Minggu, 13 September 2020

NHS tells GPs they must offer patients face-to-face appointments - BBC News

GP practices are being told they must make sure patients can be seen face to face when they need such appointments.

NHS England is writing to all practices to make sure they are communicating the fact doctors can be seen in person if necessary, as well as virtually.

It's estimated half of the 102 million appointments from March to July were by video or phone call, NHS Digital said.

The Royal College of GPs said any implication GPs had not been doing their job properly was "an insult".

NHS England said research suggested nearly two thirds of the public were happy to have a phone or video call with their doctor - but that, ahead of winter, they wanted to make sure people knew they could see their GP if needed.

Nikki Kanani, medical director of primary care for NHS England, said GPs had adapted quickly in recent months to offer remote consultations and "safe face-to-face care when needed".

She added: "While many people, particularly those most vulnerable to Covid-19, want the convenience of a consultation over the phone or video, the NHS has been and will continue to offer face-to-face appointments and I would urge anyone who feels they need medical support to come forward so they can get the care, support and advice they need - the NHS is here for you."

NHS England said it would be reminding GPs they faced enforcement action if they failed to offer clinically indicated face-to-face appointments. Failure to do so was a breach of their contract, it said.

Prof Martin Marshall, chair of the Royal College of GPs, said general practice was "open and has been throughout the pandemic", with a predominantly remote service to help stop the spread of coronavirus.

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He said: "The college does not want to see general practice become a totally, or even mostly, remote service post-pandemic.

"However, we are still in the middle of a pandemic. We need to consider infection control and limit footfall in GP surgeries - all in line with NHS England's current guidance."

He said most patients had understood the changes and that clinical commissioning groups had been asked to work with GP practices where face-to-face appointments were not possible - for example, if all GPs were at a high risk from coronavirus.

"Any implication that they have not been doing their job properly is an insult to GPs and their teams who have worked throughout the pandemic, continued delivering the vast majority of patient care in the NHS and face an incredibly difficult winter ahead," he said.

Research from the college indicated that routine GP appointments were back to near-normal levels for this time of year, after decreasing at the height of the pandemic.

"Each and every day last week an estimated third of a million appointments were delivered face to face by general practices across the country," added Prof Marshall.

It comes as thousands of doctors say a second peak is likely this winter - and is their greatest fear.

The British Medical Association survey of more than 8,000 doctors and medical students found that 86% of them believed a second peak was likely, or very likely, in the next six months.

The survey indicated doctors thought the two most important measures to help prevent such a peak were having a fit-for-purpose test-and-trace system and a "coherent, rapid and consistent approach to local outbreaks".

BMA council chair Dr Chaand Nagpaul said: "We, as a profession, want, above all, to avoid a return to the scenes we saw in April, when hospitals were full with Covid-19 patients, and hundreds were dying every day. Meanwhile, thousands of others missed out on vital appointments and procedures as routine care was put on hold.

"But while the forecast in this survey may be bleak, it is not an inevitability if the government takes decisive, robust and timely action to stamp down the spread of the infection."

He called on the government to focus on "sorting out the test-and-trace debacle once and for all", adding: "We are at a critical crossroads in the fight against this deadly virus."

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2020-09-13 23:00:45Z
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Boris Johnson faces showdown with MPs over powers to breach international law - BBC News - BBC News

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  1. Boris Johnson faces showdown with MPs over powers to breach international law - BBC News  BBC News
  2. Brexit: Blair and Major urge MPs to reject Internal Market Bill  BBC News
  3. Tory rebellion widens over Boris Johnson's bill to override Brexit deal  The Guardian
  4. I don’t believe Boris Johnson couldn’t foresee our current Brexit problems  The Independent
  5. The Observer view on Boris Johnson's lamentable summer  The Guardian
  6. View Full coverage on Google News

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2020-09-13 21:15:35Z
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Coronavirus: Number of UK cases rises by 3,330 - Sky News

The number of people in the UK who have tested positive for coronavirus has increased by 3,330, official figures show.

