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The health secretary is said to be “open to requests” for patients from other UK nations to be treated in England to help tackle waiting lists.

Steve Barclay has invited the health ministers for Scotland and Wales to discuss what can be learned from their varying approaches.

He suggested he would consider appeals for people who have been waiting a long time to come to England for treatment.

Health has been a devolved matter since 1999, with nations able to largely decide how to run their own systems.

Mr Barclay said he wanted to “share best practices, improve transparency and provide better accountability for patients”.

He added: “This will help to ensure we are joined up when it comes to cutting waiting lists – one of the government’s top five priorities – and will allow us to better work together to improve performance and get patients seen more quickly.”

The Department of Health and Social Care (DHSC) said “significant variations” existed between waiting times.

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“In Wales, more than 73,000 people are waiting over 77 weeks for treatment, and at least 21,600 people are waiting over 78 weeks for an outpatient, day case or inpatient appointment in Scotland,” said the DHSC.

“In England, waiting times for patients over 78 weeks have been virtually eliminated.”

Read more:
Number waiting to start treatment in England at record high
More patients to be able to skip waiting lists if they can travel

Junior doctor and members of the British Medical Association (BMA) on the picket line outside Leeds General Infirmary at the start a five-day strike amid the continuing dispute over pay, the longest walkout of its kind in the history of the NHS. Picture date: Thursday July 13, 2023. PA Photo.  See PA story INDUSTRY Strikes Doctors. Photo credit should read: Danny Lawson/PA Wire
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Junior doctors have been striking in England

Mr Barclay’s invitation for talks has not had an enthusiastic reception.

Scottish health secretary Michael Matheson suggested Westminster should concentrate on the “many issues south of the border”, such as doctors’ strikes.

A Welsh government spokesperson defended its record and said long waiting times had “more than halved in the past year” – and that its figures include more referrals.

They added: “The overall growth in waiting lists in Wales has been smaller in Wales than in England over the last 12 months – it grew by 3.6% in Wales and by 12.1% in England.

“Wales has also outperformed England in major emergency department performance in nine out of the last 10 months.”

Labour’s shadow health secretary Wes Streeting also hit out at Mr Barclay, saying: “The only advice the Tories are qualified to offer is how to wreck the NHS and cause the biggest strikes in its history.”

Junior doctors began a fifth walkout on Friday – which is due to finish on Tuesday morning.

The government says 778,000 appointments have been disrupted during the strikes, but the British Medical Association says doctors have no choice due to dwindling pay.

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Prospective CFTC chair addresses DeFi regulation at nomination hearing

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Prospective CFTC chair addresses DeFi regulation at nomination hearing

Michael Selig, who serves as chief counsel for the crypto task force at the US Securities and Exchange Commission, faced questions from lawmakers on the Senate Agriculture Committee for his nomination to be the next chair of the Commodity Futures Trading Commission.

On Wednesday, Selig appeared before the committee and addressed questions and concerns from lawmakers on both sides of the aisle regarding his potential conflicts of interest, policy views and experience as the next CFTC chair, succeeding Caroline Pham.

Government, Senate, SEC, CFTC, United States
Michael Selig addressing lawmakers on Wednesday’s confirmation hearing. Source: US Senate Agriculture Committee

In his opening statement, Selig said he had advised a wide range of market participants, including digital asset companies, and warned against the agency taking a regulation-by-enforcement approach, stating that it would drive companies offshore. 

“We’re at a unique moment in the history of our financial markets,” said Selig. “A wide range of new technologies, products, and platforms are emerging […] the digital asset economy alone has grown from a mere curiosity to a nearly $4 trillion market.”

The confirmation of Selig, whom US President Donald Trump nominated to chair the CFTC following the removal of his first pick, Brian Quintenz, is expected to head for a vote soon. According to the Senate calendar, the Agriculture Committee is scheduled to discuss his nomination on Thursday.

Addressing DeFi, crypto enforcement, roles of agency

The prospective CFTC chair responded to questions from the committee chair, Senator John Boozman, who advocated for the agency to take a leading role in regulating spot digital commodity markets. The senator’s remarks came as the committee is expected to consider a market structure bill that would give the CFTC more authority to regulate crypto.

“The CFTC, and only the CFTC, should regulate the trading of digital commodities,” said Boozman. 

Related: SEC’s ‘future-proofing’ push to shape how much freedom crypto enjoys after Trump

The Arkansas senator questioned Selig about his potential approach to decentralized finance if he were to be confirmed, an issue that reportedly divided many lawmakers on the market structure bill. 

“When we’re thinking about DeFi, it’s something of a buzzword, but really we should be looking to onchain markets and onchain applications and thinking about the features of these applications as well as where there’s an actual intermediary involved […]” said Selig.

He added that it was “vitally important that we have a cop on the beat” in response to a question on regulating crypto, specifically spot digital asset commodity markets.