on foreign involvement in US elections?
The FEC, which oversees all US elections, states that foreign nationals (with the exception of green card holders) may not make donations in connection with any federal, state or local election in the US. Foreign nationals are also prohibited from influencing decision making in election-related activities.
The FEC defines a foreign national as either an individual who is not a US citizen or lawful permanent resident, or a “foreign principal”, which includes foreign governments and political parties, as well as businesses and organisations whose principal place of business is not in the US.
It is also against US law to knowingly accept donations or contributions from a foreign national.
However, the FEC also states that foreign nationals “may participate in campaign activities as an uncompensated volunteer”, as long as they are not involved in the decision making process of a campaign.
As has been reported elsewhere, FEC rules also state that individuals “may voluntarily spend up to $1,000 for unreimbursed transportation expenses on behalf of the campaign”, but that travel costs above $1,000 may be considered a contribution (which foreign nationals are prohibited from making). There’s no limit to the amount a volunteer can spend on their own food and housing, though these expenses must be “incidental to volunteer activity”.
There aren’t ‘over eight million people’ on the NHS waiting list, as Peter Kyle claimed
In an interview on BBC Breakfast yesterday morning, the science, innovation and technology secretary Peter Kyle, said: “Currently we have over eight million people waiting for treatment on the NHS.”
His department later told us that he was rounding up the 7.6 million headline figure on the referral to treatment (RTT) waiting list for NHS England.
Firstly, rounding up 7.6 million doesn’t make it “over” eight million.
Secondly, as we’ve said many times, this figure refers to the number of cases where someone is awaiting treatment—not the number of patients waiting. Some patients need treatment for more than one thing, which is why there are always more cases than patients.
The actual number of people waiting for treatment in the latest available RTT data is about 6.4 million.
It’s important to note that the RTT data doesn’t count every example of someone waiting for something on the NHS. An Office for National Statistics survey between October 2023 and March 2024 found that about 13 million adults in Great Britain were “currently waiting for a hospital appointment, test, or to start receiving medical treatment through the NHS”.
What exactly did Labour’s manifesto say about National Insurance?
Over the last week, there’s been some speculation about whether Labour will raise employer National Insurance contributions (NICs) in its first Budget, later this month.
At Prime Minister’s Questions on 9 October, Conservative party leader Rishi Sunak asked the Prime Minister Sir Keir Starmer if “when he promised not to raise income tax, national insurance or VAT, that commitment applies to both employer and employee national insurance contributions?”Mr Starmer said he wouldn’t be drawn on decisions to be included in the Budget, but added: “We made an absolute commitment to not raise tax on working people”.
The phrase “National Insurance” appears once in Labour’s 2024 election manifesto.
It said: “We will ensure taxes on working people are kept as low as possible. Labour will not increase taxes on working people, which is why we will not increase National Insurance, the basic, higher, or additional rates of Income Tax, or VAT.”
On Sky News’ Sunday Morning with Trevor Philips yesterday, business secretary Jonathan Reynolds was asked if the pledge applied to both employee and employer NICs.
Mr Reynolds said: “You know that pledge was taxes on working people, so it was specifically in the manifesto a reference to employees, and to income tax and a whole range of commitments.”
Some have interpreted this to mean that a rise in employer NICs has not been ruled out, or to be a comment on the “strategic ambiguity” of Labour’s manifesto commitment.
Full Fact will be monitoring the upcoming Budget later this month, as well as tracking progress on the government’s manifesto commitments.
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PM repeats familiar claims about Labour’s action on energy
In a video marking Labour’s first 100 days in office, the Prime Minister Sir Keir Starmer said his government had “lifted the ban on onshore wind” and “secured a record number of clean energy projects”.
We’ve written about both these claims before.
Planning considerations relating to onshore wind development in England introduced under the Conservatives in 2015, which Labour has now reversed, were often described as a “de-facto ban”, due to a substantial decrease in applications for onshore wind sites.
But there was no formal ban as such on onshore wind farms.
And as we explained last month, while it is true that 131 new clean energy projects emerged from the latest renewables auction round in August, applications for this round were submitted in April 2024, while the Conservatives were in office, and the previous government also increased the maximum ‘strike price’ companies are allowed to charge.
This means the new government cannot take full credit for the outcome, even though it did increase the auction’s overall budget, which likely affected the total number of projects.
Was Keir Starmer’s uncle on a ship hit by a torpedo during the Falklands conflict?
During yesterday’s Prime Minister’s Questions, Lib Dem leader Sir Ed Davey asked about the status of British overseas territories. In response Sir Keir Starmer said: “My uncle nearly lost his life when his ship was torpedoed defending the Falklands” before confirming his intention the islands would remain British.
We have seen a number of social media users questioning the accuracy of this statement, with many pointing out that the only ship to be sunk by a torpedo during the 1982 conflict was the General Belgrano—an Argentine vessel targeted by the British submarine HMS Conqueror.
As Number 10 has since clarified and others have reported, Mr Starmer’s uncle was serving on HMS Antelope, which sank after being targeted by Argentine aircraft armed with bombs, not torpedoes.
The ship was hit by two bombs which lodged themselves inside the vessel but did not initially detonate. Later that night, one of the bombs exploded during attempts to defuse it, and it was this blast that caused HMS Antelope to sink.
We approached Number 10 for comment, and will update this blog if we receive a response.
Home Office publishes immigration returns data following Full Fact intervention
The Home Office has today published data to support a claim made by the Prime Minister Sir Keir Starmer about immigration returns since Labour entered government, after Full Fact asked that it urgently do so.
Mr Starmer claimed that there had been a “23% increase” in returns of people without a right to be in the UK since Labour was elected, compared to the previous summer. As we wrote at the time, this claim was based on immigration returns data which had not yet been published.
Office for Statistics Regulation guidance states: “Where unpublished data are referred to unexpectedly, the information should be published as soon as possible after any statement has been made – ideally on the same day.”
We wrote to the Home Office on 27 September to ask that it publish this data without any further delay, explaining that, without this, neither we nor the public can verify the claims being made about the government’s record. We did not receive a response, and wrote about this issue again yesterday when similar figures were used by a Home Office spokesperson.
Earlier this week we asked the Home Office for a reply to our letter, which also asked the department to investigate how and why the Code of Practice for Statistics was not followed. On the day after the general election, we asked the Prime Minister to incorporate compulsory adherence to the Code of Practice for Statistics within the Ministerial Code, to help restore trust in politics.
The data published by the Home Office today shows that Mr Starmer was referring specifically to enforced returns between 5 July and 31 August, which were 23% higher than over the same period in 2023.
We wrote more about how immigration returns are categorised earlier this year (though some of the figures mentioned in that article may now be out of date).