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NHS spending up to £19k a time treating people suffering after overseas surgery, research finds

The NHS is spending up to almost £20,000 a time treating people who have suffered serious setbacks after having medical procedures abroad, research has found.

Hospitals are having to “pick up the pieces” when things go wrong for the growing number of Britons going overseas for weight loss surgery, breast enlargements or other operations.

As many as 53% of those who do end up with complications such as infections, organ failure and wounds that do not heal, according to a study published in the journal BMJ Open.

Some people need a stay in intensive care, further surgery and large amounts of antibiotics in order to recover from botched treatment they have paid for in another country, researchers found.

Patients have ended up in a UK hospital for as long as 45 days as a result of complications that arose after an operation to lose weight and even longer – 49 days – after cosmetic surgery.

It costs NHS hospitals between £1,058 and £19,549 to treat such cases, according to a review of evidence undertaken by Welsh researchers led by Dr Clare England of Health Technology Wales.

Prof Vivien Lees, the vice-president of the Royal College of Surgeons of England, said: “Too often people are drawn in by cut-price deals and glossy online marketing, only to return with serious, sometimes life-changing complications.

“When things go wrong, the NHS is left to pick up the pieces, often in emergencies and without full information about what surgery was done or by whom. That puts patients at risk and adds avoidable pressure to already stretched services.”

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Source: The Guardian, 13 January 2026

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Circumcision kits found on sale on Amazon UK as concerns grow over harm to baby boys

Circumcision kits have been found on sale on Amazon UK, highlighting lax regulation as concerns grow about deaths and serious harm to baby boys.

In December, a UK coroner issued warnings about insufficient circumcision regulation after the death in 2023 of a six-month-old boy, Mohamed Abdisamad, from a streptococcus infection.

In a prevention of future deaths report, Dr Anton van Dellen, assistant coroner for west London, highlighted how “any individual may conduct a non-therapeutic male circumcision (NTMC) without any prior training”, with “no requirement for any infection control measures [and] no requirements for any aftercare”, adding that “action should be taken to prevent future deaths”.

The Guardian found “Plastibell” kits, in various sizes, on sale for £200 on Amazon in January. A listing on the site promised “a circumcision procedure which requires no special post-operative care or dressing [which] means a significant saving in both time and money”.

It added: “The disposable PlastiBell circumcision device eliminates the need for the repetitive and costly sterilisation required for stainless steel clamps … No special dressings required.” Similar devices were on sale on eBay.

On Saturday, the Guardian reported that draft guidance from the Crown Prosecution Service (CPS) classes circumcision as a potential crime. The CPS said while circumcision was legal and “for many, a safe and celebrated tradition”, it had recently prosecuted cases of “significant harm” and that “rigorous scrutiny” and “extensive consultation with different communities” was being carried out before the guidance was finalised and brought into force.

Lord Scriven, the Liberal Democrat peer who has repeatedly raised concerns in parliament about lax regulation, said: “Parliament needs to think about how it can defend a system where a tattooist requires a licence and a sterilised studio to carry out a tattoo, but a person carrying out genital surgery on a baby boy doesn’t."

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Source: The Guardian, 14 January 2026

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‘Shocking decline’ in cancer waits at laggard trusts

Nearly half of all trusts recorded a drop in their 62-day cancer performance over the past year, official data shows, as system leaders gear up to publish new national strategy.

HSJ analysed the data following NHS England elective lead Mark Cubbon telling trusts to work with their cancer alliances to improve performance in a letter to local leaders last month. HSJ also understands the new national cancer plan is due imminently. 

Mr Cubbon praised the Royal Free London Foundation Trust for its “impressive improvements” and highlighted that the trust had recorded a 21 percentage point improvement between September 2024 and September 2025.

However, the period between November 2024 and October 2025, the latest available data, shows that 57 of 118 (48%) relevant providers saw performance on the key cancer target decline, while 19 trusts recorded double-digit percentage point slumps.

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Source: HSJ, 13 January 2026

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New York City expects biggest nurses strike as nearly 15,000 set to walk off job

Thousands of nurses are set to walk off the job at several of New York City’s largest hospitals on Monday, staging a strike amid an intense flu season.

The action comes three years after a previous strike that compelled some of the same hospitals to move patients elsewhere and reroute ambulances.

