Prostate cancer surgery breakthrough offers hope for erectile function

Neurosafe procedure allows doctors to remove prostate while preserving as much nerve tissue around it as possible

A more precise form of prostate cancer surgery nearly doubles the chances of men retaining erectile function afterwards compared with standard surgery, according to the first comprehensive trial of the procedure.

Doctors in five UK hospitals assessed the surgical approach that aims to preserve crucial nerves that run through the outer layer of the prostate and are thought to be responsible for producing erections.

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Post-Brexit reliance on NHS staff from ‘red list’ countries is unethical, Streeting says

Exclusive: NHS England has dramatically increased recruitment of workers from states with critical medical staff shortages

Brexit has left the NHS increasingly dependent on doctors and nurses from poor “red list” countries, from which the World Health Organization says it is wrong to recruit.

The health service in England has hired tens of thousands of health staff from countries such as Nigeria, Ghana and Zimbabwe since the UK left the EU single market at the end of 2020.

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Starmer unlikely to fulfil pledge on hospital waiting times, says IFS

Thinktank predicts PM will not realise ambition for 92% of patients in England to wait less than 18 weeks for planned care by 2029

Keir Starmer is unlikely to fulfil his pledge to restore the maximum 18-week wait for planned hospital care before the next election, a leading thinktank has said.

The prime minister has made bringing back the 18-week access standard in England, by ensuring that 92% of patients are seen within that time, one of the six “milestones” he has promised to achieve by 2029.

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Wes Streeting’s ‘high stakes’ abolition of NHS England will cut 10,000 jobs

Reforms proposed by health secretary predicted to save as much as £500m but could be distraction for ministers

Wes Streeting has ordered a “high stakes” reorganisation of the NHS that will scrap 10,000 jobs in an attempt to free up cash for frontline care.

Experts warned that the move to abolish NHS England and fold it into the Department of Health could distract ministers from the urgent job of ending long waits for treatment, while trade unions expressed concern about the “shambolic” announcement of job cuts for public servants.

Join Wes Streeting in conversation with Pippa Crerar discussing England’s health and social care system and how Labour plans to turn it around on Tuesday 25 March 2025, 7pm-8.15pm (GMT). Book tickets here or at guardianlive.com

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UK politics: Unison attacks ‘shambolic’ announcement of NHS England’s abolition – as it happened

Union says staff will have been left reeling after surprise news that body will be scrapped

Starmer is now talking about regulatation, and giving examples of where he thinks it has gone too far.

l give you an example. There’s a office conversion in Bingley, which, as you know, is in Yorkshire. That is an office conversion that will create 139 homes.

But now the future of that is uncertain because the regulator was not properly consulted on the power of cricket balls. That’s 139 homes. Now just think of the people, the families, the individuals who want those homes to buy, those homes to make their life and now they’re held up. Why? You’ll decide whether this is a good reason because I’m going to quote this is the reason ‘because the ball strike assessment doesn’t appear to be undertaken by a specialist, qualified consultant’. So that’s what’s holding up these 139 homes.

When we had those terrible riots … what we saw then, in response, was dynamic. It was strong, it was urgent. It was what I call active government, on the pitch, doing what was needed, acting.

But for many of us, I think the feeling is we don’t really have that everywhere all of the time at the moment.

The state employs more people than we’ve employed for decades, and yet look around the country; do you see good value everywhere? Because I don’t.

I actually think it’s weaker than it’s ever been, overstretched, unfocused, trying to do too much, doing it badly, unable to deliver the security that people need.

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Coroner warns about NHS physician associates after misdiagnosis and death of woman

Pamela Marking, suffering severe stomach issues, diagnosed in hospital with nosebleed and sent home by PA

A coroner has issued a warning about the role of physician associates in NHS hospitals after a woman with severe abdominal problems was wrongly diagnosed as having a nosebleed and died four days later.

The family of Pamela Marking, 77, were under the mistaken impression she had been seen by a doctor when she was examined in an emergency department, rather than a physician associate (PA) with far less training.

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NHS facing ‘crisis of public trust’ as most people fear being failed by A&E services

Public concern about NHS is worrying and frightening, says leading emergency doctor after poll revealed

Three in four people in the UK fear getting stuck on a trolley in a hospital corridor or an ambulance not arriving after dialling 999, prompting claims that the NHS is facing “a crisis of public trust”.

