Published
2 years agoon
By
adminElizabeth Amirault had never heard of a Narx Score. But she said she learned last year the tool had been used to track her medication use.
This story also ran on Marketplace. It can be republished for free.
During an August 2022 visit to a hospital in Fort Wayne, Indiana, Amirault told a nurse practitioner she was in severe pain, she said. She received a puzzling response.
Your Narx Score is so high, I cant give you any narcotics, she recalled the man saying, as she waited for an MRI before a hip replacement.
Tools like Narx Scores are used to help medical providers review controlled substance prescriptions. They influence, and can limit, the prescribing of painkillers, similar to a credit score influencing the terms of a loan. Narx Scores and an algorithm-generated overdose risk rating are produced by health care technology company Bamboo Health (formerly Appriss Health) in its NarxCare platform.
Such systems are designed to fight the nations opioid epidemic, which has led to an alarming number of overdose deaths. The platforms draw on data about prescriptions for controlled substances that states collect to identify patterns of potential problems involving patients and physicians. State and federal health agencies, law enforcement officials, and health care providers have enlisted these tools, but the mechanics behind the formulas used are generally not shared with the public.
Artificial intelligence is working its way into more parts of American life. As AI spreads within the health care landscape, it brings familiar concerns of bias and accuracy and whether government regulation can keep up with rapidly advancing technology.
The use of systems to analyze opioid-prescribing data has sparked questions over whether they have undergone enough independent testing outside of the companies that developed them, making it hard to know how they work.
Lacking the ability to see inside these systems leaves only clues to their potential impact. Some patients say they have been cut off from needed care. Some doctors say their ability to practice medicine has been unfairly threatened. Researchers warn that such technology despite its benefits can have unforeseen consequences if it improperly flags patients or doctors.
We need to see what’s going on to make sure we’re not doing more harm than good, said Jason Gibbons, a health economist at the Colorado School of Public Health at the University of Colorados Anschutz Medical Campus. We’re concerned that it’s not working as intended, and it’s harming patients.
Amirault, 34, said she has dealt for years with chronic pain from health conditions such as sciatica, degenerative disc disease, and avascular necrosis, which results from restricted blood supply to the bones. Email Sign-Up
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The opioid Percocet offers her some relief. Shed been denied the medication before, but never had been told anything about a Narx Score, she said.
In a chronic pain support group on Facebook, she found others posting about NarxCare, which scores patients based on their supposed risk of prescription drug misuse. Shes convinced her ratings negatively influenced her care.
Apparently being sick and having a bunch of surgeries and different doctors, all of that goes against me, Amirault said.
Database-driven tracking has been linked to a decline in opioid prescriptions, but evidence is mixed on its impact on curbing the epidemic. Overdose deaths continue to plague the country, and patients like Amirault have said the monitoring systems leave them feeling stigmatized as well as cut off from pain relief.
The Centers for Disease Control and Prevention estimated that in 2021 about 52 million American adults suffered from chronic pain, and about 17 million people lived with pain so severe it limited their daily activities. To manage the pain, many use prescription opioids, which are tracked in nearly every state through electronic databases known as prescription drug monitoring programs (PDMPs).
The last state to adopt a program, Missouri, is still getting it up and running.
More than 40 states and territories use the technology from Bamboo Health to run PDMPs. That data can be fed into NarxCare, a separate suite of tools to help medical professionals make decisions. Hundreds of health care facilities and five of the top six major pharmacy retailers also use NarxCare, the company said.
The platform generates three Narx Scores based on a patients prescription activity involving narcotics, sedatives, and stimulants. A peer-reviewed study showed the Narx Score metric could serve as a useful initial universal prescription opioid-risk screener.
NarxCares algorithm-generated Overdose Risk Score draws on a patients medication information from PDMPs such as the number of doctors writing prescriptions, the number of pharmacies used, and drug dosage to help medical providers assess a patients risk of opioid overdose.
