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North East Ambulance Service has declared a critical incident for the second time in just over a week due to “unprecedented” pressure following the Christmas break.

The incident was declared due to significant delays for more than 100 patients waiting for an ambulance, as well as a reduction in the availability of ambulance crews because of delays in handing over patients at the region’s hospitals.

Declaring a critical incident allows trusts to prioritise the patients most in need and to instigate additional measures to protect patient safety.

It comes after the majority of ambulance services in England declared critical incidents on 20 December ahead of strikes over the Christmas period.

The decision was made on the same day nurses were striking for a second day, and as fears grew over the impact of an ambulance strike on Wednesday 21 December – when thousands of paramedics, technicians, control room workers and other staff in England and Wales walked out.

Hundreds of members of the army, navy and RAF were drafted in to cover as paramedics, technicians, control room workers and other staff in England went on strike.

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Shane Woodhouse, strategic commander at North East Ambulance Service, said: “This is the second time in nine days that we have declared a critical incident due to the unprecedented pressure we are seeing across the health system.

“Declaring a critical incident alerts our health system partners to provide support where they can and means we can focus our resources on those patients most in need.

“The public should only call 999 in a life-threatening emergency. For all other patients, we are urging them to use www.111.nhs.uk, speak to their GP or pharmacist.

“We will be advising some patients to make their own way to hospital when it is safe to do so.

“We know patients will be experiencing longer waits for an ambulance – please only call back if your condition worsens or to cancel if it is no longer required.

“We are experiencing greater numbers of calls to 111 right now and ask that callers please consider 111 online first and don’t call 999 unless your condition is life threatening.”

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GPs can prescribe weight loss jabs on the NHS from today – but strict eligibility criteria in place

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GPs can prescribe weight loss jabs on the NHS from today - but strict eligibility criteria in place

GPs will be able to prescribe weight loss jabs on the NHS from today.

About 220,000 people with the “greatest need” are set to receive Mounjaro – with strict criteria for the first year of the rollout.

Initially, only those with a body mass index of over 40 who have at least four other health problems linked to obesity will be eligible.

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Can you get pregnant when on weight loss drugs?

Some doctors have raised concerns about the additional workload this new programme will bring, while pharmacists fear it could lead to supply shortages.

While an estimated 1.5 million people are now taking weight loss drugs across the UK, they could previously only be accessed through specialist services or private prescriptions.

Dr Claire Fuller from NHS England said: “We urgently need to address rising levels of obesity and prioritise support for those who are experiencing severe ill health – and greater access to weight loss drugs will make a significant difference to the lives of those people.”

She added: “While not everyone will be eligible for weight loss drugs, it’s important that anyone who is worried about the impact of their weight on their health discusses the range of NHS support available with their healthcare professional.”

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Weight loss drugs ‘changing way we see obesity’

The chairwoman of the Royal College of GPs welcomed NHS England’s decision to pursue a phased rollout, and said current workloads must be factored in to ensure the jabs can be prescribed safely.

Professor Kamila Hawthorne went on to say: “While weight loss medications have a lot of potential benefits for patients who are struggling to lose weight and who meet all the clinical criteria for a prescription, they mustn’t be seen as a ‘silver bullet’ to aid weight loss.

“We also need to see a focus on prevention, stopping people becoming overweight in the first place so they don’t require a medical intervention later.”

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‘How I tried to get weight loss drugs’

Her remarks were echoed by the National Pharmacy Association’s chairman Olivier Picard, who says “prescribing these medications alone misses the point”.

He argued that they need to be part of a comprehensive strategy that includes lifestyle coaching, exercise and nutritional guidance – but many GPs currently “lack the bandwidth” to provide this support.

“As a result, we could end up in a situation where patients are prescribed the medication, lose weight, and then experience rebound weight gain once the course ends – simply because the foundational lifestyle changes weren’t addressed,” Mr Picard added.

Estimates suggest about 29% of the adult population is obese.

Health Secretary Wes Streeting says the government “is determined to bring revolutionary modern treatments to everyone who needs them, not just those who can afford to pay”.

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Met Police chief ‘frustrated’ at planned protest to support Palestine Action – as government moves to ban the group

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Met Police chief 'frustrated' at planned protest to support Palestine Action - as government moves to ban the group

Metropolitan Police Commissioner Sir Mark Rowley says he is “shocked and frustrated” at a planned protest in support of Palestine Action.

The demonstration, due to take place in Westminster later, comes as the government moves to ban the group under anti-terror laws.

Activists from Palestine Action hit the headlines last week after targeting RAF Brize Norton and damaging two military aircraft in a significant security breach.

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Why did activists target an RAF base?

Home Secretary Yvette Cooper will update MPs on the move to proscribe the organisation, which would make it a criminal offence to belong to or support it.

Sir Mark said that – until this happens – the force has “no power in law” to prevent the protest from taking place, but lawbreakers will be “dealt with robustly”.

He added: “This is an organised extremist criminal group, whose proscription as terrorists is being actively considered.

“Members are alleged to have caused millions of pounds of criminal damage, assaulted a police officer with a sledgehammer and last week claimed responsibility for breaking into an airbase and damaging aircraft.

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“Multiple members of the group are awaiting trial accused of serious offences.”

He added that – while the right to protest is essential – “actions in support of such a group go beyond what most would see as a legitimate protest”.

