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Empty seats at the Etihad: What next for Man City and their fans?

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Manchester Evening News

Manchester City have seen empty seats at the Etihad in the last few weeks, and what happens next matters to supporters.

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It wasn’t just Pep Guardiola who suffered from post-Christmas Blues. As his Manchester City team walked into an injury crisis that saw their Premier League title challenge falter, supporters have been hit by the most congested spell of home games for a decade with nine matches at the Etihad in the first two months of 2026.

Everyone has pulled through, with the team advancing in four competitions and the club selling more than 440,000 general admission tickets in this spell. But there have also noticeably been empty seats in four recent matches across three competitions, shooting to the surface grumbles from fans that have been going on for months and even years.

We are not at the level of anger that has turned into official protests over the last few years. Last year’s walkouts during games helped to visually highlight the discontent of fans and helped to secure a season ticket price freeze and cheaper matchday tickets from the club as a result.

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That should at least get the club some credit, especially at a time when other clubs are asking more and more. Not only did Arsenal announce a 3.9 per cent increase in season tickets at the Emirates for the 2026/27 season, they are also adding even more tiers to their matchday pricing that could see a single game cost £168; the most expensive at City this season costs £60.

Nevertheless, relocating 500 fans in the North Stand to make way for a new hospitality area has seen protests at the Etihad and even where there isn’t anger among City fans for an increasing number there is – just as dangerous – apathy setting in: the feeling that, as it gets more difficult to watch their team, it simply isn’t worth bothering with anymore – either at all or as much as they used to.

Helped no doubt by the fact that they have seen Guardiola’s side win the lot in recent years, some fans have had enough and in a recent survey of around 3,000 by 1894, a fan group focused on matchday atmosphere, over 200 said they were considering giving up their season ticket for next year.

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Adam had been a season ticket holder for close to 40 years and joined the original City Matters committee when the official fan representative groups were introduced across the Premier League. It only served to accelerate his exit from matchdays and after giving up his season ticket in 2021, he has pretty much stopped going to any games.

“I just find the atmospheres are pretty lame these days at most games. But you know, but also VAR’s a big thing, the petty officiating and just general modern football really on the pitch. But also, I got to 40 years old thinking I’d never seen my team play at Wembley and now I wouldn’t even contemplate going back to Wembley. I’ve been however many times I went, but there’s no way I would pay that sort of £300 day out anymore for that experience,” he told the Manchester Evening News.

“There is the life journey element there as well I think after 2023. I was lucky enough to go to all of those, all of these trophies in 2023 [when City won the Treble] and the analogy I used after that was it’s like if you’re a mountain climber and you just did Everest, do you wake up the next day and want to go and climb a hill? That was a natural breaking point as well, I guess, for me.

“I have a big group of friends in the South Stand. They have season tickets and they come from far and wide. So there’s literally always tickets available out of that group. Even after I stopped my season ticket, I would still go to most matches. But now I don’t even take advantage of these free tickets that are always going, I just don’t go at all anymore.”

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Fatigue is natural, and even with the price freezes or reductions going to multiple games quickly becomes expensive – especially when the team is as successful as City is; Salford at home was the 21st game at the Etihad this season, more than Manchester United will have at Old Trafford in the entire campaign. The club have sold more than 99 per cent of tickets for Premier League games but must still ask themselves why other games are less attractive.

A League Cup semi-final when City are already 2-0 and you may be thinking about another trip to Wembley for the final, a Champions League dead rubber where the team’s defeat to Bodo/Glimt could force another home game for the play-off, and FA Cup ties against lower league opposition are all examples where fans may simply prioritise saving their cash. Even measures such as the loss of free parking around the ground in the last two years has been enough for some to drop a cup scheme, or decide it isn’t worth the price of a ticket and a 30-minute walk in the rain.

The same goes for the £35 that it costs for matchday membership, allowing fans to buy tickets. For casual fans wanting to attend a few games a season or if existing members want to introduce somebody new, that fee can become a hefty percentage add-on to a ticket or two.

