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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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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Scott Benton faces Commons suspension over lobbying to give Tories potential byelection headache – UK politics live

Commons standards committee recommends 35-day suspension for Scott Benton, who had Conservative whip suspended in April

Rishi Sunak has said that he is open to considering ways in which his Rwanda bill can be “improved”.

With Conservative rightwingers and centrists both wanting to amend the bill, in opposite directions, when it returns to the Commons in the new year, Sunak signalled that the government would be open to accepting some changes.

I’ve been very consistently clear, as have all ministers, if there are ways that the legislation can be improved, to be made even more effective — with a respectable legal argument and maintaining the participation of the Rwandans in the scheme — of course we would be open to that, who wouldn’t be?

This is a damning report from the cross-party standards committee, clearly concluding that Scott Benton seriously breached parliamentary rules in flaunting his position as a parliamentarian in exchange for remuneration.

This is not an isolated case, but comes off the back of a wave of Tory sleaze and scandal.

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India unveils ‘flatpack’ field hospital with mini x-ray for use in disaster zones

The portable unit, comprising mini cubes of medical equipment, enables surgeons to be operating within an hour, designers claim

India has designed and built a “flatpack” field hospital that can be flown to a disaster area by helicopter and assembled faster than an Ikea bookcase.

The hospital is contained in 72 small waterproof cubes, each weighing under 15kg and measuring 38cm x 38cm x 38cm (15 x 15 x 15in). They are packed with tents and specially designed medical equipment.

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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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Andy Burnham claims government note shows Covid tier 3 restrictions imposed on Manchester as ‘punishment beating’ – as it happened

Covid tier system introduced in October 2020 and imposed different restrictions on English regions in effort to contain spread of virus. This live blog is closed

At the Covid inquiry Sadiq Khan, the mayor of London, said that he was not getting information from the government in February about Covid. He said he was “disappointed” by that.

In late February and early March he was getting information from other cities around the world instead, he said. He said this happened even though his foreign affairs team consisted of just three people.

The government generally does give us information about a variety of things happening. I’m disappointed the government weren’t giving us information in February about what they knew then.

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No beds and lack of nurses: how Anne Pedler’s last hours were spent ramped in an ambulance

Exclusive: Australian Medical Association finds people spending more time waiting outside hospitals amid ‘unforeseen levels of ramping’

The last hours of Anne Pedler’s life were spent in an ambulance ramped outside Launceston general hospital because no bed was available for the 71-year-old.

Pedler arrived at the hospital at 12.45am on 6 August 2022 with a diagnosis of a pulmonary embolism – a sudden blockage of the vessels responsible for sending blood to the lungs. Despite being triaged as urgent, Pedler was still ramped at 8.30am – when she suffered cardiopulmonary arrest.

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Solar energy could power all health facilities in poorer countries and save lives, experts say

Move would cost less than $5bn and cut toll of deaths from power outages and lack of supply, Cop28 delegates will hear

All healthcare facilities in poorer countries could be electrified using solar energy within five years for less than $5bn, putting an end to the risk of life from power outages, experts will argue at Cop28 this month.

“I would like the international community to commit to a deadline and funding to electrify all healthcare facilities,” said Salvatore Vinci, an adviser on sustainable energy at the World Health Organization and a member of its Cop28 delegation. “We have solutions now that were not available 10 years ago – there is no reason why babies should be dying today because there is not electricity to power their incubators.

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Martha’s rule must be available 24/7, England’s patient safety commissioner says

Patients and relatives must be able to request second opinion from critical care team at any time of day or night, government told

Patients and their relatives will be able to request a second opinion from senior medics around the clock when the “Martha’s rule” system starts in hospitals in England.

The government’s patient safety commissioner, asked by the health secretary, Steve Barclay, to advise on how to implement the change, has said access to a medic’s opinion must operate 24/7.

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Death of baby after UK hospital missed vitamin jab ‘beyond cruel’, parents say

Addenbrooke’s hospital in Cambridge failed to give William Moris-Patto a routine vitamin K injection

The parents of a baby boy who died at seven weeks old after a hospital did not give him a routine injection have described the failure as “beyond cruel”.

