Sabtu, 04 Desember 2021

Covid: Doctors' leaders back postponed health checks - BBC News

A Coronavirus booster jab
EPA

Doctors' leaders have welcomed plans to allow GPs in England to defer some services to deliver Covid booster jabs instead.

Practices can postpone minor surgery and routine health checks for over-75s and new patients until 31 March.

All adults in England are expected to be offered boosters by the end of January in response to the emergence of the Omicron variant.

A further 75 Omicron cases were confirmed in England on Friday.

Those cases took the total for England to 104. Since then, Scotland has recorded one further case on Saturday, taking the total for the UK as a whole to 135 - including one confirmed case in Wales.

On Saturday the UK reported a further 42,848 cases of coronavirus and 127 deaths within 28 days of a positive Covid test while 372,557 booster jabs were administered on Friday.

Dr Farah Jameel, the GP committee chair of the British Medical Association, said the new measures would release GPs from "filling out paperwork" and chasing unnecessary and often undeliverable targets.

She told BBC Radio 4's Today programme: "We have been struggling with significant prevailing workforce pressures - backlog pressures, winter pressures, pandemic pressures.

"Whilst these changes make a difference and start to create some time, I think every single practice will have to look at just how much time it does release."

Dr Jameel said the measures would allow staff to prioritise the most vulnerable patients and support the "national priority" to vaccinate people as quickly as possible.

She insisted patients who were unwell or had worrying symptoms would continue to receive care from their GPs.

The plans would see GPs asked to defer treatment for the over-75s where it was clinically appropriate to do so.

Dr Gary Howsam, vice chair of the Royal College of GPs, said "capacity needs to expand" in order to meet the target of offering all eligible people a booster jab by the end of January.

"These are sensible, temporary measures that will address some of the bureaucratic demands on practices and have minimal impact on the care patients receive in general practice, allowing GPs and our teams to focus their efforts where currently most clinically necessary," Dr Howsam said.

However, Dennis Reed, director of Silver Voices, a campaign group for older people, said NHS England's proposals were a "blatant case of age discrimination" that suggested "once you reach the age of 75 your health is of less importance than the rest of the population".

UK daily simmary graphic

He said deferring checks for the early warning signs of illnesses such as strokes, cancers and diabetes was "counter-productive" as it would see patients "pushed out of primary care" and being treated in hospitals, which he said would not help with the burden on the NHS.

Prime Minister Boris Johnson's announcement of an expansion of boosters on Tuesday followed a series of recommendations made by the Joint Committee on Vaccination and Immunisation (JCVI).

As well as recommending that all over-18s in the UK should be offered top-up vaccines, the JCVI said the minimum gap between the second dose and boosters should be cut from six to three months.

In a letter released on Friday, NHS England acknowledged services were already under pressure but said there was a new "national mission" to increase vaccine capacity.

It also said the NHS's booking service for vaccinations in England would be updated "no later" than 13 December to allow all adults to book their top-up jabs and to reflect the change in guidance from the JCVI.

The UK Health Security Agency (UKHSA) said in England Omicron cases had been identified in the East Midlands, East of England, London, North East, North West, South East, South West and West Midlands.

UKHSA chief executive Dr Jenny Harries said: "We are continuing to monitor the data closely. Teams nationally and locally are working at pace to identify and trace all close contacts of every Omicron case.

"We have started to see cases where there are no links to travel, suggesting that we have a small amount of community transmission."

First Welsh Omicron case

Until the rollout was expanded, boosters had been restricted to those aged 40 and over, front-line health or social workers, and those with health issues.

Priority for boosters would still be given to those at the greatest risk, with jabs being given in descending age groups and to the most at-risk groups first, NHS England's letter says.

More than 19 million booster or third doses have been given in the UK so far, according to government statistics.

Illustration of queues of people

The rush to expand the vaccination programme has come as more cases of the Omicron variant, first identified in South Africa where it is driving a surge in infections, are found.

Scientists have raised concerns the heavily mutated variant may be able to escape immunity from vaccines.

The first case of the variant has been found in Wales, while 30 cases have been identified in Scotland - with six of these being linked to a Steps concert.

