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Kanan Patel still wears a golden wedding band. I can see it as she holds her mobile to read out a text message from her husband Jayesh.

“Things not improving on O2. Need to try something different.”

She texted back: “I’ve spoken to the Dr. Jayesh keep fighting, don’t let this virus defeat you. We all love you and need you.”

The last messages between Kanan and Jayesh
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The last messages between Kanan and Jayesh

This was the last time Kanan swapped messages with Jayesh. When he sent it he was lying in a hospital bed fighting to breathe. Days later he was intubated, but the doctors could not save him from COVID.

“He was the youngest on the ward,” Kanan tells me.

At just 52 Jayesh was not in the most at-risk groups. But as a community pharmacist working in spring 2020 as the pandemic was beginning to sweep across the world, Jayesh was left exposed and vulnerable without any protection.

I first came to see Kanan in July 2020, three months after her husband’s death. She and her two young daughters, Ria and Kira, were offering prayers during a solemn Hindu ceremony in their kitchen.

She described then, choking back tears, the last time she saw Jayesh: “He walked towards the ambulance in his slippers, I didn’t know he was never going to come back.”

And with those words Kanan broke down.

The National COVID Memorial on the River Thames near Waterloo
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The National COVID Memorial on the River Thames near Waterloo

Grief internalised as COVID-19 Inquiry resumes

There are no tears today. Kanan’s grief is internalised. She struggles, as do her daughters, on special occasions like birthdays and anniversaries.

Today, Valentine’s Day, is especially hard. It is also the day when the COVID-19 Inquiry resumes. Kanan is watching online but the stream is experiencing technical issues.

Kanan feels the public inquiry into the pandemic might be the only chance of the government being held to account. She blames it for failing to protect her husband, that and its “chaotic” messaging.

Kanan Patel lost her husband Jayesh to COVID
Image:
Kanan Patel lost her husband Jayesh to COVID

“All the errors and, you know, all the mistakes which delayed providing the PPE and giving clear guidance to people. There’s a lot, there’s a long list. It all came in dribs and drabs, one guideline today and then tomorrow you hear that it’s something else,” she says.

Lobby believes his father would still be alive if guidance reflected all Britons, not just white ones

Kanan’s frustration is shared by Lobby Akinnola.

I arranged to meet him at the National COVID Memorial on the River Thames near Waterloo, just across the water from the Houses of Parliament.

As we walk along the wall looking at the fresh roses and cards left by bereaved family members he stops and points to a blank heart on the wall.

“This is my dad’s heart, it’s faded now,” he says.

The letters may be fading but Lobby’s pain is not.

Lobby Akinnola lost his father Olufemi
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Lobby Akinnola lost his father Olufemi

His father Olufemi was found dead on the floor of the family’s home in April 2020. Lobby believes his father would still be alive if NHS 111 guidance had reflected all Britons, not just white ones.

‘Race played a part in the death of my father’

“I personally believe race played a part in the death of my father, there’s always the lingering question of ‘if he were white would he be here’ – and it’s things like when trying to diagnose the symptoms of COVID, asking questions like ‘are your lips blue,’ that’s a red flag, immediate, ambulance 999, blue light your way there, but that question doesn’t apply to people like me and my dad,” Lobby says describing his conversation with a 111 call handler.

“So could his life have been saved if we’d thought ahead, and had the forethought and preparedness to consider how these symptoms are going to show up on black skin.”

A woman leaves flowers and a note at the National COVID Memorial on the River Thames near Waterloo
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A woman leaves flowers and a note at the National COVID Memorial on the River Thames near Waterloo

Lobby is clear about his demands from the inquiry: “I want justice and change. There are many decisions that were made in that building across from us now, that resulted in all of these hearts we see on this wall.”

Sky News has contacted NHS England for comment. In a previous statement regarding the 111 service, they said: “GPs, nurses, paramedics and other health service staff working in the 111 phone and online service have played a key role in helping millions of people get the right care and advice – whether for coronavirus or any other urgent medical needs.”

Bereaved families struggling to be heard

Today’s online preliminary hearings suffered some technical problems resulting in a loss of audio.

Bereaved families say they are struggling to be heard too, they can only share their stories via an online form leaving people like Lobby and Kanan feeling sidelined.

As we walk back along the wall, more flowers and Valentine’s cards are being left. It’s clear that the loss of a loved one to COVID was felt more acutely today.

This grief will only be made more bearable when so many important questions are finally answered.

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Labour accused of another manifesto breach after major workers’ rights U-turn

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Labour accused of another manifesto breach after major workers' rights U-turn

The Labour government is facing accusations of two manifesto breaches in as many days after turning its back on a promise to protect workers from unfair dismissal from day one in a job.

A day after Rachel Reeves confirmed an extended freeze on income tax thresholds that critics said amounted to a manifesto-breaching tax hike on working people, the business secretary announced a key measure in the flagship Employment Rights Bill would be watered down.

