Cosmetic surgery in Australia to be monitored by enforcement unit to improve patient safety

Medical regulator and board agree to strengthen industry standards after review revealed unsafe practices and misleading advertising

Cosmetic surgery practitioners will be policed by a dedicated enforcement unit for the first time in Australia as part of an industry-wide crackdown by the national regulator.

The $1bn industry will undergo significant reform after an independent review highlighted cases of misconduct.

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Liz Truss called for patients to be charged for GP visits, 2009 paper reveals

PM hopeful co-authored pamphlet that also called for doctors’ pay to be slashed by 10% and abolition of universal child benefit

Liz Truss called for patients to be charged to see their GP and for doctors’ pay to be slashed by 10% in a pamphlet she co-authored in 2009, the unearthed document has revealed.

The Tory leadership frontrunner also wanted to see the universal child benefit abolished in the report, which she co-wrote with six other people when she was deputy director of the Reform thinktank.

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UK doctors ‘less likely’ to resuscitate the most seriously ill patients since Covid

Pandemic may have changed decision-making, according to research published in Journal of Medical Ethics

Doctors are less likely to resuscitate the most seriously ill patients in the wake of the pandemic, a survey suggests.

Covid-19 may have changed doctors’ decision-making regarding end of life, making them more willing not to resuscitate very sick or frail patients and raising the threshold for referral to intensive care, according to the results of the research published in the Journal of Medical Ethics.

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NHS doctors’ strike is ‘inevitable,’ says new BMA chair

Exclusive: doctors will use pay row to expose ‘desperate state’ of NHS after years of government neglect, Prof Philip Banfield warned

A doctor’s strike is “inevitable” and will expose how dangerously threadbare the Conservatives have left the health service, the profession’s new leader has said.

In his first interview since taking over as the British Medical Association’s chair of council, Prof Philip Banfield warned ministers that doctors will take the fight to them by using a pay dispute to tell the public patients are dying as a direct result of government neglect of the NHS.

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Doctors warn against over-medicalising menopause after UK criticism

Seeing natural event as hormone deficiency requiring treatment could increase women’s anxiety, say medics

Doctors have hit back at critics saying they are failing menopausal women, and said that treating menopause as a hormone deficiency that requires medical treatment could fuel negative expectations and make matters worse.

Writing in the British Medical Journal they said there was an urgent need for a more realistic and balanced narrative which actively challenges the idea that menopause is synonymous with an inevitable decline in women’s health and wellbeing, and called for continued efforts to improve awareness about the symptoms and how to deal with them.

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Sleep-deprived medical staff ‘pose same danger on roads as drunk drivers’

British anaesthetist pleads for doctors and nurses to be allowed naps and limited night shifts, as in other critical workplaces

About half of all hospital doctors and nurses have had accidents or experienced near misses while driving home after a night shift.

The risks they pose to themselves and other road users have been calculated as the same as those posed by drivers who are over the legal alcohol limit, delegates at a European medical conference were told last week.

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Dismissal of women’s health problems as ‘benign’ leading to soaring NHS lists

Exclusive: Gender bias means debilitating gynaecological conditions are played down, says RCOG president

Doctors’ routine dismissal of women’s debilitating health problems as “benign” has contributed to gynaecology waiting lists soaring by 60% to more than half a million patients, a senior health leader has said.

The Royal College of Obstetricians and Gynaecologists (RCOG) president, Dr Edward Morris, told the Guardian that waiting lists for conditions such as endometriosis, prolapse and heavy bleeding had increased by a bigger proportion than any other area of medicine in the past two years.

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Criminal acts of violence at UK GP surgeries almost double in five years

Doctors say violence now commonplace as surgeries struggle to cope with ‘unmanageable levels of demand’

Criminal acts of violence at GP surgeries across the UK have almost doubled in five years, new figures reveal, as doctors’ leaders warn of a perfect storm of soaring demand and staff shortages.

Police are now recording an average of three violent incidents at general practices every day. Staff are facing unprecedented assaults, abuse and aggression by patients, with surgeries struggling to cope with “unmanageable levels of demand” after years of failure to recruit or retain sufficient numbers of family doctors.

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GPs tell of ‘appalling’ abuse as violence at UK surgeries worsens

Doctors say staff ‘afraid and at risk’ of patient violence and aggression as services come under pressure

The number of violent incidents at general practices in the UK recorded by the police has almost doubled in the last five years, according to an investigation by the BMJ.

GP leaders say “appalling” assaults, harassment and other forms of abuse aimed at doctors and their staff have worsened during the pandemic, as surgeries came under growing pressure and sections of the media perpetuated the false notion that services were “closed”.

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Author of review into aborted GP data sharing in England opted out of scheme

Prof Ben Goldacre cited risks of deanonymisation as his main reason for withdrawing his consent

The author of a government review into medical data sharing personally opted out of the aborted plan to share GP health data, a parliamentary committee has heard.

Prof Ben Goldacre, a former Guardian columnist and the author of the Goldacre Review, exercised his right to opt out of the Government’s General Practice Data for Planning and Research scheme, he told the Commons Science and Technology committee, because he was concerned about the risks of deanonymisation.

