BRITAIN'S National Health Service (NHS), which provides free healthcare funded from general taxation and welfare contributions, is one of the world's largest and most cosmopolitan employers.
But the NHS - which listed 211 nationalities in England alone in 2020 - faces chronic staff shortages.
By 2029, the state-run service in England will face a shortfall of 108,000 nurses, according to the Health Foundation think-tank.
Now there are fears the crisis will further deepen due to a combination of shocks depleting its substantial foreign workforce: retirement, the coronavirus pandemic, Brexit and tougher immigration rules.
Migration has long been a "stopgap solution" as Britain suffered "recurring crises" for 40 years, said Mark Dayan, policy analyst at the Nuffield Trust health think-tank.
Retired doctor Iftikhar Ali Syed left Pakistan for Britain in 1960 and spent 45 years working in Burnley, a northern English town defined by factory chimneys belching black smoke.
Syed, 86, belonged to a generation of medical professionals from ex-British colonies who filled labour shortages after World War II.
They were directed to poorer regions - often ex-industrial heartlands like northern England and south Wales - where recruitment was hardest and health needs greatest.
Even today, the life expectancy gap between deprived areas of northern England and the more affluent southeast is more than 10 years.
"Overseas doctors had no chance. You got a practice where no-one wants it," Syed said.
Syed and other immigrant doctors of his generation "flooded" Burnley, he remembered, helping establish its first cardiology unit and improve midwifery services.
But they retired after 2000, creating a shortage in Burnley, mirrored in places where immigrants disproportionately filled healthcare roles.
As in other countries, the pandemic has traumatised and exhausted Britain's frontline health and social care staff and created a huge backlog in treatments for other conditions.
In the year to March 2021, international travel disruptions meant 3,700 fewer nurses came to Britain than in the previous year.
Faizan Rana, a 34-year-old NHS operations manager, said pandemic travel curbs have weakened services and exacerbated staff shortages at his London hospital and elsewhere.
Britain has become less welcoming and financially rewarding for EU staff after the 2016 Brexit referendum and the subsequent fall in the pound's value, added Dayan.
In 2021, there were around 8,000 fewer nurses from European Economic Area nations on the official register than in 2016.
And more than half of EU nurses leaving Britain cited the country's departure from the bloc as a reason for their decision, a 2020 Nursing and Midwifery Council survey suggested.
Syed remembered EU staff filling shortages in Burnley after his retirement and predicted "tremendous demand" again as their numbers diminished after Brexit.
'Existential crisis'
Under Britain's new points-based immigration system, migrants must meet salary and English proficiency levels and have an offer for a skilled job, although a special visa scheme exempts healthcare workers.
Naveen Keerthi, 42, runs a recruitment agency bringing foreign doctors to Britain and believes the reforms will help hire overseas staff, with a "surge" in applicants in the past four years.
But Akshay Akulwar, a 34-year-old NHS doctor from India, said compatriots were increasingly choosing Australia, Canada, New Zealand and the Middle East because of more generous visa rules.
And Dayan said the reforms will hit social care, where staff are not considered skilled and paid low wages.
The fate of social care, where trained carers look after vulnerable people in their homes and offer mental health services, is closely tied to the NHS.
Hospitals suffer greater pressures when patients cannot be discharged as adequate care services - often provided by cash-strapped local authorities - are unavailable for them to return home.
Social care has particularly suffered as Brexit sealed the "escape valve" of freedom of movement across the EU that had filled staff shortages, Dayan added.
Rebecca Bland, registered manager at a nursing agency in northwest England, said the pandemic and new immigration rules have hampered recruitment.
The 42-year-old's company works with the local NHS and has long recruited from abroad, especially the Philippines, but has only hired one-tenth of the staff required since the pandemic began.
Bland said her colleagues were "being pushed to the limit", calling it "an existential crisis" exacerbated by pre-existing recruitment difficulties caused by low-paid, insecure work.
