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Ministers, health leaders and clinical experts are meeting at Number 10 in an attempt to solve the short and long-term issues facing the health service.

Rishi Sunak is hosting the NHS “recovery forum” in Downing Street as the winter crisis rolls on, with discussions focusing on social care and delayed discharge, urgent and emergency care, elective care, and primary care.

The prime minister’s spokesman said the aim was to “share knowledge and practical solutions so that we can tackle the most crucial challenges” in both health and social care.

But the chief executive of the NHS Confederation, Matthew Taylor, said the meeting would not be able to fix the crisis that “has been a decade or more in the making”, adding: “The reality is that there are no silver bullets here.”

The meeting comes amid warnings from senior doctors of the “intolerable and unbearable” state of the NHS this winter, with ambulances queuing for hours outside hospitals, several trusts announcing critical incidents, and rising cases of flu and COVID impacting the service.

It also comes as the government remains at loggerheads with nursing and ambulance unions over pay and working conditions, with both professions set to take further strike action later this month.

Junior doctors could join them on the pickets in March if a ballot is approved by union members.

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The chief of the Royal College of Nursing (RCN), Pat Cullen, said on Thursday that she would be willing to “meet the government halfway” over its pay demands, with Sky News understanding an increase of 10% could be accepted by her members.

But, while the government has invited unions for further talks next week and health secretary Steve Barclay has said he is “keen to have a dialogue”, ministers are sticking to their position of following recommendations from the independent pay review body of a rise nearer to 4%.

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The prime minister said he believed in the union’s role in society

Today’s forum will run for the majority of the day, with attendees including chief executives and clinical leaders from NHS organisations, local areas and councils from across the country, clinical experts from Royal Colleges and independent sector organisations working with health and social care services.

Mr Barclay is in attendance, alongside Treasury minister John Glen, Cabinet Office minister Oliver Dowden, and the chief executive Officer of NHS England, Amanda Pritchard.

But the RCN has not been invited.

Pointing to Mr Sunak’s first big speech of the year, where he listed the NHS as one of his priorities in office, a Downing Street spokesperson said: “As the prime minister made clear this week, easing the immediate pressures whilst also focusing on the long-term improvement of the NHS is one of his key promises.

“That’s why we’re bringing together the best minds from the health and care sectors to help share knowledge and practical solutions so that we can tackle the most crucial challenges such as delayed discharge and emergency care.

“We want to correct the unwarranted variation in NHS performance between local areas, because no matter where you live you should be able to access quality healthcare.”

But Labour said patients “deserve more than a talking shop”.

Shadow health secretary Wes Streeting said: “After 13 years of mismanaging the NHS, this is the equivalent of the arsonists convening a forum with the fire brigade to put out the inferno they started.

“Clinical leaders and health experts have been sounding the alarm for months about the crisis the NHS is facing, so why has it taken so long for Rishi Sunak and Steve Barclay to decide to listen to them?

“After five Conservative prime ministers and seven health secretaries, it’s clear that the longer the Conservatives are in power, the longer patients will wait.”

The Liberal Democrats also called the forum “too little, too late”, with deputy leader Daisy Cooper saying: “Sunak needs to stop operating at a snail’s pace, and start acting with the speed and urgency this unprecedented NHS crisis deserves.”

Talking NHS or just a talking shop? Either way, it won’t involve talking about pay


Rob Powell Political reporter

Rob Powell

Political correspondent

@robpowellnews

This ‘NHS recovery forum’ will be about best practice rather than staff pay.

There’s a political necessity for Rishi Sunak to show he’s exploring every avenue to try and tackle the backlogs plaguing the NHS. But is this, as Labour suggests, just a talking shop?

Independent analysts say while sharing best practice is always valuable, there have already been a long cast list of big brains trying to solve the issues afflicting the health service.

The difficulty is the solutions to the NHS crisis lie in complex areas around recruitment and retention; access to services and caring for an ageing population; pensions and yes, pay.

Change-making answers on these knotty questions are highly unlikely to be found on a rainy afternoon in Westminster.

Grassroots doctor groups have accused the event of being nothing more than the same “establishment” figures having the “same discussions”.

They want frontline clinicians to be brought in and listened to. Unions meanwhile say talks need to switch to the issue of pay.

That will happen on Monday. But with ministers refusing to reopen this year’s wage settlement, any resolution to avert strikes planned for later this month is hard to make out.

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Funeral delays: Bereaved family faces ‘stressful’ time after eight-week wait

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Funeral delays: Bereaved family faces 'stressful' time after eight-week wait

Changes to how death certificates are issued in England and Wales have made the grieving process more “stressful”, according to bereaved families.

Anne Short died on New Year’s Eve, only a few months after she was diagnosed with cancer.

