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The death of a mentally ill teenager after he drank excessive amounts of water may have been prevented if his care and treatment had been delivered differently, an investigation has found. The 18-year-old was admitted out of hours to an adult mental health service inpatient unit in a health board neighbouring his own on 5 December 2018 as there were no local beds available – a move described in the report as a “high-risk action”. On the evening of 7 December, he suffered a seizure after drinking too much water and was transferred to intensive care. He died three days later from the consequences of water intoxication. The teenager, referred to as Mr D, had previous contact with Child and Adolescent Mental Health Services (CAMHS), where he had been treated after drinking an excessive quantity of water. He was diagnosed with early onset psychosis and received two years of community-based CAMHS care. An anonymised investigation by the Mental Welfare Commission for Scotland concluded there were “aspects of the care and treatment delivered by each health board which had it been conducted differently, might have prevented Mr D’s death”. The report, which made 10 recommendations, also said: “A more assertive approach to the treatment of Mr D’s psychotic illness in the two years before his death was warranted.” Mr D’s death came almost two years after he was first admitted as an emergency to an acute general hospital in January 2017 following a seizure due to water intoxication, aged 16. The seizure was induced by drinking large quantities of water, which he believed would remove toxins from his system. This affected his sodium metabolism (blood salts) with near fatal consequences. He later spent more time as an inpatient and turned 18 while still under the care of the CAMHS specialist psychosis service. The transfer of a very unwell young man with a complex clinical history to another health board area during the night was a high-risk action Suzanne McGuinness, Mental Welfare Commission The service was moving away from a treatment model that supported young people with first onset psychosis for at least three years from the point of diagnosis, towards one in which transition to adult mental health services began around the age of 18. He was admitted to a hospital in Scotland in December 2018 while detained under the Mental Health Act. The investigation also found that during the 70 hours after that admission to hospital, Mr D’s case records from his years of contact with the CAMHS community team were unavailable. The report said: “The failure to impart key clinical details to the treating ward staff during his final admission, both in the provision of all relevant case files and the creation of an informed and updated risk assessment and care plan, meant Mr D was able to engage in risky and ultimately fatal psychosis-driven behaviour without mitigations having been put in place.” The report makes recommendations for change to bodies including the health boards involved, the Royal College of Psychiatrists, NHS Education Scotland and the Scottish Government. They include that the Government should set standards within the next six months for the safe transfer to, or management of patients who present from other health boards. Suzanne McGuinness, executive director for social work at the Mental Welfare Commission, said: “This was a tragic death of a young man while he was being cared for in hospital. “Our report details the actions and decisions taken by teams at the two health boards involved in the lead-up to his death.” She said the risks associated with psychotic illness were “not coherently managed”. She added: “We also found that there were problems in Mr D’s transition from child and adolescent mental health services to adult mental health services. Existing guidance was not adhered to. “We found that although the service had no other viable option, the transfer of a very unwell young man with a complex clinical history to another health board area during the night was a high-risk action. “Mr D’s family told us they felt that they had not been listened to. They felt their concerns were not given due credence.” She urged mental health services across Scotland to read the report and take action where they believe they can make improvements. A Scottish Government spokesperson said: “The death of any person in care is not acceptable. “It is vital that people using our mental health services feel safe and know they will receive the right help, in the right place when they need it. “The relevant health boards and health and social care partnerships in this case have been issued with specific recommendations and learning points alongside general recommendations for all health boards and HSCPs. We expect the commission’s recommendations to be fully implemented. “The Mental Welfare Commission recommended that the Scottish Government set standards for the safe transfer of patients between health boards. “We will publish core mental health standards in the coming weeks to set clear expectations for transitions between and within mental health services.” Read More More parents letting children skip school and take term-time holidays post-Covid Student accused of fatally shooting UNC professor may be mentally unfit for trial Family of man who died while being admitted to psychiatric hospital agrees to $8.5M settlement Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

Andrew Lester, the 85-year-old White homeowner accused of shooting a Black teenager who rang the wrong doorbell, is scheduled to be arraigned Wednesday.

