
New maternity safety scheme is welcome, but NHS culture needs tackling
The rollout of the avoiding brain injury in childbirth (ABC) scheme across maternity units in England after a successful pilot has been heartening. It marks a bold and necessary response to a series of devastating public inquiries into NHS failings.
But the NHS's history is littered with ambitious initiatives that have faltered because of cultural resistance.
Healthcare professionals are stretched, under-supported, and weary of top-down directives that feel disconnected from the realities of clinical care. Implementing ABC will require more than guidance — it will require leadership at every level, protected time for training, and support systems that reward transparency over defensiveness.
The public inquiries included investigations into the maternity scandals at Morecambe Bay, Shrewsbury & Telford, and East Kent, which repeatedly exposed systemic issues
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Times
an hour ago
- Times
Assura-PHP merger looks in good health
As health checks for the UK's shrinking stock market go, it's hard to beat the bid battle for Assura: the real estate investment trust (Reit) whose 603 buildings house GP surgeries and private hospitals. So, this is just what the doctor ordered: an overdue admission from the board, chaired by Ed Smith, that there's plenty of listed life in the patient yet. Having been leant on by a bunch of Assura investors, it's switched its recommendation to the £1.79 billion cash-and-shares offer from Assura's main quoted rival, Primary Health Properties. And, yes, it took a tiny boost to the dose of about 2 per cent to convince Smith & co to do it. PHP is now offering 0.3865 new shares, up from 0.3769, for each of Assura's, plus an extra 0.84p special dividend to go with the same-again 12.5p-a-share cash: a figure totting up to 53.3p a share, at least before the merger arbs sent PHP shares down 4 per cent to 99.2p. Yet, while that cut the premium to the 'best and final' 50.42p cash bid from the infrastructure duo of KKR and Stonepeak to just 2.5 per cent, the choice for long-term investors has been clear for weeks. All KKR and Stonepeak are offering is a cash exit at Assura's net asset value of 50.4p a share at a cyclical low in the property market: scant reward for 22 years building its portfolio. It never looked enough to cash out. • NHS landlord Assura backs £1.7bn merger with rival PHP By contrast, PHP is offering a 48 per cent stake, plus a share in £9 million of synergies, in a bigger quoted healthcare Reit: one whose prospects are now being enhanced by lower interest rates and a spending review bringing an extra £29 billion a year for the NHS. Shareholders with about 15 per cent, including Schroders, Quilter Cheviot, Columbia Threadneedle, Aberdeen, Allianz and Baillie Gifford, have said they'll back PHP's bid: a point they've made clear to Smith and the senior independent director Jonathan Davies. Indeed, the bigger puzzler is why the board sided for so long with KKR and Stonepeak. Yes, Assura shares were at a big discount to NAV, but the board still batted away four efforts from KKR, banging on about 'the long-term prospects of the company' — only to roll over in March at the fifth attempt for a pittance more. And, then, when PHP provided a long-term alternative at a higher price, the board trashed it, parroting stuff from KKR and its adviser Jefferies. In fact, it's miraculous how 2 per cent extra can make all the board's concerns about 'elevated leverage', 'refinancing obligations', 'asset disposals' and 'integration risks' simply go away. Still, it got there in the end, with Smith saying PHP had 'addressed some of the potential risks that Assura had previously raised'. He'd argue, too, that, by banking a final offer from the cash bidders at a 39 per cent premium, he squeezed a bit more out of PHP. • PHP adds £27m dividend to its bid to merge with Assura Whatever, with Assura shares standing at 49¾p, PHP's chairman Harry Hyman and the former Wolverhampton Wanderers professional footballer turned chief executive, Mark Davies, will know this game isn't yet won. Assura's recommendation is key to landing passive investors, holding about 20 per cent, who typically take their cue from the board. But merger arbs hold 15 per cent more, while KKR and Stonepeak have bought 5 per cent of the shares. And, while both bids are structured as offers needing only majority support, PHP's is vulnerable to market shocks, not least over Iran. All the same, at least the right bidder is now in front. It was in his warm-up act as business secretary that the ex-chancellor Kwasi Kwarteng scrapped Britain's 'industrial strategy'. He declared it a 'pudding without a theme' — unlike his famous mini-budget, of course, which turned out to be a pudding with an unexploded bomb inside it. Still, in 14 years in power, Kwarteng was not really an outlier. None of the Tories' ten business secretaries delivered anything resembling a joined-up industrial strategy. Is Labour off to a better start? Well, there's always a danger in politicians trying to pick winners. And it's chosen eight sectors: defence, advanced manufacturing, clean energy, life sciences, technology, the creative industries and professional and financial services. Yet, at least, it's homed in on a key issue: if we don't cut our electricity costs for energy-intensive businesses, which last year 'paid twice the European average', we won't have any industry left. • Keir Starmer unveils 'targeted, long-term' industrial strategy Hence a plan to reduce electricity bills by up to 25 per cent by 2027 for 7,000-plus businesses, spanning the chemicals, aerospace and steel industries, while also speeding up their connections to the grid. How will the government cut their costs by £35 to £40 per megawatt hour? Mainly by letting them off green levies and via more alignment with the EU carbon market, at a cost of about £2 billion over four years. Still, it does beg a key question. If we're letting some of the most polluting businesses off the green charges, what about everyone else? And how long before the government brings in those long-awaited reforms to the system that will stop electricity prices being set by the marginal price of gas? It's time there was a strategy for that. A triple whammy so far this month for KKR: pulling the plug on Thames Water, behind in the battle for Assura, and now outranked by Advent in the £3.8 billion bid for Spectris: an agreed deal whose 84.6 per cent premium tells you all you need to know about UK market mispricing. KKR says it's 'actively engaged' in a potential counterbid for Spectris — and the shares closed at £37.98, above the £37.63 offer price. But fail to deliver and KKR could be looking at a quick UK hat-trick of lost deals.


