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A coroner is to write to the health secretary over concerns people are unaware of the risks of having cosmetic surgery overseas, after a British woman died following a ‘Brazilian butt lift’ procedure in Turkey.

Melissa Kerr travelled to the private Medicana Kadikoy hospital in Istanbul for the operation, during which fat is harvested from other parts of the body and injected into the buttocks.

The 31-year-old died on the day she had the procedure – 19 November last year.

Ms Kerr, who was “conscious about her appearance”, had breast enlargement surgery a decade earlier without complications.

But she was only given “limited information regarding the risks and mortality rate” associated with the Brazilian butt lift, an inquest heard.

Ms Kerr, from Denton, Norfolk, died after injected fat entered a vein before moving and blocking her pulmonary artery.

Her cause of death has been recorded as a pulmonary thromboembolism, Norfolk’s senior coroner, Jacqueline Lake, said.

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Ms Lake now intends to write a report to Health Secretary Steve Barclay to outline concerns after telling the inquest there have been a “high number of patient deaths in similar circumstances”.

‘Future deaths can be prevented by better information’

“I am concerned patients are not being made aware of the risks or the mortality rate associated with such surgery,” she said.

“I do have concerns there will be future deaths and I’m of the view future deaths can be prevented by way of better information.”

Ms Kerr’s death happened four years after mother-of-three Leah Cambridge died due to a fat clot caused by a Brazilian butt lift in Turkey in 2018.

The 29-year-old from Leeds travelled to a private clinic in the coastal city of Izmir for the operation after becoming paranoid about excess stomach weight gain, an inquest heard – despite being told by her partner she did not need surgery.

Leah Cambridge and partner Scott Franks. Pic: Facebook
Image:
Leah Cambridge and her partner Scott Franks. Pic: Facebook

Patient underwent ‘limited assessment’ and did not see surgeon in advance

Ms Kerr arranged to pay £3,200 in cash for the procedure in a conversation with a hospital worker via WhatsApp.

She said she was “a bit nervous” before the operation and asked to see photographs of previous patients four times – but there is no evidence she was given them, the inquest heard.

Ms Kerr, a psychological wellbeing practitioner for the charity Mind, did not see a surgeon or clinician in advance and underwent a “limited assessment” prior to the procedure, Ms Lake said.

Consultant plastic surgeon, Simon Withey, who was asked to view evidence in the case and prepare a report as an expert witness during the inquest, said the death rate associated with Brazilian butt lifts is “likely to be in excess of one in 4,000”.

He said it is “quite possible” that, if the risks had been explained “before she was financially committed to proceed, she would not have done”.

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Recording a narrative conclusion, Ms Lake said Ms Kerr died after cosmetic surgery.

“There has been the release of an international alert to surgeons regarding the high mortality rate associated with this procedure,” the coroner added.

“There has also been the introduction of a voluntary moratorium (suspension of activity) on this type of procedure in the UK.

“These are clearly not being followed in Turkey.

“I don’t have any authority over hospitals in Turkey and I also appreciate the UK government has no control (over) what happens in other countries.

“However the danger our citizens will continue to travel abroad for such procedures continues, though citizens are unaware of the risks involved.”

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Ms Lake offered her sympathies to Ms Kerr’s family, who listened to the inquest via videolink.

On a JustGiving fundraising page set up after the tragedy, Ms Kerr was described as a “pure and beautiful soul” who was “passionate about helping others”.

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UK to push peace plan at UN summit after recognising Palestinian state – but Netanyahu says Palestine ‘will not happen’

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UK to push peace plan at UN summit after recognising Palestinian state - but Netanyahu says Palestine 'will not happen'

The UK is set to push for a peace plan for the Middle East at the UN General Assembly after recognising the state of Palestine.

Foreign Secretary Yvette Cooper is expected to use the summit to address civilian suffering in war-torn Gaza and aim to strengthen “the international consensus on our pathway for peace in the Middle East”.

She will hold bilateral meetings to advance elements of the peace plan, including security measures to ensure Hamas has no role in the future governance of Gaza, according to the Foreign Office.

