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A 91-year-old man has become the first person in England to be fitted with a ground-breaking artificial cornea.

Cecil ‘John’ Farley, 91, said his sight was now improving thanks to the procedure, which he underwent after 15 years of suffering from problems with his eyes.

The cornea is the clear outer layer at the front of the eyeball – and is described by the NHS as the “window to the eye”.

A person can suffer from vision problems and pain if the thin transparent covering is damaged by disease or injury – with those affected often left facing a long wait for a human transplant.

However, it is hoped that the artificial device, called EndoArt, will slash waiting times, ease pressure on the NHS and eliminate the risk of the human body rejecting corneas received from an organ donor.

Mr Farley, from Chobham in Surrey, said he was overjoyed by the transplant – in his right eye – because it meant he could continue to see his 83-year-old wife Elizabeth.

He said: “I can still see my wife after 63 years of marriage, we can just carry on as normal and live life as fully as we can.

“It makes your life fuller when your eyes work properly – you don’t realise how debilitating it is until it happens to you.”

EMBARGOED TO 0001 TUESDAY JUNE 4 Cecil Farley has his artificial cornea examined as Frimley Health performs the country's first commercial transplant using an artificial cornea at Frimley Park Hospital in Surrey. Picture date: Tuesday May 28, 2024.
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Cecil Farley has his new cornea examined. Pic: PA

Before the surgery, Mr Farley had no vision in his right eye – but his sight has slowly been improving ever since the procedure in February.

He said: “It has made a great difference to my sight. It was very blurred and I couldn’t distinguish a face.

“Now I can see better with it, the brighter the light the better. It’s coming along slowly – they said it could take up to a year.”

The artificial cornea has been compared to a contact lens. The device, which replaces the inner part of the cornea, is surgically attached to the eye by a single stitch and is put in place with a gas bubble.

Patients could see major impact

One of the biggest advantages of using artificial corneas is the huge reduction in waiting time for the procedure. It means patients on the elective backlog who risk further deterioration in their vision can be seen months earlier than they would waiting for a cornea transplant from an organ donor.

But at the moment the artificial cornea operation can only be carried out on patients who meet the “complex eye” criteria. These include patients whose previous human cornea transplant has failed.

Consultant ophthalmologist Tom Poole, who carried out the procedure, is confident the surgery can be rolled out to “virgin eye” patients in the future. These are patients with no previous history of eye surgery.

Mr Poole told me the international ophthalmology community was growing increasingly confident with artificial corneas which are relatively easy to make and their production could be scaled up quite easily.

He and his colleague Hanbin Lee at Frimley Health NHS Foundation Trust have already carried out three more operations since February.

The latest tests on Mr Farley suggest the procedure has been a success. Three more patients have been identified and are listed for surgery.

Only 200 people worldwide, including Mr Farley, have been fitted with an EndoArt so far, but there are hopes it can be more widely rolled out.

Organic cornea transplants usually come from deceased donors. A total of 4,719 were donated to the NHS in 2022/23, according to the latest available figures.

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Consultant ophthalmologist Thomas Poole, from Frimley Health NHS Foundation Trust in Surrey, which carried out the procedure, described the artificial cornea as a “great advancement”.

He said there had been fears that Mr Farley was “kind of getting to [his] last hope” after a previous human transplant failed.

EMBARGOED TO 0001 TUESDAY JUNE 4 Mr Thomas Poole, Consultant ophthalmologist at Frimley Health NHS Foundation Trust (left) with patient Cecil Farley (right) as Frimley Health performs the country's first commercial transplant using an artificial cornea at Frimley Park Hospital in Surrey. Picture date: Tuesday May 28, 2024.
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Thomas Poole with Mr Farley. Pic: PA

Mr Poole said: “I had a very frank discussion with him before and I said: ‘Look, your graft has failed, you’re back on the waiting list. Because your other eye sees quite well, you’re not a high priority on the waiting list and you could be waiting for another year’.

“He’s in his 90s now and said ‘I just can’t wait that long. Is there anything else?’ And so this sprung to mind.

“I had just read a publication on very good reports from this artificial graft and it was that that made me think actually, maybe we could use this for John.”

EMBARGOED TO 0001 TUESDAY JUNE 4 Cecil Farley, who has an artificial cornea in his right eye, during an eye test as Frimley Health performs the country's first commercial transplant using an artificial cornea at Frimley Park Hospital in Surrey. Picture date: Tuesday May 28, 2024.
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Cecil Farley said he was overjoyed he would be able to continue seeing his wife. Pic: PA

Mr Poole and his colleague Hanbin Lee have now successfully given four patients artificial corneas in the last two months and the initial results have shown an improvement in vision.

