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Patients will be able to receive prescription medicines and oral contraception without seeing a GP under new plans to ease the strain on surgeries.

It is hoped the measures – which could be rolled out as soon as this winter – will help to free up 15 million slots at doctors’ surgeries over the next two years.

Under the proposals, pharmacists will be able to write prescriptions for common conditions including including earache, sore throat and urinary tract infections without needing the approval of a GP.

The measures – which are part of what ministers are calling an “overhaul of primary care” – are backed by £645m of spending over two years and come alongside efforts to end the 8am “rush” for appointments.

They are being announced just days after the Conservatives suffered from a punishing set of local election results on the back of high inflation, a cost of living crisis and record high levels of unhappiness with the NHS.

Ministers hope almost half a million women would no longer need to speak to a nurse or GP to get oral contraception under the new plans and that the number of people able to access blood pressure checks in pharmacies would be more than doubled to 2.5 million a year.

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Self-referrals will also be increased for services including physiotherapy, hearing tests and podiatry, bypassing the need to see a GP.

The proposals could be in place this winter pending a consultation with the industry.

The prime minister said “transforming primary care is the next part of this government’s promise to cut NHS waiting lists”.

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The government plans to train GP receptionists

“I know how frustrating it is to be stuck on hold to your GP practice when you or a family member desperately need an appointment for a common illness,” he added.

“We will end the 8am rush and expand the services offered by pharmacies, meaning patients can get their medication quickly and easily.”

NHS chief executive Amanda Pritchard said the reforms would “help us to free up millions of appointments for those who need them most, as well as supporting staff so that they can do less admin and spend more time with patients”.

Steps are being taken to make it easier for patients to see GP – but they may feel short-changed

The government’s Primary Care Plan wants to do two things at once: make it easier for patients to access their GP and to take pressure off GPs so they can manage their patient lists better.

But by doing the former they might be making the latter worse – unless the workforce crisis in primary care is resolved.

A recent survey said seven out of ten GPs found their jobs to be extremely stressful and another found that more than a third of GPs want to quit within five years.

This recruitment and retention issue needs to be addressed urgently.

The government says it will provide £240m for primary care to update existing telephone systems so more calls can be taken, clinically assessed and directed to most appropriate treatment.

This will not always be a GP. It might be a practice nurse or speciality inside a community health team.

There is a perception that GPs do not see enough patients. But the data for March shows 70% of GP appointments were seen face to face.

And primary care doctors will tell you they are seeing more patients than ever before as patient lists continue to grow.

Another step will be to train GP receptionists to become ‘clinical navigators’ so they can field calls and clinically assess the patient and refer the caller to the best service.

This might ease some patient anxiety but it will require a cultural shift in mindset. People expect to see a doctor and feel short-changed if they do not.

Labour’s Shadow Health Secretary Wes Streeting criticised the announcement as “merely tinkering at the edges” and said it did not deliver the “fundamental reform” the NHS needs.

It pointed to figures from the Chemists’ Association which reveal that 670 pharmacies and 343 surgeries have closed since 2015.

The idea of giving pharmacists the power to prescribe without GP approval is not new.

Therese Coffey, who was health secretary during the short period of Liz Truss’s premiership, floated plans to enable pharmacies to manage and supply contraception prescriptions last September.

She also pledged that patients would see a GP within two weeks of making an appointment – although she did not set a target for when that should be achieved by.

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Mr Streeting said: “13 years of Conservative failure has seen hundreds of pharmacies close and 2,000 GPs cut.

“Now millions of patients are waiting a month to see a GP, if they can get an appointment at all. Expecting the Conservatives to fix this is like expecting an arsonist to put out the fire they started.

“Rishi Sunak is completely out of touch with the problems facing patients and the NHS. He has no plan to address the shortage of GPs, or to reverse the cut in the number of doctors trained every year.

“The Conservatives’ announcement is merely tinkering at edges, in contrast to the fundamental reform the NHS needs and Labour is offering.”

Mr Streeting said Labour would abolish the non-dom tax status and use the proceeds to train an extra 7,500 doctors and 10,000 nurses every year.

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How Trump changed his mind on tariffs

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How Trump changed his mind on tariffs

“Liberation Day” just gave way to Capitulation Day.

US President Donald Trump pulled back on Wednesday on a series of harsh tariffs targeting friends and foes alike in an audacious bid to remake the global economic order.

