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Inside The Wes Streeting Operation At The Department Of Health

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Inside The Wes Streeting Operation At DHSC: “He's Political Up To His Eyeballs”
Inside The Wes Streeting Operation At DHSC: “He's Political Up To His Eyeballs”

Wes Streeting (Photography by Baldo Sciacca)


17 min read

Is Wes Streeting a details man? What do his days look like? Who does he delegate to? Sienna Rodgers and Zoe Crowther explore how the Health Secretary runs his department

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There’s more than one way to skin a cat, and there’s more than one way to run the Department of Health and Social Care.

Some secretaries of state for health have chosen to dive into the detail, immersing themselves in white papers and policy minutiae. Others have preferred to exert control through the press office, gripping the system via the grid.

The House has spoken to MPs, ministers, political advisers and civil servants, as well as health experts and officials, to get an understanding of how Wes Streeting runs his department.

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The portrait that emerges is of an intensely political politician – the opposite of a micromanager or a technocrat lost in spreadsheets. Supporters say this has helped him in having a clear view of what needs to be done to transform the NHS. Critics argue he has been distracted by his own broader ambition.

Ready, set, go

Unlike many of his predecessors, Streeting knew he was going to be secretary of state for health for a good period – almost three years – before assuming the role. This gave him the chance, while still a shadow, to consult with previous secretaries of state and permanent secretaries.

“He used the access talks a lot,” says a source who works with Streeting, referring to meetings between the Civil Service and opposition party in the run-up to a general election.

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“But when you go in the day after an election, it’s different. The thing he did to set his seal on day one was say: ‘The NHS is broken.’ That was a dramatic input, which nobody in the department expected to happen. And nobody had come in as secretary of state saying that before.”

Streeting was also confronted on his first day with a vastly different situation to that encountered by any previous Labour health secretary: the department he heads no longer runs the NHS – that is NHS England’s job. Those responsible for NHS waiting times, for example, are not found in the department.

“For every meeting he has with the department, he has to have another with NHSE – sometimes two separate meetings and sometimes he has to construct joint meetings. Over the first six months, he realised that was clearly not working,” recalls the same source.

So, with DHSC not able to pull levers in the way other departments of state can, unwinding the Lansley reforms became a priority for Streeting. This culminated in Keir Starmer’s March 2025 speech announcing that NHS England would be abolished and its responsibilities brought in-house over a two-year transition period.

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Another well-placed source agrees that Streeting has found the “invisible barriers” to getting things done in government – the subject of complaints by former No 10 head of political strategy Paul Ovenden and other departing spads – “harder than most”.

“He has struggled to get his priorities through,” they say. “He’s a very sharp guy. But when he came in, after getting his own way on policy in opposition, he was shocked about needing Treasury sign-off… It was a rude awakening.”

Streeting had a difficult start in terms of Civil Service churn, the source points out, with long-serving permanent secretary Sir Chris Wormald being lost as he was chosen by Starmer to be cabinet secretary (before being forced out after just a year in post). Chris Whitty was an interim (“as brilliant a mind as that man has, he’s not a permanent secretary”), then Samantha Jones – formerly of Boris Johnson’s No 10 – became the permanent successor last year.

“It’s been a period of big and fast change. I don’t think he would see that as a bad thing but as necessary,” a source close to Streeting remarks.

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Streeting welcomed a totally new leadership, including Alan Milburn as lead non-executive director of DHSC (referred to as “the brain of the department’s policy output” by one source), Sir Jim Mackey as chief executive of NHSE and Dr Penny Dash as chair of NHSE. “That has really helped turn things around – the right people in the right jobs.”


A day in the life

Every day in Streeting’s ministerial life is different, but it always begins bright and early. He gets the car in at 5.45am if he is going to the gym, or half past six if he is not. The red box is worked through in the back seat and again at his desk in Victoria Street.

