
Knowsley extends free school holiday swimming sessions offer
Thousands of children on Merseyside will continue to be offered free swimming sessions during school holidays.Knowsley has the highest childhood obesity rates in England and the free swimming scheme aims to remove the financial barriers faced by many young people and families to participating in regular physical activity.Knowsley Council confirmed the scheme, launched in 2024, would continue to be funded for the next two years.Council leader Graham Morgan said there had so far been a "fantastic take-up" from people in the borough.
"It is clear that over the last year the scheme has had a huge impact on the number of children and young people accessing health and wellbeing sessions and taking up swimming in the borough," said Morgan."By removing the financial barrier to these swim sessions, not only are we providing young people with a free fun activity to take part in during the school holidays, but we are also ensuring that they enjoy active and healthy lifestyles."The sessions are provided in partnership with Volair, which runs the borough's leisure centres.Between August 2024 and February 2025 a total of 8,719 free sessions for under-16s were taken up across Volair's four sites.Knowsley's public health director Dr Sarah McNulty welcomed news of the scheme's extension.She said being physically active "is a really important way of combating obesity".
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BBC News
an hour ago
- BBC News
'We're not Rottweilers': Behind the scenes at a GP 8am scramble
Anyone who has ever tried to get a GP appointment in England will be familiar with the "8am scramble", as you phone your local surgery desperately hoping to get surgeries - like the Tudor House Medical Practice - open their telephone lines at 08:00, meaning that if you want an on-the-day appointment, you have to phone on the dot at 08: can prove a source of frustration, with Jayne Bond - part of a four-strong team at the increasingly busy practice - often at the sharp end of patients' upset."Some people think we are Rottweilers, and we are trying to stop them getting appointments," she practice invited the BBC to watch them at work first thing in the morning during the busiest part of their day, when those phone lines open. "When the phone lines open, it just goes manic," fellow receptionist Sandra Brewster knows the scene at the practice, in Sherwood, is repeated at surgeries across the land when they release their same-day bookable appointments first thing."It is mad - we try and grab a cup of tea before the phones open up," Sandra added. Often potential patients can get frustrated when receptionists ask for more 66, said: "We are on the ball - we have to be."Some people think we are nosy, but we are just trying to get them to the right person."Eighty per cent of face-to-face GP appointments at the surgery are bookable on the day and released first thing, and typically within half an hour, they are gone. We observed the pressure on a typical Wednesday morning. Jayne said: "We normally call it 'wacky Wednesday' - it can be a very busy day." Only five minutes after the lines open, more than 30 people are queuing to get telephone system has recently been upgraded, with an option for people to request to be phoned back without the caller losing their place in the despite this "improvement", high demand will mean some inevitably miss also 66, admits receptionists can't always give people they want."People have said to me, 'well if I die it will be your fault'. "There can be verbal abuse - you just have to go home and forget about it and remember it is the situation, not personal, but they are the calls you remember," she observed that 50 people were booked in at the surgery within 25 minutes. This relentless demand for appointments is a picture repeated across the country, and has seen the government step in earlier this Labour government had pledged in its manifesto to end the early morning phone "scramble" for appointments, and in February, confirmed a deal to give an extra £889m a year to general new contract says patients should be able to arrange appointments online throughout working hours, freeing up the phones for those who need them most, and making it easier for practices to triage patients based on medical manager Tricia Gibbons said patients were "getting more used to not always seeing a GP".The 56-year-old said: "When I first started 11 years ago, we only had access to GPs and trainee doctors."The surgery now has an expanded team of health professionals to complement the work of family doctors, including an advanced nurse practitioner and a clinical pharmacist, which can see stressed, though, that "the doctors are always there to offer back-up"."This model is about giving doctors more time to focus on more complex cases," she said."Other members of the team are well placed to deal with the more minor illnesses and ailments." Dr Jonathan Lloyd, a GP partner at the surgery, said demand for primary care had gone up hugely since he began working as a doctor almost 30 years ago."The number of appointments the average patient has each year has increased, and people have got older, and there are more people with dementia and chronic disease," he said. "The number of GPs has not increased at the same rate, so there is more pressure on doctors."He said accessing primary care across the country was a "big problem", but felt most patients were "comfortable" knowing they might not always see a said six out of 10 GP appointments were in person, with the rest on the phone, which "many people are quite happy about"."Our patients have control over that - if they want to see me face-to-face, they can," he added. 'Nowhere near a solution' Latest annual figures from NHS England show that record numbers of appointments - more than 370 million - were offered by GP surgeries in 2024-25, with almost two-thirds face to face, and the rest out of 10 appointments at surgeries are with doctors, and the rest with other health than half of appointments were booked at least a day ahead, with the rest on the same day. Katie Bramall-Stainer, who chairs the British Medical Association GPs' committee, previously told BBC Breakfast that the new government deal could see patients begin to notice a difference in six to 12 months, but said the overall situation was "nowhere near a solution".So for now, the likes of Jayne and Sandra will continue to keep an eye on the clock as 8am approaches.