Another five people, all of them in England, have died after testing positive for COVID-19 within the past 28 days.

Coronavirus cases in Scotland have hit a four-month high for the second day in a row, with 244 positive swabs in the past 24 hours, compared with 221 on Saturday. The last time figures were that high was on 6 May.

In Wales, infections have risen by 162. A total of 1,597 people have died of the virus in Wales, but no new deaths were registered on Sunday.

In Northern Ireland, there were another 87 positive cases in the past 24 hours, with the death toll unchanged at 568.

Of the 3,330 positive test results on Sunday, 2,837 were in England, with the overall total down 197 on yesterday's figure of 3,497.

Government data shows 41,628 people have died of coronavirus in the UK, but separate figures published by the UK's statistics agencies claim there have now been 57,405 deaths registered nationwide with the virus on the death certificate.

More from Covid-19

It comes as England prepares for a new "rule of six" to come into force tomorrow to help stop the spread of COVID-19.

From Monday it will be illegal to meet in groups of more than six people both indoors and outdoors.

Prime Minister Boris Johnson announced the new restrictions earlier this week amid claims the UK's R rate, or virus reproduction rate, is as high as 1.7.

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2020-09-13 16:52:10Z
52781060041021

Coronavirus: Number of UK cases rises by 3,330 - Sky News

The number of people in the UK who have tested positive for coronavirus has increased by 3,330, official figures show.

Another five people, all of them in England, have died after testing positive for COVID-19 within the past 28 days.

Coronavirus cases in Scotland have hit a four-month high for the second day in a row, with 244 positive swabs in the past 24 hours, compared with 221 on Saturday. The last time figures were that high was on 6 May.

In Wales, infections have risen by 162. A total of 1,597 people have died of the virus in Wales, but no new deaths were registered on Sunday.

In Northern Ireland, there were another 87 positive cases in the past 24 hours, with the death toll unchanged at 568.

Of the 3,330 positive test results on Sunday, 2,837 were in England, with the overall total down 197 on yesterday's figure of 3,497.

Government data shows 41,628 people have died of coronavirus in the UK, but separate figures published by the UK's statistics agencies claim there have now been 57,405 deaths registered nationwide with the virus on the death certificate.

More from Covid-19

It comes as England prepares for a new "rule of six" to come into force tomorrow to help stop the spread of COVID-19.

From Monday it will be illegal to meet in groups of more than six people both indoors and outdoors.

Prime Minister Boris Johnson announced the new restrictions earlier this week amid claims the UK's R rate, or virus reproduction rate, is as high as 1.7.

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2020-09-13 15:56:15Z
52781060041021

Coronavirus: UK faces ‘cascade’ of new infections without urgent action, government scientific adviser says - The Independent

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  1. Coronavirus: UK faces ‘cascade’ of new infections without urgent action, government scientific adviser says  The Independent
  2. Coronavirus: UK faces second hard national lockdown if we don't follow COVID-19 rules, adviser warns  Sky News
  3. Britain will go back into Covid lockdown if people do not obey rule of six says Government advisor  Daily Mail
  4. UK 'must act fast to stop Covid-19 cases growing exponentially' with country facing 'hard lockdown'  Evening Standard
  5. Professor warns Brits face second coronavirus lockdown if trickle turns to 'cascade'  Mirror.co.uk
  6. View Full coverage on Google News

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2020-09-13 16:40:00Z
52781060314137

Coronavirus: Number of UK cases rises by 3,330 - Sky News

The number of people in the UK who have tested positive for coronavirus has increased by 3,330, official figures show.

Another five people, all of them in England, have died after testing positive for COVID-19 within the past 28 days.

Coronavirus cases in Scotland have hit a four-month high for the second day in a row, with 244 positive swabs in the past 24 hours, compared with 221 on Saturday. The last time figures were that high was on 6 May.

