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The British public is the unhappiest it has ever been with the NHS, but still supports it in principle, a new survey has found.

The overall satisfaction with the NHS now stands at 29% – a fall of seven percentage points and the fourth-largest drop ever recorded in a single year. In 2010, satisfaction with the NHS was 71%.

The British Social Attitudes survey has tracked public opinion consistently since 1983.

Some 51% of people are unhappy with the healthcare service, a rise of 10 percentage points in a single year, and the highest levels of dissatisfaction since the survey began.

The 40th annual survey took place in September and October last year and asked 3,362 people from England, Wales and Scotland their opinions on health and social care.

The findings paint a worrying picture of how people perceive the NHS.

Over two-thirds of respondents (69%) chose long waiting times for GP and hospital appointments as one of the top reasons for dissatisfaction.

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Accident and emergency departments have seen a sharp increase in the percentage of dissatisfied respondents, with a record 40% saying they are unhappy, according to analysis by the Nuffield Trust and The King’s Fund.

General practice (GPs), dentistry and inpatient hospital services were among the other areas reaching record levels of dissatisfaction, with the findings consistent across all ages, income groups, genders and political persuasions.

Of those who were satisfied with the NHS, the top reason was because NHS care is free at the point of use (74%), followed by the quality of NHS care (55%) and that it has a good range of services and treatments available (49%).

Matthew Taylor, chief executive of the NHS Confederation, said the survey results should be a “red flag to the government”.

The results “should not be seen as a judgement of the efforts of frontline staff to recover services in the wake of the pandemic but rather, a sign that the NHS is not being given what it needs to fully deliver for its local communities”.

“With there being around 124,000 reported vacancies across the NHS in England and a maintenance backlog stretching over £10bn this is hardly surprising,” he added.

Almost 80% of NHS staff consider quitting

Unhappiness within the NHS is not restricted to members of the public, with a separate survey finding 75.5% of workers are considering leaving the service altogether.

The survey of 2,500 NHS employees by Organise found more than half are taking days off due to stress, anxiety or burnout.

The majority also said patients are experiencing medication errors, delays in procedures and compromised quality of care as a result.

It comes as thousands of NHS staff are striking with demands for better pay and improved working conditions.

Anabela De Barros, a recovery nurse working in London, told Sky News the pandemic left many NHS staff deeply traumatised.

“I have never seen so many dead patients in my life,” she said, speaking about her work during COVID.

“And it was nice that everyone was clapping for us. But I know nurses that are now going to food banks, so it’s not enough.”

Striking NHS junior doctors on the picket line outside Queen Elizabeth hospital in Birmingham as the British Medical Association is holding a 72-hour walkout in a dispute over pay. Picture date: Wednesday March 15, 2023.
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Striking NHS junior doctors on the picket line

Ms De Barros has just voted to reject the latest pay deal offered to nurses.

“We’ve had Brexit, COVID and now the war in Ukraine has made the cost of living so high. We are just tired. We are exhausted. And it doesn’t seem like it is going to get better any time soon.”

Nat Whalley, CEO and co-founder of Organise – a worker-led network for fixing employment – called it a “ticking time bomb at the heart of our healthcare system”.

“We don’t need empty promises; we need tangible investments in the NHS that allow workers to thrive in their roles, without suffering from stress, anxiety, and burnout,” said Ms Whalley.

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Why are staff quitting the NHS?

Despite being unhappy, Brits still support the NHS

Despite the high levels of dissatisfaction with how services are operating, the public continues to show strong support for the principles underpinning the NHS.

Nine in 10 people backed the idea that the NHS should be free of charge when people need it.

But more than eight in 10 believe there is a major or severe funding problem for the service.

While taxation remains the favoured source of funding, more people believe the service should live within its budget.

Jessica Morris, report author and fellow at the Nuffield Trust, said: “It is clear that the level of unhappiness amongst the British public over the way the NHS is running is going to take many years to recover.”

A Department of Health and Social Care spokesperson said the government was “hugely grateful” to NHS and social care staff for their working during the pandemic and dealing with the subsequent backlog.

