Record one in five NHS staff in England are non-UK nationals, figures show

Figure of 20.4% is highest since records began in 2009, prompting warnings over growing reliance

One in five NHS staff in England are non-UK nationals, according to figures that show the pivotal role foreign workers play in keeping the health service afloat.

Healthcare workers from 214 countries – from India, Portugal and Ghana to tiny nations such as Tonga, Liechtenstein and Solomon Islands – are employed in the NHS. And the proportion of roles filled by non-UK nationals has risen to a record high, according to analysis of NHS Digital figures.

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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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Junior doctors in England to strike again after pay talks break down

BMA votes for further five days of action after meeting with health secretary fails to resolve grievances

Junior doctors are to stage fresh strike action in England for a 10th time after talks between their union and the government broke down again.

Ministers, health officials and representatives from the British Medical Association (BMA) had been locked in negotiations for weeks since last month’s record six-day stoppage, trying to find a resolution to the pay dispute.

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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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NHS dentistry ‘recovery plan’ not worthy of the title, dentists say

British Dental Association says government’s plan does not offer hope to millions struggling to access care

Rishi Sunak has been accused of making a U-turn on his pledge to restore NHS dentistry as experts say his “recovery plan” does not offer enough money to incentivise dentists to take on extra NHS patients.

The prime minister’s long-awaited proposals have been criticised for failing to ringfence funding for the dental sector and reform the NHS dentistry contract, which means millions across the country will continue to struggle to access care.

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Rishi Sunak accused of personally holding up deal to end doctors’ strikes

Exclusive: Sources say PM has blocked talks due to concerns about knock-on effect of more generous pay offer

Rishi Sunak has been accused of personally holding up a deal to end doctors’ strikes in England despite warnings from the health department and NHS England that waiting lists will continue to soar unless the industrial dispute is resolved.

Sources told the Guardian it had been made “abundantly and repeatedly” clear to the prime minister that there would be no progress on his pledge to drive down NHS waiting lists until a deal was struck.

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Oesophageal cancer test ‘should be made more available in UK’

Charities say deaths will be prevented if ‘sponge on a string’ test is widely adopted

A test that can detect oesophageal cancer at an earlier stage than current methods should be made more widely available to prevent deaths, charities have said.

The capsule sponge test, previously known as Cytosponge, involves a patient swallowing a dissolvable pill on a string. The pill then releases a sponge which collects cells from the oesophagus as it is retrieved.

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NHS trust that treated Valdo Calocane to be subject of special review

CQC will conduct review into Nottinghamshire Healthcare in tandem with mental health homicide review

A troubled NHS trust that treated Valdo Calocane for paranoid schizophrenia before he killed three people in Nottingham last year is to be the subject of a special review.

Ministers said the review into Nottinghamshire Healthcare foundation trust would help provide answers to the families of Barnaby Webber, Grace O’Malley-Kumar and Ian Coates, who were killed by Calocane last June.

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Non-surgical gastric balloon available on NHS for first time

Treatment takes 15 minutes and involves swallowing a capsule with no need for surgery, endoscopy or anaesthesia

A non-surgical gastric balloon which helps weight loss by restricting the size of the stomach has been made available on the NHS for the first time.

The treatment, which was approved by the National Institute for Health and Care Excellence (Nice) in 2020, takes 15 minutes and involves a capsule being swallowed by the patient which is attached to a thin tube.

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EU silver filling ban could lead to dental care crisis in Northern Ireland, says BDA

Dental union says region will be ‘disproportionately’ affected by EU amalgam phase-out as health service is weakest in UK

Concerns have been raised about the future availability of silver dental fillings in Northern Ireland due to an imminent phasing out of the amalgam across the EU.

The plan to phase out amalgam by 1 January next year will apply in Northern Ireland as a result of Brexit trading arrangements and will also affect dental care in other parts of the UK, dentist representatives said.

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Thousands of mental health patients readmitted within a month in England

Experts say being discharged prematurely can be ‘disastrous’, setting back chances of full recovery

Thousands of patients are being readmitted to NHS mental health units in England every year soon after being discharged, raising concerns about poor care, bed shortages and increased risk of suicide.

Experts say being discharged prematurely can be upsetting, set back the patient’s chances of making a full recovery and be “disastrous” for their health.

