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The health secretary has been unable to guarantee that there will be no further scandals in maternity care after admitting the NHS is in a “period of transition”.

Victoria Atkins was speaking following the publication of a report by MPs which there was “shockingly poor quality” in maternity services, resulting in care that lacked compassion and a system where “poor care is all too frequently tolerated as normal”.

Speaking to Sky News following the report’s publication, Ms Atkins thanked the women who had been involved in the inquiry and said their stories were “really important”.

“I say that not just as secretary of state for health, I say this as a mum.”

The health secretary, who was appointed to her role last November, said her own experience of having her baby on the NHS included “moments of joy” but also “some moments that are very dark and frightening”.

She said she completely understood why women and their families were “worried about the report and the findings in it”.

However, asked whether should could guarantee that there would be no further scandals in maternity care, Ms Atkins replied: “I’m being completely frank here, we are in a period of transition … we are already beginning to see changes but of course I accept there is much more work to do.”

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Analysis: Why weren’t alarm bells going off?

Victoria Atkins was not health secretary when Theo Clark MP first spoke of her birth trauma in parliament.

But she is keen to stress she is listening to the voices of women who have shared their stories with the national inquiry.

“I say that not just as Secretary of State for Health, I say this as a mum.”

In her own words, her childbirth experience included, “some moments that are very dark and frightening”.

She’s read the All-Party Parliamentary Inquiry into birth trauma, and insists things are changing.

“I don’t pretend we’re there yet, but we are genuinely turning a corner,” she told me.

Every year eye-watering sums are spent on maternity clinical negligence, including £1.1bn last year alone.

So why weren’t alarm bells going off? Victoria Atkins says they were, and points to recent reviews of maternity scandals which lead to the three-year plan for maternity.

But when I asked whether she can guarantee we won’t see another maternity scandal, the Health Secretary admitted, “I’m being completely frank here, we are in a period of transition … we are already beginning to see changes but of course I accept there is much more work to do.”

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This morning health minister Maria Caulfield apologised to mothers who had been affected, saying: “I recognise that maternity services have not been where we want them to be, but there is lots of work happening in this space.

“This has been a problem for a long time, and it is why maternity is a priority area in the women’s health strategy.”

But pressed on whether she would apologise to the women who have suffered, Ms Atkins said the problems highlighted in the report were “longstanding”.

“What I want to do is now focus on not just the longer term future, but today, because I want mums to be…I want them to have confidence that we are seeing improvement in these services,” she added.

“I don’t pretend we’re there yet, but we are genuinely turning a corner.”

Led by Conservative MP Theo Clarke and Labour MP Rosie Duffield, the Birth Trauma Inquiry considered evidence given by more than 1,300 women and has called for a national plan to improve maternity care.

It found that poor quality postnatal care was an “almost-universal theme”.

“Women shared stories of being left in blood-stained sheets or of ringing the bell for help but no one coming,” the report said.

The inquiry made 12 recommendations, including that the government implement a maternity commissioner who would report directly to the prime minister.

Some £1.1bn – more than a third of the NHS’ total maternity and neonatal budget – was spent on cash payments relating to clinical negligence in 2022/23, a Department of Health and Social Care report showed.

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Speaking to Sky News today, Ms Duffield, co-chair of the all-party parliamentary group on birth trauma, said the UK “absolutely” needed to overhaul maternity care following the inquiry.

“We really need somebody overseeing the fact that at the moment it is a postcode lottery,” she said.

“We need someone to make sure – almost like an Ofsted inspector but perhaps less scary – to just oversee the fact that we’re joined up in our approach to maternity services and care.

“There’s that, and then we absolutely have to end the problem of the maternal health of black women and south Asian women, who are five times more likely to die in childbirth.”

Ms Atkins said she was “determined to focus relentlessly on improving the care for women across England” and that she had “prioritised” women’s health, maternity services and birth trauma since taking up her Cabinet post.

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Asked why “alarm bells” had not been ringing during the Conservatives’ 14 years in power, Ms Atkins said there had been awareness of issues, citing reviews into maternity care at Nottingham University Hospitals NHS Trust and Morecambe Bay NHS Trust.