There have also been tweaks to season tickets this season that were brought in to alleviate one major concern but have proven hugely unpopular for another reason. The first is a new minimum attendance policy whereby season ticket holders must attend 10 games personally to guarantee that they keep their ticket.

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It has never been said that not attending 10 will definitely mean somebody loses their ticket for next season – the club showed with Flexi Gold tickets (another debate entirely) that they can adapt when they introduce something – and there was a promise that the club would be accommodating for a change that is ostensibly to get rid of people who buy a season ticket and either never go or just go to the big games. How accommodating they will be though, with many thousands of tickets held by those who live in another city or country and are at the mercy of broadcast companies rearranging kick-off times, remains to be seen.

That quota has followed on from Flexi Gold to further ask the question of what a season ticket fundamentally is and what an owner should be able to do with it, but attendance has also been challenged by a clampdown on transferring tickets. Where fans used to be able to send their ticket to any other season ticket holder, now it is only a select few pre-designated members that each one can choose.

Prominent City fans who appear on official club channels have been publicly critical of this, with Big Steve making the changes a major factor in empty seats when he spoke recently: “There’s been a massive change in the ticket policy at Manchester City. If you’ve got a season ticket now and you want to give it to your mate or you want to give it to your son or your pal to take his lad, it’s literally impossible to do that.

“You used to be able to transfer your ticket to a season ticket holder, now you can’t. You’ve got to be on your registered list of people you can transfer to, and how do you know who’s available for what game? You can’t transfer it to a season ticket holder and they’re just making it difficult.

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“The other night I was in corporate and I had three tickets spare. I literally couldn’t transfer them to anyone to give them away, so the seats are going empty. They want me to sell the ticket back to the club but then the ticket ends up on Viagogo and all of a sudden your group of mates are sat there and three guys turn up who have paid a load to get there. City have got it all wrong and this is not going to be the end of it.”

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MANCHESTER, ENGLAND - FEBRUARY 04: Erling Haaland of Manchester City gestures during the Carabao Cup Semi Final Second Leg match between Manchester City and Newcastle United at Etihad Stadium on February 04, 2026 in Manchester, England. (Photo by Kate McShane/Getty Images)

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Both minimum attendance quotas and the tightening of ticket transfer were brought in by the club with the intention of boosting the atmosphere and clamping down on safety fears – the number one concern highlighted by fans in the 1894 survey last year. Limiting the unknown people who could get a ticket or flog it on seems a good idea, but the reality has in fact been reducing the number of City fans who feel like they can go to matches or introduce their friends or family to games.

Fans having to use burner phones that just have tickets on to be able to pass around physically because they can no longer electronically send on their ticket is an awfully long way to have travelled from five to ten years ago when the former CEO was talking of how easy he wanted to make it to build as big and wide a fanbase as possible and get 60,000 bums on seats ever week.

And while fans may feel safer, the resentment towards third party ticket sellers will only grow while the club has nine official websites that it uses and others are still able to buy up chunks of tickets for basically every game. City say that there is no guarantee that the unofficial sites actually have the tickets they claim to, but unless or until it becomes more transparent, fans will be suspicious.

When loyal fans such as Sean Riley are being knocked back in their efforts to represent the fanbase on the City Matters panel, a club that is getting more and more support globally still has plenty to do to stop its local core from getting fed up. The next few months have to be spent wisely because they could make an impact for years – especially with the expanded North Stand representing the final major expansion of the stadium.

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If the last two months have brought these problems to a head, they are likely to retreat beneath the surface again for the rest of the season. The business end of the campaign starts in March, the weather gets warmer, there are more people around, and there are more than enough Blues wanting to fill the stadium to support the team as Guardiola repeatedly calls for.

The club have already been in dialogue with City Matters about more tweaks to ticket transfer and will look at how the introduction of attendance requirements has gone. They will also be well down the road with setting prices for next season that will have to be competitive and reasonable, not least with 6,000 extra tickets to sell for every match.