However, Dayan blamed workforce shortages on decades-old failures by successive UK governments to train enough staff and provide adequate long-term planning.
"The underlying problems are domestic in nature," he stressed.
The UK government last month announced new NHS and social care funding worth £36 billion over three years.
But Dayan warned cash injections alone would not resolve staff shortages, instead advocating better workforce planning to recruit and retain staff more effectively.
Air India's Boeing 787-8 aircraft, operating flight AI-171 to London Gatwick, crashed into a medical hostel complex shortly after take-off from Ahmedabad on June 12.
Fuel to both engines of the Air India flight was cut off seconds before the crash
A pilot was heard questioning the other over the cut-off; both denied initiating it.
The Dreamliner crashed shortly after take-off from Ahmedabad, killing 260 people.
Investigators are focusing on fuel switch movement; full analysis may take months.
FUEL control switches to both engines of the Air India flight that crashed shortly after takeoff were moved from the "run" to the "cutoff" position seconds before the crash, according to a preliminary investigation report released early Saturday.
The report, issued by the Aircraft Accident Investigation Bureau (AAIB), did not draw conclusions or assign blame for the June 12 crash, but stated that one pilot was heard asking the other why he had cut off fuel. The second pilot replied that he had not.
The Boeing 787-8 Dreamliner was on its way from Ahmedabad in western India to London when it crashed, killing 260 people. Among the dead were 241 of the 242 people on board and 19 people on the ground.
Switches moved one after another
The 15-page report said that after the aircraft reached its top recorded speed, "the Engine 1 and Engine 2 fuel cutoff switches transitioned from RUN to CUTOFF position one after another with a time gap of 01 sec".
"In the cockpit voice recording, one of the pilots is heard asking the other why did he cutoff. The other pilot responded that he did not do so," the report stated.
The aircraft quickly lost altitude following the switch movement.
The switches then returned to the "RUN" position, and the engines appeared to regain power. However, "one of the pilots transmitted 'MAYDAY MAYDAY MAYDAY'," the report said.
Air traffic controllers asked the pilots what was wrong, but soon observed the crash and alerted emergency responders.
Investigation focused on fuel switches
Earlier this week, specialist website The Air Current reported that the probe had "narrowed its focus to the movement of the engine fuel switches", while also stating that a complete analysis may take several months or more. It added that the focus of the investigation could still change.
According to the AAIB report, the US Federal Aviation Administration had issued an information bulletin in 2018 about "the potential disengagement of the fuel control switch locking feature".
The issue was not considered an "unsafe condition" requiring a more serious directive, and Air India told investigators it had not conducted the suggested inspections as they were "advisory and not mandatory".
Air India was found to be compliant with all airworthiness directives and alert service bulletins on the aircraft, the report noted.
The bureau said there were "no recommended actions to B787-8 and/or GE GEnx-1B engine operators and manufacturers", indicating that there were no immediate technical concerns with either the aircraft or the engines.
The AAIB said the investigation is ongoing and that further evidence and information have been "sought from the stakeholders".
Boeing said in a statement that it would "continue to support the investigation and our customer", adding, "our thoughts remain" with those affected by the crash.
Air India stated that it was "working closely with stakeholders, including regulators".
"We continue to fully cooperate with the AAIB and other authorities as their investigation progresses," the airline said in a statement posted on X.
Passenger details and international assistance
The UN's International Civil Aviation Organization (ICAO) requires that a preliminary report be submitted within 30 days of an accident by the country leading the investigation.
Investigators from the United States and the United Kingdom have also joined the probe.
The aircraft was carrying 230 passengers — including 169 Indian nationals, 53 British citizens, seven Portuguese nationals and one Canadian — along with 12 crew members.
Dozens of people on the ground were also injured.
One British passenger survived and was seen walking out of the wreckage. That person has since been discharged from hospital.
