‘Martha’s rule’ granting urgent second opinion to be adopted in 100 English hospitals

Initiative before national rollout will allow review of care for patients whose condition is deteriorating

Patients whose health is failing will be granted the right to obtain an urgent second opinion about their care, as “Martha’s rule” is initially adopted in 100 English hospitals from April at the start of a national rollout.

The initiative will allow patients and their loved ones to get a review of their condition and treatment directly from doctors and nurses not involved in the medical team treating them.

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London hospital and Sheffield clinic affected by faulty egg-freezing products

Guy’s hospital and Sheffield clinic may have used faulty freezing solution that could damage eggs and embryos

Scores of women have been affected by the use of a faulty freezing solution at fertility clinics in London and Sheffield, with frozen eggs and embryos potentially destroyed as a result, the fertility regulator has said.

The Human Fertilisation and Embryology Authority (HFEA) confirmed the issue was limited to Guy’s and St Thomas’ assisted conception unit in London, and Jessop Fertility in Sheffield.

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More than 1.5m patients in England waited at least 12 hours in A&E in past year

Lib Dems say last month an average of 5,735 people a day faced waits of 12 hours or more to be seen

More than 1.5 million patients in England had to wait 12 hours or longer in A&E in the past year, according to figures that MPs say lay bare the impact of the government’s neglect of the NHS.

Last month 177,805 patients faced waits of 12 hours or more to be seen in emergency departments, an average of 5,735 a day. It means one in 10 patients (12.4%) arriving at A&E waited 12 hours before being admitted, transferred or discharged.

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Why does the UK lag behind on cancer care? – podcast

Britain’s cancer survival rates are improving but the UK still lags behind comparable countries. The Guardian’s health editor, Andrew Gregory, reports

The announcement last week that King Charles had been diagnosed with cancer has been met with sympathy and support for the 75-year-old. But alongside the focus on what it means for his future role as monarch, it has also led to a closer examination of what cancer care looks like in the UK in 2024.

For many, such as 37-year-old Nathaniel Dye, it has meant a diagnosis that has come too late. He has stage 4 bowel cancer, which has spread to other parts of his body. Dye has been told that in similar cases only 10% of people survive five years.

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Labour formally drops £28bn green pledge and blames Tories for ‘crashing the economy’ – UK politics live

The announcement ends weeks of speculation about the policy

Rishi Sunak has refused to apologise for the anti-trans jibe he made about Keir Starmer at PMQs yesterday, after being told Brianna Ghey’s mother would be listening in the public gallery.

Speaking to journalists in Cornwall, Sunak insisted that he was just making a point about Starmer. And he said that to link what he said to the death of Brianna, whose murder was partly motivated by transphobia, was “the worst of politics”.

If you look at what I said, I was very clear, talking about Keir Starmer’s proven track record of U-turns on major policies because he doesn’t have a plan.

A point only proven by today’s reports that the Labour party and Keir Starmer are apparently planning to reverse on their signature economic green spending policy.

But to use that tragedy to detract from the very separate and clear point I was making about Keir Starmer’s proven track record of multiple U-turns on major policies, because he doesn’t have a plan, I think is both sad and wrong, and it demonstrates the worst of politics.

Today’s announcement will give confidence to the oil and gas industry and those who stand to benefit from a fossil fuel energy system. For the rest of us, faced with unaffordable energy bills, fossil fuel-funded wars, and the floods, storms and droughts that the climate crisis brings, this is a deeply disappointing signal on the low level of ambition a future government has when it comes to the biggest challenge the world is facing.

Green investment doesn’t just deliver for the planet; it also benefits our health and economy. Cutting it would be shortsighted and cost the country dearly.

The UK is already lagging behind in the race to manufacture green steel, build electric vehicles, and develop giga-battery factories. Thousands of jobs are at risk if we don’t match the investment the US and the rest of Europe are making in these industries …

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More than a third of cancer patients in England face potentially deadly delays

Overall NHS figures show 6.37 million patients waiting for health treatment at end of December

More than a third of cancer patients in England are facing potentially deadly delays, leading doctors have said, with thousands of people forced to wait months to begin treatment.

There has also been a significant surge in people experiencing long waits in A&E, though the overall NHS waiting list continues to fall, according to the latest performance data for England.