“Cutting waiting lists is one of the prime minister’s five priorities and so far, we have virtually eliminated waits of over two years for treatment and latest figures show the number of patients waiting over 18 months has reduced by 80% from the peak,” they added.

A spokesperson for NHS England said: “The NHS is taking significant steps to further improve patient experience, including our recently-launched blueprint to recover urgent and emergency care alongside continuing to slash the long waits for elective treatment which inevitably built up during the pandemic, and we are working on new plans to boost primary care for patients as well as publishing a long-term workforce strategy shortly.”

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They also highlighted the government’s £14.1bn investment in health and social care over the next two years.

Wes Streeting MP, Labour’s shadow health secretary, said: “Support for the values that the NHS was built upon are unshakable. It will fall to the next Labour government to reform and rebuild the NHS, so it once again delivers quality care for patients, free at the point of use.”

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My father the fraud: Daughter reveals how key scientist in Primodos scandal built career on lies

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My father the fraud: Daughter reveals how key scientist in Primodos scandal built career on lies

A renowned pharmacologist and expert witness in the Primodos drug scandal has been unmasked as a fraud – by his daughter.

Professor Michael Briggs, who was also a NASA scientist and adviser to the World Health Organisation, built his glittering career on lies by faking his qualifications.

The revelations come in a new book called The Scientist Who Wasn’t There, written by his daughter Joanne Briggs – and Sky News can now reveal how his story sheds new light on a medical scandal that has rumbled on for five decades.

From 1966 to 1970, Professor Briggs was UK research director for Schering pharmaceuticals, which made the pregnancy test drug Primodos, sold in the UK with great commercial success.

Joanne Briggs has unmasked her father's lies
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Joanne Briggs has unmasked her father’s lies

Later, hundreds of mothers would claim that the drug damaged their babies in the womb – and Briggs was called as an expert witness to challenge their case.

His involvement in understanding the effects of Primodos runs from the 1960s to the current day, and questions remain over whether his research was among a more recent body of work which has been used by the government to justify not setting up a redress scheme for disabled claimants.

Yet, Briggs was a man who faked research.

“When I was small, I believed my dad to be the only man who knew all science,” Joanne Briggs writes.

Son of a typewriter mechanic from Manchester, he was an enigmatic figure, often dressed in a blazer and sunglasses. In one old family photo, Joanne says he looks like “an operative from MI5, after he’d been issued with a wife and child”.

Professor Briggs claimed he had advised film director Stanley Kubrick on the making of 2001: A Space Odyssey.

He had indeed worked for NASA on the Mars probe, based at the California Institute of Technology, though Joanne believes he used “a three-card trick” to get the job.

Speaking to Sky News in her kitchen in Sussex, she pulls out two A4-bound books.

One purports to be a PhD thesis from Cornell University in 1959 by MH Briggs. The other is a Doctor of Science degree dated 1961 from Wellington University in New Zealand.

“Both of these documents are unfortunately fakes,” says Joanne, explaining that her father worked for a year as a teaching assistant at Cornell and, at best, did a master’s thesis.

The “super doctorate” from Wellington would have required a real PhD, and Joanne believes he did submit something, but examiners described it as “unfavourable”.

“He had a very contorted CV, that’s for sure,” says Joanne. “He never completed a sustained piece of work leading to a higher degree of the kind that you would expect a scientist to have.”

Professor Briggs’s name cropped up in Sky News investigations into Primodos. First in leaked letters from Schering in which scientists were discussing their concerns about the safety of the drug.

Read more:
Primodos – the secret drug scandal
Evidence could reveal ‘one of the biggest medical frauds of 20th century’

Briggs was UK research director for Schering pharmaceuticals, which made pregnancy test drug Primodos
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Briggs was UK research director for Schering pharmaceuticals, which made pregnancy test drug Primodos

A paediatrician named Isabel Gal raised the alarm in a paper published in science journal Nature, warning of a higher incidence of spina bifida in babies born to mothers who used hormone pregnancy tests.

Briggs then asked a statistician, Dennis Cook, to see if there was a correlation between increased sales of the drug and malformations in UK newborns.

Mr Cook, who later shared his study with Sky News, wrote to Briggs warning that the correlation was “alarming”.

