
NHS keeps public away as patients seen as ‘inconvenience', new boss says
In his first interview since his appointment as chief executive of NHSE, Sir Jim Mackey told the newspaper the health service has retained too many 'fossilised' ways of working, some of which have barely moved on since its creation in 1948.
His statement comes as he prepares to implement a 10-year health plan to be published by the Government next week.
Sir Jim, who was knighted in 2019 for services to healthcare, told The Telegraph: 'We've made it really hard, and we've probably all been on the end of it.
'You've got a relative in hospital, so you're ringing a number on a ward that no-one ever answers.
'The ward clerk only works nine to five or they're busy doing other stuff; the GP practice scramble every morning.
'It feels like we've built mechanisms to keep the public away because it's an inconvenience.'
Sir Jim warned the disconnect between NHS services and the public could result in the loss of the public health service altogether.
'The big worry is, if we don't grab that, and we don't deal with it with pace, we'll lose the population,' he told the Telegraph.
'If we lose the population, we've lost the NHS.
'For me, it's straightforward. The two things are completely dependent on each other.'
The Government's 10-year health plan will aim at improving NHS services through relocating patient care from hospitals to community-based health centres, a greater use of digital tools, and preventive care.
Health Secretary Wes Streeting said on Wednesday the plan will also aim to 'address one of the starkest health inequalities', which he claims is the unequal access to information and choice when it comes to healthcare.
Sir Jim told the Telegraph: 'We've got to somehow re-orientate it; think about how do we find people who need us, how do we stop thinking 'it's going to be a pain in the arse if you turn up because I'm quite busy' and instead think about how do we find out what you need and get it sorted.'
Sir Jim added his concerns are driven by his own traumatic experience of NHS services, when his father died in a hospital locally known for its poor standards of care.
He told the paper: 'My dad died in a hospital where the local folklore was terrible about the hospital, but the hospital was deaf to it and didn't know what was actually being said.
'I wasn't long into the NHS, it was a long time ago now, and I felt really powerless.
'I found out too late that the clinical community knew the guy who looked after him wasn't as good as I would have wanted him to be.
'I'll carry that for the rest of my life.'
In an effort to take pressure off hospitals and cut down waiting lists, the Government previously announced that 85 new mental health emergency departments will be built across England.
The 85 units will be funded by £120 million secured in the Spending Review, the Department of Health and Social Care said.
Open 24 hours a day, seven days a week, they will be staffed by specialist nurses and doctors.
Patients who need help will be able to walk in, or will be able to be referred by their GP.
Under the new plans, mental health patients will also be able to self-refer for talking therapies using the NHS App
The new measures could also pave the way for AI-driven virtual support, according to the Department of Health and Social Care.
Mr Streeting also unveiled plans to divert more than £2 billion in NHS spending to working class communities.

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Wales Online
an hour ago
- Wales Online
This Cardiff GP has been advertising expensive health pills. There are serious concerns over what he's doing
This Cardiff GP has been advertising expensive health pills. There are serious concerns over what he's doing The NHS is looking into concerns over Dr Paul O'Connell's activities after an investigation by WalesOnline Cardiff GP Dr Paul O'Connell (Image: WalesOnline ) A Cardiff GP has been accused of fronting "dangerous" social media ads for health supplements. Dr Paul O'Connell, a locum GP registered with Cardiff and Vale University health board, is a co-founder of a company called Nutritional Sciences Ltd (trading as Physical Nutrition) though he is not a director. In 2023 the business made £961,377 in profit, well up from the previous year's £246,044. But we can reveal there are serious concerns over videos promoting the firm's supplements on social media. The videos often start with a scrubs-donning Dr O'Connell making a striking claim, such as that eating cereal "causes you joint pain", before a 20-minute spiel that concludes with the benefits of the firm's pills. The products include a "blood sugar formula" and supplements for "prostate health" and "joint health" — but we have spoken to experts with fierce criticisms, ranging from questionable ingredients to "dangerously misleading" claims in ads. The NHS told us it is reviewing the concerns over Dr O'Connell's conduct. Dr O'Connell, 53, denied wrongdoing and a Physical Nutrition spokesman said: "We take our regulatory responsibilities very seriously, and ensure that all claims we make about our products are scientifically supported.' The 