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Public to be asked for suggestions on how to fix NHS

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Wes Streeting, UK health secretary, will on Monday launch a “national conversation” about the future of the National Health Service, which he said was in “an awful state”. 

Streeting has called on clinicians, experts and the general public to submit ideas for a new “10-year Health Plan” to rebuild the service to be “fit for the future”. They will be asked to give their suggestions via an online platform called change.NHS.uk which will go live at the start of next year. 

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The announcement comes as the health department is set for a real-terms funding increase from the Treasury in the Budget and spending review on October 30 — equivalent to a cash injection of billions. 

The NHS is expected to get a more generous allocation while many other departments have complained about the tight spending round, including local government, justice and transport. 

Yet while health officials said the “mood music” from the government was “positive” in terms of an expected increase in the NHS budget, they were watching closely to see if the chancellor raises National Insurance payments made by employers.

“As the largest employer in the country the NHS would have an extra cost to meet,” one health official said. “The government will increase the revenue budget further for 2025-26, but then in effect take from one hand and give back with the other.”

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Streeting claimed the public engagement exercise would help shape the 10-year plan, which will be published in the spring of next year. He said his three big priorities were better primary care in people’s communities, a shift “from analogue to digital” and a shift from treating disease to preventing it in the first place. 

The health secretary said the first priority would be tackled by delivering new neighbourhood health centres that would be closer to people’s homes — where they could see GPs, district nurses, care workers, physiotherapists or health visitors in one place. 

The shift to digital means bringing together a single patient record through the NHS app with systems able to share that data more easily, he said. 

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And government efforts to improve disease prevention include giving patients “smart watches and other wearable tech” for them to monitor conditions such a diabetes or high blood pressure from their own homes. 

Streeting will launch the new online platform at a health centre in east London alongside the chief executive of the London Ambulance Service. 

The health secretary told Sky News on Sunday that he had settled the health budget with chancellor Rachel Reeves. “I’ve settled with the chancellor, but we’re not going to fix 14 years (of Tory government) in one Budget,” he said.

Reeves told a cabinet meeting last Tuesday that she hoped to find extra money for the health service, which one ally dubbed her “number one priority.”

But Streeting said that the NHS would need “fundamental reform” as well as extra financial investment: “It really is in an awful state at the moment,” he said. 

An official review of the health service by Lord Ara Darzi found in September that it was in a “critical condition” after years of underfunding.

The report attributed the dire state of the health system in large part to the austerity policies of the 2010s, which slashed public spending in a bid to cut the budget deficit.  

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It found England spent almost £37bn less than peer countries on its health assets and infrastructure since the 2010s. 

  

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Travel

H Dubai introduces new family connecting rooms

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H Dubai introduces new family connecting rooms

The H Dubai has unveiled a set of new family connecting rooms. The three new options are designed for families looking to connect with their loved ones through a joyful escape at the city-based property, and can also be used for groups of friends looking to celebrate on a trip together

Continue reading H Dubai introduces new family connecting rooms at Business Traveller.

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Dynamic pricing: economic efficiency, or subtle price gouging?

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Dynamic pricing: economic efficiency, or subtle price gouging?

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For years, airlines, accommodation websites, and ride hailing apps have been adjusting their prices in real time, responding to periods of higher and lower demand. It’s known as dynamic or surge pricing, but powered by algorithms and artificial intelligence, surge pricing is now being used across a growing number of consumer industries, from theme parks to restaurants, retail outlets, and rock concerts.

In the retail industry, the practise is especially prevalent in online marketplaces. Amazon changes prices 2.5mn times a day across all its product lines, using millions of real time data points to benchmark against competitors and track demand surges. For sellers, dynamic pricing allows a product to have multiple price points, which can lead to increased revenues. A 2018 study by researchers at MIT found that dynamic pricing boosted airline revenues by between 1 per cent and 4 per cent.

One barrier to surge pricing for bricks and mortar retailers has been the time consuming task of physically changing in-store price labels, but the use of electronic labels is rising. In the US, for example, grocery giant Walmart plans to instal them in 2,300 stores by 2026. Its nearest rival, Kroger, began testing the tech in 2018 and has since expanded it to 500 stores across the country.

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A 2023 report found that dynamic food pricing could increase supermarket gross margins by 3 per cent, but some are wary of the impact it could have on more essential goods like groceries. In August, two US senators announced they would be launching an investigation into Kroger’s digital price tags, due in part to concerns the technology will enable price gouging.

Even in non-essentials, dynamic pricing is coming under increased scrutiny. This September, ministers in the UK announced plans to probe its use for rock band Oasis’s concerts that saw ticket prices skyrocket. For regulators, another concern, across all industries, are the algorithms driving dynamic pricing. They often incorporate competitors’ prices, and there is mounting evidence that can encourage implicit collusion between firms, raising prices overall.

