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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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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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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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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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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Mysterious pile of ‘dumped’ PPE angers people in New Forest

Inquiry launched by Environment Agency into huge pile of medical aprons found in Calmore, Hampshire

The “dumping” of hundreds of thousands of pieces of unused personal protective equipment near a nature reserve on the edge of the New Forest has mystified and angered local people.

But the council has revealed the giant pile of boxes containing medical aprons in Calmore, Hampshire, will be recycled into plastic bags.

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Blood test to detect 50 types of cancer could be given to 1m people on NHS

Chief executive Amanda Pritchard says that if early results are successful it will be rolled out more widely next year

A blood test which can detect 50 cancers before symptoms start to show could be offered to a million people in a pilot programme from next summer, according to the head of the NHS.

Amanda Pritchard, NHS chief executive, said the Galleri test has the potential to “transform cancer care forever”, according to reports.

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Heatwave brings surge in A&E patients as England doctors’ strike begins

Some hospitals record highest ever A&E attendance figures as heat, high pollen count and air pollution bring rise in demand

A&E units across the UK are experiencing a surge in patients seeking care as a direct result of the heatwave, which is leaving many people unwell with shortness of breath, heat exhaustion and sunburn.

The number of people suffering problems as a direct result of the sustained high temperatures in many parts of the country has resulted in some hospitals recording their highest A&E attendance figures.

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Twenty-four UK doctors in five years censured over medical record breaches

GMC says cases were among 194 incidents of alleged violations of confidentiality between 2017 and 2022

Two-dozen doctors have been disciplined by the UK medical regulator in the last five years after accessing and using information from patients’ treatment records without good reason.

The General Medical Council (GMC) said it had struck off two of the 24 doctors it had sanctioned after finding that they had undertaken “inappropriate use” of medical records.

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NHS to deploy street mental health teams to help England’s rough sleepers

Exclusive: £3.2m plan aims to curb rise in people sleeping rough as councils cut homelessness budgets

The NHS will deploy street mental health teams in English locations from Devon to Doncaster in an attempt to curb a rise in rough sleeping in England.

Fourteen outreach teams will aim to get more rough sleepers on to a path to counselling, medication or other treatments and will seek out people “who have often been through incredibly traumatic experiences to ensure they get the help they need”, said Prof Tim Kendall, NHS England’s clinical national director for mental health.

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Former cabinet secretary urges Sunak to drop Covid inquiry legal challenge – live

Lord Butler says there is ‘strong public interest in the inquiry being carried out constructively’

The North Sea oil and gas industry is in decline, the shadow business minister Seema Malhotra said, as she defended plans to block new drilling licences, a move criticised by trade unions. Aubrey Allegretti has the story here.

MPs will hold a debate on Monday on proposals to ban members from the parliamentary estate if they are being investigated for a criminal offence and are deemed to pose a risk to other people.

Last night the government was debating whether to hold a vote on Monday on proposals to ban MPs accused of violent or sexual offences from the estate — after backlash from some Tory backbenchers. One senior Tory MP told Playbook they opposed the plan because it would overturn “common practice that you are innocent until proven guilty”.

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New migraine drug on NHS could help thousands of patients in England

Nice approves rimegepant for preventing migraines in cases where at least three previous treatments have failed

Thousands of people in England who get migraines could benefit from a drug that has been approved on the NHS.

The National Institute for Health and Care Excellence (Nice), the drugs regulator, said it was recommending rimegepant for preventing migraines in the approximately 145,000 adults where at least three previous preventive treatments had failed.

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NHS England workforce plan delayed amid rumours of cost issues

Health secretary Steve Barclay not confirming when strategy to increase numbers of doctors and nurses will be published

NHS leaders have raised concerns about the delay to the long-awaited workforce plan, after the health secretary, Steve Barclay, refused to give a deadline for its publication amid rumours it is considered too costly.

The plan, which was expected to be published on Tuesday, appears to have been delayed, according to the deputy chief executive of NHS Providers, Saffron Cordery.

Barclay blamed the pandemic and “various things that have been happening in recent years” for the delay during broadcast interviews over the weekend. He had previously promised that the plan to increase the number of doctors and nurses would be published before the next general election.

Cordery said the plan, which has already been postponed from last year and aims to fix the UK’s crumbling healthcare system by plugging chronic staff shortages, was needed “as quickly as possible”.

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Met plan to stop mental health response will leave thousands ‘without support’

Health groups raise alarm after Sir Mark Rowley says he will order officers not to attend 999 calls about mental health incidents

Thousands of people in a mental health crisis will be “left without support” under worrying and inappropriate police plans to “walk away” from emergency incidents, health chiefs have said.

In a letter seen by the Guardian, the Metropolitan police comissioner, Sir Mark Rowley, said that from September he would order the force’s police officers not to attend thousands of 999 calls about mental health incidents.

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NHS data breach: trusts shared patient details with Facebook without consent

Observer investigation reveals Meta Pixel tool passed on private details of web browsing on medical sites

NHS trusts are sharing intimate details about patients’ medical conditions, appointments and treatments with Facebook without consent and despite promising never to do so.

An Observer investigation has uncovered a covert tracking tool in the websites of 20 NHS trusts which has for years collected browsing information and shared it with the tech giant in a major breach of privacy.

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Secret Home Office policy to detain people with NHS debt at airport found unlawful

Policy was uncovered by defenders of two women repeatedly detained when trying to re-enter the UK

A secret Home Office policy to detain people with the right to live in the UK at air and seaports has been found to be unlawful in the high court.

The policy applied to those with unpaid NHS debts and was only uncovered through evidence gathered from charities and lawyers fighting the cases of two mothers who were repeatedly detained.

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Record rise in people using private healthcare amid NHS frustration

Data prompts speculation NHS inability to cut waiting lists could make private healthcare ‘new normal’

Record numbers of people are paying for private healthcare, spending up to £3,200 on having a cataract removed and £15,075 on a new hip, amid growing frustration at NHS waiting lists.

Across the UK last year 272,000 people used their own funds to cover the cost of having an operation or diagnostic procedure at a private hospital. That was up from 262,000 the year before and a sharp rise on the 199,000 who did so in 2019, the year before the Covid pandemic struck.

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