The NHS is confronting escalating A&E wait times as it faces one of its most difficult winters. In England, only 69.7% of patients were seen within the four-hour target last month. Ambulance delays have worsened, with one-third of patients experiencing waits of more than 30 minutes at hospitals. The Association of Ambulance Chief Executives (AACE) reported significant ambulance service delays, leading to 149,000 lost hours and potential harm to 37,000 patients. The College of Paramedics highlighted the urgent need for investment in ambulance services and emergency department improvements. Despite preparations, the NHS's situation remains challenging compared to last year. The Health Foundation notes that its performance this winter depends on weather and seasonal viruses. Lib Dem spokeswoman Daisy Cooper criticised the government for inadequate preparation. NHS England's medical director and PM Rishi Sunak acknowledged the challenges, mentioning government efforts in early planning and funding to enhance A&E, ambulance services, and patient discharge processes.

The Bank of England has maintained its interest rate at 5.25% for the third consecutive meeting. This decision reflects the Bank's stance that borrowing costs need to remain high for an extended period to combat inflation, which is still well above the target rate. Unlike the US Federal Reserve, which hinted at potential rate cuts next year, the Bank of England, led by Andrew Bailey, suggests that the UK is not yet in a position to consider such reductions. Bailey expressed that it is too early to speculate about cutting rates, emphasising the need for more progress in controlling inflation. The decision was not unanimous, with three members of the Monetary Policy Committee (MPC) arguing for a rate increase, but they were outnumbered by the six others. Despite faster-than-expected inflation drops and signs of economic weakness, the Bank is cautious about reducing rates too soon, fearing a resurgence in inflation. Bailey noted that while significant progress has been made in reducing inflation from over 10% in January to 4.6% in October, there is still a journey ahead to reach the 2% target.

Charities have expressed outrage as the Government demoted the disability minister role - during Disability History Month. The vacancy arose when Tom Pursglove became legal migration minister. Mims Davies, the new appointee, will maintain her focus on social mobility from her previous role as minister for social mobility, youth, and progression. Disability charities criticised the move, highlighting it as the longest gap without a minister in thirty years. Downing Street refuted claims of downgrading the position, insisting that a minister for disabled people would remain. However, the charities argue that the minister should not have divided responsibilities and demand the restoration of a dedicated minister of state. James Taylor from Scope emphasised the need for a full-time leader for disability strategy in government. The National Autistic Society's Tim Nicholls called for clarity on the role's scope and reassurance that disabled people's needs are a priority. Meanwhile, a government spokesperson stated that  Davies would continue supporting disabled people, noting achievements in employment and financial aid for the disabled.

After an expensive 2023 harvest, this autumn's weather has not been kind to farmers. Very dry conditions quickly turned to very wet. Crops thought to be safely growing have been overwhelmed by waterlogging and even flooding, with slugs and flea beetles adding to the damage. The political backdrop to this is a fundamental change in the way farming is funded. The Basic Payment Scheme, which has supported farmers to produce food, is being phased out in favour of incentives which exclusively support environmental benefits. However, while adjusting to the new situation, we give thanks to the Lord for 'Natural England' and 'Catchment Sensitive Farming', which are doing a great job of educating farmers and signposting available support, and for 'Farming Community Network', which provides practical help to those in difficulties. Pray for all in farming who are feeling weighed down by the burdens of weather, finance and regulation, for Christian farmers seeking to farm to God's glory, and for those who open their farms to schoolchildren and others.