Huge numbers also worry about their local A&E not having enough beds (77%) and not being able to get care at their GP surgery (70%), research also found.

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Long-term effects of Gaza war could quadruple Palestinian death toll, warn UK doctors

Surgeons who worked in Gaza fear disease, malnutrition and eradication of healthcare will reverberate for decades

British doctors who worked in Gaza during the war have issued dire predictions over the long-term health of Palestinian civillians, warning that large numbers will continue to die.

The prevalence of infectious disease and multiple health problems linked to malnutrition, alongside the destruction of hospitals and killing of medical experts, meant mortality rates among Palestinians in Gaza would remain high after the cessation of Israeli shelling.

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Australia news live: NSW health system ‘catastrophically let down’ toddler’s family, minister admits

Two-year-old waited in emergency department for three hours before suffering a cardiac arrest and dying. Follow today’s news headlines live

Victoria to offer contactless public transport tickets from next year

Victorians will be able to use their phones, bank cards or smartwatches to pay for public transport travel from “early next year in a staged approach”, according to reports.

Following a successful start of a ticketless bus trial in Wangaratta, the Allan Labor Government will begin switching on tap-and-go technology across Victoria’s public transport network from early next year in a staged approach – meaning some passengers will soon be able to use their bank cards, phones and smart watches to travel on full fare tickets.

The new ticketing system will continue to be underpinned by extensive technical testing and will be carefully rolled out starting with rail from the beginning early next year – allowing full fare passengers more ways to pay for their travel.

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Most NHS users in England affected by dysfunctional admin, report finds

About 64% of people had difficulties with health service last year relating to communication about care

Patients routinely have to chase up test results, receive appointment letters after their appointments and do not know when their treatment will occur because the NHS is so “dysfunctional”.

That is the conclusion of research by two major patients’ organisations and the King’s Fund, which lays bare a host of problems with the way the health service interacts with it users.

32% had to chase up the results of a test, scan or X-ray.

32% had not been told how long they would have to wait for their care or treatment.

23% were unaware of who to contact while they waited.

20% received an invitation to an appointment after the date had passed.

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Doctor tells London inquest of ‘feelings of betrayal’ after son’s sepsis death

Deborah Burns says she witnessed a series of medical blunders by colleagues at William Hewes’s bedside

A consultant paediatrician has been unable to work at the hospital that failed to save her son from a sepsis infection, after “feelings of betrayal” towards her medical colleagues who ignored her warnings about errors in his treatment.

William Hewes, 22, a history and politics student, died on 21 January 2023 of meningococcal septicaemia at Homerton hospital in east London, where his mother, Dr Deborah Burns, had worked for more than 20 years.

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Student died from sepsis after antibiotics error in London hospital, inquest hears

Potentially life-saving drug was prescribed for William Hewes but not given quickly enough due to communication mix-up

A consultant paediatrician warned medical colleagues treating her son that they had failed to give him life-saving antibiotics hours before he died from sepsis, an inquest has heard.

William Hewes, 22, a history and politics student, died on 21 January 2023 of meningococcal septicaemia at east London’s Homerton hospital, where his mother, Dr Deborah Burns, worked.

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NSW Labor accused of trying to ‘redesign’ a mental health system with no psychiatrists

Patient care compromised by closing beds and shifting workload to less qualified staff, motion claims

The New South Wales Labor government is seeking to “redesign” the state’s mental health system without psychiatrists, despite the risks to patient care, its political rivals claim.

In a NSW legislative council meeting on Wednesday, the shadow assistant minister Susan Carter and the Greens’ health spokesperson, Dr Amanda Cohn, lambasted the Minns government’s handling of psychiatrists’ mass resignations, with Carter accusing the responsible ministers of having “sought to redesign our mental health system to work without specialist psychiatrists”.

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‘Strong reasonable doubt’ over Lucy Letby insulin convictions, experts say

Exclusive: ‘No scientific justification’ to say former nurse definitely poisoned babies with insulin, according to study authors

The claim that Lucy Letby definitely poisoned babies with insulin has “no scientific justification whatsoever” and there is a “very strong level of reasonable doubt” about the convictions, according to the authors of a 100-page study on the case.