Prime Minister Sir Keir Starmer, who won’t attend the summit, announced on Sunday that the UK recognises Palestine as an independent state, to “revive the hope of peace for the Palestinians and Israelis, and a two-state solution”.

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‘Ordinary people deserve to live in peace’

It is a significant moment in the history of Britain’s involvement in the region, and comes as the number of people killed during the Gaza conflict continues to rise and conditions for the people trapped become even more desperate.

Australia, Canada and Portugal made similar announcements, with France expected to follow suit at the UN on Monday.

The move was met with fierce backlash by Israel, with Prime Minister Benjamin Netanyahu saying it was “absurd” and a “huge reward to terrorism”. He also vowed that a Palestinian state “will not happen”.

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Read more: What recognising a Palestinian state actually means

Flags of Palestine and Israel are projected onto the Eiffel Tower. Pic: AP/Christophe Ena
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Flags of Palestine and Israel are projected onto the Eiffel Tower. Pic: AP/Christophe Ena

Separately, an Israeli official said the “full or partial annexation of the West Bank” is now “an option under consideration in response” to the move.

US President Donald Trump also addressed the coordinated recognition of the state of Palestine by the UK, Australia, Canada and Portugal, saying “I’m not in that camp” because recognising a Palestinian state was “rewarding Hamas”.

The families of hostages held in Gaza called it a “betrayal of humanity and a move that rewards Hamas while 48 hostages remain in captivity”.

A tent camp for displaced Palestinians stretches along the Muwasi, in southern Gaza. Pic: AP/Jehad Alshrafi
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A tent camp for displaced Palestinians stretches along the Muwasi, in southern Gaza. Pic: AP/Jehad Alshrafi

Palestinian President Mahmoud Abbas said the recognition of the state of Palestine would allow it to “live side by side with the State of Israel in security, peace, and good neighbourliness”.

Senior Hamas official Mahmoud Mardawi reportedly celebrated the move as a victory for “the justice of our cause”.

But Sir Keir was clear to emphasise that recognition of Palestine was “not a reward for Hamas”, saying the terror group “can have no future, no role in government, no role in security” in a future state and confirming plans to ratchet up sanctions on Hamas “in the coming weeks”.

“Our call for a genuine two-state solution is the exact opposite of their hateful vision,” he added.

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Gazans react after Starmer recognises Palestinian statehood

The prime minister also repeated his criticism of Israel, which for nearly two years has waged war on the densely populated Gaza Strip.

“The Israeli government’s relentless and increasing bombardment of Gaza, the offensive of recent weeks, the starvation and devastation are utterly intolerable,” he said.

Read more from Sky News:
Why Palestine move matters in the Middle East
Palestinian minister hails ‘courageous step’
Gaza City doctors say hospital at breaking point

Destroyed buildings in Gaza, as seen from Israeli side of the border. Pic: Reuters
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Destroyed buildings in Gaza, as seen from Israeli side of the border. Pic: Reuters

The number of people killed in Gaza since the IDF launched its offensive following the 7 October attacks has now risen above 65,000, according to Hamas-run health authorities.

“This death and destruction horrifies all of us. It must end,” Sir Keir said.

An updated map of Israel and Palestine on the Foreign, Commonwealth & Development Office website
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An updated map of Israel and Palestine on the Foreign, Commonwealth & Development Office website

In recognising Palestine as a state, the UK does so based on 1967 borders to be finalised as part of future negotiations. It would be led by a “reformed Palestinian Authority”.

The UK also acknowledges “all legal rights and obligations of statehood” for Palestine.

An updated map on the UK’s Foreign, Commonwealth & Development Office website now has the West Bank and Gaza labelled as ‘Palestine’ rather than the ‘Occupied Palestinian Territories’. This change has been rolled out across the website.

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UK officially recognises Palestine as a state

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UK officially recognises Palestine as a state

Sir Keir Starmer has announced the UK has officially recognised Palestine as a state.

“Today, to revive the hope of peace for the Palestinians and Israelis, and a two state solution, the United Kingdom formally recognises the State of Palestine,” the prime minister said on X, alongside a longer video statement.