“We are in an interesting position because, for the first time in the NHS’s history, you have not just a secretary of state for health who is a mum, but also the chief executive of NHS England is a mum as well – Amanda Pritchard,” she said.

“We are working together to try to address some of these issues that we know have arisen in recent years.”

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US and UK agree zero tariffs on pharmaceuticals

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US and UK agree zero tariffs on pharmaceuticals

The US has agreed to spare the UK from threatened trade tariffs on pharmaceutical products.

The announcement was made following months of uncertainty over whether exports from the UK, and elsewhere across Europe, would be subject to steep charges.

Via the policy update, the UK has become the only country in the world to secure a zero per cent tariff on pharmaceuticals exported to the US. Tariffs are taxes imposed on imports into a country.

In return, the UK has agreed to increase the baseline threshold used to assess if medicines can be used by the NHS.

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The National Institute for Health and Care Excellence (NICE) will increase the base threshold by 25%: from £20,000-£30,000 to £25,000-£35,000.

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It means NICE will be able to approve medicines that deliver significant health improvements but might have been declined purely on cost-effectiveness grounds, the government said.

This ​​​​could include breakthrough cancer treatments, therapies for rare diseases, and innovative approaches to conditions that have long been difficult to treat, it added.

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Many items require rare earth materials for manufacture and China has an abundance.

This will give NICE the opportunity to approve more new medicines and allow a greater number of patients to benefit from them, the Association of the British Pharmaceutical Industry (ABPI) said.

It pointed out that NICE’s baseline cost-effectiveness threshold has not been increased for over 20 years.

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A US government statement said the UK will “reverse the decade-long trend of declining National Health Service (NHS) expenditures on innovative, life-saving medicines, and increase the net price it pays for new medicines by 25%”.

US trade representative Jamieson Greer said the US “will work to ensure that UK citizens have access to latest pharmaceutical breakthroughs”.

The background

US President Donald Trump has long complained that Europe does not pay enough for US drugs.

America and the UK agreed in May to seek a deal on the proviso that firms secured a better operating environment in Britain.

Criticism includes the concern that firms lose out on revenue due to a pricing regime which prioritises low costs for the NHS over incentives to invest.

In October, the science minister Patrick Vallance told MPs, as talks with the US continued, that many drugs available in the UK would see an “inevitable” price increase.

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Zipcar set to close UK operations – but Christmas bookings are safe

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Zipcar set to close UK operations - but Christmas bookings are safe

Zipcar has announced proposals to shut its UK operations by the end of the year.

The US-headquartered car-sharing group said it plans to “temporarily” suspend new bookings after 31 December after launching a formal consultation with employees over its closure.

The UK operation had 71 employees at the end of 2024, according to its most recently filed accounts.

The company said its customers would still be able to use Zipcars over Christmas and up to 31 December.

James Taylor, general manager of Zipcar UK, told customers: “I’m writing to let you know that we are proposing to cease the UK operations of Zipcar and have today started formal consultation with our UK employees.

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“We will temporarily suspend bookings, pending the outcome of this consultation. This means it will not be possible to make any new bookings beyond 31st December 2025, pending the outcome of the consultation.

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“This means it will not be possible to make any new bookings beyond December 31 2025, pending the outcome of the consultation.”

He said that customer accounts will remain until the company has confirmed its decision at the end of the consultation process.

Accounts showed that the van and car hire firm saw losses deepen to £5.7m in 2024 after a decrease in customer trips.

Sky News has contacted Zipcar for comment.

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Family of man who died on Benidorm holiday say they have new evidence of foul play

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Family of man who died on Benidorm holiday say they have new evidence of foul play

The family of a father-of-four who died on holiday in Benidorm say new evidence has further convinced them that foul play was involved in his death.

Nathan Osman, 30, from Pontypridd in South Wales, was on a long weekend break with friends in Benidorm in September 2024.

Less than 24 hours after he arrived, his body was found by an off-duty police officer at the bottom of a remote 650ft (200m) cliff on the outskirts of the resort.

He died from head and abdominal injuries after falling from height, a post-mortem found.

