Pharmacies to be able to prescribe medication under plans to free up GP appointments
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”.
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.
This is the highest stakes diplomacy via social media.
The American president just posted on his Truth Social platform: “We know exactly where the so-called ‘Supreme Leader’ is hiding.
“He is an easy target, but is safe there – We are not going to take him out (kill!), at least not for now. But we don’t want missiles shot at civilians, or American soldiers.
“Our patience is wearing thin. Thank you for your attention to this matter!”
Israel-Iran live: Trump says US knows where Iran’s supreme leader is ‘hiding’
It was followed minutes later by “UNCONDITIONAL SURRENDER!”
In real-time, we are witnessing Donald Trump’s extreme version of maximum pressure diplomacy.
He’d probably call it the ‘art of the deal’, but bunker busters are the tool, and it comes with such huge consequences, intended and unintended, known and unknown.
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Nuclear sites targeted in Iran
There is intentional ambiguity in the president’s messaging. His assumption is that he can apply his ‘art of the deal’ strategy to a deeply ideological geopolitical challenge.
It’s all playing out publicly. Overnight, the New York Times, via two of its best-sourced reporters, had been told that Mr Trump is weighing whether to use B-2 aircraft to drop bunker-busting bombs on Iran’s underground nuclear facilities.
Meanwhile, Axios was reporting that a meeting is possible between Trump’s envoy Steve Witkoff and Iran’s foreign minister Abbas Araghchi.
The reporting came just as Mr Trump warned “everyone in Tehran to evacuate”. The nuclear sites being threatened with bunker busters are not in Tehran, but Trump’s words are designed to stoke tension, to confuse and to apply intense pressure.
His actions are too. He left the G7 in Canada early and asked his teams to gather in the White House Situation Room.
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Trump: ‘I want an end, not a ceasefire’
This is a game of smoke, mirrors, brinkmanship and – maybe – bluff. In Tehran, what’s left of the leadership is watching and reading closely as they consider what’s next.
Maybe the Supreme Leader and his regime’s days are numbered. Things remain very unpredictable.
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
From history, though, regime change, even when it comes with a plan – and there is certainly not one here, spells civil war and from that comes a refugee crisis.
These are truly tense and chaotic times.
World
Ukraine war: 14 killed as Russian missile and drone attacks strike Kyiv – including American citizen
Russian missile and drone attacks have killed 14 people in Kyiv overnight, according to Ukrainian officials.
A 62-year-old US citizen who suffered shrapnel wounds is among the dead.
At least 99 others were wounded in strikes that hollowed out a residential building and destroyed dozens of apartments.
Pic: AP
Emergency workers were at the scene to rescue people from under the rubble.
Images show a firefighter was among those hurt, with injured residents evacuated from their homes.
President Volodymyr Zelenskyy described the attack as “one of the most terrifying attacks on Kyiv” – and said Russian forces had fired 440 drones and 32 missiles as civilians slept in their homes.
“[Putin] wants the war to go on,” he said. “It is troubling when the powerful of this world turn a blind eye to it.”
Pic: AP
Ukraine’s interior minister, Ihor Klymenko, said 27 locations across the capital have been hit – including educational institutions and critical infrastructure.
He claimed the attack, in the early hours of Tuesday morning, was one of the largest on the capital since Russia’s full-scale invasion began in February 2022.
Drones swarmed over the city, with an air raid alert remaining in force for seven hours.
One person was killed and 17 others injured as a result of separate Russian drone strikes in the port city of Odesa.
Pic: Reuters
It comes as the G7 summit in Canada continues, which Ukraine’s leader is expected to attend.
Volodymyr Zelenskyy was due to hold talks with Donald Trump – but the president has announced he is unexpectedly returning to Washington because of tensions in the Middle East.
Ukraine’s foreign minister says Moscow’s decision to attack Kyiv during the summit is a signal of disrespect to the US.
Moscow has launched a record number of drones and missiles in recent weeks, and says the attacks are in retaliation for a Ukrainian operation that targeted warplanes in airbases deep within Russian territory.
Kyiv’s mayor Vitali Klitschko says fires broke out in two of the city’s districts as a result of debris from drones shot down by the nation’s air defences.
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Pic: AP
On X, Ukraine’s foreign ministry wrote: “Russia’s campaign of terror against civilians continues. Its war against Ukraine escalates with increased brutality.
“The only way to stop Russia is tighter pressure – through sanctions, more defence support for Ukraine, and limiting Russia’s ability to keep sowing war.”
Olena Lapyshnak, who lived in one of the destroyed buildings, said: “It’s horrible, it’s scary, in one moment there is no life. I can only curse the Russians, that’s all I can say. They shouldn’t exist in this world.”
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