Don’t use Ozempic or Wegovy for ‘Instagram perfect body’, says health secretary

Published

1 day ago

October 15, 2024

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Weight loss jabs like Ozempic and Wegovy should not be used to get the “Instagram perfect body”, Wes Streeting said amid a surge in demand for the treatment.

The health secretary told the Politics Hub With Sophy Ridge that his view on the injections “is pretty nuanced”, as while the results can be “game changing” in tackling obesity, they should not be “used and abused”.

Obesity costs the NHS around £6.5bn a year and is the second biggest preventable cause of cancer.

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Studies show people lose on average 15% of their body weight within months of starting treatment with Wegovy, the brand name for semaglutide, which is also known as Ozempic.

The drug mimics a natural hormone and people feel fuller faster and for longer.

But thousands of people who could benefit from it are being denied access due to a slower than planned rollout on the health service, an investigation by our science correspondent Thomas Moore found.

Asked if he is concerned about the report, Mr Streeting said: “My view on this is pretty nuanced, actually. I think that some of these drugs can be game changing in terms of tackling obesity.

“For those people that are so obese, that diet, exercise doesn’t feel like it’s having much of an impact, It feels like you’re on a losing battle. I think the drugs can make a really big impact in terms of getting weight under control.

“Where I think we’ve just got to be careful, though, is that we don’t see these drugs as an excuse not to do the right thing in terms of our diet, nutrition, exercise or to use them as cosmetic drugs for the Instagram perfect body.”

Mr Streeting went on to say that the drug could risk fuelling a rise in eating disorders and body dysmorphia if rolled out en masse – and it should be used alongside diet and exercise, rather than as a supplement.

“Drugs do come at a cost and they come at a cost to the NHS,” he added.

“It’s great the NHS is there for us and it’s free at the point of use… but that doesn’t mean that you should use it and abuse it.”

People have ‘moved on from Brexit’

Elsewhere in the interview, Mr Streeting claimed people have “moved on from Brexit”, when asked about a green paper which found leaving the EU reduced investment by 11%.

The paper, on the government’s New Industrial Strategy, opened with a forward from the chancellor which spoke about forging a closer relationship with Brussels to ensure smoother trade and better business.

Asked why there can’t be a debate about rejoining the single market or the customs union, given Labour’s ambition for growth, Mr Streeting said: “People have moved on, the country has moved on, the EU has moved on.

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“And let me tell you, not just here but in Brussels, there is no appetite to relitigate those arguments, to reopen things that have been settled.”

He said the Remain camp, which he backed, warned about the economic consequences of Brexit – which he said came to pass, and “that’s a fact of life. We have to deal with it”.

“I think the sweet spot is working as closely with the European Union where we can, but also showing the agility to work with and through partners in other markets as well.”

On ripping up regulation – a key message from Sir Keir Starmer at an investment summit of business leaders today – Mr Streeting said this was no longer a “right-left debate in British politics”.

“There’s too much regulation in the NHS and in some aspects… I also think there’s far too much regulation in the economy.

“Sometimes, simplicity is more effective. And that’s been traditionally a right-left debate in British politics. But it really shouldn’t, it should be a right or wrong conversation.”

UK

Two children among five dead in M6 crash

Published

2 hours ago

October 16, 2024

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Two children among five dead in M6 crash

Five people, including two children, have been killed in a crash on the M6.

The two-car collision involved a Toyota and a Skoda and happened on the northbound motorway, past Tebay services in Cumbria, at 4.04pm on Tuesday, police said.

Four people – a man, a woman and two children from Glasgow – who were travelling in the Toyota were pronounced dead at the scene.

The Skoda driver, a man from Cambridgeshire, also died in the crash.

Cumbria Constabulary said a third child in the Toyota was taken to the Royal Victoria Infirmary in Newcastle with serious injuries.

A stretch of the M6 northbound between J36 and J39 was closed following the crash but reopened fully in the early hours of Wednesday.

A force spokesperson said: “The families of those involved are being supported by specially trained officers.”

UK

End-of-life care must be fixed before any assisted dying legislation, charities say

Published

11 hours ago

October 16, 2024

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End-of-life care must be fixed before any assisted dying legislation, charities say

Three and a half years ago, Tim Daly was given just a few months to live. Born with learning disabilities, he later developed cancer, which kept returning.

Despite being very sick, Tim can still live at home with his mum Valerie, because of support from his palliative care nurse Phoebe Mooney.

“It’s really sad to see him deteriorate,” Phoebe says during a visit to Tim.

“When I first started seeing him he was independently mobile in his wheelchair. He would take lots of videos. He’d be super, super chatty.”

It is clear Tim and Phoebe share a special bond, but working in such an emotionally demanding role can be challenging.

“I’m not going to lie, I do cry quite a lot at work,” Phoebe says. “Particularly when things don’t go so well, which they don’t at times.”

Tim’s mother Valerie Daly is 82 and says she wouldn’t be able to keep Tim at home without the support she gets from St Christopher’s Hospice in Sydenham, southeast London, where Phoebe works.

“I couldn’t do this without them,” she says. “It’s just knowing that there’s somebody there. Somebody who cares. Somebody who knows Tim.”

The support Valerie and Tim get is far from guaranteed across the UK.

As MPs consider legalising assisted dying, with a bill being introduced to parliament today, the quality of the country’s end-of-life care is being questioned.

