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Patients will be able to receive prescription medicines and oral contraception without seeing a GP under new plans to ease the strain on surgeries.

It is hoped the measures – which could be rolled out as soon as this winter – will help to free up 15 million slots at doctors’ surgeries over the next two years.

Under the proposals, pharmacists will be able to write prescriptions for common conditions including including earache, sore throat and urinary tract infections without needing the approval of a GP.

The measures – which are part of what ministers are calling an “overhaul of primary care” – are backed by £645m of spending over two years and come alongside efforts to end the 8am “rush” for appointments.

They are being announced just days after the Conservatives suffered from a punishing set of local election results on the back of high inflation, a cost of living crisis and record high levels of unhappiness with the NHS.

Ministers hope almost half a million women would no longer need to speak to a nurse or GP to get oral contraception under the new plans and that the number of people able to access blood pressure checks in pharmacies would be more than doubled to 2.5 million a year.

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Self-referrals will also be increased for services including physiotherapy, hearing tests and podiatry, bypassing the need to see a GP.

The proposals could be in place this winter pending a consultation with the industry.

The prime minister said “transforming primary care is the next part of this government’s promise to cut NHS waiting lists”.

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The government plans to train GP receptionists

“I know how frustrating it is to be stuck on hold to your GP practice when you or a family member desperately need an appointment for a common illness,” he added.

“We will end the 8am rush and expand the services offered by pharmacies, meaning patients can get their medication quickly and easily.”

NHS chief executive Amanda Pritchard said the reforms would “help us to free up millions of appointments for those who need them most, as well as supporting staff so that they can do less admin and spend more time with patients”.

Steps are being taken to make it easier for patients to see GP – but they may feel short-changed

The government’s Primary Care Plan wants to do two things at once: make it easier for patients to access their GP and to take pressure off GPs so they can manage their patient lists better.

But by doing the former they might be making the latter worse – unless the workforce crisis in primary care is resolved.

A recent survey said seven out of ten GPs found their jobs to be extremely stressful and another found that more than a third of GPs want to quit within five years.

This recruitment and retention issue needs to be addressed urgently.

The government says it will provide £240m for primary care to update existing telephone systems so more calls can be taken, clinically assessed and directed to most appropriate treatment.

This will not always be a GP. It might be a practice nurse or speciality inside a community health team.

There is a perception that GPs do not see enough patients. But the data for March shows 70% of GP appointments were seen face to face.

And primary care doctors will tell you they are seeing more patients than ever before as patient lists continue to grow.

Another step will be to train GP receptionists to become ‘clinical navigators’ so they can field calls and clinically assess the patient and refer the caller to the best service.

This might ease some patient anxiety but it will require a cultural shift in mindset. People expect to see a doctor and feel short-changed if they do not.

Labour’s Shadow Health Secretary Wes Streeting criticised the announcement as “merely tinkering at the edges” and said it did not deliver the “fundamental reform” the NHS needs.

It pointed to figures from the Chemists’ Association which reveal that 670 pharmacies and 343 surgeries have closed since 2015.

The idea of giving pharmacists the power to prescribe without GP approval is not new.

Therese Coffey, who was health secretary during the short period of Liz Truss’s premiership, floated plans to enable pharmacies to manage and supply contraception prescriptions last September.

She also pledged that patients would see a GP within two weeks of making an appointment – although she did not set a target for when that should be achieved by.

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Mr Streeting said: “13 years of Conservative failure has seen hundreds of pharmacies close and 2,000 GPs cut.

“Now millions of patients are waiting a month to see a GP, if they can get an appointment at all. Expecting the Conservatives to fix this is like expecting an arsonist to put out the fire they started.

“Rishi Sunak is completely out of touch with the problems facing patients and the NHS. He has no plan to address the shortage of GPs, or to reverse the cut in the number of doctors trained every year.

“The Conservatives’ announcement is merely tinkering at edges, in contrast to the fundamental reform the NHS needs and Labour is offering.”

