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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0:45
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.
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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.”
Image: 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.”
Well it is something, but it’s by no means everything – a ceasefire for 30 hours, not 30 days.
This feels like a diplomatic dance, rather than a military, or moral, manoeuvre.
An Easter truce – announced by Vladimir Putin on Saturday – is significant in the sense that, if it holds, it’ll be the first actual cessation of hostilities since the war began.
And it’s significant in the sense that it’s the first actual concession made by Moscow since Donald Trump initiated peace negotiations two months ago.
But – and there’s always a “but” when it comes to the Kremlin – how much of a concession is it really? And how much difference will it make militarily?
It’s nowhere near what the White House has been asking for, and it’s nowhere near what Ukraine has previously consented to.
The American president’s first proposal was a full 30-day ceasefire. Kyiv agreed but Moscow didn’t, not without conditions.
Then there was the attempted maritime truce. Again, Moscow’s agreement came with strings attached, in the form of sanctions relief, so it never got off the ground.
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44:16
Ukraine: Michael Clarke Q&A
So why suddenly suggest a truce now?
America had made no secret of its growing frustration at the lack of progress in peace negotiations.
I don’t think that in itself would be a problem for Russia, given its military dominance. But I think it could be a problem if Trump blames Putin for the lack of progress, and then pulls the plug on their thaw in relations as well.
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So this feels like Putin is giving Trump just enough to keep him on side, without actually making any major concession.
And the way it’s being presented is interesting too – at Russia’s initiative, on humanitarian grounds, Ukraine must “follow our example”.
He’s trying to cast himself as the peacemaker in the eyes of the US president – as the one who give solutions, not problems – which appears contrary to Trump’s opinion of Volodymyr Zelenskyy.
Israeli strikes in Gaza have killed more than 90 people in the past 48 hours, the Hamas-run health ministry in the territory has said.
Women and children were among 15 people who were killed overnight on Friday in the southern city of Khan Younis, according to hospital staff.
At least 11 of those who were killed were sheltering in a tent in the designated humanitarian zone of al Mawasi, where hundreds of thousands of displaced people are living, the hospital workers said.
A further four people were killed in separate strikes on the city of Rafah, including a mother and her daughter, according to Gaza’s European Hospital, where the bodies were taken.
Image: Mourners at Nasser hospital in Khan Younis. Pic: Reuters
Israel – which has not commented publicly on the latest strikes – has vowed to intensify attacks across Gaza and occupy large “security zones” inside the area.
It says this is to put pressure on Hamas to release more hostages and ultimately agree to disarm and leave the territory.
For weeks, Israeli troops have also blockaded Gaza, barring the entry of food and other goods.
Last month, 15 aid workers were killed and buried in a shallow grave after being fired upon by Israeli troops.
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1:28
Sky reveals timeline of IDF’s Gaza aid attack
Hamas is currently holding 59 hostages, 24 of whom are believed to be alive.
The group says it will only return them in exchange for the release of more Palestinian prisoners, a full Israeli withdrawal from Gaza and a lasting truce, as called for in the now-defunct ceasefire agreement reached earlier this year.
Hamas’s armed wing said the fate of Israeli-American hostage Edan Alexander was unknown after a guard who was holding him was found killed.
On Tuesday, Hamas said it had lost contact with a group of militants holding Mr Alexander in Gaza.
Earlier this week, the United Nations warned that almost all of Gaza’s population of more than two million people is relying on the one million prepared meals produced daily by charity kitchens.
Image: People at a hospital in Khan Younis mourn the deaths of Palestinians killed in Israeli strikes earlier this week. Pic: Reuters
Image: Palestinians gather at the site of an Israeli strike on a house. Pic: Reuters
The only other way to get food in Gaza is from markets, but rising prices make them unaffordable for most, according to the World Food Programme. The UN humanitarian office, known as OCHA, called it Gaza’s “worst humanitarian crisis” since the escalation of hostilities in October 2023.
Dr Hanan Balkhy, head of the World Health Organisation’s eastern Mediterranean office, urged the new US ambassador in Israel, Mike Huckabee, to push Israel to lift Gaza’s blockade so medicines and other aid can enter the strip.
“I would wish for him to go in and see the situation first hand,” she said on Friday.
Image: US ambassador to Israel Mike Huckabee places a handwritten note in Jerusalem. Pic: Reuters
In his first appearance as ambassador, Mr Huckabee visited the Western Wall, the holiest Jewish prayer site in Jerusalem’s Old City. He inserted a prayer into the wall, which he said was handwritten by US President Donald Trump.
Mr Huckabee said every effort was being made to bring home the remaining Israeli hostages.
Hamas-led militants attacked southern Israel on 7 October 2023, killing about 1,200 people and abducting 251.
Israel’s offensive has since killed more than 51,000 Palestinians, according to Gaza’s Hamas-run health ministry, which does not distinguish between civilians and combatants.
Two Britons killed in a cable car crash near Naples have been named by Italian media.
Graeme Derek Winn, 65, and his wife Margaret Elaine Winn, 58, were among four people – including an Israeli woman and an Italian man, the cable car operator – who died in the incident on Thursday, which officials said happened after the cable snapped.
The only survivor, a second Israeli tourist, was in a stable but critical condition, the Naples hospital treating him said on Friday.
Ms Winn was initially named by Italian media as Margaret Elaine Winn, but it is understood she was known as Elaine.
Image: Graeme Derek Winn and his wife Margaret Elaine Winn. Pic: Facebook
The couple were described as “good friends” by Chris Mann, who posted on social media saying they were “enjoying retirement with lots of motorbike tours and holidays”.
“How incredibly sad,” he wrote in a Facebook post on Saturday.
A Foreign, Commonwealth & Development Office (FCDO) spokesperson said: “We are supporting the families of a British couple who have died in Italy and are in touch with the local authorities.”
Nine passengers were helped out of a separate cable car that was stuck mid-air near the foot of the mountain following the incident.
They were freed one by one in a difficult operation using harnesses, footage on RAI television and other media showed.
Image: Officials said a cable snapped, causing the crash, south of Naples, Italy. Pic: CNSAS
Image: Rescuers and emergency services at the scene. Pic: AP
Italy’s alpine rescue, along with firefighters, police and civil protection services, responded to the incident.
It occurred just a week after the cable car, popular for its views of Mount Vesuvius and the Bay of Naples, reopened for the season. It averages around 110,000 visitors each year.
Image: People being rescued from a second cable car that became stuck after the incident
Umberto De Gregorio, chairman of the EAV public transport company that runs the Mount Faito cable car, described the incident as “a tragedy” and said the service would remain shut “for a long time” following the crash.
He told Sky News the cause of the incident was being investigated, and that before its reopening, the cable car service had undergone three months of tests with checks carried out every morning.
“Everything we had to do was done,” he said.
“Evidently something went wrong, we don’t know what, whether an exceptional unforeseen event or human error. The investigators will discover all this.”
He added: “Furthermore, I knew very well one of the four victims, our employee. He is the brother of my driver – who is also my friend, since we lived together practically every day.
“I knew him and yesterday I saw his heartbroken wife, we hugged each other. There is so much emotion.”
The UK Foreign Office said: “We are dealing with an incident in Italy and are in contact with the local authorities. Our thoughts are with those affected.”
Italian Prime Minister Giorgia Meloni expressed her condolences for the victims and their families and said she was in touch with rescuers. She spoke from Washington, where she was meeting US President Donald Trump.