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Sam

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  1. Sam
    Paramedics in England cannot respond to 117,000 urgent 999 calls every month because they are stuck outside hospitals looking after patients, figures show.
    The amount of time ambulance crews had to wait outside A&E units meant they were unavailable to attend almost one in six incidents.
    Long delays in handing patients over to A&E staff meant 38,000 people may have been harmed last month alone – one in seven of the 292,000 who had to wait at least 15 minutes.
    Of those left at risk of harm, 4,100 suffered potential “severe harm”, according to the bosses of England’s ambulance services.
    Read full story
    Source: The Guardian, 21 October 2022
  2. Sam
    Some batches of an antibiotic medicine called teicoplanin (brand name Targocid) are being urgently recalled in the UK because of possible contamination.
    The two affected batches are labelled 0J25D1 and 0J25D2, say safety experts.
    Patients and prescribers are being asked to check packs and stop using the medicine if it has either batch number.
    Four patients so far have suffered high fevers just hours after being given a dose from these batches.
    Other products containing teicoplanin are not affected by the recall.
    The Medicines and Healthcare products Regulatory Agency (MHRA) says the two batches of Targocid 200mg powder for making a solution to take as an injection, by infusion or by mouth, were found to contain high levels of bacterial endotoxins - a toxic compound found in bacterial cell walls that can cause inflammation-related symptoms, high fever and, in very serious cases, septic shock.
    Read full story
    Source: BBC News, 21 October 2022
  3. Sam
    A key national policy change recommended by the inquest which led to the East Kent maternity inquiry will not be implemented until next February – more than three years after it was called for by a coroner.
    The recommendation – that obstetric locum doctors be required to demonstrate more experience before working – was made in a prevention of future deaths report following the inquest into the death of seven-day-old Harry Richford at East Kent Hospitals University Foundation Trust.
    The remaining 18 recommendations from the PFD report were requiring specific actions by the trust, rather than national policy makers. The trust says they have been implemented. 
    However, NHS England and the Royal College of Obstetricians and Gynaecologists have only in recent months produced guidance on using short-term locums in these services, and it will not come into effect until February.
    When it does, it will require them to complete a certification of eligibility, demonstrating they have had recent experience in a number of clinical situations, including complex Caesarean sections. Middle-grade locums have until next February to gain the certificate.
    The independent inquiry into maternity at the trust – prompted by Harry’s death – will report tomorrrow, Wednesday 19 October, and is expected to be highly critical of the trust, and of national efforts to make services safe over recent years. 
    Read full story (paywalled)
    Source: 18 October 2022
  4. Sam
    Very sick babies and children will be diagnosed and start treatment more quickly thanks to a “revolutionary” new genetic testing service being launched by the NHS.
    Doctors will gain vital insights within as little as two days into what illnesses more than 1,000 newborns and infants a year in England have from the rapid analysis of blood tests.
    Until now, when doctors suspected a genetic disorder, such tests have sometimes taken weeks as they had to be done in a sequential order to rule out other possible diagnoses, delaying treatment.
    NHS England bosses say the service could save the lives of thousands of seriously ill children over time and will usher in “a new era of genomic medicine”.
    The clinical scientists, genetic technologists and bioinformaticians will carry out much faster processing of DNA samples, including saliva and other tissue samples as well as blood. They will share their findings with medical teams and patients’ families.
    “This global first is an incredible moment for the NHS and will be revolutionary in helping us to rapidly diagnose the illnesses of thousands of seriously ill children and babies, saving countless lives in the years to come,” said Amanda Pritchard, NHS England’s chief executive.
    Read full story
    Source: The Guardian, 12 October 2022
    Further hub reading
    Genetic profiling and precision medicine – the future of cancer treatment
  5. Sam
    An ambulance service rated ‘inadequate’ by the Care Quality Commission has set out a wide-ranging improvement plan, including ‘civility training’ for senior leaders and ensuring board members hear a mix of ‘positive and negative’ stories from patients and staff.
    South Central Ambulance Service has been moved into the equivalent of “special measures” by NHS England, in the wake of the Care Quality Commission report in August which criticised “extreme positivity” at the highest levels of the organisation.
    This means 3 out of only 10 dedicated ambulance service trusts in England are now in segment four of NHSE’s system oversight framework, the successor to special measures. The other ambulance services in segment four are East of England and South East Coast.
