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So little money has been set aside by the NHS for the rollout of the Mounjaro weight-loss jab in GP surgeries that as few as one in five people with life-threatening obesity is likely to get treatment, new research shows.

The NHS estimates that around 220,000 people living with obesity will be eligible for treatment through their GP over the next three years.

But Freedom of Information requests by the British Medical Journal revealed that funding from NHS England has fallen well short of what is needed for the rollout.

Just nine out of 40 Integrated Care Boards (ICBs) in England said they had enough funding to treat the 70% of eligible patients who are expected to come forward.

Four ICBs – which plan health services in local areas – said NHS funding covered just 25% or fewer of their eligible patients.

Coventry and Warwickshire ICB said funding would only stretch to treat 21% of its patients.

The findings confirm an investigation by Sky News earlier this summer that access to Mounjaro is a postcode lottery for people living with obesity.

Ellen Welch, Doctors’ Association UK (DAUK) co-chair, told the BMJ: “These figures confirm the fear that the rollout is not fit for purpose.

“There is a huge discrepancy between national messaging and what patients are actually being delivered on a local level.”

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How much will Mounjaro price rise by?

Five ICBs admitted they are already considering further tightening the prescribing criteria or rationing the treatment beyond the plan agreed by the NHS.

Any change would effectively move the goalposts for people who thought they qualified for NHS treatment.

Birmingham and Solihull ICB received funding to cover just 52% of its eligible patients. It admitted: “Difficult decisions are having to be made to ensure money is spent in the most effective and efficient way possible and for the greatest patient benefit.”

Dr Jonathan Hazlehurst, an obesity specialist and researcher at the University of Birmingham, said NHS England has only provided funding for just over 22,000 patients in the first year of the rollout.

“It shows that there’s a lack of political will to fund this adequately,” he told Sky News.

“NHS England says that obesity costs the NHS £11.4bn per annum as a pure NHS cost.

“Yet we can’t even afford to properly fund the rollout of a life-changing drug in year one. That just doesn’t make any sense.”

An NHS spokesperson said: “The NHS is fully supporting the phased rollout of tirzepatide for eligible patients, having issued guidance in line with the NICE guidance, and provided funding to local ICBs to support patient care in March 2025.

“These represent brand-new services in primary care that are being established and scaled up over time, starting with those who are in the most need – and in the meantime, eligible patients can get weight loss support from a range of other services, including the NHS Digital Weight Management programme.”

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Robert Best death: Women in court after man’s body found in Inverclyde field

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Robert Best death: Women in court after man's body found in Inverclyde field

Two women have appeared in court charged with attempting to defeat the ends of justice after a man was found dead in a field in Inverclyde.

The body of Robert Best, 50, was discovered near High Mathernock Farm, Kilmacolm, on the morning of 11 November.

He had been reported missing from Greenock the same day.

Surrounding fields in the area Robert Best's body was discovered
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Surrounding fields in the area Robert Best’s body was discovered

Dorothy Shields, 64, and Nicola Brisland, also known as Nicola Campbell, 41, were arrested and charged in connection with Mr Best’s death.

The pair appeared before Greenock Sheriff Court on Wednesday, where they made no plea to the charge of attempting to defeat the ends of justice.

The suspects, both of Port Glasgow, were granted bail ahead of their next court appearance, which is yet to be confirmed.

Andrew Brodie, 51, and Stephen Shields, 44, have already appeared in court in connection with the case.

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The pair have each been charged with murder and attempting to defeat the ends of justice.

The suspects, both of Greenock, made no plea to the two separate charges last week and were remanded in custody ahead of their next court appearance.

A 45-year-old man previously arrested in connection with assault and a 41-year-old man arrested at the same time as the two women have both been released pending further enquiries.

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Police Scotland previously said officers investigating Mr Best’s death were carrying out enquiries into a report of a disturbance in Lansbury Street, Greenock, which took place between 11pm on 10 November and 3am on 11 November.

A force spokesperson said: “Enquiries are ongoing.”

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Illegal mountain of waste next to river ‘utterly appalling’, says PM

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Illegal mountain of waste next to river 'utterly appalling', says PM

Sir Keir Starmer has called the pile of fly-tipped illegal waste next to a river in Oxfordshire “utterly appalling” and said “all available powers” will be used to make those responsible cover the cost of the clean-up.

Liberal Democrat leader Sir Ed Davey said the pile of rubbish in a field beside the River Cherwell in Kidlington is now 150m long and up to 12m high, adding that water is “now lapping against the waste and carrying it into the river”.

Speaking at PMQs, Sir Ed said it is just one of many sites where organised criminal gangs are “illegally dumping their waste onto our countryside and getting away with it”.

“This is a shocking environmental emergency. So will he instruct the Environment Agency to clean it up now?” Sir Ed added.

Sir Keir responded in the House of Commons on Wednesday, calling the scenes “utterly appalling”.

The prime minister said: “A criminal investigation, as he knows, is under way. Specialist officers are tracking down those responsible.

“The Environmental Agency, in answer to this question, will use all available powers to make sure that the perpetrators cover the cost of the clean-up, which must now follow.”

Pic: Sky News
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Pic: Sky News

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UK’s ‘biggest ecological disaster’

Sir Keir added: “We have boosted the Environment Agency’s budget for tackling waste crime by 50%, giving councils new powers to seize and crush fly-tippers, vehicles and lawbreakers can now face up to five years in jail.”