Hospital operations are expected to be disrupted at a number of major private institutions, including Mount Sinai in Manhattan, Montefiore medical center in the Bronx, and NewYork-Presbyterian/Columbia University Irving medical center.

Close to 15,000 nurses are participating, making it the biggest nurses strike the city has ever seen. Most union members voted last month to authorize the walkout.

Anticipating the possibility of a strike, New York’s governor, Kathy Hochul, declared a state of emergency on Friday and urged hospital administrators and union leaders to reach a last-minute agreement. She warned that a strike “could jeopardize the lives of thousands of New Yorkers and patients”.

“I’m strongly encouraging everyone to stay at the table, both sides, management and the nurses, until this is resolved,” Hochul said.

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Source: The Guardian, 13 January 2026

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USA: Study reveals dementia patients are prescribed risky drugs despite safety warnings

Dementia patients in the U.S. are still being prescribed risky stimulant medications despite longstanding warnings about their safety, new research has found.

For decades, clinical guidelines have discouraged giving central nervous system stimulants to older patients because they increase the risk of delirium, falls, and hospitalizations.

But in a peer-reviewed study published Monday in the American Medical Association's official journal, researchers estimated that roughly 25% of dementia patients enrolled in Medicare parts A, B, and D received at least one such "potentially inappropriate" medication between 2013 and 2021.

That description covers a wide range of drugs, including antipsychotics, barbiturates, benzodiazepines, and certain antidepressants such as doxepin and imipramine.

Across all study participants, prescriptions fell over the course of the study from around 20% to around 16%, but continued to be higher for patients with cognitive impairment as of 2021.

"While this decline was encouraging, over two-thirds of patients receiving these prescriptions lacked a documented clinical indication in 2021, the end of the study period, suggesting high levels of potentially inappropriate and harmful prescribing," said study author and UCLA medicine professor Dr. John M. Mafi.

“Compared with patients with normal cognition, we also found higher levels of prescribing among older adults with cognitive impairment, who face a higher risk of adverse effects from these drugs.

"These results underscore substantial opportunities to improve the quality and safety of care for millions of older Americans."

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Source: The Independent, 13 January 2026

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Family have 'lingering questions' over baby's death

A family has been left with "lingering questions" about the death of a baby at the Royal Victoria Hospital in Belfast, an inquest has been told.

Darrach Smyth, an infant from the Ardoyne area of north Belfast, died in 2008 following cardiac complications.

A decision was subsequently taken to transfer children's heart surgery from Belfast to an all-Ireland centre in Dublin.

The death of Darrach, who was born with Down's syndrome and was subsequently treated for heart and lung problems, was part of a review conducted prior to the decision to move the services from Belfast.

At the inquest, Cora and Joseph Smyth both outlined their ongoing concerns about a decision to temporarily stop the sedation - or pain relief medication - of their son about a week before he died.

In a statement to the inquest, his mother, Cora Smyth, explained how her son, who died almost eight months after his birth, had been receiving routine hospital treatment during his short life.

He died shortly after cardiac surgery.

She said her son's death had "a huge impact" on their lives and they had "lingering" unanswered questions.

These questions are about the pausing of sedation for a period during and after Darrach's transfer from the Cardiac Intensive Care Unit to the Children's Hospital, shortly before his death.

Cora Smyth explained that the family was not aware of this at the time, and only discovered it when they requested hospital notes, following a BBC News NI report four years later in 2012, about a review of children's congenital cardiac services in Belfast.

She said no one at the hospital has ever adequately answered their questions about this issue.

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Source: BBC News, 12 January 2025

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‘He tried so hard to get help’: the tragic results of NHS right-to-choose for ADHD patients

When Leigh White remembers her brother Ryan, she thinks of a boy of extraordinary ability who “won five scholarships at 11” including a coveted place at Bancroft’s, a private school in London. He was, she said, “super bright, witty, personable, generous and kind”.

Ryan killed himself on 12 May 2024. A report written after his death acknowledged significant shortcomings in the support he received while seeking help for attention deficit hyperactivity disorder.

Ryan had followed the “right to choose” pathway, whereby patients can pick a private provider anywhere in the country for assessment, diagnosis and initial treatment. They then ask their GP to enter a shared-care agreement for prescriptions and monitoring. However, Ryan struggled to get the two services to link up.

