
Top performing children's hospital gets £4m bonus for A&E turn arounds
A children's hospital has been given a £4m bonus after being recognised as one of the top performing NHS trusts in England for seeing A&E patients within four hours.Alder Hey Children's NHS Foundation Trust in Liverpool came second in national rankings, with 89.3% of patients seen within the target, and it had the second lowest number of patients waiting more than 12 hours.Meanwhile, NHS Greater Manchester Integrated Care Board and NHS Lancashire and South Cumbria Integrated Care Board have been handed £5m for having the best ambulance response times in 2024-25.The cash is handed out by NHS England from a £150m pot to the best performing and most improved hospital trusts in 2024-25.
The urgent and emergency care capital incentive scheme awards trusts who see and discharge most A&E patients within the NHS target of four hours.It also recognises those who have cut the number of 12-hour waits in emergency departments and improved ambulance response time.
'More to do'
Alder Hey in Liverpool was also in the top five trusts with the highest four-hour performance when comparing March 2024 to March 2025.NHS Greater Manchester had an ambulance response time of 23 minutes 57 seconds to category 2 callouts, which include patients suffering burns, epilepsy and strokes or chest pain.In NHS Lancashire and South Cumbria, that response time was 26 minutes 20 seconds.Elsewhere in the north west of England, East Lancashire Hospitals NHS Trust, University Hospitals of Morecambe Bay NHS Foundation Trust and Warrington and Halton Hospitals NHS Trust all received £2m.The cash was for improving on their 12-hour wait times in March 2024 until March 2025. Five other NHS organisations in the region have all received £1m for improving A&E waiting times.They include trusts in Bolton, Tameside and Glossop, and Stockport, alongside the Countess of Chester Hospital, and Manchester University NHS Foundation Trust.Dr Michael Gregory, regional medical director for NHS England, said staff had worked "incredibly hard to deliver high quality urgent and emergency services".He said that was reflected in the achievement of being named as some of England's best performing trusts."We recognise there is more to do and we are committed to working with NHS organisations in the North-West to continue this journey of improvement", he added.
Read more stories from Cheshire, Lancashire, Greater Manchester and Merseyside on the BBC, watch BBC North West Tonight on BBC iPlayer and follow BBC North West on X.
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Telegraph
2 hours ago
- Telegraph
NHS could face cuts under assisted dying law, warns Streeting
NHS services could face cuts to cover the cost of carrying out assisted deaths, the Health Secretary has warned. Under the Bill passed on Friday, the NHS will be expected to carry out the assisted dying procedures. Analysis suggests that implementation of assisted dying may cost the health service close to half a billion pounds within a decade, with each death costing the taxpayer more than £15,000. Assisted dying is set to be legalised in England and Wales after a historic vote saw it voted through by a majority of 23 MPs. However, Wes Streeting – who voted against the Bill – is understood to be deeply concerned about the impact it might have on an overstretched NHS. Speaking ahead of the vote, he warned: 'There isn't money allocated to set up the service in the Bill', while stressing that the Government would respect the decision of the House. Previously, he had warned there would be 'choices and trade-offs' to make, saying 'any new service comes at the expense of other competing pressures and priorities'. Last week, the Health Secretary said the NHS was 'in a fight for its life' as he described his mission to turn the service around. A number of MPs who opposed the Bill have raised concerns that assisted dying could take resources away from patients. On Tuesday, Dame Siobhain McDonagh, a Labour MP who voted against the legislation, said it could become 'the Trojan horse that breaks the NHS', saying it would 'rob our stretched NHS of much-needed resources'. The impact assessment of the Terminally Ill Adults (End of Life) Bill estimates that up to 28,317 people will die by state assisted suicide within the first 10 years of rollout. This rises from 647 in year one to more than 4,500 by 2038, and could mean costs of £429 million for the NHS over the decade. The spending includes educating all health and social care staff, training the doctors and nurses involved in the assisted dying service, setting up a regulator, as well as the costs of the lethal drugs themselves. Training staff is set to be the biggest cost – especially as the service is created. This could cost up to £35.5 million in the first year if all involved got the highest level of training available with no one opting out. There would then be recurring annual costs of between £10-22 million. Staff costs could reach £72 million over 10 years, with up to seven staff working for 32 hours per assisted death, it concludes. None of the calculations include the lost productivity and knock-on effects of the work the doctors are no longer able to carry out as a result. The impact assessment puts the cost of the