C of E leaders call for tax rises to fund NHS-style social care system

Archbishops of Canterbury and York say ‘national care covenant’ needed with stronger role for state

England’s most senior church leaders want tax rises to fund a new NHS-style universal social care system that could cost an extra £15bn a year.

In a challenge to the government to overhaul support for 1 million elderly and disabled people, the archbishops of Canterbury and York have called for a “national care covenant” with a stronger role for the state and citizens delivering more care.

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Minister unable to say whether Zahawi was telling truth when he first said taxes were fully paid – as it happened

Labour MP asks whether Zahawi statement in the summer was untrue, with Cabinet Office minister saying he does not know the answer

Nadhim Zahawi, the Conservative party chair, has welcomed the decision by Rishi Sunak to ask the No 10 ethics adviser to investigate his case. “I am confident I acted properly throughout,” Zahawi said.

Zahawi seems to be using a narrow definition of “properly”. In the statement he issued yesterday, he accepted that his original decision not to pay the tax that HM Revenue and Customs subsequently concluded he should have paid was down to a careless error. He said:

Following discussions with HMRC, they agreed that my father was entitled to founder shares in YouGov, though they disagreed about the exact allocation. They concluded that this was a ‘careless and not deliberate’ error.

Integrity and accountability is really important to me and clearly in this case there are questions that need answering …

That’s why the independent adviser has been asked to fully investigate this matter and provide advice to me on Nadhim Zahawi’s compliance with the ministerial code, and on the basis of that we’ll decide on the appropriate next steps.

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Sajid Javid calls for patients to pay for GP and A&E visits

Radical reforms needed to tackle waiting times, says former health secretary

Patients should be charged for GP appointments and A&E visits, Sajid Javid has said, as he called the present model of the NHS “unsustainable”.

The former health secretary said “extending the contributory principle” should be part of radical reforms to tackle growing waiting times.

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Thousands at risk of heart attacks due to Covid disruption, experts warn

Patients in England, Scotland and Wales missed out on starting blood pressure-lowering drugs, British Heart Foundation says

Thousands of people are at risk of avoidable heart attacks and strokes, experts have warned, after nearly 500,000 people in England, Scotland and Wales missed out on starting blood pressure-lowering drugs during the pandemic.

Researchers said that thousands of people could suffer a preventable cardiovascular event because they did not start taking vital medications known to stave off deadly heart and circulatory diseases amid the Covid related disruption to healthcare.

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NHS bosses implore ministers to ‘do all you can’ to end nurses’ strikes

Group representing trusts in England warns of disruption to patient care as two days of stoppages begin

NHS bosses have implored ministers to “do all you can” to end the strikes that are disrupting care for patients and help rescue the service from its “vicious cycle” of overload and delays.

The NHS Confederation issued its plea on the day nurses in England went on strike for the third time as they seek a bigger pay rise for 2022/23 than the £1,400 on offer.

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England’s PCR Covid testing network drops one of three labs as demand falls

Rosalind Franklin laboratory in Leamington Spa no longer to be part of laboratory network processing Covid tests

England’s PCR testing network for Covid is to be scaled back due to a fall in demand, public health officials have said.

The UK Health Security Agency (UKHSA) said that the Rosalind Franklin laboratory in Leamington Spa – which at its peak was processing about 75,000 Covid PCR tests a day – will cease to operate as part of the processing network.

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Nurses to strike again as ministers prepare to introduce ‘spiteful’ bill

Industrial action also set to escalate in other sectors while government gears up anti-strike legislation

A wave of further teaching, ambulance and civil service strikes is likely to move forward this week as nurses are set for their second major period of industrial action.

While ministers signalled a new deal may be close with the rail unions, strikes looked set to escalate in other sectors as ministers geared up to introduce controversial new anti-strike legislation to the House of Commons on Monday.

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Nursing union warns that next strike will be twice as big

RCN says if progress not made on pay negotiations, action in February will include all eligible members in England

Double the number of nurses will be asked to strike in early February in a bid to increase pressure on the government, union leaders have warned.

The Royal College of Nursing has said that if progress is not made in negotiations by the end of January, the next set of strikes will include all eligible members in England for the first time.