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2021-12-04 16:13:34Z
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COVID-19: UK reports another 42,848 coronavirus cases and 127 deaths in daily figures - Sky News

Another 42,848 COVID-19 cases and 127 coronavirus-related deaths have been recorded in the latest 24-hour period.

That compares to 50,584 infections on Friday and 143 deaths.

A week ago, daily infections stood at 39,567 and fatalities at 131.

The number of booster vaccinations - or third doses - administered has risen to 19,809,442 (34.4% of the population aged 12 and over).

The latest number of people in hospital with COVID is 7,373 - a drop of almost 2,300 since the start of November.

In other news, a marked rise has been seen in the number of children admitted to hospital in South Africa - the epicentre of the new Omicron variant - but cases are "mild", a public health expert has said.

The increase has sparked concerns that the latest COVID-19 strain, which has spread rapidly around the world, could pose a greater risk to youngsters.

More on Covid-19

But the authorities in South Africa said the surge should trigger vigilance, not panic.

The UK Health Security Agency said on Friday that another 75 cases of Omicron had been found in England.

It also issued a risk assessment, in which it expressed concerns about the variant's potential ability to bypass both naturally-acquired and vaccine-acquired immunity.

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2021-12-04 16:16:10Z
956232753

MP calls for jail sentences over death of Arthur Labinjo-Hughes, 6, to be increased - Sky News

The sentences for the killers of six-year-old Arthur Labinjo-Hughes are too lenient and should be appealed to make them longer, an MP has said.

The boy, from Solihull, was poisoned, starved and beaten by step-mother Emma Tustin, 32, and his father Thomas Hughes, 29, in a prolonged campaign of "evil abuse".

He was left with an unsurvivable brain injury in June last year, after being left in the care of his father's girlfriend, who was jailed for life with a minimum sentence of 29 years on Friday. Hughes was convicted of manslaughter and sentenced to 21 years in prison.

Julian Knight, MP for Solihull, said: "I think anyone reflecting on those sentences yesterday thinks that they were too lenient and my intention is to try to refer this to the unduly lenient sentencing scheme as soon as possible."

He added: "There's a palpable sense of real loss and tragedy over this and a sense of anger and questions over how this was allowed to happen and how these monsters were allowed to inflict this horrible torture on this defenceless young boy."

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Video released by the police shows Arthur's father and step-mother eating ice cream and another video of Tustin eating McDonalds

CCTV has been released by West Midlands Police of Tustin and Thomas Hughes eating ice cream in their home while Arthur starved just out of sight.

It came as Chelsea FC paid tribute to Arthur before their game against West Ham on Saturday.

A child protection boss has also said the six-year-old should have been a top priority for social services but was "missed" during the coronavirus lockdown.

It emerged during the couple's trial that Arthur's grandmother had pictures of his bruises and asked social services to visit him, but staff said they had "no safeguarding concerns".

Wendy Thorogood, director of association of Child Protection Professionals, told Times Radio he "should" have been a priority for local services.

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Body camera footage of Emma Tustin lying to police

"You would have expected them to actually look at his history, but unfortunately they go on what they see at the moment in time," she said.

"I would have expected any assessment to really take account of the grandmother's photos, I would have expected joint conversations and real conversations [with Arthur]... and that appears to have been missed."

Arthur and his father moved in with Tustin at the start of the COVID lockdown in March last year, Coventry Crown Court was told.

He did not return to school when it reopened at the beginning of June.

Arthur Labinjo-Hughes with his natural mother, Olivia Labinjo-Halcrow
Image: Arthur Labinjo-Hughes with his natural mother, Olivia Labinjo-Halcrow
Emma Tustin and Thomas Hughes were found guilty of abusing and killing Hughes' six-year-old son
Image: Emma Tustin and Thomas Hughes were found guilty of abusing and killing Hughes' six-year-old son

Ms Thorogood added: "We have to remember this was under COVID, so he wasn't actually getting additional oversight from school and education.

"He wasn't on a child protection list, he wasn't one of the children that you would have considered to be a priority."

Former children's minister Tim Loughton told Sky News on Friday that we "urgently need to learn the lesson from this case".

"We still have a profession that is very stretched," he said. "But if you don't join up with other agencies and ask the awkward questions and keep at it, it's a false economy because tragedies like this will still happen.

"The question we have to ask is why the system didn't work to protect this child."