The problem lies in the fact that shared care is voluntary and not all GPs agree to it. Some patients told the Guardian their doctor had rejected their private diagnosis on the grounds that it did not meet their standards. This was even after the NHS had paid for it – and despite there being no official rules for private providers to follow. Some, like Ryan, end up stuck in administrative limbo.

Ryan is one of many people who have been failed by the right to choose system. Psychologists and psychiatrists who spoke to the Guardian shared their concerns that allowing NHS patients to obtain ADHD assessments at private providers was “premature” and had led to a “wild west”.

Right to choose was introduced for mental healthcare and neurodevelopmental care in 2018, in part to ease pressure on waiting lists that were up to a decade long.

But Marios Adamou, a consultant psychiatrist and founder of the UK Adult ADHD Network (UKAAN), said this had come too soon, because “there was no standard in what good assessment looks like and there’s still no standard for what a qualified assessor would look like”.

Right to choose was “poorly regulated, poorly managed and some people are making lots of money out of it”, Adamou said, adding: “If you don’t have regulation for that you are inviting a wild west.”

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Source: The Guardian, 13 January 2026

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Four NHS trusts declare ‘critical incidents’ amid surge of flu and norovirus cases

Four NHS hospital trusts in south east England have declared a “critical incident” as they struggle to cope with a surge in admissions due to flu and norovirus.

Three trusts in Surrey and one in Kent said the escalations have come after a “surge in complex attendances to A&E departments” driven in part by soaring numbers of patients with winter illnesses.

Health secretary Wes Streeting has warned the NHS is “not out of the woods yet”, as flu cases spiked once again last week, following two weeks where admissions had fallen after high numbers of cases were seen before Christmas.

In a statement on Monday, NHS Surrey Heartlands added the situation had been “exacerbated by increases in flu and norovirus cases and an increase in staff sickness” as well as the impact of the recent cold snap on more frail patients.

The three Surrey trusts affected are Royal Surrey NHS Foundation Trust, Epsom and St Helier University Hospitals NHS Trust ,and Surrey and Sussex Healthcare NHS Trust.

East Kent Hospitals University NHS Foundation Trust (EKHUFT) also declared a critical incident due to what it called “sustained pressures” at the Queen Elizabeth The Queen Mother Hospital in Margate.

It said its hospitals are experiencing “exceptionally high demand, driven by a continued high admission rate and a large number of patients with winter illnesses and respiratory viruses”.

NHS Surrey Heartlands urged patients to ensure they are using services “appropriately” and only attending A&E in an emergency.

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Source: The Independent, 13 January 2025

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‘Distressing’ rise in maternal deaths as progress stalls

More women are dying during pregnancy or shortly after giving birth compared to over a decade ago – despite a pledge by the last government to halve maternal mortality rates, new data shows.

The research by MBBRACE-UK suggests the national rate of maternal deaths is now 20% higher than it was in 2009-11.

It found there were 252 maternal deaths between 2022 and 2024, with most women dying due to blood clots and heart disease, while around a third died by suicide.

The investigation, led by Oxford Population Health’s national perinatal epidemiology unit, examined the deaths of women between January 2022 and December 2024 during pregnancy or within six weeks after their pregnancy had ended.

It found the rate of direct maternal deaths, due to conditions occurring as a result of pregnancy, such as blood clots, bleeding and pre-eclampsia, increased by 52%, while indirect deaths caused by pre-existing conditions were largely unchanged.

Inequalities remained, with black women dying at a rate three times higher than those from a white ethnic background.

Donna Ockenden, who is currently leading the Nottingham University Hospitals Foundation Trust maternity review, said: “It is so distressing to read of the issues outlined in the latest MBRRACE report… but unfortunately it is not unexpected.

“We have known about the inequalities within maternity care provision in excess of a decade, yet the same issues still persist despite stated ambitions to reduce harm.

“Nowhere near enough has been done to fix the chronic problems, and sadly, it appears that progress has stalled. Suicide has been known to be a leading cause of death for years. This highlights once again that maternity services are not ‘an island’ and that families deserve better support before, during, and after the birth of their baby.”