Mr Trump’s early afternoon announcement followed a harrowing week in which Republican lawmakers and confidants privately warned him that the tariffs could wreck the economy.

His own aides had quietly raised alarms about the financial markets before he suspended a tariff regime that he had unveiled with a flourish just one week earlier in a Rose Garden ceremony.

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The stock market rose immediately after the about-face, ending days of losses that have forced older Americans who’ve been sinking their savings into 401(k)s to rethink their retirement plans.

Ahead of Mr Trump’s announcement, some of his advisers had been in a near panic about the bond markets, a senior administration official told Sky News’ US partner network NBC News.

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Interest rates on 10-year Treasury bonds had been rising, contrary to what normally happens when stock prices fall and investors seek safety in treasuries.

The unusual dynamic meant that at the same time the tariffs could push up prices, people would be paying more to buy homes or pay off credit card debt because of higher interest rates. Businesses looking to expand would pay more for new loans.

Two of Mr Trump’s most senior advisers, Treasury Secretary Scott Bessent and Commerce Secretary Howard Lutnick, presented a united front on Wednesday, urging him to suspend the tariffs in light of the bond market, the administration official said.

In a social media post, Mr Trump announced a 90-day pause that he said he’ll use to negotiate deals with dozens of countries that have expressed openness to revising trade terms that he contends exploit American businesses and workers.

One exception is China. Mr Trump upped the tariff on the country’s biggest geopolitical rival to 125%, part of a tit-for-tat escalation in an evolving trade war.

Mr Trump reversed course one week after he appeared in the Rose Garden and unveiled his plan to bring jobs back to the United States. Displaying a chart showing the new, elevated tariffs that countries would face, Mr Trump proclaimed: “My fellow Americans, this is Liberation Day.”

It proved short-lived. Markets plunged in anticipation of heightened trade wars, wiping out trillions of dollars in wealth.

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Democrats seized on the issue, looking to undercut a source of Mr Trump’s popular appeal: the view that he can be trusted to steer the nation’s economy.

“Donald Trump’s market crash has vaporised a whopping $104,000 from the average retirement account,” Senate Minority Leader Chuck Schumer, said on Wednesday on the Senate floor, hours before the president’s reversal.

The episode laid bare the rifts within Mr Trump’s team of senior advisers as the White House struggled to offer a clear, consistent argument about the duration of the tariffs.

While Mr Bessent seemed open to negotiations, Peter Navarro, a senior trade adviser, appeared to take a more hard-line posture.

Elon Musk, the billionaire Tesla chief executive who has been advising Mr Trump on the government workforce, called Navarro “dumber than a sack of bricks,” while Mr Navarro described Mr Musk as someone who is merely “a car assembler, in many cases”.

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What’s the spat between Elon Musk and Peter Navarro about?

But the weeklong drama also underscored the peril of a policymaking process that is often tied to the wishes and vagaries of one man: Donald Trump.

Asked about the dust-up between Mr Musk and Mr Navarro, Republican Senator Lindsey Graham, a golf partner of Mr Trump’s, said: “I don’t think it matters. The only one who matters is Trump.”

Markets tend to favour predictability, as do business leaders deciding where to build new plants. When Mr Trump sets a course, however, there are bound to be detours.

A friend of his who spoke to him in recent days said Mr Trump gave no sign he was about to “back down quickly on this stuff”.

Mr Trump believes other countries trade unfairly and sees tariffs as a tool to make the United States more competitive, the person said.

“He’s very confident it’s going to work for him,” the person added, speaking on condition of anonymity.

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And yet in the run-up to Wednesday’s announcement, Mr Trump and his aides were also hearing from GOP lawmakers and outside allies urging an alternative path.

One was Larry Kudlow, who hosts a show on Fox Business Network and was a senior economic adviser in Mr Trump’s first term.

Mr Kudlow told NBC News that he has had “ongoing” talks with friends in the West Wing about the need to negotiate with other countries before the United States slaps them with tariffs that stand in perpetuity.

Describing Mr Trump’s move Wednesday as “fabulous,” Mr Kudlow added: “Dealmaking is the best thing to do. In the last 48 hours, Trump has gone from non-negotiating to negotiating.

“It’s very clear that Bessent is now the point man on trade. Very clear.”

Anxious GOP lawmakers also weighed in.

Mr Graham said he spoke to Mr Trump at length on Tuesday night and told him he had been hearing from car manufacturers who are worried about how the tariffs would affect their business. BMW operates a plant in Mr Graham’s home state and is one of the companies he said he had spoken to.

