The blood-borne virus Hepatitis C that can cause liver cancer will likely be wiped out in England in just over two years, health chiefs have said, thanks in part to a scheme to treat the homeless.
NHS England said a pioneering drug deal and a campaign to find highly vulnerable people have together cured 70,000 people and dramatically reduced deaths five years ahead of global targets.
A five-year contract worth almost £1bn has brought antiviral drugs to thousands of patients suffering from the potentially fatal disease.
Alongside the drug programme, dedicated “Find And Treat” programmes have tracked down vulnerable people, including the homeless.
Those sleeping rough tend to suffer worse from health problems because they lack regular contact with health services.
Deaths from Hep C – including liver disease and cancer – have fallen by 35%, above the 10% target set by the World Health Organisation.
Professor Sir Stephen Powis, NHS England’s national medical director, said the NHS is “leading the world” in the drive to save lives and eliminate Hep C while also tackling a “significant” health inequality.
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He said: “Thanks to targeted screening and because the NHS has a proven track record of striking medicine agreements that give patients access to the latest drugs, we are on track to beat global targets and become the first country to eliminate Hep C by 2030 – which will be a landmark achievement.”
St Mungo’s is one of the charities delivering the Find And Treat outreach programmes, which sees specialist teams provide same-day screenings and support to complete a full course of treatment.
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Sara Hide, a Hepatitis C co-ordinator at St Mungo’s in Oxford, said: “With treatment for Hepatitis C now less invasive – a course of medication for eight to 12 weeks – we’ve seen an uptake in people responding to our screening services.
“We also screen for other conditions at the same time to identify clients that might need extra health support.”
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Declining mental health among homeless
Homeless people are at higher risk of contracting Hep C, sometimes due to substance use but also down to sharing things like toothbrushes and razors.
Hepatitis C usually displays no symptoms until it causes enough damage to bring on liver disease. It can also lead to cancer.
Symptoms may include fatigue and difficulty concentrating and the virus is also linked to cardiovascular disease, mental health issues, kidney disease and musculoskeletal pain.
Within six years, the number of people seeking liver transplants due to the virus has fallen by two-thirds.
In 2020 the number of annual registrations for a liver transplant in patients with related diseases reduced from more than 140 per year to less than 50 per year.
This figure is expected to be even lower in 2022 and the NHS is now on track to eliminate Hepatitis C five years before the WHO’s overall 2030 target.
The project has also provided 80% of its treatments to people from communities in the poorest half of the population.
Specialist investigation teams for rape and sexual offences are to be created across England and Wales as the Home Secretary declares violence against women and girls a “national emergency”.
Shabana Mahmood said the dedicated units will be in place across every force by 2029 as part of Labour’s violence against women and girls (VAWG) strategy due to be launched later this week.
The use of Domestic Abuse Protection Orders (DAPOs), which had been trialled in several areas, will also be rolled out across England and Wales. They are designed to target abusers by imposing curfews, electronic tags and exclusion zones.
The orders cover all forms of domestic abuse, including economic abuse, coercive and controlling behaviour, stalking and ‘honour’-based abuse. Breaching the terms can carry a prison term of up to 5 years.
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Govt ‘thinking again’ on abuse strategy
Nearly £2m will also be spent funding a network of officers to target offenders operating within the online space.
Teams will use covert and intelligence techniques to tackle violence against women and girls via apps and websites.
A similar undercover network funded by the Home Office to examine child sexual abuse has arrested over 1,700 perpetrators.
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Abuse is ‘national emergency’
Home Secretary Shabana Mahmood said in a statement: “This government has declared violence against women and girls a national emergency.
“For too long, these crimes have been considered a fact of life. That’s not good enough. We will halve it in a decade.
“Today we announce a range of measures to bear down on abusers, stopping them in their tracks. Rapists, sex offenders and abusers will have nowhere to hide.”
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Angiolini Inquiry: Recommendations are ‘not difficult’
The government said the measures build on existing policy, including facial recognition technology to identify offenders, improving protections for stalking victims, making strangulation a criminal offence and establishing domestic abuse specialists in 999 control rooms.
But the Conservatives said Labour had “failed women” and “broken its promises” by delaying the publication of the violence against women and girls strategy.
Shadow Home Secretary, Chris Philp, said that Labour “shrinks from uncomfortable truths, voting against tougher sentences and presiding over falling sex-offender convictions. At every turn, Labour has failed women.”
There have been no migrant arrivals in small boats crossing the Channel for 28 days, according to Home Office figures.
The last recorded arrivals were on 14 November, making it the longest uninterrupted run since autumn 2018 after no reported arrivals on Friday.
However, a number of Border Force vessels were active in the English Channel on Saturday morning, indicating that there may be arrivals today.
So far, 39,292 people have crossed to the UK aboard small boats this year – already more than any other year except 2022.
The record that year was set at 45,774 arrivals.
It comes as the government has stepped up efforts in recent months to deter people from risking their lives crossing the Channel – but measures are not expected to have an impact until next year.
