The government has announced £240m of funding for GP practices, aiming to help patients to get appointments more quickly.
The cash will be given to surgeries to “embrace the latest technology”, replacing old phone systems and creating online tools to “ensure patients get the care they need as soon as possible”.
As part of what ministers are calling “an overhaul of primary care”, they said patients would be told on the day how their request would be managed.
If urgent, they pledged people would be seen on the same day, and if not, appointments should be offered within two weeks, or patients will be referred to NHS 111 or a local pharmacy.
Health Secretary Steve Barclay said the moves would “bring an end to the 8am scramble for appointments”.
But his Labour shadow, Wes Streeting, called it a “shallow offer [that] shows Rishi Sunak is totally out of touch with the issues patients face”.
The Conservatives have long promised to introduce new technology into GP surgeries, with Mr Barclay touting the idea last summer.
His successor in Liz Truss’s short-lived administration, Therese Coffey, also made the pledge, along with the two-week commitment – though she fell short of putting an official target on the measure.
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Now back in the role, Mr Barclay promised to move ahead with rolling out digital telephony – meaning patients will be put in a queue, given a call-back option or directed to the right service, rather than hearing an engaged tone.
Some surgeries already offer this service, but health minister Neil O’Brien said there was evidence that it made it “much easier for people to get through to their general practice team”.
Image: Health Secretary Steve Barclay has promised an overhaul of GP phone systems since last summer
The Department of Health also said receptionist roles would be expanded to become “care navigators”, training 6,500 to “gather information, to make sure patients are directed to the most suitable healthcare professional, and to simplify and streamline the process”.
Mr Barclay said: “I want to make sure people receive the right support when they contact their general practice and bring an end to the 8am scramble for appointments.
“To do this we are improving technology and reducing bureaucracy, increasing staffing and changing the way primary care services are provided, which are all helping to deliver on the government’s promise to cut waiting lists.”
But Mr Streeting placed the blame of appointment difficulties at the door of the government, claiming the Conservatives had cut 2,000 GPs so “better hold music isn’t going to change that”.
Image: Shadow health secretary Wes Streeting has said Rishi Sunak is ‘totally out of touch’ with patient issues
The shadow health secretary said: “Nothing in this announcement will train more doctors, allow patients to choose a face-to-face appointment, or bring back the family doctor so patients see the same GP each time.
“This shallow offer shows Rishi Sunak is totally out of touch with the issues patients face, and underlines why he can’t offer the change people are crying out for.”
He said Labour would train 7,500 more doctors a year, paid for by abolishing the non-dom tax status, and enable patients to “easily book appointments to see the doctor they want, in the manner they choose”.
Richard and Yalda are joined by one of the world’s most eminent historians and political commentators to discuss culture wars, trade wars, and the possibility of World War Three over Taiwan.
Sir Niall says the US may be in the stage of “buyer’s remorse” with the Trump presidency, and predicts that by this time next year, he could be “deeply underwater” in the polls.
To get in touch or to share questions for Richard and Yalda, email theworld@sky.uk
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Ms Pasquet said: “A lot of the African-American soldiers had really loved their experience here and had brought back the cognac. And I think that stayed because this African-American community truly is a community and they want to drink like their grandfather did.”
The ties remain with rappers like Jay Z’s love for cognac.
However, Ms Pasquet adds: “There’s also this other community of people who have been drinking bourbon for a long time, love bourbon, but find the prices just outrageous today. So they want to try something different.”
Image: Amy Pasquet owns JLP Cognac with her husband
JLP’s products were served at New York’s prestigious Met Gala.
They were preparing to launch new product lines in the US. But now that’s in doubt.
It is hard being an American in France now, Ms Pasquet says.
She continues: “They’re like, okay, America’s forgotten how close France and America are as far as (their) relationship is concerned. And I think that’s hurtful on both sides. I think it’s important to remember that the US is many things, and not just this one person, and there are millions of inhabitants that didn’t vote for him.”
A fresh challenge for a centuries-old tradition
Making cognac takes years, using techniques that go back centuries. In another vineyard we met Pierre Louis Giboin whose family have been doing it for more than 200 years.
In a cellar dating back to the French Revolution, barrels of oak sit under thick cobwebs, ageing the brandy.
The walls are lined with a unique black mould that thrives off the vapours of cognac.
They have seen threats come and go over those centuries, wars, weather, pestilence. But never from a country they regard as one of their oldest allies and best of customers.
Image: Pierre Louis Giboin’s cellar dates back to the French revolution
Mr Trump’s tariffs, says Mr Giboin, now threaten a way of life.
“It’s at the end of like very good times in the Cognac region. It’s been like 10 years when everything’s been perfect, we have good harvest, we sell really easily all the stock, but now I mean it’s the end.”
Ms Pasquet and Mr Giboin are unusual.
Most cognac makers sell their produce through the drink’s four big houses, Hennessy, Remy Martin, Martell and Courvoisier.
Some have been told the amounts they can sell have been drastically reduced.
Independents though like them must find new markets if the tariff threat persists.
Confusion away from the chaos
Outside in the dappled light of a Cognac evening Mr Giboin and I toast glasses of pineau – the diluted form of cognac drunk as an aperitif.
In this idyllic corner of France, a world away from Washington, Mr Trump’s trade war on Europe simply makes no sense.
“He’s like angry against the whole world and the way he talks like that Europe the EU was made against the US to cheat on the US. It’s just crazy to think like this,” Mr Giboin says.
It’s not just what Mr Trump’s done. It’s how Europe now strikes back that concerns the French. And it’s not just in Cognac where they’re concerned
France exports more than €2bn worth of wine to America.