“It’s really important we’re talking about funding for hospices at the same time,” says Jan Noble, the director of quality and innovation at St Christopher’s.

“Because people need to know that they’re going to get the right symptom control and support if they are approaching the end of life. And actually it’s not all about assisted dying.

“People are fearful because at the moment hospices throughout the country haven’t got the adequate funding, which means care can be a postcode lottery.”

St Christopher’s Hospice neither supports nor opposes a change in the law, but the hospice sector is a strong voice in the debate.

Hospices rely on charity to survive, with the government providing only around a third of their funding.

The sector has concerns about whether the health system could cope with the additional pressure that assisted dying would bring.

“While it’s not for us to take a view either way, what we would say is that this is a very fundamental change to consider introducing into a system which is already under really significant stress,” says Charlie King, deputy director of external affairs at Hospice UK.

“We’ve got hospices who are cutting back their services already, making frontline staff redundant, because they’re no longer able to fund those services.

“Whether or not assisted dying is introduced by this government, we must fix the end-of-life care system in the UK,” he said.

“This government has inherited huge challenges in the hospice sector, as well as a £22bn black hole in the public finances, so these problems will take time to fix,” a spokesperson for the Department of Health and Social Care said.

“Whilst the majority of palliative and end-of-life care is provided by the NHS, we recognise the vital role voluntary organisations including hospices play in providing support to people at end of life and their families.

“We are determined to shift more healthcare out of hospitals and into the community, to ensure patients and their families receive personalised care in the most appropriate setting, and hospices will have a big role to play in that shift.”

Lynda Browne, 59, has experienced the best and worst of end-of-life care.

Her mother died peacefully and comfortably at a Marie Curie Hospice, but her aunt Mary chose to die at home and Lynda was devastated by the lack of care she received.

“We had to buy her incontinence pads, we had to buy different creams because the deliveries weren’t regular or there was nothing available or you couldn’t get through,” she says.

“We had to chase everyone for everything and it’s just so tiring all the time having to fight.”

It’s a problem palliative care doctors say needs to be urgently addressed.

“We only get partial funding from the NHS,” says Dr Sarah Wells, medical director for the Marie Curie Hospice West Midlands.

“We’re having to rely on fun runs and bake sales and our charity shops to raise money to provide great end-of-life care for people.”

Marie Curie, like St Christopher’s and Hospice UK, has a neutral position on assisted dying.

“We need to be talking about death, dying and bereavement,” says Dr Wells. “What we’re not neutral on is the need for sustainable funding.”

UK

Sexual misconduct a ‘problem right across NHS’ as whistleblowing site is launched

Published

11 hours ago

October 16, 2024

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Sexual misconduct a 'problem right across NHS' as whistleblowing site is launched

NHS staff working in England will be able to anonymously report their colleagues for sexual harassment from today, as health bosses warned inappropriate behaviour “will not be tolerated”.

The health service also plans to bring in more pastoral support, and even special leave, for people who have suffered sexual misconduct at work.

It comes after a Sky News investigation heard harassment and assault is “rife” in the ambulance service.

Many dozens of paramedics have now spoken up about a culture in which being groped or being the victim of inappropriate comments and jokes is commonplace.

Some women even claimed to have been threatened with rape, or pressured into sexual acts to keep their jobs, while one female paramedic tried to take her own life after being locked in the back of an ambulance and sexually assaulted by a colleague.

Whistleblowers also claimed when they raised concerns they were punished or ostracised.

But NHS England has warned that sexual misconduct is “a problem right across the health service”, and other workforces have come under scrutiny.

In a survey last September almost a third of female surgeons who responded said they had been sexually assaulted by a colleague, and two thirds claimed to have been the target of sexual harassment.

NHS chief executive Amanda Pritchard called this behaviour “unacceptable” and said that from today an online reporting tool will allow staff to report abuse anonymously. The reports will then be assessed by HR teams and investigated.

The NHS also plans to bring in pastoral support for people who have experienced sexual abuse, with special leave available if needed. Staff are also being urged to complete new training on what to do if they see or are told about sexual misconduct.

Amanda Pritchard added: “We must do everything in our power to ensure our staff feel able to speak up, and have absolute confidence that they will be given the support they need when they do.

“There is absolutely no place for sexual misconduct or abuse of any kind within the NHS – a place where staff come to work every day to provide compassionate care and support to others, and we know that women are more likely to be affected – this is unacceptable, and we must not tolerate it.”

The NHS said the new policy covers all sexual misconduct at work – whether in an NHS setting, a virtual environment or elsewhere.

It can include many things from sexual assault or rape to sexual comments or jokes, showing sexual pictures and staring at someone in a sexual way.

In this year’s NHS Staff Survey, almost 26,000 staff said they’d been the victim of assault, touching, sexualised or inappropriate conversation or jokes from their colleagues.

Dr Chelcie Jerwick is the co-founder of Surviving in Scrubs, a campaign group that highlights sexual harassment in the NHS. She believes many more cases go unreported but that the anonymous system is a great way to give people options to come forward.

“I think that there is definitely a culture of tolerance of these behaviours and attitudes within the NHS.

“I know from my own personal experience of trying to raise complaints that it can be really difficult, not only in order to kind of speak up, but also the logistics of how you raise a complaint. Is that to your consultant, your line manager? Do you go directly to HR?

“It’s really hard to navigate and it can be really scary. So, it’s really great to see NHS England providing this anonymous way of reporting now.”