Yet Briggs didn’t act on this.

He later left Schering, taking up senior roles in universities in Zambia then Australia, but in 1982, when Primodos campaigners attempted to sue Schering for damages, Briggs was a key expert witnesses offering to give evidence on behalf of the company.

A PhD thesis from Cornell University and a Doctor of Science degree from Wellington University - both fakes
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A PhD thesis from Cornell University and a Doctor of Science degree from Wellington University – both fakes

Joanne says: “The collapse of the trial has been attributed to him by many people on the campaign side. He appeared to be an expert on a world stage, an incomparable expert.

“He advised the World Health Organisation’s hormone pharmaceutical committee, so you couldn’t ask for a better CV, but unfortunately what was in his CV was largely of his own making.”

Joanne describes her father’s career as “a series of fraudulent acts”.

In the late 1980s he was caught out by Sunday Times journalist Brian Deer who found Briggs had been fabricating research for Schering and another company, relating to the safety of the contraceptive pill.

Joanne Briggs says her father's qualifications were 'largely of his own making'
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Joanne Briggs says her father’s qualifications were ‘largely of his own making’

Mr Deer told Sky News: “He was in those days of typewriters, essentially sitting there and thinking of what the data ought to be, and typing it in to tables and sending it off to medical journals to publish.”

Aged 51, Briggs died in mysterious circumstances, shortly after the article was published. But his legacy wasn’t over.

Sky News has found animal studies produced while he was UK research director at Schering were among dozens of studies submitted by the manufacturer for use in an expert working group (EWG) report published in 2017 that examined Primodos for the government.

Twenty-eight animal studies from the 1960s and 70s were provided by Schering, and while a number were produced in the late 70s after Briggs left the company, some of those were outsourced and done in preparation for the litigation in which Briggs was a key witness.

Joanne believes based on the dates and “hallmark characteristics of his turn of phrase” that some of the studies were produced by her father.

“There are research papers there that were actually produced by my dad,” she says. “And they were relied on by the expert working group as part and parcel of their conclusion.”

The EWG report has since been used by government and manufacturers to dismiss more recent claims by campaigners about the drug’s damaging effects.

When asked specifically about one rabbit study from 1970, the Medicines and Healthcare products Regulatory Agency (MHRA), which oversaw the EWG, was able to confirm it was not done by Briggs, but asked us to direct further questions about Schering’s studies to the manufacturer.

It added that the MHRA is “committed to reviewing any new scientific data which becomes available since the conclusion of the Expert Working Group’s review”.

Professor Michael Briggs, pictured with his family
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Professor Michael Briggs, pictured with his family

Schering is now owned by Bayer, which told us: “In 2017, the Expert Working Group of the UK’s Commission on Human Medicines concluded that the available scientific data from a variety of scientific disciplines does not support a causal relationship between the use of sex hormones in pregnancy and an increased incidence of congenital anomalies or other adverse outcomes, such as miscarriage.”

Responding to specific questions about Professor Briggs, they added: “Backed by the considerable body of scientific research and evidence, Bayer maintains that there is no causal relationship between use of Primodos and an increased incidence of congenital anomalies.”

But they have not told us whether studies by a serial faker were or weren’t used to argue that the drug was safe.

Joanne hopes her revelations could lead to a rethink about the evidence.

“I think this story about a man in the centre of this who happens to be a fabricated person, a hollow man, who has been relied on to such an extent for his expertise,” she says.

“That doesn’t strike me as irrelevant.”

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A vanity trip or a powerful card to play? What Trump’s second state visit to UK really means

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A vanity trip or a powerful card to play? What Trump's second state visit to UK really means

Donald Trump’s state visit next week will stand the UK in good stead to have “a better bilateral relationship with the US than any other country in the world”.

That’s the view of the man who was the head of the UK’s Foreign Office and Diplomatic service during Trump’s last state visit in 2019, as other British diplomatic insiders from the first Trump presidency say it’s essential he gets the honour again to keep onside “a man who changes his mind easily”.

Yes, we’ve seen Donald Trump in the UK for one of these before but brace yourselves for a supercharged state visit this coming week.