City are swimming against the tide, with more and more supporters of all clubs being put off attending games by changes in the matchday experience including VAR, kick-off times moved at short notice, pricing, and atmosphere. It is not just the Etihad where there have been empty seats.

But at the same time, the club have to make sure they are doing everything possible not to add to those issues for their own supporters. The last few weeks have highlighted that a full house every week is not guaranteed if City do not pay attention to what some of their most loyal fans are saying.

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Man in hospital after plane crash near Masham

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Man in hospital after plane crash near Masham

Emergency services were called to the Masham area at around 12.20pm (February 18).

A man, believed to be the sole occupant of the aircraft, has been taken to hospital with serious injuries.

A spokesperson for North Yorkshire Police said: “At 12.21pm today (18 February) we received a report of a light aircraft crash in the Masham area.

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“The Air Accident and Investigation Branch has been informed.

“A man, believed to be the sole occupant of the aircraft, has been taken to hospital with serious injuries.”

A spokesperson from North Yorkshire Ambulance Service said: “We received a call from police colleagues at 12.24pm on Wednesday afternoon to report a light aircraft crash in the Masham area. 

“A number of ambulance resources were dispatched to the scene, including an ambulance, a team leader and a Yorkshire Air Ambulance, and one patient was airlifted to hospital.”

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The Air Accident and Investigation Branch have been contacted for more information.

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Young father died of ‘traumatic’ injuries after A47 crash, inquest hears

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Cambridgeshire Live

The 20-year-old died after a crash on the A47 in July last year

A young father died of “traumatic” injuries after a crash on the A47 last year, an inquest has heard. Liam Knight, aged 20 and lived in Yaxley, died after a crash involving his motorbike and a van on the A47 near Eye on July 5, 2025.

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The inquest was held into the father-of-one at Lawrence Court in Huntingdon today (Wednesday, February 18). A “large number” of Liam’s family attended the inquest, including Liam’s aunt Karrie Roper and his uncle. Coroner Caroline offered her condolences to the family before starting the inquest.

A post-mortem carried out after Liam’s death confirmed he died of “multiple traumatic injuries” as a result of a road traffic collision. The inquest heard that Liam had “multiple injuries to his spleen”, he suffered a “substantial haemorrhage” to his left lung, and “cuts and bruises” to his right lung.

Liam also suffered a “traumatic head injury”. The post-mortem ruled that these injuries would have led to “significant blood loss”, causing Liam to go into shock.

A statement read out on behalf of Cambridgeshire Police confirmed they were called to the crash at around 1.15pm on July 5. The court heard that Liam was riding a blue Yamaha motorbike, and the crash involved a white Mercedes Sprinter van.

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Coroner Jones told the court the van was driving towards the Eye Green roundabout, with Liam travelling behind. The van “slowed down” towards the roundabout, as the traffic was also slowing down.

The inquest heard that for a “reason unknown”, Liam, who was wearing a helmet and protective gear, went into the back of the van. Liam then “came separate” from his bike and went into the opposite lane.

One witness said they saw Liam “fly off his bike” and his helmet came off. The court also heard that around four witnesses attended to Liam before calling the East of England Ambulance Service.

Liam was taken to Addenbrooke’s Hospital by the ambulance service. Before arriving, Liam went into cardiac arrest.

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He was taken to the critical care unit, but he was sadly pronounced dead at 4.08pm in hospital. After concluding the inquest, Coroner Jones offered her condolences to Liam’s family and friends on their “very sad loss”.

Last year, Liam’s auntie Karrie shared a tribute to her nephew. She said he was “full of energy” and he “never stopped laughing”.

Karrie added: “He never stopped making jokes. He would always come in from work and tell me the gossip. He loved travelling and going out with his mates. His friends meant a lot to him and were friends for life. He also loved his food, he had a big appetite.”