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Most UK voters still back strikes by nurses and ambulance crews

Public support for industrial action by health workers remains strong in the face of government claims it is putting lives at risk

A majority of voters continue to support striking nurses and ambulance workers, despite government claims that they are putting the public at risk, according to the latest Opinium poll for the Observer.

Labour has also increased its lead over the Tories by 1 percentage point, to 16 points, after the prime minister, Rishi Sunak, and other cabinet ministers tried to make political capital by accusing Keir Starmer and his party of being in the pockets of the unions at a time of industrial unrest, the survey shows.

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Revealed: cabinet split over NHS pay disputes piles pressure on Sunak

Health secretary Steve Barclay urges unions to lobby PM over improved pay offer for striking nurses and ambulance workers

The health and social care secretary Steve Barclay has privately urged trade unions to help him make the case to the Treasury and No 10 for extra money for nurses, ambulance workers and other NHS staff in an extraordinary twist to the escalating crisis over health service strikes, the Observer can reveal.

A serious cabinet split has opened up, with Barclay now wanting more money for all NHS staff except doctors – while Rishi Sunak and Jeremy Hunt, the chancellor, are refusing to budge from their insistence that no more can be offered.

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Ambulance workers accuse government of demonising them

In letter to Rishi Sunak, GMB union members say they feel ‘utterly betrayed’ by attempts to portray them as ‘uncaring about safety’

A group of ambulance workers has sent a furious letter to the prime minister saying they feel “utterly betrayed” by the government’s attempts to paint them as “uncaring about safety standards”.

Steve Rice, the head of the GMB union’s ambulance committee, sent Rishi Sunak a letter on behalf of ambulance workers protesting against the government’s plans to introduce anti-strikes legislation.

PA Media contributed to this report

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Starmer calls on Sunak to stand up to ERG and ‘Brexit purity cult’– UK politics live

Leader of the Labour party made the comments during a speech on Brexit in Northern Ireland

The UK culture secretary, Michelle Donelan, has said she is “not ruling out” changing the online safety bill to allow regulators to prosecute social media bosses who are found not to have protected children’s safety.

Donelan told the BBC she was open to making changes that have been demanded by dozens of Conservative MPs, saying she would take a “sensible approach” to their ideas.

Obviously this is a very sensitive area and I know there were very robust debates and exchanges on it as the bill was passing in Scotland. What I’m concerned about is the impact of the bill across the United Kingdom.

There may be impacts across the UK that we need to be aware of and understand the impact of them, and that’s what we’re doing, and once the government has received final advice it will set out next steps.

This is not just a question about the GRR people’s individual views on it. This is about democracy.

The Scottish parliament has voted in favour of legislation that sits within devolved competencies, and it’s incumbent upon Westminster to ensure that legislation is passed in full.

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ADHD services ‘swamped’, say experts as more UK women seek diagnosis

Warnings of ‘great cost’ to individuals, workplaces and the economy as people struggle to access diagnosis and treatment

ADHD awareness hassoared among women in the UK in the past year, but waiting times and the dearth of clinical awareness are leaving people awaiting diagnosis in a perilous position, leading experts have warned.

Dr Max Davie, a consultant paediatrician and co-founder of ADHD UK, said that people talking openly about their diagnoses – such as the Loose Women presenter Nadia Sawalha – had led to more people seeking referrals for the condition.

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Steve Barclay privately concedes he will have to increase pay offer to NHS staff

The U-turn may help to end wave of strikes, though funding it could require cuts to key services

Steve Barclay has privately conceded he will have to increase his pay offer to NHS staff, in a U-turn that may help to end the growing wave of strikes.

However, the Treasury has made clear he will have to find any new cash from within the existing health budget, raising the prospect of cuts to key services.

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Health unions refuse to give evidence to ‘rigged’ NHS pay review system

Officials from 14 health unions want to hold direct talks with ministers to agree pay rises for NHS staff

The system for setting NHS staff pay is under threat after health unions refused to submit evidence to the two bodies that advise ministers on how big annual increases should be.

The role and credibility of both the NHS pay review body (NHSPRB) and the review body on doctors’ and dentists’ remuneration (DDRB) have been brought into question by the move.