Mr Streeting said Labour would abolish the non-dom tax status and use the proceeds to train an extra 7,500 doctors and 10,000 nurses every year.

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Russia accused of escalating hybrid attacks in Europe after Baltic Sea telecoms cables cut

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Russia accused of escalating hybrid attacks in Europe after Baltic Sea telecoms cables cut

Russia has been accused by European governments of escalating hybrid attacks on Ukraine’s Western allies after two fibre-optic telecommunication cables in the Baltic Sea were severed.

Russia is systematically attacking European security architecture,” the foreign ministers of the UK, France, Germany, Italy and Poland said in a joint statement.

“Moscow’s escalating hybrid activities against NATO and EU countries are also unprecedented in their variety and scale, creating significant security risks.”

The statement was not made in direct response to the cutting of the cables, Reuters reported, citing two European security sources.

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Germany’s defence minister Boris Pistorius said: “No one believes that these cables were cut accidentally.”

He added: “We also have to assume, without knowing it yet, that it is sabotage.”

Investigations have been launched into the destruction of the cables earlier this week.

One linked Finland and Germany while the other connected Sweden and Lithuania.

Russia has repeatedly denied it has sabotaged European infrastructure and has accused the West of making such claims to damage Russian interests.

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Investigations launched into possible sabotage

One cable was damaged on Sunday morning and the other went out of service on Monday.

The Swedish Prosecution Authority has launched a preliminary criminal investigation into the damaged cables on suspicion of possible sabotage.

The country’s civil defence minister Carl-Oskar Bohlin said its armed forces and coastguard had picked up ship movements corresponding with the damage to the cables.

“We of course take this very seriously against the background of the serious security situation,” he said.

Finland’s National Bureau of Investigation said it had also launched an investigation, but Sweden would lead the probe.

NATO’s Maritime Centre for the Security of Critical Undersea Infrastructure was working closely with allies in the investigation, an official said.

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Baltic Sea infrastructure damaged

It is not the first time such infrastructure has been damaged in the Baltic Sea.

In September 2022, three Nord Stream gas pipelines between Russia and Germany were destroyed seven months after Moscow invaded Ukraine.

No one took responsibility for the blasts and while some Western officials initially blamed Moscow, which the Kremlin denied, US and German media reported pro-Ukrainian actors may have been responsible.

The companies owning the two cables damaged earlier this week have said it was not yet clear what caused the outages.

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Over 100 politicians from multiple countries condemn China over detention of tycoon Jimmy Lai

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Over 100 politicians from multiple countries condemn China over detention of tycoon Jimmy Lai

More than 100 politicians from 24 different countries, including the UK, the US and the EU, have written a joint letter condemning China over the “arbitrary detention and unfair trial” of Jimmy Lai, a tycoon and pro-democracy campaigner.

The parliamentarians, led by senior British Conservative MP Alicia Kearns, are “urgently” demanding the immediate release of the 77-year-old British citizen, who has been held in solitary confinement at a maximum security prison in Hong Kong for almost four years.

The letter – which will be embarrassing for Beijing – was made public on the eve of Mr Lai’s trial resuming and on the day after British Prime Minister Keir Starmer met Chinese President Xi Jinping on the sidelines of a G20 summit of economic powers in Brazil.

It also comes as Hong Kong jailed 45 pro-democracy activists.

The group of politicians, who also include representatives from Canada, Australia, Spain, Germany, Ukraine and France, said Mr Lai’s treatment was “inhumane”.

“He is being tried on trumped-up charges arising from his peaceful promotion of democracy, his journalism and his human rights advocacy,” they wrote in the letter, which has been seen by Sky News.

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Starmer meets Chinese president

“The world is watching as the rule of law, media freedom and human rights in Hong Kong are eroded and undermined.

“We stand together in our defence of these fundamental freedoms and in our demand that Jimmy Lai be released immediately and unconditionally.”