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Post Office only agreed to accept reduced charges in some cases if accused accepted ‘nothing wrong’ with Horizon – UK politics live

Stephen Bradshaw, former Post Office investigator, tells Horizon IT inquiry this was ‘probably not’ appropriate

Back at the Post Office inquiry Julian Blake says Stephen Bradshaw, the Post Office investigator, seems to show a “lack of reflection” on his role in miscarriage of justice events in a witness statement he supplied.

Bradshaw says he has reflected on what he said in his statement, because some of what he said was “completely wrong”. But he says he was told what he should say by lawyers.

Stephen Bradshaw, who was an investigation manager for the Post Office, said a statement signed by him declaring the Post Office’s “absolute confidence” in the Horizon IT system was written by lawyers.

A statement signed by Bradshaw in November 2012 said: “The Post Office continues to have absolute confidence in the robustness and integrity of its Horizon system.”

The average response time in December for ambulances in England dealing with the most urgent incidents, defined as calls from people with life-threatening illnesses or injuries, was 8min 44sec, PA says. This is up from 8min 32sec in November and is above the target standard response time of seven minutes.

Ambulances took an average of 45min 57sec last month to respond to emergency calls such as heart attacks, strokes and sepsis, PA says. This is up from 38min 30sec in November, while the target is 18min.

Response times for urgent calls, such as late stages of labour, non-severe burns and diabetes, averaged 2hr 37min 5sec in December, up from 2hr 16min 47secin November, PA says.

Some 13% of ambulance handovers in England last week, or 12,225 patients, were delayed by more than an hour, PA says. This was up from 12% a week earlier, but is below this winter’s current peak of 15%, recorded in the week to 10 December.

Nearly one in three patients arriving by ambulance at hospitals in England last week waited more than 30 minutes to be handed over to A&E teams, PA says. Some 28,189 delays of half an hour or longer were recorded across all hospital trusts in the week to 7 January. This was 31% of the 91,234 arrivals by ambulance, where the handover time was known. The figure is up from 29% in the previous week, but is not the highest so far this winter, which was 34% in the week ending 10 December, PA says.

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Adelaide hospital tackles ‘sexist’ and ‘humiliating’ behaviour of surgeons with eye posters

Researchers report drop in incidents of incivility among staff at facilities with eye signs on the walls, but say further measures are needed

Researchers have found a unique way to tackle “sexist” and “humiliating” behaviour by surgeons in operating rooms across Australia.

It is “not uncommon” for surgeons to describe fellow medical staff in the operating theatre as “incompetent”, to roughly grab surgical instruments or to discredit nurses, says Rose Petrohilos, a junior doctor and intern representative for Bairnsdale Regional Health Service.

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Junior doctors want 35% pay increase over time, not immediately, says BMA leader – UK politics live

Co-chair says members ‘very happy to look over deals that would span a number of years’

Victoria Atkins, the health secretary, has restated her call for the BMA to call off the junior doctors’ strike in England. Speaking to Sky News she said:

We’re very concerned about the consequences [the strike] will have, not just for this week of industrial action, but also in the weeks following, because consultants and other clinicians who are picking up the slack as junior doctors, doctors in training, are not at their work – that will be reflected in the weeks coming up with people trying to catch up with the lost time.

So it’s going to have a huge impact on our health system. My ask of the junior doctors committee is to call off these strikes and get back round the negotiating table.

Six days of Junior Doctor strikes in England, all because of a UK Government that chooses tax cuts for the wealthy over paying NHS staff fairly.

We have taken different choices in Scotland and avoided a single day of NHS strikes. Our budget gives the NHS a real-terms increase.

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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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Great Ormond Street to look at home air pollution when diagnosing illnesses

Pioneering initiative to consider children’s addresses after coroner ruled air pollution a factor in death of Ella Adoo-Kissi-Debrah, nine

Doctors at Great Ormond Street are being encouraged to consider air pollution levels at their patients’ home addresses when assessing the causes of their illnesses, under an innovative pilot scheme.

Data showing the average annual air pollution rates at patients’ postcodes has been embedded in patients’ electronic files, so that clinicians can help families understand whether their child has been exposed to elevated risk.

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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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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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