Mondays are for planning the week ahead and delivery meetings. Performance data is reviewed with his private office, departmental officials and NHS leaders. Over the last few months, with pressures intensifying, there have been weekly winter sessions. If a target is off track, he wants to know why.

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Tuesdays bring Cabinet and external meetings. Once a fortnight, Streeting blocks out time to meet what he calls “the victims of the NHS” – maternity campaigners, families caught up in care failures, relatives of patients who have died after systemic errors. A source close to Streeting says he was advised by the department not to meet with victims of the maternity scandal, nor to set up inquiries into such failings, on the basis that it would set an undesirable precedent, but he has gone ahead regardless.

Wednesdays are for the longer-term agenda, such as negotiations with the British Medical Association. On Thursdays, he tries to get out of Westminster, visiting hospitals, GP surgeries and dental practices. Fridays are for Ilford North – a constituency day, as is typical for all MPs at the end of the week. Weekends are often spent campaigning or attending regional party conferences.


The ‘vision thing’

Streeting’s allies say he is clear about what he sees as his job: set the vision and define broad outcomes, then ensure the system delivers it. He believes the department’s power lies in direction-setting and enforcement. His supporters also freely admit that he is intensely political, which shapes everything he does.

“He cares about the details, but he doesn’t let them get in the way of narrative, drive and direction,” says a staffer. “He paints a picture and then leaves it to the Civil Service to deliver – but that’s normal. That’s his job.”

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“He is acutely aware of the political context that he operates in, which is really important for getting things through,” adds a different source.

Rarely, if ever, has the same been said about the Prime Minister, who is not deeply rooted in the Labour Party’s factional undergrowth, and is often criticised for his managerial instinct. This facet of Starmer’s style and background is blamed by many observers, near and far, for his problems in Downing Street today.

Keir Starmer and Wes Streeting
Keir Starmer and Wes Streeting in 2023 (Stefan Rousseau / PA Images / Alamy)

While Starmer seems irritated by Westminster, Streeting – who cut his teeth in student politics – is animated by it. “He’s political up to his eyeballs,” as one source puts it. This is not always taken as a positive.

Politics so shapes Streeting’s approach, one source tells The House, that he tends to hire politically sympathetic civil servants to his private office. This is disputed by a source close to him who points out that he has brought in people who have worked for Nick Clegg, Gordon Brown and David Cameron; plus Conservative MP Caroline Dinenage was appointed to lead a children’s cancer taskforce, and Tory peer Baroness Blackwood has been appointed to chair the Health Data Research Service.

Their framing is instead that he does not see the job as a technocratic exercise nor as a mathematical formula, but as a mission determined by his values. He has decided, for instance, that savings coming in from NHSE redundancies should be redistributed to health services in areas most in need – rather than to trusts who process patients quickly, which would cut waiting lists faster.

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Some question whether Streeting lacks a ‘North Star’, while others say he has a (Michael) ‘Goveish’ focus on projects for short periods. Multiple sources who have worked with him and met him in his role as health secretary say he often does not give the impression he expects to stay in post for the long term.

One Labour source who used to work directly with Streeting when the party was in opposition says they are convinced that he never wanted the shadow health secretary role in the first place – likely preferring a job in which he could be more overtly political.

Labour MPs and health stakeholders describe the post as somewhat of a poisoned chalice. A senior health policy expert who has worked with Streeting and his team says it is “quite a hard bit of government to play politics in, because it’s really hard to secure quick wins”.

“It’s probably the hardest job of all secretary of state positions, because your level of control over things is very, very limited,” they add.

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“He can be quite up and down with his satisfaction with how the department is performing, but I think that happens with any health secretary – the job is so stressful. I think it’s second only to chancellor in terms of cabinet positions, which are just the worst,” an insider agrees.

“You’re dealing with the largest employer in Europe, with a budget the size of a small country, and it feels like however much money you throw at it, there’s nothing you can do.”

