Though Starmer’s project is fragile, he’s taking one giant leap: to reconfigure the British state | Martin Kettle

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Though Starmer’s project is fragile, he’s taking one giant leap: to reconfigure the British state | Martin Kettle

Headlines about Whitehall cuts obscure the real intent. The PM wants effective, dynamic administration that voters will believe in

When Keir Starmer’s government finally arrives on the threshold of the next general election, due in 2028-29, Labour’s hopes will not rest on the battlefields of Ukraine, however well-judged Starmer’s diplomacy is proving to be in that conflict right now. Labour’s long-term fate will instead be determined here at home, in the way all elections almost always are.

As so often, the outcome in four years’ time will be decided by whether voters feel more secure then than they did in the past. If they do, they may vote Labour. If they do not, they may turn to the Conservatives and to Reform UK. The government’s preoccupation with this crossroads explains why Downing Street wants the prime minister’s speech on the civil service on Thursday to be seen as a defining choice of direction.

Martin Kettle is a Guardian columnist

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Three local NHS CEOs join NHS England as directors
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Two integrated care board chief executives and a trust CEO have been appointed as part-time national directors at NHS England.

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<p>Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’</p><p>The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.</p><p>An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.</p> <a href="NHS restricting access to obesity services across England, BMJ finds">Continue reading...</a>

Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’

The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.

An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.

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