Slow 999 response times forcing many more people to find own way to A&E

Figures for England obtained by Lib Dems show that 500,000 people in ‘very urgent’ need travelled to hospital without ambulance in 2023

Growing numbers of seriously ill people are making their own way to A&E in what has been called an “Uber ambulance crisis”, because 999 response times are too slow.

A&E doctors said that while they understood that people are acting out of “desperation”, they are taking a serious risk with their health, especially if they are driving themselves.

Continue reading...

String of killings have put spotlight on adequacy of mental health care in UK

Hainault attack may be latest incident linked to mental ill-health, at a time when NHS services are struggling

While the full picture of the Hainault attack is yet to emerge, the early briefings from the Metropolitan police were clear: a key line of inquiry, in terms of possible motive, was whether the suspect has a history of mental ill-health.

If the police hunches are correct, the tragedy may turn out to be the latest in a series of high-profile killings that have focused public attention on the adequacy of mental health treatment and care.

Continue reading...

Tory rebels plan 100-day ‘policy blitz’ if local elections are disaster for party

Worried MPs have concocted five-point plan of quick measures aimed at showing that the party cares about public’s priorities

Rishi Sunak is braced for a bruising week as Tory rebels flaunted plans for a 100-day “policy blitz” to secure quick wins if the local election results prove disastrous for the party.

The prime minister said on Sunday that he was not “distracted” by his personal ratings lingering at record lows. He refused to rule out calling a July general election amid mounting rumours that unruly MPs will attempt to oust him if the West Midlands mayor, Andy Street, and the Tees Valley mayor, Ben Houchen, are defeated on Thursday.

An attempt to end the junior doctors pay dispute with a 10-12% offer.

Further cuts to legal migration numbers, with a curb on the number of foreign students staying in the UK.

Vow to increase defence spending to 3% of GDP by 2027.

Introduce measures to jail prolific offenders and build rapid detention cells to increase prison capacity.

Cut the benefits bill, with a target to reduce payments for depression and anxiety.

Continue reading...

Nurses in England took an average of one week off sick for stress last year, data shows

Chronic workforce shortages have put nursing staff under unbearable pressure, says union chief

Nurses in England took an average of a week off sick last year because of stress, anxiety or depression, NHS figures reveal.

The disclosure has prompted concern that the intense strains nurses face in their jobs, including low pay and understaffing, are damaging their mental health and causing many to quit.

Continue reading...

Ethnic minorities in England ‘need more GP visits’ before cancer diagnosis

One in five people on average need at least three interactions – but for ethnic minorities figure rises to one in three

Ethnic minorities and young people require more visits than other people to the GP before being diagnosed with cancer, according to new analysis.

On average, one in five people across England require three or more GP interactions before being diagnosed with cancer. But for people from ethnic minority backgrounds, the figure rises to one in three, according to analysis of the NHS cancer patient experience 2022 survey by QualityWatch, a joint programme from the Nuffield Trust and the Health Foundation.

Continue reading...

Almost 600,000 in England awaiting gynaecological treatment, figures show

Exclusive: analysis shows increase of a third in two years, prompting claim of ‘deprioritising women’s health’

The government has been accused of “deprioritising women’s health” as analysis shows that almost 600,000 women in England are waiting for gynaecological treatment, an increase of a third over two years.

There are 33,000 women waiting more than a year for such treatment, an increase of 43%, according to Labour analysis of data from the House of Commons library.

Continue reading...

People with MND in England and Wales fear losing access to life-extending drug

Exclusive: NHS cost threshold has not been raised by National Institute for Health and Care Excellence since 2004

People with motor neurone disease have spoken of their devastation at a likely loss of access to a life-extending drug due to an NHS cost threshold that has not been raised since 2004.

Tofersen has slowed the progress of the illness in trials but the chances of the drug being recommended for use in England and Wales are said to be slim.

Continue reading...

Locum psychiatrists providing poor care in Scotland, campaigners say

Scottish NHS boards have spent more than £125m since 2019 to provide temporary cover amid drop in consultant numbers

Mental health campaigners have protested about the significant use of temporary locum psychiatrists in Scotland, alleging that it leads to substandard and harmful medical care.

Peter Todd, a campaigner based in Caithness in the north of Scotland, said the heavy reliance on locum psychiatrists by the NHS was a sign of a growing crisis in mental health services across the country.

Continue reading...

Labour shifts poll tactics to target fearful Tory over-65s

Alarm grows over possible pension cuts as research suggests Jeremy Hunt tax cut announcement was ‘blunder’

Labour is to wage a new campaign to win over Tory-supporting pensioners in an attempt to neutralise one of the government’s last remaining electoral strengths, amid evidence the Conservatives are now performing as badly among the age group as they did under Liz Truss’s leadership.

With less than a fortnight to go until local elections in England, which some Tories fear could trigger an attempt to topple Rishi Sunak, the Observer understands that Keir Starmer’s top officials are reorienting their campaign after detecting alarm among pensioners over the impact a Conservative tax-cutting pledge could have on pensions and the NHS.

Continue reading...

Hilary Cass warned of threats to safety after ‘vile’ abuse over NHS gender services review

The paediatrician, who has been advised to stop using public transport, describes ‘straight disinformation’ about report

The doctor behind a landmark review of the NHS’s gender identity services for children and young people has said fears had been raised about her personal safety amid online abuse after the report’s release.