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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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Surgeon who carried out Europe’s first liver transplant dies aged 93

Prof Sir Roy Calne performed gamechanging operation in 1968, and was responsible for other surgical ‘world firsts’

Prof Sir Roy Calne, the pioneering surgeon who led a team which performed the first liver transplant in Europe, has died at the age of 93.

On 2 May 1968 Calne performed the gamechanging operation at Addenbrooke’s hospital in Cambridge, a year after the US’s first successful liver transplant.

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Junior doctors’ leaders warn of more strikes unless ministers make new offer

Row breaks out on first day of NHS’s longest ever stoppage as requests to return to work rejected

Junior doctors’ leaders have said they are prepared to stage yet more strikes after the longest stoppage in NHS history, as health leaders warned that this week’s action alone could cripple the health service until spring.

The dire warnings came as Rishi Sunak faced fresh pressure over his pledge to reduce waiting times. Since he made his vow exactly a year ago, the list has gone up, not down – and by 500,000, official figures reveal.

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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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Decoding the junior doctors’ strike – from patient safety to public support

Health bosses raise alarm as junior doctors begin the longest strike in NHS history. But how will the action actually affect patients?

Almost a year after the first strike over pay and conditions, junior doctors in England are going out on strike again for six days. (A pay deal has already been reached in Scotland, while doctors in Wales are due to strike later this month and those in Northern Ireland are being balloted.)

While the new health secretary, Victoria Atkins, is on slightly better terms with the British Medical Association (BMA), which represents junior doctors, than her predecessor, Steve Barclay, the doctors and the government are still a long way apart. As the two sides make their case, here’s some help with interpreting what they have to say.

Six days of strike action following bank holidays at a time of enormous pressure, there are real issues around patient safety”

NHS Confederation chief executive, Matthew Taylor, 23 December

Junior doctors’ pay has been cut by more than a quarter since 2008”

BMA website

The public know the only way to have a healthcare system that looks after them is to have enough doctors. And they can completely appreciate [that junior doctors’ pay] is just not enough”

Dr Vivek Trivedi, co-leader of the British Medical Association, 20 December

They have taken the decision to walk away from the discussions we were having, which were live”

The health secretary, Victoria Atkins, 13 December

I mean even recently the secretary of state has said they have a final offer to give. Well then give it and let’s solve the dispute”

Dr Rob Laurenson, co-leader of the British Medical Association, 30 December

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Wednesday briefing: Decoding the junior doctors’ strike – from patient safety to public support

In today’s newsletter: Health bosses raise alarm as junior doctors begin the longest strike in NHS history. But how will the action actually impact patients?

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Good morning. It is never a good time to be seriously ill, but this week is worse than most. The NHS is in the grip of its customary winter crisis, which typically peaks in early January. More than 125,000 posts are vacant, and about 6.5m people are on waiting lists for routine appointments, more than a million of them for more than one procedure.

Today, junior doctors in England go out on strike again, for six days. (A pay deal has already been reached in Scotland, while doctors in Wales are due to strike later this month and those in Northern Ireland are currently being balloted.) Almost a year after the first strike over pay and conditions, the dispute still appears a distance from being resolved.

Israel-Gaza war | One of Hamas’s most senior officials, Saleh al-Arouri, was killed in an Israeli drone strike in Beirut that threatened a significant and dangerous escalation of Israel’s war against Hamas and its related conflict with the Lebanese militant group Hezbollah. Read Jason Burke’s analysis.

Japan | A passenger jet that collided with a coast guard plane in a catastrophic accident at Tokyo’s Haneda Airport had been given permission to land, Japan Airlines executives have said. Five crew members on the coast guard plane were killed while all 379 passengers evacuated from the burning Japan Airlines jet.

UK news | Camila Batmanghelidjh, who created the Kids Company children’s charity and became one of the UK’s best known and most powerful campaigners for disadvantaged youngs people, has died aged 61.

Climate Crisis | The UK had its second hottest year on record in 2023, according to provisional data from the Met Office, as the climate crisis continued to deliver elevated temperatures. Such a warm year would have occurred only once in 500 years without human-caused global heating, the scientists said.

US news | The president of Harvard University has resigned amid pressure over her response to questions about antisemitism at US colleges and allegations that she has plagiarized some of her academic work. Claudine Gay’s six-month tenure is the shortest in the university’s history.

Six days of strike action following bank holidays at a time of enormous pressure, there are real issues around patient safety”

NHS Confederation chief executive, Matthew Taylor, 23 December

Junior doctors’ pay has been cut by more than a quarter since 2008”

BMA website

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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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