The surprise result raises the stakes for Wales' upcoming clash with the Wallabies, fans say.

Amid this year's damaging hurricane season, with generators in demand, Generac Power Systems has recalled about 64,000 of its portable generators after more than two dozen reports of overheating, some of which resulted in severe burns, the Consumer Product Safety Commission said in a statement.

A body has been found in the search for a former British soldier who went missing while fighting in Ukraine. Ex-paratrooper Daniel Burke, 36, of south Manchester, was reported missing by his family on 16 August after he had travelled to join the fighting in 2022. Greater Manchester Police said on Saturday that officers were working with Mr Burke’s family and the Ukrainian authorities to identify the body found and to bring him back to the UK. Mr Burke’s mother Diane Sniath told the BBC that “this is the moment I have been dreading”. His family told the broadcaster that the body was found in Zaporizhzhia, which lies about 27 miles from the front line. Detective Superintendent Lewis Hughes who is GMP’s Lead for Disaster Victim Identification said: “This is an upsetting time for Daniel’s family, we have family liaison officers in contact with the family and offering support. “My team and I are working with the Ukrainian authorities to make formal identification with a view to repatriating Daniel following that process. “Daniel’s family have asked for privacy at this difficult time.” Mr Burke, who previously served with the Parachute Regiment, told the BBC on 6 August that he planned to join a Ukrainian army unit to fight against Russian forces. In 2019 he spent eight months in prison accused of terror offences after going to Syria to fight with Kurdish militia against the Islamic State group. All the charges against him were dropped in 2020, the BBC reported. At least 10 other British men have died in Ukraine since the Russian invasion began last February, according to the Foreign Office. Last week, tributes were paid to former Scots guard Jordan Chadwick, 31, from Burnley, who left the UK to travel to the country in early October 2022 to “support freedom”. And in August, Sam Newey, 22, died while serving on the front line in Eastern Ukraine on Wednesday, according to his brother, who said he was “proud” of his sibling. Read More Ukraine-Russia war – live: Putin’s forces suffer ‘significant losses’ as Kyiv vows more drone strikes Kim Jong-un shown Russia’s nuclear capable bombers and hypersonic missiles UK officially bans Russia’s Wagner paramilitary group as terrorist organisation Unesco adds two locations in war-ravaged Ukraine on its list of historic sites in danger American XL Bullies amnesty to come before ban as breed ‘linked to half of attacks’ How will American XL bully ban work and what happens if you own one? Russell Brand denies ‘very serious allegations’ related to ‘promiscuous’ past