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Twelve people die in fireworks explosion at Lunar New Year celebrations in eastern China | World News

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A notice calling for a ban on fireworks in Beijing. Pic: AP

At least 12 people have been killed after an explosion and fire at a fireworks shop in eastern China, the country’s state media has said.

Emergency services put out the blaze at the unnamed shop in the town of Xiangyang, in central Hubei province on Wednesday afternoon, the official Xinhua News Agency said.

Flames engulfed a 50sqm (538sqft) area of the premises, state broadcaster CCTV said.

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Lunar New Year celebrations at an amusement park outside Beijing, China. Pic: AP


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Firework-related blasts are not uncommon in China, where they are used widely and often indiscriminately during celebrations such as the Lunar New Year holiday, which began on Tuesday.

On Sunday, eight people died and two others were injured after a similar incident at a fireworks shop in eastern Jiangsu province, also in eastern China.

Someone had set off fireworks too close to the shop, according to officials.

In June, a blast at a fireworks factory ⁠in neighbouring Hunan killed nine ​people and injured 26 ​others.

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Pyrotechnics have been banned in some Chinese cities for safety and air pollution reasons, but the measures are controversial ⁠as firecrackers are traditionally used ​to scare off evil spirits and remain ​central to the new year celebrations.

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The latest incident comes a day after the Ministry of Emergency Management warned that “fireworks are still the biggest risks during the Spring Festival period”.

Investigators are now looking into the cause of the Xiangyang explosion, Xinhua said.

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London house prices fall as buyers put off by affordability pressures

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London house prices fall as buyers put off by affordability pressures

Iain McKenzie, chief execitove of The Guild of Property Professionals, said: “Encouragingly, the wider economic backdrop has become more supportive. Inflation easing to around 3 per cent and intensifying competition among lenders are already pushing mortgage rates down, improving affordability, particularly for buyers with larger deposits.

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Council’s developer launches appeal to overturn blocking of new homes next to oil depot

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Cambridgeshire Live

This Land Ltd is trying to overturn Cambridge City Council’s decision to refuse to grant permission for plans to build new homes next to an oil depot.

A council owned development company is trying to overturn a decision of another council to block plans to build new homes next to an oil depot in Cambridge.

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This Land Ltd, a development company wholly owned by Cambridgeshire County Council, has launched an appeal to try and get permission to build 12 new homes on land off Ditton Walk.

Cambridge City Council refused to grant permission for the development last year after “significant” concerns were raised about the impact of noise from the neighbouring oil depot on the people living in the proposed new homes.

Planning officers said they recognised that mitigation measures had been proposed by the developer to reduce the impact of the noise, including a 2.5metre or 3.5metre high fence along the boundary between the depot and the houses.

Mechanical ventilation was also proposed to be installed in the homes to reduce the need for people to open their windows. However, officers said there was a disagreement between them and the developer on how the noise impact had been measured.

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Officers said there was also an ‘agent of change concerns’, saying there was a risk of people moving into the homes and complaining about the noise at the oil depot, which could possibly lead to unreasonable restrictions placed on the business. Councillors agreed unanimously to refuse the planning application.

Developer argues homes will offer ‘satisfactory living accommodation’

The developer has now lodged an appeal to try and overturn this decision and have asked for the case to be considered at an informal hearing.

In a statement of case submitted by the developer it argued the proposed development would offer “satisfactory living accommodation” for people, which it said had been the conclusion of two independent acoustic consultants.

The developer said: “Given that the site is allocated for residential development, it must be considered possible to satisfactorily develop the site for residential development whilst also addressing noise.

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“By proposing that the scheme is refused for noise related reasons, officers are essentially arguing that that allocated residential principle of development is not suitable for the site.”

The developer went on to state that “all reasonable steps” have been taken to minimise noise, including the proposed fencing. They said: “It is important to note that the site layout was designed with noise mitigation in mind. Buildings screen gardens from noise, and most plots have been moved as far from the fuel depot boundary as possible.”

The developer highlighted that the one house that is on the boundary of the depot had been designed so it would not have any windows to habitable rooms on the “worst affected facade”.