Her son Elliot, 30, from Newport, South Wales, says the grieving process was made harder after having to wait eight weeks to hold her funeral.

“Quite frankly, it’s ridiculous, when you’re already going through all this pain and suffering as a family,” he told Sky News.

“You can’t move on, you can’t do anything, you can’t arrange anything, you can’t feel that they’re at peace, you can’t put yourself at peace, because of a process that’s been put in that nobody seems to know anything about at the moment.”

That process has been introduced by the government to address “concerns” about how causes of death were previously scrutinised, following high-profile criminal cases such as those of Harold Shipman and Lucy Letby.

Up until last September, causes of death could be signed off by a GP, but now they have to be independently scrutinised by a medical examiner, before a death certificate can be issued.

Anne Short
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Anne Short

‘I felt helpless’

Mr Short said he was ringing “twice a day” for a progress update, but that it was “going through too many sets of hands”.

Until the death certificate was issued, Ms Short’s body could not be released into the care of the funeral director.

“The main stress for me was knowing that she was up there [at the hospital] and I couldn’t move her, so I felt helpless, powerless,” he said.

“I felt like I’d let her down in a lot of ways. I know now, looking back, that there’s nothing that we could have done, but at the time it was adding a lot of stress. I just wanted her out of there.”

Anne Short
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Elliot Short had to wait eight weeks to hold his mother’s funeral

‘Something has to be done’

Mr Short fears there’s a risk the new process might defeat its purpose.

“There’s other people that I know that have lost since, where it’s been in a care home or something like that, where they haven’t been happy with the care they’ve had, but they haven’t raised that because you’re in this bubble of grief and you just want to get it done,” he said.

“Something has to be done about that because I think it just drags on the grief and there’s obviously a danger then of it being against the reasons why they’re trying to do it.”

Arrangements after the death of his father less than two years ago was a “much easier process”, according to Mr Short.

“I lost my father as well 15 months before, so we went through the process prior to this coming in and we had the death certificate, he died at home, but we had it within three days,” he added.

Elliot Short, 30
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Elliot Short

‘State of limbo’

James Tovey is the sixth generation of his family running Tovey Bros, a funeral director in Newport.

He told Sky News that the delays were having a “huge impact” on the business and that the families they serve were being “left in a state of limbo” for weeks after their bereavement.

“I would say that most funerals will take place perhaps two to four weeks after the person’s passed away, whereas now it’s much more like four to six weeks, so it is quite a significant difference,” he said.

“It’s one thing on top of an already distressing time for them and we’re frustrated and upset for [the families] as much as anybody else and it’s just annoying that we can’t do anything about it.”

James Tovey is the sixth generation of his family to run Tovey Bros funeral directors in Newport, South Wales
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James Tovey

Mr Tovey said that the reform was “very useful” and he remained supportive of it.

“It’s just the delays. I’m sure they can do something about that over time, but it’s just waiting for that to happen, and I wish that could be addressed sooner rather than later,” he added.

“It does put pressure on other people, it’s not just ourselves, it’s pressure on the hospitals, on crematoria, on the registrar service and everyone else involved in our profession.

“But of course all of us we’re there to serve the families, and we’re just upset for them and wish we could do more to help.”

James Tovey
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The organisation representing funeral directors has called for “urgent action”

The National Association of Funeral Directors said some areas of England and Wales are experiencing much shorter delays than others, but has called for “urgent action”.

Rachel Bradburne, its director of external affairs, said the system was “introduced for all the right reasons” but that it was “not working as well as we need it to”.

“Funeral directors are relaying stories of delays, frustration, and bottlenecks on a daily basis, and urgent action is required to review and recalibrate the new system,” she added.

‘Unintended consequences’

Dr Roger Greene is the deputy chief executive of bereavement charity AtALoss.

He told Sky News that the delays were “one of the unintended consequences of what’s a well-intended reform of a system”.

“What has actually happened is that the number of deaths now requiring independent scrutiny has trebled,” he said.

“So in England and Wales in 2023, the last full year of data, there were nearly 200,000 deaths reported to a coroner, whereas there were 600,000 deaths.

“Now, what is the change in the process is that all deaths now need to be reported for independent scrutiny.”

Dr Roger Greene
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Dr Roger Greene

Dr Greene said there may be ways the system could be “tweaked a little bit”, such as giving medical examiners the ability to issue an interim death certificate.

“We believe that people can process grief well if they’re given the opportunity and they’ve got a proper understanding,” he added.

“But the systems that we have in the country need to be able to work as well with that diversity of faith and culture.”

‘Vital improvements’

Jason Shannon, lead medical examiner for Wales, told Sky News he recognised “the importance of a seamless, accurate and timely death certification process”.