    In a damning inspection report published in August, the care watchdog said that leaders were “out of touch” and staff had faced a “dismissive attitude” when they tried to raise concerns.
    One staff member told inspectors: “When sexual harassment is reported it seems to be brushed under the carpet and the person is given a second chance. Because of this, a lot of staff feel unsafe, unsupported and vulnerable when coming to work.”
    An improvement plan summary published at the start of last month included a large number of priorites and actions, including to “ensure [a] mix of positive and negative patient/staff stories are presented to [trust] board meetings” – an apparent attempt to address CQC concerns that its positive outlook could feel “dismissive of the reality to frontline staff”.
    Read full story (paywalled)
    Source: HSJ, 11 October 2022
  6. Sam
    Nurses will start voting on Thursday on whether to strike over pay amid warnings that record numbers are leaving the profession.
    Around 300,000 members of the Royal College of Nursing (RCN) are being asked if they want to mount a campaign of industrial action in the union’s first UK-wide ballot.
    The RCN said new analysis by London Economics to coincide with the ballot launch showed that pay for nurses has declined at twice the rate of the private sector in the last decade.
    It is the first time in its 106-year history that the RCN has balloted members across the UK on strike action and it is urging them to vote in favour. 
    RCN general secretary Pat Cullen said in a message to those being balloted: “This is a once-in-a-generation chance to improve your pay and combat the staff shortages that put patients at risk.
    “Governments have repeatedly neglected the NHS and the value of nursing. We can change this if together we say ‘enough is enough’.
    “Record numbers are feeling no alternative but to quit and patients pay a heavy price. We are doing this for them too."
    Read full story
    Source: The Independent, 6 October 2022
  7. Sam
    Health professionals should not let fears about sharing personal data “stand in the way” of reporting patients at risk of ”being groomed into terrorist activity”, new government guidance has stressed.
    New guidance has been developed in response to concerns raised by clinicians about information sharing without consent for the purposes of the anti-terror Prevent and Channel programmes.
    It stresses that “fears about sharing personal data should not be allowed to stand in the way of the need to safeguard and promote the welfare of children and adults at risk of abuse or exploitation”.
    However, despite the need for clarity it describes how the decision for making a referral without someone’s informed consent should be subject to a “case-by-case” basis assessment, which considers whether the informed consent of the individual can be obtained, and if the proposed data sharing is legitimate, necessary, proportionate and lawful.
    It said: “This assessment should be based on your professional opinion that there is tangible public interest or best interest considerations involved.”
    Read full story (paywalled)
    Source: HSJ, 29 September 2022
  8. Sam
    Children’s doctors plan to help poor families cope with the cost of living crisis and its feared impact on health, amid concern that cold homes this winter will lead to serious ill health.
    In an unusual move, the Royal College of Paediatrics and Child Health (RCPCH) is issuing the UK’s paediatricians with detailed advice on how they can help households in poverty.
    It has drawn up a series of resources, including advice for doctors treating children to use appointments to talk sensitively to their parents about issues that can have a big impact on their offspring’s health. These include diet, local pollution levels, socio-economic circumstances and difficulties at home or school, which are closely linked to children’s risk of being overweight, asthmatic or stressed.
    “Don’t shy away from it,” the RCPCH’s 17-page manual says. “If we aren’t asking families about things which may impact on their children’s health, we are short-changing the children themselves.”
    However, it adds that paediatricians should “pick your timing carefully [as] parents can feel alienated if we are perceived as jumping in with two feet to ask about smoking when they are stressed about an acutely unwell child with pneumonia.”
    Read full story
    Source: The Guardian, 22 September 2022
  9. Sam
    Families have blasted a NHS Trust after it said it did not intend to publish an independent review into their loved ones deaths. Three young people died in nine months at the same mental health unit.
    A Coroner was told last week that the review will be "ready" this month. Rowan Thompson, 18, died while a patient at the unit, based in the former Prestwich Hospital, Bury, in October 2020, followed by Charlie Millers, 17, in December that year, and Ania Sohail, 21, in June last year.
    Earlier this year, Greater Manchester Mental Health NHS Foundation Trust (GMMH), which runs the hospital, commissioned an 'external report' into the deaths. A pre-inquest hearing into the death of Rowan - who used the pronoun 'they' - heard that the full report would be available for the coroner to read 'on or around September 30'.
