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Government ‘has very small window to avert resident doctors' strike'

Government ‘has very small window to avert resident doctors' strike'

Yahoo17-07-2025
There is a 'very small window of opportunity' for the Government and resident doctors to reach an agreement to avert strike action, the Resident Doctors Committee (RDC) has said.
A five-day walkout is scheduled to start next week and could cause significant upheaval to the NHS in England.
Co-chairs of the RDC – part of the British Medical Association (BMA) – said they had an 'open and frank' conversation with the Health Secretary on Thursday afternoon, but no resolution was reached.
After the meeting Wes Streeting reiterated that 'we cannot move on pay after a 28.9% pay rise' but the Government is looking at ways to improve resident doctors' working lives.
RDC co-chairs said working conditions are being considered but a pay deal is 'probably the simplest solution'.
Neither the RDC or the Department of Health and Social Care (DHSC) confirmed a date for the next talks.
Asked if they would meet with the Health Secretary on Friday, Dr Ross Nieuwoudt told reporters: 'Well, if Wes Streeting is free I'd be happy to.'
His co-chair Dr Melissa Ryan said: 'The advantage of being a doctor is that we're used to working all hours of all days, so we said we're available at any moment to continue our talks.'
Dr Nieuwoudt added: 'We have a very small window of opportunity over the next few days to avert strike action.
'Talks today have been constructive, they're a first step, it was a very high-level discussion, we're looking forward to more discussions to hopefully avert strike action.'
After the meeting, Mr Streeting said in a statement: 'We had a constructive conversation with the BMA (British Medical Association) today and we'll be having further conversations in the coming days to try to avert strike action.
'While we cannot move on pay after a 28.9% pay rise, we are working on areas where we can improve working lives for resident doctors.
'Strikes have a serious cost for patients, so I am appealing to the BMA to call them off and instead work together to improve their members' working conditions and continue rebuilding the NHS.'
Ahead of the meeting at Portcullis House, it was put to the RDC co-chairs that the public was 'broadly on-side' for the previous round of strikes but support is now 'waning'.
Dr Ryan responded: 'I think that the public is behind us in the sense that they want to see doctors paid fairly, they want doctors to be in the NHS, doctors retained, because ultimately they want good care'.
On Tuesday, NHS leaders said there was no extra money to cover industrial action by resident doctors, formerly known as junior doctors.
The last round of strikes, which also included walkouts by other health workers, came at an estimated cost of £1.5 billion to the NHS in England.
Some 1.5 million appointments, procedures and operations were postponed as a result of the stoppages.
On Thursday, The Times reported that it had seen an audit which found that five patients died as a result of disruption linked to strikes by junior doctors in 2023 and 2024.
One prevention of future death report detailed how 71-year-old Daphne Austin, who had a kidney injury, died after getting 'no medical input' on one of the strike days because the consultant who was covering was in charge of 25 patients.
Another states that 60-year-old John Doyle died of 'natural causes against a background of missed opportunities to diagnose and treat cytomegalovirus infection, together with the impact of the resident (formerly junior) doctors' strike on the provision of consistent patient care'.
Asked if they recognise the report in The Times as true, Dr Nieuwoudt said: 'The evidence that we've seen, the evidence over the past few years, is that the processes that we have in place in order to maintain patient safety are robust and they've been working well, they've been the processes that have been in place since 2016 and over 11 rounds of industrial action.'
He added: 'What you're seeing, instead of resident doctors in the hospitals, is the most highly trained and specialised doctors looking after acute patients.
'We just need to ensure that the (NHS) trusts are picking up their responsibility of cancelling elective services and moving those consultants over to where they're needed, which is protecting the patients in acute setting during industrial action.'
The strikes ended last September when resident doctor members voted to accept a Government pay deal worth 22.3% on average over two years.
The 2025/26 pay deal saw resident doctors given a 4% increase plus £750 'on a consolidated basis', working out as an average rise of 5.4%.
Government officials said these two increases equate to a 28.9% pay rise.
But the BMA said resident doctors need 29.2% to reverse 'pay erosion' since 2008/09.
Earlier this month, the union announced that resident doctors in England would strike for five days from 7am on July 25.
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After my mum died of dementia I knew I had to change my life to save my brain
After my mum died of dementia I knew I had to change my life to save my brain

