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    One part of the UK might escape Starmer’s smoking ban, minister admits

    One part of the UK might escape Keir Starmer’s flagship smoking ban because of a key post-Brexit deal with the European Union, a minister has admitted. The government wants to ban smoking for an entire generation, potentially saving millions of lives by ensuring anyone currently aged 15 or younger will never be able to buy cigarettes legally. The proposals were first put forward by Rishi Sunak but abandoned ahead of the 2024 general election. Labour has enthusiastically backed the plan since coming to power last summer.But now, asked for a guarantee that it would apply in Northern Ireland – as well as England, Wales and Scotland – a minister could only say that was the government’s “intention”. The ban is designed to eventually make the UK smoke free (PA) More

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    Voices: ‘Such a shock’: Readers reveal what it’s like to learn a life-changing diagnosis by text

    Our health correspondent’s account of receiving an endometriosis diagnosis via text message struck a deep chord with Independent readers.Following Rebecca Thomas’ account, our community has been sharing their own experiences of an NHS that feels increasingly impersonal and overstretched.Several readers echoed her shock and distress at learning serious medical news through a message on their phone, describing similar moments of confusion and fear on reading diagnoses with no explanation or follow-up. One woman said she discovered she had stage 3 kidney disease via her NHS app, while another was told of a terminal illness through a two-line letter. Others reflected on how the human element of healthcare has eroded, with one reader lamenting that after 60 years of NHS care, they no longer even know their consultant’s name.Several readers also expressed sympathy for doctors and nurses working under huge pressure, warning that exhaustion, underfunding and low morale inevitably lead to rushed and impersonal care. Yet there was also recognition that digitisation can help, with some arguing that SMS or app updates are preferable to long waits for appointments.Amid the debate, readers broadly agreed that compassion and communication must remain at the heart of healthcare, no matter how efficient the technology becomes.Here’s what you had to say:I found this out on my medical appIn August 2025, I was diagnosed with stage 3 kidney disease. I found this out on my medical app in the summary section – that was such a shock – and the month before I had a POCS stroke. Nothing else was added, no follow-up blood test, just left with that diagnosis. I now have a follow-up blood test because I talked to a GP about just being left with the worrying two lines on the app. He said he has no control over what others write.PebblesA two-line letterFirstly, I have the Wales NHS app. It doesn’t work. NHS helpdesk says, “see GP’s reception”. They say, “contact NHS”. I have given up.Secondly, my GP gave me my diagnosis of a terminal illness with a two-line letter from the radiologist. Querying this got the explanation that no-one here knows much about this! Went private for an explanation and a referral to a specialist team. I have changed my GP.TwlldupobsaisA scary business having health problems these daysI was born in the 60s with a life-long condition that affects my health, so I have had experience of the NHS for 60 years. I could name all the consultants that I have been under up to the past decade, when the service became far less personal. Since Covid, I don’t even know my current consultant’s name and am not sure who to contact if I have difficulties. It has taken me four years to get my GP to take a deterioration in my mobility seriously, and another year before my referral to a specialist resulted in a first consultation. I am still waiting to find out if there is any treatment available, having now been passed between different consultants. In the meantime, my health has deteriorated quite substantially.It’s quite a scary business having health problems these days. One is faced with a nameless, shapeless organisation that seems so stretched that it can no longer treat its patients as individuals.SlampsA text would have been kinderYears ago, my mother got her diagnosis of terminal kidney cancer that had metastasised to the bones from a doctor in person. The doctor had zero empathy, was constantly looking at her watch and actually lied to her when she told her that she would pass on peacefully in six months. She died in agony three years later as the cancer was busy breaking her bones open from the inside. A text would have been kinder.Pomerol95Automated emailsWe receive automated emails telling us our NHS file has been updated, and we can then log in to read any updates or information.I don’t imagine that’s any more time-consuming than a text, but it’s certainly more confidential.NobodylistensFrance’s digital appointment systemHere in France, after any test, scan or X-ray, I receive the results personally with short notes giving the technician’s summary. I then make an appointment with my GP (never more than 48 hours away) to discuss results and recommended treatment. France has a digital appointment system and is highly computerised, with a site listing my total healthcare costs, etc. I don’t understand why the UK doesn’t implement this. It saves so much time – and probably money.SRKfanPressure and workloadI can’t comment on this case, but what the critics should bear in mind is the pressure some clinical staff are under. I have a son who is a consultant psychiatrist and regularly works a 50–60 hour week. He uses the app on his phone to record case notes as he drives between one case and another, which I think is unwise but is his decision (hence possible typos?). No one should have a workload like that, because it means the service given to patients is inevitably sub-standard – but mental health needs much more resources.Barry HughesPaying to see a doctorI had to pay to see a doctor after my local surgery told me there was no chance of seeing a GP. At least I was diagnosed within minutes and treatment planned within my time frame – but at a huge cost.EnglishCastleDamned if they do and damned if they don’tDoctors are damned if they do and damned if they don’t.It may not be ideal but, personally, I’d sooner find out now by text than, say, wait a week for a face-to-face.HoleyMoleyThis is terrible. Any diagnosis that is terminal should be given by an empathetic doctor. This doctor was obviously in the wrong job. The NHS is going to get worse. I hear stories all the time and I’m going through a health crisis right now where nobody can give me a diagnosis for the last seven months. Truly scary.SkylazarYou cannot have it both waysYou can either get your non-cancer results by text and get referred straight away, or wait 4–6 weeks for an appointment to be told what’s in the text and to be referred on – delaying your referral and telling you what the signposted information is, which you can read yourself. You cannot have it both ways.NashNot acceptableIt is not acceptable, and never has been, to be informed of an important diagnosis in any way other than face to face. Anything other is a serious slippage of standards and the doctor doing so should be ashamed. Care extends well beyond the physical and, when done well, is an art.The hospital referral could have been made with no delay.TinworthWhat’s wrong with a text?What’s wrong with a text? I prefer that to arranging an appointment, making my way to the surgery, and then hanging around for half an hour or more to be told exactly the same thing.YystrcklSome of the comments have been edited for this article for brevity and clarity.Want to share your views? Simply register your details below. Once registered, you can comment on the day’s top stories for a chance to be featured. Alternatively, click ‘log in’ or ‘register’ in the top right corner to sign in or sign up.Make sure you adhere to our community guidelines, which can be found here. For a full guide on how to comment click here. More