Arthur Labinjo-Hughes
Image: Arthur Labinjo-Hughes was found covered in 130 bruises

Solihull's Local Child Safeguarding Partnership has launched an independent review following the court revelations.

Prime Minister Boris Johnson on Friday said ministers will leave "absolutely no stone unturned" to establish what went wrong in the "appalling" case.

The social services visit in April 2020 was promoted after Arthur's paternal grandmother, Joanne Hughes, rang the out-of-hours emergency social services team to report bruising she had seen on the boy's back.

Arthur Labinjo-Hughes was killed by his father and stepmother. Pic: West Midlands Police
Image: Arthur Labinjo-Hughes was killed by his father and step-mother. Pic: West Midlands Police

But despite social workers examining him and finding a "faint" yellow bruise, they agreed with Tustin and Hughes that it was a "happy household".

In her victim impact statement, which she read in court ahead of the sentencing, Ms Hughes said Arthur, as a "happy, contented, thriving seven-year-old" would "be alive today" had her son not met Tustin.

The secondary school teacher added: "It is also clear that Arthur was failed by the very authorities that we, as a society, are led to believe are there to ensure the safety of everyone."

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2021-12-04 14:24:23Z
1120944325

Covid: GPs can defer some services in booster jab push - BBC News

A person draws a dose of vaccine at Sir Ludwig Guttmann Health & Wellbeing Centre in London
Getty Images

GPs in England can defer some of the services they provide to patients to allow them to deliver Covid booster jabs instead, NHS chiefs have said.

Practices can postpone minor surgery and routine health checks for over-75s and new patients until 31 March.

It comes after the PM said all adults in England would be offered boosters by the end of January in response to the emergence of the Omicron variant.

A further 75 Omicron cases were confirmed in England on Friday.

The latest cases take the total for England to 104 and for the UK as a whole to 134 - including the first confirmed case in Wales.

Prime Minister Boris Johnson's announcement of an expansion of boosters on Tuesday followed a series of recommendations made by the Joint Committee on Vaccination and Immunisation.

As well as recommending that all over-18s in the UK should be offered top-up vaccines, the JCVI said the minimum gap between the second dose and boosters should be cut from six to three months.

In a letter released on Friday, NHS England acknowledged services were already under pressure but said there was a new "national mission" to increase vaccine capacity.

Setting out steps for ramping up the booster roll-out, the letter said the Army and "clinical students" could be called on to help deliver vaccines.

It also said the NHS's booking service for vaccinations in England would be updated "no later" than 13 December to allow all adults to book their top-up jabs and to reflect the change in guidance from the JCVI.

The plans would see GPs asked to defer treatment for the over-75s where it was clinically appropriate to do so.

Dr Gary Howsam, vice chair of the Royal College of GPs, said "capacity needs to expand" in order to meet the target of offering all eligible people a booster jab by the end of January.

"These are sensible, temporary measures that will address some of the bureaucratic demands on practices and have minimal impact on the care patients receive in general practice, allowing GPs and our teams to focus their efforts where currently most clinically necessary," Dr Howsam said.

However, Dennis Reed, director of Silver Voices, a campaign group for older people, said NHS England's proposals were a "blatant case of age discrimination" that suggested "once you reach the age of 75 your health is of less importance than the rest of the population".

He said deferring checks for the early warning signs of illnesses such as strokes, cancers and diabetes was "counter-productive" as it would see patients "pushed out of primary care" and being treated in hospitals, which he said would not help with the burden on the NHS.

Dr Farah Jameel, the GP committee chair of the British Medical Association, said the measures would release GPs from "filling out paperwork" and chasing "unnecessary" and often "undeliverable" targets.

She told BBC Radio 4's Today programme: "We have been struggling with significant prevailing workforce pressures - backlog pressures, winter pressures, pandemic pressures."

Dr Jameel said the measures would allow staff to prioritise the most vulnerable patients and support the "national priority" to vaccinate people as quickly as possible.

She insisted patients who were unwell or had worrying symptoms would continue to receive care from their GPs.

Rachel Power, chief executive of the Patients Association, said pausing some regular GP services risked "building up future ill health" that would have been detected in routine checks and further disrupting the relationship between patients and the NHS.

First Welsh Omicron case

Until the rollout was expanded, boosters had been restricted to those aged 40 and over, front-line health or social workers, and those with health issues.

