Wednesday briefing: What really ails the NHS at 75 – and three ways to treat it

In today’s newsletter: Staff are leaving in droves, wait times have tripled and critics say it’s locked in a ‘death spiral’. But the situation might not be terminal, with some big changes

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Good morning, and a heartfelt happy birthday to the NHS, which was launched by Labour health minister Nye Bevan on this day in 1948. Don’t hold your breath for champagne and cake on your local hospital trust’s budget, though – you will be waiting almost as long as a typical queue at the nearest A&E.

The NHS may be profoundly cherished for its millions of dedicated staff and the still astonishing cradle-to-grave principle that underpins it, but there is no question that the UK’s healthcare system is very sick. More people are dying waiting for ambulances. Waiting times for treatment have almost tripled since 2020. GP surgeries and mental health services are at breaking point. Staff are leaving in droves, and nurses, junior doctors and even consultants are striking – once an unimaginable prospect – over pay and patient safety.

Climate | The government is drawing up plans to drop the UK’s flagship £11.6bn climate and nature funding pledge. A leaked briefing note to ministers seen by the Guardian, lays out reasons for dropping the UK’s contribution to the fund for developing countries. The Foreign Office initially refused to comment on the leak, before describing it as “false”.

Partygate | Scotland Yard is reopening its investigation into potential Covid breaches at a lockdown party at Conservative headquarters. The force will also scrutinise an event in parliament that the Tory MP Bernard Jenkin – a member of the privileges committee that produced a highly critical report into Boris Johnson – is said to have attended.

Jenin | Israeli forces have withdrawn from the Palestinian city of Jenin, military officials have said, after carrying out one of the biggest operations in the occupied West Bank in years. Twelve Palestinians and an Israeli soldier were killed in the operation.

UK news | Private bank Coutts has reportedly shut Nigel Farage’s bank account after he fell below the prestigious lender’s wealth requirements, raising questions over the Brexiter’s claims that the bank was targeting him over his political views.

Scotland | Mhairi Black, the SNP’s deputy Westminster leader, will step down at the next general election, blaming the “toxic” environment in Westminster. Black became the youngest MP in 350 years when she was elected in the SNP landslide of 2015 at the age of 20, described the Commons as “one of the most unhealthy workplaces that you could ever be in”.

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Tony Blair urges expanded role for private sector as NHS turns 75

Former PM says service needs radical reform, including pointing patients to private healthcare offers

The NHS must undergo radical change or it will continue to decline and lose public support, Tony Blair has argued on the service’s 75th anniversary.

It must embrace a revolution in technology to reshape its relationship with patients and make much more use of private healthcare providers to cut waiting times, the former Labour prime minister says.

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Revealed: record 170,000 staff leave NHS in England as stress and workload take toll

Health service shown to be under some of worst pressure in its history in week Rishi Sunak launched plan to retain and recruit workforce

‘You start thinking you will crack’: former NHS tell their stories

Nearly 170,000 workers left their jobs in the NHS in England last year, in a record exodus of staff struggling to cope with some of the worst pressures ever seen in the country’s health system, the Observer can reveal.

More than 41,000 nurses were among those who left their jobs in NHS hospitals and community health services, with the highest leaving rate for at least a decade. The number of staff leaving overall rose by more than a quarter in 2022, compared to 2019.

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Many high-street frappés contain more sugar than a Mars bar

Which? finds some Starbucks, Costa Coffee and Caffè Nero coffees contain more sugar than recommended daily allowance

An iced coffee is a cool pick-me-up on a hot day, but it might not be the caffeine boosting your mood as many of the blends sold by well-known high street coffee chains contain more sugar than a Mars bar or can of Coke.

The consumer group Which? looked at the sugar load in frappés and Frappuccinos being served up this summer by three of the biggest coffee chains, Starbucks, Costa Coffee and Caffè Nero, and found many “regular” size drinks contained more than an adult’s recommended daily allowance.

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NHS plan: the numbers are impressive, but where are the new ideas?

Health bosses will welcome tens of thousands of new recruits, but the plan has little to say on how to change the culture to keep them

It was on 8 November 2017 that Jeremy Hunt, the then health secretary, first promised that the government would bring forward a long-term, comprehensive plan to end the NHS’s lack of staff.

It would, he said, be the “first proper NHS workforce plan that we have had since 2000”. And the plan would emerge quickly, he added, reflecting the urgency of tackling what has become the most debilitating of the NHS’s many problems – shortages of staff, everywhere.