Bamboo Health did not share the specific formula behind the algorithm or address questions about the accuracy of its Overdose Risk Score but said it continues to review and validate the algorithm behind it, based on current overdose trends.
Guidance from the CDC advised clinicians to consult PDMP data before prescribing pain medications. But the agency warned that special attention should be paid to ensure that PDMP information is not used in a way that is harmful to patients.
This prescription-drug data has led patients to be dismissed from clinician practices, the CDC said, which could leave patients at risk of being untreated or undertreated for pain. The agency further warned that risk scores may be generated by proprietary algorithms that are not publicly available and could lead to biased results.
Bamboo Health said that NarxCare can show providers all of a patients scores on one screen, but that these tools should never replace decisions made by physicians.
Some patients say the tools have had an outsize impact on their treatment.
Bev Schechtman, 47, who lives in North Carolina, said she has occasionally used opioids to manage pain flare-ups from Crohns disease. As vice president of the Doctor Patient Forum, a chronic pain patient advocacy group, she said she has heard from others reporting medication access problems, many of which she worries are caused by red flags from databases.
Theres a lot of patients cut off without medication, according to Schechtman, who said some have turned to illicit sources when they cant get their prescriptions. Some patients say to us, Its either suicide or the streets. Elizabeth Amirault of Indiana has dealt with chronic pain for years. She believes a tool that tracks her prescription drug use negatively influenced her ability to get the medication she needs. (Nicholas Amirault)
The stakes are high for pain patients. Research shows rapid dose changes can increase the risk of withdrawal, depression, anxiety, and even suicide.
Some doctors who treat chronic pain patients say they, too, have been flagged by data systems and then lost their license to practice and were prosecuted.
Lesly Pompy, a pain medicine and addiction specialist in Monroe, Michigan, believes such systems were involved in a legal case against him.
His medical office was raided by a mix of local and federal law enforcement agencies in 2016 because of his patterns in prescribing pain medicine. A year after the raid, Pompys medical license was suspended. In 2018, he was indicted on charges of illegally distributing opioid pain medication and health care fraud.
I knew I was taking care of patients in good faith, he said. A federal jury in January acquitted him of all charges. He said hes working to have his license restored.
One firm, Qlarant, a Maryland-based technology company, said it has developed algorithms to identify questionable behavior patterns and interactions for controlled substances, and for opioids in particular, involving medical providers.
Thecompany, in an online brochure, said its extensive government work includes partnerships with state and federal enforcement entities such as the Department of Health and Human Services Office of Inspector General, the FBI, and the Drug Enforcement Administration.
In a promotional video, the company said its algorithms can analyze a wide variety of data sources, including court records, insurance claims, drug monitoring data, property records, and incarceration data to flag providers.
William Mapp, the companys chief technology officer, stressed the final decision about what to do with that information is left up to people not the algorithms.
Mapp said that Qlarants algorithms are considered proprietary and our intellectual property and that they have not been independently peer-reviewed.
We do know that there’s going to be some percentage of error, and we try to let our customers know, Mapp said. It sucks when we get it wrong. But we’re constantly trying to get to that point where there are fewer things that are wrong.
Prosecutions against doctors through the use of prescribing data have attracted the attention of the American Medical Association.
These unknown and unreviewed algorithms have resulted in physicians having their prescribing privileges immediately suspended without due process or review by a state licensing board often harming patients in pain because of delays and denials of care, said Bobby Mukkamala, chair of the AMAs Substance Use and Pain Care Task Force.
Even critics of drug-tracking systems and algorithms say there is a place for data and artificial intelligence systems in reducing the harms of the opioid crisis.
It’s just a matter of making sure that the technology is working as intended, said health economist Gibbons. Andy Miller: amiller@kff.org, @gahealthnews
Sam Whitehead: swhitehead@kff.org, @sclaudwhitehead Related Topics Pharmaceuticals Health IT Indiana Michigan North Carolina Opioids Contact Us Submit a Story Tip