The UK has formally banned Russia's mercenary Wagner Group as a terrorist organisation weeks after the death of its leader Yevgeny Prigozhin. The government order, approved on Friday, makes it a criminal offence to be a member or a supporter of the paramilitary group in the UK. “The Russian mercenary organisation, Wagner Group, has been proscribed as a terrorist organisation today after an order was laid in Parliament on Wednesday September 6,” the Home Office said in a statement. Apart from joining the group or showing support, arranging meetings for the group and displacing Wagner's flag or logo will also be considered a criminal offence. Those found guilty of violating the order will face a potential prison sentence of up to 14 years, which can be handed down alongside or in place of a fine, it added. The move puts Wagner in the same category as the Islamic State group, the Palestinian militant group Hamas, Boko Haram in Africa and Northern Ireland paramilitaries among others. The Wagner Group is a private military company that was under the control of Prigozhin until his reported death in a plane crash on 23 August. It has been a key part of Moscow’s fighting force in Russia's invasion of Ukraine. Home secretary Suella Braverman proposing the ban last week said Wagner has been "involved in looting, torture and barbarous murders". Calling the group a "threat to national security", Ms Braverman added:"They are terrorists, plain and simple - and this proscription order makes that clear in UK law." The ban will allow UK authorities to seize the organisation’s assets in a symbolic move as Wagner is not known to operate in Britain. Wagner cut its teeth in deployments to Crimea – illegally annexed by Russia in 2014 – and eastern Ukraine’s Donbas region in the aftermath of that act and has since dispatched troops to several conflicts in the Middle East and Africa, including the Syrian Civil War. The ban came into force following a recommendation by the parliament’s influential Foreign Affairs Committee in July that Wagner be outlawed. The committee said British authorities had “underplayed and underestimated” the threat posed by the mercenary group. The committee said Wagner’s future was uncertain after Prigozhin’s short-lived armed mutiny against Russia’s top military leaders in June. The lawmakers said Britain should take advantage of the confused situation to “disrupt” Wagner. Several other allies of Ukraine have sanctioned Wagner's leaders, and earlier this year, the Lithuanian and Estonian legislatures passed resolutions declaring it a terrorist organisation. The US has designated the Wagner Group as a transnational criminal organisation. Read More With its leader dead, can the Wagner group rise and ride again? What next for the Wagner Group as leader presumed dead in plane crash? Ukraine-Russia war – live: ‘Significant losses’ for Putin’s forces as Kyiv retakes village and attacks ships The Body in the Woods | An Independent TV Original Documentary The harrowing discovery at centre of The Independent’s new documentary

A treatment for acute migraines has been approved for NHS use for the first time, with experts saying the move could be a “step-change” for thousands of people who suffer from the condition. The National Institute for Health and Care Excellence (Nice) said its final draft guidance on Rimegepant “addresses the high unmet need for treatment options for acute migraine”. Rimegepant, also known as Vydura and made by Pfizer, will be available to adults who have tried at least two triptans – medication usually given to tackle headaches or migraines – but found they did not work well enough. It can also be administered to those who are not able to take triptans or have an intolerance, or patients who have tried nonsteroidal anti-inflammatory drugs (NSAIDs) and paracetamol. Helen Knight, director of medicines evaluation at Nice, said: “Migraine is a condition described in comments to Nice from carers and people with migraine as an invisible disability that affects all aspects of life including work, education, finances, mental health, social activities and family. “Today’s final draft guidance addresses the high unmet need for treatment options for acute migraine, once again demonstrating our ability to ensure clinically and cost-effective medicines are available to those who need them as quickly as possible.” Rimegepant is taken as a wafer, which dissolves under the tongue and works by stopping the release of a protein around the brain called calcitonin gene-related peptide. In July, the medicine was recommended as an option for preventing episodic migraines in adults who have at least four and fewer than 15 attacks per month if “at least” three other treatments have not worked. This is the first and only Nice-recommended medicine that can help alleviate the misery of acute migraines, and may be considered a step-change in treatment Helen Knight, Nice Under the latest guidance, it will also be used to relieve symptoms of a migraine, which can include pain, nausea and sensitivity to light, but also painless symptoms such as temporary visual disturbances known as “aura”, which Nice said “is not well managed with existing treatments”. The recommendation is expected to benefit about 13,000 people. Ms Knight added: “This is the first and only Nice-recommended medicine that can help alleviate the misery of acute migraines, and may be considered a step-change in treatment.” Migraine is an incredibly misunderstood condition that can have a significant impact on all areas of life, including ability to work, maintain relationships and mental health Robert Music, The Migraine Trust Robert Music, chief executive of The Migraine Trust, said the Nice guidance “provides people with migraine valuable options to help reduce the pain and length of a migraine attack”. “It brings new hope,” he added. “It will especially benefit those who have not found a treatment that works, those who get debilitating side effects – including medicine overuse headache – from them, and those with cardiovascular disease who cannot take existing treatments. “Migraine is an incredibly misunderstood condition that can have a significant impact on all areas of life, including ability to work, maintain relationships and mental health.” Read More NHS winter resilience fund announced by Government NHS reliance on paper notes ‘stopping trusts from realising full potential’ Recession fears as UK economy shrinks by more than expected in shock decline Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