The developer also said they did not think it would be “suitable” to reduce the number of homes any further, pointing out that the proposed density is already below that proposed for the site in the local plan.

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They said: “Elsewhere on the site, habitable rooms with windows on the worst affected facades generally have secondary openable windows on other facades (where overlooking and other site constraints allow).

“In any case, the dwellings will have whole house ventilation systems to achieve the required ventilation rates and thermal comfort with windows closed. It is not considered that any further meaningful mitigation could be provided given the constraints of this allocated site.”

The developer went on to say that the proposed development would offer “significant benefits”, including redeveloping a vacant brownfield site, creating a biodiversity net gain, and building new affordable homes. The city council will have an opportunity to publish its own statement of case, before a planning inspector considers the appeal.

For more planning notices in your area visit publicnoticeportal.uk.

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Thirsk farmhouse and barns could be turned into luxury boutique

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Thirsk farmhouse and barns could be turned into luxury boutique

A full planning and listed building consent application has been submitted to North Yorkshire Council for the redevelopment of Manor Farm, off Moor Lane, near Thirsk.

The scheme would see the farmhouse and agricultural buildings converted into a restaurant, with luxury guest accommodation including a swimming pool and spa.

A total of 15 guest bedrooms are proposed, as well as six boutique accommodation pods, an orchard and nuttery, a parking area and two extensions to outbuildings.

A masterplan of the proposal for Manor Farm, Thirsk.

Polytunnels, a water treatment plant and an area for solar panels are also planned.

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The application has been filed by applicants Letty and William Hunter Bell to complement the existing Thirsk Lodge Barns business.

Supporting documents state: “Following the success of Thirsk Lodge Barns, where over 200 weddings and events are hosted per year, there is a need to enhance the offering, and provide additional accommodation which would look to cater for the wider wedding party.

“The proposals would also enable a standalone boutique hotel with garden and spa facilities for public use when not in private use for weddings.”

The nearby Thirsk Lodge Barns site was created after being given planning permission in 2019.

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Agents for the applicants say the Manor Farm site would be redeveloped using the same ethos.

They add: “Manor Farm is a Grade II listed building, with substantial structural defects. The change of use will facilitate the repair and stabilising of this listed building for the future.

“The public benefits arising from the proposal clearly outweigh the specific and limited instances of harm identified to the listed building and its traditional farm buildings.”

Natural England said it had no objections to the scheme.

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North Yorkshire Council’s ecology team said there were “quite complex” protected species issues on this site involving bats, badgers, nesting
birds and barn owls.

However, they said “clear and comprehensive” mitigation and compensation measures had been put forward.

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Dorothy Dinsdale of Seaham publishes ‘Gran’s Mince Pot’ recipe

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Dorothy Dinsdale of Seaham publishes 'Gran's Mince Pot' recipe

Dorothy Dinsdale, who lives at Cedar Court Residential and Nursing Home, in Seaham, is one of the contributors featured in Sanctuary Care’s cookbook, A Lifetime of Flavours: Celebrating Food, Family and the Lives Behind Beloved Recipes.

The cookbook includes 42 recipes from care home residents across the UK, all aged between 70 and 105.

Miss Dinsdale’s dish, Gran’s Mince Pot, is a layered meal of mince, onion, red Leicester cheese, chopped tomatoes, and thinly sliced potato.

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She said: “At the age of 93, I didn’t expect anything like this to happen to me.

“I’m so glad this has happened, it has been such a good experience.”

She fondly remembers making it for her late husband Stanley, as well as for her daughter Anne and son-in-law Gordon when they returned home from hospital with their newborn, Sophie.

Louise Palmer, director of operations at Sanctuary Care, said: “Moving into a care home isn’t about leaving your old life behind, but continuing the things that bring you joy.

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“Whether it’s recreating a childhood recipe or baking with friends, our chefs work closely with residents to make every mealtime meaningful, and A Lifetime of Flavours is a celebration of that love of food, family, and the lives behind it.”