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Entertainment
Oasis reunion: A high-five and a hug – the gestures were there, but ultimately it was all about the music
Published
3 hours agoon
July 5, 2025By
admin
Oasis have reunited on stage for the first time in almost 16 years – with brothers Liam and Noel Gallagher sharing a high five and the briefest of hugs as they closed a performance that for fans was more than worth the wait.
After the split in 2009, for many years Noel said he would never go back – and for a long time, as the brothers exchanged insults through separate interviews (and on social media, for Liam), it seemed pretty unlikely to ever happen.
But now, here they are. As they walked out on stage at Cardiff’s Principality Stadium, all eyes were on the Gallaghers for a sense of their relationship – dare we say it, friendship? – now after all these years.
As it happened: How Oasis’s first gig together in 16 years unfolded
There was no reference to their fall-out or making up, but the gestures were there – lifting hands together as they walked out for the first time.

The headline “OASIS REUNITED” was shown on stage at the gig. Pic: PA

Fans at the Oasis gig. Pic: PA
Headlines and tweets of speculation and then confirmation of the reunion filled the screens as the show started. “This is happening,” said one, repeatedly.
In the end, it was all about the music.
More on Oasis
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Liam has received criticism in the past for his voice not being what it once was, but back on stage with his brother tonight he delivered exactly what fans would have hoped for – a raw, steely-eyed performance, snarling vocals, and the swagger that makes him arguably the greatest frontman of his day.
This was Oasis sounding almost as good as they ever have.

Fans sang along and held up their phones to film as Oasis performed. Pic: PA
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2:56
Oasis: ‘It’s good to be back’
They opened with Hello, because of course, “it’s good to be back”. And then Acquiesce, and those lyrics: “Because we need each other/ We believe in one another.”
The song is said to be about friendship in the wider sense, rather than their brotherly bond and sibling rivalry, but you can’t help but feel like it means something here.
Over two hours, they played favourite after favourite – including Morning Glory, Some Might Say, Cigarettes & Alcohol, Supersonic and Roll With It.

Liam Gallagher as Oasis takes to the stage in Cardiff. Pic: PA
In the mid-section, Liam takes his break for Noel to sing Talk Tonight, Half The World Away and Little By Little; the tempo slows but there is by no means a lull, with the fans singing all his words back to him.
Liam returns for hits including Stand By Me, Slide Away, Whatever and Live Forever, before sending the crowd wild (or even wilder) with Rock And Roll Star.

Noel Gallagher performing on stage. Pic: PA

An Oasis fan is pointing at the stage during the gig. Pic: PA
When the reunion announcement was made last summer, it quickly became overshadowed by the controversy of dynamic pricing causing prices to rocket. As he has done on X before, Liam addressed the issue on stage with a joke.
“Was it worth the £4,000 you paid for the ticket?” he shouted at one point. “Yeah,” the crowd shouts back; seemingly all is forgiven.
After Rock And Roll Star, the dream that very quickly became a reality for this band, Noel introduced the rest of the group, calling Bonehead a “legend”.

Paul ‘Bonehead’ Arthurs of Oasis. Pic: PA

Liam Gallagher carried a tambourine in his mouth during the concert. Pic: PA
Then he acknowledges all their young fans, some who maybe weren’t even born when they split. “This one is for all the people in their 20s who’ve never seen us before, who’ve kept this shit going,” he says before the encore starts with The Masterplan.
Noel follows with Don’t Look Back In Anger, and the screens fill with Manchester bees in reference to the arena bombing and how the song became the sound of hope and defiance for the city afterwards.
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1:31
‘I’d have paid £10,000 to see them’

Two fans sat on their friends’ shoulders as Oasis performed. Pic: PA
During Wonderwall, there’s a nice touch as Liam sings to the crowd: “There are many things I would like to say to you, but I don’t speak Welsh.”
It is at the end of Champagne Supernova, which closes the set, that it happens; Noel puts down his guitar, and they come together for a high-five and a back-slap, a blink-and-you’d miss it hug.
Please use Chrome browser for a more accessible video player
0:26
What fans thought of band’s comeback
Read more:
What you need to know about the Oasis tour
Liam Gallagher hits out at council after fans branded ‘rowdy’
“Right then, beautiful people, this is it,” Liam had told the crowd as he introduced the song just a few minutes earlier. “Nice one for putting up with us over the years.”
From the roar of the audience, it’s safe to say most people here would agree it’s been worth it.
Politics
One year of Starmer: Nine charts that tell us whether Labour’s first year has been a success or failure
Published
3 hours agoon
July 5, 2025By
admin
It might feel like it’s been even longer for the prime minister at the moment, but it’s been a whole year since Sir Keir Starmer’s Labour Party won a historic landslide, emphatically defeating Rishi Sunak’s Conservatives and securing a 174-seat majority.
Over that time, Sir Keir and his party have regularly reset or restated their list of milestones, missions, targets and pledges – things they say they will achieve while in power (so long as they can get all their policies past their own MPs).
We’ve had a look at the ones they have repeated most consistently, and how they are going so far.
Overall, it amounts to what appears to be some success on economic metrics, but limited progress at best towards many of their key policy objectives.
From healthcare to housebuilding, from crime to clean power, and from small boats to squeezed budgets, here are nine charts that show the country’s performance before and after Labour came to power, and how close the government are to achieving their goals.