The Sun
an hour ago
- The Sun
Is it safe to let my Bearded Dragon enjoy the sun from our patio? – your pet queries answered
HE is on a mission to help our pets . . . and is here to answer YOUR questions. Sean, who is the head vet at tailored pet food firm has helped with owners' queries for ten years. 4 4 Q: SHOULD I let my Bearded Dragon Lucky out on the patio in the sun, in a safe enclosure where he will be supervised? It seems a shame to keep him inside if the weather is good. What do you think? MIKE BROWN, Leeds Sean says: Yes, natural UV rays from the sunshine just can't be beaten for reptiles like your Beardie. But a few safety tips . . . You've already touched on the most important one. It must be a foolproof, escape-proof enclosure — if there is a gap or opportunity to climb or jump out, Lucky will take it. And not be so lucky facing life in the wild. You must also watch him like a hawk, or a hungry hawk or cat could see him as a meal. Finally, what can seem like sunny weather to us may not produce the right temperature for him at ground level, for example. So it's best to use a thermometer to measure the ground and air temperature, ensuring it's meeting his ideal thermal range. If it's a few degrees too cold don't risk it, as respiratory illness is common in Beardies if they catch a chill. Q: HOW can we tell if our hamster is happy? And what are the signs of stress? We have Siberian hamster Pippa, who is six months old, and I want to ensure she has the happiest life, cared for by my daughters Bella, eight and Flo, nine. MARK THOMAS, Cardiff Sean says: I applaud you Mark, as many small pets are overlooked in this way — seen as low-maintenance, not needing much consideration for their happiness. And the way they are sold, particularly in respect to their housing, is often below the acceptable minimum standard in terms of space and environmental or behavioural enrichment. Basically, think how a hamster lives in the wild — yes, there are still wild hamsters in Europe, Russia and into Asia. They live in a burrow system and will roam great distances at night. A tiny cage with a wheel just doesn't cut it. So provide as big a cage as possible, with a safe area for supervised free roaming. Q: MY dog gets grass seeds in her paws. I keep her pad clipped but should I consider getting booties for her? I wonder if Mica, a Siberian husky, is just unlucky or if there's anything else I can do to stop this happening? HELEN BROOMFIELD, Doncaster Sean says: Most dogs really dislike boots and poorly fitting ones can chafe by altering how they walk. My advice is to try to keep Mica away from areas of very long grass going to seed. You simply have to inspect her paws after every walk and make sure there are no seeds lurking under or between her pads. Keeping fur clipped short there is good too. Q: WHAT steps should I take to keep my dog safe as the weather gets hotter? Should I get a drinking bowl that cools water? Or provide fans? After last year's heatwave, I want to get prepared. COLIN SMITH, Sudbury, Suffolk Sean says: No need for expensive gadgets. Room-temperature water, and plenty of it, around the house is best — and shade to retreat to when things get too hot. If you can get one, a cooling mat is a good idea. Finally, make sure to only walk your dog in the cooler mornings and evenings, never in the middle of the day when it gets really hot. Test the pavement with the back of your hand — if it's too hot for you it's too hot for our dogs. Star of the week 4 GLOBETROTTER Felix the dog has been announced as Britain's new ambassador for sports brand ASICS. The seven-year-old Samoyed has visited 36 countries and is an social-media sensation with the handle @wanderlust_samoyed. Latest ASICS research shows British dog owners are 35 per cent more likely to hit recommended physical activity guidelines compared to those without dogs, and have better mental wellbeing. ASICS spokesman Gary Raucher said: 'We are delighted to have Felix as our official ASICS Mind's Best Friend and share dogs' infectious love for movement with the world to motivate us to get out and move for our minds.' See WIN: Kanoodle toy bundle DISCOVER Kanoodle® Dog Edition by Brightkins™. This engaging toy hides tasty treats, encouraging your dog to sniff, spin and solve for their reward. Brightkins is giving away five bundles each worth £49.90 – one for your dog and one for humans. See who cracks it first. To enter, send an email headed BRIGHTKINS to sundaypets@the-sun. by July 6. See T&Cs apply. How to keep your dogs safe at the seaside WITH summer fun on the way, one of the country's top canine first-aiders has issued an urgent warning about water safety for dogs. Veterinary nurse Rachel Bean, author of the iPET Network's canine first-aid qualification, said that while many dogs love water, some breeds, boxers, are at higher risk of drowning. 4 Here are her top four hazards to look out for . . . 1. Sea water ingestion, which can lead to salt poisoning: Rachel says: 'If your dog starts vomiting or showing signs of distress, get them to a vet immediately. Carry fresh water and offer it frequently while at the beach.' 2. Drowning: Breeds such as bulldogs, boxers and Basset hounds are physically unsuited to swimming, so don't just assume they will be fine. 3. Blue-green algae: It can be lethal, even in small doses. Rachel says: 'Rinse them off immediately. Symptoms can appear rapidly and include weakness and drooling.' 4. Overexertion and heatstroke: Watch for excessive panting, drooling, disorientation or collapse. Move them to shade, offer cool (not ice-cold) water and seek veterinary help urgently.


