
English doctors to strike in face-off with government over pay
The government is refusing to meet demands for higher pay from the British Medical Association, which says the 5.4% rise awarded to resident doctors - qualified physicians who make up nearly half of the medical workforce - does little to undo years of pay erosion.
The result is a return to picket lines outside hospitals from 0600 GMT Friday - a throwback to 2023 when high inflation and stagnant pay brought doctors, nurses and other staff from the publicly-funded National Health Service (NHS) out on strike.
"We don't want to strike, but we have to," said Bishoy Yassa, a 24-year-old recently qualified resident doctor. "Even after fair negotiations ... we were completely ignored."
"There's a misconception that doctors are being greedy," he added. "This isn't just about pay. This is about getting the government to listen to the state of the NHS."
After winning an election last year, Labour quickly reached a settlement with doctors for a 22% pay rise, but this year, as it grapples with increasingly strained public finances, it has refused to move beyond a 5.4% increase.
Health minister Wes Streeting has called the decision to strike "reckless and needless."
"All I asked of the them (BMA's leadership) was the postponement of strikes for a few weeks so we could work together on a detailed package that could form an offer to you to end this dispute," Streeting said in a letter addressed to resident doctors posted on X on Thursday.
Public backing for the strikes is limited, with 52% now opposing them and 34% in favour, according to a YouGov survey of 4,954 adults conducted on Monday. That represents a shift from May, when 48% opposed and 39% supported the action.
Views among doctors also differ.
Adam Boggon, a 33-year-old resident doctor and a BMA member, told Reuters he voted against the strike action, fearing it would harm patients.
"I would like for a settlement to be achieved very soon and in the absence of strike action which doesn't help anybody and which nobody wants," he said.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


The Guardian
27 minutes ago
- The Guardian
Police say ill-fitting uniforms leading to crushed testicles and lumps in breasts
Musculoskeletal damage, crushed testicles and lumps in breasts are just some examples of the harm police officers say they experience because of ill-fitting, uncomfortable and low-quality uniforms. Officers responding to the first national uniform and equipment survey across all 43 forces in England and Wales reported symptoms so severe that some had to have multiple operations. Others told how criminals warned them their uniforms left vital areas of their body exposed and even acted as a 'guide' as to where they could be stabbed. Belinda Goodwin, a former frontline officer who works for the Police Federation, had two operations to remove fistulas from her breasts that she said were caused by ill-fitting body armour. 'We had one model and size of stab vest for both men and women, and we had to wear them eight to 10 hours a day,' she said. 'The pressure for women on our breasts was intense; we were completely flattened. 'Being unable to adjust them for hours on end when you were wearing them in a public-facing role was torture. Driving in them was horrific and dangerous: they rammed up into your chin. 'After my second operation, the consultant told me that they couldn't operate again if the fistulas returned because I'd have no breast left to remove. I realised I had no choice but to leave frontline policing entirely.' Almost 21,000 police officers and staff responded to the Police Federation of England and Wales's (PFEW) survey. The research was conducted in collaboration with the National Police Chiefs' Council and led by Lancaster University Law School. One officer said: 'The current body armour doesn't seem to provide adequate coverage on officer's bodies, with large areas, including armpit areas, exposed compared to other forces' vests that feel a lot more protective. 'On numerous occasions, offenders have commented on how exposed our kit leaves us, and state that our kit acts as a target of where to be stabbed.' More than 60% of men and 85% of women reported a physical health condition that they believed was caused by or made worse through wearing uniform. The most commonly worn garments were the most problematic: 61% complained about body armour; 69% flagged cargo trousers. The survey also found inconsistent uniform quality across forces, with access to high-performance kit depending more on local budgets than operational need: negative experiences ranged from 29% in North Yorkshire to 75% in nearby South Yorkshire. One officer said: 'Cargo trousers are too restrictive when struggling with suspects. On foot patrol or foot chases, [they] do not allow for flexibility to climb, jump or fight as you should.' Another said: 'The standard fit of the patrol/cargo trousers is not fit for purpose. They are extremely tight around the groin/thigh area and often cause rubbing and soreness.' But for another officer, the trousers were too loose: 'The cargo trousers are completely unsuitable for frontline policing – they are baggy and dangerous.' The survey also found uniforms did not enable officers to carry all their equipment. 'The utility vest does not offer enough room to add all items that the force requires us to carry,' said one officer. Another said: 'The utility vest causes horrific back pain as the amount of equipment, and weight of that equipment, is too much to all be placed on the front.' When officers reported the problems, however, the survey found that their complaints were often trivialised and dismissed: almost 40% of officers had made a complaint but only 8% received replacement uniform. One force's female members cbought their own rather than use their department's trousers because the crotch was too short. 'Concerns were raised and women's health issues were not given appropriate consideration by the men deciding what we should wear. It was viewed as more of a fashion issue, and anxiety about body image and the medical issues, such as thrush, were ignored,' she said. The PFEW is calling on the Home Office to create coordinated procurement standards for uniforms with a higher minimum national standard. Melissa Russhard, the National Police Chiefs' Council lead for uniform, said: 'This survey will help give us the mandate to push forward with our moves towards setting national standardisation for uniform requirements and end the postcode lottery that exists.' A spokesperson for the Home Office said: 'We refer to individual police forces, given decisions on uniform are a matter for them.'