Dr Hilary Cass told the Times she wished to address the “disinformation” circulating about the findings and recommendations handed down by the Cass review when it was published on 10 April.

Continue reading...

Private health insurance market grows by £385m in a year amid NHS crisis

Demand for private treatment booms as NHS waiting lists remain long, while more people also sign up for dental cover

Britain’s health cover market has grown by £385m in a year as the NHS crisis prompted more people to seek out private medical treatment and demand for dental insurance increased, according to a report.

The total health cover market, including medical and dental insurance and cash plans, grew 6.1% to £6.7bn in 2022, the latest year for which figures are available, according to the health data provider LaingBuisson.

Continue reading...

More than 2,000 NHS buildings in England older than NHS, figures show

Lib Dems and health trusts say patient and staff safety being put at risk by poor state of ageing infrastructure

Millions of patients are being put at risk in crumbling hospitals that are unfit for purpose, MPs have said, as figures reveal more than 2,000 NHS buildings are older than the health service itself.

Health bosses have repeatedly warned ministers of the urgent need to plough cash into replacing rundown buildings in order to protect the safety of patients and staff. The maintenance backlog has risen to £11.6bn in England.

Continue reading...

Infected blood scandal: victims’ families hope report will finally apportion blame

UK government’s apologies so far have had a distinct lack of candour about what it is apologising for

Surviving victims and relatives of those who died as a result of receiving infected blood and blood products from the NHS in the 1970s and 80s will gather in a few weeks at the Methodist Central Hall in Westminster.

After six years of taking evidence, Sir Brian Langstaff’s public inquiry will finally unveil its report there on 20 May.

Continue reading...

UK swapped to fatal US blood products to save money, minutes suggest

Exclusive: contaminated blood campaigners say internal 1976 Immuno AG document proves British government negligence

The British government was willing to risk infecting NHS patients to get “lower-priced” blood products, according to a document that campaigners claim proves state and corporate guilt in one of the country’s worst ever scandals.

A public inquiry into the deaths of an estimated 2,900 people infected with conditions such as HIV and hepatitis will publish its final report in May, four decades after the NHS started prescribing blood and blood products – including from drug users, prisoners and sex workers – sourced from the US.

Continue reading...

Veteran trans campaigner: ‘Cass review has potential for positive change’

Stephen Whittle talks about life for young trans people in the 1970s and now, and the influence of ‘anti-trans’ views today

When Stephen Whittle transitioned as a teenager in 1975, he was one of only a handful of young people in the UK to be offered hormone treatment and, later, surgery.

Almost half a century later – much of it spent fighting for trans rights – he said there was “masses” he agreed with in this week’s review of the NHS’s gender identity services by Hilary Cass. He said he also believed the report had been influenced by groups and individuals with “transphobic” views, and said the “potential for positive change must be backed with resources”.

Continue reading...

Wes Streeting defends Labour plan to use private sector to cut NHS backlog

Exclusive: Failure to do so would betray working-class people, shadow health secretary says

Wes Streeting has defended Labour’s plans to use the private sector to help cut the NHS care backlog, arguing that a failure to do so would result in a “betrayal” of working-class people who cannot afford to pay for care.

The shadow health secretary said his approach was a “pragmatic but principled one” as he doubled down on his remarks this week about “middle-class lefties” whom he said risked putting ideological purity ahead of patient care.

Continue reading...

Adult transgender clinics in England face inquiry into patient care

NHS England to review seven specialist services after staff share misgivings privately

Adult transgender clinics in England are facing a Cass-style inquiry into how they treat patients after whistleblowers raised concerns about the care they provide.

NHS England has announced that it is setting up a review of how the seven specialist services operate and deliver care after past and present staff shared misgivings privately during a previous investigation.

Continue reading...

Thousands of children unsure of gender identity ‘let down by NHS’, report finds

Leading consultant paediatrician says unproven treatments and ‘toxicity’ of trans debate damaging outcomes

Thousands of vulnerable children questioning their gender identity have been let down by the NHS providing unproven treatments and by the “toxicity” of the trans debate, a landmark report has found.

The UK’s only NHS gender identity development service used puberty blockers and cross-sex hormones, which masculinise or feminise people’s appearances, despite “remarkably weak evidence” that they improve the wellbeing of young people and concern they may harm health, Dr Hilary Cass said.

Continue reading...

Mother criticises ‘agenda from above’ after release of Cass report

Parent of trans girl says report promotes agenda that ‘things need to be made more difficult’ for children with gender dysphoria

While the Cass report’s 400 pages will be pored over and debated, one thing is certain – young trans people face an anxious future.

The mother of a 17-year-old trans girl who was a patient at the now-shut Gender Identity Development Service (Gids) at the Tavistock and Portman NHS Foundation Trust said she had initially welcomed Cass’s inquiry, but had been left “disappointed”.

Continue reading...

Review of gender services has major implications for mental health services

Cass report calls for move away from mainly medical treatment as part of dramatic shift in approach to gender dysphoria

A long-awaited review by consultant paediatrician Hilary Cass into the NHS’s gender services for children calls for a dramatic shift in the type of treatment offered to children and young people with gender dysphoria.

The report proposes that instead of being offered mainly medical treatment, young people referred to NHS gender services should “receive a holistic assessment of their needs to inform an individualised care plan”, meaning that questions of gender identity should be treated alongside other possible mental health concerns.

Continue reading...