Daily Mail
2 hours ago
- Daily Mail
Fast-track suicide if you pay extra, discount deals for couples and you don't even have to be terminally ill: Inside Germany's morally queasy approach to assisted dying where business is booming for the pedlars of euthanasia
Last week, the UK's highest elected officials ruled on the most existential of questions: how we choose to die. At its third reading, the Assisted Dying Bill passed the Commons by a slim majority of 23 votes, and now its fate lies with the Lords, where it faces a bumpy ride before it becomes law. The upper chamber, for instance, will examine if a three-person panel of professionals (from law, psychiatry and social work) offers greater safety and oversight in approving a patient's application to die than a High Court judge, as was originally proposed. Peers will have at their disposal the grim cost-benefit analysis to the NHS in accelerating the deaths of the terminally ill, released last month under the cover of the local election results. According to the report, as many as 1,300 people are expected to apply to die in the first year, saving as much as £10million in medical bills. But can the health service cope with this demand, especially as NHS staff will be offered an opt-out from the ugly business of state-sponsored suicide? No doubt private health providers are already bending the ears of peers for a slice of the death industry pie. It would be tempting to allow private enterprise to take some of the strain, but I urge the Lords to look at how business seized the opportunity with morally queasy gusto in my native land, Germany, where some firms offer a 'fast track' service for people who can pay more and even special discounts to couples wishing to hasten their demise. Pictured: Pedestrians walk past the posters promoting the Assisted Dying bill at Westminster Underground station In Germany, anyone 18 or over can lawfully commit suicide with the help of a third party. Yes, anyone. There is no requirement for the person to be six months from death, nor is there any specification over having a life-limiting or debilitating illness (as in the UK Bill). A perfectly healthy university student can seek help to kill themselves for no better reason than they are fed up with life. Hannelore Kring, 83, is typical of Germany's liberal approach to assisted suicide. A recording of her death featured in a podcast by news broadcaster WDR and it is a spine-chilling reminder of how relaxed my countrymen are about dying. At an undertaker's, Frau Kring is accompanied by two 'death helpers' – a nurse and retired teacher – and sounds relieved her life will end in a matter of minutes. Dressed in black and with make-up, as if attending a party, she suggests a dance with the nurse. Indeed, she is not ill, she is as healthy as anyone in their 80s. She has run a second-hand men's boutique in Hamburg but feels life's no longer worth living. She's lonely, all her friends have died and the state of the world depresses her. The helpers ask if she really wants to go through with it. 'Absolutely!' she replies enthusiastically. The nurse hooks her up to an infusion of a lethal dose of narcotics – a 'suicide cocktail'. She merely has to turn a valve, letting the toxic chemicals enter her bloodstream, putting her to sleep for ever. It's important she takes the final step herself, otherwise the helpers could be charged with manslaughter. Assisted suicides like this have been fully legal in Germany since 2020, although legislation has been a generation in the making. After the Second World War the subject was largely taboo, in no small part due to revulsion at the Nazis' Aktion T4 programme, which entailed the 'mercy killing' of 300,000 disabled people. By the 1970s and 1980s, a push for more patient autonomy led to court decisions in 1984 and 1990 that ensured suffering, bed-ridden people had the right to stop treatments that prolonged their lives. With the 2009 Patient Directive Law, people could include such instructions in a living will if they became incapacitated. This gave legal protections to doctors offering assisted suicide. But then the public grew uneasy at what seemed a creeping commercialisation of the right to die. Healthcare is not free at the point of use in Germany, so the nation is more comfortable than the UK with private provision within the system. But only up to a point. Many were appalled in 2014 when a Berlin urologist Uwe-Christian Arnold revealed he had helped 'several hundred people' take their lives since the late 1990s for fees of up to €10,000. Christian groups accused him of undermining the sanctity of life. The German Medical Association threatened him with a €50,000 fine, saying doctors should prolong life, not give their patients lethal poisons. Arnold took them to court over the fine and won. Also in 2014, a right-to-die association in Hamburg caused uproar for offering fast-track assisted suicide consultations in exchange for higher membership fees. Its normal rate was €2,000, with a waiting time of a year, but it introduced