NSW drivers using medicinal cannabis would be shielded from DUI charges under MP’s proposed reforms

Legalise Cannabis party’s Jeremy Buckingham says risk of losing driver’s licence under current drug-driving laws acts as disincentive for patients

New South Wales drivers who use medicinal cannabis and return a positive result at a roadside drug test would be spared prosecution under new laws being put forward by the upper house MP Jeremy Buckingham.

It is illegal in NSW to drive with any amount of THC, a psychoactive component of cannabis, in your body even if you have a prescription. THC can show up in roadside drug tests days after the initial period of impairment has worn off.

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Expert says overdiagnosis means Australian cancer screening tests must be ‘handled very carefully’

UK surgeon told the Public Health Association of Australia’s Cancer Screening Symposium screening is a ‘double-edged sword’

The UK surgeon whose work led to the introduction of bowel cancer screening tests has warned the practice has potential to be a “dangerous tool”.

In his keynote address to the Public Health Association of Australia’s Cancer Screening Symposium, Prof Robert Steele called for greater public awareness that screening is a “double-edged sword”.

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Salford surgeon harmed 20 patients with ‘unacceptable’ conduct, report finds

Review of spinal expert John Bradley Williamson identifies poor surgical technique, record-keeping and communication with patients

A leading spinal surgeon’s botched operations left patients with serious blood loss, long-term pain and mobility problems, a damning report has revealed.

It found that John Bradley Williamson’s “unacceptable and unprofessional behaviour” severely or moderately harmed 20 patients at Salford Royal hospital, once regarded as one of England’s safest.

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Exploitation of care workers in England is ‘appalling’, says government adviser

Brian Bell says ministers have let social care become reliant on low-paid and vulnerable foreign workers

Ministers have allowed England’s creaking social care system to become too heavily reliant on low-paid foreign workers who are vulnerable to exploitation, the government’s migration adviser has warned.

In a strongly worded intervention, Prof Brian Bell, who has just been reappointed by the home secretary, Suella Braverman, as chair of the migration advisory committee (MAC), called the government’s tacit acceptance of exploitation in the sector “appalling”.

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Revealed: how hidden delays blight cancer care in England and Wales

Watchdog warns that admin errors, unexplained cancellations and delayed scan reports all contribute to longer waits for patients

Patients with suspected cancer are waiting months for diagnosis because of hidden waiting lists or falling into a “black hole” after referral, England’s patient champion warns this weekend.

Admin errors, unexplained cancellations and delayed scan reports are among factors contributing to longer waits, according to Healthwatch England, a committee of the Care Quality Commission.

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Ulez key to tackling ‘unacceptably high’ child illness and death, doctors say

Leading scientists and medics back London and other clean air schemes and urge politicians to keep their nerve

Leading doctors and scientists have warned politicians against watering down plans to expand city-wide schemes aimed at reducing traffic pollution levels linked to thousands of deaths each year.

They urged politicians not to lose their nerve over plans to improve poor air quality, such as the expansion of the ultra low emission zone (Ulez) in London, which they said were central to tackling “unacceptably high” levels of illness and child deaths, and called for more ambitious policies to reduce toxic air.

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Federal government under fire for hiring KPMG on health and climate while firm advises fossil fuels

Doctors and independent MPs say despite Labor’s reassurances, work should have been conducted by public servants and a clear conflict of interest exists

Doctors, health researchers and crossbench MPs have criticised the federal government for paying consultancy giant KPMG to help shape its national health and climate strategy, raising concerns about the firm’s work with the fossil fuel industry.

The new strategy, which will be delivered by the end of the year, will outline ways to ensure the health system is prepared for the impacts of climate change and suggest measures to reduce emissions.

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Hospital admissions for life-threatening allergies more than double in England

Number of people taken to hospital increased to 25,721 in 2022-23, from 12,361 two decades before

The number of people being admitted to hospital in England for life-threatening allergic reactions has more than doubled in the past 20 years, figures show, with an even higher rise in food-related cases.