Image: Debris of a small boat used by people thought to be migrants to cross the Channel lays amongst the sand dunes in Gravelines, France. Pic: PA
December is normally one of the quietest for Channel crossings, with a combination of poor visibility, low temperatures, less daylight and stormy weather making the perilous journey more difficult.
The most arrivals recorded in the month of December is 3,254, in 2024.
Deputy Prime Minister David Lammy met with ministers from other European countries this week as discussions over possible reform to the European Convention on Human Rights (ECHR) continue.
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France agrees to start intercepting small boats
The issue of small boat arrivals – a very small percentage of overall UK immigration – has become a salient issue in British politics in recent years.
The King has shared in a television address that, thanks to early diagnosis, his cancer treatment can be reduced in the new year.
In a televised address, Charles said his “good news” was “thanks to early diagnosis, effective intervention and adherence to doctors’ orders”.
“This milestone is both a personal blessing and a testimony to the remarkable advances that have been made in cancer care in recent years,” he added.
“Testimony that I hope may give encouragement to the 50% of us who will be diagnosed with the illness at some point in our lives.”
The King announced in February 2024 that he had been diagnosed with cancer and was beginning treatment.
The monarch postponed all public-facing engagements, but continued with his duties as head of state behind palace walls, conducting audiences and Privy Council meetings.
He returned to public duties in April last year and visited University College Hospital Macmillan Cancer Centre in central London with the Queen and discussed his “shock” at being diagnosed when he spoke to a fellow cancer patient.
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Sources suggested last December his treatment would continue in 2025 and was “moving in a positive direction”.
Image: The King began returning to public duties in April last year. File pic: PA
The King has chosen not to reveal what kind of cancer he has been treated for. Palace sources have partly put that down to the fact that he doesn’t want one type of cancer to appear more significant or attract more attention than others.
In a statement after the speech aired, a Buckingham Palace spokesperson said: “His Majesty has responded exceptionally well to treatment and his doctors advise that ongoing measures will now move into a precautionary phase.”
Sir Keir Starmer praised the video message as “a powerful message,” and said: “I know I speak for the entire country when I say how glad I am that his cancer treatment will be reduced in the new year.
“Early cancer screening saves lives.”
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Watch: King Charles gives update on treatment
Early detection can give ‘the precious gift of hope’
His message on Friday was broadcast at 8pm in support of Stand Up To Cancer, a joint campaign by Cancer Research UK and Channel 4.
In an appeal to people to get screened for the disease early, the King said: “I know from my own experience that a cancer diagnosis can feel overwhelming.
“Yet I also know that early detection is the key that can transform treatment journeys, giving invaluable time to medical teams – and, to their patients, the precious gift of hope. These are gifts we can all help deliver.”
Charles noted that “at least nine million people in our country are not up to date with the cancer screenings available to them,” adding: “That is at least nine million opportunities for early diagnosis being missed.
“The statistics speak with stark clarity. To take just one example: When bowel cancer is caught at the earliest stage, around nine in ten people survive for at least five years.
“When diagnosed late, that falls to just one in ten. Early diagnosis quite simply saves lives.”
after months of uncertainty, some relief and reassurance for the King
This is a rare but positive update. The King in his own words speaking about his cancer.
And it’s good news.
Since his diagnosis, he’s received weekly treatment. His work schedule has had to fit around the appointments. And while it’s not stopping, it is being significantly reduced.
He’s responded well, and his recovery has reached, we understand, a very positive stage.
The King’s decision to speak publicly and so personally is unusual.
He has deliberately chosen the moment, supporting the high-profile Stand Up To Cancer campaign, and the launch of a national online screening checker.
It still hasn’t been revealed what kind of cancer he has. And there’s a reason – firstly, it’s private information.
But more importantly, the King knows the power of sharing his story. And with it, the potential to support the wider cancer community.
We are once again seeing a candid openness from the Royal Family. Earlier this year, the Princess of Wales discussed the ups and downs of her cancer journey.
These moments signal a shift towards greater transparency on matters the Royal Family once kept entirely private.
For millions facing cancer, the King’s update is empathy and encouragement from someone who understands.
And after months of uncertainty, for the King himself, some relief and reassurance.
Minor inconvenience of screening ‘a small price to pay’
The King acknowledged that people often avoid screening “because they imagine it may be frightening, embarrassing or uncomfortable”. But, he added: “If and when they do finally take up their invitation, they are glad they took part.
“A few moments of minor inconvenience are a small price to pay for the reassurance that comes for most people when they are either told either they don’t need further tests, or, for some, are given the chance to enable early detection, with the life-saving intervention that can follow.”
Giving his “most heartfelt thanks” to doctors, nurses, researchers and charity workers, the King added: “As I have observed before, the darkest moments of illness can be illuminated by the greatest compassion. But compassion must be paired with action.
“This December, as we gather to reflect on the year past, I pray that we can each pledge, as part of our resolutions for the year ahead, to play our part in helping to catch cancer early.
“Your life – or the life of someone you love – may depend upon it.”