The qualifying period for unfair dismissal is currently two years, and Labour said in their manifesto they would bring it down to one day.

But Peter Kyle announced on Thursday it would now be six months, having faced opposition from businesses.

Mr Kyle defended the change, insisting “compromise is strength”, but Tory leader Kemi Badenoch described it as “another humiliating U-turn” and a number of Labour MPs aren’t happy.

Andy McDonald, MP for Middlesbrough and Thornaby East, branded the move a “complete betrayal”, while Poole MP Neil Duncan-Jordan said the government had “capitulated”.

Former employment minister Justin Madders, who was sacked in Sir Keir Starmer’s reshuffle earlier this year, also disputed claims the move did not amount to a manifesto breach.

“It might be a compromise,” he said, “but it most definitely is a manifesto breach.”

What did the manifesto say?

The Employment Rights Bill was a cornerstone of Labour’s 2024 election manifesto, and also contains measures that would ban zero-hours contracts.

The party manifesto promised to “consult fully with businesses, workers, and civil society on how to put our plans into practice before legislation is passed”.

“This will include banning exploitative zero-hours contracts; ending fire and rehire; and introducing basic rights from day one to parental leave, sick pay, and protection from unfair dismissal,” it said.

Angela Rayner was a key driver of the bill before she left cabinet, but Peter Kyle (below) is now calling the shots. Pic: PA
Image:
Angela Rayner was a key driver of the bill before she left cabinet, but Peter Kyle (below) is now calling the shots. Pic: PA

Pic: Reuters
Image:
Pic: Reuters

How did we get here?

But the legislation – which was spearheaded by former deputy prime minister Angela Rayner – has been caught in parliamentary ping pong with the House of Lords.

Last month, some peers objected to the provisions around unfair dismissal, suggesting they would deter some businesses from hiring.

They also opposed Labour’s move to force employers to offer guaranteed hours to employees from day one, arguing zero-hour contracts suited some people.

Ministers said reducing the qualifying period for unfair dismissal turned the bill into a “workable package”.

Read more:
Budget 2025: The key points at a glance
Starmer insists Labour ‘kept to our manifesto’

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Employment Rights Bill is ‘anti-growth blueprint’

Businesses have largely welcomed the change, but unions gave a more hostile response.

Sharon Graham, the general secretary of Unite, said the bill was now a “shell of its former self”.

“With fire and rehire and zero-hours contracts not being banned, the bill is already unrecognisable,” she said.

The TUC urged the House of Lords to allow the rest of the legislation to pass.

Paul Nowak, the general secretary, said: “The absolute priority now is to get these rights – like day one sick pay – on the statute book so that working people can start benefitting from them from next April.”

‘Strikes the right balance’

The Resolution Foundation said the change in the unfair dismissal period was a “sensible move that will speed up the delivery of improvements to working conditions and reduce the risk of firms being put off hiring”.

It said the change “strikes the right balance between strengthening worker protections and encouraging businesses to hire” and deliver “tangible improvements to working conditions”.

The Confederation of British Industry (CBI) added: “Businesses will be relieved that the government has agreed to a key amendment to the Employment Rights Bill, which can pave the way to its initial acceptance.

“This agreement keeps a qualifying period that is simple, meaningful and understood within existing legislation.

“It is crucial for businesses confidence to hire and to support employment, at the same time as protecting workers.”

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Budget 2025: Reeves urged to ‘make the case’ for income tax freeze – as PM hits out at defenders of ‘failed’ policy

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Budget 2025: Reeves urged to 'make the case' for income tax freeze - as PM hits out at defenders of 'failed' policy

Rachel Reeves needs to “make the case” to voters that extending the freeze on personal income thresholds was the “fairest” way to increase taxes, Baroness Harriet Harman has said.

Speaking to Sky News political editor Beth Rigby on the Electoral Dysfunction podcast, the Labour peer said the chancellor needed to explain that her decision would “protect people’s cost of living if they’re on low incomes”.

In her budget on Wednesday, Ms Reeves extended the freeze on income tax thresholds – introduced by the Conservatives in 2021 and due to expire in 2028 – by three years.

The move – described by critics as a “stealth tax” – is estimated to raise £8bn for the exchequer in 2029-2030 by dragging some 1.7 million people into a higher tax band as their pay goes up.

Rachel Reeves, pictured the day after delivering the budget. Pic: PA
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Rachel Reeves, pictured the day after delivering the budget. Pic: PA

The chancellor previously said she would not freeze thresholds as it would “hurt working people” – prompting accusations she has broken the trust of voters.

During the general election campaign, Labour promised not to increase VAT, national insurance or income tax rates.

Sir Keir Starmer has insisted there’s been no manifesto breach, but acknowledged people were being asked to “contribute” to protect public services.

He has also launched a staunch defence of the government’s decision to scrap the two-child benefit cap, with its estimated cost of around £3bn by the end of this parliament.