There were 25,721 admissions to English hospitals for allergies and anaphylaxis in 2022-23, more than double the 12,361 two decades before, according to data obtained by the drugs regulator the Medicines and Healthcare products Regulatory Agency (MHRA). For food-related anaphylaxis and other adverse reactions, the figures increased from 1,971 admissions in 2002-03 to 5,013 last year.

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PwC promoted firm it part-owned in ‘independent’ mental health report for Australian government

Exclusive: Report referenced key findings from trials by Innowell, in which PwC had a 45% shareholding

Consultancy giant PwC promoted the work of a company it part-owned in a report it produced for the federal government about Australia’s digital mental health strategy – while being paid $1m for the “independent” advice.

PwC’s 45% shareholding in Innowell was declared to the government before the contract was awarded but not in the final report which was delivered in November 2022. A disclaimer section states the firm “acted exclusively for the Australian government department of health and considered no one else’s interests”.

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Wednesday briefing: Why you can’t find an NHS dentist in England

In today’s newsletter: From poor dentist pay to rising prices and low governmental investment, NHS dentistry has slowly fallen apart – this is how

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Good morning.

In 2021 more than 2,000 dentists quit the NHS, and in 2022 a BBC survey found that nine out of 10 of the dental practices that still offer NHS services are not accepting new adult patients – eight in 10 are not taking on any more children. That has left millions without access to basic healthcare, resulting in “dental deserts” across England, and the problem is only set to get worse as more and more dentists leave the profession.

Banks | Dame Alison Rose, the chief executive of NatWest Group, has stood down after a row over the closure of Nigel Farage’s bank account with the private bank Coutts, which NatWest owns.

Education | Smartphones should be banned from schools to tackle classroom disruption, improve learning and help protect children from cyberbullying, a landmark report by Unesco has recommended. The UN’s education, science and culture agency said there was evidence that excessive use reduced educational performance and emotional stability in children.

Italy | Five people have died in the past 24 hours as two extreme weather events split Italy between wildfires in the south and violent storms in the north. Fires in Sicily led to the temporary closure of Palermo airport after temperatures in the city climbed to 47C on Monday.

Transport | Railway workers who wear stickers supporting a campaign to stop the closure of almost 1,000 ticket offices are being threatened with disciplinary action, the National Union of Rail, Maritime and Transport Workers (RMT) has said.

Saudi Arabia | The kingdom has spent at least $6.3bn in sports deals since early 2021, more than quadruple the previous amount spent over a six-year period, in what critics have labelled an effort to distract from its human rights record.

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Turnbull government’s $33m grant went to company part-owned by mental health commissioner after lobbying

Exclusive: Funding to Innowell in 2017 without competitive tender was for mental health app and followed months of lobbying by Prof Ian Hickie. There is no suggestion of wrongdoing by Hickie

The former government led by Malcolm Turnbull awarded a $33m grant to a company that was developing a mental health app after months of lobbying from one of its own mental health commissioners who was also a shareholder in the months-old startup.

The one-off grant was awarded in 2017 without a competitive tender to Innowell for a series of collaborative research trials into a digital mental health platform. Its shareholders include PwC, the University of Sydney and former mental health commissioner Prof Ian Hickie.

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Sciensus’s licence partly suspended after death of cancer patient

Regulator acts after firm paid millions by NHS for healthcare gave patients wrong chemotherapy dose

Britain’s health regulator has partly suspended the manufacturing licence of Sciensus, a private company paid millions by the NHS to provide vital medicines, after the death of a cancer patient who was given the wrong dose of chemotherapy.

The Medicines and Healthcare products Regulatory Agency (MHRA) said it had taken “immediate” action under regulation 28 of the Human Medicines Regulations 2012 law “where it appears to the MHRA that in the interests of safety the licence should be suspended”.

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‘Catastrophic’ forecast shows 9m people in England with major illnesses by 2040

Cases of dementia, diabetes, cancer, depression and kidney disease expected to soar as growing numbers reach old age

Nine million people in England will be living with major illnesses such as dementia, diabetes, cancer, depression and kidney disease by 2040, according to projections health leaders called “catastrophic”.