Sir Keir raised the case of Mr Lai during remarks released at the start of his talks with Mr Xi on Monday – the first meeting between a British prime minister and the Chinese leader in six years.

The prime minister could be heard expressing concerns about reports of Mr Lai’s deteriorating health. However, he did not appear to call for his immediate release.

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From October: ‘This is what Hong Kong is’

Ms Kearns, the MP for Rutland and Stamford in the East Midlands, said the meeting had been an opportunity to be unequivocal that the UK expects Mr Lai to be freed.

“Jimmy Lai is being inhumanely persecuted for standing up for basic human values,” she said in a statement, released alongside the letter.

“He represents the flame of freedom millions seek around the world.

“We have a duty to fight for Jimmy Lai as a British citizen, and to take a stand against the Chinese Community Party’s erosion of rule of law in Hong Kong.

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“This letter represents the strength of international feeling and commitment of parliamentarians globally to securing Jimmy Lai’s immediate release and return to the UK with his family.”

Mr Lai was famously the proprietor of the Chinese-language newspaper Apple Daily in Hong Kong, which wrote scathing reports about the local authorities and the communist government in mainland China after Britain handed back the territory to Beijing in 1997.

The tabloid was a strong supporter of pro-democracy protesters who took to the streets of Hong Kong to demonstrate against the government in 2019.

But the media mogul was arrested the following year – one of the first victims of a draconian new security law imposed by the Chinese Communist Party.

His newspaper was closed after his bank accounts were frozen.

Mr Lai has since been convicted of illegal assembly and fraud. He is now on trial for sedition over articles published in Apple Daily.

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Hong Kong jails 45 pro-democracy activists after accusing them of trying to overthrow the city’s government

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Hong Kong jails 45 pro-democracy activists after accusing them of trying to overthrow the city's government

Forty-five pro-democracy activists have been jailed in Hong Kong’s largest ever national security trial.

The activists sentenced with jail terms ranging from four years to ten years were accused of conspiracy to commit subversion after holding an unofficial primary election in Hong Kong in 2020.

They were arrested in 2021.

Hong Kong authorities say the defendants were trying to overthrow the territory’s government.

Democracy activist Benny Tai received the longest sentence of ten years. He became the face of the movement when thousands of protesters took to the city’s streets during the “Umbrella Movement” demonstrations.

However, Hong Kong officials accused him of being behind the plan to organise elections to select candidates.

Tai had pleaded guilty, his lawyers argued he believed his election plan was allowed under the city’s Basic Law.

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Another prominent activist Joshua Wong received a sentence of more than four years.

Joshua Wong was sentenced to more than four years Pic: AP
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Joshua Wong was sentenced to more than four years Pic: AP

Wong became one of the leading figures in the protests. His activism started as a 15 year old when he spearheaded a huge rally against a government plan to change the school curriculum.

Then in 2019 Hong Kong erupted in protests after the city’s government proposed a bill that would allow extradition to mainland China. It peaked in June 2019 when Amnesty International reported that up to two million people marched on the streets, paralysing parts of Hong Kong’s business district.

The extradition bill was later dropped but it had ignited a movement demanding political change and freedom to elect their own leaders in Hong Kong.

China’s central government called the protests “riots” that could not continue.

Hong Kong introduced a national security law in the aftermath of the protests.

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A woman is taken away by police outside the court Pic: Reuters
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A woman is taken away by police outside the court Pic: Reuters

The US has called the trial “politically motivated”.

Dozens of family and friends of the accused were waiting for the verdict outside the West Kowloon Magistrates Court.

British citizen and media mogul Jimmy Lai is due to testify on Wednesday.

Meeting on the sidelines of the G20 in Brazil, British Prime Minister Keir Starmer told China’s President Xi Jinping he’s concerned about the health of Lai.

He faces charges of fraud and the 2019 protests. He has also been charged with sedition and collusion with foreign forces.

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