Senator John Kennedy, a Republican lawmaker who was also in touch with the administration, said on Tuesday that he planned to have lunch with Mr Bessent. On Wednesday, he told NBC News he was also talking to the White House.

Mr Kennedy likened Mr Trump to the “pit bull who caught the car”. Now, he said, the question becomes: “What are you going to do with the car?”

After more market losses this week, and with pressure mounting from Republicans on Capitol Hill, Mr Trump began having second thoughts.

In his first term, he often viewed the ups and downs of the stock market as a kind of report card on his presidency, celebrating its rise. The downturn had got his attention.

“People were getting a little queasy,” he acknowledged Wednesday on an event with NASCAR racing champions.

“Over the last few days” he began to more seriously consider pausing the additional tariffs, he told reporters later in the day in an Oval Office appearance.

One prospect that intrigued him was personally negotiating new trade deals with the countries looking to get out from under the tariffs, the senior administration official said.

He’d made up his mind. Sitting with Mr Bessent and Mr Lutnick, he crafted the note announcing the 90-day postponement and ending, for the time being, the biggest economic crisis of his young presidency.

“We wrote it from our hearts, right?” Mr Trump said. “It was written as something that I think was very positive for the world and for us, and we don’t want to hurt countries that don’t need to be hurt, and they all want to negotiate.”

The day closed with the Dow Jones Industrial Average up nearly 8%, erasing some – but not all – of the “post-Liberation Day” losses.

Messy as it all may have seemed, his administration insisted that all is unfolding as planned.

“You have been watching the greatest economic master strategy from an American president in history,” White House deputy chief of staff Stephen Miller posted on Wednesday afternoon.

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Andrew Tate ‘pointed gun at woman’s face’, court documents claim

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Andrew Tate 'pointed gun at woman's face', court documents claim

Andrew Tate pointed a gun at a woman’s face and told her to do as he said, according to court documents seen by Sky News.

Warning: This article contains graphic details of alleged sexual abuse

The controversial social media influencer allegedly told her: “I’m a boss, you’re going to do as I say or there’ll be hell to pay.”

The woman, who worked for Tate on his online webcam business, alleges he threatened her daily.

She is one of four women who have launched a civil claim against Tate in the UK, with allegations including rape, assault and coercive control.

A spokesperson for Tate said he “categorically denies” the allegations.

In a statement, the spokesperson said: “Mr Tate categorically denies these unproven and untested allegations.

“Specifically, he denies ever threatening anyone with a firearm, engaging in non-consensual acts or subjecting any individual to physical or psychological harm.

“These are civil claims, brought years after the alleged events and following a CPS (Crown Prosecution Service) decision not to pursue criminal charges.

“It is deeply troubling that such graphic and one-sided accounts are being publicised before any judicial assessment has taken place.

“This type of reporting undermines the presumption of innocence and shapes public perception in a way that is fundamentally unjust.

“We have seen other high-profile cases where similarly serious allegations collapsed under scrutiny – but only after irreparable reputational harm had already been done.

“Mr Tate will defend himself vigorously and remains confident the truth will prevail.”

The civil action was launched in the High Court in London last week, and a preliminary hearing is to be held next week.

In the court documents, he describes the allegations as “a pack of lies”, and in a detailed response said: “There may have been a toy gun in the flat.”

The woman worked for Tate in Luton in 2015 and is claiming damages for “assault, battery and/or intentional infliction of harm, including rape”.

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Tate, 37, and his brother Tristan, 35, are facing a trial in Romania, where they have been living for the past two years, on charges of sexual exploitation and human trafficking.

The Romanian authorities have agreed that after the completion of their own criminal justice process, the brothers can be extradited to the UK on allegations of rape and human trafficking.

The brothers, who have joint UK and US citizenship, are also under criminal investigation in Florida, where they visited recently after a Romanian judge lifted a travel ban on them.

They are currently in Dubai, but must return to Romania.

The four women claim Tate strangled them during sex, and two developed red spots from burst capillaries in their eyes from asphyxia.

In an interview with Sky News last year, one of the claimants said she had consensual sex with Tate during a normal relationship with him, but once lost consciousness when he strangled her.

She said: “We were having sex and he put his hands round my throat and strangled me until I lost consciousness. And when I came round he was still having sex with me, still on top of me.

