内容摘要："When we have problems where patients sadly don't make it, often it's because they get to us too late - that is usually the reason why patients don't survive.

"When we have problems where patients sadly don't make it, often it's because they get to us too late - that is usually the reason why patients don't survive.

Pakistani smugglershave tended to boastfully advertise illegal routes to Europe online.

But Gujjar is careful. His online presence is limited to highly edited videos of his travels and almost all clients BBC Verify identified are local to Jaurah. Advertisements for his services seem to spread by word of mouth.His current location on Facebook is set to Istanbul, Turkey - an oasis for smugglers looking to make a quick buck. Videos posted to TikTok place him in the city since July 2022, showing the smuggler outside the iconic Hagia Sophia and a Pakistani supermarket.One other location stands out: Mauritania on West Africa's Atlantic coast - the nerve-centre of his operation and the place from which the migrant boat started its perilous journey.

Since 2023, the International Organisation for Migration (IOM) says Mauritania has become a hub for people smuggling - spurred on by a crackdown on other routes.The route is deadly. IOM data shows that 170 people - including 14 children - have died or gone missing on it this year.

Many Pakistanis seeking economic opportunities in Europe are willing to take the risk. Life there is glorified online by migrants already living on the continent. Smugglers like Gujjar, whose lucrative business is fuelled by people's aspirations, take advantage of this.

These migrants are taking a gamble, using their families' savings or selling up to make the journey. The survivors we spoke to, on average, say they paid Gujjar $13,000 (£10,000).And when the government indicated in December 2024 that it could only afford a 2.8% pay rise in the health sector in England, the British Medical Association and the Royal College of Nursing both said the figure was too low.

The government funded last year's above inflation pay increase for public sector workers by increasing employers' National Insurance contributions andin November that she did not want to increase taxes again this Parliament.

As for borrowing, she has left herself only £9.9bn of "headroom", or leeway, against hitting her chosen fiscal rules in 2029-30 and taking on additional debt to pay for higher public sector pay would risk being on course to breach her rules.But analysts also warn that it will be far from easy to pay for higher pay through increased public sector productivity.