drugs required at around £15 per person. However, independent experts have said it is highly likely to cost more. The Government also predicts a regulator and panel to assess cases would cost up to £13.6 million every year to run. The assessment suggests that overall, the Government could save money as a result of the earlier deaths, with overall savings of more than £640 million. Some of these savings could be made by the NHS. By 2038, health services could save up to £71.5 million a year on end-of-life care, because of the savings from not providing costly hospital care for cancer. Assisted dying is now on course to be available by 2029. Adults with a terminal illness and less than six months to live will be eligible under the new law. The law passed despite widespread opposition, with opponents raising concerns over the dropping of a requirement for a High Court judge to sign off on all assisted dying cases. Critics also warned that the law would 'normalise the choice of death over life, care, respect and love'.


Sky News
2 hours ago
- Sky News
Assisted dying bill: People on both sides of the debate react to historic vote
People on both sides of the assisted dying debate have told Sky News how they feel about the outcome of today's vote – and while some are popping open champagne, others are "incredibly disappointed". More than 300 MPs this afternoon backed a bill that gives people in England and Wales who have less than six months to live the right to apply for an assisted death. Each request will be evaluated by two doctors and a panel featuring a social worker, senior legal figure and psychiatrist. Today's historic vote means the Terminally Ill Adults (End of Life) Bill will now go to the House of Lords for further scrutiny before becoming law. Following the landmark vote, individuals for and against it have shared their feelings on the result. Frank Tate-Sutton - For 6:04 Frank Tate-Sutton is terminally ill and told Sky News she's relieved the bill has passed, even though the law won't be changed in time for her. "These are happy tears," she said. "I am emotional. It's a very difficult subject for everybody." Ms Tate-Sutton said her quality of life is "very important - and I'm losing it". "I don't want to die without dignity, without it being my choice, without my family knowing that this is what I want," she continued. "As much as they [my family] want me alive, do they want to see me lying in my living room in a hospital bed, taking all these drugs, not being able to talk, not being able to control my bodily functions? "That is not a life, for me - living on all the medications and not being able to exist without that… the side effects and everything." Mike Smith - Against 5:20 Mike Smith is a spokesperson for the disability rights group Not Dead Yet - and he has been left "incredibly disappointed" by the outcome of the vote. "This particular bill had so many failings in the way safeguards are constructed and the significant scope for coercion, whether it's overt or subliminal," he said. Mr Smith says he fears some people will "end up ending their lives earlier than they should do or want to". "There are so many disabled people around the country that have told us they're absolutely scared." "I think it's this inherent fear people have about being disabled that drives this very emotional response on this really complex topic," he explained. "What we know is, with good palliative care, social care, access to housing and an income, many disabled people ... can lead amazing lives." 6:48 Rebecca Wilcox and her TV presenter mother Dame Esther Rantzen, who has terminal cancer, have long been campaigning for a change to the UK's law on assisted dying. Speaking from Parliament Square as fellow supporters of the bill popped champagne behind her, Ms Wilcox described today's vote as "an extraordinary moment". "It means so much to me," she said. "I spoke to mum and her one word to describe it was 'wow'. "She didn't think she was going to live to see the debate, let alone a conclusion that went our way." In response to concerns about safeguarding, she said it will "bring in layer upon layer of safeguards". "We're going to have scrutiny upon scrutiny for every case and at the moment, there is no scrutiny," she said. "Coercion could be happening as we speak. "There is now protection for vulnerable people, by having this bill passed." Dr Gordon Macdonald - Against Dr Macdonald said the bill passing with a majority of 23 - less than half what its second reading achieved - is proof that "the more people have thought about this issue, the more they've had doubts". The doctor, who is the CEO of anti-euthanasia organisation Care not Killing, said: "We will see what happens when it gets to the [House of] Lords, the Lords will hopefully give it more rigorous scrutiny than happened in the Commons". His biggest concern is "for people who are vulnerable, who will feel pressure to end their lives". "That might come from external forces, but it's more likely to just be internalised pressure," Dr Macdonald said. "They'll feel they're a burden on their family and friends, conscious of the cost of care, and think they should do the decent thing, as they would see it in that thinking." It's "of course a terrible message for society to send out to people," he said.