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    Starmer pledges to publish crucial evidence in collapsed China spy case

    Sir Keir Starmer has announced that he will publish key evidence in the China spying case trial that led to the collapse of the trial.The prime minister told MPs at the start of Prime Minister’s Questions (PMQs) that he would publish three witness statements that were shared with prosecutors as he maintained his position that the last government is to blame for the failure to prosecute.The abandonment of the prosecution of Christopher Cash, 30, a former parliamentary researcher, and Christopher Berry, 33, a teacher, has raised serious questions over national security and government policy towards China.Both men, who deny wrongdoing, had been accused of passing secrets to China, but charges against them were dropped last month, with the Crown Prosecution Service saying the case collapsed because the government’s evidence did not show that China represented a threat to national security at the time of the alleged offences.Sir Keir told MPs: “I’m deeply disappointed by the outcome. We wanted to see prosecutions.”Starmer: ‘I’m deeply disappointed by the outcome. We wanted to see prosecutions’ More

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    Margaret Thatcher had two extramarital affairs, new book claims

    Margaret Thatcher had two extramarital affairs, a new book has claimed. The former prime minister is said to have enjoyed an “extracurricular friendship” with a close aide who would touch her knee during dinners, while also having two affairs throughout her life. Tina Gaudoin’s new book, The Incidental Feminist, claims that the Iron Lady had an affair early in her career as an MP and a separate affair with another politician. Author Tina Gaudoin says Thatcher ‘was far more sexy in person than she appeared to be’ More

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    Reeves admits she’s looking at tax rises and spending cuts in Budget