    Asked by the Manchester Evening News if the review would be published a spokesperson for the Trust said the Trust "always act on the wishes of the family regarding publication of reports," adding "and so in line with this we have no immediate plans to make the report public."
    But the parents of both Rowan Thompson and Charlie Mllers said they wanted the report publishing. Charlie's mother, Sam, said: "We want it published. It needs to be put out there, otherwise there is no point in having it. We are hoping they (The Trust) will learn lessons. We want answers but it should also be published for the benefit of the wider public - and the parents of other young people who are being treated in that unit."
    Read full story
    Source: The Manchester News, 13 September 2022
  10. Sam
    Millions of people will be invited for their autumn Covid booster jab in England and Scotland, with care home residents the first to receive them.
    Although infections are falling, health bosses are predicting a resurgence of Covid and flu this autumn and winter.
    They are urging those eligible to protect themselves from serious illness by getting vaccines against both.
    A recently approved vaccine against the Omicron variant will be used first.
    However, there is not enough of Moderna's "bivalent" vaccine to protect everyone aged over 50 so health officials say people should take whichever booster they are offered. These will be the vaccines used in the spring.
    The UK's Medicines and Healthcare products Regulatory Agency (MHRA) announced on Saturday that it had approved a second "bivalent" coronavirus vaccine from Pfizer/BioNTech for people aged 12 and over.
    Read full story
    Source: BBC News, 4 September 2022
  11. Sam
    Internal documents show significant evidence of bullying and discrimination within NHS Blood and Transplant (NHSBT) which dates back at least eight years, when the organisation was led by the current chief executive of the Care Quality Commission.
    HSJ has seen a report which detailed major tensions and dysfunction at NHSBT’s Colindale site in north London in 2016, four years before another report found similar problems.
    Given the damning findings of the second report, in 2020 – which found a “toxic environment”, multiple accounts of bullying, and “systemic racism” at the same site – it raises questions around the actions taken by NHSBT’s former leaders, including current CQC boss Ian Trenholm, to address the issues raised in the 2016 report.
    The 2016 report was commissioned by the manufacturing directorate and concluded the hospital services department at the Colindale site was “dysfunctional” after a highly contentious reorganisation of some services and teams.
    It noted “a series of bullying and harassment incidents” were being reported, but which staff felt were not investigated appropriately, and claims of “discriminatory practice” by managers.
    Read full story
    Source: HSJ, 26 August 2022
  12. Sam
    Dr Ted Baker has been named as the government’s preferred candidate for chair of the Health Services Safety Investigations Body (HSSIB).
    Steve Barclay, the Secretary of State for Health and Social Care, has today (26 August 2022) invited the Health and Social Care Committee to hold a pre-appointment scrutiny hearing with Dr Baker.
    Ted Baker was Chief Inspector of Hospitals at the Care Quality Commission between 2017 and 2022. He trained as a paediatric cardiologist. He was in clinical practice for 35 years and has held a range of clinical and academic leadership roles including medical director at Guy’s and St Thomas’ NHS Foundation Trust.
    He was selected following an open public appointment process.
    Following the select committee hearing, the committee will set out its views on the candidate’s suitability for the role. The Secretary of State will then consider the committee’s report before making a final decision on the appointment.
    Read full story
    Source: HSIB, 26 August 2022
  13. Sam
    A shortage of some medicines is putting patients at risk, pharmacists have warned.
    A poll of 1,562 UK pharmacists for the Pharmaceutical Journal found more than half (54%) believed patients had been put at risk in the past six months due to shortages.
    A number of patients have been facing difficulties accessing some medicines in recent months, sometimes having to go to multiple pharmacies to find their prescription or needing to go back to their GP to be prescribed an alternative.
    Since June, the government has issued a number of "medicine supply notifications", which highlight shortages.
    Some of these include: pain relief drugs used in childbirth; mouth ulcer medication; migraine treatment; an antihistamine; a drug used by prostate cancer and endomitosis patients; an antipsychotic drug used among bipolar disorder and schizophrenia patients; a type of inhaler and a certain brand of insulin.
    Read full story
    Source Sky News, 11August 2022
  14. Sam
    Last month saw the highest number of ambulance callouts for life-threatening conditions since records began, NHS England officials say.