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30,000 cancer patients waiting for treatment in England

Experts call on ministers to tackle chronic staff shortages, with delays worsened by pandemic

Tens of thousands of patients are still waiting to start cancer treatment in England due to disruption during the pandemic, according to NHS figures, as medical charities called on the government to tackle chronic staff shortages in the health service.

Following a dramatic slump in cancer referrals in 2020, the number of people being investigated for the disease bounced back in the past year, data from NHS England and NHS Improvement show, rising from 2.4 million to a record 2.66 million.

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Third of GPs in England want to quit within five years, survey finds

Practitioners’ struggles include increased workloads, greater demand from patients, and paperwork

A third of GPs in England say they want to quit within five years, according to a regular survey which warns that clinical doctors are especially unhappy with the number of hours they work.

The survey of 2,195 GPs undertaken in 2021 found 33% planned to leave “direct patient care” by 2026. The figure represents a return to levels last seen in 2015, after plans to quit peaked in 2018 when two in five GPs wanted to stop seeing patients within five years.

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‘Childbirth as it really is’: This Is Going to Hurt actor defends series accused of misogyny

Ambika Mod, who plays stressed junior doctor, reacts to criticism that BBC drama disrespects women

It is the TV drama that has divided its viewers. Hailed by some as a brutally accurate depiction of the realities of working in an NHS maternity unit, This Is Going to Hurt has been denounced by others as misogynistic and insulting to women giving birth.

Now the actor who plays an exhausted and stressed female junior doctor in the show has rejected criticism of the BBC series set on an NHS obstetrics and gynaecology ward.

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‘Covid is affecting all of acute care – so the system sludges up’

A hospital doctor in Yorkshire explains how Omicron is testing northern hospitals’ resources, with staff juggling beds to control infection and dealing with a huge influx of patients

“Hospitals in the north of England are incredibly busy now, in particular because of Omicron. At the hospital where I work we’ve gone from 26 Covid inpatients on Boxing Day to 104 now.

Unlike previous waves of Covid, only four people are being cared for in ICU, whereas in previous waves we were maxed out at 20 people in ICU. That’s good from the patients’ point of view. But it does stress the rest of the system, including the bit of the system I work in – acute medicine.

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ICU is full of the unvaccinated – my patience with them is wearing thin | Anonymous

Most of the resources we are devoting to Covid in hospital are being spent on people who have not had their jab

In hospital, Covid-19 has largely become a disease of the unvaccinated. The man in his 20s who had always watched what he ate, worked out in the gym, was too healthy to ever catch Covid badly. The 48-year-old who never got round to making the appointment.

The person in their 50s whose friend had side-effects. The woman who wanted to wait for more evidence. The young pregnant lady worried about the effect on her baby.

The writer is an NHS respiratory consultant who works across a number of hospitals

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Abducted Afghan psychiatrist found dead weeks after disappearance

Family say the body of Dr Nader Alemi, who was taken by armed men in September, showed signs of torture

One of Afghanistan’s most prominent psychiatrists, who was abducted by armed men in September, has been found dead, his family has confirmed.

Dr Nader Alemi’s daughter, Manizheh Abreen, said that her father had been tortured before he died.

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Good or bad? Top cardiologist gives verdict on chocolate, coffee and wine

Exclusive: Prof Thomas Lüscher assesses the heart healthiness of some of our favourite treats

Dark chocolate is a “joy” when it comes to keeping your heart healthy, coffee is likely protective, but wine is at best “neutral”, according to one of the world’s leading cardiologists.

As editor of the European Heart Journal for more than a decade, Prof Thomas Lüscher led a team that sifted through 3,200 manuscripts from scientists and doctors every year. Only a fraction – those deemed “truly novel” and backed up with “solid data” – would be selected for publication.

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GPs in England threaten industrial action over in-person appointments

Family doctors reject plan to force them to see any patient who wants face-to-face appointment

GPs in England are threatening to take industrial action in protest at the government’s bid to force them to see any patient who wants a face-to-face appointment.

The British Medical Association’s GPs committee voted unanimously to reject the plan by the health secretary, Sajid Javid, that included “naming and shaming” surgeries that see too few patients in person.

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Fears for Afghan psychiatrist abducted by armed men

Dr Nader Alemi, who opened the country’s first private psychiatric hospital, had received death threats before being taken on his way home from work last week

One of Afghanistan’s most prominent psychiatrists has been abducted on his way home from work by a group of armed men.

Dr Nader Alemi, 66, who opened the country’s first private psychiatric hospital in the northern city of Mazar-i-Sharif, was stopped by seven men in a white car last week, said his family.

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The great sperm heist: ‘They were playing with people’s lives’

Paul was in his 80s when someone called to say she was his daughter, conceived in a fertility clinic with his sperm. The only problem? He’d never donated any

For 40 years, Catherine Simpson thought she knew who she was: a nurse, a mother of three, a daughter and a sister. She looked like her mother, Sarah, but had the same temperament as her father, George: calm, unflustered, kind.

Then her father died. There was a dispute over his will, and that led her mother to call and tell her something that made the ground dissolve beneath her feet. George had had a vasectomy long before Catherine was born. She and her brother had been donor conceived in Harley Street using the sperm of two different anonymous men. George was not her biological father.

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