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Prime minister defends budget

‘A moral failure’

The prime minister condemned the Conservative policy as a “failed social experiment” and said those who defend it stand for “a moral failure and an economic disaster”.

“The record highs of child poverty in this country aren’t just numbers on a spreadsheet – they mean millions of children are going to bed hungry, falling behind at school, and growing up believing that a better future is out of reach despite their parents doing everything right,” he said.

The two-child limit restricts child tax credit and universal credit to the first two children in most households.

The government believes lifting the limit will pull 450,000 children out of poverty, which it argues will ultimately help reduce costs by preventing knock-on issues like dependency on welfare – and help people find jobs.

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Budget winners and losers

Speaking to Rigby, Baroness Harman said Ms Reeves now needed to convince “the woman on the doorstep” of why she’s raised taxes in the way that she has.

“I think Rachel really answered it very, very clearly when she said, ‘well, actually, we haven’t broken the manifesto because the manifesto was about rates’.

“And you remember there was a big kerfuffle before the budget about whether they would increase the rate of income tax or the rate of national insurance, and they backed off that because that would have been a breach of the manifesto.

“But she has had to increase the tax take, and she’s done it by increasing by freezing the thresholds, which she says she didn’t want to do. But she’s tried to do it with the fairest possible way, with counterbalancing support for people on low incomes.”

Read more:
Labour’s credibility might not be recoverable
Budget 2025 is a big risk for Labour’s election plans

She added: “And that is the argument that’s now got to be had with the public. The Labour members of parliament are happy about it. The markets essentially are happy about it. But she needs to make the case, and everybody in the government is going to need to make the case about it.

“This was a difficult thing to do, but it’s been done in the fairest possible way, and it’s for the good, because it will protect people’s cost of living if they’re on low incomes.”

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Prostate cancer: NHS screening programme could come one step closer today

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Prostate cancer: NHS screening programme could come one step closer today

An NHS screening programme for prostate cancer could come one step closer if it’s backed today by a key committee that advises the government.

The National Screening Committee, comprised of doctors and economists, will reveal whether it now believes the benefits of screening outweigh any risks, and whether testing could be done at a reasonable cost to the NHS.

When it last looked at the evidence in 2020, it rejected calls for screening, even though prostate cancer kills 12,000 men a year.

But in recent months, there has been growing pressure for screening from high-profile public figures such as Olympian Sir Chris Hoy and former Sky News presenter Dermot Murnaghan.

Both have been diagnosed with advanced prostate cancer, yet the disease is curable if detected in its early stages.

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Sir Chris Hoy and Dermot Murnaghan on facing cancer

Former prime minister David Cameron has also backed the campaign for screening this week after revealing he had been treated for the cancer.

The committee will decide whether new research has tipped the scales in favour of screening older men, or whether to target only those at higher risk, such as black men and those with a family history of the disease.

The case for…

Lithuania is currently the only country to screen all men aged 50-69 with a blood test for PSA, a protein released by prostate cells.

A low level is normal. But levels can rise steeply in men with cancer.

A recent study showed that regular PSA testing of men over 50 could reduce deaths by 13%.

That’s about the same survival benefit of breast screening.

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Cameron treated for prostate cancer

…and the case against

But the PSA blood test isn’t completely reliable.

One in seven men with prostate cancer actually have a normal PSA level.

And even those with a high level may have a cancer that is so slow growing that it’s just not a threat.

That’s why the National Screening Committee has warned in the past that PSA screening could lead men to have surgery or other treatment that they don’t actually need. Treatment can result in incontinence or impotence.

But the evidence has moved on.

These days men with a high PSA should have an MRI scan of their prostate, which significantly reduces the risk of unnecessary treatment. And the treatment itself is getting safer.

But the committee may judge that the risks and benefits of screening all men in their 50s and 60s are still too finely balanced to give the go-ahead.

They may wait for results from the Transform trial, which has just been launched and will compare different screening strategies. That could take many years.

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‘When I was diagnosed, it was too late’

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TGI Fridays’ UK chain up for sale
U-turn over unfair dismissal policy

But campaigners are hopeful that the committee will recommend the screening of men at higher risk of prostate cancer in the meantime.

Black men have twice the risk of those from other ethnic groups.

Men whose father or brothers have had prostate cancer are two and a half times the risk.

And there is also an increased risk for men whose mother or sisters have had breast or ovarian cancer.

Roughly 1.3 million men fall into one of the risk groups.

But identifying and inviting them for screening could prove tricky. GPs don’t always note a patient’s ethnicity in their medical records, and they would usually only know about a patient’s family history if they have been told.

If the committee recommends screening in some form, it is likely to go out to a public consultation before landing on the desk of Health Secretary Wes Streeting for a final decision.

Ultimately, it is his call whether at least some men are screened for what is now the most common cancer in England.

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