    There were more than 85,000 category one calls, for situations like cardiac arrests and people stopping breathing.
    The heatwave could have been one reason for increased demand, but experts say hospitals already face immense pressures.
    Nearly 30,000 patients waited more than 12 hours to be admitted to hospital.
    The number is up 33% on the previous month and the highest since records began in 2010.
    Richard Murray, chief executive of The King's Fund said the pressure on hospitals was also being felt right across the health and social care system.
    He added: "At the end of July, 13,014 people were still in hospital beds despite being medically fit to be discharged, often due to a lack of available social care support. The challenges affecting the NHS cannot be solved without addressing the issues in social care."
    Read full story
    Source BBC News, 12 August 2022
  15. Sam
    Criminals have issued ‘demands’ to an NHS IT supplier targeted by a cyber attack, leading health chiefs to fear they have accessed confidential patient data, HSJ has learned. 
    IT firm Advanced was targeted last week. The company provides electronic patient records to several trusts and most NHS 111 providers.
    Multiple government agencies – including the National Crime Agency and GCHQ – are now working to identify the extent of the damage caused by the attackers, while leaders of affected mental health trusts have warned of a “pretty desperate” situation as staff are unable to access vital patient records. 
    In a statement issued last night, Advanced said: “With respect to potentially impacted data, our investigation is under way, and when we have more information about potential data access or exfiltration, we will update customers as appropriate.”
    Read full story (paywalled)
    Source HSJ, 11 August 2022
  16. Sam
    NHS England has revealed plans to crack down on poor care being provided by mental health service providers. 
    There will be a particular focus on independent units treating NHS patients, as just over a quarter of these providers are failing to meet quality standards. 
    Official data shared with HSJ shows that of the 238 independent NHS mental health providers licensed by the Care Quality Commission in England, 174 (73 per cent) are classed as “good” or “outstanding”. The remaining 64 (27 per cent) either “require improvement” or are considered “inadequate”. 
    There have been been national concerns about repeated service failures within the sector. Independent units are often used by NHS trusts for out of area placements – a practice it is trying to end – or to cope with the lack of acute mental health beds.
    Read full story (paywalled)
    Source: HSJ, 11 August 2022
  17. Sam
    NHS England patients with Type 1 diabetes will now be eligible for life-changing continuous glucose monitors after the health service secured a new cut-price deal.
    The wearable arm gadget sends information to a mobile app and allows diabetes patients to keep track of their glucose levels at all times without having to scan or take a finger prick test.
    Traditionally, continuous glucose monitors are more expensive than their flash monitor counterparts – which record glucose levels by scanning a sensor – but thanks to the NHS agreeing on a new cost-effective deal with manufacturers DEXCOM, they will now be available for NHS patients on prescription at a similar price.
    The monitor, called Dexcom ONE Real Time-Continuous Glucose Monitoring, uses a sensor no bigger than a bottle cap that attaches to the arm for up to 10 days and measures glucose levels from just under the skin.
    Patients will receive their starter pack – which will include information on the product and usage, a sensor and transmitter – from the hospital or GP surgery once prescribed, after which they can go to the pharmacy for their repeat prescription.
    Dr Partha Kar, national speciality advisor for diabetes and obesity said: “This is a huge step forward for Type 1 diabetes care and these monitors will be life-changing for anyone with the illness – giving them more choice to manage their condition in the most convenient way possible – as well as the best chance at living healthier lives, reducing their risk of hospitalisation and illnesses associated with diabetes, which in turn reduces pressure on wider NHS services.
    “The new deal also delivers on our commitment to get patients the latest cutting-edge medical technology at the best value for taxpayer money – saving the NHS millions over the coming years”.
    Read full story
    Source: NHS England, 2 August 2022
    You may also be interested in:
    “I felt lucky to get out alive”: why we must improve hospital safety for people with diabetes Peer support makes a big difference to living with type 1 diabetes Improving safety for diabetic inpatients: 4 key steps - Interview with Dr Partha Kar
  18. Sam
    The monkeypox outbreak has been declared a global health emergency by the World Health Organization.
    According to the UK Health Security Agency, early symptoms of monkeypox include fever, headache, muscle aches, swollen lymph nodes and chills, as well as other features such as exhaustion.