Priority for boosters will still be given to those at the greatest risk, with jabs being given in descending age groups and to the most at-risk groups first, NHS England's letter says.

More than 19 million booster or third doses have been given in the UK so far, according to government statistics.

On Friday the UK reported a further 50,584 cases of coronavirus and a further 143 deaths within 28 days of a positive Covid test.

Illustration of queues of people

The rush to expand the vaccination programme comes as more cases of the Omicron variant, first identified in South Africa where it is driving a surge in infections, are found.

Scientists have raised concerns the heavily mutated variant may be able to escape immunity from vaccines.

The first case of the variant has been found in Wales, while 29 cases have been identified in Scotland - with six of these being linked to a Steps concert.

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Have you been affected by the issues in this story? Email haveyoursay@bbc.co.uk.

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2021-12-04 11:53:53Z
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Arthur Labinjo-Hughes should have been 'top priority' for social services but was 'missed' during COVID - Sky News

Arthur Labinjo-Hughes should have been a top priority for social services but was "missed" during the coronavirus lockdown, a child protection boss has said.

The six-year-old from Solihull was poisoned, starved and beaten by step-mother Emma Tustin, 32, and his father Thomas Hughes, 29, in a prolonged campaign of "evil abuse".

He was left with an unsurvivable brain injury in June last year, after being left in the care of his father's girlfriend, who was jailed for life with a minimum sentence of 29 years on Friday. Hughes was convicted of manslaughter and sentenced to 21 years in prison.

Local MP Julian Knight has said he plans to appeal to the Attorney General to lengthen Hughes and Tustin's sentences under the Unduly Lenient Sentence scheme.

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Video released by the police shows Arthur's father and step-mother eating ice cream and another video of Tustin eating McDonalds

New CCTV from inside the couple's home released by West Midlands Police shows them eating ice cream as Arthur starved out of sight.

It emerged during the couple's trial that Arthur's grandmother had pictures of his bruises and asked social services to visit him, but staff said they had "no safeguarding concerns".

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Body camera footage of Emma Tustin lying to police

Wendy Thorogood, director of association of Child Protection Professionals, told Times Radio he "should" have been a priority for local services.

"You would have expected them to actually look at his history, but unfortunately they go on what they see at the moment in time," she said.

"I would have expected any assessment to really take account of the grandmother's photos, I would have expected joint conversations and real conversations [with Arthur]... and that appears to have been missed."

Arthur and his father moved in with Tustin at the start of the COVID lockdown in March last year, Coventry Crown Court was told.

He did not return to school when it reopened at the beginning of June.

Arthur Labinjo-Hughes with his natural mother, Olivia Labinjo-Halcrow
Image: Arthur Labinjo-Hughes with his natural mother, Olivia Labinjo-Halcrow
Emma Tustin and Thomas Hughes were found guilty of abusing and killing Hughes' six-year-old son
Image: Emma Tustin and Thomas Hughes were found guilty of abusing and killing Hughes' six-year-old son

Ms Thorogood added: "We have to remember this was under COVID, so he wasn't actually getting additional oversight from school and education.

"He wasn't on a child protection list, he wasn't one of the children that you would have considered to be a priority."

Former children's minister Tim Loughton told Sky News on Friday that we "urgently need to learn the lesson from this case".

"We still have a profession that is very stretched," he said. "But if you don't join up with other agencies and ask the awkward questions and keep at it, it's a false economy because tragedies like this will still happen.

"The question we have to ask is why the system didn't work to protect this child."

Arthur Labinjo-Hughes
Image: Arthur Labinjo-Hughes was found covered in 130 bruises

Solihull's Local Child Safeguarding Partnership has launched an independent review following the court revelations.

Prime Minister Boris Johnson on Friday said ministers will leave "absolutely no stone unturned" to establish what went wrong in the "appalling" case.

The social services visit in April 2020 was promoted after Arthur's paternal grandmother, Joanne Hughes, rang the out-of-hours emergency social services team to report bruising she had seen on the boy's back.

Arthur Labinjo-Hughes was killed by his father and stepmother. Pic: West Midlands Police
Image: Arthur Labinjo-Hughes was killed by his father and step-mother. Pic: West Midlands Police

But despite social workers examining him and finding a "faint" yellow bruise, they agreed with Tustin and Hughes that it was a "happy household".

