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?

Sign up here for our daily newsletter, First Edition

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.

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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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NHS nurses suffering shocking violence from patients, senior nurse warns

Crisis in NHS contributing to nurses being spat at and punched, leading some to leave the profession, Prof Nicola Ranger says

Nurses are being put in increasing danger from shocking levels of violence and aggression by patients, a senior nursing leader has warned.

Prof Nicola Ranger, the Royal College of Nursing’s (RCN) director of nursing, said the crisis in the NHS had fuelled bad behaviour by patients frustrated by worsening delays for treatment since the Covid pandemic.

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Brexit has completely failed for UK, say clear majority of Britons – poll

Only one in 10 feel leaving the EU has helped their finances, while just 9% say it has benefited the NHS, despite £350m a week pledge according to new poll

A clear majority of the British public now believes Brexit has been bad for the UK economy, has driven up prices in shops, and has hampered government attempts to control immigration, according to a poll by Opinium to mark the third anniversary of the UK leaving the EU single market and customs union.

The survey of more than 2,000 UK voters also finds strikingly low numbers of people who believe that Brexit has benefited them or the country.

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NHS in England facing ‘storm of pressure’ as flu and Covid cases surge

Average of 3,631 patients in hospital with Covid during Christmas week, data shows, a rise of 57% in a month

A surge in the number of flu and Covid admissions to hospitals in England is adding to a “storm of pressure” facing the health service, NHS leaders have said.

Figures released on Friday showed that in Christmas week, there were on average 3,631 patients with Covid in hospital, up 57% from the same week in November.

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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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At least 20% of NHS suppliers at ‘high risk’ of modern slavery use, review says

Many makers of PPE and surgical instruments are based in China, where about 100,000 people may be trapped in forced labour

Over a fifth of NHS suppliers providing items including surgical instruments, gloves, gowns and face masks are at “high risk” of using modern slavery, according to a government review.

Nearly half of all NHS suppliers of gowns and uniforms are based in China, which also provides the bulk of all masks.

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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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