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Herefordshire and Worcestershire NHS staff facing redundancy

Herefordshire and Worcestershire NHS staff facing redundancy

BBC News5 hours ago

Up to 200 people face being made redundant as an NHS board attempts to halve its costs.The move would affect administrative staff at NHS Herefordshire and Worcestershire Integrated Care Board (ICB), which has a budget of £2.2bn and commissions healthcare services across the two counties.The ICB's chief executive, Simon Trickett, said such a move would free up £23m to re-invest in frontline healthcare.ICBs have been set a target of halving their costs by the government, as part of wide-ranging health reforms that will also see the abolition of NHS England which, in March, Health Secretary Wes Streeting said would take place within two years.
Most ICBs are expected to reduce their costs by merging with a neighbouring health board, which in this case would see a merger with Coventry and Warwickshire ICB (CW), although there is no immediate plan to do this.
"We are now in the midst of a re-organisation of how the management of integrated care boards work," said Mr Trickett."We won't merge ICBs but we will share management and leadership capacity and have one team running two ICBs – Herefordshire and Worcestershire ICB and Coventry and Warwickshire ICB."The net result of that will be a 50% reduction in running costs – that equates to £23m. This is a lot of money taken out of management to be available to put into frontline care."Addressing Worcestershire County Council's health and wellbeing board on Tuesday, he said it would likely result in between 150 and 200 redundancies out of the estimated 250 people directly employed by the ICB.
'No compromises'
Mr Trickett described the deal with CW as "an interim arrangement that can allow the savings to be delivered".However, he said there would be no merger with that board at this stage because the government wanted health boards to align with strategic mayoral authorities.Some savings would be made by not having to service NHS England's infrastructure, Mr Trickett added.He said the role of the board was also changing, with staff being asked to be less "hands-on" as it becomes a more strategic commissioner."The NHS in this part of the country is far from perfect, but we have made some good progress," Mr Trickett said. "We want to continue that."I won't be willing to compromise things that make a difference for patients, to hit this target."
This news was gathered by the Local Democracy Reporting Service, which covers councils and other public service organisations.
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I lost 8st on fat jabs but felt severely hungover & was constantly on the loo – but I'm happier than ever being skinny
I lost 8st on fat jabs but felt severely hungover & was constantly on the loo – but I'm happier than ever being skinny

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I lost 8st on fat jabs but felt severely hungover & was constantly on the loo – but I'm happier than ever being skinny

A MOTHER has revealed that she lost over eight stone whilst using Mounjaro, but has been accused of 'cheating' her weight loss. Not only this, but Kelsey, the mum from Glasgow, has constantly found herself on the loo and has been battling with feeling severely hungover, despite not having a drop of alcohol. 4 A mother has opened up on her Mounjaro weight loss and her battle with diarrhoea and exhaustion Credit: 4 Kelsey also clapped back at those who accuse her of "cheating" her weight loss Credit: 4 Mounjaro is typically used to treat type 2 diabetes Credit: Getty The content creator, who has lost 8 stone 13lbs since August 2024, got candid on the unfortunate fat jab side effects, but despite this, claimed that she is 'happier than ever' being slim. Posting on social media, alongside a picture of Kelsey shortly after giving birth to her baby, she confirmed that as a result of taking Mounjaro, which is regarded by some as the King Kong of weight loss jabs, she has been accused of 'cheating' her weight loss. But just seconds later, the brunette beauty showed off her newly slimmed down frame as she wore a cropped co-ord, held up a drink and beamed: 'I'll forever cheers to 'cheating'.' Eager to clap back at those who hail Mounjaro 'the easy way out', Kelsey explained: 'You don't know the years I spent trapped in a cycle of diets that didn't work. 'You don't know the pain of battling a body that felt like it was working against me because of PCOS.' Not only this, but Kelsey also claimed that prior to using Mounjaro, she was exhausted and faced 'quiet moments' where she 'nearly gave up.' She then claimed that she is 'not 'stealing' from anyone', and instead, is 'reclaiming' her health and 'showing up' for herself in a way she never thought she could. Now, Kelsey claimed that her 'mum tum' is 'barely noticeable'. Not only this, but she stressed that Mounjaro 'changed' her life and now she feels 'happier than ever.' Sun GP Dr Zoe Williams claimed that Mounjaro, which could soon be rolled out on the NHS, can save the lives of people with 'life-threatening levels of obesity'. Weight Loss Jabs - Pros vs Cons But despite this, the NHS warned: 'Never take an anti-obesity medicine if it has not been prescribed to you. "These types of medicines may not be safe for you and can cause serious side effects.' I have been up since 5:30am feeling sick, really, really sick - back and forward to the toilet Kelsey In another clip, Kelsey got candid on her side effects after increasing her Mounjaro dose to 12.5mg. The mother explained that she had initially been 'so lucky' when it came to experiencing Mounjaro side effects, but after starting on the 12.5mg dose, things all changed. She admitted: 'Oh my goodness, I feel severely hungover, I feel like I've got the worst hangover. 'I feel so, so tired. I have been up since 5:30am feeling sick, really, really sick - back and forward to the toilet.' Kelsey explained that not only has she been dealing with diarrhoea and stomach cramps, but she also claimed that her body, particularly her feet, are 'so swollen.' Everything you need to know about fat jabs Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases. Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK. Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market. Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year. How do they work? The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight. They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists. They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high. Can I get them? NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics. Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure. GPs generally do not prescribe the drugs for weight loss. Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk. Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health. Are there any risks? Yes – side effects are common but most are relatively mild. Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea. Dr Sarah Jarvis, GP and clinical consultant at said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.' Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia. Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health. Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines. According to WebMD, swelling in the feet, ankles or legs can happen when using Mounjaro, especially if you are dehydrated, which can happen if you aren't drinking enough water or are dealing with diarrhoea. The pros also acknowledged that diarrhoea, as well as stomach pain, are just two of the 'most common side effects of Mounjaro'. Social media users react The TikTok clip, which was posted under the username @kelseymounjaroandme, has clearly left many open-mouthed, as it has quickly amassed 175,600 views. Despite her side effects, social media users were stunned by Kelsey's incredible weight loss and many eagerly raced to the comments to express this. One person said: 'Oh my you look incredible!!' What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea: This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting: Can occur, often in conjunction with nausea. Diarrhea: Some people experience gastrointestinal upset. Constipation: Some individuals may also experience constipation. Stomach pain or discomfort: Some people may experience abdominal pain or discomfort. Reduced appetite: This is often a desired effect for people using Ozempic for weight loss. Indigestion: Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis: In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems: There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors: There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems: Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar): Especially if used with other medications like sulfonylureas or insulin. Another added: 'Wow!! Incredible transformation.' Meanwhile, a third commented: 'You're stunning!' Fatal consequences In addition to diarrhoea and stomach cramps, those debating whether to begin using Mounjaro should know that the jabs can have fatal consequences. The injections are licensed for patients with type 2 diabetes and are administered every seven days. 4 They are also available to assist those who are clinically obese (with a Body Mass Index of 30 or over). The drugs can be prescribed by a practitioner - such as a doctor, nurse or a pharmacist-independent prescriber. But increasingly, we are seeing more and more people buying them through online pharmacies, without sufficient checks. Not only this, but figures from the Medicines and Healthcare products Regulatory Agency revealed that fat jabs had been linked to 82 deaths across the UK. Following the death of a man from Burton upon Trent, Staffs, who died after taking Mounjaro, his family are now calling for a probe into the jab's "potential to kill." 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