He added: “Looking forward to the future, I think this may end up replacing human corneas for certain types of corneal graft patients.

“In maybe 10 or 20 years’ time – this may become the norm where we don’t need a human cornea, and we can just take one out of the box.”

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Deaf girl reacts to mother’s voice after hearing restored

Mr Farley, a former flooring company owner, said that once his sight is restored he hopes to do practical tasks like repairing a watch.

However, for now, he is content “pottering about”.

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Jay Slater: Search for missing British teenager in area of Tenerife called off by police

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Jay Slater: Search for missing British teenager in area of Tenerife called off by police

The search for Jay Slater in an area of Tenerife has been called off, police have said, nearly two weeks after his disappearance.

The British teenager, from Oswaldtwistle, near Blackburn in Lancashire, has been missing in Tenerife since 17 June, when he vanished the morning after a rave.

The Civil Guard called for volunteers to join a new search in the Masca area – near his last-known location – on Saturday.

It has now confirmed to Sky News that the search has ended. Police are keeping the investigation open and could yet open up searches in the south of the island, but have not provided an update.

A handful of volunteers turned up to help rescue teams on Saturday, forming a total group of 30 to 40 people scouring a huge area of rugged and hilly terrain.

view of the Los Carrizales ravine where British teenager Jay Slater is being searched for, with the island of La Gomera in the distance, on the island of Tenerife, Spain, June 27, 2024. REUTERS/Borja Suarez
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The Los Carrizales ravine where Jay Slater was being searched for. Pic: Reuters

Mr Slater, 19, had been on holiday with friends on the Spanish island and was last pictured at Papayago, a nightclub hosting the end of the NRG festival, late on 16 June.

After the event ended, he got in a car travelling to a small Airbnb in Masca with two men, who police said on Saturday are “not relevant” to the case.

His last known location was the Rural de Teno Park in the north of the island – which is about an 11-hour walk from his accommodation.

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‘I just want him back’

A local cafe owner told Sky News he tried to catch a bus back to Los Cristianos, where he was staying.

Ofelia Medina Hernandez said she spoke to the teenager at 8am on 17 June, telling him a bus was due at 10am – but he set off walking and she said she later drove past him “walking fast”.

A missing persons poster for Jay Slater in Tenerife
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A missing persons poster for Jay Slater in Tenerife

The apprentice bricklayer called a friend holidaying with him at around 8.30am on 17 June and said he was going to walk back after missing the bus.

He also told his friend he was lost and in need of water, with only 1% charge on his phone.

Read more:
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Teen’s disappearance in Tenerife shrouded in speculation

On Friday, Mr Slater’s friend Brad Hargreaves told ITV’s This Morning he had been on a video call with him before his disappearance when he heard him go off the road.

He said he could see his friend’s feet “sliding” down the hill and hear he was walking on gravel.

Meanwhile, Mr Slater’s family shared a blurry image of what they believe could be the missing teenager captured on CCTV in a nearby town 10 hours after he was first reported missing.

Mr Slater's family have shared a blurry image of what they believe could be the missing teenager
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Mr Slater’s family shared a blurry image of what they believe could be the missing teenager

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Local police and the Civil Guard, along with Mr Slater’s family, have been involved in the search.

Since his disappearance, rumours and conspiracy theories have emerged amid online speculation on social media.

Some social media sleuths have even travelled to Tenerife to try and find him.

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Police to repatriate ashes following storage concerns at Hull funeral parlour

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Police to repatriate ashes following storage concerns at Hull funeral parlour

Police have begun visiting more than 160 families in Hull to repatriate ashes recovered from a funeral parlour in the city.

Investigators have been able to identify them through documentation and extensive enquiries.

However, some of the ashes will never be formally identified because cremation makes it impossible to extract DNA.

It emerged earlier in the year that officers had removed a number of bodies from three branches of Legacy Independent Funeral Directors – two in Hull and one in Beverley.

Humberside Police said it had received a “number of calls from concerned members of the public”.

Concerns had been raised about “storage and management processes relating to care of the deceased”.

Now, the force says it has “begun the process of visiting 163 families across the city in regards to the repatriation of ashes” recovered from the branch of the company located in Hessle Road in Hull.

It added: “Officers from the force along with support staff from Hull City Council and East Riding Council will provide those affected with a detailed update on what they’ve recovered and discuss the options available to them.”

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Richard Shaw had unidentified ashes in an urn at his home. Pic: Richard Shaw

Richard Shaw, whose wife Rita died after a short illness last October, had unidentified ashes in an urn at his home for many months.

Mr Shaw, 70, used Legacy Independent Funeral Directors. After the firm was raided by police in March, he became concerned he might have been given the wrong ashes.