Initial figures released by health officials in Gujarat put the death toll at 279, but forensic experts later revised the number after identifying multiple scattered and severely burnt remains.
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The Indian Navy and Coast Guard have consistently reported Chinese research vessel presence. (Representational image: Getty Images)
A Chinese research vessel was detected operating in the Bay of Bengal near Indian waters while attempting to conceal its presence by disabling its Automatic Identification System (AIS), according to a report by The Economic Times, citing French maritime intelligence firm Unseenlabs.
The French company conducted a 16-day satellite-based survey tracking ships through radio frequency emissions. It monitored 1,897 vessels, with 9.6 per cent showing no AIS activity, indicating attempts to avoid detection. The survey raised concerns amid increased Chinese activity in the region.
One Chinese research ship drew attention due to its repeated presence in the Indian Ocean and proximity to areas of recent naval operations. “While not broadcasting AIS, its RF signature was consistent and traceable, enabling our systems to monitor its movement over several days … We suspect that this prominent Chinese research vessel was likely operating with strategic intent,” the report quoted Unseenlabs.
The company said the vessel was likely engaged in seafloor mapping, acoustic environment analysis, and identifying submarine transit corridors—activities that can support surveillance and anti-submarine warfare operations.
The Indian Navy and Coast Guard have consistently reported Chinese research vessel presence. In this instance, the vessel was in international waters, 120 nautical miles from Indian military zones.
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(From left) Malcolm Anderson (RHS, head of sustainability) Clare Matterson (RHS director general), Lorraine Bishton (Subaru UK and Ireland, managing director) Andrew Ball (director, Big Fish Landscapes) Mike McMahon and Jewlsy Mathews with the medals
BRITISH Asians are being encouraged to take up gardening by a couple who have won a record five medals at the Royal Horticultural Society’s Hampton Court Palace Garden Festival.
“It’s a contemporary reimagining of a traditional walled garden, highlighting the British and Irish rainforests,” said Jewlsy Mathews, who was born in Britain of parents from Kerala, a southern Indian state known for its lush vegetation.
Mathews, partner in a design studio set up by her Irish husband Mike McMahon, made her debut at the Chelsea Flower Show last year. The balcony and container garden submitted with her husband won a gold medal.
It was one of three gardens “pre-selected” for viewing by King Charles and Queen Camilla.
This year at Hampton Court, their show garden was visited by Sophie, the Duchess of Edinburgh.
Its jali wall is “inspired by some fine examples of India’s exquisite architecture”.
The circular structure inspired by jali screens in India
Speaking after being awarded five medals at Hampton Court, Mathews told Eastern Eye: “This is the first time a garden has ever received all the RHS judges’ awards. It’s a contemporary reimagining of a traditional walled garden, highlighting the British and Irish rainforests. They used to cover 20 per cent of the UK, and now it’s dwindled down to one per cent, so we really wanted to highlight the importance of these landscapes and their beauty.”
She explained their medals tally: “We got a gold for the garden, and then we won the best construction award, the best show garden award, and with that, we won the Tudor Rose award. That’s a prize not given every year. It’s for exceptionally high point scoring by the judges. Our gold was a very high gold rather than borderline gold. The Tudor Rose wasn’t given last year. It’s only given some years, so it’s an infrequent award.”
She added: “Probably the one that means the most to us is we also got the environmental innovation award.”
Last year Mathews explained her family connection with Kerala: “My mum and my dad are both from Kerala. My mum, Lucy Mathews Payyanat, was from Kanjirappally. My dad, Jose Mathews Payyanat, is from Champakulam which is near Alleppey (Alappuzha).” Jewlsy and her husband, have a flat in Ernakulam, near Cochin, in Kerala, which they visit regularly.
Their London apartment has two balconies, where they have created the effect of a small jungle, called a “junglette”, which they sought to reproduce at Chelsea.
The garden at Chelsea was also a tribute to her mother who passed away in September 2023. Mathews and her husband were in Kerala when they heard their submission for Chelsea had been accepted, news they were happy to share with their mother before she passed away.