Surge pricing can also conceal price gouging in markets where there is fixed supply and little transparency. The promise of dynamic pricing is that it better matches supply and demand, producing greater economic efficiencies. But if companies want to use it more widely, their biggest battle may be convincing regulators and consumers that dynamic pricing isn’t just a more efficient way of increasing corporate profits.

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TikTok owner sacks intern for sabotaging AI project

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TikTok owner sacks intern for sabotaging AI project

TikTok-owner, ByteDance, says it has sacked an intern for “maliciously interfering” with the training of one of its artificial intelligence (AI) models.

But the firm rejected reports about the extent of the damage caused by the unnamed individual, saying they “contain some exaggerations and inaccuracies”.

BBC News has contacted ByteDance to request further details about the incident.

The Chinese technology giant’s Doubao ChatGPT-like generative AI model is the country’s most popular AI chatbot.

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“The individual was an intern with the commercialisation technology team and has no experience with the AI Lab,” ByteDance said in a statement.

“Their social media profile and some media reports contain inaccuracies.”

Its commercial online operations, including its large language AI models, were unaffected by the intern’s actions, the company added.

ByteDance also denied reports that the incident caused more than $10m of damage by disrupting an AI training system made up of thousands of powerful graphics processing units (GPU).

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Aside from firing the person in August, ByteDance said it had informed the intern’s university and industry bodies about the incident.

The social media giant has been investing heavily in AI technology, which it uses to power not only its Doubao chatbot but also many other applications, including a text-to-video tool called Jimeng.

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Relieving clients of their wealth is what they do best

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Banker all-nighters create productivity paradox

I was delighted to catch sight of a headline that spoke of a “shot in the arm for active fund industry” (October 5). Could it be that active fund managers are finally showing that the application of highly rewarded brain power is paying off for those whose money they manage? Will the clients at long last have their yachts?

But no, plus ça change! It turns out after all that what the active fund industry is really, really good at is not the delivery of great value for its clients but relieving them of their wealth through extortionate fees. Bravo!

Andrew Mitchell
London W4, UK

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Emirates to use MIRA virtual platform to train staff on safety

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Emirates to use MIRA virtual platform to train staff on safety

Emirates is extending its immersive virtual training platform MIRA to cover also safety training. The airline’s nearly 23,000-strong – and rapidly growing – cabin crew team will soon be able to complete their recurrent SEP (Safety & Emergency Procedures) training on MIRA, bolstering their skills while they remain responsible for the safety of millions of travellers every year.

The self-guided virtual training has been designed to meet the requirements of GCAA and other regulatory bodies, while maintaining the integrity and quality of Emirates’ exceptional training programmes.

Continue reading Emirates to use MIRA virtual platform to train staff on safety at Business Traveller.

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Data centre efficiency will ease the AI energy squeeze

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Banker all-nighters create productivity paradox

Gillian Tett was, as ever, on the money when she wrote “Data centres alone won’t stop the AI energy squeeze” (Opinion, October 5). But beyond the need for joined-up thinking from the market and governments to increase energy supply, the article misses a faster and cheaper way to stop the energy squeeze caused by the growth in artificial intelligence — namely making data centres fundamentally more energy efficient.

Eric Schmidt, former Google CEO, noted that AI has an infinite appetite for energy, so increasing grid capacity is no doubt essential to realising AI’s full potential. However, AI moves faster than our ability to increase grid capacity. Increasing grid capacity requires enormous capital investment, governmental and regulatory change, and public approval — it is not a simple task, nor one achieved quickly.

Tett highlights the fact that market forces alone cannot solve this and notes the need for government to create connected grid capacity and adjudicate distribution of the limited energy supply fairly.

However, the article, and the wider debate, pays scant attention to the huge energy waste in data centres.

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Take the network switch — the workhorse of every data centre, shuttling data packets between clusters of graphic processing units and central processing units. Network switches alone consume 20 per cent of a data centre’s total power requirement but state of the art technology now allows for that to be reduced to less than 1 per cent. Efficiency gains are waiting to be realised across every element of the data centre technology stack and should be prioritised.

Any increase in grid capacity must be twinned with making data centres more energy efficient and sustainable. Where technologies exist that use lower power and offer equal or better performance, these should be promoted and prioritised, by the industry — and yes, also by government through policy and regulation.

This can be achieved in part by earmarking a portion of the enormous capital slated to expand energy supply to support and incentivise the roll out of efficient data centre technologies. It can also be achieved by implementing regulation in the spirit of Germany’s recently passed Energy Efficiency Act which mandates power usage effectiveness levels for data centres, forcing owner and operators to build sustainably.

Market forces alone will not drive change — government support and incentives for data centre and AI companies to invest in technologies that enable energy-efficient, sustainable AI will be required.

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Mark Rushworth
Chief Executive & Founder, Finchetto, Guildford, Surrey, UK

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