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NHS drug charges row hits deadlock

NHS drug charges row hits deadlock

Telegraph4 hours ago

Ministers have failed to agree a crucial deal on NHS drug charges that was meant to be at the centre of a plan to boost growth.
Talks on Friday between the Government and pharmaceutical industry bosses ended without an agreement on how much the NHS is able to claw back in rebates on drugs.
Ministers had been hoping to be able to address industry complaints of unfairness prior to the publication a strategy for the sector, expected next week.
One senior pharmaceutical executive said: 'If a [NHS clawback] deal is not secured, it's a missed opportunity for the life sciences sector plan and one which blocks the UK's ambition to be a life sciences superpower.'
Another said that the UK needed to show it wanted to make the scheme competitive again, adding: 'Without that, all the high statements of ambition or new strategies in the world are not going to make the UK a leading life sciences centre.'
The Department of Health launched a review of NHS rebates earlier this year under pressure from Donald Trump and the pharmaceutical industry.
Ministers said they would take into account the 'concerns of the US president' that countries are unfairly keeping prices low relative to the high drug costs in the American health system. Under the trade agreement signed between the two nations earlier this year, the Government agreed to 'endeavour to improve the overall environment for pharmaceutical companies operating in the UK'.
The failure to secure a deal ahead of the publication of the sector strategy follows months of wrangling.
Under the current rebate scheme, known as VPAG, pharmaceutical companies have to hand at least 23pc of their revenue from sales of branded medicines back to the NHS. The scheme cut the drug bill by £3bn last year.
However, pharmaceutical bosses have warned the scheme is preventing the launch of cutting-edge medicines in the UK. They have pressed for the UK to cut the rate of rebates into single digits, a level seen elsewhere in Europe.
The life sciences strategy is one of several sector plans announced as part of Labour's industrial strategy. Others were published this week.
A spokesman for the Government said: 'Economic growth is our number one priority and we're taking decisive action to unlock innovation and drive investment in the UK's world-class pharmaceutical sector. As part of this, we continue to work closely with industry on a rapid review of our voluntary scheme for medicines pricing.
'With our work and investment, we will make sure the next game changers in medicine are developed here in Britain, for the benefit of our health at home and abroad.'

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What's next for birthright citizenship after the Supreme Court's ruling
What's next for birthright citizenship after the Supreme Court's ruling

The Independent

time31 minutes ago

  • The Independent

What's next for birthright citizenship after the Supreme Court's ruling

The legal battle over President Donald Trump 's move to end birthright citizenship is far from over despite the Republican administration's major victory Friday limiting nationwide injunctions. Immigrant advocates are vowing to fight to ensure birthright citizenship remains the law as the Republican president tries to do away with more than a century of precedent. The high court's ruling sends cases challenging the president's birthright citizenship executive order back to the lower courts. But the ultimate fate of the president's policy remains uncertain. Here's what to know about birthright citizenship, the Supreme Court 's ruling and what happens next. Birthright citizenship makes anyone born in the United States an American citizen, including children born to mothers in the country illegally. The practice goes back to soon after the Civil War, when Congress ratified the Constitution's 14th Amendment, in part to ensure that Black people, including former slaves, had citizenship. 'All persons born or naturalized in the United States and subject to the jurisdiction thereof, are citizens of the United States,' the amendment states. Thirty years later, Wong Kim Ark, a man born in the U.S. to Chinese parents, was refused re-entry into the U.S. after traveling overseas. His suit led to the Supreme Court explicitly ruling that the amendment gives citizenship to anyone born in the U.S., no matter their parents' legal status. It has been seen since then as an intrinsic part of U.S. law, with only a handful of exceptions, such as for children born in the U.S. to foreign diplomats. Trump has long said he wants to do away with birthright citizenship Trump's executive order, signed in Januar,y seeks to deny citizenship to children who are born to people who are living in the U.S. illegally or temporarily. It's part of the hardline immigration agenda of the president, who has called birthright citizenship a 'magnet for illegal immigration.' Trump and his supporters focus on one phrase in the amendment — 'subject to the jurisdiction thereof' – saying it means the U.S. can deny citizenship to babies born to women in the country illegally. A series of federal judges have said that's not true, and issued nationwide injunctions stopping his order from taking effect. 'I've been on the bench for over four decades. I can't remember another case where the question presented was as clear as this one is. This is a blatantly unconstitutional order,' U.S. District Judge John Coughenour said at a hearing earlier this year in his Seattle courtroom. In Greenbelt, Maryland, a Washington suburb, U.S. District Judge Deborah Boardman wrote that 'the Supreme Court has resoundingly rejected and no court in the country has ever endorsed' Trump's interpretation of birthright citizenship. Is Trump's order constitutional? The justices didn't say The high court's ruling was a major victory for the Trump administration in that it limited an individual judge's authority in granting nationwide injunctions. The administration hailed the ruling as a monumental check on the powers of individual district court judges, whom Trump supporters have argued want to usurp the president's authority with rulings blocking his priorities around immigration and other matters. But the Supreme Court did not address the merits of Trump's bid to enforce his birthright citizenship executive order. 'The Trump administration made a strategic decision, which I think quite clearly paid off, that they were going to challenge not the judges' decisions on the merits, but on the scope of relief,' said Jessica Levinson, a Loyola Law School professor. Attorney General Pam Bondi told reporters at the White House that the administration is 'very confident' that the high court will ultimately side with the administration on the merits of the case. Questions and uncertainty swirl around next steps The justices kicked the cases challenging the birthright citizenship policy back down to the lower courts, where judges will have to decide how to tailor their orders to comply with the new ruling. The executive order remains blocked for at least 30 days, giving lower courts and the parties time to sort out the next steps. The Supreme Court's ruling leaves open the possibility that groups challenging the policy could still get nationwide relief through class-action lawsuits and seek certification as a nationwide class. Within hours after the ruling, two class-action suits had been filed in Maryland and New Hampshire seeking to block Trump's order. 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'Birthright citizenship has been settled constitutional law for more than a century," said Krish O'Mara Vignarajah, president and CEO of Global Refuge, a nonprofit that supports refugees and migrants. 'By denying lower courts the ability to enforce that right uniformly, the Court has invited chaos, inequality, and fear.' ____ Associated Press reporters Mark Sherman and Lindsay Whitehurst in Washington and Mike Catalini in Trenton, New Jersey, contributed.