“In the face of the growing horror in the Middle East, we are acting to keep alive the possibility of peace and a two-state solution.

“That means a safe and secure Israel alongside a viable Palestinian state. At the moment, we have neither.”

Follow latest: Palestine recognised as a state by three countries

Canada and Australia also officially recognised Palestinian statehood on Sunday, ahead of a conference of the UN General Assembly in New York this week.

It is a significant moment in the history of Britain’s involvement in the region, and comes as the death toll from the Israeli war on Gaza continues to rise and conditions for the people trapped become even more desperate.

An updated map of the region the Foreign, Commonwealth & Development Office website
Image:
An updated map of the region the Foreign, Commonwealth & Development Office website

Sir Keir said in July that the government would recognise Palestine unless Israel met certain conditions, including agreeing to a ceasefire and allowing the UN to restart the supply of aid.

In recognising Palestine as a state, the UK does so based on 1967 borders to be finalised as part of future negotiations. It would be led by a “reformed Palestinian Authority”.

The UK also acknowledges “all legal rights and obligations of statehood” for Palestine.

An updated map on the UK’s Foreign, Commonwealth & Development Office website now has the West Bank and Gaza labelled as ‘Palestine’ rather than the ‘Occupied Palestinian Territories’. This change has been rolled out across the website.

Protesters in Tel Aviv calling for the release of hostages. Pic: AP
Image:
Protesters in Tel Aviv calling for the release of hostages. Pic: AP

Sir Keir calls on Hamas to release the hostages

The prime minister repeated his calls for the the Israeli hostages – held in captivity since the brutal attacks on Israel on 7 October, 2023 – to be released by Hamas.

“I have met British families of the hostages. I see the torture that they endure each and every day. Pain that strikes deep in people’s hearts across Israel and here in the United Kingdom.

“The hostages must be released immediately and we will keep fighting to bring them home.”

Sir Keir was also clear to emphasise that recognition of Palestine was “not a reward for Hamas”, saying that the terror group “can have no future, no role in government, no role in security” in a future state.

“I have directed work to sanction other Hamas figures in the coming weeks,” he added.

Read more:
Gaza City doctors say hospital at breaking point
Why Starmer’s move to recognise Palestine is a major shift

Huge amounts of Gaza have been razed to the ground. Pic: Reuters
Image:
Huge amounts of Gaza have been razed to the ground. Pic: Reuters


Starmer calls on Israel to end Gaza offensives

Sir Keir also repeated his criticism of Israel, which for nearly two years has waged a brutal war on the densely-populated Gaza Strip.

“The Israeli government’s relentless and increasing bombardment of Gaza, the offensive of recent weeks, the starvation and devastation are utterly intolerable.”

The death toll in Gaza since the IDF launched its offensive following the 7 October attacks has now risen above 65,000 people, according to Hamas-run health authorities.

“This death and destruction horrifies all of us. It must end,” he said.

A pro-Palestinian march in London earlier this year. Pic: PA
Image:
A pro-Palestinian march in London earlier this year. Pic: PA

British people ‘desperately want to see’ peace

Sir Keir also said: “Ordinary people, Israeli and Palestinian, deserve to live in peace. To try to rebuild their lives free from violence and suffering.

“That’s what the British people desperately want to see.”

But he warned that the possibility of a Palestinian state was in danger of vanishing forever.

“With the actions of Hamas, the Israeli government escalating the conflict, and settlement building being accelerated in the West Bank, the hope of a two-state solution is fading, but we cannot let that light go out.

“That is why we are building consensus with leaders in the region and beyond, around our framework for peace.”

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What changed in UK’s Gaza policy?

Sir Keir said this is a “practical plan” to bring people together behind a “common vision” that moves from a ceasefire in Gaza to negotiations on a two-state solution.

“We will keep driving this forward,” he pledged.

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What will the UK’s recognition of Palestine achieve?

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What will the UK's recognition of Palestine achieve?

Today, Sir Keir Starmer will deliver on his pledge to recognise a Palestinian state – after setting out a series of conditions in July which there was little prospect Israel could meet, including agreeing a ceasefire with Hamas. 