a jump-the-queue service for €7,000. Other providers offered discounts for couples interested in dying together. These were grisly bargains that lead many to regard Germany as a Las Vegas of suicide, which was anathema to a country that saw itself as otherwise Christian and conservative. Church groups took to Berlin's streets as legislators sought to crack down on the industry. Arnold and others passionately defended their businesses. The 'death helpers' argued the issue was comparable to abortion: a ban would be unfair to the terminally ill, who shouldn't have to travel to places like Switzerland to end their lives with dignity. The debate ended with parliament banning 'commercial' assisted suicide under Chancellor Angela Merkel in 2015. Subsequently, only friends and relatives who received no money for their assistance could help someone end their life. Legal challenges were launched by right-to-die advocates and people suffering terminal illnesses. In a 2020 judgement, the Constitutional Court said the freedoms enshrined in the country's post-war constitution meant 'the decision to take one's own life must be respected by the state as an act of personal autonomy'. Those who had been put out of work by the previous ruling were free to ply their trade once again. Five years after that decision, it feels like we're back to the Wild West of pre-2015. Assisted suicide in Germany is an unregulated free-for-all. A slew of undertakers, lawyers and independent doctors are facilitating a rising toll of assisted deaths. Last year it was about 1,000, though no one is keeping exact figures. Likewise there's no central registry of providers. Nearly anyone can set up shop. The largest player in the business is the German Association for Humane Dying (DGHS), which charges €4,000 a suicide but offers a discounted €6,000 for couples. It says that of the 623 people for whom it arranged suicide last year (it forwards requests to independent teams of doctors and lawyers), 22 per cent were just 'fed up with life'. Two-thirds were female. DGHS spokesperson Wega Wetzel says: 'Women are more likely to be widowed and 'left over' than men. Women are more likely to plan and communicate, while men often choose 'hard' suicide methods such as hanging.' Equally worrying is the fact that nothing prevents young people from choosing the path of assisted suicide. The youngest case I heard of was a 21-year-old man. The only requirement spelled out by the court was that the person be 'freely responsible' for their decision. At least DGHS, to maintain its reputation, has doctors and lawyers screen applicants to ensure they understand what they're getting into, that they're not being coerced and that they do not show symptoms of mental illness or dementia. But nobody knows how many independent providers are making money with assisted suicide. Nobody knows how they are screening clients, particularly in the more affordable services where standards may be lower. A study last month in the British Medical Journal analysed 77 assisted suicides in Munich. It found that one patient's consultation with a clinic lasted 55 minutes and the death was booked for the next day. The assisting physician in another case was a relative of the patient. In a 2022 case, the suicidal person was judged of sound mind based on a five-year-old mental capacity evaluation. But there is still broad support for the right to die: 80 per cent of Germans feel it's appropriate for the critically ill. But just 30 per cent say it should be available to people with a long life ahead of them, and only 3 per cent for young people having a crisis. Ute Lewitzska, professor for suicide studies at Frankfurt University, sees a fundamental change in how we deal with growing old. 'Supply creates demand,' she says. 'The 2020 court decision didn't just open a crack in the door, it flung the door wide open – and we're not going to be able to close that door again.' The fear is a normalisation of assisted suicide. For some it's a humane way to end one's life; for others it's an easy solution to suffering that's being oversold. Dr Lukas Radbruch, director of palliative care at University Clinic Bonn, has worked with end-of-life patients for three decades. He says many more now ask about assisted suicide but 'so many people are not sufficiently informed. Or we have doubts about how voluntary their choice is. Or we realise they still want to live, even if they say they want to die.' Sometimes a suicidal person needs counselling, not the means to kill themselves. Where do you draw the line? Dr Radbruch asks. In 2023 the German parliament tried to hammer out rules to provide clearer guidance, but MPs couldn't reach a consensus. Like many in the West, Germany seems destined to grope its way through this ethical minefield with no transparent way forward that is satisfactory for all. I do not envy the task ahead for Britain's Lords. My country's experience offers a salutary lesson that for the Bill to become law, they must make black and white what is a painfully grey issue.