Yahoo

time34 minutes ago

  • Yahoo

After my mum died of dementia I knew I had to change my life to save my brain

Having watched my beautiful, witty and highly intelligent mum bravely battle dementia for 10 years I know I would do anything to prevent the same happening to me – and to save my family from having to stand by and witness it. Could a brain coach help? One two-year clinical trial found that it increased cognitive function by 74 per cent after two years. Dementia prevention coach Susan Saunders, who trained with US neuroscientist Dr Dale Bredesen, runs a three-month long Better Brain Framework that promises improved memory, sharper cognition and to banish brain fog. When I approach her about doing the programme, she was very clear that it was all or nothing: I had to commit fully to her – a commitment that included six 40-minute Zoom coaching sessions, plus homework of six teaching videos. I was daunted but realised it had to be done. At the age of 59 I knew I had to change my life to save my brain. At our first meeting, Saunders, who is also a trained habit coach, told me that although she could not prevent dementia, what she could do was 'build long-term habits scientifically shown to reduce dementia risk'. Like me, Saunders lost her mother to dementia – in her case, Alzheimer's, in mine, a form of Parkinson's dementia. My mum, Anita, was the perfect storm. She had a mind like a steel trap and lived an intellectually stimulating life – she was an academic and a journalist, she had a PhD in English literature, she saw every Royal Shakespeare Company production, she read and wrote constantly. She was active and slim with a wide circle of friends and a happy marriage to her second husband who she met at 50. However, she lived in London near a busy road and had suffered a head injury in her 50s, falling down some stairs while sleepwalking. Then, when she was 65, she became a carer to her husband following a serious stroke that left him wheelchair-bound. She no longer rode her bike to the British Library every day, or went to the theatre. There was no time for reading. She began to decline and after five years was diagnosed with Parkinson's. Soon afterwards, the severe physical symptoms of her condition were joined by Parkinson's dementia, which features disturbed sleep, delusions, depression and anxiety. She died 10 years later, aged 81. Lifestyle may not have caused my mother's illness but it almost certainly hastened it. How we live matters. 'It's about building the life that puts your brain health first,' says Saunders. 'There's no magic pill coming any time soon to prevent dementia. The best hope we have is lifestyle changes.' What's more, work done now will give better memory, cognition and mental health now. 'Create an identity for yourself as someone who puts their brain first, prioritising yourself and your brain even above families, bosses, co-workers,' says Saunders. Not easy, she concedes, but vital. Over the next three months, I give it a try. Session one: nutrition for a better brain In our first session, Saunders reminds me that 20 per cent of everything we consume goes straight to our brain. 'Feed it c--p – it's going to work like c--p!' she summarises, pithily. Saunders's top tip on how to build a meal that's better for your brain is 'plan veg first'. This is because they 'give us a type of antioxidant, called polyphenols, which feed our brain. The first studies to focus on this found that people eating at least three portions of veg each day had slower rates of cognitive decline, and similar research showed green leafy veg also slowed cognitive decline. You're aiming for six to nine portions of veg a day.' I start planning our dinner plates veg first, then protein, then carbs. It's a revelation. We're having four veg (corn, grated carrots, avocados, beans) as well as our daily dose of broccoli. Protein (chicken, beef, fish) takes a quarter of the plate and in my case there's barely room for carbs, though the children and my husband still have pasta or potatoes. I replace my morning porridge with banana and yogurt, nuts and seeds for more protein, which Saunders also recommends. I succeed in 'crowding out' biscuits – snacking on nuts which provide healthy fats and in the afternoon I eat dried apricots or dates – yes, high in sugar but not processed, and full of fibre. I have to think long and hard about alcohol. The truth is, although I rarely get drunk, I drink a glass or two of wine most nights of the week. I rely on alcohol to manage stress and also to give me a feeling of being rewarded for working hard. Saunders' advice is to cut back. 