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 across England 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 earache, sore throat and urinary tract infections without needing the approval of a GP.
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.
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.
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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.
He pointed to figures from the Chemists’ Association which reveal that 670 pharmacies and 343 surgeries have closed since 2015.
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.
The deputy leader of the Liberal Democrats, Daisy Cooper, also said the plan was “not worth the paper it was written on”, adding: “The Conservatives have broken their promise to recruit 6,000 more GPs leaving patients struggling to get the care they need when they need it.
“Accessing faster care is critical for patients but ministers just don’t seem to grasp the scale of the problem.”
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.
A woman casually walks into a convenience store and starts filling a bread crate with goods from one of the aisles.
A shop assistant tries to stop her, but she shrugs him off, undeterred. With the crate now full of items, she leaves without paying.
It is a scenario that is played out day in and day out across Britain, as retailers warn the surge in shoplifting is now “out of control”.
I’m sitting in the security office of a busy city centre shop and I’m watching as a schoolboy walks in and helps himself to a sandwich, stuffing it into his jacket.
Watching with me is shop worker Anton Mavroianu who positions himself by the main entrance waiting for the youngster to leave.
When the boy does leave, Anton demands the item back. Instead of being frozen with fear that he’s been caught, the boy laughs and walks off.
“All we can do is try to stop them,” Anton tells me. “But this is just another day for us.”
A few weeks earlier, when Anton tried to stop a shoplifter who had stolen from the store, the man pulled out a knife and tried to attack him.
This terrifying incident is an example of the very real threat posed to shop workers as they try to stem the tide of brazen thefts.
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Shoplifting offences recorded by police in England and Wales have risen to the highest level in 20 years.
The British Retail Consortium (BRC) also reports that theft-related losses cost the retail sector millions each year, adding strain to an industry already grappling with post-pandemic recovery and economic uncertainty.
For small businesses, which lack the resources of larger chains, persistent theft can threaten their very survival.
Ricky Dougall owns a chain of convenience stores and says shoplifting cost his business around £100,000 last year.
“Shoplifting is a huge problem and it is what stops us from growing the business.
“People come in and help themselves like they own the place and when you call the police, most of the time, they don’t turn up.”
Mr Dougall says part of the problem is how this type of crime is classified.
Sentencing guidelines for thefts of under £200, so-called “low level shoplifting”, were relaxed in 2016. That is being blamed for the surge in cases.
An exclusive Sky News and Association of Convenience Stores survey shows that 80% of shopkeepers surveyed had an incident of retail crime in the past week.
The poll also found 94% of shopkeepers say that in their experience, shoplifting has got worse over the last year, with 83% not confident that the police will take action against the perpetrators of retail crime on their premises.
Paul Cheema from the Association of Convenience Stores says retailers are looking to Government to support them.
“I would say officials do not give a s*** about us retailers,” he tells me. “The losses are too big and I don’t think we can sustain that anymore.
“I would urge Keir Starmer to come and meet us and see up close the challenges that we are facing.”
Retailers have responded by investing heavily in security measures, from advanced surveillance systems to hiring more security staff.
But these investments come at a cost, often passed down to consumers through higher prices.
I get chatting to Matt Roberts, head of retail in the store I am in. He worries about shoplifting, but he worries about the staff more.
“I would imagine they dread coming to work because they’re always on tenterhooks wondering whether something is going to happen today, whether they are going to have to try and confront someone.
“It’s a horrible feeling. It’s out of control and we need help.”
The government has acknowledged the urgency of the issue. Home Secretary-led discussions with retail associations and law enforcement are underway to craft a comprehensive strategy.
In the King’s Speech, the government outlined details of a Crime and Policing Bill, which promised to “introduce stronger measures to tackle low level shoplifting”, as well as introducing a separate offence for assaulting a shop worker.
Children do not feel safe, a charity has warned, as a survey finds two-thirds of teens in England and Wales have a fear of violence.
The charity, which surveyed 10,000 children aged 13-17, found that 20% of teenagers have been victims of violence in the past 12 months.
“I think what shocked me most is how this is a problem that affects all of our children,” said Jon Yates, CEO of the Youth Endowment Fund.
“We found that two-thirds of all teenage children are afraid. And that fear is pretty real for a lot of them.”
He said it’s a fear so palpable that many teenage children are changing their patterns of behaviour, or have had it influence their daily decisions.
One third of teenage children – 33% – reported avoiding areas, whilst around 27% alter their travel routes or avoid public transport altogether to stay safe.
More worryingly, however, some say the fear of violence has led to mental health challenges, with 22% reporting difficulties sleeping, reduced appetite and concentrating in school.
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Weapon carrying is also a concern for the charity, especially among vulnerable groups.
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From September: Young gangs of Wolverhampton
In England and Wales, 5% of all 13-17 year olds reported carrying a weapon in the past year, but that figure jumps to 21% for those suspended from school and 36% for children who have been excluded from school.
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But Mr Yates said “shockingly” only 12% of children who repeatedly commit violence get any sort of support.
“That’s madness,” he said.
Jay*, 23, from Birmingham said depending on your environment, sometimes violence is hard to avoid.
“I’ve had friends be shot, I’ve got friends who have been stabbed, I had a friend die last month to be fair,” Jay told Sky News.
He said it is “damaging” because you never really get the opportunity to “heal”. He is now being supported by the charity Project Lifeline, but says before then it was difficult to find any hope.
“If you don’t have hope,” Jay added, “you can’t really get anywhere. It’s about finding that hope.”
Mark Rodney, CEO of Lifeline Project, mentors at-risk young children and said he has learned that “not only the perpetrator carries the knife, the victim sometimes carries the knife”.
“And not only the perpetrator does the killing,” he added. “The victim sometimes does the killing, because that’s where we’re at.”
He said far too many families ask themselves “is my child safe going to school or coming home from school?” and adds the government must “actually start addressing people’s concerns”.
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From September: Home Sec vows to halve knife crime
The report also found that in 93% of cases where teenage children repeatedly harm others, adults intervene with punishments such as school discipline or police involvement.
However, only 12% of these children are offered support aimed at addressing the root causes of violence and preventing further harm.
Mr Yates said: “They go to school, they do something violent. They get excluded.”
He added: “We need to be much better at saying, ‘we’re not going to lose that child. We’re going to keep providing support to them. We’re going to keep providing a mentor’.
“Instead, we let them fall through the cracks”.
A government spokesperson said: “Halving knife crime in a decade is a clear mission this government has set out.
“It is vital to protect vulnerable young people who are too often the victims or perpetrators of this crime.”