Services for most-vulnerable people at risk after NICs rise, charities say

Care providers, GPs and pharmacists warn increased costs will cause cuts and job losses

Services that support some of England’s most vulnerable people have warned that tax increases in the budget will lead to cuts and closures that could devastate the charity sector.

Although the NHS and councils are protected from the impact of the rise in employers’ national insurance contributions (NICs) announced in Wednesday’s budget, charities that provide services say the increase means they will face “existential” financial pressures.

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Stop punishing doctors who take part in climate protests, regulator told

Hundreds of health workers sign letter to General Medical Council calling for halt to suspensions as GP faces jail for activism

Hundreds of health workers have called on the General Medical Council to stop suspending doctors imprisoned for peaceful climate activism ahead of a trial which could see the first jailing of a working GP for a non-violent climate protest in the UK.

Two retired GPs have been suspended by GMC-convened tribunals this year after receiving short sentences for non-violent offences during Just Stop Oil and Insulate Britain protests in 2021 and 2022. The medical regulator did not express concerns about the doctors’ clinical capabilities but said their actions undermined public confidence in the profession.

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Queensland LNP promise voters ‘cheaper GP visits’ but Miles government calls it ‘nonsense’

The state’s shadow treasurer, David Janetzki, says general practitioners would be exempt from payroll tax with David Crisafulli as premier

Queensland’s opposition claims visits to the doctor would be cheaper under an LNP government, but Labor said they haven’t explained how they will pay to make GPs exempt from payroll tax.

The shadow treasurer, David Janetzki, announced on Sunday that the party would make general practitioners a special category under the payroll tax act.

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NHS faces ‘tipping point’ in England where most appointments will not be with GPs

Rapidly falling number of family doctors will harm ‘continuity and quality’ of care according to new research

The NHS in England is heading towards a “tipping point” after which GPs will no longer provide the majority of appointments because their numbers are falling so fast.

That is the conclusion of an extensive piece of new research that also shows one in five surgeries has shut and the number of patients each family doctor looks after has soared over the last decade.

1,625 GP surgeries closed between 2013 and 2023 – a fall of 20% or 178 a year – reducing the total number from 8,044 to 6,419.

The average number of patients on each surgery’s books rose by 40% – or 291 a year – over the same period, from 6,967 to 9,724.

Total patient numbers have grown from 56 million to 62.4 million.

Although the overall number of GPs working in the NHS rose, after taking changes in working hours into account those working the equivalent of full-time fell from 27,948 to 27,321.

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Many patients leave GP appointment without discussing all worries, survey shows

Ipsos poll found 40% of Britons thought there was not enough time to raise all concerns in 10-minute slot

Two-fifths of patients leave their GP appointment without discussing everything that is worrying them about their health, a survey has revealed.

The finding has prompted claims that older people often feel family doctors “want them out the door as soon as possible” rather than listening to all their concerns.

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Labour must raise GP funding to end ‘8am scramble’, says doctors’ group

General practices forced to ‘do more and more with less and less’, says Doctors’ Association UK

Labour’s promise to “end the 8am scramble” for medical appointments will be impossible without increasing core funding for GPs, according to a leading medical association.

The health secretary, Wes Streeting, pledged during the general election campaign that Labour would “end the 8am scramble by allowing patients to easily book appointments to see the doctor they want, in the manner they choose”.

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Nearly half of England’s GP surgeries taking industrial action, survey finds

One in four practices capping number of patients they see to 25 a day amid first action in 60 years

Almost half of GP surgeries in England are staging industrial action for the first time in 60 years amid a row over funding, with one in four capping the number of patients they see to 25 a day, a survey suggests.

Family doctors voted overwhelmingly in favour of collective action earlier this month in protest at the last government increasing their budget by only 1.9% this year. The new government has pledged to increase funding for 2024-25 to 6%.

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English hospitals brace for ‘alarming’ disruption as GPs go on strike

Exclusive: A&Es and mental health services face ‘dangerous’ surge that could continue into 2025, say bosses

The NHS faces “alarming” and “dangerous” disruption until Christmas and potentially into 2025, health chiefs have said, after GPs began their first industrial action in 60 years amid a major row over funding.

Hospitals, A&E units and mental health services are already under huge pressure. They are now braced for a surge in demand from thousands of patients turning to them for help after family doctors in England launched work-to-rule action on Thursday.

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England’s healthcare watchdog apologises over ‘new regulatory approach’

CQC ‘got things wrong’ implementing inspection regime and new computer system, interim chief admits

England’s healthcare regulator has issued a public apology over reforms to its monitoring of tens of thousands of hospitals, care homes, dentists and GPs.

The apology from the Care Quality Commission (CQC) came in the wake of care organisations complaining of a “hostile” inspection regime and a major new computer system failing to work properly.

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Wes Streeting pledges billions to GPs in order to ‘fix front door’ of NHS

Health secretary wants to bring back family doctors, cut pressure on hospitals and solve pay disputes

Ministers will divert billions of pounds from hospitals to GPs to “fix the front door to the NHS”, Wes Streeting has promised as he said millions of patients will be able to see the same family doctor at every appointment.

The health secretary made his first major policy announcement as he prepared to begin vital talks with junior doctors on Tuesday, aimed at finally ending the strikes that have crippled the health service since 2022.