'blood sugar formula' Our investigation into the company began after we were contacted by a concerned GP, Dr John Cormack — based in Essex, some 200 miles from Dr O'Connell — about adverts that kept flashing up on his Facebook feed. Article continues below Dr Cormack was troubled by videos advertising the company's Gluco Support supplement, priced at £69.95 for 90 pills, which are claimed to help customers "maintain healthy blood sugar levels" using "superfood" ingredients. The videos' characters described health episodes such as collapsing at a wedding because of "spiking" blood sugar, and how the product had changed their lives. Although the footage did not mention the word "diabetes", Dr Cormack feared people could interpret the product as capable of treating diabetes. A "dangerous" example, he felt, was a video that claimed Dr O'Connell had "discovered a way of controlling your blood sugar level without mad exercising, dieting or even painful injections". Dr Cormack felt this could lead to diabetics thinking they could stop taking insulin injections. He was alarmed to see one Facebook user had commented on the video: "Do you quit diabetic medication when using this medicine?" Cardiff GP Dr Paul O'Connell (Image: WalesOnline ) The lawyers representing Dr O'Connell said he had "never made claims around diabetes". They argued that fainting at a wedding could be caused by a "wide range of issues" and that the mention of "painful injections" was actually a reference to the "potentially dangerous practice of using weight loss GLP-1 injections". He would never advise patients to stop taking insulin, the solicitors added. But WalesOnline found an advert with a tagline that described Dr O'Connell as a "leading diabetes expert". The firm's lawyers told us this ad would be removed and that it was a mistake by a marketing employee who had gone against the firm's guidelines, which would be "reiterated" to staff. Next we found wording on the Physical Nutrition website that specifically aimed its blood sugar product at "diabetic" people, telling them "it doesn't have to be this way" and "it couldn't be easier to take back control of your health". Physical Nutrition accepted this "ought never to have been published". Its lawyers told us our enquiries had prompted it to "urgently review its marketing materials", leading to the discovery of ads which "would never have been approved by the senior management". Dr O'Connell's lawyers, meanwhile, said he wasn't aware of the diabetes references and did not endorse them. Secrets of the salamander A range of past scenarios involving Dr O'Connell were used to promote the company's "joint health" supplement, Activ8 Joint Complete. In one video he can be seen wearing black leathers, sprawled on a road after what he describes as a motorbike crash. He tells how the accident left him with chronic joint pain so he carried out research to create Activ8, a 90-capsule bottle of which costs £69.95. In a different video he describes experiencing long-term joint pain after a pedal cycle accident. In another he tells of chronic pain from a "nasty car crash". When we asked Dr O'Connell how many road accidents he had been in, his lawyers responded there had been "a number of significant accidents and numerous more minor accidents". In one video Dr O'Connell was described as a "joint health specialist". When we asked if this was true, the GP's lawyers said he wasn't aware he had been characterised in this way and did not endorse it. But the description, we pointed out, came from his own voiceover. Cardiff GP Dr Paul O'Connell (Image: WalesOnline ) Dr O'Connell said he did not recall using the term "specialist" but did consider himself a joint expert, having previously led teams that gave "electrical stimulation to neurologically impaired patients who suffered from foot drop". His lawyers added that he also carried out an audit on preventing blood clots in joint replacement surgery, and worked with orthopaedic surgeons when he was a foundation doctor. The videos told how Dr O'Connell's "battle with joint pain" led him to remedies derived from "secrets of the salamander", an amphibian which has the ability to regenerate its tail. But last June these videos led to an Advertising Standards Authority ruling against the company, which had failed to engage with the watchdog during its investigation. The ASA found breaches of the advertising code with statements that "a self-healing mechanism can reverse YEARS of arthritis and joint damage" and that cartilage can "regrow just like hair and nails", implying a food supplement could treat human disease. It also found no evidence to support the company's claim that Dr O'Connell was the NHS' "leading joint expert". Physical Nutrition told us it stood by its claims about Activ8 — pointing to Duke University research suggesting humans have an "inner salamander capacity" — but that nevertheless it agreed to take down the videos. Yet, nearly a year on from the ruling, we found the firm still had videos on its social media suggesting the supplement could help regrow cartilage. When we put this to the business, it said the footage had been "missed in a