In her victim impact statement, which she read in court ahead of the sentencing, Ms Hughes said Arthur, as a "happy, contented, thriving seven-year-old" would "be alive today" had her son not met Tustin.

The secondary school teacher added: "It is also clear that Arthur was failed by the very authorities that we, as a society, are led to believe are there to ensure the safety of everyone."

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2021-12-04 13:07:30Z
1120944325

COVID-19: More than one million people book booster jab appointment in less than a week - Sky News

More than one million people have booked an appointment for a booster jab this week after the public were urged to have the shot following the emergence of the Omicron variant.

The NHS has said 1,077,514 booster jab appointments have been made so far this week and a total of 3.6m people are already booked in to have their third dose this month.

More than 16.2 million third jabs have been delivered in England since the NHS began rolling out the booster programme in September.

The booster jab was initially only offered to over-50s, people in care homes, frontline health and social care workers and vulnerable people between 16 and 49.

However, on Monday afternoon it was announced all adults would be offered a COVID-19 booster vaccine as the government backed a far-reaching expansion of the jabs programme to deal with the potential impact of the Omicron variant.

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Over half of UK Omicron cases are double-jabbed

The NHS is aiming to offer the booster jab to everyone who is eligible by the end of January, with the third dose now being offered to people aged 40 and over.

So far 1.3 million people aged between 40 and 49 have had their booster jab.

More on Covid-19

NHS bosses said on Friday that the programme will be sped up from 13 December at the latest.

From that date, or earlier, the online booking system for coronavirus vaccines will be updated in order to allow people to book their booster jab three months after their second dose.

It comes after Prime Minister Boris Johnson accepted experts' advice to slash the waiting time for a booster dose from six months to three months, following the discovery of the Omicron variant.

In a letter to local health leaders, the chiefs of NHS England set out plans for the ramping up of the roll-out in the coming weeks.

They said, in line with advice from the Joint Committee for Vaccination and Immunisation (JCVI), that "the NHS will offer vaccination in descending age groups, with priority given to the vaccination of older adults and those in a COVID-19 at-risk group first".

The letter added that "the National Booking Service (NBS) is now being updated to reflect the three-month (91 days) interval from second dose to booster".

"Our intention is to go live as soon as possible and no later than 13 December," it continued.

NHS bosses also confirmed that GP surgeries will be able to postpone some routine health checks in order to focus on delivering booster jabs.

"From 1 December 2021 to 31 March 2022, where contractors consider it clinically appropriate, routine health checks for those over 75 and for new patients may be deferred," the letter said.

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Dr Nikki Kanani, NHS deputy vaccination lead, said: "While we are just three weeks away from the Christmas break and very much looking forward to spending time with loved ones, the emergence of the new variant is obviously a concern for us all and we are seeing hundreds of thousands of people booking to receive their life saving protection every day.

"NHS staff are continuing to pull out all the stops to boost the most vulnerable as quickly as we possibly can."

She continued: "My message to those who are currently eligible for the booster - anyone over 40 as well as well as those with health conditions, and health and care workers - is please do come forward for your vaccination."

Another 75 cases of the Omicron variant were found in England on Friday, bringing the total to 104.

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2021-12-04 04:19:32Z
1063257555

Jumat, 03 Desember 2021

Arthur Labinjo-Hughes: Images show tragic little boy smiling with his mother before she lost joint custody after killing partner - Sky News

The mother of Arthur Labinjo-Hughes has released photos showing them together and smiling in the years before the six-year-old was killed by his "wicked" stepmother and "pitiless" father.

In the undated family images, the child is seen wearing Batman and Spiderman woolly hats and also has a Superman T-shirt on as he is held in Olivia Labinjo-Halcrow's arms.

The photos were released hours after his stepmother Emma Tustin was jailed for life with a minimum term of 29 years after being found guilty of murder by assaulting Arthur in her home in Solihull on 16 June 2020.

Arthur Labinjo-Hughes with his natural mother, Olivia Labinjo-Halcrow
Image: Arthur is seen wearing a Superman top and a yellow cap

The 32-year-old violently shook him and repeatedly banged his head, likely against the hallway wall. The child, whose body was also covered in 130 bruises, died in hospital the next day.

