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NHS cyber-attack: Bosses fear further infections from ransomware NHS cyber-attack: No 'second spike' but disruption continues
(about 2 hours later)
Patients have been urged to use the NHS "wisely" as it discovers the full impact of Friday's global cyber-attack. A "second spike" in cyber-attacks has not hit the NHS but some hospital trusts are suffering ongoing disruption due to Friday's ransomware virus.
NHS England said there was a "complex emerging picture", amid concerns over thousands of computers being switched back on after the weekend. Routine surgery, blood tests and GP appointments have been cancelled across the NHS as it continues to recover from the global outbreak.
Seven trusts out of 47 that were hit are still facing serious issues, but patients have been told to turn up for appointments, unless advised otherwise. Patients have been urged to use the NHS "wisely" as the full impact of the ransomware attack comes to light.
Some GPs are asking people to consider whether they really need appointments. Prime Minister Theresa May says cyber-security is being "taken seriously".
She has denied suggestions that the government ignored warnings that NHS systems were vulnerable to cyber-attacks.
"It was clear warnings were given to hospital trusts, but this is not something that focused on attacking the NHS here in the UK," she said.
Eleven trusts out of 47 that were hit are still facing issues, leading to further cancellations and delays to services.
Patients have been told to turn up for appointments, unless advised otherwise, although some GPs are asking people to consider whether they really need to attend the surgery imminently.
The virus that hit the NHS in England and Scotland, known as Wanna Decryptor or WannaCry, has infected 200,000 machines in 150 countries since Friday.The virus that hit the NHS in England and Scotland, known as Wanna Decryptor or WannaCry, has infected 200,000 machines in 150 countries since Friday.
'Be patient' The National Crime Agency said it has not seen a "second spike" in attacks but "that doesn't mean there won't be one".
How is the UK's biggest NHS trust coping?
Barts Health NHS Trust, which runs five hospitals in east London, says it continues to experience some "delays and disruption" to services.
It says it has "reduced the volume" of planned services for Monday and Tuesday, which means some surgery and outpatient appointments will be cancelled.
However, its hospitals remain open for emergency care and it is no longer diverting ambulances from its sites.
The trust said its trauma and stroke care services are now fully operational, as are renal dialysis services.
More on the latest NHS disruptions
Europol, the EU's law enforcement agency, has called the cyber-attack the "largest ransomware attack observed in history".
The ransomware, which locks users' files and demands a $300 (£230) payment to allow access, spread to organisations including FedEx, Renault and the Russian interior ministry.The ransomware, which locks users' files and demands a $300 (£230) payment to allow access, spread to organisations including FedEx, Renault and the Russian interior ministry.
In England, 47 NHS trusts reported problems at hospitals and 13 NHS organisations in Scotland were affected.In England, 47 NHS trusts reported problems at hospitals and 13 NHS organisations in Scotland were affected.
Some hospitals were forced to cancel treatments and appointments, and divert ambulances to other sites.Some hospitals were forced to cancel treatments and appointments, and divert ambulances to other sites.
Health Secretary Jeremy Hunt failed to address the NHS cyber-attack issue when he was approached by BBC reporters on Monday morning.Health Secretary Jeremy Hunt failed to address the NHS cyber-attack issue when he was approached by BBC reporters on Monday morning.
However, he is expected to chair a Cobra meeting on cyber-security with Home Secretary Amber Rudd later. However, he is expected to attend a Cobra committee meeting on cyber-security, chaired by Home Secretary Amber Rudd later.
In July last year, the Care Quality Commission and National Data Guardian, Dame Fiona Caldicott, wrote to Mr Hunt warning that an "external cyber threat is becoming a bigger consideration" within the NHS.In July last year, the Care Quality Commission and National Data Guardian, Dame Fiona Caldicott, wrote to Mr Hunt warning that an "external cyber threat is becoming a bigger consideration" within the NHS.
It said a data security review of 60 hospitals, GP surgeries and dental practices found there was a "lack of understanding of security issues" and data breaches were caused by time-pressed staff often working "with ineffective processes and technology".It said a data security review of 60 hospitals, GP surgeries and dental practices found there was a "lack of understanding of security issues" and data breaches were caused by time-pressed staff often working "with ineffective processes and technology".
Meanwhile, Security Minister Ben Wallace has insisted NHS trusts have enough money to protect themselves against cyber-attacks.Meanwhile, Security Minister Ben Wallace has insisted NHS trusts have enough money to protect themselves against cyber-attacks.
The "real key" was whether trusts had regularly backed up data and whether they were installing security patches, he said.The "real key" was whether trusts had regularly backed up data and whether they were installing security patches, he said.
Chris Hopson, chief executive of NHS Providers, told Radio 4's Today programme many hospitals use sophisticated technology such as MRI and CT scanners which are "bound to be using old software" because they have a ten-year life expectancy, so are often linked to older operating systems.Chris Hopson, chief executive of NHS Providers, told Radio 4's Today programme many hospitals use sophisticated technology such as MRI and CT scanners which are "bound to be using old software" because they have a ten-year life expectancy, so are often linked to older operating systems.
He said he was "disappointed" at the suggestion by some that the cyber-attack problem was down to "NHS manager incompetence".He said he was "disappointed" at the suggestion by some that the cyber-attack problem was down to "NHS manager incompetence".
The government is insisting that the NHS had been repeatedly warned about the cyber-threat to its IT systems, with Defence Secretary Michael Fallon stating £50m was being spent on NHS systems to improve their security.The government is insisting that the NHS had been repeatedly warned about the cyber-threat to its IT systems, with Defence Secretary Michael Fallon stating £50m was being spent on NHS systems to improve their security.
But Labour criticised the Conservatives, saying they had cut funding to the NHS's IT budget and a contract to protect computer systems was not renewed after 2015.But Labour criticised the Conservatives, saying they had cut funding to the NHS's IT budget and a contract to protect computer systems was not renewed after 2015.
Leader Jeremy Corbyn described the cyber-attack on the NHS as "highway robbery" and said more investment was needed to protect "all of us from the criminals doing us down".
Shadow health secretary Jonathan Ashworth also pointed to a report from the National Audit Office six months ago.Shadow health secretary Jonathan Ashworth also pointed to a report from the National Audit Office six months ago.
It highlighted how, in February 2016, the Department of Health had "transferred £950m of its £4.6bn budget for capital projects, such as building works and IT, to revenue budgets to fund the day-to-day activities of NHS bodies".It highlighted how, in February 2016, the Department of Health had "transferred £950m of its £4.6bn budget for capital projects, such as building works and IT, to revenue budgets to fund the day-to-day activities of NHS bodies".
Since the weekend, the NHS said at least seven trusts still required "extra support". The WannaCry ransomware exploits a flaw in Microsoft Windows first identified by US intelligence.
Anne Rainsberry, NHS incident director, said pathology services were the most seriously affected, alongside imaging services, such as MRI and CT scans, and X-rays, which transmit images via computers. Microsoft, who released a security update in March to protect computers from the virus, described Friday's incident as a "wake-up call".
There is particular concern about the possibility of further cyber-attacks at GP surgeries, many of which were closed over the weekend. Some practices have advised staff due on shift on Monday not to turn computers back on until further notice.
The WannaCry ransomware exploits a flaw in Microsoft Windows first identified by US intelligence. Microsoft, who released a security update in March to protect computers from the virus, described Friday's incident as a "wake-up call".
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