His worst fears were realised when police recently contacted him to say they had recovered what they believed to be his wife’s ashes during their inquiries.

They have just been returned to him, eight months after her death.

He was given ashes in December while his wife was cremated in January, according to a letter found by police.

The unidentified ashes have been scattered around a rose tree he planted for Rita.

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Mr Shaw says grief comes ‘in waves’. Pic: Richard Shaw

It still feels “raw”, he told Sky News.

“It’s heartbreaking,” he said. “It comes over you in waves.”

Mr Shaw, who volunteers at the hospice where his wife died, added: “I’m taking [it] that they’re Rita’s ashes, but it’s just a case of if I didn’t accept that I don’t know how I’d cope with it all.

“I think I’m more positive that they’re Rita’s ashes but they’ve been cremated so they can’t check on the DNA side of it.”

The families are calling for a permanent memorial for their loved ones.

Monthly candlelit vigils have been taking place at the city’s Pickering Park, providing those affected with support in uncertain times.

Some families say it would be the perfect location for a memorial garden.

Police have asked people to 'refrain from speculation' about what may have happened
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The Hessle Road branch of Legacy Independent Funeral Directors in Hull

Karen Dry, who used Legacy Independent Funeral Directors when her parents died, has organised the gatherings.

She told Sky News: “We need a permanent memorial – we need somewhere people can come and sit and reflect on their loved ones and families, somewhere that’s peaceful so that we know that they’re always resting.”

She added: “We were all perfect strangers at the beginning and now we’re very good friends. We’ve created our own community.”

Read more from Sky News:
Search for missing UK teenager in area of Tenerife called off
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A man, 46, and a woman, 23, were arrested on suspicion of prevention of a lawful and decent burial, fraud by false representation, and fraud by abuse of position.

They have been released on bail while inquiries continue.

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General Election 2024: Five things the main parties aren’t talking about this election

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General Election 2024: Five things the main parties aren't talking about this election

The Institute for Fiscal Studies (IFS) says there’s a conspiracy of silence this election – that all of the major political parties aren’t being honest enough about their fiscal plans this election.

And they have a point. Most obviously (and this is the main thing the IFS is complaining about) none of the major manifestos – from Labour, the Liberal Democrats and the Conservative parties – have been clear about how they will fill an impending black hole in the government’s spending plans.

No need to go into all the gritty details, but the overarching point is that all government spending plans include some broad assumptions about how much spending (and for that matter, taxes and economic growth) will grow in the coming years. Economists call this the “baseline”.

But there’s a problem with this baseline: it assumes quite a slow increase in overall government spending in the next four years, an average of about 1 per cent a year after accounting for inflation. Which doesn’t sound too bad except that we all know from experience that NHS spending always grows more quickly than that, and that 1 per cent needs to accommodate all sorts of other promises, like increasing schools and defence spending and so on.

Ambulance outside a hospital Accident and Emergency department.
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NHS spending grows more quickly than the ‘baseline’

If all those bits of government are going to consume quite a lot of that extra money (far more than a 1 per cent increase, certainly) then other bits of government won’t get as much. In fact, the IFS reckons those other bits of government – from the Home Office to the legal system – will face annual cuts of 3.5 per cent. In other words, it’s austerity all over again.

But here’s the genius thing (for the politicians, at least). While they have to set a baseline, to make all their other sums add up, the dysfunctional nature of the way government sets its spending budgets means it only has to fill in the small print about which department gets what when it does a spending review. And that spending review isn’t due until after the election.

The upshot is all the parties can pretend they’ve signed up to the baseline even when it’s patently obvious that more money will be needed for those unprotected departments (or else it’s a return to austerity).

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So yes, the IFS is right: the numbers in each manifesto, including Labour’s, are massively overshadowed by this other bigger conspiracy of silence.

But I would argue that actually the conspiracy of silence goes even deeper. Because it’s not just fiscal baselines we’re not talking about enough. Consider five other issues none of the major parties is confronting (when I say major parties, in this case I’m talking about the Conservative, Labour and Lib Dem manifestos – to some extent the Green and Reform manifestos are somewhat less guilty of these particular sins, even if they commit others).

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Taxes going up

First, for all their promises not to raise any of the major tax rates (something Labour, the Conservatives and Lib Dems have all committed to) the reality is taxes are going up. We will all be paying more in taxes by the end of the parliament compared with today.

Indeed, we’ll all be paying more income tax. Except that we’ll be paying more of it because we’ll be paying tax on more of our income – that’s the inexorable logic of freezing the thresholds at which you start paying certain rates of tax (which is what this government has done – and none of the other parties say they’ll reverse).