His father Thomas Hughes, 29, was found guilty of his manslaughter and jailed for 21 years after encouraging the killing.

Their cruelty against the boy started soon after the couple sparked up a "volatile and dysfunctional" relationship from August 2019.

It followed a period of traumatic upheaval for Arthur, whose birth mother, Labinjo-Halcrow, was herself jailed for stabbing her own partner to death in a drink and drug-fuelled rage in 2019, leaving Hughes in sole custody of their son.

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Hughes and Labinjo-Halcrow had shared custody of Arthur, until her arrest for killing delivery driver Gary Cunningham, 29, in their Birmingham home in February that year.

Arthur Labinjo-Hughes with his natural mother, Olivia Labinjo-Halcrow
Image: Another photo shows him in a Spiderman woolly hat

Labinjo-Halcrow's conviction was later quashed in August 2020 after an appeal, but she was found guilty of manslaughter for a second time following a retrial in July 2021 and sentenced to 11 years.

Labinjo-Halcrow and Mr Cunningham, who met on an alcohol awareness course, both "drank too much and had mental health problems", the judge said.

Arthur Labinjo-Hughes with his natural mother, Olivia Labinjo-Halcrow
Image: It is not known when the family photos were taken

The judge said: "There were fights. Gary was violent to you and you were violent to Gary."

Prior to the killing, during an incident in November 2018 Labinjo-Halcrow had stabbed Mr Cunningham in the arm, while Arthur was in their flat.

Olivia Labinjo-Halcrow was convicted of killing Gary Cunningham in February 2019. Pics: West Midlands Police
Image: Olivia Labinjo-Halcrow was convicted of killing Gary Cunningham in February 2019. Pics: West Midlands Police

During the fatal attack on 23 February, 2019, her victim was stabbed four times; once in the chest and three more times in his left leg, including a fatal blow behind his knee which was 11cm deep.

The judge added: "However drunk and drugged you were that morning I'm quite sure you know what actually happened."

She added: "After you had been arrested you told them (police) he had killed himself.

"You were taken out of the flat and walked past his dead body covered with a sheet. You didn't show a flicker of emotion. You stepped over his dead body."

Emma Tustin and Thomas Hughes were found guilty of abusing and killing Hughes' six-year-old son
Image: Emma Tustin and Thomas Hughes have been jailed for killing Arthur
Undated family handout photo issued by West Midlands Police of bruises on Arthur Labinjo-Hughes' back, in April 2020, two months before his death. The photograph taken by his maternal grandmother prompted a referral to social services, however the bruises were put down to "play-fighting" with another youngster. Issue date: Wednesday November 24, 2021.
Image: Arthur had 130 injuries - old and new - with 30 on his head and neck alone. Pic: West Midlands Police

The judge, concluding there was no element of self-defence to her crime, told her: "You are an intelligent woman, academically successful in school and attended university.

"You used that intelligence to tell this jury an extensive and elaborate series of lies you made up after you killed Gary in order to describe the relationship where you had been the victim."

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https://news.google.com/__i/rss/rd/articles/CBMiowFodHRwczovL25ld3Muc2t5LmNvbS9zdG9yeS9hcnRodXItbGFiaW5qby1odWdoZXMtaW1hZ2VzLXNob3ctdHJhZ2ljLWxpdHRsZS1ib3ktc21pbGluZy13aXRoLWhpcy1tb3RoZXItYmVmb3JlLXNoZS1sb3N0LWpvaW50LWN1c3RvZHktYWZ0ZXIta2lsbGluZy1wYXJ0bmVyLTEyNDg1NzU20gGnAWh0dHBzOi8vbmV3cy5za3kuY29tL3N0b3J5L2FtcC9hcnRodXItbGFiaW5qby1odWdoZXMtaW1hZ2VzLXNob3ctdHJhZ2ljLWxpdHRsZS1ib3ktc21pbGluZy13aXRoLWhpcy1tb3RoZXItYmVmb3JlLXNoZS1sb3N0LWpvaW50LWN1c3RvZHktYWZ0ZXIta2lsbGluZy1wYXJ0bmVyLTEyNDg1NzU2?oc=5

2021-12-03 21:33:15Z
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