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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NHS bosses fear for patient safety during six-day junior doctor strike

Hospital bosses worry BMA will not honour agreement to return junior doctors to work in event of major incident

NHS bosses fear patient safety could be compromised during this week’s junior doctors strikes if medics do not honour an agreement to abandon picket lines if hospitals become overwhelmed during the winter crisis.

Hospital bosses can ask the British Medical Association (BMA) to allow junior doctors to return to work to help if an emergency arises during their six-day strike starting on Wednesday.

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Two in three UK doctors suffer ‘moral distress’ due to overstretched NHS, study finds

Exclusive: lack of resources to treat people whose ill health is often worsened by poverty is taking a heavy toll on medics’ wellbeing

Two in three UK doctors are suffering “moral distress” caused by the enfeebled state of the NHS and the damage the cost of living crisis is inflicting on patients’ health, research has found.

Large numbers are ending up psychologically damaged by feeling they cannot give patients the best possible care because of problems they cannot overcome, such as long waits for treatment or lack of drugs or the fact that poverty or bad housing is making them ill.

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Cancer and maternity patients at risk if junior doctors strike in January, NHS bosses warn

NHS Employers writes to British Medical Association warning of dangers of proposed six-day stoppage

Patients have been harmed as a result of doctors striking this year, and others needing time-critical treatment will be at risk during next month’s walkout in England, hospital bosses have said.

Cancer patients and women having induced or caesarean section births will be in danger of damage to their health unless junior doctors in those areas of care abandon their plans to strike for six days in January, they said.

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Gaza children being killed or mutilated in ‘very extreme’ numbers, Australian doctor says

Reporting what is being directly witnessed by MSF healthcare workers does not indicate loss of neutrality, Natalie Thurtle stresses

An Australian doctor who coordinated medical aid to Gaza has expressed horror at the “huge proportion of children being killed or maimed for life” as the UN security council again delayed a vote on a ceasefire resolution.

Dr Natalie Thurtle, who helped oversee the response by Médecins Sans Frontières until last week, said it was “very confronting for colleagues trying to provide healthcare when it’s possible to be shot through the window of the hospital”.

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NHS leader warns junior doctors’ strikes could lead to tipping point

Matthew Taylor says there is a risk of health service becoming overwhelmed early in new year as pay row continues

Strikes by junior doctors increase the risk that the NHS will become overwhelmed by winter pressures early in the new year, a senior health service leader has warned.

Their walkouts, happening at the same time as hospitals are struggling with the usual surge in cold weather illness, could propel the NHS towards a tipping point, said Matthew Taylor, the chief executive of the NHS Confederation.

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Michelle Mone criticises Sunak over his comments about her involvement in PPE contracts – UK politics live

Former Tory peer claims she never concealed her link to PPE Medpro from officials dealing with the contract

Mark Harper, the transport secretary, has announced in a written statement that Transport for London is getting a capital funding settlement worth £250m for 2024. It will fund upgrades to the Piccadilly line. Sadiq Khan, the mayor, welcomed that announcement but, as the Evening Standard reports, said “a decent long-term funding settlement” from the government was still needed.

Rishi Sunak has said that too many civilian lives have been lost in Gaza – but declined to back Ben Wallace’s claim that Israel is engaged in a “killing rage”. (See 10.27am.)

Israel obviously has a right to defend itself against what was an appalling terrorist attack perpetrated by Hamas, but it must do that in accordance with humanitarian law.

It’s clear that too many civilian lives have been lost and nobody wants to see this conflict go on a day longer than it has to.

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Public confused over physician associates working in NHS, research finds

Exclusive: survey finds 57% of people have never heard of physician associates even though they are widely used

Many people are deeply confused about the growing number of “physician associates” in the NHS and wrongly assume they are doctors, research suggests.

Around 4,000 physician associates work in the NHS in England. Ministers and health chiefs plan to increase the figure to 10,000 to help plug widespread gaps in the NHS workforce.