William Moris-Patto was born in July 2020 at Addenbrooke’s hospital in Cambridge, where it was recorded in error that he had received a vitamin K injection – which is needed for blood clotting. The shot is routinely given to newborns to prevent a deficiency that can lead to bleeding.

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‘Misleading’ A&E figures in England hiding poor performance

Emergency doctors say figures are aggregated with those of minor injury centres to get closer to targets

NHS bosses are using misleading figures to hide dangerously poor performance by A&E units in England against the four-hour treatment target, emergency department doctors claim.

Some A&Es treat and admit, transfer or discharge as few as one in three patients within four hours, although the NHS constitution says they should deal with 95% of arrivals within that timeframe.

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Rise in A&E visits for hiccups and earaches add to strain on NHS

More people attending accident and emergency in England with sore throats, nosebleeds and insomnia

The NHS in England is facing mounting pressure amid a surge in patients attending A&E departments with minor ailments, health bosses have said.

Emergency departments, which are designed for serious injuries and life-threatening emergencies only, are seeing an increase in people attending with sore throats, insomnia, coughs and earache.

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Labour’s Wes Streeting interviewed at Labour party conference – UK politics live

Shadow health secretary questioned by Guardian editor-in-chief, Katharine Viner

Q: You oppose the Rwanda policy because you don’t think it will work. If the supreme court rules it is legal, and deportations start and it is seen to be working, would you still reverse it.

Yes, says Starmer. He says it is the wrong policy. It is very expensive, and it only affect only a small number of people. And the policy does not deal with the problem at source.

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Data breaches putting domestic abuse victims’ lives at risk, says UK watchdog

Councils, police and hospitals endangering women by accidentally revealing details such as addresses, says ICO

Councils, police forces and hospitals are putting women’s lives at risk by accidentally disclosing domestic abuse victims’ addresses to perpetrators, the UK’s information watchdog has said.

John Edwards, the information commissioner, who has reprimanded seven organisations in just over a year for data breaches affecting victims of abuse, said: “This is a pattern that must stop.”

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1m NHS appointments and operations cancelled in England since strikes began

Latest figures show 1,015,067 ‘episodes of care’ have been postponed since end of last year

More than 1m outpatient appointments and operations have been cancelled since strikes began in December across the NHS in England, figures reveal.

Last week’s four-day stoppage by consultants and junior doctors forced hospitals to reschedule 129,913 more “episodes of care”, taking the total to just over 1m, NHS England said.

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Paramedics not sent to a third of 999 ambulance calls in parts of England

Exclusive: Concerns over patient safety after NHS figures show less-qualified staff attending urgent calls

One in three life-or-death 999 ambulance calls in some parts of England are not attended by a paramedic, NHS figures obtained by the Guardian reveal.

The disclosure has prompted fears that seriously unwell or badly injured patients may receive inadequate care from a less-qualified member of ambulance staff lacking a paramedic’s skills.

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Scandal grows over children’s spinal surgery in Ireland

After focus on work of one Dublin surgeon, expert report sparks wider review of paediatric orthopaedics

Paediatricians and health executives in Dublin were aware that a leading children’s hospital in the city was using “unauthorised, uncertified” medical implants in surgery, a top health official has said.

Ireland is facing a growing scandal over paediatric spinal surgery. An independent investigation found that 19 children with spina bifida suffered serious complications after they were operated on by one surgeon at Temple Street hospital. One child was readmitted to the operating theatre 33 times after her initial operation.

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NHS consultants offer to call off strikes for 12% pay rise in apparent olive branch

BMA also offers to take non-pay investments into account to reach agreement – but No 10 insists pay talks will not be reopened

Hospital consultants in England have offered to call off their strikes if they receive a pay rise of about 12% this year – double the increase that ministers insist is their final offer.

Their proposal, and the disclosure of recent “constructive” conversations with the government, appear to be a conciliatory move by the British Medical Association (BMA) to end their pay dispute.

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