    Rachel Reeves has admitted she is looking at tax rises and spending cuts to fill a massive financial black hole in her Budget.Asked about the state of the UK economy as she prepares to deliver her statement in November, the Chancellor said “of course, we’re looking at tax and spending”.Ms Reeves was speaking before heading to the United States for a meeting of the International Monetary Fund (IMF).The IMF has warned inflation in the UK is set to surge to the highest in the G7 group of developed democracies in 2025 and 2026.And it increased its UK economic growth forecast for this year, but reduced its assessment for 2026 amid concerns over the labour market.Britain is set to be the second fastest growing G7 country this year, the IMF also said, with only the US growing faster.Asked about tax hikes in her Budget, the chancellor pinned the blame on Brexit, which she said has had a “severe and long lasting” impact on the economy. She is the latest top Labour figure to speak out publicly on the impacts of Brexit, after years in which the party feared being accused of betraying the result of the EU referendum if it was too overtly critical. She is the latest high profile Labour figure to criticise Brexit More

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    Boris Johnson needs to take responsibility for immigration spike, says former right-hand man

    Boris Johnson is to blame for “throwing open” the UK’s borders and must take responsibility for the spike in legal immigration after Covid, his former right-hand man has said.Danny Kruger, who last month became Reform’s newest MP after defecting from the Conservatives, has previously praised Mr Johnson for leading the country out of the EU, even describing the former prime minister as a “hero”.But speaking to The Independent, Mr Kruger said Mr Johnson, who resigned as PM in the wake of the Partygate scandal, must take responsibility for the so-called “Boriswave” – a term coined by Nigel Farage to describe the post-Covid spike in legal migration.It comes after Mr Johnson defended himself against Mr Farage’s accusation that he was behind a “Boriswave”, when post-Brexit migration rules saw net migration hit a record level of 906,000 in the year ending June 2023.Mr Johnson said the numbers were impacted by the war in Ukraine and relocation of Hongkongers, as well as the return of EU students following the completion of courses.Kruger has previously praised Johnson for leading the country out of the EU More

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    Reform voters more likely to live in areas with health problems, study suggests

    People living in areas with poorer health outcomes are more likely to vote for Reform UK, new analysis has suggested. Experts at Imperial College London looked at voting data from the 2024 general election, when Nigel Farage’s party won five seats in England, and found that three of the five constituencies (60 per cent) returning a Reform MP were in the most deprived fifth of the country, compared with 103 (29.7 per cent) of Labour constituencies. The study, published in BMJ Open Respiratory Research, found that the strongest links between voting for Mr Farage’s party and conditions in constituencies were for obesity, COPD and epilepsy. Reform-voting areas had the highest proportion of people aged over 65, and people were more likely to suffer from 15 out of 20 health conditions compared to other regions.The illnesses included asthma, chronic obstructive pulmonary disease (COPD), chronic kidney disease, coronary heart disease, dementia, depression, diabetes, learning disabilities, arthritis and obesity.The researchers said that the main finding of their analysis was “an association between poor health metrics at a constituency level and votes for Reform UK”, and that the results are consistent with data from the US that shows “a relationship between poor healthcare measures and Republican voting”.They said that the analysis should show Reform policy makers “there are profound health issues in their constituencies which should be addressed”. Reform UK leader Nigel Farage making a speech at Clacton Pier in Clacton (Ian West/PA) More

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    Home secretary issues warning amid failure to tackle migrant crisis

    The public’s trust in politicians is eroding due to the failure to grip the migrant crisis, the home secretary is to warn.Shabana Mahmood is to issue the warning as she hosts her counterparts from across the Western Balkans, as well as other European allies, in London.She will go on to insist that Britain can only stem the flow of migrants arriving on small boats through international co-operation.The summit is aimed at ensuring European nations strike new deals to tackle illegal migration.At the gathering, the home secretary will say: “The public rightly expect that their government will be able to determine who enters their country, and who must leave.“Today, in this country, and I know in many if not all of yours, that is not the case.“And the failure to bring order to our borders is eroding trust not just in us as political leaders… But in the credibility of the state itself.”She is also expected to hit out at the government’s political opponents, such as Reform UK’s Nigel Farage, accusing them of wanting to “turn inwards” and seek solutions to migration without the aid of other countries.“Illegal migration is a shared threat which requires a strong, joined-up international response,” Ms Mahmood will say.She will add: “To those who think the answer to the challenges that we face is to turn inwards, or back away from international co-operation, I say that in coming together as we are today we will make all of our borders and our countries stronger.The summit is aimed at ensuring European nations strike new deals to tackle illegal migration More