Wednesday briefing: What really ails the NHS at 75 – and three ways to treat it

In today’s newsletter: Staff are leaving in droves, wait times have tripled and critics say it’s locked in a ‘death spiral’. But the situation might not be terminal, with some big changes

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Good morning, and a heartfelt happy birthday to the NHS, which was launched by Labour health minister Nye Bevan on this day in 1948. Don’t hold your breath for champagne and cake on your local hospital trust’s budget, though – you will be waiting almost as long as a typical queue at the nearest A&E.

The NHS may be profoundly cherished for its millions of dedicated staff and the still astonishing cradle-to-grave principle that underpins it, but there is no question that the UK’s healthcare system is very sick. More people are dying waiting for ambulances. Waiting times for treatment have almost tripled since 2020. GP surgeries and mental health services are at breaking point. Staff are leaving in droves, and nurses, junior doctors and even consultants are striking – once an unimaginable prospect – over pay and patient safety.

Climate | The government is drawing up plans to drop the UK’s flagship £11.6bn climate and nature funding pledge. A leaked briefing note to ministers seen by the Guardian, lays out reasons for dropping the UK’s contribution to the fund for developing countries. The Foreign Office initially refused to comment on the leak, before describing it as “false”.

Partygate | Scotland Yard is reopening its investigation into potential Covid breaches at a lockdown party at Conservative headquarters. The force will also scrutinise an event in parliament that the Tory MP Bernard Jenkin – a member of the privileges committee that produced a highly critical report into Boris Johnson – is said to have attended.

Jenin | Israeli forces have withdrawn from the Palestinian city of Jenin, military officials have said, after carrying out one of the biggest operations in the occupied West Bank in years. Twelve Palestinians and an Israeli soldier were killed in the operation.

UK news | Private bank Coutts has reportedly shut Nigel Farage’s bank account after he fell below the prestigious lender’s wealth requirements, raising questions over the Brexiter’s claims that the bank was targeting him over his political views.

Scotland | Mhairi Black, the SNP’s deputy Westminster leader, will step down at the next general election, blaming the “toxic” environment in Westminster. Black became the youngest MP in 350 years when she was elected in the SNP landslide of 2015 at the age of 20, described the Commons as “one of the most unhealthy workplaces that you could ever be in”.

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Tony Blair urges expanded role for private sector as NHS turns 75

Former PM says service needs radical reform, including pointing patients to private healthcare offers

The NHS must undergo radical change or it will continue to decline and lose public support, Tony Blair has argued on the service’s 75th anniversary.

It must embrace a revolution in technology to reshape its relationship with patients and make much more use of private healthcare providers to cut waiting times, the former Labour prime minister says.

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Food bank use a ‘personal decision’, says veterans minister

Johnny Mercer says food bank use not an accurate measure of poverty after reports of some military personnel relying on them

The use of food banks is a personal decision for some people and not an accurate measure of levels of poverty across the UK, the veterans minister has said.

Johnny Mercer argued that food banks remained a lifeline for “some dire cases” but that it was “not correct” to say people used them only when they had no choice.

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Vietnam bans Barbie film over disputed map of China’s South China Sea claims

Scene shows map of China’s controversial ‘nine-dash line’ – repudiated in international ruling

Vietnam has banned Warner Bros’s Barbie film from domestic distribution over a scene featuring a map that shows China’s unilaterally claimed territory in the South China Sea, state media have reported.

The U-shaped “nine-dash line” is used on Chinese maps to illustrate its claims over vast areas of the South China Sea, including swathes of what Vietnam considers its continental shelf, where it has awarded oil concessions.

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M&S offers money off children’s clothes in exchange for used school uniforms

Promotion is designed to help parents who are struggling to afford clothes amid cost of living crisis

Families are being offered money off children’s clothes in Marks & Spencer if they donate school uniform hand-me-downs, as part of a push designed to help parents struggling to afford them amid the cost of living crisis.

The second-hand uniform collected will be sold via Oxfam’s high street chain as well as via a new “back-to-school” eBay shop. The tie-up is an extension of M&S’s existing “shwopping” partnership with Oxfam, in which customers drop off old clothing in exchange for loyalty card perks.