sweep" after the ruling, and would be removed. We then pointed out there were still claims about "supporting cartilage regrowth" on the website. Again, the firm accepted this "ought not to have remained live" and that "the standards of its marketing team's work fell below those acceptable". It vowed to restrain "sales puff" and bring in "a more robust quality control regimen". The scathing verdict of a rheumatologist We asked award-winning consultant rheumatologist Dr Wendy Holden — who is medical advisor to the Arthritis Action charity — her thoughts on Activ8 itself, which the firm claims to be a "clinically proven" joint health formula. Dr Holden was damning in her assessment of the pills' ingredients. "Collagen is digested in the gut and metabolised to glucose just as any protein is, so collagen taken by mouth cannot somehow magic itself into the joints, whatever the claims," she said. She also questioned the claim that oral hyaluronic acid could help with joint pain given that, "like collagen, it will be digested and doesn't travel straight to the joints". Dr Holden pointed out that other ingredients, glucosamine and chondroitin, had been assessed by the UK medical body NICE as potential relief for arthritis symptoms — and the latest guidance states: "Do not recommend the use of chondroitin, glucosamine." She added: "The most worrying implied claim for me, though, is that Activ8 will somehow help with cartilage regeneration. Duke University has shown that humans have molecules similar to those found in salamanders, which may be important in cartilage regeneration, but there is absolutely no evidence that anything in Activ8 can influence these substances, and this whole topic is very much at the basic science stage. "I suspect any benefits from patient testimonials are due to the placebo effect which for pain can be as high as 30 to 40%," she said. The firm's lawyers accepted there was room for "spirited and even heated scientific debate" about the benefits of the ingredients. But they said the product was supported by systematic reviews of studies involving those ingredients, which "carry significantly more weight" than the opinions of any individual. They added: "Our client does not sell medicine, and NICE guidelines are completely irrelevant to it and its products." Dr Holden acknowledged that eggshell membrane, an ingredient, had appeared in a systematic review of seven studies on easing osteoarthritis pain. But she said all were "low quality for a short duration and with few participants", and that any such benefits "would definitely not agree with conventional medical thinking". Dr O'Connell, meanwhile, denied ever claiming cartilage can be entirely regrown. His lawyers also pointed to a "substantial number of positive reviews" on the website and the offer of a 90-day refund. 'Dangerous' prostate health video Physical Nutrition also sells a "men's health" supplement, 'Protect + Perform', which it says helps "maintain a healthy prostate" at a price of £69.95 for 60 pills. When we showed one of its adverts — which the firm says is no longer in use — to the Prostate Cancer UK charity, it was disturbed. In the video, Dr O'Connell warns of "record rates of prostate problems" such as loss of bladder control, then another man's voiceover goes on to say: "It's no wonder so few men get checked, but what if there were a way to beat these problems from the comfort of your own home?" Spotting prostate problems too late "can be fatal", adds the voiceover, continuing: "Prostate cancer now kills more people than breast cancer." Prostate Cancer UK felt the video could lead to men thinking supplements were an adequate alternative to getting tested for prostate cancer. The Essex GP, Dr Cormack, had the same concern. "Research that is about something non-cancerous is presented and conflated with cancer, which is dangerously misleading," Prostate Cancer UK's assistant director of health improvement, Amy Rylance, told us. Physical Nutrition's lawyers defended the video, saying it warned against the problem of "under-investigating prostate health" and that it "makes no claims that its supplements are a suitable alternative to medical care". They said the footage was used between January 2023 and October 2024 but not since then. Logos used 'without permission' On webpages promoting Physical Nutrition's products, there was a curious positioning of the logos of the Guardian, Independent and Sky News above a picture of Dr O'Connell thoughtfully holding a finger to his head. We repeatedly asked the firm why it displayed those logos, without any answer. It was only when we contacted each news outlet — and each told us they had not licensed their logo for such use — that Physical Nutrition's lawyers responded. "At all material times our client believed that it was permitted to use the logos of publications/broadcasters with whom it had advertising agreements," said the solicitors, who added that an internal investigation was underway to check this was correct. Even if there had been permission, wouldn't the logos have risked misleading people that there'd been positive coverage from the news outlets, rather than just