Experts condemn US tobacco firm’s sponsorship of doctor training as ‘grotesque’

Philip Morris International has supported non-smoking programmes around the world ‘to advance its own interests’, say health professionals

The tobacco company Philip Morris has sponsored courses for doctors in multiple countries, in what critics have called a “grotesque” strategy.

Medical education programmes on quitting smoking and harm reduction in South Africa, the Middle East and the US have been supported by Philip Morris International (PMI) or its regional subsidiaries, according to advertising material seen by the Guardian.

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Bulk-billed GP visits rise after introduction of incentives for doctors, data shows

Doctors’ groups say improved rate is ‘encouraging’ but more investment in health system is needed

The federal government’s bulk-billing changes have helped more Australians see a GP, but peak doctors’ groups say the reforms are only a “down payment” on what they want to see in next month’s budget to help reduce healthcare costs.

New data from the health minister, Mark Butler, released overnight, shows 77.7% of all visits to general practitioners were bulk billed in March, a 2.1% rise since the Albanese government’s moves last November to triple incentives for doctors to take bulk-billed appointments.

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Locum psychiatrists providing poor care in Scotland, campaigners say

Scottish NHS boards have spent more than £125m since 2019 to provide temporary cover amid drop in consultant numbers

Mental health campaigners have protested about the significant use of temporary locum psychiatrists in Scotland, alleging that it leads to substandard and harmful medical care.

Peter Todd, a campaigner based in Caithness in the north of Scotland, said the heavy reliance on locum psychiatrists by the NHS was a sign of a growing crisis in mental health services across the country.

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Hilary Cass warned of threats to safety after ‘vile’ abuse over NHS gender services review

The paediatrician, who has been advised to stop using public transport, describes ‘straight disinformation’ about report

The doctor behind a landmark review of the NHS’s gender identity services for children and young people has said fears had been raised about her personal safety amid online abuse after the report’s release.

Dr Hilary Cass told the Times she wished to address the “disinformation” circulating about the findings and recommendations handed down by the Cass review when it was published on 10 April.

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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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South Korea doctors’ strike widens as medical professors join protests

Some professors will submit their resignations while others will cut their hours over a government plan to boost medical school admissions

Medical professors in South Korea have said they will reduce the hours they spend in practice, while some say they plan to resign, in a widening of a doctors strike in the country.

The move will begin on Monday in support of trainee doctors who have been on strike for more than a month over a government plan to boost medical school admissions.

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Junior doctors in England vote to continue striking until mid-September

BMA members overwhelmingly back further stoppages and overtime bans in long-running pay dispute

Junior doctors in England have voted to keep on striking until the middle of September in their long-running pay dispute, bringing a fresh wave of disruption to the NHS.

Those belonging to the British Medical Association voted overwhelmingly to stage further stoppages in addition to the 41 days of strikes held since last March.

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South Korea doctors’ strike: government moves to suspend thousands of medical licences

Almost 12,000 doctors have walked out over planned changes, as the country’s health ministry denies services have descended into chaos

South Korea’s government has started taking steps to suspend the medical licences of thousands of striking doctors, as concern grows that the month-long dispute is affecting frontline health care services.

The walkout by almost 12,000 doctors from 100 teaching hospitals has led to surgery cancellations, longer waiting times and delays in treatment, including for patients seeking emergency care, according to media reports.

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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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Assisted dying law may soon diverge across British Isles, MPs warn

Parliamentary inquiry highlights likelihood of Scotland, Jersey or Isle of Man passing new laws

Laws to allow assisted dying may pass in Scotland, Jersey and the Isle of Man in the next few years, leading to a divergence between different parts of the UK and British Isles, MPs have warned.

The government must consider the repercussions of this, a parliamentary inquiry into assisted dying has said.

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Government U-turn on plans to double number of medical students in England

Fears for impact on NHS workforce as leaked letter reveals ministers stall on aim to increase trainee doctors to 15,000 by 2031

Ministers have dramatically stalled plans to double the number of doctors being trained in England by 2031 in a move that has caused dismay across the NHS, as well in medical schools and universities, the Observer can reveal.

In June last year, ministers backed a long-term plan to expand the NHS workforce and pledged, amid great fanfare, to “double medical school places by 2031 from 7,500 today to 15,000, with more medical school places in areas with the greatest shortages to level up training and help address geographic inequity”. Labour is also committed to raising the number of doctors to 15,000 by 2031.