The Guardian
2 hours ago
- The Guardian
Ex-Sky News presenter Dermot Murnaghan reveals stage 4 prostate cancer diagnosis
The former BBC and Sky News presenter Dermot Murnaghan has been diagnosed with prostate cancer. The 67-year-old announced his diagnosis on social media, saying it was one of stage four advanced cancer. Murnaghan said he was 'fortunate to have a simply outstanding medical team' looking after him that was 'administering the best possible care with expertise, compassion and sensitivity … I'm responding positively to their excellent treatment, and feeling well.' He added: 'Needless to say, my message to all men over 50, in high risk groups, or displaying symptoms, is get yourself tested and campaign for routine prostate screening by the NHS. 'Early detection is crucial. And be aware, this disease can sometimes progress rapidly without obvious symptoms.' Stage four prostate cancer means that the disease has spread into different parts of the body including nearby organs, such as the back passage or bladder, nearby lymph nodes and other parts of the body outside the pelvis, such as the bones, lungs or liver, according to the Cancer Research UK website. Murnaghan, who spent more than 15 years at Sky News before his departure in 2023, said he was aiming to take part in Sir Chris Hoy's fundraising charity bike ride in September, which will raise awareness and funds for cancer charities across the UK. Hoy, the six-time Olympic gold medallist, announced he had a terminal diagnosis for prostate cancer in October 2024. Murnaghan presents true crime documentary series Killer Britain and the podcast Legends of News. He presented ITV's News at Ten and the BBC Ten O'Clock News – now known as BBC News at Ten – as well as Channel 4 News. Murnaghan also hosted the BBC's quiz programme Eggheads. About one in eight men will get prostate cancer in their lifetime, according to the charity Prostate Cancer UK, and the disease often has no symptoms in its earlier stages.


The Sun
2 hours ago
- The Sun
I've lost 4st on Mounjaro – the foods you can't eat because they'll give you a belly ache, it's not takeaway
A WOMAN who lost 4 stone using the weight loss jab Mounjaro has shared what it's really like. Ken, from the UK, took to social media, sharing how the injection can affect what you're allowed to eat. 3 In the clip, she said: "Hi my name is Ken and I have been on Mounjaro for the last seven months. "I've lost over 4 stone and gone from obese to overweight in that time. "Should you be avoiding any foods on Mounjaro? Potentially. It's all trial and error." Ken revealed that she had certain food she loved but now had to cut out of her diet due to an upset stomach and 'sulfur burps'. Most burps are odourless but sulfur burps can smell like rotten eggs and be a sign of digestive issues. While it won't happen to everyone on fat loss jabs, some have reported it as a side effect. To avoid it, Ken recommended keeping a food diary to see what could be triggering it. She added: "Because often food choices can make a difference with our side effects. "Some people say that greasy or fried food can really unsettle their stomach and for me, spicy food or garlic can trigger my sulfur burps." Ken said she was still able to enjoy a takeaway without any negative effects but that it differs from person to person. I'm on Mounjaro & having a kebab for dinner left me bedbound for 24 hours - but I'm trolled for not eating healthily 3 "So don't necessarily restrict things if you like to eat them and your stomach can handle it," she continued. "Don't necessarily restrict things because it's all about eating anything you want but in moderation." The clip was shared on her TikTok account @ itsken_x which went viral with over 46k views. People were quick to share their own experiences and what food they couldn't handle while being on the drug. What to do if you lose too much weight too quickly whilst on Mounjaro IF you're losing too much weight too quickly while on Mounjaro, it's important to take action to avoid potential health risks like muscle loss, malnutrition, dehydration, and fatigue. Here's what you can do: Evaluate Your Caloric Intake Mounjaro reduces appetite, which can make it easy to eat too little. If you're losing weight too fast (more than two to three lbs per week after the initial adjustment period), try: Tracking your food intake to ensure you're eating enough calories (apps like MyFitnessPal can help). Increasing protein intake to preserve muscle mass (aim for 0.6–1g per pound of body weight). Adding healthy fats and complex carbs (e.g., avocados, nuts, whole grains) for balanced energy. Adjust Your Dosage (With Doctor's Approval) If your weight loss is too rapid or causing side effects, your doctor may: Pause dose increases or lower your dosage. Adjust your treatment plan to stabilise your weight loss. Strength Training & Exercise To prevent muscle loss: Incorporate resistance training at least two to three times per week. Stay active with low-impact exercises like walking or yoga. Hydrate & Manage Electrolytes Drink enough water (Mounjaro can reduce thirst). Electrolytes matter - Consider adding magnesium, sodium, and potassium if you feel weak or fatigued. Monitor for Malnutrition & Deficiencies Rapid weight loss can cause vitamin/mineral deficiencies (especially B12, iron, and electrolytes). If you experience: Fatigue, hair loss, or dizziness, ask your doctor about supplements. Consider Further Medical Guidance If your weight loss is excessive or causing health concerns, speak with your healthcare provider. They might adjust your dosage, diet, or exercise plan to help stabilise your weight loss. One person wrote: "Spring onions for me and I have them in everything usually." Another commented: 'The only thing that I have found that doesn't agree with me so far is alcohol." "I can't even get a meal down me," penned a third. Meanwhile a fourth said: "Bread and cheese give me a bloated stomach and headache." "Carbonate drinks,' claimed a fifth. Someone else added: 'Had a Chinese for the first time last night since being on MJ for 4 months and it was the biggest mistake of my life."