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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A branded version of the smoking cessation pill – known as Champix – was previously prescribed, but then withdrawn by Pfizer in 2021 as a precaution after an impurity was discovered.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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Areas with highest percentage of smokers named and mapped

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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Animal neglect and abandonment is soaring, and it’s worse at Christmas time, warns RSPCA

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Animal neglect and abandonment is soaring, and it's worse at Christmas time, warns RSPCA

There’s been a huge increase in animal neglect and abandonment in England and Wales and the RSPCA’s rescue centres are “absolutely full”, according to the charity.

New figures show there were 38,977 incidents of neglect reported to the RSPCA’s emergency cruelty line between January and September 2023.

But for the same period in 2024, there were 48,814 – a 25% increase.

The number of animals dumped in winter has also doubled.

“Our centres up and down the country are absolutely full, and we’re also taking animals into private boarding,” said RSPCA spokesperson Suzanne Norbury.

“So when our teams are out there, they rescue animals and we haven’t got space.

“We’re spending money on private boarding facilities at the moment on top of running centres like this one. It’s costing us £26,000 each and every week.”

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It means the charity is trying to absorb extra costs of £1,352,000 a year for emergency boarding.

RSPCA spokesperson Suzanne Norbury
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RSPCA spokesperson Suzanne Norbury said centres are full

At their rescue centre at Frankley near Birmingham, Damon is one of many cats looking for a new home.

He was a stray found on a building site with a broken jaw and has had to have it wired back together at the animal hospital here.

Image:
Damon had his jaw wired back together

‘The first thing they cut back on is their animals’

Ian Briggs, a chief inspector for the charity, said: “He must have been in considerable pain, and it was only due to a member of the public letting us know that we were able to intervene and give him the treatment he needed.”

“During COVID, people sought to own pets because they were looking to have companionship.

“Then after lockdown was released and everyone got back to normal, we were then hit by the cost of living crisis. Then year on year we’re seeing finances stretched for everybody, so we believe we’ve got all these extra people who have pets and now some are feeling the financial strain.”

He added: “Because of the Christmas period, we’re in the middle of winter, heating goes up, electricity costs even more, that adds an additional financial burden to people who are already struggling, and often the first thing they cut back on is their animals.”

Damon the cat
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Damon the cat

Animals found in appalling conditions

Last year, the charity rescued 34 animals from a house in Walsall, including 24 dogs, who’d been kept in appalling conditions.

They were found surrounded by hundreds of empty dog food cans, and faeces.

Following an RSPCA prosecution, two people were disqualified from keeping all animals for life.

They also received suspended 20-week custodial sentences after pleading guilty to offences including failing to provide the animals with veterinary care, a suitable living environment or taking reasonable steps to protect them from pain, suffering, injury and disease.

The animals were rehabilitated at various RSPCA rehoming centres, including the centre at Frankley.

One, a Staffordshire bull terrier cross, was rehomed in the summer.

Sarah Potter with her new cats
Image:
Sarah Potter with her new cats

‘We needed to give two homeless cats a home’

Cats Peter and Paul are the lucky ones being picked up to be taken to a new home while Sky News was filming at the centre.

Sarah and Martin Potter are taking them back to Worcestershire.

“We recently lost a cat,” said Sarah, “and the house is just completely empty”.

“We’ve just got so much love to give, that we needed to give two homeless cats a home ready for Christmas”.

It can, though, take years for other animals to be re-homed and there are now more than ever needing a new start.

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King praises response to ‘lawless’ UK riots in Christmas message – as he gives ‘personal’ thanks to medics

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King praises response to 'lawless' UK riots in Christmas message - as he gives 'personal' thanks to medics

The King has praised the community response to the “anger and lawlessness” of this summer’s riots in towns and cities around the UK in his annual Christmas message.

Charles, 76, also used the message, filmed by Sky News at the chapel of the former Middlesex Hospital in central London, to thank doctors and nurses who cared for him and his daughter-in-law the Princess of Wales through their cancer treatment this year.

Drawing on the Nativity story’s theme of listening to others, the King said: “Through listening, we learn to respect our differences, to defeat prejudice, and to open up new possibilities.