In the heart of the Bordeaux wine region, Sylvie Courselle’s family have been making wine since the 1940s at their Chateau Thieuley vineyard.
It’s bottling season but they can’t prepare the wine headed for America while everything is up in the air.
Showing me the unused reels of US labels for her wine she told me she was losing sleep over the uncertainty.
Later she was meeting with her American distributors.
Gerry Keogh sells Ms Courselle’s wine across the US.
He says the entire industry is reeling
Image: Sylvie Courselle with distributers
Image: The Chateau Thieuley vineyard in the Bordeaux wine region
“I think it’s like anything. You don’t really believe it’s happening. And even when you’re in the midst of it, it was kind of like 9/11.
“You’re like… This is actually happening. It’s unbelievable. And when you start seeing the repercussions from the stock market, et cetera, and how it’s impacting every level, it’s quite shocking.”
They know the crisis is far from over and could now escalate.
“We feel stuck in the middle of this commercial war and we don’t have the weapons to fight, I think,” Ms Courselle said.
It is, she says, very stressful.
Image: Gerry Keogh
The histories of America and France have been intertwined for centuries through revolutions against tyranny and two wars fighting for liberty.
America used to call France its oldest ally, but under Donald Trump its now seen here as turning on France and the rest of Europe in a reckless and unjustified trade war.
It is all doing enormous harm to relations between the US and its European allies.
How Europe now decides to retaliate will help determine the extent of that damage.
Ms Pasquet said: “A lot of the African-American soldiers had really loved their experience here and had brought back the cognac. And I think that stayed because this African-American community truly is a community. and they want to drink like their grandfather did.”
The ties remain with rappers like Jay Z’s love for cognac.
However, Ms Pasquet adds: “There’s also this other community of people who have been drinking bourbon for a long time, love bourbon, but find the prices just outrageous today. So they want to try something different.”
Image: Amy Pasquet owns JLP Cognac with her husband
JLP’s products were served at New York’s prestigious Met Gala.
They were preparing to launch new product lines in the US. But now that’s in doubt.
It is hard being an American in France now, Ms Pasquet says.
She continues: “They’re like, okay, America’s forgotten how close France and America are as far as (their) relationship is concerned. And I think that’s hurtful on both sides. I think it’s important to remember that the US is many things, and not just this one person, and there are millions of inhabitants that didn’t vote for him.”
A fresh challenge for a centuries-old tradition
Making cognac takes years, using techniques that go back centuries. In another vineyard we met Pierre Louis Giboin whose family have been doing it for more than 200 years.
In a cellar dating back to the French Revolution, barrels of oak sit under thick cobwebs, ageing the brandy.
The walls are lined with a unique black mould that thrives off the vapours of cognac.
They have seen threats come and go over those centuries, wars, weather, pestilence. But never from a country they regard as one of their oldest allies and best of customers.
Image: Pierre Louis Giboin’s cellar dates back to the French revolution
Mr Trump’s tariffs, says Mr Giboin, now threaten a way of life.
“It’s at the end of like very good times in the Cognac region. It’s been like 10 years when everything’s been perfect, we have good harvest, we sell really easily all the stock, but now I mean it’s the end.”
Ms Pasquet and Mr Giboin are unusual.
Most cognac makers sell their produce through the drink’s four big houses, Hennessy, Remy Martin, Martell and Courvoisier.
Some have been told the amounts they can sell have been drastically reduced.
Independents though like them must find new markets if the tariff threat persists.
Confusion away from the chaos
Outside in the dappled light of a Cognac evening Mr Giboin and I toast glasses of pineau – the diluted form of cognac drunk as an aperitif.
In this idyllic corner of France, a world away from Washington, Mr Trump’s trade war on Europe simply makes no sense.
“He’s like angry against the whole world and the way he talks like that Europe the EU was made against the US to cheat on the US. It’s just crazy to think like this,” Mr Giboin says.
It’s not just what Mr Trump’s done. It’s how Europe now strikes back that concerns the French. And it’s not just in Cognac where they’re concerned
France exports more than €2bn worth of wine to America.
In the heart of the Bordeaux wine region, Sylvie Courselle’s family have been making wine since the 1940s at their Chateau Thieuley vineyard.
It’s bottling season but they can’t prepare the wine headed for America while everything is up in the air.
Showing me the unused reels of US labels for her wine she told me she was losing sleep over the uncertainty.
Later she was meeting with her American distributors.
Gerry Keogh sells Ms Courselle’s wine across the US.
He says the entire industry is reeling
Image: Sylvie Courselle with distributers
Image: The Chateau Thieuley vineyard in the Bordeaux wine region
“I think it’s like anything. You don’t really believe it’s happening. And even when you’re in the midst of it, it was kind of like 9/11.
“You’re like… This is actually happening. It’s unbelievable. And when you start seeing the repercussions from the stock market, et cetera, and how it’s impacting every level, it’s quite shocking.”
They know the crisis is far from over and could now escalate.
“We feel stuck in the middle of this commercial war and we don’t have the weapons to fight, I think,” Ms Courselle said.
It is, she says, very stressful.
Image: Gerry Keogh
The histories of America and France have been intertwined for centuries through revolutions against tyranny and two wars fighting for liberty.
America used to call France its oldest ally, but under Mr Trump it is now being as turned on, as France, along with the rest of Europe, finds itself in what many would argue is a reckless and unjustified trade war.
It is all doing enormous harm to relations between the US and its European allies.
How Europe now decides to retaliate will help determine the extent of that damage.