Telegraph
3 hours ago
- Telegraph
The best yoga mats and non-slip exercise mats tried and tested, from Lululemon to Yogi Bare
Given its transformative benefits for mind and body, the barrier for entry to yoga is low. You need very little specialised clothing or equipment – in fact, all you need is a mat, a pair of gym leggings and a water bottle. The best yoga mat will provide you with a stable, grippy surface on which to practice. There is nothing less zen than finding your hands are slipping forward in downward facing dog, or that your peaceful warrior pose isn't feeling all that peaceful because your mat won't stay in place. To maintain a consistent yoga practice, a decent mat is key. Unlike other fitness equipment such as rowing machines and treadmills, a yoga mat won't clean out your bank account – some mats are as little as £20. But not just any old mat will do – Emma Henry, an expert yoga teacher at Triyoga, says that investing in a decent model will pay dividends further down the line. 'There's nothing more frustrating in a fast-paced Vinyasa flow than slipping, so enough grip is key,' says Henry, who recommends the Liforme mat. 'There are cheaper ones available that are decent, but they might not last as long.' We've reviewed the best yoga mats in depth below and provided answers to some frequently asked questions. However, if you're finding yourself strapped for time, here's a quick summary: The best yoga mats: At a glance JUMP TO REVIEWS How to choose the best yoga mat When selecting the best yoga mat, thickness is paramount: a standard mat (around 3mm) provides a stable base for balance and flow, while thicker mats (up to 6mm) offer extra cushioning for sensitive joints or restorative sessions. The right thickness prevents discomfort and helps protect knees and wrists during prolonged poses. Material matters for both performance and sustainability. PVC mats are durable and provide excellent grip, but may not align with eco-friendly values. Natural alternatives like rubber, cork, or jute are increasingly popular, offering good traction and a lighter environmental footprint. Cork, in particular, is antimicrobial, which is ideal for hot or sweaty practices. You also need a textured and grippy material for safety, especially during dynamic or heated classes. Portability is worth considering if you travel or commute to classes; lighter, foldable mats are easier to carry but may sacrifice some comfort. Ultimately, the best yoga mat is one that balances support, grip, sustainability and convenience to suit your personal practice and values. How we test yoga mats Every mat on this list was tested through completing a series of yoga sessions and HIIT (high intenstity interval training) workouts. For the yoga sessions, I used videos by YouTube sensation, Yoga with Adriene. I took note of how thick and comfortable each mat was, which meant considering how comfortable my knees felt on the ground and how my joints felt after a heavy session. I also thought about the weight of each mat while carrying them to and from gym sessions. I looked for a soft but supportive material that wasn't slipper and, of course, a decent price. Why you can trust Telegraph Recommended Our thorough, real-world tests will always help you find the best product. No manufacturer ever sees Telegraph Recommended reviews before publication and we don't accept payment in exchange for favourable reviews, nor do we allow brands to pay for placement in our articles. From running shoes to exercise bikes, all reviews are based on independent expert opinion and our hands-on testing. Visit our Who We Are page to learn more. The best yoga mats of 2025 1. Best Buy Yoga Mat: Lululemon The Mat Top marks for this double-sided mat from Lululemon, which offers unparalleled grip, a stable surface and plenty of support. It's unnoticeable in the best way; I felt grounded and supported, and my hands and feet didn't budge. Lululemon offers several thicknesses of mat, but I would opt for the 5mm for joint support. This mat is reversible and comes in a wide range of colours and designs. One side is smooth and the other is slightly textured, but both are made from natural rubber. It's the perfect size – a