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Women going through the menopause will soon be able to access a year’s supply of a key treatment for just under £20.

The Department of Health and Social Care said from 1 April, women prescribed hormone replacement therapy (HRT) will be able to access a new scheme that will cut prescription costs.

They will be able to access a year’s worth of treatment for £18.70, with a potential saving of up to £205.

Currently, each prescription for HRT costs £9.35, or £18.70 if a woman needs two types of hormones, and that needs to be paid once a month or every three months.

The department estimates about 400,000 women will benefit from the scheme which will allow them to have a prescription pre-payment certificate for HRT valid for 12 months.

About 15% of women aged 45 to 64 in England are currently prescribed HRT, according to Department of Health figures.

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Penny Lancaster on menopause

The treatment helps relieve symptoms, such as hot flashes, night sweats and mood swings, by replacing female hormones that are at a lower level due to the menopause.

Women can use the certificate to have a variety of HRT prescription items, including patches, tablets and topical preparations.

There will be no limit on how many times the pre-payment certificate can be used while valid.

Women will be able to apply for the certificate through the NHS Business Services Authority or in person at pharmacies registered to sell the certificates.

The decision comes after the government published its women’s health strategy for England last summer.

Minister for women Maria Caulfield said: “Around three-quarters of women will experience menopause symptoms, with one-quarter experiencing severe symptoms, which can seriously impact their quality of life.

“Reducing the cost of HRT is a huge moment for improving women’s health in this country, and I am proud to be announcing this momentous step forward.

“In our women’s health strategy, we made menopause a top priority – by making HRT more accessible, we’re delivering on our commitment to women.”

HRT gel shortage
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HRT comes in a variety of forms, including gel and tablets

Following two bouts of shortages last year, the department said it engages with suppliers on a weekly basis and closely monitors the supply of HRT.

Dr Ranee Thakar, president of the Royal College of Obstetricians and Gynaecologists, said: “We know that cost can be one of the barriers that women face in accessing treatment to manage their symptoms during menopause, and the introduction of HRT pre-payment certificates is a positive step to improve access to HRT.

“This announcement is an important first step, and we hope that more will be done to address the challenges and inequalities faced in accessing menopause care and treatment.”

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Brazil implores businesses to attend major climate summit, despite ‘second thoughts’ amid Trump backlash

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Brazil implores businesses to attend major climate summit, despite 'second thoughts' amid Trump backlash

The Brazilian hosts of the biggest climate meeting of the year have implored businesses to attend in November, amid concerns some are backing away from the climate agenda into the shadow of Donald Trump.

In an interview with Sky News, Ana Toni, chief executive of the COP30 climate summit in November, admitted some companies were having “second thoughts” about the global switch to green economies because policymakers were creating uncertainty.

The US President Donald Trump has been attacking wind farms and waging tariff wars that could slow the transition to green energy.

Banks including HSBC and Barclays have ditched a net zero alliance set up just four years ago by Mark Carney, now the Canadian Prime Minister.

Ana Toni, Brazil's climate secretary, is chief executive of the COP30 climate talks. Pic: Reuters
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Ana Toni, Brazil’s climate secretary, is chief executive of the COP30 climate talks. Pic: Reuters

But even before Trump took office, tech companies were quietly dropping climate targets to prioritise energy-hungry AI, and other businesses were “greenhushing” their climate initiatives for fear of backlash.

In this environment, there are fears fewer business leaders will attend the annual talks, which are also being hosted in a city on the edge of the Amazon that hasn’t enough hotel rooms.

On Friday, the COP30 team wrote to business leaders urging them to “step forward, not back” and travel to Belem, despite “logistical challenges” and the “background of systemic uncertainty”.

More on Cop30

Ana Toni told Sky News: “We are very concerned that the enabling conditions must be there so that the private sector can also deliver where they do best, which is bringing in technology, bringing innovation and accelerating the process of decarbonisation.”

In August the share price of Danish wind farm developer plummeted after the US halted its Rhode Island wind farm, while the British Tories and Reform parties are also attacking net zero.

Ana Toni met with King Charles and leaders of other COP summits at Clarence House last year. Pic: Reuters
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Ana Toni met with King Charles and leaders of other COP summits at Clarence House last year. Pic: Reuters

But Ms Toni there is “nothing to panic [about], because we can see that the transition is inevitable,” citing major progress in China, India and Europe and Brazil.

Referring to the US’s withdrawal from the COP process, she said: “198 countries minus one is not zero. And we will put all our efforts of working with the 197 countries that want to go forward and want to protect their population.”

“Climate action is not only [still] cool, it is necessary,” Ms Toni said.

“We all need to face reality. We are going through a huge climate crisis… If you’re not part of the solution, you’re part of the problem. Companies understand that.”

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Donald Trump revokes Secret Service protection for former vice president Kamala Harris

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Donald Trump revokes Secret Service protection for former vice president Kamala Harris

US President Donald Trump has revoked Secret Service protection for former vice president and 2024 Democratic rival Kamala Harris.

A senior adviser to Ms Harris, Kirsten Allen, confirmed the decision. “The vice president is grateful to the United States Secret Service for their professionalism, dedication, and unwavering commitment to safety,” said the adviser.

Typically, vice presidents receive a six-month security detail from the Secret Service after they leave office, although it had been extended to 18 months for Ms Harris, according to officials.

