Nearly half of England’s GP surgeries taking industrial action, survey finds

One in four practices capping number of patients they see to 25 a day amid first action in 60 years

Almost half of GP surgeries in England are staging industrial action for the first time in 60 years amid a row over funding, with one in four capping the number of patients they see to 25 a day, a survey suggests.

Family doctors voted overwhelmingly in favour of collective action earlier this month in protest at the last government increasing their budget by only 1.9% this year. The new government has pledged to increase funding for 2024-25 to 6%.

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Nottingham attacks: series of errors led to Valdo Calocane being discharged, review finds

CQC finds risk he presented to public was ‘not managed well’ before he killed three people in Nottingham last year

A “series of errors and misjudgments” in Valdo Calocane’s mental health care led to him being discharged, despite repeatedly not taking medication and showing signs of aggression, months before he killed three people in Nottingham, a report says.

A review by the Care Quality Commission (CQC) of the treatment that Calocane received from Nottinghamshire healthcare NHS foundation trust over two years between May 2020 and September 2022 found that “the risk he presented to the public was not managed well”.

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Doctor warned Valdo Calocane could kill, three years before Nottingham stabbings

Family share medical records of Calocane’s mental illness with BBC that they say show missed opportunities to prevent attacks

A doctor warned that Valdo Calocane’s mental illness was so severe he could kill someone, three years before he stabbed three people to death in Nottingham, his medical records reveal.

Calocane’s family, who were shown the records only after he was sentenced to indefinite detention in a high-security hospital for the attacks, have criticised the missed opportunities they believe could have prevented the killings.

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Surgeon suspended for sexual harassment at Oxford Transplant Centre

Medical tribunal suspends James Gilbert for eight months for the ‘serious misconduct’ it uncovered

A transplant surgeon found to have sexually harassed four colleagues has been suspended for eight months.

Three of the women James Gilbert, 47, harassed were trainees at the Oxford Transplant Centre, a medical tribunal heard.

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UK shortage of drug used to prevent brain damage in alcoholics

Experts say addiction patients are being treated as second-class citizens as ‘essential’ Pabrinex is withdrawn

Doctors have warned that a severe shortage of an “essential” medicine used to help protect alcoholics from degenerative brain conditions could disproportionately affect “some of the most vulnerable” in society.

Pabrinex, a multivitamin injection, is used to protect heavy drinkers from conditions such as Wernicke’s encephalopathy and Korsakoff syndrome, which can have symptoms similar to dementia. Doctors are concerned the incidence of these debilitating conditions may increase as a result of the shortages.

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‘We’re all scared’: NHS doctor reveals impact of far-right riots on staff

Hospital worker from Egypt expresses safety fears, doubts about staying in UK and sense of being unappreciated

As far-right riots broke out across parts of the UK this week, the chief executive of NHS England, Amanda Pritchard, warned in an email to NHS leaders that “for many NHS workers, seeing this flare-up of racism will leave them feeling afraid and unwelcome”.

The Guardian spoke to Samir, 32, an NHS hospital doctor in south-west England, who shared his views.

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Ditching two-child benefit cap would cut deaths and A&E admissions, study says

England research shows huge benefits with resulting savings for NHS and councils

Curbing child poverty by scrapping the two-child benefit cap would save hundreds of lives a year and avoid thousands of admissions to hospital, the largest study of its kind suggests.

Keir Starmer has faced repeated demands from within Labour ranks and opposition leaders to abolish the policy, which was announced in 2015 by George Osborne, then chancellor. Almost half of all children in some towns and cities now live below the breadline.

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Unions welcome scrapping of Tories’ ‘spiteful’ minimum service law

Senior figures praise repeal of law but privately some want full workers’ rights overhaul implemented without delay

Unions have welcomed the government’s move to formally scrap a “draconian” anti-strike law that would have ensured a minimum level of service during industrial action as the legislation had restricted workers’ rights.

The deputy prime minister, Angela Rayner, and the business secretary, Jonathan Reynolds, have written to government departments with sectors that were most affected by the strikes to give a “clear message” the measures will be repealed and have urged all metro mayors to start engaging with local employers on the change.

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NHS ‘soup and shake’ diet puts almost a third of type 2 diabetes cases in remission

Programme may soon be expanded in England after study finds ‘life-changing benefits’ of meal replacement scheme

Tens of thousands more people in England living with type 2 diabetes could be offered an 800-calorie-a-day “soup and shake” diet after research found almost one in three on the groundbreaking NHS scheme permanently wiped out their disease.

Patients are given low-calorie meal replacement products such as soups, milkshakes and snack bars for three months, triggering rapid weight loss, before getting support to reintroduce normal food into their diet.

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Portsmouth hospital reopens A&E after restoring power

Queen Alexandra hospital had closed ward to new admissions and declared major incident after outage

A hospital has reopened its emergency department after closing it to new admissions and declaring a major incident after a power cut.

The outage on Monday morning at the Queen Alexandra hospital in Portsmouth, Hampshire, also affected phone lines. A small number of procedures had to be cancelled.

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Pharmacies in England cutting services amid financial pressures, research finds

Poll reveals emergency contraception, free prescription deliveries and extended opening hours among services hit

Pharmacies across England are unable to provide critical NHS and public health services owing to the overwhelming financial and operational pressures they are facing, according to research.

