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Women in England with incurable breast cancer to get life-extending drug on NHS

Thousands with HER2-low advanced breast cancer will have access to Enhertu after ministers strike deal on price Thousands of women in England with incurable breast cancer will get access to a life-extending drug on the NHS after negotiations over its cost proved successful. About 1,000 women a year with HER2-low advanced breast cancer will be able to obtain Enhertu from Thursday after ministers and the drug’s makers struck a deal on its price. Continue reading...

The GuardianThe Guardian•Denis Campbell and Anna Bawden17 Sept
  • neutral toward NHS · 88%

The Letby inquiry report makes one thing crystal clear: too much NHS management is scandalously poor | Tom Dolphin

Non-medical managers are the only safety-critical part of the service that do not have a regulator. Lady Justice Thirlwall says that must change. So do we Tom Dolphin is chair of the British Medical Association council The publication of the Thirlwall inquiry report is above all a moment to remember the babies who died or were harmed at the Countess of Chester hospital and the families whose grief was compounded by years of delay, institutional denial and defensiveness. The least we owe those families is a determination to now make the right changes – not the comfortable ones, not the partial ones, but the ones that will stop further avoidable deaths and injury. Lady Justice Thirlwall’s report lays bare a total failure of NHS management . When doctors dared to raise concerns, they were rebuked and threatened with referral to the General Medical Council (GMC), which could have ended their career. The report describes a kind of “toxic negativity” all too familiar in the health service: a desperate culture of cover-up and denial that prizes saving face over saving lives. Dr Tom Dolphin is a consultant anaesthetist in London, and chair of council at the BMA Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here . Continue reading...

The GuardianThe Guardian•Tom Dolphin16 Sept
  • critical toward NHS · 99%

The Guardian view on Lucy Letby: Thirlwall should have waited for the pending case review | Editorial

Important recommendations for neonatal care are shadowed by doubts about the nurse’s convictions When she rejected calls to pause the public inquiry into the Countess of Chester hospital, where Lucy Letby was convicted of murdering seven babies and attempting to murder seven more, Lady Justice Thirlwall said that questions surrounding Letby’s guilt lay outside her terms of reference. The inquiry, she said, would focus on the hospital and its staff, not the convictions. Eighteen months later, with the 822-page report in the public domain, her decision to press on while Letby’s guilt was in the process of being formally challenged looks like a mistake. The report’s recommendations , based on many months of hearings, include strengthened oversight of hospitals by the Care Quality Commission, more support for whistleblowers from the health ombudsman, and clearer monitoring and reporting on the deaths of children. As previous inquiries have also found, there are serious problems around accountability, openness and safeguarding in the NHS. Lady Thirlwall’s conclusions about service improvements should be added to the roster of outstanding actions. Continue reading...

The GuardianThe Guardian•Editorial15 Sept

Make NHS and MoD uniforms in UK, fashion firms urge Burnham

More than 1,200 people including Ben Fogle sign letter saying buying British will help preserve manufacturing firms Business live – latest updates London fashion week is only days away, but one industry organisation has turned its attention to clothing that is a little less catwalk-worthy – the uniforms worn by British defence forces and NHS staff. On Wednesday afternoon, the thinktank Fashion Roundtable will hand deliver a letter to No 10 urging Andy Burnham to commit to manufacturing these uniforms in the UK. Continue reading...

The GuardianThe Guardian•Lauren Cochrane15 Sept

One in five black, Asian and minority ethnic NHS managers in England plan to quit amid racism, report finds

Health service faces exodus as almost four-fifths of BAME managers surveyed reported racism, exclusion and barriers to career progression The NHS in England is facing an exodus of minority ethnic managers who have suffered racism, exclusion and discrimination during their working lives, a report has found. Almost four-fifths of managers from black, Asian and minority ethnic (BAME) backgrounds have experienced racism, exclusion and obstacles to progressing in their careers, according to a survey carried out by the NHS Alliance. Continue reading...