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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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NHS trust under investigation accused of hypocritical email to staff

CEO of University Hospitals Sussex urges staff to have courage to raise concerns, despite whistleblowers previously being sacked

The boss of a hospital trust being investigated by police for alleged negligence over 40 patient deaths has been accused of sending a hypocritical email urging staff to have the courage to raise concerns despite the dismissal of whistleblowing doctors.

Last week the Guardian revealed that the University Hospitals Sussex trust is under pressure to suspend surgeons whose cases are being reviewed by Sussex police in an investigation that involves more than 100 patients who either died or were seriously harmed between 2015 and 2021.

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Senior doctors in England reach pay deal with government

NHS leaders welcome breakthrough as ‘vital step’ towards halting walkouts by various staff groups

Doctors’ leaders have struck a deal with ministers that could end the strikes by hospital consultants that have badly disrupted NHS care for months.

Grassroots members of the British Medical Association (BMA) and the Hospital Consultants and Specialists Association (HCSA) in England still have to approve the government’s offer. But if medics accept it in referendums then both unions will call off the industrial action that has led to hundreds of thousands of operations and outpatient appointments being cancelled.

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Doctors plan to leave NHS in growing numbers due to burnout, GMC warns

Workforce report says government strategy to boost staff numbers may have come too late

A growing number of doctors plan to leave the profession due to burnout and dissatisfaction, the General Medical Council has said, highlighting fears that the government’s long-term strategy for the NHS may have come too late.

The GMC’s annual report on the medical workforce said the benefits of measures announced by the government in the NHS long-term workforce plan in June, such as the ambition to create more medical school places, “will only start to be seen a decade from now”.

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Sunak’s waiting list pledge ‘downgraded’ as NHS is told to control costs

With waiting times on the rise and a challenging winter ahead, analysts claim the ‘financial bottom line’ is being prioritised

Rishi Sunak’s pledge to slash NHS waiting lists has effectively been downgraded, the Observer has been told, amid an increase in the number of patients in England waiting longer than 18 months for treatment.

Hospital leaders are warning that morale is low, staff absences are high, and funds for new equipment and repairs are having to be raided ahead of winter. They have now been told to prioritise controlling costs in favour of some of the extra work being done towards the prime minister’s pledge to bring down waits.

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Most foreign doctors in NHS face ‘racist microaggressions’, survey shows

Findings of ‘thinly veiled, everyday instances of racism at work’ raise fears medical graduates may avoid UK

Three in five foreign doctors in the NHS face “racist microaggressions” at work, such as patients refusing to be treated by them or having their abilities doubted because of their skin colour.

The widespread “thinly veiled, everyday instances of racism at work” experienced by medics trained overseas has been uncovered by a survey of more than 2,000 UK doctors and dentists.

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Tory deputy chair Lee Anderson apologises to doctor over ‘misleading’ remark

MP offers ‘sincerest apologies’ for social media post and pays compensation into BMA strike fund

The Conservative deputy chair, Lee Anderson, has apologised to a doctor after he made a “misleading” social media post about him.

The MP for Ashfield said he wanted to offer his “sincerest apologies” to Dr Tom Dolphin for “any distress caused” by his post on X, formerly known as Twitter.

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Poorer Australian regions lose out in ‘flawed’ allocation of doctors, GP body says

System of identifying shortages leads to skewing of resources towards wealthier areas, according to Royal Australian College of General Practitioners

Several poor rural regions are being disadvantaged by the way the Australian government identifies significant doctor shortages, while some wealthy areas are being classified as needing extra resources.

The Royal Australian College of General Practitioners has argued that the system – which determines which regions need additional resources – is flawed and is exacerbating rural GP workforce shortages.

Doctors trained overseas are crucial to easing GP shortages across the country because for their first 10 years in Australia they must work in areas of need, known as a distribution priority area, to access Medicare benefits.

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