The Sun
27 minutes ago
- The Sun
From disappearing boobs and bum to crepey arms and hollow face – how I got rid of my sagging Ozempic skin
THANKS to weight-loss jab Mounjaro, I've lost 8.5st in a year. I'm five dress sizes down and thrilled. But what I wasn't prepared for was the sagging. It's everywhere. And it's shaken my confidence. 8 8 'Surprisingly, it's not just how much weight you lose, it's how quickly,' explains aesthetic doctor and founder of Illuminate Skin Clinic, Dr Sophie Shotter. 'Rapid weight loss doesn't give skin time to recoil,' she says. 'Studies show after losing over 50 per cent of excess weight, previously obese people have 40 per cent less elastin and significantly reduced collagen density.' As someone who has yo-yo'd with my weight for decades, that resonates. Hormonal issues linked to polycystic ovary syndrome and my thyroid, saw me sign up to WeightWatchers at 14, followed by stints on the Atkins diet, liquid Cambridge diet and general calorie and carb-counting, all of which left me with disordered eating and a major tendency to emotionally eat, too. I spent time in therapy to work on my relationship with food and my body. I ended up dropping down to 12-and-a-half stone and maintained that weight for a few years. But then I froze my eggs in October 2021 and my hormones went haywire. I was then put on medication, but I developed anxiety and depression, which brought back the emotional eating, and I found it difficult to leave the house. I came off the hormone treatment, but the damage had been done and I reached 18 stone by January 2023. Once I gave Mounjaro a go in May 2024, I haven't looked back. Now, despite getting down to a size eight, I'm still covering up all the bits I did when I was a size 18. So, in a bid to enjoy this new body, I'm on a mission to tackle the sag. Here's what actually works . . . BINGO WINGS My arms have always been a bugbear — and while the fat is long gone, I'm still hauling around 5cm of hanging skin. At rest, they look rippled and crepey. Raised, they jiggle like jelly. 'The upper arms, especially the inner side, are one of the first areas where crepey, sagging skin appears after losing weight,' says my go-to aesthetician and founder of Ace Skin Health Clinic, Corina Mihalachi. 'The skin here is naturally thinner and due to constant movement and often reduced muscle tone, it quickly loses firmness. 'This can create the appearance of loose 'wings'.' I've been lifting weights and following a high-protein diet to build up my triceps, as Dr Shotter says 'more muscle will help fill out the slack skin and give a little increase in girth.' I've also been slathering on Paula's Choice Skin-Smoothing Retinol Body Treatment, £28.90/118ml — great for boosting collagen, although as Shotter notes 'it won't lift the skin'. A cheaper option would be The Solution Retinol Smoothing Body Lotion, £9.99/200ml. Mihalachi also recommended Radio Frequency microneedling, which combines skin puncturing and heat to stimulate collagen and elastin. It's helped — but for the defined arms I want, I'm planning a brachioplasty, which costs anywhere between £4000-£12,500 in the UK. 'This procedure removes excess skin,' says surgeon Patrick Mallucci. 'It creates a more contoured shape — but leaves a long scar inside the arm.' 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. MUFFIN TOPS My tummy looks saggy now, as the skin is so loose that my belly button has turned downwards like a sad face. A small pouch peeks over my underwear, making low-rise jeans a no-go. To ease bloating and define my waist, I've been supporting my gut with fermented foods like kimchi and yoghurt, drinking 2.5 litres of water daily and taking Artah's GI Cleanse Supplement, £38. A cheaper alternative is Gut Love supplements by Protein Works, £9.99 for a 30-day supply. I've also been working on my core by doing mat-based pilates via YouTube. Shotter says: 'This can help to thicken the main abdominal muscle, giving a mild improvement in tightness.' At Mallucci London, I've had Emsculpt Neo, a treatment using High-Intensity Focused Electromagnetic energy to simulate 20,000 sit-ups in 30 minutes. Costing £199-£400 per session, it's pricey but effective. I'm not in low-rise jeans yet, but high-rise ones and a cute crop top feel do-able, as I now have more definition on my upper abs. But when it comes to the lower part of my stomach I need a little more help with my pouch. Mihalachi suggested Radio Frequency (RF) Microneedling, which uses energy to boost collagen. She then applies repairing polynucleotides and exosomes topically to further regenerate and firm sagging skin. At home, I'm topping up with The Inkey List Exosome Hydra-Glow Complex, £20/30ml. PANCAKE BUM AT 41, I don't expect to sport the behind I had in my youth, but when I reached my goal weight of ten stone a couple of months ago, my bum was pancake flat – despite working out regularly. So I decided to up the anti on my glutes and, along with my abs, I also had a course of EMSculpt Neo on my bum – think 20,000 squats in 30 minutes. 'Like with the abdomen, this can lead to muscle growth beyond what exercise alone can achieve,' says Dr Shotter. The idea here is that the muscle growth will help fill out the loose skin a little to give me some more projection. To a certain extent, it has delivered some – although just like with sagging on the breasts, the only real fix is a surgical lift. But if surgery isn't an option, you could try padded bum-lifting shapewear like the George at Asda shaping bum-enhancing shorts, £7.50. If I'm not wearing clothes that skim my bum, then these are my go-tos. DEFLATED FACE 'WHEN losing weight, the fat pads that give the face fullness and structure begin to shrink,' says Mihalache. 