Former England footballer Fara Williams has spoken out about the sexist and homophobic abuse she has suffered online, saying she’s been told to “get back in the kitchen”. In an exclusive interview with The Independent, the ex-midfielder turned football pundit said trolls question her knowledge of the sport, telling her she knows “nothing about the game”. The 39-year-old, who is England’s most capped player, said the online abuse is “definitely sexist” and gets worse and is “more aggressive” when she is reporting on men’s football rather than the women’s game. “When I’m doing punditry in a women’s game, the percentages in terms of the abuse you get is really, really minimal compared to when as a female, I talk on the men’s game as a pundit,” Williams said. “The abuse heightens and it’s more aggressive, more direct. Definitely more abusive.” The football commentator said she thought “jealousy” was “probably one of the main things” which drives people to perpetrate online abuse. She said many people think trolls are people who you are “really close to”, adding: “You get trolled by people that you think are your friends and they are the ones that know the most about you.” The former Lioness said she is able to cope with the online hate because she has a “thick skin”, but her ability to handle abuse could potentially change if the harassment were to ramp up. The “daily” abuse suffered by footballers she used to play with who are now prominent in the media is “not acceptable”, she stated. Ms Williams added: “I’ve seen a change in them as people because of social media – close friends that have really been affected by some of the awful abuse that they get online.” She said: “If you are bombarded with abuse daily, at some point it will affect your mental health, whether you think you are strong headed or not.” Ms Williams said: “As I said, I’m quite strong headed now, but there is nothing to say that if I was to be absolutely bombarded with abuse on a daily basis, that couldn’t change how I start to think and see myself.” Her friends are targeted with “horrific abuse” for simply “having an opinion in a workplace that they are supposed to have an opinion in”, she added. Discussing homophobic online abuse, she said: “I’m sure they’re aware that there are a lot of gay people within the women’s game, and it’s easy for them to drop a comment in.” Ms Williams, a member of Hope United, a team of footballers committed to tackling online sexist hate, reflected on whether the abuse she endures would worsen if her punditry for men’s football ramps up. "They could talk about the way I talk, the way I look, the way I sound,” she added. “Who I think I am.” Ms Williams said she hoped abuse on social media would improve when the online safety bill is rolled out as a change in the law would make people “accountable” for their comments. The legislation, which aims to tackle hate speech, cyberbullying, and disinformation, is in its final stages in parliament and would see social media companies also held accountable for abuse published on their sites. The ex-footballer attended a roundtable meeting at 10 Downing Street on Tuesday to demonstrate her backing for proposed changes to the online safety bill, which would boost the online protection of women and girls. “For me, social media has become a fantasy world where you can do whatever you want and get away with it without any consequences,” Ms Williams said. Turning her attention to the World Cup kiss saga, she said it was “disappointing” that it “took so long” to be dealt with. Her comments come after the president of the Royal Spanish Football Federation Luis Rubiales has come under sustained criticism for kissing player Jenni Hermoso on the lips after Spain secured their 1-0 win over England last month. Rubiales, who was also condemned for grabbing his crotch after Spain won the women’s world title for the first time in history, refused to step down over his behaviour but was suspended by Fifa. He eventually resigned as president on Sunday, after weeks of pressure, after Hermoso filed a legal complaint. Jorge Vilda, head coach of Spain’s women’s team, was fired last week after he was among those who praised Rubiales’ refusal to step down. “It’s the only thing that’s been spoken about when Spain were phenomenal in the World Cup and these women should be celebrated,” she added. “For me, it’s a celebration of their success and I think that’s been forgotten and the girls probably haven’t been able to celebrate.” Discussing Rubiales, she said: “I think the right thing has been done now. He stepped away from it. He still hasn’t apologised.” Read More Fara Williams: England’s most-capped footballer announces retirement England winning Euro 2022 ‘a real proud moment’ for ex-midfielder Fara Williams Jill Scott says World Cup kiss saga ‘overshadowed’ Spanish women’s team playing ‘great football’ Lioness Demi Stokes says misogynistic abuse online ‘really affected’ England players’ game ‘History in the making’: Lionesses’ Euros success sparks booming interest in women’s football Women’s sport is bigger and better than ever in 2023 – rundown of the best in the calendar