In a rapidly ageing population, the number living with serious diseases will rise from almost one in six of the adult population in 2019, to nearly one in five by 2040, with huge implications for the NHS, social care and the public finances.

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Investment in Indigenous community health key to reduce diabetes rates

Calls for greater funding in local health services as Aboriginal and Torres Strait Islander people suffer from high rates of type 1 and 2 diabetes

Australia needs to invest in local community-led health providers to reduce rates of type 2 diabetes in Aboriginal and Torres Strait Islander peoples, the peak body for Indigenous health services has said.

Thirteen percent of Aboriginal and Torres Strait Islander people over the age of 18 have been diagnosed with diabetes – three times the national rate for non-Indigenous people, according to data from the Australian Institute of Health and Welfare.

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People at increased risk of burnout due to more demanding workdays, TUC says

Exclusive: More than half of workers in England and Wales report work is becoming more intense, according to polling

People are facing more intense working days than ever, with less time for their private lives and an increased risk of burnout, according to research by the TUC.

More than half of workers (55%) reported that work has become more intense and demanding, according to polling for the union body.

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‘Absolutely physically knackered’: UK workers on intensifying conditions

Teachers have to fill in social worker gaps while postal workers report being physically exhausted after having to walk miles with heavy bags at speed

When Karen Wilson started work as a secondary school teacher almost 40 years ago she had plenty of energy for life outside of school. She loved singing in choirs and opera groups and enjoyed her evenings.

But in the last decade that all changed. “The intensity has definitely increased,” she said. “Teaching becomes your whole life because you don’t have any energy to do anything else.”

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Group using ‘shield laws’ to provide abortion care in states that ban it

Aid Access ships medication abortion to all 50 states under the protection provided to clinicians serving patients in banned states

Dr Linda Prine is providing abortion access to people in all 50 states, even those that have banned it. That might seem like an admission to be discreet about in post-Roe America, but Prine and her colleagues at Aid Access, a telemedicine abortion service, are doing it openly and in a way they believe is on firm legal ground.

On 14 July, Aid Access announced that over the past month, a team of seven doctors, midwives and nurse practitioners have mailed medication abortion to 3,500 people under the protection of “shield laws”, which protect clinicians who serve patients in states where providing abortion is illegal. As soon as she learned about shield laws, Prine knew it represented an opportunity to go on the offensive, for those bold enough to try it.

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Avian flu may have killed millions of birds globally as outbreak ravages South America

Virus has spread around the world, with 200,000 wild birds dead in Peru alone and concerns Australia could be next

Millions of wild birds may have died from bird flu globally in the latest outbreak, researchers have said, as the viral disease ravages South America, with 200,000 deaths recorded in Peru alone.

The highly infectious variant of H5N1, which gained momentum in the winter of 2021, caused Europe’s worst bird flu outbreak before spreading globally. The disease reached South America in November 2022, and has now been reported on every continent except Oceania and Antarctica.

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PwC-backed mental health platform was scrapped after $33m government trial launched without open tender

Experts call for transparency over Project Synergy grant awarded to Innowell, whose platform is no longer used by the federal health department

A PwC-backed startup received tens of millions of taxpayer dollars through a closed, non-competitive grant to develop a digital mental health platform, which was almost scrapped due to health workers finding it an administrative burden.

Policy experts and transparency watchdogs have raised alarm about the grant and called on the federal government to explain why the money was not allocated through an open and competitive process to ensure value for money.

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Thousands of children in England facing ‘heartbreaking’ waits for NHS dental care

Exclusive: health leaders and MPs warn of ‘perfect storm’ in which children wait ‘in agony’ for treatment

Thousands of children in England are experiencing “heartbreaking” long waits for NHS dental care, with some waiting “in agony” for years to have teeth extracted, according to shocking new figures.

Health leaders and MPs warned of a “perfect storm” in which children are struggling to access dentists to nip minor issues “in the bud”, and then facing horrific waiting times for operations to fix problems that have spiralled out of control.

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