In Wales, infections have risen by 162. A total of 1,597 people have died of the virus in Wales, but no new deaths were registered on Sunday.

In Northern Ireland, there were another 87 positive cases in the past 24 hours, with the death toll unchanged at 568.

Of the 3,330 positive test results on Sunday, 2,837 were in England, with the overall total down 197 on yesterday's figure of 3,497.

Government data shows 41,628 people have died of coronavirus in the UK, but separate figures published by the UK's statistics agencies claim there have now been 57,405 deaths registered nationwide with the virus on the death certificate.

More from Covid-19

It comes as England prepares for a new "rule of six" to come into force tomorrow to help stop the spread of COVID-19.

From Monday it will be illegal to meet in groups of more than six people both indoors and outdoors.

Prime Minister Boris Johnson announced the new restrictions earlier this week amid claims the UK's R rate, or virus reproduction rate, is as high as 1.7.

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2020-09-13 15:52:08Z
52781060041021

Former UK leaders unite to condemn Boris Johnson’s Brexit move - Financial Times

Tony Blair and John Major, two former prime ministers, have urged MPs to oppose the UK government’s “shocking” attempt to override parts of the Brexit withdrawal agreement.

Mr Blair and Sir John, former Labour and Conservative leaders respectively, said the proposal to renege on parts of last year’s Brexit divorce deal threatened “the very integrity of our nation”.

The internal markets bill — which will be debated in the House of Commons from Monday — includes clauses which override the Northern Ireland protocol, the part of the withdrawal agreement designed to prevent a hard border returning to the island of Ireland.

Boris Johnson, the UK prime minister, said the clauses were necessary to prevent Brussels from imposing a “full-scale trade border down the Irish Sea”.

But his actions have prompted a chorus of anger from an unlikely coalition of opposition leaders, former Tory leaders — including Eurosceptic Michael Howard — and overseas premiers.

The legislation would give ministers powers to modify or disapply rules relating to state aid and to the movement of goods between Britain and Northern Ireland if there was no UK-EU trade deal by January 1.

The government is braced for a rebellion by a significant handful of backbench Tory MPs and stormy sessions in the House of Lords later in the month.

Mr Blair and Sir John accused the government of “embarrassing the UK” with legislation that was “irresponsible, wrong in principle and dangerous in practice”.

“It raises questions that go far beyond the impact on Ireland, the peace process and negotiations for a trade deal — crucial though they are. It questions the very integrity of our nation,” they wrote in a joint article in the Sunday Times.

The former leaders — who have previously clashed with Mr Johnson over Brexit as former Remainers — said that respecting treaty obligations was “just as important” as domestic law.

Robert Buckland, justice secretary, argued on Sunday that the government was still “absolutely committed to the rule of law” and had drawn up the provisions in the legislation as a fallback in the event that no EU trade deal was struck.

“We are talking about a difference between international law and domestic law on a political scale,” he told Sky News. “It’s a world away, I would suggest, from issues of enforcement of the law and regulations on a day-to-day basis.”

Mr Buckland said the situation was “not at that stage” where he would consider resignation, arguing that the plan would hopefully never be used: “It’s a ‘break the glass in emergency’ provision if we need it,” he told the BBC.

Michel Barnier, the EU’s chief negotiator, meanwhile dismissed claims by Mr Johnson that the protocol on Northern Ireland was a threat to the integrity of the UK.

“We agreed this delicate compromise with Boris Johnson and his government in order to protect peace and stability on the island of Ireland,” he said. “We could not have been clearer about the consequences of Brexit.”

Mr Barnier separately denied that the EU was threatening to withhold “third-country” status from the UK to make it harder for food deliveries from Great Britain to Northern Ireland.

“The EU is not refusing to list the UK as a third country for food imports,” he said on Twitter. “To be listed, we need to know in full what a country’s rules are, including for imports. The same objective process applies to all listed countries.”

 

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2020-09-13 12:23:00Z
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