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A new guide has been published, intended to ensure doctors feel “supported to speak out”.

The document, from the General Medical Council (GMC), comes one day after the sentencing of nurse Lucy Letby.

The 33-year-old was handed 14 whole-life orders for murdering seven babies and attempting to murder six others while working in a hospital’s neonatal unit.

The GMC has set out the standards of patient care and professional behaviour expected of all medical professionals.

While the guide’s predecessor, published in 2013, placed a duty on all doctors to raise concerns about patient safety, the updated version emphasises that doctors in leadership and management positions should create a culture in which staff feel safe to speak out about concerns.

Dr Naru Narayanan, president of the Hospital Consultants and Specialists Association (HCSA), said whistle-blowers are “treated by bad employers like the problem” and can “find themselves on the receiving end of threats and bullying to remain silent”.

In the Lucy Letby case, it has emerged that doctors raised worries which were rejected by hospital bosses.

A retired doctor who also worked at the Countess of Chester Hospital, Dr John Gibbs, questioned why managers took 11 months to involve police when suspicions were raised.

Dr Ravi Jayaram – a consultant paediatrician at the hospital who gave evidence in Letby’s court case – said there are “things that need to come out about why it took several months from concerns being raised to the top brass before any action was taken to protect babies“.

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Letby: Why were warnings ignored?

The new guide has been welcomed by Professor Chris Whitty, England’s chief medical officer, who said it “emphasises how supportive workplaces are essential for patient care as well as clinical staff”.

Among the changes is guidance on sexual harassment, which has been included by the regulator for the first time as part of a “zero tolerance” approach.

It says that doctors “must not act in a sexual way towards colleagues with the effect or purpose of causing offence, embarrassment, humiliation or distress”.

In addition to physical contact, it includes verbal or written comments and displaying or sharing images.

Professor Dame Carrie MacEwen, chairwoman of the GMC, said staff who experience harassment or bullying “must feel supported to speak out”.

She added: “Sexual harassment, bullying and discrimination are entirely unacceptable.

“Where workplace cultures of this kind of behaviour go unchecked, they are detrimental to wellbeing, performance and patient safety.”

Read more:
The victims of Lucy Letby – and full statements from their parents

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Letby: Hospital doctor speaks out

Tim Mitchell, president of the Royal College of Surgeons of England, said: “We need to be creating a work environment where every person feels welcome, safe and protected.

“The GMC’s new standards send a strong message to the profession that these behaviours will not be tolerated.”

However, the Medical Defence Union (MDU) said doctors are “concerned about digesting and implementing new standards”.

The fresh guidance will be implemented from January 2024 after a five-month familiarisation period for staff.

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Queen pulls out of attending Duchess of Kent’s funeral due to illness, Buckingham Palace says

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Queen pulls out of attending Duchess of Kent's funeral due to illness, Buckingham Palace says

The Queen has withdrawn from attending the funeral of the Duchess of Kent while she recovers from illness.

Buckingham Palace said on Tuesday that Queen Camilla is recovering from acute sinusitis.

Camilla, 78, was due to join the King and other members of the Royal Family at the funeral at Westminster Cathedral this afternoon.

The withdrawal raises questions over her attendance for US President Donald Trump‘s state visit, which begins at Windsor on Wednesday.

The visit is being hosted by King Charles.

King Charles and Queen Camilla were due to attend the funeral together. Pic: PA
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King Charles and Queen Camilla were due to attend the funeral together. Pic: PA

But the Queen is hopeful she will recover in time to attend all royal elements of Mr Trump’s trip, which includes a lavish state banquet.

A Buckingham Palace spokesperson said: “With great regret, Her Majesty The Queen has withdrawn from attendance at this afternoon’s Requiem Mass for The Duchess of Kent as she is recovering from acute sinusitis.”

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The Duke of Kent has been informed and is said to fully understand the decision, wishing her a speedy recovery.

The Queen had travelled down from Scotland this morning and is currently travelling to Windsor, where she will rest.

“Her thoughts and prayers will be with The Duke of Kent and all the family.”

The requiem mass, which is a Catholic funeral, is the first to be held for a member of the monarchy in modern British history.

Royals in attendance included Prince William, Catherine, the Princess of Wales, the Princess Royal and her husband, Vice Admiral Sir Tim Laurence.

Pics: PA
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Pics: PA

Prince Andrew and Sarah Ferguson, the Duchess of York, were also seen approaching Westminster Cathedral for the service.

Pic: PA
Image:
Pic: PA

Former Formula One world champion Sir Jackie Stewart and actresses Rula Lenska and Dame Maureen Lipman were also among the mourners.

Katharine, the Duchess of Kent, who became the oldest living member of the Royal Family when Queen Elizabeth II died in 2022, died at the age of 92 on 4 September.

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Heavy security at Windsor for Trump’s state visit feels ‘American’

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Heavy security at Windsor for Trump's state visit feels 'American'

There has been no expense spared for the UK’s biggest security operation since the King’s coronation.

This time the occasion is both royal and presidential. It is vast and honestly feels, well, American.

The operation has been led by Thames Valley Police, but officers from across the UK will also play a part in the visit.

Windsor is a sea of fluorescent yellow jackets and black and white flat caps. Officers are swarming the town and over the next couple of days will be sending drones into crowds, conducting boat patrols and deploying mounted units in and around the wider area.

