Budget 2020: read the small print on spending pledge, urges IFS

Thinktank praises Covid-19 response but says ‘splurge’ relies on already announced plans

Rishi Sunak’s first budget is not as generous as it seems and will leave many Whitehall departments worse off than they were before the spending squeeze began in 2010, according to Britain’s foremost economics thinktank.

The Institute for Fiscal Studies said the chancellor made the budget sound more substantial than it was, while relying on previously announced spending plans.

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A budget for social infrastructure | Letters

Eighteen signatories call for spending rules to be shaken up to benefit care services and marginalised groups. Plus Jeremy Beecham says local government is in dire need of a funding injection

We welcome the government’s commitment to level up disadvantaged areas of the UK in this week’s budget. We also welcome suggestions that the chancellor is considering including spending on social infrastructure such as health, education or care as a form of infrastructure investment.

Most of the time when we think of infrastructure we think of physical infrastructure like roads, railways and hospital buildings, but a broader definition of it would include social infrastructure like NHS salaries, training, personal assistants for those with disabilities and childcare workers. The government has promised to spend in these areas, but is restricted by its own rules about what it can and can’t borrow money for. It can borrow to invest but not to “just spend”.

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‘I asked three times for an epidural’: why are women being denied pain relief during childbirth?

A new report concludes that women are not being given epidurals and not being fully informed about pain relief by NHS trusts. Does a belief in natural births lie behind this?

Giving birth was, for Kate, like going “through a war”. She had repeatedly asked for an epidural; instead, she was allowed only gas and air and two paracetamol. She was “exhausted, dazed, torn, bloody and frightened” by the time her healthy son was placed in her arms.

“I asked three times for an epidural,” Kate says of her 26-hour labour to deliver her baby, who was back to back and breech. “The first time the midwives said I wasn’t far enough along. The second time, they said I didn’t need it. Finally, they said I was too far along.

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British economy ‘to grow 0.16% at best under US trade deal’

Admission lays bare limited benefits of ‘ambitious’ agreement with Donald Trump

The British economy would be at most 0.16% larger by the middle of the next decade under a comprehensive trade deal with the US, the government has admitted, laying bare the limited benefits from striking an agreement with Donald Trump.

In a document published by Liz Truss’s Department for International Trade designed to kick-start post-Brexit trade talks with the Trump White House, the government said the British economy stood to benefit from an “ambitious and comprehensive” trade deal worth a fraction of GDP, equivalent to £3.4bn after 15 years.

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Boris Johnson talks tough before US trade talks

PM maintains that NHS is not on the table and animal welfare standards won’t drop

Boris Johnson has said he will drive a hard bargain as the UK outlined its negotiating objectives for the forthcoming trade talks with the US.

Despite fears that disagreements between London and Washington could obstruct the launch of the negotiations, a government press release claimed the prime minister wanted to open up opportunities for British businesses and investors while also ensuring the NHS was not for sale via the desired free trade agreement.

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Born on the M5: family thanks NHS staff for help with baby delivery

Parents were on way to hospital when mother went into labour on busy motorway

A new mother has thanked emergency staff for helping her as she gave birth to a baby boy in the front seat of a car parked on a motorway lane while traffic whizzed past.

Jayne Rowland, 36, a teaching assistant, was on her way to hospital when she went into the final stages of labour on the M5 in Somerset.

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AI system outperforms experts in spotting breast cancer

Program developed by Google Health tested on mammograms of UK and US women

An artificial intelligence program has been developed that is better at spotting breast cancer in mammograms than expert radiologists.

The AI outperformed the specialists by detecting cancers that the radiologists missed in the images, while ignoring features they falsely flagged as possible tumours.

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Stop smoking campaign in England axed after health budget cuts

Charity decries government’s ‘foolhardy’ decision to reduce anti-smoking budget by 24%

The government has been accused of undermining its ambition to make England smoke free after an anti-smoking campaign was cancelled following a 24% cut to the public health marketing budget.

Health Harms, a Public Health England (PHE) scheme, has previously sought to harness new year resolutions in January to encourage the 6 million tobacco smokers in the country to quit through vaping and visualising how cancer-causing chemicals and tar are inhaled.

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Queen’s speech: PM points to harder Brexit and 10-year rule

Johnson government outlines tougher laws on sentencing and constitutional reform

Boris Johnson has set out his vision for the Tories to govern for the next decade as he published a Queen’s speech that points the way towards a harder Brexit and sweeping constitutional reforms.

The prime minister claimed that he wanted his programme for government to last for more than one parliament, describing it as a “blueprint for the future of Britain”.

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Queen’s speech: NHS at heart of Johnson’s plans, says minister

Rishi Sunak highlights £34bn health spending, but appears to water down social care pledge

Boris Johnson will try to use the Queen’s speech to refocus attention away from Brexit and on to the NHS, the government has confirmed.

The prime minister intends to put the health service at the centre of the legislative programme, according to the chief secretary to the Treasury, Rishi Sunak.

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‘I was hacked,’ says woman whose account claimed hospital boy photo was staged

Woman denies posting false information that photo of four-year-old was political stunt

A medical secretary has claimed her Facebook account was hacked after it was used to post false information claiming that a photograph of an ill boy on the floor at Leeds General Infirmary was staged for political purposes.