The pastry chef, lawyer and fast food boss shooting down Putin's drones with a WWI-era machine gun mounted on a truck from Leeds
The pastry chef, lawyer and fast food boss shooting down Putin's drones with a WWI-era machine gun mounted on a truck from Leeds

Daily Mail​

time35 minutes ago

  • Daily Mail​

The pastry chef, lawyer and fast food boss shooting down Putin's drones with a WWI-era machine gun mounted on a truck from Leeds

The time is 3.15am and sunrise is still 90 minutes away. A crescent moon has been flitting between the clouds, and every ear is strained for the familiar hateful buzz of the next wave of Russian kamikaze drones. Instead, there comes a sound of unearthly beauty. The blue, rain-flecked beam of the mobile air defence unit's searchlight has confused the local skylarks into believing the day is dawning. And so, they begin their premature, heart-lifting chorus, even as sudden death flies in from the north-east. We are on the edge of a soya-bean field an hour from the Ukrainian capital, Kyiv. A second-hand Mitsubishi pick-up truck, which began working life in Leeds, West Yorkshire, is parked in a thicket of prickly lettuce. On the flat bed at the back, a heavy machine-gun designed during the First World War is trained at the sky. The gun crew is commanded by a former sports umpire called Yuri. Other members of his squad include a pastry chef, a vending-machine engineer, a fast-food entrepreneur and a lawyer. There is something profoundly moving about their dedication and camaraderie. Tomorrow they will return to their day jobs, but tonight they are the embattled capital's first line of air defence. All are from the big city, which is under aerial bombardment as never before. What gets past them, they know, is heading for their family homes. And yet, in this 21st-century war, their main weapons are often inadequate for this life-or-death task – the gun crews are like a small child reaching for a low-hanging apple he cannot quite touch. In the past fortnight, the world has seen how Israel's much-vaunted air-defence systems have sometimes struggled to shut out volleys of Iranian missiles and drones. Mass casualties have resulted. Consider, then, what has happened in the same period in Ukraine, where more civilians have been killed by air attacks than in Israel. Yet while Jerusalem is given what it needs by a supportive Trump administration, Ukraine struggles to make do. President Volodymyr Zelensky complained in April that Western allies had not provided anything close to the number of state-of-the-art, American-made Patriot missile batteries needed to protect Ukraine's cities against mass Russian attack. These shortages also extend to ammunition. Mr Zelensky recounted a call he got from an air defence commander who said his sole Patriot battery had run out of missiles entirely. Meanwhile, Russia turns the screw, ramping up urban blitzes to the most intense levels since this war began. On Tuesday this week, 22 civilians died in a rare daylight air attack on Dnipropetrovsk oblast, 250 miles south of Kyiv. Residents react after a Russian missile hit a multi-storey apartment during Russia's combined missile and drone air attack in Kyiv, Ukraine, Tuesday, June 17, 2025 The big recent raids have mostly been aimed at Kyiv, and almost always take place at night. Pictured: A residents reacts at the site of a destroyed apartment building But the big recent raids have mostly been aimed at Kyiv, and almost always take place at night. On Sunday night into Monday morning, nine civilians were killed here during another mass bombardment. The previous week, 23 died in one Kyiv apartment building alone during the heaviest blitz of the war, in which Russia launched 472 aerial weapons. The Russian ministry of defence issued a statement in the hours that followed which said: 'The objectives of the strikes were achieved. All designated targets were hit.' Tell that to the bereaved civilians of devastated Solomianskyi district. Ballistic and cruise missiles are the deadliest threats to residents here. But the workhorses of the Russian blitzes are the Geran-2 suicide drones, a Russian development of the Iranian-designed Shahed-136. These large, delta-winged, piston-engine weapons can carry a warhead of up to 90kg for more than 1,500 miles before plunging into a target. They're not fast, cruising at around 115mph, fly at relatively low altitudes and are noisy. Their distinctive buzzing sound, like a lawn mower