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June 30 - July 6 2010

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The Telegraph

The Telegraph

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War games Petraeus brought in as McChrystal sacked after critical comments

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Animal magic Richard Benson meets the stars of the Great Yorkshire Show

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Foreign currencies Read our five-page special report on forex management for expats

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There were seven winners of Wednesday’s £1.6m jackpot and five winners of Saturday’s £4.8m prize

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By Kate Devlin Medical Correspondent THE NHS is suffering potentially devastating cuts to jobs and patient services as the Government’s austerity drive hits the health service, doctors’ leaders have warned.

Thousands of doctors and nurses face being made redundant or not replaced if they leave, while many hospitals have cut treatments, the British Medical Association has found.

Despite ministers’ assurances that the health service would not face the same cuts as other departments, many hospitals are feeling the strain, according to the BMA.

Andrew Lansley, the Health Secretary, has boasted that frontline services would be protected. But it emerged on Sunday that in his Cambridge constituency, Addenbrooke’s Hospital is planning to sack 170 nurses and up to 500 staff in total over the next year.

A survey for the BMA asked 361 doctors, who between them represent committees at all of Britain’s hospital trusts and some larger primary care trusts, how the NHS was being affected by the demand to make £20 billion of cuts.

It comes as the Coalition faces political pressure to reverse its pledge to ringfence health spending.

The BMA found that 43 per cent of those who responded said there was a freeze on recruiting doctors and nurses at their trust.

Almost as many, 40 per cent, said that patient treatments, including varicose

Continued from page 1 since 1993. David Hollingworth, of the mortgage brokers London & Country, said: “There’s been a complete turnaround in the approach of borrowers. Rather than using mortgages as a cheap way of borrowing – effectively using their home as a piggy bank to fund their luxury purchases – they are now looking to pay down debt more quickly.

“They are tightening their belts amid concerns about higher interest rates in the future and questions over the employment market.”

The shift from loans to deposits has occurred despite the relatively low rates on offer in traditional savings accounts, which are now offering up to three per cent compared with five per cent before the crisis.

However, the Bank of England pointed out that savers were getting a good deal compared with the Bank vein operations and blood tests, were being rationed.

GPs in Bedfordshire said they had been told not to refer patients with certain conditions, such as skin lesions and cysts, to hospitals except in exceptional circumstances.

Nearly a quarter of those who responded said that their trust was planning to make workers redundant. Although the majority of these would not affect frontline staff, the union warned that cuts to administrative workers could force doctors and nurses to spend more time on these duties and less with patients.

The poll – to which 92 doctors responded – represents the first real evidence of how the NHS has been hit by the cuts. It found trusts were trying to make annual savings of six per cent on average. The Government has promised to guarantee NHS spending growth in real

‘The pain of watching England play will be shared fairly between rich and poor’

Rate, which remains at a historic low of 0.5 per cent.

Charities said it was unsurprising that, at a time of high unemployment, households were being more prudent with their budgets.

But they warned that families still faced tough terms but the BMA says this will be “minimal”. The association called the cuts potentially “devastating”.

Dr Hamish Meldrum, the chairman of the BMA, said: “Whilst we accept that difficult decisions need to be taken in this tight financial climate, there is a real danger that cutting back on health now will have a long-lasting impact on our ability to maintain high-quality, comprehensive and universal care in the future.”

The warning came as senior Tories broke ranks to object to plans to protect health service funding.

Lord Lawson, the former Chancellor, and Nadine Dorries, a Tory member of the Commons health select committee, said that health funding should not be ringfenced.

Ms Dorries told the BBC’s Politics Show: “I think we need to find the political courage to accept that there is excessive waste in the NHS and that it’s unfair to expect other departments to take all the hits.”

A spokesman for the Department of Health said: “Alongside all the public services, the NHS will need to deliver significant savings over the coming years.

“The department is very clear that savings should be implemented in a way that does not affect the quality of services and the Secretary of State has been very clear that every penny saved will be reinvested back into patient care.”

More health news, page 9

times ahead with the prospect of rising interest rates.

Delroy Corinaldi, a director at the charity Consumer Credit Counselling Service, said: “Unemployment and pressures on the public purse will ensure the problem of over-indebtedness continues. The crux of the problem will not be about levels of debt but ability to repay, particularly if and when interest rates go up.”

Household finances are likely to be squeezed further because of George Osborne’s emergency Budget. VAT will rise from 17.5 per cent to 20 per cent, while up to 700,000 more workers are to pay higher-rate income tax after the threshold was lowered.

In April, ONS figures showed the average person’s wealth fell by £16,000 in the first part of the recession, a drop of 15 per cent.

Budget news, pages 4-7

By Melissa Kite Deputy Political Editor RADICAL plans to relocate the long-term unemployed to areas where there are jobs are being drawn up by the Coalition, Iain Duncan Smith has disclosed.

The controversial plan echoes the words of Norman Tebbit in 1981 when he told the unemployed to “get on your bike” and look for work.