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Plans to shorten medical training put quality of NHS care at risk, doctors say

Unions say government proposals to cut training by a year and introduce apprenticeships could dilute skills

Plans to shorten medical training could dilute the calibre of doctors entering the NHS in England and damage the quality of care patients receive, doctors’ leaders have warned.

Government proposals to cut doctors’ time in medical school from five to four years, and to introduce medical apprenticeships, could “water down” training for health service staff, they said.

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Watchdog rejects Johnson’s suggestion Sue Gray’s Labour job meant she was not impartial investigating Partygate– UK politics live

Advisory committee on business appointments says it has seen ‘no evidence’ that Gray’s decision-making was affected despite ex-PM’s claim

NHS England has just published its 150-page long-term workforce plan. It’s here.

The government is keen to present it as an NHS plan, not a government plan, and at the moment you cannot find it prominently on the No 10 or Department of Health and Social Care websites.

This is our longer-term, strategic approach to workforce planning. In a nutshell we will:

1. Train more staff

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NHS radiographers in England vote to strike over pay

Society of Radiographers members reject offer, pushing for deal they say could help cut waiting lists

Thousands of radiographers in England have voted to go on strike for the first time in the increasingly bitter healthcare pay dispute.

The Society of Radiographers (SoR) secured sufficient turnout and votes in 43 NHS trusts to go on strike in a ballot that closed on 28 June. More than 150 trusts had a majority in favour of action but not all met the turnout threshold.

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New report finds most US kale samples contain ‘disturbing’ levels of ‘forever chemicals’

PFAS was found in seven of eight samples bought at US stores, with organic kale containing higher levels of the toxic compounds

Seven out of eight US kale samples recently tested for toxic PFAS “forever chemicals” contained high levels of the compounds.

The testing looked at conventional and organic kale bought at grocery stores across the country, and comes after Food and Drug Administration analyses conducted between 2019 and 2021 found no PFAS contamination.

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Government aims to boost NHS with thousands more doctors and nurses

NHS England could have 12,500 extra doctors and nurses by 2028 under the service’s first long-term workforce plan

Thousands more doctors and nurses will be trained in England every year as part of a government push to plug the huge workforce gaps that plague almost all NHS services.

The number of places in medical schools will rise from 7,500 to 10,000 by 2028 and could reach 15,000 by 2031 as a result of the NHS’s first long-term workforce plan.

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Inquisitive, beloved Canadian sex educator Sue Johanson dies aged 93

Johanson was venerated as a forthright educator who filled voids left by the absence of sex ed curricula at US and Canadian schools

Sex educator Sue Johanson, who once declared that “horny is a beautiful thing”, has died at the age of 93 after more than two decades of giving frank advice to audiences in Canada and the US.

Johanson gained an international audience with her plainspoken guidance to Canadians on her radio and TV programme Sunday Night Sex Show – and then Americans on her Talk Sex programme.

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Lockdown or loneliness? Covid brought on a ‘kind of stressful’ baby boom in Australia

New data shows the birthrate went up in 2021, after a record low in 2020 and years of decline

A pandemic might not seem like the ideal time to have a baby, but new data backs up the idea that Covid precipitated a baby boom.

According to an Australian Institute of Health and Welfare report – Australia’s mothers and babies – a record 315,705 babies were born in 2021, while the birthrate itself was up to 61 per 1,000 women of reproductive age from 56 per 1,000 the year before.

Sign up for Guardian Australia’s free morning and afternoon email newsletters for your daily news roundup

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Digital NHS health check to be launched across England in spring

Government initiative, which it is hoped will cover 1 million people in first four years, is aimed at saving lives and reducing pressure on NHS

A digital NHS Health Check is to be rolled out across England from next spring, the government has announced, in an attempt to alleviate the pressure on GP surgeries.

The initiative will deliver 1m checks in the first four years, according to the Department for Health and Social Care (DHSC).

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Malta to allow abortion but only when woman’s life is at risk

Watered-down law passed which says three specialists must agree that a termination is necessary

Maltese lawmakers have unanimously approved legislation to ease the strictest abortion laws in the EU, voting to allow terminations – but only in cases where a woman’s life is at risk.

Ahead of the vote on Wednesday, pro-choice campaigners withdrew their support, saying last-minute changes make the legislation “vague, unworkable and even dangerous”.

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Rishi Sunak admits NHS faces ‘long-term challenges’ after damning report – UK politics live

PM likely to be questioned during Nottingham visit on King’s Fund report that says NHS is ‘more a laggard than a leader’

Lord Bethell, the former health minister, has welcomed the announcement from the government today about targeted lung cancer screening. But he thinks the government should go further.