advertising? Physical Nutrition did not respond to this question. O'Connell denied being aware of the logos' use. What action is being taken? The ASA told us there appeared to be "ongoing problems" with Physical Nutrition's ads. The matter has been passed to the watchdog's compliance team for "follow-up enforcement action", it said. "Compliance are still actively working with the advertiser in relation to their non-compliant advertising and will decide to take firmer action should that not result in this advertiser making the required amendments," said the ASA's spokesman. "Further action may result in sanctions being applied against this advertiser." The "ongoing problems" are a symptom of regulatory toothlessness, according to Les James, a retired clinical research scientist and a trustee of the HealthSense charity, which campaigns for evidence-based healthcare. "The problem with the ASA is that, although it is by far the most rigorous of the regulators I know, it only operates a voluntary code," he said. "When it says it can apply sanctions, these actually have no legal force, so non-compliant advertisers can take no notice whatsoever. "The ASA refers to their legal backstop Trading Standards, but at HealthSense we have done research on that and found that there simply are no adequate resources for this to be effective. Trading Standards offices typically have only a handful of people, often as few as three. "The deal that the ASA has with Trading Standards is that, first of all, non-compliant advertisers are placed on the naughty step, but this can take several months or years to happen. Once it does, advertisers can sit on the list for years." Physical Nutrition — whose directors run various other health businesses, including the multimillion-pound Malaberg Ltd — told us through its lawyers that it was unaware of any follow-up enforcement action. What the NHS says A spokeswoman for Cardiff and Vale health board told us: 'Dr Paul O'Connell is listed as a locum GP on the Cardiff and Vale University Health Board medical performers list. While the concerns raised are in relation to Dr O'Connell's private work, the health board will review and consider the concerns raised in line with our standard procedures.' The lawyers representing Dr O'Connell said: "Our client is clear that he has recently been working as a regular NHS locum GP and fully intends to continue to work as a GP when locum work is available." Asked if he would continue working with Physical Nutrition, his lawyers said the relationship "will be kept under review, as it has been until now (and as with any professional relationship)". Article continues below At the time of writing, Physical Nutrition's Facebook page is not visible because it has been reviewing its marketing since we raised concerns, its lawyers said. A spokesman for Physical Nutrition said: "Gluco Support, Activ8, and Perform + Protect, as with all of our supplements, were formulated off the back of an extensive body of research from world-leading biomedical scientists, academics, and researchers at some of the world's most prestigious institutions." If you know of a story we should be investigating, email us at


Daily Record
2 hours ago
- Daily Record
Scotland's Botox Bandits facing ban over country's "wild west" treatments
New legislation will introduce regulatory framework and quack operators from dangerous procedures Medics have welcomed moves by the Scottish Government to kill off our nation's 'wild west' reputation for unregulated cosmetic surgery. Law changes announced this week will ban many specified treatments from being carried out by 'Botox bandits' and ensure doctors supervise other less invasive procedures. A regulatory framework will be administered by Healthcare Improvement Scotland, aimed at ensuring backstreet surgeries are shut down, to stop the botched procedures that have been life changing for many people who have opted for cut-price services. Dr Ben Taylor-Davies, who runs the Stockbridge Clinic in Edinburgh and also works as an A&E doctor, welcomed the move. But he warned the new legislation may still be too slack, in allowing unqualified people to carry out the less dangerous procedures. He said: 'Whilst I firmly believe injectable treatments such as Botox and dermal fillers should only ever be carried out by a registered medical professional, the Scottish Government's proposals are a big step in the right direction for patient safety in Scotland. Join the Daily Record WhatsApp community! Get the latest news sent straight to your messages by joining our WhatsApp community today. You'll receive daily updates on breaking news as well as the top headlines across Scotland. No one will be able to see who is signed up and no one can send messages except the Daily Record team. All you have to do is click here if you're on mobile, select 'Join Community' and you're in! If you're on a desktop, simply scan the QR code above with your phone and click 'Join Community'. We also treat our community members to special offers, promotions, and adverts from us and our partners. If you don't like our community, you can check out any time you like. To leave our community click on the name at the top of your screen and choose 'exit group'. If you're curious, you can read our Privacy Notice. 