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Millions of women will be able to get free contraceptive pills on the high street from next year without having to see a GP, under new plans revealed by the NHS. Starting next month, women in England can obtain a first prescription of the pill by visiting their local pharmacy. The change will give women greater choice over where to get the pill, and will free up 10 million appointments in GP surgeries, according to NHS England. The move has been hailed as a “step in the right direction” for patients and comes as part of a broader plan to allow patients to be treated for a range of conditions at local pharmacies. These conditions include sore throats and urinary tract infections. William Pett, the head of policy, public affairs and research at Healthwatch England, said: “Women across England will welcome the convenience of getting the contraceptive pill at a local pharmacy. “Being able to see your GP in a timely manner remains the public’s top concern. “If this initiative is effectively communicated and delivered, it will make a real difference to patients and relieve the pressure on hard-pressed services.” Mr Pett said there could be problems with the plan, though, such as pharmacists not being able to see a patient’s GP records, or differences in access between different areas of the country. The plan to make the pill available from pharmacies was piloted among a cohort of 4,500 women earlier this year. Under the scheme, if women opt for the combined oestrogen and progestogen pill, they will have a check-up with a pharmacist to record their blood pressure and weight. No checks are needed for the mini pill (progestogen only), which is also the case in other settings, NHS England said. Pharmacies need to sign up for the new service, meaning that it will not be available immediately everywhere in England. As more pharmacies join the scheme, the NHS web page will be updated so that women can check which locations offer the service. Women who are significantly overweight, or whose blood pressure is high – putting them at higher risk of blood clots on the combined pill – may be referred to their GP for further checks. The ongoing checks on blood pressure and weight that women need when they are on the pill will also be available in pharmacies. Funding has also been put in place to allow more pharmacies to offer repeat prescriptions of all types of contraceptive pill. NHS England said it expects almost half a million women to be able to access the pill next year without needing to contact their GP first, with the figure rising after that. Prescription figures for 2022-23 suggest there were almost 3 million prescriptions for the combined pill and more than 4 million for the mini pill. NHS chief executive Amanda Pritchard said of the plan: “This is really good news for women – we all lead increasingly busy lives, and thanks to this action, rather than making a GP appointment, they can simply pop into their local pharmacy when they need or want to access contraception. “We will also be expanding services so that more health checks are available for patients on the high street, which is not only better and easier for patients but also frees up NHS time for more GP appointments for those who need them most.” Under wider plans, pharmacists will be offering more blood pressure checks to patients who are at risk of high blood pressure, with a commitment to deliver 2.5 million a year by spring 2025. NHS England estimates that this could prevent more than 1,350 heart attacks and strokes in the first year. Dr Leyla Hannbeck, CEO of the Association of Independent Multiple Pharmacies, said: “This is a step in the right direction for patient care. The pharmacy network has the knowledge, skill sets and the willingness to deliver these services and support the NHS. For years we have been highlighting that, if supported appropriately, pharmacies can add a lot of value to the NHS. We are accessible and we have a track record of delivering for patients.” Victoria Atkins, the new health and social care secretary, said: “For the public, these changes will mean more options for women when making a choice about their preferred contraception, reduce the risks of people suffering heart attacks and strokes, and make it easier to access medicines for common conditions.” Janet Morrison, chief executive at Community Pharmacy England, said: “It makes perfect sense to use community pharmacies as a first port of call for healthcare advice, access to contraception, and health checks such as blood pressure tests.” Read More Stephen Fry uses walking stick after breaking his leg, pelvis and ‘a bunch of ribs’ Jonnie Irwin jokes he’s ‘whacked’ after attending The Streets gig in Newcastle Kourtney Kardashian ‘gives birth to first child’ with Travis Barker Stephen Fry uses walking stick after breaking his leg, pelvis and ‘a bunch of ribs’ Jonnie Irwin jokes he’s ‘whacked’ after attending The Streets gig in Newcastle Kourtney Kardashian ‘gives birth to first child’ with Travis Barker