touch longer and wider than most standard yoga mats, at 180cm x 66cm. This means it offers plenty of space to stretch out. Thanks to its slightly thicker construction, I found it also makes the perfect partner to HIIT and strength workouts. Despite being thicker than most others, it's not unduly heavy, at 2.4kg. That's the upper end of what I'd consider to be an easy weight to carry, but it means that this mat excels both at home and in class. The only downside is that it doesn't come with a carry strap or bag – but that really is nitpicking. Put simply, it's a brilliant all-rounder that is more than worth the investment. Key specifications 2. Best Value Yoga Mat: Manduka Prolite Yoga and Pilates Mat The Manduka Prolite is wonderfully durable. It's favoured by The Telegraph's Boudicca Fox-Leonard, a part-time yoga instructor. Fox-Leonard says: 'For the yogi looking to find a mat that will be able to follow them on their practice journey without flaking, Manduka mats are hard to beat on quality and simplicity. They also have ethical credentials: they're non-toxic and 100 per cent latex free, with an emissions-free manufacturing process. 'While Manduka's range is overwhelming, opt for the Manduka Prolite. You'll get a mat light enough to carry (it weighs 1.8kg) without compromising on cushioning. It might prove slippy for those first few practices, but then you and your mat will be stuck to each other for life.' Manduka promises its mats are made for life, and they come with lifetime guarantees. The most durable option you can find. Key specifications Material: PVC Measurements: 80cm x 61cm Thickness: 4.7mm Weight: 3.08kg 3. Best Non-slip Yoga Mat: Liforme Original Yoga Mat Yoga teacher Emma Henry's favoured mat is the Liforme original. There's no getting around the fact that it's expensive, but this is a mat that will last for years and years. It has a uniquely smooth surface whilst still offering unparalleled grip. It is also one of only a handful to be printed with a handy alignment guide. At 185 x 68cm and 4mm thick, it's slightly larger than average, so perfect for practicing at home – however, given it weighs 2.5kg, it's not the easiest to lug to a yoga class. If you're looking for a mat to use on the move, Henry also recommends the Liforme travel mat (£99.95, Amazon). Liforme also has impressive eco credentials; their mats are made from natural rubber and eco-friendly polyurethane and are biodegradable. Key specifications Material: Rubber Measurements: 185cm x 68cm Thickness: 4.2mm Weight: 2.5kg 4. Best Yoga Mat for Allergies: Gaiam Sol Studio Select Dry-Grip Yoga Mat If you have a latex or rubber allergy, this Gaiam Dry-Grip Yoga Mat is for you – it's made out of polyvinyl chloride (PVC), a type of plastic. PVC isn't as sustainable as the natural rubber used by other mats on this list but it has a low carbon footprint and is highly durable, so you won't need to replace your mat in a hurry. The 5mm thick mat had a good amount of cushioning and I found it soft on my joints both for yoga and HIIT workouts. The smooth top layer wicked away sweat from my palms and feet. More impressively the grippy underside stuck to the shiny fake hardwood floor in my flat which is usually slippery, without budging. At 2.1kg it's completely manageable to carry if you tend to take your yoga mat to the gym though you'll have to buy a separate bag or straps. I also love the design – the mandala in the middle of the mat is an excellent point of focus for trickier yoga positions. Key specifications 5. Best Ethical Yoga Mat: Yogi Bare Wild Forest Ever Grip Paws Yoga Mat I loved testing this mat – primarily because it's refreshingly lightweight and transportable when paired with Yogi Bare's Carry Bag (£20), and it's also easy to store as a result. Where it truly shines is its patented Ever Grip technology, which means the surface is extra grippy, durable and stain-free, while remaining as eco-conscious as ever. Having tested this mat over several weeks during both yoga and HIIT workouts, I can attest to the excellent grip and lack of marking – it still looks as good as it did out of the box. At 4mm thick, it's certainly on the thinner end of the spectrum, but I still find it supportive