GP surgeries will be named and shamed in league tables aimed at improving patients’ access to face-to-face appointments.
Practices which fail to provide an “appropriate” level of appointments in person will not be eligible for new NHS funding worth £250m.
As part of a new package of measures to improve access, patients will also be able to rate their practice’s performance via text message.
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‘Tackling huge NHS backlog is a priority’
The NHS said the “winter access fund” will allow GPs to improve the availability of appointments and increase the number of face-to-face appointments and same-day care.
Other healthcare workers will be given new powers to provide patients with medical documents like fit-to-work notes or DVLA checks in a bid to free up GPs.
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The NHS said GP practices must “respect preferences for face-to-face care unless there are good clinical reasons to the contrary”.
People will be able to compare GP practices thanks to appointment data which will be published at practice level by spring to “enhance transparency and accountability”, the health service said.
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It is not clear how “appropriate levels” of face-to-face care will be defined, but those who do not meet the standard will be offered support to improve.
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‘What happens to the NHS is hugely important’
“Walk-in consultations” could be one of the ways in which practices choose to address the problem.
GP telephone systems will be upgraded to reduce long waits over the phone, social distancing in practices could be changed or reduced, and patients will be able to see nurses, pharmacists and paramedics at GP practices.
Health Secretary Sajid Javid said: “I am determined to ensure patients can see their GP in the way they want, no matter where they live.”
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COVID: Another winter of strain for the NHS?
He said this will “tackle underperformance, taking pressure off staff so they can spend more time with patients”.
Only 58% of GP appointments in England in August were face-to-face, compared with four in five before the pandemic in August 2019.
The British Medical Association said the plans would not help GPs improve care in the way they had hoped and described the government as “ignorant” to the scale of the crisis.
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September: National Insurance rise to fund NHS reform
GP committee chair Dr Richard Vautrey criticised the “preoccupation” with face-to-face appointments and said a hybrid approach was needed.
“GPs across England will be truly horrified that this is being presented as a lifeline to general practice, when in reality it could sink the ship altogether,” he said, warning that a “lack of action” would force many GPs to exit the profession.
Professor Martin Marshall, chair of the Royal College of General Practitioners, said “good care can and is being delivered remotely and some patients prefer it”.
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September: NHS to get extra £5.4bn, says Javid
The plans mark a significant change from July last year, when then health secretary Matt Hancock said all initial GP appointments “should be teleconsultations unless there’s a compelling clinical reason not to”.
Campaign group EveryDoctor, which represents 1,700 UK doctors, said earlier on Wednesday that “it’s a bit of a shock” GPs have been “blamed” for the amount of telephone consultations offered to patients when they were just following government guidance.
The NHS’s Long Term Plan, published in 2019, proposed that all patients be given a “digital-first” option for accessing GP care.
EveryDoctor also expressed concern that “inflammatory” comments about access to GPs was leading to “abuse” of staff – another issue that will be addressed in the new blueprint through the development of a “zero-tolerance campaign”.
Russell Brand has been charged with rape and two counts of sexual assault between 1999 and 2005.
The Metropolitan Police say the 50-year-old comedian, actor and author has also been charged with one count of oral rape and one count of indecent assault.
The charges relate to four women.
He is due to appear at Westminster Magistrates’ Court on Friday 2 May.
Police have said Brand is accused of raping a woman in the Bournemouth area in 1999 and indecently assaulting a woman in the Westminster area of London in 2001.
He is also accused of orally raping and sexually assaulting a woman in Westminster in 2004.
The fourth charge alleges that a woman was sexually assaulted in Westminster between 2004 and 2005.
Police began investigating Brand, from Oxfordshire, in September 2023 after receiving a number of allegations.
The comedian has previously denied the accusations, and said all his sexual relationships were “absolutely always consensual”.
Met Police Detective Superintendent Andy Furphy, who is leading the investigation, said: “The women who have made reports continue to receive support from specially trained officers.
“The Met’s investigation remains open and detectives ask anyone who has been affected by this case, or anyone who has any information, to come forward and speak with police.”
The last blast furnaces left operating in Britain could see their fate sealed within days, after their Chinese owners took the decision to cut off the crucial supply of ingredients keeping them running.
Jingye, the owner of British Steel in Scunthorpe, has, according to union representatives, cancelled future orders for the iron ore, coal and other raw materials needed to keep the furnaces running.
The upshot is that they may have to close next month – even sooner than the earliest date suggested for its closure.
The fate of the blast furnaces – the last two domestic sources of virgin steel, made from iron ore rather than recycled – is likely to be determined in a matter of days, with the Department for Business and Trade now actively pondering nationalisation.
The upshot is that even as Britain contends with a trade war across the Atlantic, it is now working against the clock to secure the future of steelmaking at Scunthorpe.
The talks between the government and Jingye broke down last week after the Chinese company, which bought British Steel out of receivership in 2020, rejected a £500m offer of public money to replace the existing furnaces with electric arc furnaces.
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The sum is the same one it offered to Tata Steel, which has shut down the other remaining UK blast furnaces in Port Talbot and is planning to build electric furnaces – which have far lower carbon emissions.