The cookbook is part of Sanctuary Care’s Enriching Lives Framework, which focuses on maintaining identity, purpose, and joy in later life.

To order with a donation to Mental Health UK click here.

The book celebrates ‘continuity,’ one of the six senses of the framework, by showing how residents can carry on lifelong passions and traditions, such as cooking, even after moving into a care home.

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Sanctuary Care is a not-for-profit care provider with 109 homes across the UK.

The cookbook raises funds for Mental Health UK and has already generated more than £4,700.

It is available to download for free or can be ordered in print for a donation, with all proceeds supporting the charity.

The book also features a foreword by 2023 Great British Bake Off winner Matty Edgell, who shares how food shaped his own family memories.

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Lincoln Pawlak and Alex Pavan’s journey to Doncaster Rovers

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Lincoln Pawlak and Alex Pavan's journey to Doncaster Rovers

Lincoln Pawlak, a centre-back from Yarm, and Alex Pavan, a winger from Northallerton, are juggling a football apprenticeship at League One side Doncaster Rovers with a full-time academic programme at Hartlepool College of Further Education.

The students, both 17 years old, are working towards a Level 3 Extended Diploma in Sports Coaching, equivalent to three A-levels, alongside daily training sessions at Doncaster’s Cantley Park.

Alex Pavan looks on as Lincoln Pawlak does push ups (Image: HCFE)

Their progress on and off the pitch has already led to success, with Lincoln recently earning a two-year professional contract with Doncaster.

Lincoln said: “The college has been great – the course is really engaging as it aligns with what we’re doing in the apprenticeship, and both aspects of work mix together well.

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“I’ve been able to take the learning from the academic course and apply it to the apprenticeship and vice versa.

“I’m looking forward to having a good qualification to fall back on if needed.

Lincoln Pawlak with Hartlepool College’s former Doncaster winger Ian Clark (Image: HCFE)

“I’m excited to move on in life and have that safety net no matter what happens.”

Lincoln is on loan at Ossett Town.

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Alex, who is on loan at Hebburn, said: “The college course is very enjoyable and the teachers are supportive.

“We learn about lots of aspects of sport that support our football training, for example, content around diet and nutrition.

“At Doncaster Rovers the training is high quality, but I know my education and qualifications will always be there.”

Ian Clark, head of performance at Hartlepool College and a former Doncaster Rovers winger, said: “After teaching Lincoln and Alex last year, both lads had the opportunity at the start of the 25/26 season to move to League One side Doncaster Rovers.

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“We were then approached by Doncaster and the players to continue and complete their full 12-unit Extended Diploma.

“The lads come in around their training schedule and work very hard and diligently to complete work.

“Their attitude and application is outstanding.

“More fantastic news was the fact Lincoln was given a two-year professional contract in October and both players often train with the first team.

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“We as a college are proud of their achievements.”

Stuart Swift, head of academy at Doncaster Rovers, said: “Both Lincoln and Alex have applied themselves really well in our building since joining the club.

“They have both contributed to the U18 achievements so far and are developing individually.

“They have a good work ethic which you can see from the work they are doing at Hartlepool College and engage with analysis and the wider multi-disciplinary team programme.

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“Both lads are now gaining experience on loan in non-league which is imperative to their individual journeys and gaining an understanding of senior men’s football.”

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Tommy Lee Jones’ daughter Victoria’s cause of death confirmed after hotel tragedy

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Daily Mirror
Tommy Lee Jones’ daughter Victoria’s cause of death confirmed after hotel tragedy – The Mirror

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Five everyday over-the-counter medicines with potential dangers

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Five everyday over-the-counter medicines with potential dangers

Many people assume that medicines sold over the counter are inherently safe. After all, if you can buy something in a supermarket or high street pharmacy, how dangerous can it really be?

The reality is more complicated. Several commonly used over-the-counter medicines carry a real risk of dependence, misuse or harm when taken in higher than recommended doses, for longer than needed, or for the wrong reasons. Here are five medicines it is worth knowing about.