“Medical examiners are one part of the wider death certification process and were introduced to give additional independent safeguards as well as to give bereaved people a voice, which they hadn’t had before,” he added.

“Medical examiners have no role in determining where the body of a family’s relative is cared for and except in a minority of deaths where a coroner needs to be involved, that decision should be one that a family is fully empowered to make in a way that is best for them.”

A Welsh government spokesperson said they “would like to apologise to any families who have experienced delays in receiving death certificates”.

The government said it was working with the lead medical examiner and the NHS in Wales “to understand where the delays are” and how to provide bereaved families with “additional support”.

Read more from Sky News:
Families feel impact of spiralling funeral costs
Calls for funeral sector to be regulated

A spokesperson for the Department of Health and Social Care said it recognised there were “some regional variations in how long it takes to register a death”.

They added that the changes to the death certification process “support vital improvements to patient safety and aim to provide comfort and clarity to the bereaved”.

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‘Andrew Tate phenomena’ surges in schools – with boys refusing to talk to female teacher

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'Andrew Tate phenomena' surges in schools - with boys refusing to talk to female teacher

Social media influencers are fuelling a rise in misogyny and sexism in the UK’s classrooms, according to teachers.

More than 5,800 teachers were polled as part of the survey by the NASUWT teaching union, and nearly three in five (59%) of teachers said they believe social media use has contributed to a deterioration in pupils’ behaviour.

The findings have been published during the union’s annual conference, which is taking place in Liverpool this weekend.

One motion that is set to be debated at the conference calls on the union’s executive to work with teachers “to assess the risk that far-right and populist movements pose to young people”.

Andrew Tate was referenced by a number of teachers who took part in the survey, who said he had negative influence on male pupils.

One teacher said she’d had 10-year-old boys “refuse to speak to [her]…because [she is] a woman”.

Another teacher said “the Andrew Tate phenomena had a huge impact on how [pupils at an all-boys school] interacted with females and males they did not see as ‘masculine'”.

While another respondent to the survey said their school had experienced some incidents of “derogatory language towards female staff…as a direct result of Andrew Tate videos”.

Last month, Prime Minister Sir Keir Starmer hosted a discussion in Downing Street on how to prevent young boys from being dragged into a “whirlpool of hatred and misogyny”.

The talks were with the creators of Netflix drama Adolescence, which explored so-called incel culture.

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Starmer meets Adolescence creators

‘An urgent need for action’

Patrick Roach, the union’s general secretary, said “misogyny, racism and other forms of prejudice and hatred…are not a recent phenomenon”.

He said teachers “cannot be left alone to deal with these problems” and that a “multi-agency response” was needed.

“There is an urgent need for concerted action involving schools, colleges and other agencies to safeguard all children and young people from the dangerous influence of far-right populists and extremists,” Mr Roach added.

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A spokesperson for the Department for Education (DfE) said: “Education can be the antidote to hate, and the classroom should be a safe environment for sensitive topics to be discussed and where critical thinking is encouraged.

“That’s why we provide a range of resources to support teachers to navigate these challenging issues, and why our curriculum review will look at the skills children need to thrive in a fast-changing online world.”

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Joe Thompson: Former Rochdale footballer dies aged 36 after third cancer diagnosis

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Joe Thompson: Former Rochdale footballer dies aged 36 after third cancer diagnosis

Former Rochdale player Joe Thompson has died aged 36.

His former club said it was “devastated” to learn of his death.

Thompson, who retired in 2019, was diagnosed with cancer for a third time last year.

In its statement, Rochdale FC said he died “peacefully at home on Thursday, with his family by his side”.

He made over 200 appearances for Rochdale, who he joined from Manchester United‘s academy in 2005.

The club posted a tribute on X, describing the former midfielder as “a warm personality who had a deep connection with our club from a young age”.

In her tribute on Instagram, Thompson’s wife Chantelle said he had “made such an impact on so many people” and he was “the most incredible husband, son, brother, friend and father”.

During his career, he played for Tranmere Rovers, Bury and Carlisle United, with spells on loan at Wrexham and Southport.

He was first diagnosed with Hodgkin lymphoma in 2013, while playing for Tranmere.

When Thompson rejoined Rochdale from Carlisle in 2016 the disease soon returned, but he confirmed he was cancer free in June 2017.

Two years later, he announced his retirement at the age of 29, saying his body had been pushed “to the limit” having twice undergone treatment for cancer.

Last year, he revealed he had been diagnosed with stage four lymphoma which had spread to his lungs.

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Hodgkin lymphoma is a relatively aggressive type of cancer that can spread quickly through the body, according to the NHS.

Rochdale, who face Altrincham on Friday, have confirmed that players will wear black armbands during the National League match.

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