or strimmer, has become the nocturnal bane of all urban Ukrainians, just as the Doodlebug was for Britons during the Second World War. It's only these drones, among the Russian aerial attack arsenal, that Yuri and his men have any realistic hope of hitting. This week, Mail cameraman Jamie Wiseman and I spent several nights with the gun crews of Territorial Community Volunteer Formation 24 'Left Bank', to witness the difficulties of their task. It's 9.14pm on a balmy evening and a report has just come through from HQ that the night's first wave of Geran kamikaze drones has been launched from Russian territory. Early-warning systems will take a while to determine the direction of their flight – they could be heading for Kyiv, Kharkiv to the east of us, or cities further south. In an hour, when the drones will still be 124 miles away, the duty truck crews here will leave for their designated firing positions. We are in a former village hall deep in the countryside, which serves as a base for Kyiv's mobile defence unit. Most of the main room is given over to workshop and storage space, while beyond a partition is a rest and dining area and a control desk at which the developing air raids are monitored on a digital map. Red symbols represent Russian drones and fast jets, and blue symbols are Ukrainian helicopter gunships and F-16 and MiG-29 interceptors. A solitary yellow symbol is our own fixed location. Painfully slowly, the reds move across the screen into Ukraine. When not studying the plots, the soldier at the desk is reading Alan Axelrod's Winston Churchill, CEO: 25 Lessons For Bold Business Leaders. Aside from Yuri, they are all part-time soldiers, like our Home Guard, although none of them are more than middle-aged. At least once a week, they knock off work, put on their uniforms and drive into the rural hinterland to serve a 24-hour shift taking on the drones. None of them knew each other before the invasion. Now three of them have the unit's badge tattooed on their arms or legs, along with the SAS motto in English, 'Who Dares Wins'. Food is supplied by the grateful villagers (the location was briefly occupied by the Russians in 2022), the men's wives and Rostock, the unit's day-time pastry chef. Outside, in the twilight, two anti-aircraft-gun trucks are parked beside a field of young maize. For now, their weapons remain covered with camouflage netting and tarpaulin. Each vehicle has a .50-calibre machine-gun of a design more than a century old that was once mounted in the Flying Fortress bombers of the Second World War. Yuri tells me that their guns can engage targets up to an altitude of 7,500ft. Drones have sometimes come over as low as 130ft, when the gunner's task is like extreme clay-pigeon shooting. 'First we use our ears and then our eyes,' says Yuri. 'Our machine guns are relatively slow-firing, and it might take anything up to 30 rounds to take down a drone. At best, you might see the target for about 20 seconds.' The most the unit has fired in one night is 150 rounds at three different Geran drones. The battalion has 30 confirmed kills, with more than 100 'probables'. Recently, however, Russian drones have taken to flying at 3,000m or more, which is beyond the unit's ability to engage. Yet while the unit cannot hit the drones, their presence has served to push the enemy to an altitude where they can be better seen and dealt with by more sophisticated air-defence systems. For the moment, the .50 calibre gun – or '.50 cal' – is the best weapon available to the men in the village hall. Every bit of equipment, apart from the guns and ammunition, is supplied by members of the unit and paid for out of their own pockets. Even the £2,500 thermal gun sights, without which they would be firing blind at night. 'We are defending our homes,' says Bohdan, the second-in-command, a lawyer by training who runs a rail logistics company. 