StreetingAn ally of Streeting counters claims he lacks focus, saying: “Wes has got a North Star around inequalities and opportunities. His whole biography is about that.” (A longtime friend similarly mentions his East End memoir published in 2023, One Boy, Two Bills and a Fry Up, pointing to it as evidence that “his biography is not separate from his politics”.)

The ally draws a comparison between the Health Secretary and Milburn, with neither coming from a privileged background. “Both are driven to improve services for real reasons.”

NHS waiting times are seen as a bureaucratic problem – but Streeting, the source continues, understands that it means millions not knowing what is going to happen to them and when, because the NHS is currently such a “passive” experience. “Politics is about changing the nature of public experiences. Wes has a strong North Star that the NHS is not good enough.”

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They add that Streeting being intensely political should be taken as a positive: “We do need politicians to be good at politics. If a perm sec were good at politics, that would be a problem – but for a secretary of state, that’s a good thing!”

Soft landings

The charge that Streeting is “driven by press” surfaces repeatedly. In meetings, say those who attend them, he often reframes technical advice in political terms. If Chris Whitty explains a public health risk in dense epidemiological language, Streeting’s reaction is to test how it would sound on ITV’s evening bulletin.

“You’re sitting around a table talking to him about a complex bit of policy – like the neighbourhood health service – and he’ll start to develop a narrative. ‘How am I going to explain this?’ becomes an important part of forming it. I’ve never seen a secretary of state do that before,” says a source.

Most meetings, reports another insider, eventually circle back to the question: “How will this land?” Some will see this as cynical politicking, but it is not always cited as a criticism. “He knew that communication was half the battle, so it is justifiable from a policy perspective,” the source notes.

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Streeting believes a big part of his role is translating expert advice into something the public can understand. As often the only elected politician in the room, surrounded by people explaining why X and Y isn’t deliverable and why Z is at risk of judicial review, it is his responsibility to consider the public’s view of policy and delivery. Taxpayers spend £200bn a year on the NHS – they deserve to know where it’s going, says a source close to Streeting.

Wes Streeting
Wes Streeting speaking to the media during a visit to the specialist surgical unit at Trafford General Hospital in Manchester, February 2026 (Martin Rickett / PA Images / Alamy)

Sources say his interest in the media has produced tangible change, perhaps his most solid win so far: a transformed DHSC communications operation. It was “so inept, so stuck in the noughties”, says one, whereas it is now video-led, quicker off the mark and better at turning dense statistics into usable lines.

The Health Secretary has paired with celebrities, including Geordie Shore’s Vicky Pattison and Jade Thirlwall of Little Mix, wanting to raise the profile of certain health issues. “Getting the machine to put out stuff like that is a result of him and Will [Streeting’s spad] being relentless on comms. It’s made video a primary output, and the department is no longer doing government by press release – a real success,” the same source says.

A Labour MP’s staffer, who notes that Streeting has his own Health and Social Care WhatsApp group for MPs, praises the speed with which his spads reply and how health figures are made easy to translate for a wider audience.

There is a counter-argument, of course. In a department that is permanently firefighting, bandwidth is finite. Some question whether the relentless focus on presentation risks becoming a distraction.

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Bonfire of the quango

Streeting’s vision is encapsulated in the 10-Year Health Plan, which is built around three shifts: hospital to community, analogue to digital, sickness to prevention. The Lord Darzi review formed the basis of this intellectual underpinning, particularly in its warning that the NHS lags badly behind the private sector in its use of tech, and it will take a decade for it to reach modern standards.

The Health Secretary wants the NHS app to become the front door of the service. He is hopeful that artificial intelligence tools will free up clinician time and the UK’s life sciences sector will be boosted when it can fully make use of the golden goose that is the UK’s universal health system of 60 million patients.

The biggest gamble of his tenure has been the decision to scrap NHS England and fold it back into the department.