Image: These steel workers could soon be out of work
However, the owners argue that the amount is too little to justify extra investment at Scunthorpe, and said last week they were now consulting on the date of shutting both the blast furnaces and the attached steelworks.
Since British Steel is the main provider of steel rails to Network Rail – as well as other construction steels available from only a few sites in the world – the closure would leave the UK more reliant on imports for critical infrastructure sites.
However, since the site belongs to its Chinese owners, a decision to nationalise the site would involve radical steps government officials are wary of taking.
They also fear leaving taxpayers exposed to a potentially loss-making business for the long run.
The dilemma has been heightened by the sharp turn in geopolitical sentiment following Donald Trump’s return to the White House.
The incipient trade war and threatened cut in American support to Europe have sparked fresh calls for countries to act urgently to secure their own supplies of critical materials, especially those used for defence and infrastructure.
Gareth Stace, head of UK Steel, the industry lobby group, said: “Talks seem to have broken down between government and British Steel.
“My advice to government is: please, Jonathan Reynolds, Business Secretary, get back round that negotiating table, thrash out a deal, and if a deal can’t be found in the next few days, then I fear for the very future of the sector, but also here for Scunthorpe steelworks.”
Prince Andrew’s efforts to make money from his Pitch@Palace project have been branded as a “crude attempt to enrich himself” at the expense of “unsuspecting tech founders”, as new documents may shed more light on what he and his team have been attempting to sell.
Today is the deadline for documents to be released relating to Prince Andrew‘s former senior adviser Dominic Hampshire and his interactions with the alleged Chinese spy Yang Tengbo.
In February, an immigration tribunal heard how the intelligence services had contacted Mr Hampshire about Mr Yang back in 2022. Mr Yang helped set up Pitch@Palace China, a branch of the duke’s scheme to help young entrepreneurs.
Image: The alleged Chinese spy, Yang Tengbo, has links with Prince Andrew
Image: Yang Tengbo. Pic: Pitch@Palace
Judges banned Mr Yang from the UK, saying his association with a senior royal had made Prince Andrew “vulnerable” and posed a threat to national security. Mr Yang challenged that decision at the Special Immigration Appeals Commission (SIAC).
Since that hearing, media organisations have applied for certain documents relating to the case and Mr Hampshire’s support for Mr Yang to be made public. SIAC agreed to release some information of public interest. It is hoped they may include more details on deals that he was trying to do on behalf of Prince Andrew.
So what do we know about potential deals for Pitch@Palace so far?
In February, Sky News confirmed that palace officials had a meeting last summer with tech funding company StartupBootcamp to discuss a potential tie-up between them and Prince Andrew relating to his Pitch@Palace project.
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The palace wasn’t involved in the fine details of a deal but wanted guarantees to make sure it wouldn’t impact the Royal Family in the future. Sky News understands from one source that the price being discussed for Pitch was around £750,000 – there are, however, reports that a deal may have stalled.
Photos we found on the Chinese Chamber of Commerce website show an event held in Asia between StartupBootcamp and Innovate Global, believed to be an offshoot of Pitch.
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Who is alleged Chinese spy, Yang Tengbo?
Documents, released in relation to the investigations into Mr Tengbo, have also shown how much the duke has always seen Pitch as a way of potentially making money. One document from 21 August 2021 clearly states “the duke needed money at the time, and saw the relationships with China through Pitch as one possible source of funding”.
But Prince Andrew’s apparent intention to use Pitch to make money has led to concerns about whether he is unfairly using the contacts and information he gained when he was a working royal.
Norman Baker, former MP and author of books on royal finances, believes it is “a crude attempt to enrich himself” and goes against what the tech entrepreneurs thought they were signing up for.
He told Sky News: “The data given by these business people was given on the basis it was an official operation and not something for Prince Andrew, and so in my view, Prince Andrew had no right legally or morally to take the data which has been collected, a huge amount of data, and sell it…
“And quite clearly if you’re going to sell it off to StartupBootcamp, that is not what people had in mind. The entrepreneurs who joined Pitch@Palace did not do so to enrich Prince Andrew,” he said.
Rich Wilson was one tech entrepreneur who was approached at the start of Pitch@Palace to sign up, but he stepped away when he spotted a clause in the contract saying they’d be entitled to 2% equity in any funding he secured.
He feels Prince Andrew is continuing to use those he made a show of supporting.
He said: “It makes me feel sick. I think it’s terrible – that he is continuing to exploit unsuspecting tech founders in this way. A lot of them, I’m quite grey and old in the tooth now, I saw it coming, but clearly most didn’t. And a lot of them were quite young.
“It’ll be their first venture and you’re learning on the trot, so to speak. So to take advantage of people in such a major way – that’s an awful, sickening thing to do.”
We approached StartupBootcamp who said they had no comment to make, and the Duke of York’s office did not respond.
With reports that a deal may have stalled, it could be a big setback for the duke – especially with questions still about how he’ll continue to pay for his home on the Windsor estate now that the King no longer gives him financial support.