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A “game-changer” pill is to be offered to tens of thousands of smokers in England who are trying to quit.

Varenicline can be more effective than nicotine-replacement gum or patches, and as effective as vapes, in helping people to stop smoking, according to NHS England.

The daily pill is said to reduce cravings and the pleasurable effects of nicotine that keep people addicted.

It also helps with withdrawal symptoms such as irritability or sleeping problems and patients usually take a 12-week course.

It’s estimated it could help more than 85,000 people per year and prevent up to 9,500 smoking-related deaths over the next five years, according to University College London (UCL).

Varenicline will become another option for people using NHS stop smoking services in England.

A branded version of the smoking cessation pill – known as Champix – was previously prescribed, but then withdrawn by Pfizer in 2021 as a precaution after an impurity was discovered.

However, the NHS said a generic version of the drug, from pharmaceutical firm Teva UK, has now been approved as safe by the Medicines Health and Regulatory Authority (MHRA).

It said another pill that works in a similar way, cytisine, is also being reviewed by the National Institute for Health and Care Excellence (NICE) and could be made available in the future.

Supplying varenicline is part of an effort to make more effective treatments available while saving more than £500m for the taxpayer, said NHS England chief executive Amanda Pritchard.

In a speech later, she will say the pill could be “a game-changer” for smokers. Meanwhile, Health Secretary Wes Streeting said it would save lives and millions of pounds for the NHS.

“Taken alongside our tobacco and vapes bill, the government and NHS are building a healthy society to help power a healthy economy,” said Mr Streeting.

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Dr Ian Walker, Cancer Research UK’s policy chief, said: “It’s great news that the NHS is making varenicline an option for people trying to quit.

“Along with funding for cessation services, making tools like this available will help more people stop smoking.”

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Around six million people – one in eight UK adults – are smokers and there were more than 400,000 hospital admissions in England attributed to smoking in 2022-23, according to the NHS.

Around one in six (16%) of all admissions for respiratory diseases were estimated to be smoking-related, while it also caused 8% of admissions for cancers and 7% for cardiovascular disease.

Each year, the NHS spends around £2.5bn on treating health issues caused by smoking – the leading cause of preventable illness and deaths.

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UK ‘moving at glacial pace’ on national plan for defending foreign attack, say MPs

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UK 'moving at glacial pace' on national plan for defending foreign attack, say MPs

The UK lacks a national plan to defend itself from attack and is moving at a “glacial” pace to fix the problem despite threats from Russia and China, a report by MPs has warned.

With the whole country needing to understand what it means to be ready for war, the Defence Select Committee also said it had seen no sign of a promised “national conversation on defence and security” that was launched by Sir Keir Starmer in June.

Sky News and other journalists were even blocked on Monday from interviewing sailors aboard HMS Prince of Wales, the Royal Navy’s flagship aircraft carrier, in direct contrast to the prime minister’s stated aim of greater engagement.

Royal Navy aircraft carrier HMS Prince of Wales. File pic: AP
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Royal Navy aircraft carrier HMS Prince of Wales. File pic: AP

Public needs to know ‘what to expect’ from war

“We have repeatedly heard concerns about the UK’s ability to defend itself from attack,” said Labour MP Tan Dhesi, chair of the committee.

“Government must be willing to grasp the nettle and prioritise homeland defence and resilience.

“In achieving this, government cannot shy away from direct engagement with the public.

“Wars aren’t won just by generals, but by the whole of the population getting behind the Armed Forces and playing our part.

“There needs to be a co-ordinated effort to communicate with the public on the level of threat we face and what to expect in the event of conflict.”

The Royal Navy tracked a Russian submarine in UK waters last month.  Pic: Royal Navy/MOD
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The Royal Navy tracked a Russian submarine in UK waters last month. Pic: Royal Navy/MOD

‘The Wargame’ made real?

The findings of the report support a podcast series by Sky News and Tortoise Media called The Wargame – released in June.

It simulated a Russian attack on the UK and played out what the impact might be for the country in the absence of a credible, resourced and rehearsed national defence plan – something Britain maintained rigorously during the Cold War.

Sky News first revealed in April 2024 that the previous government no longer had such a plan, though work was under way to develop one.

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Flagship aircraft carrier to be placed under NATO command

Report’s assessment of war-readiness

The Defence Select Committee report – based on a nearly year-long inquiry – found: “The UK lacks a plan for defending the homeland and overseas territories with little progress on the Home Defence Programme.”

It said this meant the government was failing to meet a fundamental commitment to the NATO alliance – the Article 3 requirement to maintain the “capacity to resist armed attack”.

The report quoted Luke Pollard, a defence minister, acknowledging that “we have been very clear that we are not satisfied with Article 3 in the UK”.

Britain's new Ajax fighting vehicle, which arrived overdue and at great financial cost. Pic: PA
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Britain’s new Ajax fighting vehicle, which arrived overdue and at great financial cost. Pic: PA

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Yet the MPs’ report added: “Despite this recognition from government… measures to remediate seem to be moving at a glacial pace.”

It said: “Cross-government working on homeland defence and resilience is nowhere near where it needs to be. The government has said repeatedly that we are in an era of new threat, yet decision-making is slow and opaque.”

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The rebuke from the MPs was published as John Healey, the defence secretary, prepares to announce that 13 sites across the UK have been identified as possible locations for at least six new weapons factories.