Sir Keir Starmer has been in office for a year. Pic Reuters
Cost of living
On paper, the target that Labour have set themselves on improving living standards is by quite a distance the easiest to achieve of anything they have spoken about.
They have not set a specific number to aim for, and every previous parliament on record has overseen an increase in real terms disposable income.
The closest it got to not happening was the last parliament, though. From December 2019 to June 2024, disposable income per quarter rose by just £24, thanks in part to the energy crisis that followed Russia’s invasion of Ukraine.
By way of comparison, there was a rise of almost £600 per quarter during the five years following Thatcher’s final election victory in 1987, and over £500 between Blair’s 1997 victory and his 2001 re-election.
After the first six months of the latest government, it had risen by £144, the fastest start of any government going back to at least 1954. As of March, it had fallen to £81, but that still leaves them second at this stage, behind only Thatcher’s third term.
VERDICT: Going well, but should have been more ambitious with their target
Get inflation back to 2%
So, we have got more money to play with. But it might not always feel like that, as average prices are still rising at a historically high rate.
Inflation fell consistently during the last year and a half of Rishi Sunak’s premiership, dropping from a peak of 11.1% in October 2022 to exactly 2% – the Bank of England target – in June 2024.
It continued to fall in Labour’s first couple of months, but has steadily climbed back up since then and reached 3.4% in May.
When we include housing costs as well, prices are up by 4% in the last year. Average wages are currently rising by just over 5%, so that explains the overall improvement in living standards that we mentioned earlier.
But there are signs that the labour market is beginning to slow following the introduction of higher national insurance rates for employers in April.
If inflation remains high and wages begin to stagnate, we will see a quick reversal to the good start the government have made on disposable income.
VERDICT: Something to keep an eye on – there could be a bigger price to pay in years to come
‘Smash the gangs’
One of Starmer’s most memorable promises during the election campaign was that he would “smash the gangs”, and drastically reduce the number of people crossing the Channel to illegally enter the country.
More than 40,000 people have arrived in the UK in small boats in the 12 months since Labour came to power, a rise of over 12,000 (40%) compared with the previous year.
Labour have said that better weather in the first half of this year has contributed to more favourable conditions for smugglers, but our research shows crossings have also risen on days when the weather is not so good.
VERDICT: As it stands, it looks like “the gangs” are smashing the government
Reduce NHS waits
One of Labour’s more ambitious targets, and one in which they will be relying on big improvements in years to come to achieve.
Starmer says that no more than 8% of people will wait longer than 18 weeks for NHS treatment by the time of the next election.
When they took over, it was more than five times higher than that. And it still is now, falling very slightly from 41.1% to 40.3% over the 10 months that we have data for.
So not much movement yet. Independent modelling by the Health Foundation suggests that reaching the target is “still feasible”, though they say it will demand “focus, resource, productivity improvements and a bit of luck”.
VERDICT: Early days, but current treatment isn’t curing the ailment fast enough
Halve violent crime
It’s a similar story with policing. Labour aim to achieve their goal of halving serious violent crime within 10 years by recruiting an extra 13,000 officers, PCSOs and special constables.
Recruitment is still very much ongoing, but workforce numbers have only been published up until the end of September, so we can’t tell what progress has been made on that as yet.
We do have numbers, however, on the number of violent crimes recorded by the police in the first six months of Labour’s premiership. There were a total of 1.1m, down by 14,665 on the same period last year, a decrease of just over 1%.
That’s not nearly enough to reach a halving within the decade, but Labour will hope that the reduction will accelerate once their new officers are in place.
VERDICT: Not time for flashing lights just yet, but progress is more “foot patrol” than “high-speed chase” so far
Build 1.5m new homes
One of Labour’s most ambitious policies was the pledge that they would build a total of 1.5m new homes in England during this parliament.
There has not yet been any new official data published on new houses since Labour came to power, but we can use alternative figures to give us a sense of how it’s going so far.
A new Energy Performance Certificate is granted each time a new home is built – so tends to closely match the official house-building figures – and we have data up to March for those.
Those numbers suggest that there have actually been fewer new properties added recently than in any year since 2015-16.
Labour still have four years to deliver on this pledge, but each year they are behind means they need to up the rate more in future years.
If the 200,000 new EPCs in the year to March 2025 matches the number of new homes they have delivered in their first year, Labour will need to add an average of 325,000 per year for the rest of their time in power to achieve their goal.