1. Codeine-based painkillers

Codeine is an opioid medicine used to treat mild to moderate pain and, in some formulations, to suppress coughing. Over the counter, it is usually combined with either ibuprofen or paracetamol. Once swallowed, the body converts codeine into morphine, which produces its pain-relieving effects.

Common side effects include drowsiness, constipation, nausea and dizziness. At higher doses, codeine can slow breathing and impair coordination. Some people are particularly vulnerable. Ultra-rapid metabolisers carry a genetic variant that causes them to convert codeine into morphine much faster than usual. This trait is more common in people of North African, Middle Eastern and Oceanian backgrounds and can lead to dangerous side effects even at standard doses.

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With repeated use, the body can also become tolerant to codeine, meaning the same dose no longer provides the same relief. This process, known as tolerance, occurs as the brain’s opioid receptors adapt to the drug. People may then increase their dose, raising the risk of physical dependence. Stopping suddenly can cause withdrawal symptoms such as anxiety, restlessness, sweating and sleep problems.

To reduce these risks, codeine should be used for the shortest time possible. In the UK, the Medicines and Healthcare products Regulatory Agency limits pack sizes to 32 tablets and advises non-prescription products should be used for no more than three days.

2. Decongestants

Decongestants are available as tablets containing pseudoephedrine or as nasal sprays and drops such as xylometazoline and oxymetazoline. Both work by narrowing blood vessels in the nasal passages, reducing swelling and mucus.

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Overusing nasal sprays can lead to rebound congestion, known medically as rhinitis medicamentosa. Over time, the medication becomes less effective, a phenomenon called tachyphylaxis. This can trap people in a cycle of increasing use, worsening congestion and dependence.

Long-term overuse can damage the lining of the nose, causing dryness, nosebleeds and, in severe cases, perforation of the nasal septum. Many users also develop a psychological dependence on the spray. Most guidance recommends limiting use to three to five days.

Pseudoephedrine also has mild stimulant effects. Although evidence for improved athletic performance is mixed, its stimulant properties mean it appears on the list of substances banned in competition. It is also used illicitly to make methamphetamine, which is why strict sales controls remain in place following a 2016 review.

3. Sleeping tablets

Promethazine and diphenhydramine are sedating antihistamines sold as short-term sleep aids. Recent research has linked sedating antihistamines to rising numbers of deaths, prompting calls for a review of how they are supplied.

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Promethazine can quickly lead to tolerance, meaning higher doses are needed to achieve the same effect. Some long-term users report severe rebound insomnia when they try to stop.

It is also used recreationally in “purple drank”, a mixture of cough syrup that contains promethazine and soft drinks. This combination can cause extreme sedation, slowed breathing and serious harm.

4. Cough syrups

Dextromethorphan (DXM) is a common cough suppressant. A 2021 review found it was the most frequently misused over-the-counter medicine studied. At high doses, it blocks NMDA receptors in the brain, which can cause dissociative effects similar to ketamine. While safe at recommended doses, its psychoactive effects have raised concerns about misuse.

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5. Laxatives

Stimulant laxatives trigger the gut muscles to move stool along. They are often misused by people with eating disorders, athletes in weight-restricted sports, or those who believe daily bowel movements are essential. In reality, constipation is usually defined as fewer than three bowel movements a week.

Research shows stimulant laxatives do not prevent calorie absorption, despite common myths. Instead, misuse can cause dehydration, electrolyte imbalance and long-term damage to the gut, with serious effects on the heart and kidneys in severe cases. In 2020, the MHRA introduced new rules on pack sizes and warnings.

The common thread linking these medicines is not that they are inherently dangerous, but that their risks are often underestimated. Over-the-counter availability can create a false sense of security, particularly when medicines are bought online without professional advice. While regulators have taken steps, research suggests misuse persists. Over the counter does not always mean risk free, and better awareness could help keep these medicines useful rather than harmful.

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