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Handout photo issued by Palestine Action of damage to Trump Turnberry, which has been vandalised by activists. Palestine Action described it as a 'direct response to the US administration's stated intent to ethnically cleanse Gaza'. Issue date: Saturday March 8, 2025. The golf course in South Ayrshire, owned by the US president, was targeted overnight, with activists painting Gaza Is Not For Sale in three-metre high letters on the lawn, and damaging the greens including the course's most prestig
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Trump’s golf course in Ayrshire was vandalised by Palestine Action. Pic: PA

Over the weekend, Business Secretary Jonathan Reynolds said he could not rule out the possibility of a foreign power being behind Palestine Action.

Any move to proscribe the group must be debated and approved by MPs and peers.

Speaking to Sunday Morning With Trevor Phillips on Sky News, former justice secretary Lord Charlie Falconer suggested that vandalising aircraft would not solely provide legal justification for such a move.

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Plans to ban activist group criticised

Lord Falconer said: “I am not aware of what Palestine Action has done beyond the painting of things on the planes in Brize Norton, they may have done other things I didn’t know.

“But generally, that sort of demonstration wouldn’t justify proscription so there must be something else that I don’t know about.”

Palestine Action has staged a series of protests in recent months – spraying the offices of Allianz Insurance in London, and vandalising Donald Trump’s golf course in Ayrshire.

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‘Stability in Middle East is priority,’ says Starmer – as world reacts to strikes

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'Stability in Middle East is priority,' says Starmer - as world reacts to strikes

Sir Keir Starmer has said stability in the Middle East is “a priority” following US strikes on Iran’s nuclear facilities, as the world has reacted to the attack.

The prime minister also called on Iran to “return to the negotiating table” to “reach a diplomatic solution to end this crisis”.

Follow latest: Iran considering ‘all options’ after US strikes

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US strikes on Iran explained

In a statement, Sir Keir said: “Iran’s nuclear programme is a grave threat to international security.

“Iran can never be allowed to develop a nuclear weapon, and the US has taken action to alleviate that threat.

“The situation in the Middle East remains volatile and stability in the region is a priority.

“We call on Iran to return to the negotiating table and reach a diplomatic solution to end this crisis.”

The UK was not involved in the strikes but was informed about them in advance by the US, Business Minister Jonathan Reynolds told Sky News’ Sunday Morning with Trevor Phillips.

Sir Keir and Foreign Secretary David Lammy had been pushing for a diplomatic solution. On Thursday, the prime minister warned of a “real risk of escalation” in the conflict.

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Trump: Iran strikes ‘spectacular success’

The US struck three sites in Iran early on Sunday morning, with Donald Trump boasting the country’s key nuclear sites were “completely and fully obliterated” in an address to the nation from the White House and warned there could be further strikes if Iran retaliates.

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What happens next is largely in Iran’s control

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‘Trump’s bold decision will change history’

Netanyahu praises Trump

Israel‘s Prime Minister Benjamin Netanyahu praised Mr Trump for the strikes, saying: “Your bold decision to target Iran’s nuclear facilities with the awesome and righteous might of the United States will change history…

“History will record that President Trump acted to deny the world’s most dangerous regime the world’s most dangerous weapons.”

UN secretary-general ‘gravely alarmed’ by US attack

But UN secretary general Antonio Guterres said he was “gravely alarmed by the use of force” by the US against Iran.

“This is a dangerous escalation in a region already on the edge – and a direct threat to international peace and security. There is a growing risk that this conflict could rapidly get out of control – with catastrophic consequences for civilians, the region, and the world.”

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European Union foreign policy chief Kaja Kallas urged all sides to step back and return to the negotiating table. “Iran must not be allowed to develop a nuclear weapon,” she said in a post on X.

“I urge all sides to step back, return to the negotiating table and prevent further escalation,” she said, adding that EU foreign ministers will discuss the situation tomorrow.

Cuba's President Miguel Diaz-Canel. Pic: Reuters
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Cuba’s President Miguel Diaz-Canel. Pic: Reuters

How the world reacted to the strikes

Cuba’s President Miguel Diaz-Canel said on X: “We strongly condemn the US bombing of Iran’s nuclear facilities, which constitutes a dangerous escalation of the conflict in the Middle East.

“The aggression seriously violates the UN Charter and international law and plunges humanity into a crisis with irreversible consequences.”

Venezuela’s foreign minister Yvan Gil said his country’s government “condemns US military aggression” and “demands an immediate cessation of hostilities”.

In a statement, an Australian government spokesperson said Iran’s nuclear and ballistic missile programme “has been a threat to international peace and security”.

Japan's Prime Minister Shigeru Isiba. Pic: Reuters
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Japan’s Prime Minister Shigeru Isiba. Pic: Reuters

Japan’s Prime Minister Shigeru Ishiba said it is “crucial that there be a quick de-escalation of the conflict”.

Italy’s foreign minister Antonio Tajani said after the attack that his country’s government hopes “a de-escalation can begin and Iran can sit down at the negotiating table”.

The US attack came after more than a week of strikes by Israel, which have significantly degraded Iran’s air defences and offensive missile capabilities, and damaged its nuclear enrichment facilities.

Israel’s strikes on Iran have killed at least 865 people and wounded 3,396 others, according to the Washington-based group Human Rights Activists. The group said of those killed, 365 were civilians and 215 were security force personnel.

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