    Monkeypox does not spread easily between humans, and requires close contact. According to the US Centers for Disease Control and Prevention, it is thought that human-to-human transmission primarily occurs through large respiratory droplets.
    Globally, there have so far been 16,016 monkeypox cases – 4,132 of which were in the past week, according to WHO data. It is now in 75 countries and territories and there have been five deaths.
    The European region has the highest number of total cases, at 11,865, and the highest increase in the past seven days, with 2,705.
    The west African strain of monkeypox is generally a mild infection for most people, but it is important those infected and their contacts are identified. The virus is more of a concern among vulnerable people such as those with weakened immune systems or who are pregnant.
    Read full story
    Source: The Guardian, 23 July 2022
  19. Sam
    A pilot scheme to reduce infections following catheter insertions has shown a 100% fall within a hospital trust.
    NHS Supply Chain is now encouraging acute trusts in England to take advantage of the scheme which has shown to not only reduce infection rates but shorten patient length of stay and save clinicians’ time.
    Catheter associated urinary tract infections (CAUTIs) are not uncommon and can cause patients significant pain, discomfort, confusion and anxiety for family and friends. They further impact healthcare with increased antibiotic use, prolonged hospital stays, increased clinical activity and risk of complaints and litigation. 
    University Hospitals of North Midlands NHS Trust had audited its urethral catheterisation practice, and the way catheterised patients w19 July ere cared for in clinical areas. The audit highlighted a wide variation in care delivery leading to inconsistent outcomes for patients and staff.
    After reviewing the available options, the University Hospitals of North Midlands NHS Trust decided to pilot the BARD® Tray which contains all the essential items to catheterise or re-catheterise a patient in one pack and includes the catheter with a pre-connected urine drainage bag. This unique ‘closed system’ prevents ingress of bacteria and helps avoid catheter related infection. 
    NHS Supply Chain: Rehabilitation, Disabled Services, Women’s Health and Associated Consumables worked alongside supplier Beckton Dickinson to provide the tray products required by the trust.
    During the three-month pilot, catheter related infection rates fell by 100% at the trust which coincided with a reduction in complaints and a reduced length of hospital stay for patients. Clinicians reported that the pack was intuitive and saved around five minutes per catheterisation, which during the pilot process meant saving 83 hours from 1,000 catheterisation procedures.
    While the BARD® Tray was more expensive than the individual components that were currently purchased, the pilot study demonstrated the clinical and financial value that was delivered by the tray being implemented across an organisation. The overall cost of components is slightly cheaper, but due to reduced catheterisations, consumables spend fell by 24%.
    Read full story
    Source: NHS Supply Chain, 19 July 2022
  20. Sam
    A quarter of Black, Asian and minority ethnic (BAME) non-executive directors of NHS trusts have seen or experienced discrimination in the course of their work, a report reveals.
    While almost four out of five (79%) of these BAME non-executives said they challenged such behaviour when they encountered it, only half (50%) said that led to a change of policy or behaviour.
    The other half felt they had been ‘fobbed off’ or subjected to actively hostile behaviour for having spoken up,” says a report commissioned by the Seacole Group, which represents most of the BAME non-executive board members of NHS trusts in England.
    It adds: “This level of discrimination is unacceptable anywhere and even more so in the boardrooms of NHS organisations. Too many Black, Asian and other ethnic NEDs (non-executive directors) are being subjected to it and left to deal with it on their own.”
    Read full story
    Source: The Guardian, 21 July 2022
  21. Sam
    Hormone replacement therapy is to be offered over the counter for the first time in the UK after the medicines watchdog gave the green light.
    Millions of women go through the menopause every year, with the majority experiencing some symptoms that can be severe and have a negative impact on everyday life.
    In a landmark move hailed as a “huge step forward” for women’s health, the first type of HRT to become available at pharmacies without a prescription will be Gina 10 microgram vaginal tablets (containing estradiol).
    The Medicines and Healthcare products Regulatory Agency (MHRA) said the vaginal tablets would be available for post-menopausal women from September after a safety review.
    Maria Caulfield, the minister for women’s health, said: “Menopause affects hundreds of thousands of women every year, but for some its symptoms can be debilitating and for many they can be misunderstood or ignored.
    “Making Gina available over the counter is a huge step forward in enabling women to access HRT as easily as possible, ensuring they can continue living their life as they navigate the menopause.”