Sophie, Duchess of Edinburgh, at the garden
Some of the stones used in Hampton Court this year have come from her father’s garden, and “will be returned to him when the festival is over”, said Mathews.
McMahon said that “you would normally have a solid brick wall around your garden with a door through it. Here we used a jali wall, which is common in India. The way the brick is stacked we let light through, which creates dappled light on the forest floor, similar to what you would have in a forest. But then the holes in the brick also act as one big, giant, insect hotel, which promotes nature and biodiversity. The brick wall is incredibly complicated as a structure. That’s why we won the best construction award.
“And at the front, in lieu of having a door, which you would normally have, we have water as the threshold into the garden instead.”
At Chelsea last year, McMahon recalled, “we used jungle type plants. All the plants here (at Hampton Court) are native to either Britain or Ireland. You can see a massive big tree trunk. Its purpose is to guide your eyes upwards, so you start looking at all those plants growing on the trees. And we have lots of ferns growing on top of the garden wall called polypodies.”
Their Hampton Court garden – it’s supported by Subaru UK and Ireland – has incorporated Silver Birch, Scots Pine, Fox Gloves, Devil’s Bit Scabious, and the Common Polybody, a tough evergreen fern with leathery, deep cut fronds.
“This is only the second garden we have designed,” revealed McMahon. “The judges were very, very impressed. I said to them neither of us has any formal training in horticulture. We just read a lot of books on plants.”
Meanwhile, his wife’s message to British Asians, other than to take up gardening, was to treat their garden or a balcony – “whatever outdoor space you have” – as an extra room to the house.
“Sometimes this gets forgotten because people concentrate on the inside of the house,” she said. “Actually, it’s another room which bring you more joy than people give credit for. There are so many barren balconies in cities. As we saw with our garden (at Chelsea) last year, it’s such an opportunity to create extra space.”
She went on: “It’s really a space for contemplation and quiet and reflection, and all the things that make us well minded and healthy. When you walk into such a space, you’re not like, ‘Oh gosh, I’ve got to do the laundry and the housework, all sorts of life clutter. It’s where you can be calm and still.”
They have given advice to people on how they can make their own rainforest garden. They have offered such tips as: incorporate layers like a rainforest; create a moist, humid microclimate; use native species; encourage wildlife; and let nature be the designer.
The couple display their medals
Mathews said: “We have used 13 different kinds of fern.”
She drew attention to the mushrooms that had started to appear in the dark corners of the garden.
The couple say in a formal note: “The design embraces the full vertical potential of the space, with planting structured across forest-like layers: ground, understory, and canopy. Epiphytes grow on and through tree trunks and the perforated jali wall, while a planted trough crowns the top of the wall. Oxalis acetosella and Polypodium vulgare are trained to grow up the sculptural fallen logs, reinforcing the sense of a forest reclaiming its own. Plants emerge from crevices, spill through openings, and root on vertical surfaces— mirroring how nature slowly takes over ruins. This immersive, layered planting celebrates the sculptural variety and form of native ferns, using them as both structural and textural elements throughout the garden .”
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Amber heat health alerts have been issued across several regions of England
Amber heat health alerts in place for large parts of England
Hosepipe bans announced in Yorkshire, Kent and Sussex
Temperatures could reach 33°C over the weekend
Health risks rise, especially for elderly and vulnerable groups
Heat warnings in effect as UK braces for another hot weekend
Amber heat health alerts have been issued across several regions of England, with temperatures expected to climb to 33°C in some areas over the weekend. The UK Health Security Agency (UKHSA) activated the warning at 12 pm on Friday, with it set to remain in place until 9 am on Monday.
The alerts cover the East Midlands, West Midlands, south-east, south-west, East of England, and London. Additional yellow alerts were issued for the north-east, north-west, and Yorkshire and the Humber, starting from midday Friday.