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Ex-offenders could help cut UK labour shortages, says report

Good Jobs Project from ReGenerate aims to help ex-prisoners, neurodivergent people, asylum seekers and other groups into work

Unemployed ex-offenders are being overlooked for jobs and could help fill the 1.1 million vacancies in the UK job market, a report has claimed.

Britain is “facing one of the worst labour shortages in its history”, the year-long study said, arguing that the vast numbers of people commonly overlooked for jobs should be targeted.

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Mother of Cheshire boy, 7, kidnapped by father says Saudi lawyers ‘too scared’ to help

Exclusive: Ranem Elkhalidi meeting Foreign Office officials this week as she continues fight to bring her son home

A woman whose seven-year-old son was kidnapped by his father and taken to Saudi Arabia has said lawyers in the country are too afraid to get involved with her case, as she prepares for a meeting with the Foreign Office this week.

Ranem Elkhalidi has vowed to keep fighting for the safe return of her Cheshire-born son Ibrahim, who was taken from his primary school six months ago by her estranged husband, Hamzah Faraj, a Saudi national, in breach of a court order.

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‘Boil in the bag’ environmentally friendly funerals arrive in the UK

With a lower carbon footprint than gas-fired cremation, the process is described as ‘gentler on the body and kinder on the environment’

For anyone uneasy at the thought of their body being consumed by flames or interred in an insect-teeming grave, a new funeral choice is about to become available: water cremation.

The process of dissolving a body in a bag in 160C water treated with an alkali will become available in the UK from this week – the first new legal method of disposing of cadavers since the Cremation Act of 1902. It has been described as a “boil in the bag” funeral.

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‘Times have changed’: New York’s veteran subway announcer on coming out as trans

Bernie Wagenblast’s voice is known to millions of passengers on the AirTrain service. Now, at 66, she’s happy with a new life

One of the first voices millions of commuting New Yorkers hear each morning is the measured tone of former traffic reporter Bernie Wagenblast reminding them to stand away from the platform edge. Wagenblast, AKA “the voice of New York”, reminds AirTrain passengers at JFK or Newark that the doors are closing, and hosts a podcast about infrastructure, including episodes on Ohio’s bridges and wildlife crossings in Oregon. But that neutrally pan-American male voice, honed by years of practice to impart clarity and authority but not alarm, is changing.

Earlier this year, Wagenblast, 66, went on the radio to present herself publicly as a transgender woman, and has this month been participating in US Pride celebrations with gusto, including the march at Asbury Park on the Jersey shore. Wagenblast is still Bernie, but that’s now derived from Bernadette, not Bernard.

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Revealed: record 170,000 staff leave NHS in England as stress and workload take toll

Health service shown to be under some of worst pressure in its history in week Rishi Sunak launched plan to retain and recruit workforce

‘You start thinking you will crack’: former NHS tell their stories

Nearly 170,000 workers left their jobs in the NHS in England last year, in a record exodus of staff struggling to cope with some of the worst pressures ever seen in the country’s health system, the Observer can reveal.

More than 41,000 nurses were among those who left their jobs in NHS hospitals and community health services, with the highest leaving rate for at least a decade. The number of staff leaving overall rose by more than a quarter in 2022, compared to 2019.

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‘We are seen as less human’: inside Marseille’s districts abandoned by the police

In 2021 Emmanuel Macron promised victims of the city’s drug crime he would help. Grieving residents tell how he failed them

Inside, Emmanuel Macron was sharing a typically polished vision of a rejuvenated, safer Marseille. Yet it was outside the spruced-up gym in the impoverished Busserine district - tensions building on the hottest day of the year – where the real story was playing out.

Little more than 12 hours before the police killing of a 17-year-old boy 500 miles north in Nanterre would convulse the country, scores of officers clutching assault rifles and bulletproof riot shields clashed with teenagers of north African descent, trading insults as officers profiled potential troublemakers.

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Councils in England hit by ‘unsustainable’ £450m bill for free bus passes

LGA says services being put at risk by huge cost and calls way Whitehall funds scheme not fit for purpose

Councils in England are being hit by a “completely unsustainable” annual bill of more than £450m to prop up the free bus pass scheme, according to an analysis.

