Pharmacies to be able to prescribe medication under plans to free up GP appointments
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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“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”.
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.
Benjamin Netanyahu’s plan for Israel to take full military control of the Gaza Strip has been condemned, amid fears a reoccupation could put the lives of Palestinians and the remaining Israeli hostages at risk.
Asked in a Fox News interview on Thursday if Israel would “take control of all of Gaza”, the prime minister replied: “We intend to, in order to assure our security, remove Hamas there, enable the population to be free of Gaza.”
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“We don’t want to keep it. We want to have a security perimeter,” he continued. “We want to hand it over to Arab forces that will govern it properly without threatening us and giving Gazans a good life.”
Israel already controls around 75% of Gaza and has largely sealed its borders.
To take full control, it would need to launch ground operations in the remaining areas that have not been destroyed, where most of Gaza’s two million population have sought refuge.
Israel’s security cabinet, which would need to approve the military operations, began a meeting on Thursday evening, but for now no official announcement has been made.
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Netanyahu on Israel’s plans for Gaza
Plan will ‘put hostages and soldiers in danger’
The plan has been criticised by many, including families of hostages being held by Hamas and a top Israeli Defence Force (IDF) official.
Einav Zangauker, the mother of hostage Matan Zangauker, said Mr Netanyahu promised her that he would pursue a deal to free the hostages.
She said in a post on X: “Someone who talks about a comprehensive deal doesn’t go and conquer the Strip and put hostages and soldiers in danger.
“Netanyahu and his partners are about to condemn [Matan] to death.”
Israel’s military chief of staff, Eyal Zamir, has warned against occupying Gaza, saying it would endanger the hostages and put further strain on the IDF, according to Israeli media reports.
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In an illustration of the kind of opposition Israel could face internationally if it purses the plan, a Jordanian official aid Arabs would “only support what Palestinians agree and decide on”.
“Security in Gaza must be done through legitimate Palestinian institutions,” the source said.
“Arabs will not be agreeing to Netanyahu’s policies nor clean his mess.”
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At least 42 more Palestinians killed by Israeli fire, say hospitals
It comes after at least 42 Palestinians were killed in Israeli airstrikes and shootings across southern Gaza on Thursday, according to local hospitals.
At least 13 of those people were seeking aid in an Israeli military zone where UN aid convoys are regularly overwhelmed by desperate crowds and looters.
An Israeli soldier, standing next to an Israeli flag, looks out across Gaza. Pic: Reuters
Another two were killed on roads leading to sites run by the Israel- and US-backed Gaza Humanitarian Foundation (GHF), according to Nasser Hospital, which received the bodies.
The GHF said there were no violent incidents at or near its sites on Thursday.
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The war in Gaza began when Hamas killed about 1,200 people – mostly civilians – in its attack on 7 October 2023 and abducted 251 others. They still hold approximately 50 of those hostages – with 20 believed to be alive – after most of the others were released in ceasefires or other deals.
Israel’s retaliatory offensive has killed more than 61,000 Palestinians, according to Gaza’s Hamas-run health ministry, which does not differentiate between militants and civilians in its count.
Vladimir Putin has played down the possibility of a meeting with Volodymyr Zelenskyy, saying that while it is possible, certain conditions must be met.
The Russian president was responding to an American proposal of a trilateral meeting between him, the Ukrainian president and Donald Trump.
The idea was floated by Steve Witkoff, the US president’s envoy during talks with Mr Putin on Wednesday, Kremlin aide Yuri Ushakov said.
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Mr Ushakov said the three-way option was “simply mentioned by the American representative during the meeting in the Kremlin”.
He added, however: “This option was not specifically discussed.”
On the prospect of meeting Mr Zelenskyy, Vladimir Putin said: “I have already said many times that I have nothing against it in general – it is possible.”
However, he distanced himself from any such meeting happening soon, adding: “But certain conditions must be created for this. Unfortunately, we are still far from creating such conditions.”
Pic: AP
Mr Zelenskyy offered to speak to Vladimir Putin in May, challenging him to meet in Istanbul for talks on ending the war in Ukraine – an invitation the Russian leader declined.
While a trilateral meeting appears to be off the agenda, Mr Ushakov said an agreement had been reached for Donald Trump and Vladimir Putin to meet “in the coming days”.
After the US president touted a “very good prospect” of the leaders meeting for Ukraine ceasefire talks, Mr Ushakov said on Thursday that Russian and American officials had started working on the details.
“At the suggestion of the American side, an agreement was essentially reached to hold a bilateral meeting at the highest level in the coming days,” he said.
“We are now beginning concrete preparations together with our American colleagues.”
Regarding a trilateral meeting, Mr Ushakov said: “We propose, first of all, to focus on preparing a bilateral meeting with Trump, and we consider it most important that this meeting be successful and productive.”
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It would be the first time the two leaders have met since Mr Trump returned to office, and follows a three-hour meeting between Mr Putin and Steve Witkoff in Moscow on Wednesday.
Following the meeting, Volodymyr Zelenskyy said it appeared that Russia was “more inclined to a ceasefire”.
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The Ukrainian president said he planned to speak on Thursday to German Chancellor Friedrich Merz, as well as contacts from France and Italy.
He said he planned to discuss a ceasefire, a leaders’ summit and long-term security, adding: “Ukraine has never wanted war and will work toward peace as productively as possible.”
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A poll from Gallup suggests 69% of Ukrainians support a negotiated end to the war with Russia – an almost complete reversal from 2022, when 73% favoured fighting until victory.
Most said they were sceptical the war would end soon, with 68% saying they believed it was unlikely that active fighting would stop within the next 12 months.
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Seven hours is a long time in US politics.
At 10am, Donald Trump accused Russia of posing a threat to America’s national security.
By 5pm, Mr Trump said there was a “good prospect” of him meeting Vladimir Putin “soon”.
There had, he claimed, been “great progress” in talks between his special envoy Steve Witkoff and the Russian president.
It’s difficult to gauge the chances of a meeting between the two leaders without knowing what “great progress” means.
Is Russia “inclined” towards agreeing a ceasefire, as Ukraine’s president now claims?
Is Mr Putin prepared to meet with his Ukrainian foe, Volodymyr Zelenskyy, too?
The very fact that we’re asking those questions suggests something shifted on a day when there was no expectation of a breakthrough.
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Mr Trump repeatedly vowed to end the war within 24 hours of becoming president.
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