VERDICT: Struggling to lay solid foundations
Clean power by 2030
Another of the more ambitious pledges, Labour’s aim is for the UK to produce 95% of its energy from renewable sources by 2030.
They started strong. The ban on new onshore wind turbines was lifted within their first few days of government, and they delivered support for 131 new renewable energy projects in the most recent funding round in September.
But – understandably – it takes time for those new wind farms, solar farms and tidal plants to be built and start contributing to the grid.
In the year leading up to Starmer’s election as leader, 54% of the energy on the UK grid had been produced by renewable sources in the UK.
That has risen very slightly in the year since then, to 55%, with a rise in solar and biomass offsetting a slight fall in wind generation.
The start of this year has been unusually lacking in wind, and this analysis does not take variations in weather into account. The government target will adjust for that, but they are yet to define exactly how.
VERDICT: Not all up in smoke, but consistent effort is required before it’s all sunshine and windmills
Fastest economic growth in the G7
Labour’s plan to pay for the improvements they want to make in all the public services we have talked about above can be summarised in one word: “growth”.
The aim is for the UK’s GDP – the financial value of all the goods and services produced in the country – to grow faster than any other in the G7 group of advanced economies.
Since Labour have been in power, the economy has grown faster than European rivals Italy, France and Germany, as well as Japan, but has lagged behind the US and Canada.
The UK did grow fastest in the most recent quarter we have data for, however, from the start of the year to the end of March.
VERDICT: Good to be ahead of other similar European economies, but still a way to go to overtake the North Americans
No tax rises
Without economic growth, it will be difficult to keep to one of Chancellor Rachel Reeves’ biggest promises – that there will be no more tax rises or borrowing for the duration of her government’s term.
Paul Johnson, director of the Institute for Fiscal Studies, said last month that she is a “gnat’s whisker” away from being forced to do that at the autumn budget, looking at the state of the economy at the moment.
That whisker will have been shaved even closer by the cost implications of the government’s failure to get its full welfare reform bill through parliament earlier this week.
And income tax thresholds are currently frozen until April 2028, meaning there is already a “stealth” hike scheduled for all of us every year.
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5:03
One year of Keir: A review of Starmer’s first 12 months in office
But the news from the last financial year was slightly better than expected. Total tax receipts for the year ending March 2025 were 35% of GDP.
That’s lower than the previous four years, and what was projected after Jeremy Hunt’s final Conservative budget, but higher than any of the 50 years before that.
The Office for Budget Responsibility (OBR) still projects it to rise in future years though, to a higher level than the post-WWII peak of 37.2%.
The OBR – a non-departmental public body that provides independent analysis of the public finances – has also said in the past few days that it is re-examining its methodology, because it has been too optimistic with its forecasts in the past.
If the OBR’s review leads to a more negative view of where the economy is going, Rachel Reeves could be forced to break her promise to keep the budget deficit from spiralling out of control.
VERDICT: It’s going to be difficult for the Chancellor to keep to her promise
OVERALL VERDICT: Investment and attention towards things like violent crime, the NHS and clean energy are yet to start bearing fruit, with only minuscule shifts in the right direction for each, but the government is confident that what’s happened so far is part of its plans.
Labour always said that the house-building target would be achieved with a big surge towards the back end of their term, but they won’t be encouraged by the numbers actually dropping in their first few months.
Where they are failing most dramatically, however, appears to be in reducing the number of migrants making the dangerous Channel crossing on small boats.
The economic news, particularly that rise in disposable income, looks more healthy at the moment. But with inflation still high and growth lagging behind some of our G7 rivals, that could soon start to turn.
The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.
UK
Gallagher brothers share a high-five and hug as Oasis reunite on stage after 16 years
Published
7 hours agoon
July 4, 2025By
admin
Oasis have reunited on stage for the first time in almost 16 years – with brothers Liam and Noel Gallagher sharing a high five and the briefest of hugs as they closed a performance that for fans was more than worth the wait.
After the split in 2009, for many years Noel said he would never go back – and for a long time, as the brothers exchanged insults through separate interviews (and on social media, for Liam), it seemed pretty unlikely to ever happen.
But now, here they are. As they walked out on stage at Cardiff’s Principality Stadium, all eyes were on the Gallaghers for a sense of their relationship – dare we say it, friendship? – now after all these years.
There was no reference to their fall-out or making up, but the gestures were there – lifting hands together as they walked out for the first time.