'That is important psychologically. The cost is high, but the cause is important. We are our home city's first line of defence. We are directly protecting our families.' So far, one member of the unit has been killed, although not by drones. A comrade was blown up by a 'terrorist' bomb while manning a checkpoint. Two schoolboys had left the device in a bag next to his vehicle. The female Russian agent who had directed them escaped abroad before she, too, could be arrested. It's gone 10pm when there is a report of a second drone wave taking off. The gun-truck crews pack up and leave for their firing points in two remote locations some five miles apart. The hope is that the Russian drones will fly over them on their way to Kyiv. Out here, the night is still, aside from the bark of a farm dog. Then, at 11.04pm an air-raid siren goes off in a distant village. But it's a warning of a ballistic-missile attack on Kyiv, which the mobile unit has no hope of stopping. By 11.32pm it's clear from the crew's hand-held digital monitor that the drones in the air are concentrating on Kharkiv. The call comes to return to base, where we spend the rest of the night. The next night is filled with phantoms, loitering drones and strange creatures. Another squad is on duty, but Yuri is still in charge. At 10pm the message comes through that three drones are approaching, 19 miles away and closing. We race to a different firing point on the edge of a field. Tonight, the wind is strong and rain is in the air. My hands are cold, yet almost the longest day of the year. Low cloud will make the night darker – and engaging drones harder, encouraging them again to fly at altitude. 'We will have to rely on our ears,' Yuri says. At 10.35pm the monitor shows a 'target', as the men call the drones, within six miles. On our right horizon we can see the red light of a low-flying Ukrainian helicopter gunship as it also hunts the incoming drones. A peculiar krek-krek noise strikes up somewhere close by in the darkness, like a very large frog ratcheting. Then another answers it and they carry on back and forth for the rest of the night. While the men hunt the skies for Gerans, a pair of corn crakes are broadcasting a mating call that only another corn crake would love. 'Those birds drive us nuts,' says Volodymyr, an IT developer. 'The same horrible sound from sunset to sunrise, but we never see them.' He adds: 'It's funny how this war has made the wildlife tamer. We have deer approaching very close to us on our missions because there has been no hunting for three seasons now.' At 10.47pm the monitor reports a single target circling our position at a distance of two miles. Yuri says it could be a reconnaissance drone or a Geran that has been affected by the high winds or Ukrainian electronic warfare. Then the readings draw even closer, but are more confusing. The digital tracking map apparently shows several drones 'dancing' in circles, one as close as 800 yards, well within .50 cal range. But nothing can be seen or heard by the gun crew. They are probably phantoms, decoys, created by Russian electronic warfare to confuse and tie up the defences. Midnight approaches and the crew get the news that the helicopters we saw and other defensive flights have knocked down the drones that approached our sector. By 1.40am the second wave appears to be turned towards Poltava to the east. At 3.30am the order comes to return to base. Coffee and cold dumplings with spinach and cheese await. There is much good-natured ribbing and laughter. Yuri's seems a happy unit of citizen soldiers. At the end of their shift they will return to their families in the big city knowing they have been defenders for the past 24 hours. Daylight arrives at 4.45am and, with it, the more pleasant calls of cuckoos and cockerels. Two deer can be seen in a field beyond the maize. The rota is rearranged because two of the squad must attend their children's graduations 'and it only happens once in a lifetime', Harald explains. The following night we are in the centre of Kyiv when the Russians launch their latest, thunderous, mass attack on this city. Yuri's unit are out in the fields, and open fire twice. But, once again, the drones fly too high to be hit. This one-sided contest will change soon. Any day now, the unit will receive FPV interceptor drones that can fly at 250mph and at an altitude of 13,000ft. Guided by a pilot, these kamikaze air-defence weapons are designed to ram the Russian Gerans and bring them down. We watched the gun crews practise with virtual-reality headsets at the village hall. They will keep the venerable .50 cals, but very soon that small child will be tall enough to reach that apple. Kyiv will sleep a little more safely as a result.

NHS keeps public away as patients seen as ‘inconvenience', new boss says
NHS keeps public away as patients seen as ‘inconvenience', new boss says

Rhyl Journal

time37 minutes ago

  • Rhyl Journal

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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