Veterans' constitutional rights continue to be violated in two of New Jersey's state-run veterans nursing homes after a lack of basic hygiene and infection control in the facilities allowed Covid-19 to spread "virtually unchecked" in the pandemic's early days, according to a Justice Department report released Thursday.

The move means Sajid, who worked for the UK armed forces, can be reunited with his three-year-old.

But Mr Biden has not reversed his recent approval of an $8bn drilling project in the same region.

Russian mercenary group Wagner will be declared a terrorist organisation and a draft order against the private militia will be laid in parliament on Wednesday, the Home Office said. Once cleared, the order will make it illegal to be a member of the group or to support it. The group, formerly led by now-dead Yevgeny Prigozhin, is known to carry out Russia’s dirty work in Syria and Africa, and has also handed Vladimir Putin Russia’s biggest victory of capturing Bakhmut against Ukraine in the continuing invasion. Assets belonging to Wagner, primarily consisting of contractors and prison convicts, will be declared as terrorist property and will be seized after the draft order is cleared. It will also render certain proscription offences punishable by up to 14 years in jail. Home secretary Suella Braverman called the group a “violent and destructive organisation which has acted as a military tool of Vladimir Putin’s Russia overseas”. “While Putin’s regime decides what to do with the monster it created, Wagner’s continuing destabilising activities only continue to serve the Kremlin’s political goals,” she said in a statement. “They are terrorists, plain and simple – and this proscription order makes that clear in UK law. Wagner has been involved in looting, torture and barbarous murders. Its operations in Ukraine, the Middle East and Africa are a threat to global security,” the home secretary said. “That is why we are proscribing this terrorist organisation and continuing to aid Ukraine wherever we can in its fight against Russia.” Once declared illegal, Wagner will join other organisations on the proscribed list like the Islamic State, al-Qaida and neo-Nazi group National Action. The Home Office said proscription of the group comes after consideration of the nature and scale of the organisation’s activities as well as the threat they pose to British nationals abroad. In May this year, a government source said the move to declare the group illegal was “imminent” and the administration was working on building a legal case. The push came after a government department reportedly helped its millionaire owner Prigozhin to circumvent UK sanctions to take a British journalist to court in 2021. The Treasury commissioned an internal review of its processes after it was reported that licences had been issued to allow lawyers to help Prigozhin launch legal action against a reporter of investigative website Bellingcat in the UK while the Russian oligarch was subjected to sanctions. As a result of the review, the department said the government was committed to “further targeted changes to the process for issuing legal fees licences that safeguard the sanctions regime against the risk of manipulation and ensure ministers are accountable for OFSI Office of Financial Sanctions Implementation) decision-making”. Wagner’s fate as Russia’s trusted brutal force in private capacity has been hanging by a thread after its leader Prigozhin was killed in a plane crash last month. The crash occurred exactly two months after Prigozhin mounted a short-lived armed rebellion against Russia’s military leadership, posing the biggest challenge to Mr Putin’s authority in his 23-year rule. Read More With its leader dead, can the Wagner group rise and ride again? Russians are convinced Wagner warlord Prigozhin is still alive as conspiracy spreads that Putin killed body double Kremlin says 'Deliberate wrongdoing' among possible causes of plane crash that killed Prigozhin The Kremlin says Putin is not planning to attend Wagner chief Prigozhin's burial White House says Kremlin has ‘long history’ of killing its opponents following Prigozhin death