'These proposals highlight they're taking the safety of patients and the Scottish public seriously – this should always be the most important thing. 'For too long the public has been at unacceptable levels of risk. People have come to significant harm due to the lack of regulation.' He added: 'Now we need to make sure this is implemented across Scotland and that the necessary legal powers exist to protect the public from unnecessary harm. 'Hopefully this is just the start of a wider theme of tighter regulation that will ultimately protect public safety.' The SNP government's belated crackdown comes after Scotland was branded the 'worst country in Europe' for dangerous, unregulated Botox ops. Ministers said aesthetic procedures will be regulated according to risk. The most invasive and dangerous, including breast and buttock augmentation, will have to be performed by a qualified healthcare professional in a setting regulated by Healthcare Improvement Scotland. Less invasive injectable material – like Botox and other dermal fillers – will be supervised by a qualified healthcare professional in a regulated setting. The least invasive, such as c osmetic laser treatment, will require both a premises licence and an individual practitioner licence issued by the local council. Public Health Minister Jenni Minto said: 'These proposals reflect our determination to protect the public and ensure high standards across this growing industry.' The changes bring Scotland into line with protections already in place in England. The UK Government made it an offence for an unregulated person to administer Botox and cosmetic fillers to under-18s in England in 2021. The 'back-street Botox' boom has already been blamed for putting pressure on A&E departments at Scottish hospitals.


Sky News
3 hours ago
- Sky News
Sunburn isn't just red skin - here's what's happening underneath the burn
The government is warning that the NHS will be under even more pressure this weekend as temperatures soar, so looking after yourself in the sunshine is crucial. But how much do you know about the science behind sunburn… and how to prevent it? What is sunburn? While we all know what sunburned skin looks like - red and sore - it might not be so clear what is happening underneath the skin. "Essentially, it's inflammation," said Dr Rachel Abbott, a consultant dermatologist who specialises in skin cancer for the Cardiff and Vale University health board. Ultraviolet radiation is carcinogenic and when it is allowed to penetrate the skin, it triggers an inflammatory reaction, said Dr Abbott. Histamines - chemicals produced by the body's immune system - and prostaglandins - compounds that help the body deal with injuries and illness - are released as your body begins reacting to the damage. 0:54 Although the inflamed, red, itchy skin will fade, those carcinogens will do permanent damage to your DNA, according to Dr Abbott. "The redness and pain can be managed symptomatically, but that DNA damage is permanent," she said. "We've all got DNA repair mechanisms in our bodies. But this is why we're seeing such a massive increase in skin cancer, because [as we get older], the battle between the DNA damage and the skin cells becomes more than the immune system can cope with." Since the early 1990s, the number of skin cancer cases in Britain has more than doubled and last year, the number of cases was predicted to hit an all-time high of 20,800, according to Cancer Research UK. The cancer charity partially attributed the rise in cases to older groups of people knowing "less about the dangers of tanning in their youth", who "may have taken advantage of the cheap package holiday boom from the 1960s". This would lead to increased sun exposure and more damaged DNA, increasing the risk of skin cancer further down the line. The 'most effective' protection (and it isn't suncream) There is currently no conclusive treatment to deal with the DNA damage caused by sunburn - although Dr Abbott said there is "exciting" work being done in that area. Instead, the way to stop yourself from sustaining long-term damage is to protect yourself from UV rays. "A lot of people associate temperature with the heat of the sun, whereas actually it's the UV index that's the critical thing. And that usually peaks around midday," said Dr Abbott. 1:19 Contrary to what some may think (or hope), suncream should be a last resort. Shade "is the most effective thing", she said, but if you have to be out in the sunshine, "obviously we recommend hats, clothing and then sunscreen". "It is a last resort for those areas that you can't cover up with clothing and hats, and sunglasses." The cancer care charity Macmillan recommends a suncream with a sun protection factor (SPF) of 50, or at least 30, and to reapply it regularly. "There is no such thing as a safe suntan," advises the charity. It also recommends using around six to eight teaspoons of suncream for an adult - one teaspoon for each limb, one for your chest, one for your back and one for your head and neck.