“I felt a deep sense of pride here in the United Kingdom when, in response to anger and lawlessness in several towns this summer, communities came together, not to repeat these behaviours, but to repair.

“To repair not just buildings, but relationships. And, most importantly, to repair trust; by listening and, through understanding, deciding how to act for the good of all.”

King Charles and Queen Camilla followed by  the Princess of Wales, Princess Charlotte, the Prince of Wales and Prince George attending the Christmas Day.
Pic: PA
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King Charles and Queen Camilla attend church at Sandringham on Christmas morning. Pic: PA

Read more:
Sky News behind the scenes of King’s message
King jokes he’s ‘still alive’

Almost 1,000 people were arrested during the summer riots, which came in response to misinformation around the deadly stabbing of three children at a Taylor Swift-themed holiday club in Southport in July.

The King visited the Merseyside town after the killings and the ensuing disorder, during which rioters attacked hotels housing migrants.

His final public engagement of the year was in Walthamstow, east London, where thousands gathered in a counter-protest to condemn the rioting this summer.

The King’s Christmas message spoke of the need to support one another, as “all of us go through some form of suffering at some stage in our life – be it mental or physical”.

“The degree to which we help one another – and draw support from each other, be we people of faith or of none – is a measure of our civilisation as nations,” he said.

He added that “those who dedicate their lives to helping others… continually impress me” and he is “thinking especially of the many thousands of professionals and volunteers here in the United Kingdom and across the Commonwealth who, with their skills and out of the goodness of their heart, care for others – often at some cost to themselves”.

Pic: PA
Image:
The Prince and Princess of Wales with their children Louis, Charlotte and George on Christmas Day. Pic: PA

Reflecting on his cancer treatment, which will continue into next year, he gave his “special, heartfelt thanks to the selfless doctors and nurses who, this year, have supported me and other members of my family through the uncertainties and anxieties of illness, and have helped provide the strength, care and comfort we have needed”.

He also thanked members of the public for their well-wishes after he and the Princess of Wales, 42, returned to public duties in April and September respectively – following courses of cancer treatment.

They and other members of the Royal Family attended church near the Sandringham estate in Norfolk on Christmas morning.

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How Sky News filmed the King’s message

Thoughts with people in ‘Middle East, central Europe and Africa’

The King began his message by recalling his visit to 80th anniversary D-Day commemorations with the Queen in June.

He described meeting “remarkable veterans” and noted that “during previous commemorations we were able to console ourselves with the thought that these tragic events seldom happen in the modern era”.

But he said: “On this Christmas Day, we cannot help but think of those for whom the devastating effects of conflict – in the Middle East, in central Europe, in Africa and elsewhere – pose a daily threat to so many people’s lives and livelihoods.”

He thanked humanitarian organisations working in conflict zones and referenced the gospels’ references to conflict and the “values with which we can overcome” them.

Signing off, he wished “you and all those you love a most joyful and peaceful Christmas”.

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Man arrested for ‘attempted murder’ after car drives into group on London pavement

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Man arrested for 'attempted murder' after car drives into group on London pavement

A man has been arrested on suspicion of attempted murder after a car was driven on to the pavement in central London in the early hours of Christmas Day.

Four people were taken to hospital after the incident on Shaftesbury Avenue, with one said to be in a life-threatening condition.

Metropolitan Police officers were called to reports of a crash and a car driving on the wrong side of the road at 12.45am.

In a statement, police said the incident was isolated and not terror related.

A cordon is in place outside the Sondheim Theatre on Shaftesbury Avenue, which is the London home of the musical Les Miserables. Shaftesbury Avenue is at the heart of London‘s West End and the city’s theatre district.

Blood, a jacket, pair of shoes and a hat are visible on the pavement inside the cordon.

Read more from Sky News:
Armed police shoot and kill man on Christmas Eve
Dozens dead as plane crashes in Kazakhstan

Deputy Assistant Commissioner Stuart Cundy said the force “responded quickly” and arrested a man “within minutes”.

“It’s believed that the suspect was involved in an altercation at a nightclub prior to getting in his car and mounting the pavement,” he added.

Officers are appealing for anyone with information relating to the incident to get in touch.

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