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Ministers to unveil anti-strike laws as disputes continue to paralyse UK

Business department says bill will enforce ‘basic’ level of service from different sectors during stoppages

Ministers are to unveil controversial new legislation designed to curb the effectiveness of strike action as industrial disputes continue to paralyse services across the UK.

The Department for Business, Energy and Industrial Strategy has previously said the bill will enforce a “basic” level of service from different sectors if workers choose to strike.

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Strikes to go ahead – but ministers’ willingness to talk is a sign of progress

Some suggest political naivety played a role as No 10 admits it is taking a ‘new approach’ by discussing pay

At the end of talks over next year’s pay deal for NHS workers, which broke up without resolution on Monday, union negotiators told Steve Barclay: “You know we’re going ahead with strikes?” One of those in the room said the health secretary shrugged his shoulders in resignation. “I accept that,” he told them.

But the fact ministers sat down with unions to discuss pay at all is, in itself, a breakthrough. For weeks the government has been indicating that, while it would meet unions to avert further strikes, reopening this year’s pay deal was not an option.

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Junior doctors very likely to vote for strike, says BMA, as ministers hold meetings with health, education and rail unions – live

Medical union balloting 45,000 members from today over strike in March as ministers meet unions in effort to end disputes

Good morning. There are various meetings taking place today between ministers and union leaders representing workers in health, education and the rail industry after Rishi Sunak called last week for both sides to get around the table. This is quite a shift from the pre-Christmas position when ministers insisted it was up to management negotiators to take the lead in talks with unions. At the end of last week it was not clear whether this was mainly a presentational ploy (Sunak wants the government to be seen as “reasonable’”), or whether significant concessions might be in the pipeline, but yesterday, as my colleague Pippa Crerar reports, Sunak hinted it was the latter in his start-of-year interview with Laura Kuenssberg.

But it is quite possible that the strike crisis could get worse before it gets better. The British Medical Association is from today balloting 45,000 junior doctors in England on strike action and, if they vote in favour, a 72-hour strike is planned from March. This morning Dr Emma Runswick, the BMA’s deputy chair, told Sky News that the chances of a strike were “very high”. She explained:

[Health secretary] Steve Barclay’s planning to meet with us on Wednesday but only to discuss a very narrow set of things. He’s talking about the evidence that the government will submit to the pay review body. Unfortunately, they’ve already submitted their remit letter to the pay review body telling us and them that we only should receive 2% next year.

So, that’s another massive pay cut after we’ve had a pay cut this year, and for the previous 15 years. Again, another pay cut on top of the quarter pay cut we’ve already received, so I’m not optimistic … about the meetings, though we will go and we will negotiate if that is an available option to us.

We’re asking for the reversal of that pay cut [over the last 15 years]. So, mathematically, it might even be more and if we have another pay cut this year, it’ll be more again. So, we’re only asking for what we’ve had cut from us back.

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‘Not really relevant’: Rishi Sunak refuses to say if he uses private healthcare

PM urged to ‘come clean’ amid suggestions he is out of touch with millions who face long NHS waits

Rishi Sunak has refused to say whether he uses private healthcare amid suggestions he is out of touch with millions of ordinary people who face long waiting times to receive treatment on the NHS.

The prime minister said his own healthcare was “not really relevant” and was a “distraction” from his focus on making sure people across England receive high-quality NHS provision.

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Three reasons why politicians can’t solve our social care crisis

Political disagreement about the role of the state, the expense of reform and our unwillingness to confront ageing are at the root of the problem

A confidential No 10 memo on (not) reforming social care reads: “The prime minister agreed that this seemed the right course, but noted that careful thought needed to be given to the presentation in order to avoid charges that the government had pulled back from its original commitments on long-term care.”

That’s not a recent leak: it was from 1996, and shows how far back political failure on social care stretches. Politicians have not incurred any penalties for shirking this responsibility. In fact, the only leader who has really been burned by it is Theresa May – and that’s because she tried to do the right thing and be honest with the public about the cost in the 2017 election.

The past three decades have seen many attempts to reform social care. They all had different solutions and all collapsed in slightly different ways. But there are three things that the failures have had in common.

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