“The next day, all the white had gone completely red in one of my eyes. I looked it up afterwards and it was just lack of oxygen to your brain where your blood vessels start bursting to try and get more oxygen into your brain. That was quite scary.”

She said she didn’t call police because she was young, inexperienced and didn’t realise how dangerous the encounter had been.

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Inside a NATO base in Poland – as residents bordering Russia say ‘scare tactic’ is needed

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Inside a NATO base in Poland - as residents bordering Russia say 'scare tactic' is needed

Along the thin strip of beach and woodland known as the Vistula Spit which marks the northernmost demarcation between Poland and the Russian exclave of Kaliningrad, there is not much in the way of a border.

Just some torn wire fencing and a few rotten posts which seem to stagger drunkenly into the shallows of the Baltic Sea.

Beneath a sign barring entry, we find a couple of empty bottles of Russian cognac and vodka.

It doesn’t feel like the edge of NATO territory.

Between Poland and the Russian exclave of Kaliningrad, there is not much in the way of a border.
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This doesn’t feel like the edge of NATO territory

“I don’t see much protection. It’s not good,” says Krzysztof from Katowice, who has come to inspect the border himself.

“We have to have some kind of scare tactic, something to show that we are trying to strengthen our army,” says Grzegorz, who lives nearby.

“At the same time I think I would not base the defence of our country solely on our army. I am convinced that Europe or America, if anything were to happen, will help us 100%.”

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Poland is investing massively in its defence, with military spending set to hit 4.7% of GDP in 2025, more than any other NATO country.

Polish Prime Minister Donald Tusk has said he will introduce voluntary military training for men of any age, and women too should they wish, so the army has a competent reserve force in the event of war.

Border between EU and the Russian Federation
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Border between EU and the Russian Federation

He is investing $2.5bn in stronger border fortifications between Russia and Belarus, a project called East Shield which will include anti-tank obstacles, bunkers and potentially minefields too.

Along with its Baltic neighbours, Poland is withdrawing from the Ottawa convention against the use of land mines. It hasn’t committed to using them, but it wants to have that option.

We’ve been granted access to one of the cornerstones of Polish, and European defence, which is a couple of hours drive from the Vistula spit at the Redowicze military base.

Missile launcher
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Aegis Ashore Poland

Aegis Ashore Poland, together with its sister site in Romania, are the land-based arms of NATO’s missile defence shield over Europe, which is run by the US navy.

They are symbols of the US commitment to NATO and to the protection of Europe.

The control room
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The control room at Aegis Ashore Poland

And despite changes at the top of the Pentagon it is “business as usual”, says Captain Michael Dwan who oversees air and missile defence within the US Sixth Fleet.

“Our mission to work with NATO forces has been unchanged. And so our commitment from the United States perspective and what capability we bring to ballistic missile defence and the defence of NATO is championed here in Poland.”

Control room
Image:
The control room at Aegis Ashore Poland

As far as Russia is concerned, NATO’s two missile defence bases in Romania and Poland represent a NATO threat on their doorstep and are therefore a “priority target for potential neutralisation”, per Russia’s foreign ministry.

NATO says the installations are purely defensive and their SM-3 interceptor missiles are not armed and are not intended to carry warheads. Russia counters they could easily be adapted to threaten Russia.

Not the case, Captain Dwan says.

Missile launcher
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Aegis Ashore Poland

Missile launcher
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Aegis Ashore Poland

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“It’s not a matter of moving offensive weapons here into the facility, the hardware and the infrastructure is simply not installed.

“It would take months or years to change the mission of this site and a significant amount of money and capability and design.”

With so much marked “secret” on the site, it seems amazing to be granted the access.

But for NATO, transparency is part of deterrence. They want potential adversaries to know how sophisticated their radar and interception systems are.

They know that if they carried warheads on site, that would make them a target so they don’t.

Deterrence also depends on whether potential adversaries believe in the US’s commitment to NATO and to Europe’s defence.

On an operational level, as far as the troops are concerned, that commitment may still be iron-clad.

But as far as its commander-in-chief goes, there is still – as with so much around Donald Trump’s presidency – a great deal of uncertainty.

In the Oval Office on Wednesday afternoon President Trump suggested he might bundle a potential US troop drawdown in Europe together with the issue of EU trade and tariffs.

“Nice to wrap it up in one package,” he said, “it’s nice and clean”.

Probably not the way Europe sees it, not with a resurgent Russia on their doorstep, economic tailwinds breeding animosity and the notion of Pax Americana crumbling at their feet.

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