Prof Geoff Chase, one of the world’s foremost experts on the effect of insulin on pre-term babies, told the Guardian it was “very unlikely” anyone had administered potentially lethal doses to two of the infants.

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Flies in hospital wards may be spreading drug-resistant bacteria to patients

Scientists in Nigeria found the insects carry infections resistant to last-resort antibiotics, adding to fears about superbugs

Flies buzzing between beds may be spreading drug-resistant bugs among patients in hospitals, according to new research.

Researchers from the Ineos Oxford Institute for antimicrobial research (IOI) found that houseflies in Nigerian hospitals carry bacteria resistant to some key antibiotics, including those used only as a last resort.

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‘No medical evidence’ to support Lucy Letby’s conviction, expert panel finds

Babies former nurse was convicted of killing were victims of ‘bad medical care’ or died of natural causes, panel says

Babies the former nurse Lucy Letby was convicted of murdering were in fact the victims of “bad medical care” or deteriorated as a result of natural causes, an expert panel has concluded.

Outlining what the senior Conservative MP David Davis described as “one of worst injustices of recent times”, the international team told a press conference there was “no medical evidence” to support claims of deliberate harm.

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Child mental health admissions to acute wards in England rise 65% in a decade

Hospital wards struggle to cope with rising cases of self-harm and eating disorders, the study warns

The number of children admitted to acute hospital wards in England due to serious concerns over their mental health has increased by 65% in a decade, with a particularly alarming surge in girls who have self-harmed, research reveals.

Doctors are treating almost 40,000 children with acute mental ill health in general wards every year, up from about 24,000 10 years ago. The increase is six times higher than the rise in admissions of children for all conditions (10.1%) over the same period.

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‘Absolute pandemonium’: stories of ‘corridor care’ from the NHS in England

Patients tell of their anger and embarrassment, while healthcare professionals say they are ‘heartbroken’

John, 42, said he was “quite angry” after spending about 24 hours in a hospital corridor in south-west England, having arrived in A&E on Monday afternoon with chest pain. “It was very clear that the hospital was running beyond capacity.”

At the time of writing, he had moved to a different hospital in the area and was waiting for an angiogram on Wednesday. Messaging from his corridor hospital bed he said: “It’s narrow, cramped and there is zero patient privacy.”

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Hospital patients dying undiscovered in corridors, report on NHS reveals

Royal College of Nursing says people ‘routinely coming to harm’ with vital equipment not available and staff too busy

Patients are dying in hospital corridors and going undiscovered for hours, while others who suffer heart attacks cannot be given CPR because of overcrowding in walkways, a bombshell report on the state of the NHS has revealed.

So many patients are being cared for in hospital corridors across the UK that in some cases pregnant women are having miscarriages outside wards while other patients are unable to call for help because they have no call bell and are subjected to “animal-like conditions”, said the Royal College of Nursing.

Patients have died on trolleys and chairs in corridors and waiting rooms in settings where “all the fundamentals of care have broken down”.

One nurse had seen “cardiac arrests in the corridor with no crash bell, crash trolley, oxygen, defibrillator … straddling a patient doing CPR while everyone watches on”.

Patients are being given drugs, intravenous infusions and, in one case, a blood transfusion in corridors which are cold, noisy and too cramped to allow them to have loved ones present.

One nurse had to tell a patient he was dying as other patients were wheeled past and orders were shouted across the unit. They said: “How is it fair to tell someone they are dying in a corridor?”

Lack of space means patients also being treated in storerooms, car parks, offices and even toilets.

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Ambulance crews stuck at A&E miss thousands of 999 calls a day in England

Exclusive: paramedics unable to respond to 100,000 calls a month as they wait to hand over patients

Paramedics in England are unable to respond to 100,000 urgent 999 calls every month because they are stuck outside hospitals waiting to hand over patients, endangering thousands of lives, the Guardian can reveal.

As the crisis engulfing the NHS intensified this weekend, figures showed ambulance crews are tied up at A&E for so long that on more than 3,500 occasions each day they are unable to respond to a 999 plea for help.

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