'It's a neurotoxin. You know that feeling when you relax, then feel a bit woozy, then drunk. That's the impact on your brain.' I tell Saunders that when I did Dry January I felt great and she asks: 'What else could provide a different punctuation point at the end of the day? Can you start to move towards embodying someone who puts their brain first, who understands that alcohol is a neurotoxin and who needs less of it in their lives?' I stop buying wine at the supermarket on weeknights and start trying to limit wine to two evenings a week. I manage three. I am genuinely shocked at the difference it makes to the way I feel the next day. The less I drink, though, the worse I feel when I do drink – which also gives me pause for thought. Have I just got used to feeling under-par most of the time? Session two: movement, the brain's silver bullet 'Of all of the strategies we can try to reduce our dementia risk, none has more supporting scientific evidence than exercise,' Saunders tells me in our next session. It makes me sit up and listen. She explains that we're actually growing our brains when we exercise and that research has linked regular exercise to a 35 per cent lower risk of dementia. And it's not just structured exercise that makes a difference: moving about, for example doing regular housework, also has significant benefits. I'm not keen to start doing more domestic chores but I do take note. When it comes to exercise I am very faddy. One month I'm walking, the next week cycling, the next week doing weights. I've kept up swimming in cold water for 10 years now and although that's good, it's not enough. So, I start running up a huge hill near my house which is a form of resistance exercise (running counts, sort of) and getting enormously out of breath. All of these are vital for the brain. The running feels awful at first but the improvements are quick and when I get home I feel amazing. Added to the reduced drinking I'm as sharp as a pin and, my husband reports, a lot less grumpy than I used to be. Session three: A good night's sleep starts in the morning Saunders says: 'Deep sleep becomes harder to achieve as we get older but it's in this phase of sleep where the magic happens in terms of brain health. One study found that a 1 per cent reduction in deep sleep in people over 60 could lead to an increased dementia risk of 27 per cent.' That sounds pretty scary. Having been an insomniac in the past, however, I already have quite good sleep habits. I keep a regular bedtime and getting-up time and I pop a magnesium tablet (also recommended by Saunders) before bed. To this I now add 'morning light' with my uphill runs, which is good for the body's circadian rhythm. I am also keeping up the restraint around alcohol to see if this makes a difference. After a few nights of tossing and turning without a drink to clunk me on the head and get me to sleep I have started to drop off quickly and sleep deeply, waking earlier and much more refreshed. I love wine, and I couldn't bear the thought of life without a single vice, but I realise I've got to cut back further. When, a month in to the programme, I tell Saunders about my increasing clarity – the less I drink the sharper I feel – she gets excited: 'That's it working!' she says. 