The review by Javed Khan, published last summer, recommended raising the age at which people can buy cigarettes “by one year every year until no one can buy a tobacco product in this country”. Many Tories strongly oppose measures like this on libertarian grounds, and the government has not adopted the plan.

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‘We can’t rest or relent’: Pence reiterates support of staunch abortion restrictions

Former vice-president hails Dobbs decision as ‘historic victory’ but says it didn’t go far enough and urges a nationwide abortion ban

Despite their unpopularity with the American public, former Republican vice-president and 2024 White House hopeful Mike Pence doubled down Sunday on his hard-line support of staunch abortion restrictions, saying: “We just can’t rest or relent until we restore the sanctity of life.”

Pence – in an interview on Fox News Sunday – made clear that he viewed bringing the elimination of abortion “to the center of American law” as both essential and “a winning issue” for the Republican party trying to wrest back control of the Oval Office.

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Duchess of York recuperating after surgery for breast cancer

Sarah Ferguson told by doctors her prognosis is good after routine mammogram revealed disease

The Duchess of York has had surgery after being diagnosed with breast cancer, her spokesperson has said.

, Sarah Ferguson, 63, was given the news at a recent routine mammogram screening.

“She was advised she needed to undergo surgery which has taken place successfully,” her spokesperson said.

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‘A tour de force’: tributes pour in for Margaret McDonagh, linchpin of Tony Blair’s New Labour

Party’s first female general secretary, who has died aged 61, was essential part of team behind party’s 1997 landslide victory

Margaret McDonagh, Labour’s first female general secretary, has been hailed as a “tour de force” and an essential part of the team that secured the 1997 landslide election victory for the party, after it was announced that she had died at the age of 61.

Baroness McDonagh, who was elevated to the House of Lords in 2004, was, in effect, Peter Mandelson’s deputy during the 1997 election and went on to oversee a second dominant campaign in 2001. She became the party’s general secretary in 1998. She had been diagnosed with brain cancer in 2021.

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Abortion demonstrations expected across US to mark a year since Roe was overturned – live

Campaigners set to hold events across the country on first anniversary of supreme court overturning constitutional right to abortion

Several reproductive rights organizations have announced their endorsement of the Biden-Harris administration in the upcoming 2024 presidential election.

The organizations include Planned Parenthood, NARAL (National Association for the Repeal of Abortion Laws) Pro-Choice America , and EMILYs List, a political action committee dedicated to electing Democratic pro-choice women into office.

“President Joe Biden and Vice President Kamala Harris have been committed to fighting back against the onslaught of attacks against our reproductive freedom. And we need them to continue this critical work.

Abortion is health care… We need leaders who are committed to protecting our freedoms, not taking them away. That is why we must re-elect President Biden and Vice President Harris: people we can trust to keep rebuilding a path forward, because we know the journey to rebuilding our rights will be met with challenges,” said Alexis McGill Johnson, president and CEO of the Planned Parenthood Action Fund.

“President Joe Biden and Vice President Kamala Harris are the strongest advocates for reproductive freedom ever to occupy the White House, and NARAL Pro-Choice America proudly endorses their reelection. It’s as simple as this: Abortion matters to Americans. In elections since the Supreme Court took away our right to abortion, voters have mobilized in massive numbers to elect Democrats who will fight to restore it...”

EMILYs List president Laphonza Butler released the following statement:

“When the Dobbs decision ended a constitutional right for the first time in this country’s history, we were grateful to have leaders in the White House like President Biden and Vice President Harris, who have been vocal advocates for abortion rights across the government and across the country… For her work as a groundbreaker, tireless advocate for reproductive freedom, and inspiring change-maker, EMILYs List is thrilled to endorse Vice President Kamala Harris for reelection.”

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The fight over US abortion rights in the year without Roe – photo essay

A look back on the year since the US supreme court overturned Roe v Wade with the Dobbs decision, and the advocates who aren’t giving up

While the supreme court’s decision to overturn Roe v Wade sent shockwaves around the country, many activists, physicians and advocacy groups closely engaged in the fight over abortion in the US were not surprised.

Since Roe’s establishment of the federal right to abortion in 1973, anti-abortion advocates and conservative lawmakers have been chipping away at it. Restrictions on abortion increased over the last decade, and by the mid-2010s, seven states had just one abortion clinic left. In Mississippi, where the Dobbs v Jackson Women’s Health Organization case that ultimately ended Roe originated, the state’s one clinic did not provide abortions beyond 16 weeks of pregnancy, meaning many people already had to travel to find care.

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