“This is a new era of threat,” he will say at a speech in Westminster later.

“We are making defence an engine for growth, unambiguously backing British jobs and British skills as we make the UK better ready to fight and better able to deter future conflicts.

“This is the path that delivers national and economic security.”

Industry will be invited to submit proposals to produce ammunition and explosives, with the Ministry of Defence saying it hopes work on the first factory will begin next year.

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Ultra-processed foods leading cause of ‘chronic disease pandemic’, say experts

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Ultra-processed foods leading cause of 'chronic disease pandemic', say experts

Ultra-processed foods (UPFs) are a leading cause of a “chronic disease pandemic” linked to worsening diets, experts have warned.

UPFs include items such as processed meats, some ready meals and cereals, ice cream, crisps, biscuits, mass-produced bread and fizzy drinks.

They often contain a high level of saturated fat, salt and sugar – as well as additives such as sweeteners and preservatives.

UPFs leave less room for more nutritious foods and are also believed to negatively affect gut health.

Forty-three scientists and researchers have now sounded the alarm and accused food companies of putting “profitability above all else”.

Writing in The Lancet, they said the firms’ economic and political power is growing and “the global public health response is still nascent, akin to where the tobacco control movement was decades ago”.

They warned that while some countries have brought in controls on UPFs, policy is lagging due to “co-ordinated efforts of the industry to skew decision-making, frame policy debates in their interest, and manufacture the appearance of scientific doubt”.

Professor Chris Van Tulleken, from University College London, one of the authors, said obesity and diet-related disease had increased in line with a “three-decade history of reformulation by the food industry”.

“This is not a product level discussion. The entire diet is being ultra-processed,” he warned.

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However, several experts not involved with the article urged more research, cautioning that existing studies had shown a link with poor health and UPFs but not established causation.

Kate Halliwell, chief scientific officer at the Food and Drink Federation (FDF), which represents the industry, said companies had made a “series of changes over many years to make the food and drink we all buy healthier, in line with government guidelines”.

She said FDF-member products now contained a third less salt and sugar and a quarter fewer calories than in 2015.

Previous studies cited by the British Heart Foundation have linked UPFs to a greater risk of heart disease, stroke, and early death.

A 2023 meta analysis in the PubMed journal said evidence suggested an association between UPF intake “and the risk of overall and several cancers, including colorectal, breast and pancreatic cancer”.

Get cancer symptoms checked, charity urges

It comes as Cancer Research UK warned too many Britons are putting off getting potential symptoms checked.

A poll for the charity suggested the top reasons people delay getting potential signs of cancer checked is because of a lack of GP appointments, or thinking their symptoms might not be serious.

More than half (53%) of the 6,844 surveyed said they were put off as they believed getting seen would be difficult, while 47% said they actually had found it difficult to get an appointment.

Some 44% put it off as they though the symptom wasn’t serious, 41% believed they could manage things themselves, and 40% didn’t want to be seen as making a fuss.

Cancer Research UK said it had now trained Tesco pharmacists to spot possible cancer signs – and that people can speak to them in private if they needed.

The pharmacists will be able to give advice on next steps and whether a GP appointment is recommended.

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Scotland secure men’s World Cup spot for first time since 1998 after beating Denmark

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Scotland secure men's World Cup spot for first time since 1998 after beating Denmark

Scotland secured a place at the men’s World Cup for the first time since 1998 as stoppage-time goals by Kieran Tierney and Kenny McLean secured a thrilling 4-2 win over Denmark at Hampden Park.

Scott McTominay’s spectacular third-minute bicycle kick had given the hosts a half-time lead.

Rasmus Hojlund equalised for the Danes in the 57th minute shortly before Rasmus Kristensen was sent off, but Lawrence Shankland restored Scotland’s advantage.

When Patrick Dorgu brought Denmark level again with nine minutes remaining, it seemed they would claim the point needed to top the group and book their place at next year’s tournament in the US, Canada, and Mexico.

However, Tierney fired an unstoppable shot past Kasper Schmeichel in the third minute of stoppage time

And then, with the Denmark goalkeeper up in attack at the other end of the pitch, McLean hit a long-range effort from his own half to spark delirious scenes.

Scotland's Kenny McLean celebrates scoring his side's fourth goal against Denmark. Pic: PA
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Scotland’s Kenny McLean celebrates scoring his side’s fourth goal against Denmark. Pic: PA

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The victory saw Scotland top Group C and secure automatic qualification for the 2026 World Cup.

Head coach Steve Clarke had already led his country to back-to-back European Championships.

He told the BBC: “Scott McTominay scored the best overhead kick I’ve ever seen, and it might not have been the best goal of the night!”

Scott McTominay celebrates scoring the opening goal for Scotland. Pic: Reuters
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Scott McTominay celebrates scoring the opening goal for Scotland. Pic: Reuters

Scotland captain Andy Robertson dedicated the victory to his former Liverpool teammate Diogo Jota, who died earlier this year in a car accident.

He told the BBC: “We certainly put the country through it, but I’m sure it will be worth it.”

“I couldn’t get my mate Diogo Jota out of my head today,” he added. We spoke so much together about the World Cup. When he missed out in Qatar through injury and I missed out when Scotland never went.

“We always discussed what it would be like going to this World Cup. I know he’ll be somewhere smiling over me tonight.”

The draw for the 2026 World Cup will take place in Washington on 5 December.

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