It is part of tough action to cut spiralling welfare bills and tackle Britain’s record deficit.

Last week a major shake-up of housing benefit and increased health checks for disability claimants were announced as part of the biggest cuts in public spending for almost a century.

Mr Duncan Smith, the MP for Lord Tebbit’s former parliamentary seat of Chingford, disclosed that ministers were drawing up plans to encourage jobless people living in council houses to move out of unemployment black spots to homes in other areas, perhaps hundreds of miles away.

The former Conservative Party leader said millions of people were “trapped in estates where there is no work” and could not move because they would lose their accommodation.

The proposed scheme would allow them to go to the top of the housing list in another area rather than lose their right to a home if they moved.

“We have over the years, not us personally but successive governments, created one of the most static workforces in the western world,” Mr Duncan Smith said. “In Britain now we have workforces that are locked to areas and the result of that is we have over five-and-a-half million people of working age who simply don’t do a job.

“Often they are trapped in estates where there is no work near there and – because they have a lifetime tenure of that house – to go to work from east London to west London, or Bristol, or whatever is too much of a risk because if you up sticks and go you will have lost your right to your house.”

It is understood that the Coalition is looking at ways to provide incentives for workers to move to areas where there are jobs, rather than compelling them to move.

At the weekend, Ed Balls, the Labour leadership contender, called the proposals to make the workforce more mobile “profoundly unfair”.

“Even Margaret Thatcher stopped short of telling families and pensioners living in social housing in higher employment areas that they would be expected to move out of their homes,” he said. telegraph.co.uk/expat

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June 30 - July 6 2010

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Continued from page 1 There wasn’t even the usual straw of the penalty shoot-out to cling to. England were hammered without recourse to spot kicks, suffering their worst defeat in World Cup finals.

True, there was a moment when it looked as if Fabio Capello’s team might present a challenge.

At 2-1 down in the first half, Frank Lampard struck a shot against the underside of the bar, which bounced down into the goal before spinning back into play. It carried echoes of Geoff Hurst’s shot in the 1966 final, though sadly this time there was no Azerbaijani linesman around to award a goal. Despite the fact that the ball was so far over the line it was practically in Johannesburg, Mauricio Espinosa, the Uruguayan assistant, seemingly was looking elsewhere.

Even Angela Merkel, the German Chancellor, watching at the G20 summit in Toronto with a “disappointed” David Cameron, conceded it was in. England coach Capello claimed it was the deciding moment, while Mr Cameron later backed the use of video technology. But the truth was, it was an utter irrelevance. England were ruthlessly demolished.

Yet, characteristically, the game began in a rush of misplaced optimism. Even the bookies were caught up in the possibility, offering 2-1 odds on an England victory. As ever, England’s army of supporters were in throaty voice, treating rival supporters to a lusty version of the Dambusters March within moments of kick-off. Everywhere, pundits and fans alike were convincing each other that if England played to their potential, they would win.

But, after two quick firsthalf goals, a German accent echoed around the Free State Stadium. It was not easy to watch. The England team was on average four years older than their opponents. At times, as Germany’s forwards – led by the outstanding 20-year-old Mesut Özil – ran at them, they looked old men by comparison. When the final whistle sounded, England’s John Terry stood for several minutes staring at the turf. He was probably looking for scorch marks.

For England’s fans in South Africa, all that is left is the long journey home. They will return full of positives about the Rainbow Nation’s hospitality. Everything about this tournament has been uplifting for them. Except the performance of their team. That was merely the same old story.

Pain in Bloemfontein (above); below, clockwise from left: a consoling hug in the aftermath in Leeds; Gerrard suffers; fans watch at Glastonbury; the disallowed goal; a dejected Fabio Capello

The last time the Queen went to Wimbledon, a Brit was champion

JULIANFINNEY/GETTYIMAGES

Boris Johnson, page 21 World Cup, pages 45-48

The Telegraph

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Not everyone was watching the football: plenty of people ignored the game and soaked up the sun on Brighton beach instead

Loyal subject: Andy Murray shakes hands with the Queen, after bowing for a third time, at Wimbledon last Thursday

THE mood could not have been better at Wimbledon last Thursday. The Queen came to visit; the sun shone; Andy Murray bowed graciously; even the longest match in tennis history came to an end.

There was also the inescapable fact that Her Majesty’s last visit to Wimbledon, in 1977, coincided with Virginia Wade’s triumph — the last time a Briton won a singles title at the All England Club.

Murray, whose indecision about whether to bow to the Queen raised eyebrows, took the opportunity to prove his detractors wrong and lowered his head no fewer than three times.

The Queen watched from the Royal Box as he cruised through to the third round, beating Jarkko Nieminen 6-3, 6-4, 6-2.

Meanwhile, on court 18 John Isner, the 23rd seed, finally overcame Nicolas Mahut in 11 hours and five minutes in an epic contest spread over three days. The final set ended 70-68.

Tennis: Page 42