'That's better brain health.' She is right. Session four: stress is bad for the brain Stress has been linked to an increased risk of Alzheimer's in multiple studies. Allow time in your schedule to care for yourself. And that doesn't mean bubble baths. When I feel I'm getting stressed, I stop and tell myself how bad it is for my brain. I try to work through the suggestions Saunders has made: I distance myself from my feelings. I ask myself why am I feeling like this and what can I do. Most of all I remain aware when it's ramping up. As a result I feel less stressed, more in control and clearer headed. Session five: start dancing to boost cognitive engagement I feel cognitively engaged – I work as a journalist talking to interesting people, I have a chatty husband and three children, all lively, entertaining young people, I read as much as I can before falling asleep. But there's always more you could be doing. For me, table tennis and padel are out, as I am simply atrocious at sports, but Saunders has another suggestion. She says: 'It's been suggested that the best way to recreate the complex interaction of physical movement, memory, decision-making and social interaction that our ancestors experienced on that savannah is to dance.' This makes a lot of sense – it requires the full spectrum of cognitive skills, complex motor, perceptual and conceptual skills. One study examined the leisure activities of a group of older people over several decades and found that dancing provided the greatest dementia risk reduction (76 per cent) of any activity studied, cognitive or physical. I realise music is missing from my life, as I barely know how to listen to it any more – the tech is too complicated – and rely on occasional bursts from the radio in the car. I brace myself and log on to Spotify which leads to dancing in the kitchen until I am caught by a horrified teenager. It makes me realise there's always more you can add and that the danger point will come when one starts to work less. Plus my husband and I will need a plan for retirement (if that time ever comes) as we plan to move to the country – we will need to find new hobbies and interests. Session six: managing my environment The news about environmental factors leaves me downhearted. There are several categories of 'dementogens' including heavy metals, chemicals such as pesticides and cleaning products, and biotoxins such as moulds. However it is the air pollution that concerns me. Like my mum before me I live in London, in zone two, and I can't really get away from it. 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What do they want from me? Am I safe? Talking to a stranger every day is a great way to flex cognitive engagement.' I talk to strangers all the time anyway, much to the mortification of my husband and children. I'll keep it up. The final result After three months I am convinced that we could all benefit from following this programme. For me, the two most significant and dramatic changes have been cutting alcohol back to once a week and starting running again. The combination of these two things plus the better sleep I get as a result has given me better clarity than I had at the age of 30 when I was starting out in journalism, living the high life in London, drinking, staying up late, stressing out, keeping irregular sleep patterns – you name it, I was doing it, wrong. The exhaustion of being a working parent and later also a carer for my mother, and the stress-related drinking that went along with it, didn't help in the years that followed. Most people following her programme have one such realisation says Saunders – whether it's exercising, better nutrition, self-care or simply taking time for themselves. I'm delighted that the effects are instant. Most importantly, if I stay on this path I will reduce my risk in the future. If only my mum could have done the same – though events conspired against her. I urge anyone who has become a carer, or whose parent has become a carer, to bear this in mind. I'm grateful to Saunders for opening my eyes and encouraging me with her three-month programme. Her advice is so simple and sane: 'It's so easy. Choose those things you can keep up. There's no magic pill to reduce dementia risk. It's about long term consistency. That's the closest thing we've got to a magic bullet.' Broaden your horizons with award-winning British journalism. Try The Telegraph free for 1 month with unlimited access to our award-winning website, exclusive app, money-saving offers and more.