The Local Government Association (LGA), which calculated the figure, said the enormous cost was putting services at risk.

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Many high-street frappés contain more sugar than a Mars bar

Which? finds some Starbucks, Costa Coffee and Caffè Nero coffees contain more sugar than recommended daily allowance

An iced coffee is a cool pick-me-up on a hot day, but it might not be the caffeine boosting your mood as many of the blends sold by well-known high street coffee chains contain more sugar than a Mars bar or can of Coke.

The consumer group Which? looked at the sugar load in frappés and Frappuccinos being served up this summer by three of the biggest coffee chains, Starbucks, Costa Coffee and Caffè Nero, and found many “regular” size drinks contained more than an adult’s recommended daily allowance.

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Jeremy Clarkson’s Sun article on Meghan was sexist, says press regulator

The Sun will have to print a front-page statement explaining that its columnist was found to have discriminated against the duchess

Jeremy Clarkson discriminated against the Duchess of Sussex when he used an article in the Sun to describe his “hatred” of her with a series of sexist tropes, a press regulator has ruled.

Clarkson used his national newspaper column to describe how he hated Meghan on a “cellular level” and suggested she had used “vivid bedroom promises” to transform Prince Harry into a “warrior of woke”.

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NHS plan: the numbers are impressive, but where are the new ideas?

Health bosses will welcome tens of thousands of new recruits, but the plan has little to say on how to change the culture to keep them

It was on 8 November 2017 that Jeremy Hunt, the then health secretary, first promised that the government would bring forward a long-term, comprehensive plan to end the NHS’s lack of staff.

It would, he said, be the “first proper NHS workforce plan that we have had since 2000”. And the plan would emerge quickly, he added, reflecting the urgency of tackling what has become the most debilitating of the NHS’s many problems – shortages of staff, everywhere.

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Plans to shorten medical training put quality of NHS care at risk, doctors say

Unions say government proposals to cut training by a year and introduce apprenticeships could dilute skills

Plans to shorten medical training could dilute the calibre of doctors entering the NHS in England and damage the quality of care patients receive, doctors’ leaders have warned.

Government proposals to cut doctors’ time in medical school from five to four years, and to introduce medical apprenticeships, could “water down” training for health service staff, they said.

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Watchdog rejects Johnson’s suggestion Sue Gray’s Labour job meant she was not impartial investigating Partygate– UK politics live

Advisory committee on business appointments says it has seen ‘no evidence’ that Gray’s decision-making was affected despite ex-PM’s claim

NHS England has just published its 150-page long-term workforce plan. It’s here.

The government is keen to present it as an NHS plan, not a government plan, and at the moment you cannot find it prominently on the No 10 or Department of Health and Social Care websites.

This is our longer-term, strategic approach to workforce planning. In a nutshell we will:

1. Train more staff

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NHS radiographers in England vote to strike over pay

Society of Radiographers members reject offer, pushing for deal they say could help cut waiting lists

Thousands of radiographers in England have voted to go on strike for the first time in the increasingly bitter healthcare pay dispute.

The Society of Radiographers (SoR) secured sufficient turnout and votes in 43 NHS trusts to go on strike in a ballot that closed on 28 June. More than 150 trusts had a majority in favour of action but not all met the turnout threshold.

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Fifteen-year-old boy and man, 23, killed in north London stabbing

Another man aged 28 has stab wound not thought to be life-threatening after incident in Archway

A 15-year-old boy and a 23-year-old man have been stabbed to death in north London.

The teenager died at the scene in Elthorne Road, Archway, after the stabbing at 11.30pm on Thursday, while the man was taken to hospital where he was later pronounced dead. A 28-year-old man was found with a stab wound that was not life-threatening.

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Millions in UK are being left behind as world moves online, say peers

Committee says ministers do not have credible strategy to tackle digital exclusion

The government is failing millions of digitally excluded citizens who do not have the means, money or ability to go online, a House of Lords committee has said.

Ministers do not have a credible strategy to tackle digital exclusion and are allowing “millions of citizens to fall behind”, according to a report by the Lords communications and digital committee.

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