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Source: HSJ, 13 January 2026

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Elderly woman dies alone on corridor trolley in 'final straw' for NHS A&E staff

Exhausted NHS staff have told how a woman was tragically left to die alone on a trolley in a crowded A&E corridor.

Staff at Arrowe Park Hospital's emergency department in Merseyside said they have reached breaking point as they are repeatedly faced with more patients than they can safely care for.

Wirral University Teaching Hospital Trust (WUTH) said the hospital's A&E department is experiencing "extremely high demand", with attendances around 30 per cent higher than expected for this time of year. Daily patient numbers have exceeded 330, peaking at 370 on some days in December.

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Source: The Mirror, 11 January 2026

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Two men died after falls at overstretched A&E

Two men died a day apart after suffering head injuries in separate unwitnessed falls at an overstretched south London hospital.

David Ward, 76, died at St George's Hospital in Tooting on 10 February 2024, while Dr Debapriya Ghosh, 83, died the following day.

Fiona Wilcox, Senior Coroner for Inner West London, has written to the health secretary, saying the cases highlighted "impossible situations where demand clearly exceeds available resource".

A spokesperson for St George's University Hospitals NHS Foundation Trust has offered their condolences to the families, adding that "immediate changes" were made following their deaths.

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Source: BBC News, 11 January 2026

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‘Spat at, pushed, punched’: medics tell of soaring levels of violence in hospitals

A Guardian call-out to NHS staff in England to share their experiences of violence in hospitals has revealed that doctors, nurses, paramedics and managers are being overwhelmed by a torrent of physical assaults and sexual abuse by patients.

Most respondents said they had little faith in the NHS to tackle the scale and severity of this abuse, which included being attacked with weapons, including knives and chairs. Many staff felt there was no point in reporting physical or sexual harm because perpetrators faced no real comeback from the NHS or the police.

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Source: Guardian, 10 January 2026

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‘Dangerous and alarming’: Google removes some of its AI summaries after users’ health put at risk

Google has removed some of its artificial intelligence health summaries after a Guardian investigation found people were being put at risk of harm by false and misleading information.

The company has said its AI Overviews, which use generative AI to provide snapshots of essential information about a topic or question, are “helpful” and “reliable”.

But some of the summaries, which appear at the top of search results, served up inaccurate health information, putting users at risk of harm.

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Source: Guardian, 11 January 2026

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Fresh calls to end dangerous corridor care in Welsh A&E departments

A renewed campaign to end the practice of treating patients in hospital corridors has been launched across Wales, as pressure mounts on political parties ahead of the May Senedd elections.

The BEDS – End Corridor Care in A&E campaign has warned that corridor care remains widespread in Welsh NHS hospitals, putting patient safety, dignity and staff wellbeing at risk.

Campaigners say the issue has become a major concern for voters, with growing frustration that repeated warnings from frontline clinicians have not yet led to meaningful change.

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Source: The Bangor Aye, 8 January 2025

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Face masks ‘inadequate’ and should be swapped for respirators, WHO is advised

Surgical face masks provide inadequate protection against flu-like illnesses including Covid, and should be replaced by respirator-level masks – worn every time doctors and nurses are face to face with a patient, according to a group of experts urging changes to World Health Organization guidelines.

There is “no rational justification remaining for prioritising or using” the surgical masks that are ubiquitous in hospitals and clinics globally, given their “inadequate protection against airborne pathogens”, they said in a letter to WHO chief Dr Tedros Adhanom Ghebreyesus.

“There is even less justification for allowing healthcare workers to wear no face covering at all,” they said.

At the height of the Covid pandemic an estimated 129bn disposable face masks were being used around the world every month, by the public and healthcare workers, with surgical masks the most widely available and recommended by most health authorities.

Respirators designed to filter tiny particles – such as masks meeting FFP2/3 standards in the UK or N95 in the US – should instead be standard practice for medical interactions, they said.

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Source: The Guardian, 9 January 2026

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NHS accused of undercounting number of homicides by mental health patients

The NHS and government have been accused of undercounting the number of mental health homicides, with campaigners calling for “honesty and transparency” over how many patients commit violence.

Over four years there were 115 fewer homicides by mental health patients recorded in official statistics compared to information released under the Freedom of Information Act, it has emerged.