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A woman who felt she was being “suffocated” by her cystic fibrosis – and was told she had been just two weeks away from dying – has climbed Snowdon and run a half marathon after receiving two lungs from a transplant donor. Georgie Cooper, 26, was diagnosed with cystic fibrosis (CF) – a genetic condition which causes sticky mucus to build up in the lungs and digestive system – when she was two. The complaints and compliance officer, who lives in Essex, took medication and used nebulisers – machines which allow you to breathe in medicine – every day. She managed to maintain a “steady” lung function between 70 and 80 per cent until her health started deteriorating in her late teenage years. Cooper said 2018 was “the worst year” because she could not breathe properly and spent four months in and out of hospital as her lung function had dropped to 30 per cent and then to just 9 per cent. She was prescribed Orkambi, followed by Symkevi, to manage the condition. She was told she needed oxygen therapy 24 hours a day, which meant she had “tubes hanging out (her) nose”, and had to use a wheelchair. “It felt like constant suffocation, like I was being suffocated every minute, every second of every day.” Just two weeks before Christmas 2018, when she was 20, Cooper was told she had “a maximum of two years to live” and should consider a double lung transplant. While she waited for a donor, Cooper was prescribed Kaftrio to treat her CF, which she believes kept her alive. Her mother, Lesley, who she described as her “rock”, became her full-time carer and, after three false alarms, Cooper finally received the call that “we’ve got a set of lungs for you”. The surgery in June 2021, at Harefield Hospital in London, was successful – and came just in time. Cooper was told after the operation that her lungs had looked like “pulled pork” due to the CF damage, and she would have only lived for around two more weeks without the transplant. Before her surgery, Cooper had experienced three false alarms about suitable donors, and had started to believe that “to die would be peace”. During this time, she planned her funeral and created a “dream” bucket list – including going abroad again – to look forward to should she survive. She said she tried to stay positive as she knew she only had “a short time left on this Earth”, but found it extremely difficult knowing she was dying. “I had actually written my goodbye letters to my mum, dad, brother, my nan and pa, in case it didn’t work out, or in case I died before my transplant,” she said. She is incredibly grateful that the fourth call from the transplant service was a success. She describes her donor, who cannot be identified, as her “hero”. In August 2022, and after recovering, Cooper climbed Snowdon – now also known as Yr Wyddf and the highest mountain in Wales. She also completed the Bath Half Marathon in October 2023. “Snowdon, at that point, was my greatest achievement,” she said. “I felt like that’s the closest I’m going to get to my donor for now, which was really emotional. Someone else has selflessly given something of theirs to save another life – it’s incredible. She is the greatest hero that I never knew.” Cooper was born with no health complications, but soon developed a persistent cough, which raised alarm bells for her parents. After being referred to the Royal Brompton Hospital when she was two years old, she received her CF diagnosis and started taking medication and using nebulisers and having physiotherapy. While this was “normal” for Cooper, during secondary school she said she was “outed” as having CF during science lessons and her classmates and teachers discussed symptoms and life expectancy. According to the charity Cystic Fibrosis Trust, the median age of death of someone with CF in 2022 was 33. While Cooper was aware of the statistics, she said her peers at school would regularly say: “Oh you’re going to die soon, you haven’t got long left, have you?” Cooper says she cannot believe what she has overcome and achieved since the surgery, having also secured her first job as well as her running and mountain-climbing exploits. She now plans to climb Ben Nevis in Scotland – the highest mountain in the UK. While she still has to take immunosuppressants and struggles with survivor’s guilt, Georgie says she feels she has been “reborn” and now “lives for two people every day”. She was told her donor’s favourite quote was “your mountain is waiting”, which inspired her Snowdon adventure, and she wants to encourage others to “live every day like it’s your last”. She said: “Life is full of tablets, but I’m not having any physio, no nebulisers, and it’s like being reborn – it’s a life I’ve not known and I’m making up for lost time. I owe my life to my donor. She is my hero, she’s the greatest hero I never knew. It’s a gift of life, and that’s the best gift I’ll ever be given.” For more information and support, visit Cystic Fibrosis Trust’s website at: cysticfibrosis.org.uk. For more lung transplant information, visit: cysticfibrosis.org.uk/what-is-cystic-fibrosis/cystic-fibrosis-care/transplant-information-and-resources.

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