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Almost half of antidepressant users could quit with GP support, study finds

UK researchers say study shows stopping long-term use of the drugs is possible at scale without costly therapy

Almost half of long-term antidepressant users could stop taking the medication with GP support and access to internet or telephone helplines, a study suggests.

Scientists said more than 40% of people involved in the research who were well and not at risk of relapse managed to come off the drugs with advice from their doctors.

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‘It’s the perfect place’: London Underground hosts tests for ‘quantum compass’ that could replace GPS

Subatomic instrument will be able to accurately pinpoint locations under ground and under water, where satellite signals are often blocked

Dr Joseph Cotter takes some unusual pieces of luggage on his trips on the London underground. They include a stainless steel vacuum chamber, a few billion atoms of rubidium and an array of lasers that are used to cool his equipment to a temperature just above absolute zero.

While not the average kit you would expect to find being dragged into carriages on the District Line, this is the gear that Cotter – who works at Imperial College London’s Centre for Cold Matter – uses on his underground travels.

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Nearly 1,000 pharmacies in England closed since 2017, with poorer areas more affected

Exclusive: Millions more GP appointments potentially created as a result of closures

Almost 1,000 pharmacies in England have closed since 2017, potentially leading to millions of extra GP appointments, the Guardian can exclusively reveal.

There are more than 11,000 pharmacies in England. Guardian analysis of the official register of these chemists has found that parts of the country have lost more than one in five pharmacies in the last six years, with poorer areas experiencing proportionally more closures.

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More than half of England’s army veterans have health problems – report

Survey finds many ex-military personnel fear being misunderstood and are reluctant to seek professional help

More than half of England’s army veterans have experienced mental or physical health issues since returning to civilian life, and some are reluctant to share their experiences, a survey has revealed.

The survey of 4,910 veterans, commissioned jointly by the Royal College of GPs (RCGP) and the Office for Veterans’ Affairs (OVA), found that 55% have experienced a health issue potentially related to their service since leaving the armed forces. Over 80% of respondents said their condition had got worse since returning to civilian life.

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Russia suspected of jamming GPS signal on aircraft carrying Grant Shapps

RAF jet was taking defence secretary back to UK from Poland, and flying near Russian exclave of Kaliningrad

Russia is believed to have jammed the satellite signal on an RAF aircraft carrying Grant Shapps back from Poland, according to government sources.

Defence sources said there was no danger to Shapps, who was travelling back to the UK, though they called it a “wildly irresponsible” act of electronic warfare.

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UK politics: Sunak refuses to say how abolition of national insurance would be funded – as it happened

PM says ‘people trust me on these things’ and refuses to be drawn on whether government would forgo entire £46bn raised from measure

Keir Starmer has accused Jeremy Hunt of repeating the budget mistakes made by Liz Truss during her disastrous premiership.

In comments on the budget during a visit to a building site this morning, Starmer focused on Hunt’s proposal to abolish employees’ national insurance over time, saying that this was a bigger unfunded tax promise than those in Truss’s mini-budget. (See 9.28am.)

How humiliating was that for the government yesterday?

We’ve argued for years that they should get rid of the non-dom tax status, they’ve resisted that. And now, completely out of ideas, the only decent policy they’ve got is the one that they’ve lifted from us.

Nothing that Jeremy Hunt did yesterday, nor anything the OBR said, changes anything very significantly. Which is a shame. Because that means we are still:

-heading for a parliament in which people will on average be worse off at the end than at the start,

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Seeing same GP ‘improves patient health and cuts workload of doctors’

Study analysing data from 10m consultations in England also says practice can free up millions of appointments

Seeing the same GP improves patients’ health, reduces doctors’ workloads and could free up millions of appointments, according to the largest study of its kind.

Primary care is under enormous strain, with patients struggling to book consultations, GPs quitting or retiring early, and financial pressures causing some practices to close. Four-week waits hit a record high in 2023, with 17.6m appointments taking place at least 28 days after being booked in England last year.

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Rate of GPs bulk billing all patients in Australia drops to below one in four, data reveals

Cleanbill report reveals national rate of bulk billing dropped 11% last year to 23.6%, with 514 clinics removing the service

Fewer than one in four Australian general practices provide bulk billing to all patients, with more than 500 clinics switching to private billing in the past year, according to a new report.

Online healthcare directory Cleanbill on Monday released its Blue Report providing data on the rates of bulk billing – where the full cost of a consultation is paid for by Medicare without any additional gap fees – across 6,818 practices.

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New menopause therapy guidance will harm women’s health, say campaigners

Nice guidelines for GPs ‘placing CBT on a par with HRT’ are criticised as ‘patronising’ and ‘scaremongering’

New official guidance on treating menopause will harm women’s health, experts, MPs and campaigners have warned.

Last month, new draft guidelines to GPs from the National Institute for Health and Care Excellence (Nice) said that women experiencing hot flushes, night sweats, depression and sleep problems could be offered cognitive behavioural therapy (CBT) “alongside or as an alternative to” hormone replacement therapy (HRT) to help reduce their menopause symptoms.

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Experts call for fewer antidepressants to be prescribed in UK

Open letter to government from experts and politicians says rising usage ‘is a clear example of over-medicalisation’

Medical experts and politicians have called for the amount of antidepressants being prescribed to people across the UK to be reduced in an open letter to the government.

The letter coincides with the launch of the all-party parliamentary group Beyond Pills, which aims to reduce what it calls the UK healthcare system’s over-reliance on prescription medication.

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