'This can cause a hollow appearance around the eyes and cheeks and sagging along the jawline and neck. The skin may look looser, thinner and, in some cases, more textured – especially if elasticity was already compromised.' In my case, my nasolabial folds are more pronounced, my cheeks have deflated and I've developed a hint of jowling. I'm religious about my skincare, all of which help counteract the visible effects of rapid weight loss. And if you want to follow suit it's worth including actives like hyaluronic acid and niacinamide, both found in the Byoma Brightening Serum,£12.99/30ml - which plumps, hydrates and boosts collagen and elastin. SPF is also a must to protect from UV rays, as they break down collagen and elastin fibres which you desperately need in order to avoid 'Ozempic sag. Try the Skin+Me Daily Moisturiser with SPF50, £22/24ml. And at night invest in a prescription retinoid like tretinoin that turbo charges collagen production and can be found in the personalised Dermatica night treatment, £24.99/12.5ml. Shotter says injectables offer the next level of support. 'Dermal fillers help plump up sunken skin restoring lost volume to reinstate facial contours. 'Additionally, injectable biostimulators like Sculptra and Radiesse, from £400, go a step further by boosting your own collagen to rebuild the skin's internal scaffolding.' Meaning, if you don't have extreme laxity, wave goodbye to sagging and say hello to a defined jawline, sculpted cheekbones and cheeks that sit where they used to. Sign me up. The NHS 12-step plan to help you lose weight FROM faddy diets to dodgy detoxes - most of us have heard it all before when it comes to weight loss. But burning fat can be easy and mostly free. In fact, the NHS has a whole load of medically-approved tips for weight loss and shedding body fat once and for all... Don't skip breakfast Skipping breakfast will not help you lose weight. You could miss out on essential nutrients and you may end up snacking more throughout the day because you feel hungry. Eat regular meals Eating at regular times during the day helps burn calories at a faster rate. It also reduces the temptation to snack on foods high in fat and sugar. Eat plenty of fruit and veg Fruit and veg are low in calories and fat, and high in fibre – 3 essential ingredients for successful weight loss. They also contain plenty of vitamins and minerals. Get more active Being active is key to losing weight and keeping it off. As well as providing lots of health benefits, exercise can help burn off the excess calories you cannot lose through diet alone. Drink lots of water People sometimes confuse thirst with hunger. You can end up consuming extra calories when a glass of water is really what you need. Eat high fibre foods Foods containing lots of fibre can help keep you feeling full, which is perfect for losing weight. Fibre is only found in food from plants, such as fruit and veg, oats, wholegrain bread, brown rice and pasta, and beans, peas and lentils. Read food labels Knowing how to read food labels can help you choose healthier options. Use the calorie information to work out how a particular food fits into your daily calorie allowance on the weight loss plan. Use a smaller plate Using smaller plates can help you eat smaller portions. By using smaller plates and bowls, you may be able to gradually get used to eating smaller portions without going hungry. It takes about 20 minutes for the stomach to tell the brain it's full, so eat slowly and stop eating before you feel full. Don't ban foods Do not ban any foods from your weight loss plan, especially the ones you like. Banning foods will only make you crave them more. There's no reason you cannot enjoy the occasional treat as long as you stay within your daily calorie allowance. Don't stock junk food To avoid temptation, do not stock junk food – such as chocolate, biscuits, crisps and sweet fizzy drinks – at home. Instead, opt for healthy snacks, such as fruit, unsalted rice cakes, oat cakes, unsalted or unsweetened popcorn, and fruit juice. Cut down on alcohol A standard glass of wine can contain as many calories as a piece of chocolate. Over time, drinking too much can easily contribute to weight gain. Plan your meals Try to plan your breakfast, lunch, dinner and snacks for the week, making sure you stick to your calorie allowance. You may find it helpful to make a weekly shopping list. DROOPY BOOBS MY boobs have disappeared – the volume has gone and they look like I've breast fed three kids and yet I have no children. There's really nothing an in-clinic treatment, skincare, or supplementation can do when it comes to sagging breasts. 'These will need lifting either with or without implants, though more often than not, an implant is required to restore lost volume,' explains Mallucci. 'Lightweight implants are ideal as the inelastic skin is not tolerant of too much extra weight. 'Like with all surgeries associated with sagging, scarring is unavoidable. 'Additionally, when it comes to breast-lift surgery of this nature an 'anchor shape' scar is what patients can expect as this cut allows for the most amount of excess skin removal.' I'm booking in for one as soon as I've saved enough pennies. It's worth noting that the average cost for a breast lift with implants is £8,500 in the UK. But in the meantime to fill out my bras I'm relying on the John Lewis silicone cleavage boosters, right, £22. They push up my boobs, filling my bras better, and magically eliminating the crepey, wrinkled appearance of my skin.