The headline “OASIS REUNITED” was shown on stage at the gig. Pic: PA

Fans at the Oasis gig. Pic: PA
Headlines and tweets of speculation and then confirmation of the reunion filled the screens as the show started. “This is happening,” said one, repeatedly.
In the end, it was all about the music.
Liam has received criticism in the past for his voice not being what it once was during his solo or Beady Eye performances, but back on stage with his brother tonight he delivered exactly what fans would have hoped for – a raw, steely-eyed performance, snarling vocals, and the swagger that makes him arguably the greatest frontman of his day.
More on Oasis
Related Topics:
This was Oasis sounding almost as good as they ever have.

Fans sang along and held up their phones to film as Oasis performed. Pic: PA
Please use Chrome browser for a more accessible video player
2:56
Oasis: ‘It’s good to be back’
They opened with Hello, because of course, “it’s good to be back”. And then Acquiesce, and those lyrics: “Because we need each other/ We believe in one another.”
The song is said to be about friendship in the wider sense, rather than their brotherly bond and sibling rivalry, but you can’t help but feel like it means something here.
Over two hours, they played favourite after favourite – including Morning Glory, Some Might Say, Cigarettes & Alcohol, Supersonic and Roll With It.

Liam Gallagher as Oasis takes to the stage in Cardiff. Pic: PA
In the mid-section, Liam takes his break for Noel to sing Talk Tonight, Half The World Away and Little By Little; the tempo slows but there is by no means a lull, with the fans singing all his words back to him.
Liam returns for hits including Stand By Me, Slide Away, Whatever and Live Forever, before sending the crowd wild (or even wilder) with Rock And Roll Star.

Noel Gallagher performing on stage. Pic: PA

An Oasis fan is pointing at the stage during the gig. Pic: PA
When the reunion announcement was made last summer, it quickly became overshadowed by the controversy of dynamic pricing causing prices to rocket. As he has done on X before, Liam addressed the issue on stage with a joke.
“Was it worth the £4,000 you paid for the ticket?” he shouted at one point. “Yeah,” the crowd shouts back; seemingly all is forgiven.
After Rock And Roll Star, the dream that very quickly became a reality for this band, Noel introduced the rest of the group, calling Bonehead a “legend”.

Paul ‘Bonehead’ Arthurs of Oasis. Pic: PA

Liam Gallagher carried a tambourine in his mouth during the concert. Pic: PA
Then he acknowledges all their young fans, some who maybe weren’t even born when they split. “This one is for all the people in their 20s who’ve never seen us before, who’ve kept this shit going,” he says before the encore starts with The Masterplan.
Noel follows with Don’t Look Back In Anger, and the screens fill with Manchester bees in reference to the arena bombing and how the song became the sound of hope and defiance for the city afterwards.
Please use Chrome browser for a more accessible video player
1:31
‘I’d have paid £10,000 to see them’

Two fans sat on their friends’ shoulders as Oasis performed. Pic: PA
During Wonderwall, there’s a nice touch as Liam sings to the crowd: “There are many things I would like to say to you, but I don’t speak Welsh.”
It is at the end of Champagne Supernova, which closes the set, that it happens; Noel puts down his guitar, and they come together for a high-five and a back-slap, a blink-and-you’d miss it hug.
Read more:
What you need to know about the Oasis tour
Liam Gallagher hits out at council after fans branded ‘rowdy’
“Right then, beautiful people, this is it,” Liam had told the crowd as he introduced the song just a few minutes earlier. “Nice one for putting up with us over the years.”
From the roar of the audience, it’s safe to say most people here would agree it’s been worth it.
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