Initially, then-president Joe Biden extended her security arrangements to one year, or January 2026, according to reports.

However, a Secret Service official told Sky News’ US partner, NBC, that Mr Biden subsequently signed an executive memorandum in January increasing the then vice-president’s protection period even further, to 18 months.

Former US presidents receive Secret Service protection for life.

Read more from Sky News:
Ed Davey has written to King to explain Trump dinner boycott
Thai prime minister sacked for ethics violation

Revoking Harris’ federal protection will be deemed ‘malicious’ by Trump’s critics

We don’t know why the former vice president’s Secret Service protection has been revoked – the White House gave no explanation.

We do know why former president Joe Biden extended it from the usual six months to 18 months before he left office.

Such decisions tend to be based on advice from the Department of Homeland Security, determined by the perceived threat level.

Kamala Harris isn’t just a former vice president of the United States. She was the first woman and first African American to hold that office.

In addition to that, she was the Democratic candidate in last year’s election – the battle against Donald Trump raising her profile even higher.

By early 2025, she had plans for a book tour. Her memoir, 107 Days, marking the short period of her candidature, is due out next month.

Extending federal protection would have bolstered Ms Harris’ safety during extensive public appearances.

In short, the extension reflected heightened security needs – her symbolic status and increased visibility from upcoming public engagements.

But the White House has pulled her Secret Service security detail, a move that will be deemed malicious by the president’s critics.

Ms Harris, who lost the 2024 presidential election to Mr Trump, is due to start a book tour for her memoir, 107 Days, shortly.

She was the Democratic nominee for 107 days after Mr Biden exited the race in the weeks following a challenging debate against Mr Trump.

Mr Trump has also ended federal security protection for others, including former national security adviser John Bolton. Last week, FBI agents raided Mr Bolton’s Maryland home.

In March, the president ended protection for Mr Biden’s children, Hunter and Ashley Biden.

Ms Harris has not ruled out a possible presidential run in 2028. She announced in July that she would not run for governor of California in 2026.

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Thai prime minister Paetongtarn Shinawatra sacked for ethics violation after leaked phone call

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Thai prime minister Paetongtarn Shinawatra sacked for ethics violation after leaked phone call

Thailand’s prime minister has been sacked after a leaked phone call with a senior Cambodian politician caused outrage.

Paetongtarn Shinawatra, who was Thailand’s youngest PM, has been dismissed from office by the country’s Constitutional Court after only a year in power.

The court found Ms Shinawatra, 39, violated ethics in a leaked June telephone call, during which she appeared to kowtow to Cambodia’s former leader Hun Sen as the bordering countries were on the verge of an armed conflict.

She also criticised a Thai army commander – a taboo move in a country where the military is extremely influential.

Fighting erupted weeks later and lasted five days. At least 35 people were killed and more than 260,000 were displaced.

Ms Shinawatra, who was new to politics when she took office in August last year, apologised over the call and said she was trying to avert a war. She was suspended in July.

Ms Shinawatra arriving at Government House in Bangkok ahead of the verdict on Friday. Pic: Reuters
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Ms Shinawatra arriving at Government House in Bangkok ahead of the verdict on Friday. Pic: Reuters

She is now the fifth Thai PM from, or backed by, the billionaire Shinawatra family to be removed by the military or the judiciary in 17 years, amid a battle for power between the country’s warring elites.

The ruling thrusts Thailand into more political uncertainty at a time of public unease over stalled reforms and a stuttering economy.

The decline of Thailand’s most powerful political dynasty

This is a damning verdict for the Thai prime minister.

Paetongtarn Shinawatra said she “acted with the purest of intentions” and that she hoped for political unity.

But with one phone call, she has pushed Thailand to the brink of a political crisis.

It was a naive and explosive mistake. And it couldn’t have happened at a worse time.

Right now, the kingdom is facing massive insecurity.

Border tensions with Cambodia could erupt again at any point and it is just weeks since the two sides were exchanging fire.

Thailand needs strong and definite leadership. Instead, it now has months of jeopardy.

Paetongtarn is now the fifth leader to be removed from office by the constitutional court in just 17 years.

But her particular ouster is part of a much bigger story – the decline of Thailand’s most powerful political dynasty.

Last week, her father Thaksin was cleared of insulting the monarchy.

But he faces more court cases and the misstep by his daughter threatens to severely weaken their political domination as a family.

Pateongtarn crossed a red line for Thais – insulting the all-important military.

She clearly trusted “uncle” Hun Sen. She shouldn’t have.

His revenge leak has unseated her and her nation.

Now comes a messy grappling to fill the power vacuum she leaves behind.

Speaking after the court’s decision, the exiting PM said “all sides” in Thai politics now “have to work together to build political stability and to ensure that there won’t be another turning point again”.

The focus will now shift to who will replace Ms Shinawatra.

Her influential, billionaire father, Thaksin Shinawatra, who also once served as Thailand’s PM, is expected to be at the heart of a flurry of bargaining to keep the ruling Pheu Thai party in power.

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The leader of the main opposition People’s Party has called for the next prime minister to dissolve parliament once they are installed.

The deputy PM, Phumtham Wechayachai, and the current cabinet will act as government caretakers until a new leader is elected by parliament. There is no time limit on when that must take place.

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