The woman denied posting the allegation that four-year-old Jack Willment-Barr’s mother placed him on the floor specifically to take the picture which became symbolic of the NHS’s troubles after it appeared on the front page of Monday’s Daily Mirror.

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PM refuses to look at picture of boy forced to sleep on hospital floor

Boris Johnson accused of not caring after refusing reporter’s requests several times

Boris Johnson has been accused of not caring after he repeatedly refused during a TV interview to look at a photo of a four-year-old boy forced to sleep on the floor at an overcrowded A&E unit, before pocketing the reporter’s phone on which he was being shown the picture.

In an ITV interview during a campaign visit to a factory in Sunderland, the prime minister was challenged about the plight of Jack Williment-Barr, who was pictured sleeping under coats on a hospital floor in Leeds as he waited for a bed, despite having suspected pneumonia.

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‘Sometimes the world goes feral’ – 11 odes to Europe

As Britain braces itself for the Brexit endgame, leading poets – from Carol Ann Duffy to Andrew McMillan – take the pulse of our fragmenting world

From the collection Kin, Cinnamon Press, 2018

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Trump denies interest in NHS even if it was handed to US ‘on a silver platter’ – video

Donald Trump has said he would not be interested in putting Britain’s National Health Service (NHS) on the table during trade talks with the UK even if it was ‘handed on a silver platter’.

Trump, who is in London for a Nato summit, said: ‘We have absolutely nothing to do with [the NHS], and we wouldn’t want to. If you handed it to us on a silver platter, we’d want nothing to do with it’

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Leaked NHS papers ‘put online by posters using Russian methods’

Questions about dissemination of documents do not mean they are fake, but poses new puzzle

Leaked documents said by Labour to prove that the NHS was “on the table” in trade talks with the US were initially disseminated online by anonymous posters operating in a way similar to a Russian information operation known as Secondary Infektion, according to a social media research firm.

A 19-page report published on Monday by the consultancy Graphika said that while it could not conclusively prove a Russian origin to the leak, the early distribution of the cache of files via Reddit, three German-language websites and an anonymous Twitter account reflected a method of operation seen repeatedly over recent years.

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Jeremy Corbyn reveals dossier ‘proving NHS up for sale’

Labour leader says documents leave Boris Johnson’s denials on post-Brexit US trade deal ‘in tatters’

Labour has obtained official documents showing that the US is demanding that the NHS will be “on the table” in talks on a post-Brexit trade deal, Jeremy Corbyn has said.

The Labour leader said the uncensored papers gave the lie to Boris Johnson’s claims that the NHS would not be part of any trade talks, and revealed that the US wanted “total market access” after the UK leaves the EU.

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Election debate: Johnson and Corbyn clash over NHS future

Labour leader claims service will be sold by PM, who keeps repeating Brexit mantra

Boris Johnson and Jeremy Corbyn have clashed over which of them is best placed to safeguard the NHS if they win the general election, with the Labour leader accusing the prime minister of being ready to sell it off to US corporations.

In a testy live debate on ITV, during which the prime minister repeatedly returned to the claim that he would “get Brexit done”, both men lavished praise on the NHS, but Corbyn said Johnson would put it up for sale.

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General election live: Corbyn should not resign immediately if Labour loses election, says McCluskey – live news

All the day’s developments on the campaign trail before Johnson and Corbyn’s first TV debate

Boris Johnson has gone for some Rocky Balboa-type posturing ahead of tonight’s ITV debate. (See 2.33pm and 4.50pm.) As you would expect, Jeremy Corbyn’s warm-up routine is rather different.

Labour leader @jeremycorbyn has arrived for the #ITVdebate, saying he hopes for a respectful debate and prepared by eating a Caesar salad#GE2019 #Leadersdebatehttps://t.co/itw9efaa2W pic.twitter.com/Z2PVqCmgEd

And here is another useful Twitter thread on the likely impact of the debate tonight, from the academic Prof Tim Bale. It starts here.

THREAD: Did a @SkyNews bit today on debates. Here's (some of) what we think we know from research in the UK and elsewhere. 1/8

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General election: Boris Johnson urges voters to reject ‘Sturgeon-Corbyn alliance’ – as it happened

The prime minister delivers the first big set-piece speech of the campaign as Labour pledges £26bn extra per year for NHS

That’s all from us for this evening. Thanks for reading and commenting. For a comprehensive rundown of the day’s events, see my colleague Andrew Sparrow’s daily election briefing:

Related: Andrew Sparrow's election briefing: Johnson won't change Brexit stance to please Farage

Related: Boris Johnson heckled over floods but does not apologise for 'slow response'

Hoey also said complained that MPs had spent the last two years trying to thwart Brexit, telling LBC:

We’ve had two years of parliament – a remain parliament – doing everything they can to stop us leaving; by different methods and some not so serious as others. But most of the Labour MPs in there and a substantial number of Conservatives have tried to stop it.

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NHS doctor may leave UK over refusal of permission to remain for mother

Top child psychiatrist appeals to Johnson over Home Office’s ‘almost callous’ decision

A leading children’s psychiatrist plans to quit the NHS and move to Australia because of the Home Office’s “almost callous” refusal to let his mother stay in Britain.

Dr Nishchint Warikoo, the lead psychiatrist for child and adolescent mental health services (CAMHS) in Hampshire, said he and his family were being “forced to leave” the UK in order to stay together.

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