According to the Met Office, this is the third heatwave of the summer and while temperatures may not surpass July’s earlier peak of 34.7°C, this wave is expected to be more widespread.
Increased health risks for vulnerable groups
The UKHSA has warned of a likely increase in illness and mortality, especially among older people and those with pre-existing medical conditions. The agency advises the public to keep cool, stay hydrated and check in on vulnerable family, friends and neighbours.
The Royal Society for the Prevention of Accidents (RoSPA) echoed these concerns. Its policy director Steve Cole said:
“Heat is no longer just a holiday perk, it’s a growing public health risk. We’re seeing more frequent and intense heatwaves, both in the UK and globally, and the data shows a clear rise in heat-related illness and fatalities.”
Hosepipe bans come into force
As the dry spell continues, hosepipe bans are being introduced in multiple areas to manage water supply. Yorkshire Water implemented restrictions on Sunday, while South East Water confirmed similar measures would begin in Kent and Sussex from 18 July.
Under the restrictions, residents are banned from using hosepipes to:
Water gardens or plants
Clean vehicles
Fill swimming or paddling pools
Top up ponds or clean outdoor surfaces
Yorkshire Water said the ban was necessary to protect supplies, with dry conditions expected to persist. South East Water reported record levels of drinking water demand since May, leaving reservoirs and underground stores under pressure.
Customers who breach the restrictions could face fines of up to £1,000.
Official advice during the heatwave
Authorities are urging the public to take precautions during the heatwave. Recommended steps include:
Drinking water regularly
Staying in the shade during peak sun hours
Wearing light, loose-fitting clothing
Using high-factor sunscreen
The Met Office continues to monitor the situation, with updated forecasts expected throughout the weekend. This latest heatwave adds to growing concerns about climate resilience and health risks associated with prolonged periods of extreme weather in the UK.
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One of the largest gatherings was filmed on a beach at Point Clear
Ladybird swarms reported across Essex and Suffolk coastal towns
Hot weather likely driving the sudden surge in population
Sightings include Point Clear, Shoebury, Clacton and Felixstowe
Similar outbreaks occurred in 1976 during another hot UK summer
Sudden surge in ladybird numbers across the southeast
Millions of ladybirds have been spotted swarming towns and villages along the Essex coast, with similar sightings stretching into Suffolk. Residents have reported unusually high numbers of the red and black-spotted insects, particularly near coastal areas, with the recent hot weather believed to be a major contributing factor.
One of the largest gatherings was filmed on a beach at Point Clear, a village near St Osyth in Essex, where the insects could be seen piling on top of each other on driftwood and plants.
Sightings have also been reported in Shoebury, Clacton, Felixstowe, and Lowestoft, with many locals surprised by the sheer volume of insects.
Locals share surprise at ‘millions’ of beetles
A local resident from St Osyth described the scene:
“There were just millions of them. I was just in shock, really, because I've never seen that many ladybirds all together at once. There was loads flying about. One landed on my face, and other ones were landing on my dogs."
The insects, which belong to the beetle family Coccinellidae, appeared to cluster in warm areas along the coast, particularly on wood, vegetation, and man-made objects on the beach.
Link to high temperatures and past infestations
This summer is shaping up to be one of the hottest on record in the UK, with temperatures forecast to reach 34°C in some parts over the weekend. June 2025 was already recorded as England’s warmest June ever, and the second hottest UK-wide since records began in 1884, according to the Met Office.
Hot summers have previously caused surges in ladybird numbers. In 1976, a prolonged heatwave led to an infamous nationwide infestation. According to the British Entomological and Natural History Society, an estimated 23 billion ladybirds swarmed southern and eastern England that year.
Species information and identification
While the ladybirds currently being seen are believed to be native red species, they are occasionally confused with the Asian lady beetle, which was introduced to the UK in 2004. The Asian species, originally used in North America to control aphids, has since established itself in parts of Britain.