In April, Trump told reporters: “They’re going to do a second, as you know, a second fest… that’s what it is: a fest, and it’s beautiful, and it’s the first time it’s ever happened to one person.”

I wouldn’t be surprised if there were a few people in the Foreign Office and the palace who spat their tea into their china cups in surprise at that description, but it illustrated just how excited the president was and set the bar very high for what he expects.

Which is why they are literally rolling out all the red carpet they can find. The president and first lady are due to stay at Windsor Castle, they will get a carriage ride with the King and Queen, and we’ll see more military pageantry than we’ve seen for any other world leader on recent state visits.

Donald Trump and Queen Elizabeth II during the State Banquet at Buckingham Palace in 2019. Pic: PA
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Donald Trump and Queen Elizabeth II during the State Banquet at Buckingham Palace in 2019. Pic: PA

Everything has been organised to be bigger and look more spectacular, and the White House will no doubt be delighted.

More on Donald Trump

We have been here before. In 2019, it was a different monarch, Queen Elizabeth II, and a different location, Buckingham Palace. But again it was a huge display of how hard we were working to keep the US president on side.

Lord Simon McDonald was the permanent under-secretary at the Foreign Office and head of the Diplomatic Service at the time of that visit. He told me they didn’t have any trouble filling the seats for the “full monty” state banquet, and it was a trip that cemented President Trump’s relationship with the United Kingdom. “It’s not just about carriages and tiaras. It’s about the world agenda,” he said.

“India right now is suffering as a country because of a spat between Donald Trump and the prime minister of India. So, having Donald Trump in a positive frame of mind, I think, means that the UK has a better chance, probably a better bilateral relationship with the United States than any other country in the world.”

Keir Starmer, producing the invitation letter with such flourish from his inside top pocket in the Oval Office back in February, is another moment that may have made a few diplomats and palace staff splutter, with the King’s carefully chosen words wafted around for all the cameras to see.

The president was hosted by the Queen in June 2019. Pic: Reuters
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The president was hosted by the Queen in June 2019. Pic: Reuters

But the main reason that would have made some cringe is that state visits are seen as the ultimate diplomatic gift. Hence, the questions over whether Donald Trump deserves the unprecedented honour of a second state visit.

But it is a powerful card that only the UK can play when we need to. And the government believes now is one of those moments.

Read more:
What we know about Donald Trump’s state visit to the UK

Mandelson’s exit leaves Trump and his state visit in the lurch
Britain remains vulnerable with an unpredictable Trump

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Is the UK ready for a ‘Trump-fest’?

Lord Kim Darroch was the UK’s ambassador to the US at the time of Trump’s first state visit – a trip, where despite him criticising prime minister Theresa May in the run-up, the president “was absolute charm personified”.

He explained that this time, while the president is being wined and dined by the Royal Family, others will be pressing the flesh behind the scenes on matters of defence, business, and more.

“I mean, our relationship with Europe, with the European Union, is very important, but in terms of bilateral relationships, this is the biggest,” Lord Darroch told me. “If we had bad relations with the US, which translated into high tariffs, people would be losing their jobs in this country, and industries would be going bankrupt.

“So this is pure British interests at base. This really matters to us. We’ve made a good start for Donald Trump’s second term, but he’s a man who changes his mind easily.

“There’s always a threat of further tariffs out there. We need to keep that relationship as close as we can for the duration of his second term.”

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Is the UK ready for a ‘Trump-fest’?

Lord McDonald agrees and can understand why this visit has happened so quickly.

“Donald Trump, in his second administration, is doing things more quickly and more comprehensively than any of his predecessors. So getting in early, making your points effectively when there’s still three and a half years of the presidency to run, I think, is a better investment for the UK than waiting until the last six months he’s in office.”

It is still controversial, protests are planned, although the president won’t see them from the confines of Windsor Castle, where he’ll spend most of his time.

But the glamour of the castle can’t erase the backdrop of the recent Epstein scandal for both the UK government and the White House, and the ongoing geopolitical turmoil.