Second, the main parties might say they believe in different things, but they all seem to believe in one particular offbeat religion: the magic tax avoidance money tree. All three of these manifestos assume they will make enormous sums – more, actually, than from any single other money-raising measure – from tightening up tax avoidance rules.

While it’s perfectly plausible that you could raise at least some money from clamping down on tax avoidance, it’s hardly a slam-dunk. That this is the centrepiece of each party’s money-raising efforts says a lot. And, another thing that’s often glossed over: raising more money this way will also raise the tax burden.

The Bank of England in the City of London
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Should the Bank of England be paying large sums in interest to banks? File pic: AP

Third is another thing all the parties agree on and are desperate not to question: the fiscal rules. The government has a set of rules requiring it to keep borrowing and (more importantly given where the numbers are right now) total debt down to a certain level.

But here’s the thing. These rules are not god-given. They are not necessarily even all that good. The debt rule is utterly gameable. It hasn’t stopped the Conservatives raising the national debt to the highest level in decades. And it’s not altogether clear the particular measure of debt being used (net debt excluding Bank of England interventions) is even the right one.

Which raises another micro-conspiracy. Of all the parties at this election, the only one talking about whether the Bank of England should really be paying large sums in interest to banks as it winds up its quantitative easing programme is the Reform Party. This policy, first posited by a left-wing thinktank (the New Economics Foundation) is something many economists are discussing. It’s something the Labour Party will quite plausibly carry out to raise some extra money if it gets elected. But no one wants to discuss it. Odd.

Brexit impact

Anyway, the fourth issue everyone seems to have agreed not to discuss is, you’ve guessed it, Brexit. While the 2019 election was all about Brexit, this one, by contrast, has barely featured the B word. Perhaps you’re relieved. For a lot of people we’ve talked so much about Brexit over the past decade or so that, frankly, we need a bit of a break. That’s certainly what the main parties seem to have concluded.

But while the impact of leaving the European Union is often overstated (no, it’s not responsible for every one of our economic problems) it’s far from irrelevant to our economic plight. And where we go with our economic neighbours is a non-trivial issue in the future.

Anyway, this brings us to the fifth and final thing no one is talking about. The fact that pretty much all the guff spouted on the campaign trail is completely dwarfed by bigger international issues they seem reluctant or ill-equipped to discuss. Take the example of China and electric cars.

File pic: Victoria Jones/PA
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Brexit has barely featured in the election. File pic: Victoria Jones/PA

Just recently, both the US and European Union have announced large tariffs on the import of Chinese EVs. Now, in America’s case those tariffs are primarily performative (the country imports only a tiny quantity of Chinese EVs). But in Europe‘s case Chinese EVs are a very substantial part of the market – same for the UK.

Raising the question: what is the UK going to do? You could make a strong case for saying Britain should be emulating the EU and US, in an effort to protect the domestic car market. After all, failing to impose tariffs will mean this country will have a tidal wave of cars coming from China (especially since they can no longer go to the rest of the continent without facing tariffs) which will make it even harder for domestic carmakers to compete. And they’re already struggling to compete.

By the same token, imposing tariffs will mean the cost of those cheap Chinese-made cars (think: MGs, most Teslas and all those newfangled BYDs and so on) will go up. A lot. Is this really the right moment to impose those extra costs on consumers.

In short, this is quite a big issue. Yet it hasn’t come up as a big issue in this campaign. Which is madness. But then you could say the same thing about, say, the broader race for minerals, about net zero policy more widely and about how we’re going to go about tightening up sanctions on Russia to make them more effective.

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Parochial election

Elections are always parochial but given the scale of these big, international issues (and there are many more), this one feels especially parochial.

So in short: yes, there have been lots of gaps. Enormous gaps. The “conspiracy of silence” goes way, way beyond the stuff the IFS has talked about.

But ’twas ever thus.

Read more:
Why the US is imposing 100% tariff on Chinese electric cars
Rapid steps needed for Britain to compete in green revolution

Think back to the last time a political party actually confronted some long-standing issues no one wanted to talk about in their manifesto. I’m talking about the 2017 Conservative manifesto, which pledged to resolve the mess of social care in this country, once and for all.

It sought to confront a big social issue, intergenerational inequality, in so doing ensuring younger people wouldn’t have to subsidise the elderly.

The manifesto was an absolute, abject, electoral disaster. It was largely responsible for Theresa May‘s slide in the polls from a 20 point lead to a hung parliament.

And while most people don’t talk about that manifesto anymore, make no mistake: today’s political strategists won’t forget it in a hurry. Hence why this year’s campaign and this year’s major manifestos are so thin.

Elections are rarely won on policy proposals. But they are sometimes lost on them.

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