The FOI request, collected by Hundred Families, a charity that supports bereaved families, asked NHS England for the number of patient homicides that had been reported to them, by region, for each of the years between 2018 and 2023.

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Source: The Times, 9 January 2026

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Scotland gynaecology waiting lists soar by 250% in seven years

Waiting lists for gynaecological care in Scotland have risen by more than 250% in seven years, leaving tens of thousands of women waiting years for treatment for painful and life-altering conditions, The Herald reveals.

New figures show that as of September 2025, 66,261 women were waiting for gynaecological care across Scotland, compared with 18,649 in March 2018. This represents an increase of 255.3% in that period.

The latest data also reveals that 61% of women (40,526) have been waiting longer than the 12-week target for treatment, amid growing warnings that the system is under severe strain.

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Source: The Herald, 9 January 2026

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Flu on the rise again after Christmas mixing, says NHS

Christmas gatherings may have caused a resurgence in flu and other winter viruses, NHS leaders say.

Figures show that the average number of patients in hospital beds in England with flu last week hit 2,924 - a rise of 9% on the previous week. This comes after two weeks of falls which prompted hope cases may have peaked.

NHS England said a combination of the vicious cold snap and winter viruses was making services "extremely busy" with hospitals reporting icy conditions have led to a rise in slips and falls and people struggling with respiratory conditions.

Concerns are also being raised about corridor care - where A&E patients are treated in make-shift areas because of a lack of beds.

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Source: BBC News, 8 January 2026

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Delayed discharges costing NHS Scotland £440m a year

One out of every nine hospital beds in Scotland is occupied by someone well enough to go home, a damning new report has revealed.

The joint paper by Audit Scotland and the Accounts Commission said systemic failures across health and social care meant that the country’s hospitals were losing more than 720,000 bed days a year to delayed discharges, at an estimated cost of over £440 million.

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Source: The Herald, 8 January 2026

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Hospitals ‘can’t avoid’ using corridors to provide care amid calls to address risks

Some NHS hospitals are adapting corridors and other non-clinical spaces for patient care, installing plug sockets and emergency call bells to minimise safety risks, a new investigation has found.

Senior staff informed the Health Services Safety Investigations Body (HSSIB) that they made these investments because they "could not avoid using these spaces".

A report by the health safety watchdog stated hospitals "may have no choice" but to utilise these areas, urging health leaders and trusts to collaborate and "systematically address" the risks.

The HSSIB called for a "nationally agreed definition" of these temporary care environments, which include corridors, offices, and storerooms, alongside a clearer understanding of their usage across the NHS.

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Source: The Independent,  8 January 2026

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NICE recommends digital platforms to help manage asthma

NICE has published draft guidance recommending eight digital platforms to help people with asthma better manage their condition.

The eight recommended digital technologies are: Asthmahub, Asthmahub for parents, AsthmaTuner, Digital Health Passport, Luscii, myAsthma, RDMP (Respiratory Disease Management Platform) and Smart Asthma.

They have been recommended for use in the NHS while further evidence is collected over the next three years, the draft guidance states.

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Source: Digital Health, 7 January 2026.

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Judge sides with medical groups who challenged RFK’s vaccine policies

A federal judge has cleared the way for several prominent medical organisations to proceed with a lawsuit challenging policies enacted under U.S. Health Secretary Robert F. Kennedy, which they contend will lead to a decline in vaccination rates across the country.

U.S. District Judge Brian Murphy in Boston dismissed arguments from government lawyers who claimed the groups, including the American Academy of Paediatrics, lacked legal standing as they could not demonstrate direct harm from the policies. The lawsuit aims to invalidate all votes cast since June by a crucial vaccine advisory panel, whose members were personally selected by Kennedy.

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Source: Independent, 6 January 2026

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Federal guidelines now include at-home test to check for cervical cancer

The Department of Health and Human Services announced updated cervical cancer screening guidelines on Monday, allowing American women to perform tests for human papillomavirus at home for the first time.

The recommendations allow women between the ages of 30 and 65 with an average risk for cervical cancer to test themselves for the virus, also known as HPV, which is the most common sexually transmitted infection in the U.S. and causes deadly cervical cancer.

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Source: Independent, 5 January 2026

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