The GuardianThe Guardian•Denis Campbell, Health policy editor15 Sept

If looks could kill, I’d be in real trouble | Brief letters

Default facial expressions | Coffee thermometer | Quitting Britain | Nominative determinism delights Adrian Chiles is lucky that his face is merely “miserable” ( I’ve spent my whole life looking miserable. It’s time for a change, 9 September ). On the advice of my estimable wife, when I introduce myself to new colleagues I alert them to the fact that if I look as though I want to kill them, it’s my default expression and I am merely thinking, not judging. Trevor Lawson Haddenham, Buckinghamshire • Since Oxford University, no less, tells us that it is now vital to know the temperature of hot drinks ( Drinking very hot drinks could triple risk of oesophageal cancer, study finds, 9 September ), I look forward to the delivery of my NHS coffee thermometer – and the award of next year’s Ig Nobel prizes. Anne Archer Oban, Argyll and Bute Continue reading...

The GuardianThe Guardian•Guardian Staff14 Sept

There’s a surprisingly simple reason for England’s high antidepressant use: lots of people need them | Dean Burnett

The idea that GPs are ignoring guidelines and ‘overprescribing’ doesn’t hold water. Instead, look to our social and economic crises Dean Burnett is a doctor of neuroscience A new NHS report has revealed the highest ever levels of antidepressant use recorded in England, with roughly one in seven people prescribed an antidepressant item in 2025-26. This has resulted in a swathe of media coverage expressing alarm over the increase, with questions about what could, or should, be done to reverse the trend. Such a high level of antidepressant use should, of course, prompt concern and reflection. But the popular claim that has taken hold is that antidepressant use is too high because of “ overprescribing ”, as Dr John Read, a professor of clinical psychology, says in the Daily Mail. This is the idea that patients are being prescribed antidepressants when they shouldn’t be, or when better, safer alternatives are available. Dean Burnett is a doctor of neuroscience and the author of The Idiot Brain and Emotional Ignorance Continue reading...

The GuardianThe Guardian•Dean Burnett14 Sept

NHS reports busiest ever summer as heatwaves drive up hospital admissions

Record demand for A&E units, ambulance services and NHS 111 shows extreme heat having unprecedented impact on health, experts say The NHS came under its most intense strain ever as a result of the summer’s five heatwaves, amid warnings that extreme heat is having an unprecedented impact on human health. A&E units, ambulance services and the NHS 111 telephone advice line all experienced record demand for their services in England in June, July and August as Britain experienced record temperatures. Continue reading...

The GuardianThe Guardian•Denis Campbell Health policy editor10 Sept

NHS reports busiest ever summer as heatwaves drive up hospital admissions

Record demand for A&E units, ambulance services and NHS 111 shows extreme heat having unprecedented impact on health, experts say The NHS came under its most intense strain ever as a result of the summer’s five heatwaves, amid warnings that extreme heat is having an unprecedented impact on human health. A&E units, ambulance services and the NHS 111 telephone advice line all experienced record demand for their services in England in June, July and August as Britain experienced record temperatures. Continue reading...

The GuardianThe Guardian•Denis Campbell Health policy editor10 Sept

NHS reports busiest ever summer as heatwaves drive up hospital admissions

Record demand for A&E units, ambulance services and NHS 111 shows extreme heat having unprecedented impact on health, experts say The NHS came under its most intense strain ever as a result of the summer’s five heatwaves, amid warnings that extreme heat is having an unprecedented impact on human health. A&E units, ambulance services and the NHS 111 telephone advice line all experienced record demand for their services in England in June, July and August as Britain experienced record temperatures. Continue reading...

The GuardianThe Guardian•Denis Campbell Health policy editor10 Sept

Tell us: has your medical cannabis prescription come from a private health provider?

We’d like to hear from people in the UK who have accessed medical cannabis from a private health provider and find out about their experience In 2018 Theresa May’s government changed the law to allow the NHS and private providers to prescribe cannabis-based medical products. The NHS prescribes medical cannabis for a few conditions such as children and adults with rare, severe forms of epilepsy and people with muscle stiffness and spasms caused by multiple sclerosis (MS). However, the vast majority of prescriptions for medical cannabis are being issued through private healthcare . Continue reading...

The GuardianThe Guardian•Guardian community team10 Sept