A poll of pharmacy owners representing more than 2,100 pharmacies found that more than 96% of respondents said they had stopped providing locally commissioned services over the past 12 months.

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English hospitals brace for ‘alarming’ disruption as GPs go on strike

Exclusive: A&Es and mental health services face ‘dangerous’ surge that could continue into 2025, say bosses

The NHS faces “alarming” and “dangerous” disruption until Christmas and potentially into 2025, health chiefs have said, after GPs began their first industrial action in 60 years amid a major row over funding.

Hospitals, A&E units and mental health services are already under huge pressure. They are now braced for a surge in demand from thousands of patients turning to them for help after family doctors in England launched work-to-rule action on Thursday.

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Winter fuel payments to be restricted as Reeves says there is £22bn spending shortfall – UK politics live

Chancellor suggests budget, on 30 October, will involve tax rises and cuts to spending and benefits

Downing Street has refused to comment on a report saying junior doctors are being offered a pay rise worth about 20% over two years.

In a story for the Times, Steven Swinford reports:

The British Medical Association’s (BMA) junior doctors committee has recommended an offer that includes a backdated pay rise of 4.05 per cent for 2023-24, on top of an existing increase of between 8.8 per cent and 10.3 per cent.

Junior doctors will be given a further pay rise of 6 per cent for 2024-25, which will be topped up by a consolidated £1,000 payment. This is equivalent to a pay rise of between 7 per cent and 9 per cent.

As we’ve said before, we’re committed to working to find a solution, resolving this dispute, but I can’t get into detailed running commentary on negotiations.

We’ve been honest with the public and the sector about the economic circumstances we face. But the government is determined to do the hard work necessary to finally bring these strikes to an end.

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Record numbers in England taking ADHD medication, NHS data shows

Increase of 18% in a year attributed to more diagnoses, especially among younger women

A record number of people in England are taking medication used to treat ADHD, data shows, underlining a surge in the number of diagnoses.

Almost 278,000 patients in England were prescribed central nervous system stimulants (CNS) and drugs to treat attention deficit hyperactivity disorder (ADHD) between April 2023 and March 2024, latest NHS Business Services Authority data shows.

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England’s health watchdog ‘not fit for purpose’, says Wes Streeting

Health secretary’s comments follow finding that Care Quality Commission struggling to identify performance issues in hospitals and care homes

Wes Streeting has called England’s healthcare watchdog “not fit for purpose” after an interim report found significant failings were hampering its ability to identify poor performance at hospitals, care homes and GP practices.

The health and social care secretary promised to “grip the crisis” at the Care Quality Commission (CQC) by taking immediate action to increase oversight of the body and giving patients more confidence in their care.

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Inga Rublite timeline: events in run-up to death of woman in A&E waiting room

From experiencing a sudden headache at work to being found slumped under a coat in hospital with a brain haemorrhage

Inquest finds hospital missed two chances to treat Inga Rublite

Inga Rublite was on a break at work when she came down with a sudden headache. Less than 24 hours later, she lay dying on the floor of an overcrowded A&E waiting room under a coat, hidden in plain sight. The sequence of events that led up to her death show an NHS under strain and the risk of patients falling through the cracks.

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Nottingham A&E staff may have mistaken dying woman for homeless person, inquest told

Inga Rublite, 39, was found under coat at Queen’s Medical Centre where she had vomited and had seizure

A 39-year-old woman found dying under a coat in an overcrowded A&E in Nottingham may have been missed by staff because they are accustomed to homeless people sleeping in the waiting area, an inquest has heard.

Inga Rublite attended A&E at Queen’s Medical Centre (QMC) at 10.40pm on 19 January suffering from a severe headache, blurred vision, high blood pressure and vomiting.

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UK must move towards disease prevention to save economy and NHS, says expert

Personalised ‘pre-NHS’ could stop onset of disease and offer health checks in places people live, work and socialise

The creation of a “pre-NHS” focusing on preventive healthcare could unlock billionsfor the UK within two decades, according to the head of a taskforce investigating radical new improvements to the nation’s wellbeing.

Prof John Deanfield, the first-ever government champion for personalised prevention, has concluded that a parallel health service is required to save an NHS struggling to heal an increasingly unhealthy public.

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Record numbers of people in England given dementia diagnosis in past year

NHS data also shows diagnosis rate misses target and remains below pre-pandemic levels

Record numbers of people in England have received a dementia diagnosis in the past year, NHS figures show.

The latest data shows a record 487,432 people had a diagnosis in June. However, the rate remains below pre-pandemic levels, with 65% of people estimated to have the condition diagnosed, below the NHS’s 66.7% target, which was last met in 2019.

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Up to 100,000 may have undiagnosed forms of dementia in England

NHS figures show underdiagnosis of Lewy bodies and frontotemporal dementias

Up to 100,000 people in England may be living with undiagnosed forms of dementia that present with symptoms such as depression and hallucinations, according to government figures.

Dementia is an umbrella term for many different conditions, affecting more than 55 million people worldwide. In England, about 7,000 people are diagnosed every month. While the health service has made progress in headline diagnosis rates, latest figures show that underdiagnosis of specific dementias remain a problem.

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