The prime minister will say it recognises the “inalienable right” of the Palestinian people and what he feels is a moral responsibility to keep a two-state solution alive, amid the devastation of the war and concern about settlement expansion in the West Bank.

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This will be formally put forward by the British government at a conference of the UN General Assembly in New York this week, after a diplomatic push led by Emmanuel Macron. Canada and Australia are also expected to recognise it, although may call for Hamas to disarm.

But Labour has always said it’s a move they would make as part of a peace process, which looks further away than ever.

What does it mean?

The move has been heavily criticised and leaves a number of questions not only about what it will achieve – but about whether it will have the opposite effect on the conflict.

David Lammy as foreign secretary conceded when the pledge was announced that “it will not change the position on the ground” which can only come through negotiations.

After all, 147 of the 193 member states of the United Nations recognise it already. Palestine has permanent observer status at the UN – speaking rights, but not voting rights – where it’s represented by the Palestinian Authority. Any move to full status would have to be agreed by the Security Council where the US has a veto.

Sir Keir has made clear he doesn’t accept Hamas – which he calls a “brutal terrorist organisation” – as a government in Gaza. The borders of such a state, wrangled over for decades during multiple rounds of negotiations between Israel and the Palestinians, are also not agreed.

Read more about what the decision means

Criticism

Recognition is opposed by the Trump administration, as the US president made clear in London last week. US secretary of state Marco Rubio has said it would “embolden Hamas” and be symbolic only.

In Britain there is cynicism too. Kemi Badenoch, the Conservative leader, has accused the prime minister of a “desperate and insincere attempt to placate his backbenchers”. He heads to the party’s conference in Liverpool next week with a further slump in his approval ratings to -42%, around where Rishi Sunak’s was after his D-Day blunder.

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Could recognition of Palestine change the West Bank?

Over a third of Labour MPs wrote to Sir Keir before his pledge in July, calling for recognition of a Palestinian state. It is not clear this symbolic move will placate them, with some already calling for tougher measures including on arms sales to Israel – especially after a UN Commission of Inquiry claimed Israel had committed genocide.

Other Labour MPs oppose the recognition move. The Labour Friends of Israel group has said: “It is important to recognise that Israel is not the only party to this conflict… Hamas could end this conflict tomorrow by releasing the hostages and laying down its arms.”

The move is also opposed by the families of the hostages in Gaza, of which 20 are believed to be alive – for not imposing their release as a condition on Hamas.

Ilay David, the brother of Evyatar David, who recently appeared emaciated in a Hamas video, said: “We want to meet with Starmer but he refuses to meet with us… Giving this recognition is like saying to Hamas: ‘It is OK you can keep starving the hostages, you can keep using them as human shields’. This kind of recognition gives Hamas power to be stubborn in negotiations. That is the last thing we need right now.”

Sir Ephraim Mirvis, the UK’s Chief Rabbi has said the “unconditional” recognition of the state “is not contingent upon a functioning or democratic Palestinian government, nor even upon the most basic commitment to a peaceful future”.

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Sir Keir Starmer welcomed Mahmoud Abbas, president of the Palestinian Authority, to 10 Downing Street earlier this month
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Sir Keir Starmer welcomed Mahmoud Abbas, president of the Palestinian Authority, to 10 Downing Street earlier this month

What happens next?

Sir Keir met 89-year-old Mahmoud Abbas, the president of the Palestinian Authority, in London this month and they agreed Hamas should not be involved in the governance of Gaza.

Efforts to set up a transitional government have been discussed between the US and Gulf states. But Mike Huckabee, the US ambassador to Israel, said last week there was nothing “ready for signature”.

The UK government is expected to announce further sanctions on Hamas figures this week. But the Israeli government has already responded with fury to the prospect of recognition and it’s reported that retaliation could include further annexations in the West Bank.

The UK government sees this as an important diplomatic move with allies, when nothing else is moving the dial. But it can only be made once, and even supporters in government acknowledge that on the ground in Gaza it won’t immediately change very much.

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