The East Suffolk and North Essex NHS Foundation Trust (ESNEFT) is facing growing waiting lists, with almost 89,000 patients waiting for non-urgent elective operations or treatment at the end of June.
The big picture: The Trust's waiting list grew from 87,206 in June 2023 to 88,986 in June 2024, indicating growing challenges in what has been described by health bosses as "the busiest summer ever" for the NHS.
By the numbers:
15,078 patients were awaiting one of 14 standard diagnostic tests, such as an MRI scan, non-obstetric ultrasound or gastroscopy, with 2,782 waiting at least six weeks
3,864 patients (4%) had been waiting over a year for treatment
72% of cancer patients began treatment within two months of urgent referral in June, down from 77% in May and below the NHS target of 85%
The median waiting time from referral to treatment remained at 15 weeks in June
Context:
Nationally, 7.62 million people were waiting to start treatment at the end of June
This marks the third consecutive rise in overall waiting lists across England
What they're saying: Louise Ansari, chief executive at Healthwatch England, said: "We are concerned that the progress made in speeding up both cancer diagnosis and the commencement of cancer treatment in recent months is slowing."
Professor Sir Stephen Powis, NHS national medical director, stated: "Nobody in the NHS wants to see patients experiencing long delays and we are committed to working with the Government to create a 10-year plan for health that includes a clear plan to bring waits down."
“We are seeing an increase in the number of people referred to us for our care each month. Our priority is to see all our patients as quickly as possible and thanks to the hard work of all our teams, we are seeing significant reductions in the length of time people are waiting. We are running ‘super Saturday clinics’ with surgeons, nurses, therapists and other colleagues all working together to treat and care for patients, to bring faster care for our communities”.
The bottom line: The Trust, like many across England, continues to face challenges in meeting NHS targets for waiting times across various services.
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The National Crime Agency's crackdown on high street businesses suspected of links to organised crime has made headlines in Shrewsbury but remains conspicuously absent in Ipswich, despite remarkably similar retail patterns.
A pattern emerging elsewhere
While Ipswich residents have yet to witness raids on local businesses, a stark scene is unfolding elsewhere: officers forcing their way into brightly-coloured barber shops, vape stores, minimarts, candy stores and phone repair shops that have proliferated across town centres.
Last month, the National Crime Agency (NCA) coordinated 265 raids on such premises across England and Wales as part of Operation Machinize, targeting high street businesses suspected of being fronts for international crime gangs – but it remains unclear if Suffolk, or Ipswich, has been part of this operation.
Oliver Rouane-WilliamsIpswich.co.uk
Shrewsbury and Ipswich: towns with similar profiles
In Shrewsbury, a market town not dissimilar to Ipswich, officers detained two Kurdish asylum seekers during raids on barber shops, seizing thousands of pounds in cash and illicit vapes. The intelligence suggested these establishments were linked to money laundering, illegal immigration and drug dealing.
The parallels between Shrewsbury and Ipswich are difficult to ignore. Both are historic county towns with traditional market squares, and a mix of independent and chain retailers. Both have experienced the same influx of barber shops, vape stores, minimarts, candy stores and phone repair shops on their high street.
Yet while Shrewsbury has seen decisive action, Ipswich residents have yet to witness any comparable enforcement activity. At least not visibly. And if it has, it has yet to make any difference.
The Ipswich landscape
According to commercial property analysts Green Street, the average number of barbers per person in England and Wales has doubled in the past decade.
Walk through Ipswich town centre and the changing retail landscape is evident – multiple barber shops, vape outlets, phone repair shops and sweet shops often within yards of each other, typically with very few visible customers.
It is important to note that we are not suggesting any specific businesses in Ipswich are engaged in illegal activity. The presence of these shops alone does not indicate wrongdoing, and many could be legitimate businesses.
But questions should be asked. And questions are being asked – repeatedly – by residents.
The scale of the problem
The National Crime Agency estimates that £12 billion in illicit cash is laundered in the UK annually, with lots of it flowing through criminal front organisations on high streets.
These businesses appeared to surge as shop vacancies grew following the pandemic, creating opportunities for criminal gangs to establish themselves in plain sight.
The suspicious signs are easy to spot: businesses claiming implausible income levels, unpaid utility bills despite supposed high turnover, and the sale of illicit products like illegal vapes and tobacco.
In Greater Manchester, linked mini-marts were found to be staffed by asylum seekers, some working illegally, with hidden compartments concealing contraband.
What Operation Machinize uncovered
During Operation Machinize, authorities discovered cannabis farms, seized Class A drugs, arrested 35 people and questioned 55 suspected illegal immigrants. Three potential victims of modern slavery were identified. Bank accounts worth over £1 million were frozen and £40,000 in cash seized.
Detective Inspector Daniel Fenn, who led raids in Shrewsbury as part of the operation, said: "Members of the public are angry. They can see these fronts are there. The criminals feel they are hidden here. They think they can come to sleepy areas and won't be found."
The same could easily be said of Ipswich.
The pattern of exploitation is particularly concerning – the NCA believes some shops are used as fronts for drug-trafficking, people-smuggling, modern slavery and child sexual exploitation. In 2023, it secured the conviction of one Iranian Kurdish barber shop owner who was using his London premises as a base for smuggling 10,000 people to the UK in small boats.
Impact on legitimate businesses
Legitimate barbers are calling for a registration scheme and stricter regulation. Gareth Penn, chief executive of the Hair and Barber Council, highlighted how illegal barbers have led to fungal infections from improperly cleaned equipment.
More importantly, though, is the damage being done to genuine businesses that cannot compete with those avoiding costs and taxes, and those that cannot find suitable high street premises.
The damage is significant and potentially long-lasting.
Will Ipswich be next?
For Ipswich, the question now is whether Operation Machinize will visibly extend to Suffolk – or indeed, whether it already has without public knowledge.
Unlike local police forces, the National Crime Agency is exempt from Freedom of Information requests, making it impossible for journalists or the public to determine how many Ipswich businesses, if any, have been investigated.
This distinction is important.
While local police forces handle everyday law enforcement, the NCA was specifically created to tackle serious and organised crime that extends across police force boundaries, international borders, or requires specialist capabilities.
Their involvement signals that these high street businesses are not merely local issues but part of sophisticated criminal networks operating nationally and internationally.
Security Minister Dan Jarvis has stated that "high street crime undermines our security, our borders, and the confidence of our communities", promising "decisive action" to bring those responsible to justice.
The road ahead
There are concerns about the effectiveness of current measures. Of the 265 raids conducted, only 10 shops have been shut down permanently. Many businesses raided were back operating within minutes of officers leaving.
The challenge for authorities extends beyond individual shops to dismantling the organised crime networks behind them – networks that may have been profiting in plain sight for years on our high streets. While local police forces can target individual businesses, only the NCA has the mandate and resources to tackle the international networks behind them.
For Ipswich residents concerned about these issues, the prospect of action against suspicious businesses cannot come soon enough. However, due to the secretive nature of NCA operations, we may never know the full extent of their activities in our town – only their results, if and when they choose to make them public.