New KPIs May Cut Post-Endoscopy GI Cancer Risk
New KPIs May Cut Post-Endoscopy GI Cancer Risk

Medscape

time2 hours ago

  • Medscape

New KPIs May Cut Post-Endoscopy GI Cancer Risk

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Am I drinking more than everyone else? Use our tool to find out
Am I drinking more than everyone else? Use our tool to find out

Yahoo

time2 hours ago

  • Yahoo

Am I drinking more than everyone else? Use our tool to find out

We are a nation of boozers consuming more alcohol than ever before – and the consequences of this are dire. In 2022, there were over 10,000 alcohol-specific deaths in the UK, the highest number on record. Yet how much is too much? With this tool, you can find out exactly how much you're drinking, how it compares to others your age and gender – and if you're drinking more than them. Are you drinking above the recommended limit? The more alcohol you regularly drink, the more likely you are to face serious health problems. Around half of UK adults drink at least once a week, and that figure rises to 60 per cent among adults aged 65 to 74, with numbers falling in the younger age brackets (18-24) as they swap boozy sessions for nights in the gym. The health risks of drinking alcohol are well established – from liver disease and heart problems, to cancer and mental health issues. The more alcohol you regularly drink, the more harmful it is – and the more likely you are to face these very serious consequences. For this reason, UK guidelines state it is safest for men and women to drink no more than 14 units a week, spread over three or more days. This is equivalent to six pints of beer or six 175ml glasses of wine. Women who drink more than 14 but less than 35 units per week, and men that drink more than 14 but less than 50 units per week, are classified as 'hazardous drinkers'. Those who exceed these limits are harmful drinkers. 'There's a sense that if you drink over 14 units a week, you're immediately in massive trouble but, of course, there's a big difference between drinking 15 or 50 units,' says Dr Piper, chief executive of Alcohol Change UK. 'It's important to note that this is a sliding scale – so essentially the less you drink, the better it is for your health.' Even though 1-14 units of alcohol a week has been classified as 'low risk', 'it's still not safe or healthy,' Dr Piper clarifies. In fact, whilst those who drink at higher, harmful levels experience more direct harm, a significant portion of alcohol-related harm – such as injuries, violence and drinking-driving incidents – comes from individuals who drink within lower-risk or moderate drinking guidelines. How do you compare to others your age and gender? We often hear of Gen Z being the 'sober generation'. A Drinkaware study found that one in four members of Gen Z, those aged 18 to 24, is completely teetotal. However, Dr Piper says there's still a significant amount in this bracket who are drinking a harmful amount. In 2022, adults aged 16 to 24 were the most likely to drink to harmful levels or possibly be dependent on alcohol, highlighting these vast disparities. Meanwhile, men aged 65-74 top the charts for most units of alcohol drunk per week with an average of 11.9. 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Whilst adults aged 55 to 64 were the most likely to binge drink, those aged 75+ were least likely. Worryingly, the proportion of adults who admitted to binge drinking remained fairly stable between 2011 and 2022 at 17 per cent. Are you at risk of alcohol dependence? Alcohol dependence, otherwise known as alcoholism, describes the most serious form of high-risk drinking. Someone with alcohol dependence may feel like they're not able to function or survive without alcohol and will often need to drink more over time to feel the same effect. They'll continue to drink despite knowing the harmful consequences and may prioritise alcohol over their family, friends and career. The World Health Organisation developed the Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for dependency. Dr Piper explains: 'It's for people in the highest groups who may have an alcohol dependency or are drinking a harmful or hazardous amount of alcohol.' Women who drink more than 35 units and men who drink more than 50 units per week are classified as harmful, but not dependent, drinkers. 'These people will experience weekly harms from alcohol, whether that's hangovers, elevated blood pressure, anxiety, depression or relationship issues,' Dr Piper explains. There is no clear line between harmful and dependent drinking, so dependence can vary in severity. In the AUDIT test, a total score between 0 and 40 is calculated. A score of 20 or above signifies 'possible alcohol dependence', whilst a score of 16-19 suggests 'higher risk drinking behaviour', a score between 8-15 suggests 'increasing risk drinking behaviour', and a score of 0-7 signifies 'low risk drinking behaviour'. Despite the growth in non-drinkers in the 16-24 age group, young people are at greater risk of alcohol dependence, according to AUDIT test results. As Alcohol Change UK highlights, it's not just about how much you drink, it's about why you drink, and your relationship with alcohol. Young adults may be relying on alcohol to cope, with one study showing that Gen Z is more likely to report drinking to 'escape' which carries higher long-term risk. Young adults are also suffering from more mental health problems than previous generations, increasing their vulnerability to using alcohol as self-medication. Whilst young men (aged 16-24) drink the lowest average amount of units per week (4.8), 20 per cent of them are at risk of, or have a possible alcohol dependence, whilst just 10 per cent of men aged 65+ fall into this category. Among women, the same is true. 20 per cent of young women are drinking harmfully or are possibly dependent on alcohol, while this figure drops to just 3 per cent among those aged 65+. A sobering thought. Broaden your horizons with award-winning British journalism. Try The Telegraph free for 1 month with unlimited access to our award-winning website, exclusive app, money-saving offers and more.

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