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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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Record one in five NHS staff in England are non-UK nationals, figures show

Figure of 20.4% is highest since records began in 2009, prompting warnings over growing reliance

One in five NHS staff in England are non-UK nationals, according to figures that show the pivotal role foreign workers play in keeping the health service afloat.

Healthcare workers from 214 countries – from India, Portugal and Ghana to tiny nations such as Tonga, Liechtenstein and Solomon Islands – are employed in the NHS. And the proportion of roles filled by non-UK nationals has risen to a record high, according to analysis of NHS Digital figures.

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Junior doctors in England to strike again after pay talks break down

BMA votes for further five days of action after meeting with health secretary fails to resolve grievances

Junior doctors are to stage fresh strike action in England for a 10th time after talks between their union and the government broke down again.

Ministers, health officials and representatives from the British Medical Association (BMA) had been locked in negotiations for weeks since last month’s record six-day stoppage, trying to find a resolution to the pay dispute.

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Rishi Sunak accused of personally holding up deal to end doctors’ strikes

Exclusive: Sources say PM has blocked talks due to concerns about knock-on effect of more generous pay offer

Rishi Sunak has been accused of personally holding up a deal to end doctors’ strikes in England despite warnings from the health department and NHS England that waiting lists will continue to soar unless the industrial dispute is resolved.

Sources told the Guardian it had been made “abundantly and repeatedly” clear to the prime minister that there would be no progress on his pledge to drive down NHS waiting lists until a deal was struck.

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Ban on doctors raising voluntary assisted dying with ill patients to remain as Victoria reviews law

Advocates lament missed opportunity for reform, saying some safeguards have become barriers

Allowing doctors to start conversations with terminally ill patients about voluntary assisted dying will not be considered under a review of Victoria’s euthanasia laws – sparking criticism from advocates who say it is a missed opportunity for reform.

A five-year review of the dying laws is open for public submissions and will consider issues including access to the scheme and safeguards. Advocates say Victoria – which in 2017 became the first Australian jurisdiction to legalise VAD – is now lagging behind other jurisdictions.

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Crack down on mouldy homes in England or more will die, warns doctors’ body

Royal College of Physicians urges government to introduce new law amid rising damp, mould and leaks in social housing

The Royal College of Physicians (RCP) has called on Michael Gove to accelerate a promised crackdown on landlords failing to fix tens of thousands of mouldy homes with a warning that unless laws are toughened many more people will die from the effects.

As the housing ombudsman reported increasing failures among landlords to properly tackle damp, mould and leaks in England’s social housing, Prof Sir Stephen Holgate, special adviser on air quality to the RCP, warned of widening ill-health as more people inhale fungal toxins.

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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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Junior doctors’ leaders warn of more strikes unless ministers make new offer

Row breaks out on first day of NHS’s longest ever stoppage as requests to return to work rejected

Junior doctors’ leaders have said they are prepared to stage yet more strikes after the longest stoppage in NHS history, as health leaders warned that this week’s action alone could cripple the health service until spring.

The dire warnings came as Rishi Sunak faced fresh pressure over his pledge to reduce waiting times. Since he made his vow exactly a year ago, the list has gone up, not down – and by 500,000, official figures reveal.

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Decoding the junior doctors’ strike – from patient safety to public support

Health bosses raise alarm as junior doctors begin the longest strike in NHS history. But how will the action actually affect patients?

Almost a year after the first strike over pay and conditions, junior doctors in England are going out on strike again for six days. (A pay deal has already been reached in Scotland, while doctors in Wales are due to strike later this month and those in Northern Ireland are being balloted.)

While the new health secretary, Victoria Atkins, is on slightly better terms with the British Medical Association (BMA), which represents junior doctors, than her predecessor, Steve Barclay, the doctors and the government are still a long way apart. As the two sides make their case, here’s some help with interpreting what they have to say.

Six days of strike action following bank holidays at a time of enormous pressure, there are real issues around patient safety”

NHS Confederation chief executive, Matthew Taylor, 23 December

Junior doctors’ pay has been cut by more than a quarter since 2008”

BMA website

The public know the only way to have a healthcare system that looks after them is to have enough doctors. And they can completely appreciate [that junior doctors’ pay] is just not enough”

Dr Vivek Trivedi, co-leader of the British Medical Association, 20 December

They have taken the decision to walk away from the discussions we were having, which were live”

The health secretary, Victoria Atkins, 13 December

I mean even recently the secretary of state has said they have a final offer to give. Well then give it and let’s solve the dispute”

Dr Rob Laurenson, co-leader of the British Medical Association, 30 December

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