Authorities have planned for every eventuality but would not expand on whether the fatal shooting of Charlie Kirk had led them to heighten security measures.

Officers patrolling the River Thames
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Officers patrolling the River Thames

Police on horses in Windsor. Pic: Reuters
Image:
Police on horses in Windsor. Pic: Reuters

The assassination of the US activist may have intensified consideration about potential threats, but authorities have had extensive security plans in the works for months.

Operational firearms commander Sergeant Dan Hatfield explained that the police presence will be heightened – and every plan has been worked on in conjunction with the Secret Service.

“The residents of Windsor and visitors to Windsor are used to seeing a fairly high police presence, including armed police,” Sgt Hatfield said.

“However, for this state visit, they will see an increase in those numbers. Fortunately, I’ve had experience working with the Americans with all the Secret Service. We have a really good working relationship and work fairly harmoniously together to ensure the safety of everyone involved.”

A member of the Blues and Royals prepares for a first ride-out ahead of rehearsals for the state visit. Pic: PA
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A member of the Blues and Royals prepares for a first ride-out ahead of rehearsals for the state visit. Pic: PA

Whether in the air, on the ground or on the water, safety is paramount.

On a visit with the Thames Valley marine unit, Sky News witnessed what their 24-hour patrol of the waterways would look like.

A section of the River Thames that borders the Castle will be closed off during the visit.

Sergeant Lyn Smith, head of the joint operations marine unit between the Thames Valley and Hampshire forces, said this is the biggest event she has worked on.

“The team is highly trained, we are ready for anything that will happen on or around the water,” she said.

“The marine support unit are going to be doing high visibility patrols, some searching, some specialist searching in and around the area, and working with our partners in the Environment Agency to deliver a safe event.

“Similar to President Macron’s state visit, we are still providing capability on the water, it’s just on a larger scale for us.”

Police dog Jack, from Thames Valley Police, has been carrying out security searches. Pic: PA
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Police dog Jack, from Thames Valley Police, has been carrying out security searches. Pic: PA

Security fences along the Long Walk near Windsor Castle. Pic: Reuters
Image:
Security fences along the Long Walk near Windsor Castle. Pic: Reuters

Read more:
What we know about Trump’s state visit
What Trump’s second state visit really means

Notably, for the first time in any state visit or royal occasion, the section of the Long Walk leading up to the castle has been cordoned off with large white barricades erected to shield the residence from view.

Airspace over the town is also restricted for the duration of the visit, enforced using police drones and helicopters.

Vehicles will be standing by close to patrol officers on the ground, holding their ballistic helmets, ballistic vests and shields if an incident occurs.

Thousands of protesters plan to descend on Windsor and central London during the visit to demonstrate against the president’s trip.

A rally in central London on Wednesday is expected to draw the largest crowd, but protesters from the Stop Trump Coalition have now confirmed plans for a Tuesday event too.

A royal welcome may not be extended by all – but many will be hoping they won’t drown out the pomp for the president.

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Google makes £5bn pledge to Britain – but concerns raised over mooted UK-US tech deal

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Google makes £5bn pledge to Britain - but concerns raised over mooted UK-US tech deal

Google is set to invest £5bn in the UK in the next two years, to support growing demands for AI services.

The announcement, which comes as Google opens a new data centre in Waltham Cross in Hertfordshire, is expected to contribute to the creation of thousands of jobs, the US tech giant said.

Chancellor Rachel Reeves described it as a “vote of confidence” in the UK economy.

The news comes hours before Donald Trump lands in the UK for a state visit at which he and Sir Keir Starmer are widely expected to sign a new UK-US tech deal.

It also follows reports that ChatGPT parent firm OpenAI, and Nvidia, will also unveil billions of dollars’ worth of investment into UK data centres this week.

The chancellor said the investment would boost research and development, capital expenditure and engineering.

However, Liberal Democrat leader Sir Ed Davey has criticised the proposed deal as a “Silicon Valley stitch-up”, and has demanded that the government put it to a vote in parliament.

He said: “I am really concerned the government is going to agree to a Silicon Valley stitch-up that hands tax cuts to tech billionaires while undermining protections for our children online.”

Sir Ed added: “Parents want protections for children online to be kept in place, not traded away in a backroom deal with tech barons.

“We can’t let the government sign up to a deal that benefits Elon Musk at the expense of the British people.”

Sir Ed Davey
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Sir Ed Davey

Read more:
What Elon Musk told crowds in London via video link

Google has confirmed it will invest £5bn into capital expenditure, research and development, and related engineering over the next two years, which will include “pioneering” AI research in science and healthcare through its DeepMind operation.

The Silicon Valley firm said the investment will help the UK grow its AI economy and contribute to technological breakthroughs, improvements in cybersecurity and job creation.

Google predicted the investment will help to create 8,250 jobs annually at UK businesses.

DeepMind co-founder and chief executive Demis Hassabis said: “We founded DeepMind in London because we knew the UK had the potential and talent to be a global hub for pioneering AI.

“The UK has a rich history of being at the forefront of technology – from Lovelace to Babbage to Turing – so it’s fitting that we’re continuing that legacy by investing in the next wave of innovation and scientific discovery in the UK.”

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