    Read full story
    Source: The Guardian, 20 July 2022
     
     
  22. Sam
    Roy Cairns, 58, was diagnosed with liver cancer in 2019. Twelve months later a tumour was found on his lung.
    Mr Cairns said taking part in the cancer prehab programme piloted by the Northern Ireland's South Eastern Health Trust after his second diagnosis was a "win-win", not only for himself but also his surgeons.
    "I think when you get that diagnosis you are left floundering and with prehab the support you get gives you focus and a little bit of control back in your life," he said.
    Prehabilitation (prehab) means getting ready for cancer treatment in whatever time you have before it starts.
    Mr Cairns is one of 175 patients referred to the programme which involves the Belfast City Council and Macmillan Cancer Support.
    Dr Cherith Semple said the point of the programme is to " improve people's physical well-being as much as possible before treatment and to offer emotional support at a time that can be traumatic".
    Dr Semple, who is a leader in clinical cancer nursing, said this new approach to getting patients fit prior to their surgery was proving a success, both in the short and long-term.
    She said: "We know that it can reduce a patient's hospital stay post-surgery and it can reduce your return to hospital with complications directly afterwards."
    Read full story
    Source: BBC News, 20 July 2022
  23. Sam
    A nurse who recorded she had given medication to care home residents when in fact she had delegated the task to unqualified staff has been struck off.
    Adelaide Maloane was working a night shift at Somerleigh Court in Dorchester, Dorset, in August 2019 when the incident took place.
    Ms Maloane delegated giving 16 medicines to residents to an unqualified healthcare assistant at the home.
    The Nursing and Midwifery Council said Ms Maloane had "failed to acknowledge the seriousness of her misconduct and dishonesty and the implications of her actions for residents, colleagues and the reputation of the nursing profession".
    Read full story
    Source: BBC News, 21 July 2022
  24. Sam
    Physicians must continue to offer abortions in cases of medical emergencies without exception, Joe Biden’s administration said on Monday, as it insisted federal law would overrule any total state bans on abortion.
    In a letter to healthcare providers, the president’s health and human services secretary, Xavier Becerra, said the federal Emergency Medical Treatment and Active Labor Act (EMTALA) protects providers from any purported state restrictions should they be required to perform emergency abortions.
    “Under the law, no matter where you live, women have the right to emergency care – including abortion care,” Becerra said. “Today, in no uncertain terms, we are reinforcing that we expect providers to continue offering these services, and that federal law preempts state abortion bans when needed for emergency care.”
    Becerra said medical emergencies include ectopic pregnancies, complications arising from miscarriages, and pre-eclampsia, NBC News reported.
    Becerra said in his letter to medical providers: “If a physician believes that a pregnant patient presenting at an emergency department, including certain labor and delivery departments, is experiencing an emergency medical condition as defined by EMTALA, and that abortion is the stabilizing treatment necessary to resolve that condition, the physician must provide that treatment.
    “And when a state law prohibits abortion and does not include an exception for the life and health of the pregnant person – or draws the exception more narrowly than EMTALA’s emergency medical condition definition – that state law is preempted.”
    Read full story
    Source: The Guardian, 12 July 2022
  25. Sam
    A couple whose baby died in Nottingham say they are "furious" at a memo to hospital staff criticising media coverage of the city's maternity units.
    Jack and Sarah Hawkins, whose daughter Harriet died in 2016, have led calls for an inquiry into failings.
    Nottingham University Hospitals NHS Trust (NUH) is at the centre of a review into failings at the city's maternity units.
    After years of campaigning and an earlier review which was abandoned, experienced midwife Ms Ockenden was appointed in May.
    On Tuesday it emerged Ms Wallis had sent a memo to NUH maternity staff which read: "Yesterday, (Monday 11th) Donna Ockenden met with families as part of the new independent review process.
    "Some of you will no doubt have seen some of the media fall out."
    "Yet again they painted a damning picture of our maternity services, leaving out of their reports the great work that has been done, the improvements that have been introduced and the passion and commitment of all of the staff."
    Mr and Mrs Hawkins told the Local Democracy Reporting Service: "It's not just the families and the press ganging up - there is very real concern about safety. For senior leadership to not be saying that they have a problem is beyond us."
    Hospital bosses have "wholeheartedly apologised" for offence caused.
    Read full story
    Source: BBC News, 13 July 2022
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