Earlier this week, Calum Miller, Liberal Democrat MP for Bicester and Woodstock, said recent heavy rainfall brought by Storm Claudia at the weekend had made the situation more urgent, and meant the rubbish was slowly floating towards the river, which eventually flows through Oxford and feeds the Thames.

Calum Miller, Liberal Democrat MP for Bicester and Woodstock
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Calum Miller, Liberal Democrat MP for Bicester and Woodstock

Pic: Sky News
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Pic: Sky News

Mr Miller also told Sky News on Sunday it was the first time he had seen anything on this scale, questioning whether the Environmental Agency had the resources to deal with it.

The cost of removing the waste is estimated to be more than the entire annual budget of the local council, which is about £25m.

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With the site on a floodplain, Mr Miller listed what he saw as the three major environmental risks – waste being washed into the waterways, rain seeping through the waste and carrying toxins into the water and the danger of decomposing chemicals presenting a fire risk.

The site is adjacent to the A34, a busy road running through cities including Oxford and Birmingham.

He said the police had used a helicopter with a heat-seeking camera, and could see that some of the waste was beginning to decompose.

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‘Mountain’ of waste dumped

Mr Miller said he believed the Environment Agency was first made aware of the issue back in July.

He said he believed it was the work of “organised criminal gangs” and raised a “bigger systemic problem around the country”, with “dumps are cropping up in more and more places”.

He added: “My concern is the Environmental Agency lacks the resources to deal with criminal activity on this scale. I’m calling on the government to take action and ensure those who are dealing with such incidents have the powers they need to tackle it at source.”

Anna Burns, the Environment Agency’s director for the Thames area, said on Wednesday: “Most of the tipping happened before we were aware of it. As soon as we were aware, we acted quickly and decisively.”

Ms Burns said: “We are pursuing this as a criminal investigation and currently following a number of leads, and we are laser focused on pursing that investigation.

“And we are working with partners to understand the risks associated with the site.”

She said the agency will pursue the perpetrators to make them pay for the “blight on the landscape” they had caused.

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Oasis fan fell to his death at Wembley in ‘tragic accident’, coroner’s court hears

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Oasis fan fell to his death at Wembley in 'tragic accident', coroner's court hears

An Oasis fan who fell to his death at Wembley Stadium was the victim of a “tragic accident”, a pre-inquest review has heard.

Bournemouth man Lee Claydon, 45, died following the incident at the London venue on 2 August.

Detective Sergeant James Raffin, from the Met Police, said there were “no concerns” from Mr Claydon’s toxicology report.

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Liam and Noel Gallagher performed on the same stage together for the first time in 16 years.

He also said that while Mr Claydon had drunk alcohol, this was “expected” and “normal for any of the people attending” the Oasis gig.

The force had also ruled out the possibility of suicide, he said.

He told Barnet Coroner’s Court the police had now completed their investigation into his death

He said: “From a police point of view, this is no longer a criminal prosecution.

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“We do not suspect any third party involvement.

“This, from everything we have seen, was a tragic accident.

“From a police point of view, I would say our investigation is complete.”

 Liam Gallagher and Noel Gallagher during the Oasis tour this year. Pic: Reuters
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Liam Gallagher and Noel Gallagher during the Oasis tour this year. Pic: Reuters

DS Raffin said he was aware the family had concerns over the “circumstances on the night”, and said he would pass these on to officials at Brent Council.

The deceased’s father, Clive Claydon, 75, previously raised questions about barriers at the venue.

“It must have been horrific,” he said in August.

“All I know is there was beer everywhere, it’s slippery, he slipped apparently, we do not know the rest of it, there’s questions about the barriers.”

Brent Council will now review the police report.

Oasis fans on Wembley Way, ahead of the first night of the Oasis Live '25 tour opening at Wembley Stadium in London. Pic: PA
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Oasis fans on Wembley Way, ahead of the first night of the Oasis Live ’25 tour opening at Wembley Stadium in London. Pic: PA

Mr Claydon, a landscape gardener, fell during a gig that formed part of Oasis’ sell-out Live ’25 reunion tour – their first since splitting in 2009.

The inquest opening, which took place in September, heard that the father-of-three was taken to a medical centre in Wembley after the fall, where he was pronounced dead at 10.38pm.

A post-mortem examination on 6 August gave his preliminary medical cause of death as “multiple bodily injuries”.

Senior Coroner Andrew Walker told the review hearing the full inquest will take place on 26 February next year.

He said: “It looks like we are going to be in a position next February to have reports from the London Borough of Brent over the circumstances and also we will have by then the police investigation report.”

Oasis previously said in a statement: “We are shocked and saddened to hear of the tragic death of a fan at the show.

“Oasis would like to extend our sincere condolences to the family and friends of the person involved.”

In a statement at the time of the fall, a Wembley spokesperson said: “The stadium operates to a very high health and safety standard, fully meeting legal requirements for the safety of spectators and staff, and is certified to and compliant with the ISO 45001 standard.

“We work very closely and collaboratively with all relevant event delivery stakeholders – including event owners, local authorities, the Sports Grounds Safety Authority and the police – to deliver events to high standards of safety, security and service for everyone attending or working in the venue.”

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