enough for my joints. That said, my wrists, where I have a particular weakness as a result of previous injury, would have preferred a little more cushioning. It measures 180cm x 66cm, so it's a touch narrower than the Liforme mat, but I found it to be more than spacious enough. For reference, I could easily still squat while facing sideways. Living in a small London flat, I actually appreciated the narrow form and it was plenty long enough for my 174cm height. Other small but appreciated features include the alignment and orientation guides to keep you on track during different movement types, and notes of affirmation which depend on the colour you choose – my 'desert sand' colourway told me 'you belong here', which was reassuring during a particularly gruelling ab workout. As for the sustainability credentials, Yogi Bare uses natural rubber, plant-based dyes and recycled packaging. The mats themselves are biodegradable and recyclable, with discounts on new mats offered if you recycle directly with Yogi Bare. Key specifications 6. Best Travel Yoga Mat: Yogamatters Sticky Yoga Mat This budget-friendly mat is available in all the colours of the rainbow, and you can't fault the grip – it's as sticky as its name suggests. I like the distinctive textured design and how light it is to carry (it weighs just 1.2kg). However, I found it slightly too sticky – it feels as if it leaves a slight residue on your hands. It also doesn't come with a strap, but given the texture, it's more than sticky enough to simply roll up and store. This would be an excellent mat for taking to a class or using on the move, but for home practices I would choose something with a smoother surface and a bigger footprint. Key specifications Yoga mat FAQs What to look for in a yoga mat You want a good grip, a thick base and high-quality material like natural rubber for support, and a light enough weight that it can be carried to and from a gym. Visual alignment markers, to help with the placing of hands and feet are also useful. There are other factors to consider, too: texture and size. 'I like a big, heavy mat for home practice, but when you're travelling you need it to be lighter,' says Emma Henry, yoga teacher at Triyoga, who uses a Liforme travel mat or Lululemon '(Un)mat' when she's on the move. She also considers the ethics of a company: 'what they're doing to support yoga teachers and what they're doing environmentally.' Consider too the style of yoga you practice – hot yoga, in which you're likely to sweat a lot, will require a mat that offers plenty of grip and is easy to clean, whereas a slower restorative or yin yoga class might require a mat that's thicker and more supportive. How to clean a yoga mat To stay on top of keeping your yoga mat clean, you should try to disinfect it before and after each session with equal parts water and white vinegar, and a dash of tea tree oil. For bigger cleans, every couple of weeks, or more or less depending on your usage, put your yoga mat in a bath or shower and give it a good scrub with water and dish soap, leave it to dry, then roll it up. Most yoga mats cannot be put in the washing machine, but check the individual instructions. How thick should a yoga mat be? As a general rule of thumb, stick to yoga mats between 4mm and 6mm. Bear in mind a thinner mat will be more portable, while a thicker mat will be easier on the joints. If you're doing more floorwork yoga, you might choose a thicker mat as well for the extra cushioning. That said, too much thickness can affect the flow of movement so it's all about finding the balance. How long does a yoga mat typically last? A yoga mat typically lasts between six months and two years, but it can depend on how often you use it and care for it. What is the best material for a yoga mat? Most standard yoga mats are made from polyvinyl chloride. Newer, more eco-friendly options include natural and recycled rubber, jute, and cotton. Can yoga mats be recycled? Polyvinyl chloride mats are the most difficult to recycle as they may contain plasticisers, UV retarders, dyes, and dirt. Rubber yoga mats and biodegradable mats are much easier to recycle. It is always worth checking with the manufacturer to be sure.