Local police said it was “a tragic accident” that occurred after Nathan left his friends in Benidorm to walk back to his hotel room alone.

But his family believe the investigation into his death has not been adequate, and that the local authorities have never considered the possibility of a homicide.

Their suspicions of foul play were first provoked by the fact that the remote location where Nathan was found was in the opposite direction to the hotel, and some distance away on foot.

They began doing their own investigating, building a timeline of events drawn from sources including CCTV, witness statements and Nathan’s bank records, which they say showed attempts were made to use his bank cards the day after he died.

After presenting their findings to Spanish prosecutors as evidence that others may have been involved, the case was reopened earlier this year.

Now, the family have told Sarah-Jane Mee on The UK Tonight that new phone data they have uncovered suggests he couldn’t have reached the spot he was found on foot.

Nathan's brother Lee, mother Elizabeth and father Jonathan speak to Sarah-Jane Mee
Image:
Nathan’s brother Lee, mother Elizabeth and father Jonathan speak to Sarah-Jane Mee

After getting the phone back a couple of months ago, they say they tracked Nathan’s last movements through a health app.

“There’s a breakdown inside the app of every 10 minutes – the distance, pace, measurement of pace… every detail you can think of,” Nathan’s brother, Lee Evans, tells Mee.

“His pace wasn’t consistent with a fast walk or even a sprint.”

He said it was a faster journey, despite being uphill for 40 minutes, which has convinced the family that he was in a vehicle.

Pic: Family handout
Image:
Pic: Family handout

The family also went to visit the area where Nathan was found.

“We were a bit upset, but we were very pleased we went up there”, his mother, Elizabeth, says. “We could see… there’s no way he would have looked at that area and thought, ‘I’m going up here.’

“You can see straight off, there’s no clubs, there’s no hotels up there, there’s just the odd house dotted around. It was just out in the wild, there was nothing up there.”

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The family says the phone data has helped them determine that he died around half an hour after he was seen on CCTV walking towards his hotel in the early hours of the morning.

“It was really ridiculous to think that my son would’ve walked up there [the remote location where he died] at 4am in the pitch dark.”

After the family were interviewed by Mee in May, South Wales Police opened its own investigation into Nathan’s death.

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Nathan’s family speaking to Mee in May

Lee says the Welsh force has been “appalled” by the lack of evidence turned over from the local police’s investigation.

His and Nathan’s father, Jonathan, says: “No procedures were followed. Nothing was cordoned off, it wasn’t a crime scene. There’s loads of things that could’ve been taken. Tyre tracks, foot tracks, nothing. No DNA taken.”

Lee says: “All that we’ve done over the last year, this could’ve been squashed within the first week, two weeks [by local investigators].

“We’ve had to find out and keep delving into every possible outcome and overturn every stone possible. We started off with… a needle in a haystack, we had no direction or any support on which way to go.”

Nathan Osman. Pic: Family handout
Image:
Nathan Osman. Pic: Family handout

What does Nathan’s family hope for now?

Nathan’s family say they have located 27 CCTV cameras which could have picked Nathan up in the area, after local investigators didn’t find any.

Elizabeth says that after alerting Spanish police to the locations, they were told that the CCTV “wouldn’t be working” or that footage would’ve already been erased.

“They just surmised everything,” she adds.

But the family, who found the last known CCTV footage of Nathan earlier this year, are convinced there is still hope.

Lee says: “There’s a number of CCTV footage in that area. We know there’s a way of finding a vehicle of some sort.”

But the family admit they may never find whoever could be responsible for Nathan’s death because so much time has been lost.

Elizabeth concludes: “Nathan walks with us every day. We all believe that,” adding that “all we want” is to find the ones responsible for his death and for him to “have the respect of a decent investigation”.

Sky News contacted Spanish police, which declined to comment, adding the case is under judicial review and it doesn’t want to hinder the course of the investigation.

South Wales Police told Sky News: “South Wales Police is carrying out enquiries on behalf of HM Coroner and a family liaison officer has been appointed to provide support.”

Watch the full interview with Sarah-Jane Mee on The UK Tonight from 8pm this evening on Sky News.

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