The Guardian
27 minutes ago
- The Guardian
Pressure on Australia as allies to recognise state of Palestine; Thorpe condemns deaths in custody; and a big stick insect
Good afternoon. Pressure is growing for Australia to recognise a Palestinian state, after Canada announced it would join key allies France and the UK to formally recognise Palestine at the next UN general assembly meeting in September. The Canadian prime minister, Mark Carney, told reporters that the planned move was predicated on the Palestinian Authority's commitment to reforms, including fundamentally reforming its governance and holding general elections in 2026 in which Hamas can play no part. Carney also said Hamas must release all hostages. The UK's announcement was also conditional, with Keir Starmer saying recognition would occur by September unless Israel held to a ceasefire, calling for the nation to commit to a two-state solution. Jim Chalmers, said he won't put a timeframe on Australian recognition of Palestine but said it's 'a matter of when, not if' it happens, while the Greens called for recognition as soon as possible. The Liberal senator James Paterson said Australia should not follow other countries based on an 'artificial measure of momentum'. Bruce Lehrmann claims police destroyed exonerating evidence and pending rape trial should be abandoned, court hears After-school carer charged with producing child abuse material at six facilities across northern Sydney Sam Groth's wife Brittany publicly defends couple's relationship as they threaten legal action against minister Helen Garner praises 'serious and sensitive' Dua Lipa after musician adds Australian author to her book club FBI opens first office in New Zealand 'to counter China and cybercrime' Fears for South Australia's annual cuttlefish gathering amid deadly algal bloom A newly discovered stick insect which weighs slightly less than a golf ball may be the heaviest insect in Australia, scientists say. The new species, named Acrophylla alta, was found in the high altitudes of the Atherton tablelands in north Queensland – and scientists said the habitat could be part of the reason for its large size. Watch the video here 'These are not just statistics. They are sons, daughters, mothers, fathers, cousins, siblings, grandchildren – lost to a system that continues to harm our people.' – Lidia Thorpe The Victorian independent senator condemned the 'shameful' number of Indigenous deaths in custody, including 17 this year, as the latest figures show just four of 19 Closing the Gap targets are on track to be met. Thorpe moved a condolence motion in the Senate, supported by Labor and the Greens, extending sympathies to the families of the 17 First Nations people who have died in custody this year and urging all parliamentarians to prevent further deaths in custody. Guardian Essential report: Albanese starts second term with solid approval, but Trump presidency looms – Australian Politics podcast As Anthony Albanese readies his second‑term reform agenda, Guardian Australia's Josh Butler speaks with Essential Media's Peter Lewis about the elephant in the room: Australia's dependence on the US and how its high‑stakes defence gambles could shape both his leadership and the nation's strategic future. Listen to the episode here Sign up to Afternoon Update Our Australian afternoon update breaks down the key stories of the day, telling you what's happening and why it matters after newsletter promotion Cloudbreak, near the island of Tavarua in western Fiji, is one of the best waves in the world. For decades, the long, hollow left-hand reef break has drawn surfers from around the globe; but until 2010, local surfers were forbidden from surfing the wave due to an exclusivity deal with a nearby surf resort. A decade and a half since Fiji's cabinet made all surfing areas open to the public, 16-year-old James Kusitino has just become Fiji's first professional surfer. Today's starter word is: IFF. You have five goes to get the longest word including the starter word. Play Wordiply. Enjoying the Afternoon Update? Then you'll love our Morning Mail newsletter. Sign up here to start the day with a curated breakdown of the key stories you need to know, and complete your daily news roundup. And follow the latest in US politics by signing up for This Week in Trumpland. If you have a story tip or technical issue viewing this newsletter, please reply to this email. If you are a Guardian supporter and need assistance with regards to contributions and/or digital subscriptions, please email