Donald Trump and Prime Minister Sir Keir Starmer at Trump International Golf Links in July 2025. Pic: PA
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Donald Trump and Prime Minister Sir Keir Starmer at Trump International Golf Links in July 2025. Pic: PA

Trump won’t want any of that to overshadow his time with the Royal Family, but more of that may play out when he meets the prime minister at Chequers on Thursday.

However, author and journalist Michael Wolff, who has written several books on the president, including Fire And Fury, believes Trump will see this trip as a good distraction.

Wolff also travelled to the UK for the 2019 visit with Steve Bannon, the White House strategist fired by Trump. “One of the things is that (visit) left the president feeling great,” he said.

“Often, the president doesn’t feel great. He feels angry… So they were all grateful that the Queen had been nice to him.”

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Will Trump address parliament on UK state visit?

Talking about what we should expect this time, he told me: “Remember, Trump is a performer. It is all about Trump and Trump’s image.

“So what he’s looking for are some photo ops which are not just even helpful to him, but ones that can make him feel good, bolster the sense of himself. You know, I can’t see anything meaningful coming out of this on a policy basis or particularly on a political basis. I mean, this is a vanity trip.”

No doubt the US president will get the memories he wants, and this time everyone knows what to expect… who can forget the pictures of Trump walking in front of the Queen in 2018, even though that turned out to be Her Majesty’s mistake.

Once again, the interactions with the Royal Family will be something to behold – they always are on these state visits. Just look at those pictures of French President Emmanuel Macron winking at any royal he could clap eyes on during his recent state banquet.

But whether or not you agree that Trump deserves every bell and whistle of pageantry we can muster, ultimately the cost of it all has already been declared worth it in diplomatic circles before he’s even stepped off the plane.

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Why Tommy Robinson rally was different to any other

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Why Tommy Robinson rally was different to any other

This was the biggest nationalist rally in recent memory – perhaps ever.

Well before the march started, thousands of people flowed over Blackfriars bridge, or came up from Waterloo station, flags everywhere, hailing from everywhere – from Yorkshire roses to the diamond of the Isle of Wight.

What exactly it was that “United the Kingdom” was left vague, for people to cheer their own particular cause.

This was billed as a free speech rally and the most common chants we heard were “Keir Starmer’s a w*****r”, “oh Tommy Tommy” and “we want our country back”.

That means different things to different people.

More on Tommy Robinson

As it happened: Thousands attend ‘Unite the Kingdom’ rally

Dawn, up from Southampton and wearing a red sequined jacket, said it was because the country was “getting overrun”. She said she was talking only about illegal migration.

Others didn’t draw that distinction.

Danny from south Birmingham was holding a sign that said: “Send them Back” – and said he was unhappy with migration “in general”. He came to “stand up for what we believe in, the religion and identity of our country”.

That’s been a difference with this rally compared to past ones I’ve covered – an overt Christian nationalism.

People carried wooden crosses. One person had a light up crucifix.

Protesters from the 'Unite the Kingdom' rally hold crosses. Pic: Reuters
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Protesters from the ‘Unite the Kingdom’ rally hold crosses. Pic: Reuters

When the crowd arrived at Whitehall, they were led from the stage in a chant of ‘Christ is king’. And then a public recital of the Lord’s Prayer shortly after that. It’s an important difference. Not just a flag to rally around, but a religion too.

At the centre of it all, the anti-Islam activist Tommy Robinson.

When Robinson took the stage, it was more like a football match or festival than a political rally.

“We rode the storm, we weathered the storm, and today we are the storm,” he shouted hoarsely.

Katie Hopkins and Tommy Robinson take part in the "Unite the Kingdom" rally. Pic: PA
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Katie Hopkins and Tommy Robinson take part in the “Unite the Kingdom” rally. Pic: PA

That’s not much of an exaggeration, not when Elon Musk, the world’s richest man, made a virtual appearance to back Robinson.

Other speakers included those who can be uncontroversially classed as far right. And thugs clashed violently with police.

And it’s clear that simply writing off protestors as far right doesn’t really capture what’s going on either. The audience is too broad to fit just that label.

The tinderbox summer of protest promised by activists never really caught flame. Instead, there has been the slow, steady burn of nationalism.

This was its culmination but also, those here hoped, the beginning of something even bigger.

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