Supporters say the old arrangement had become dysfunctional, with blurred accountability, blocking and leaking making ministers miserable. “Everybody hated it. Policy dreams went to die with NHS England,” says a source.

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NHSE staff have been told they will need to apply for jobs in the merged workforce between January and March 2027. There is widespread scepticism about this timeline, however, with many believing it will be pushed back. Senior figures in NHSE are encouraging staff to refer to it as the “New Department for Health” in the meantime.

An NHSE source tells The House they believe energy that could be spent improving services risks being diverted into legislative wrangling and internal restructuring for the next two years.

Hugh Alderwick, director of policy and research at independent charity the Health Foundation, warns that large-scale reorganisations can distract local leaders from improving care.

He also says Streeting’s two major reforms – the NHSE restructure and the 10-Year Health Plan – could conflict with each other. The challenge is that the detail of what the plan means in practice and how it will be delivered is “still thin”, he adds, and “the resources to deliver those reforms are constrained”.

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Alderwick believes pressure directly from Starmer to bring down waiting lists could push the Health Secretary towards focusing more on that than “bigger, more fundamental” reform of the health system.

Another looming question is what progress DHSC has made on social care. The government has set up an independent commission, led by Baroness Casey, to look at reform. According to Alderwick, although it could help to “set a vision”, there is a risk it is simply “another commission, which we’ve had a long line of before, that kicks questions of social care reform back into the long grass”.

On the view that Streeting has conflicting priorities, a source defending him responds: “Think tanks say the NHS can’t do two things at once. I find that a bit weird. If you change the machine, they think that’s getting in the way of making the machine work better.”

There are 7.3 million people on elective treatment waiting lists. If we want to reduce the flow in 2027-28, the source says, new tech will be helpful – 20 per cent of dermatological diagnostics can be done initially with a photograph rather than a face-to-face appointment, for example. “That’s a new model of care that can reduce waiting now, not in 10 years’ time.”

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But so far, NHSE abolition has been little more than a job-cutting exercise, say critics. A source close to Streeting acknowledges the change has mostly been on headcount so far, but argues this is no bad thing given the level of duplication and how the two organisations were marking each other’s homework. “I’m sure there will be unhappiness. But was the relationship between the two working well beforehand?”

The risk for Streeting is that, by 2029, his major achievements could be seen to amount to having cut the waiting list to the trajectory that it was already being cut in the last months of 2023 under the Conservative government, and ditching a large administrative body whose role the public was unlikely to have recognised.

While the government has achieved a fall in NHS waits for elective care, experts warn that this could prove to be a complicated legacy for Streeting when waiting lists for other services remain high. There is little public understanding of the difference between different types of NHS waiting lists – for example, elective care, diagnosis, or specialist appointments.

What will Streeting’s legacy be? One health expert offers a damning verdict: “The picture will be a person who talked a big game about reform, and talked a big game about transforming the NHS, but didn’t really have the tenacity to see it through.”

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A for ambition

Staff describe Streeting as an “empowering” boss. Those who work directly for him have “extreme loyalty” to him, says one: “People stay with him for years. He will always tap into them and work things through with them. That means everyone feels valued.”

They insist that the perception he is driven by ambition for his own career is not borne out by the facts: he has not run away from Ilford North, he has no plans to take out a sitting PM, and he has done the toughest press rounds when the government has been at its lowest.

But that in itself is seen by some as a negative for becoming a revolutionary health secretary.

“You can’t be the guy who shovels the shit for the government at the same time as being the person who is delivering a policy revolution in your department. One thing totally distracts the other,” says a source who knows Streeting well.

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“Because he’s got political ambitions elsewhere, Wes has wanted to have views on everything from Palestine to social media bans. That implies to me that you’ve got a secretary of state who is much more interested in the wider political context the department operates in than the infinite number of problems at his doorstep. You only have so much bandwidth.

“I think he’d be the first to admit that he’s been too distracted by what’s going on elsewhere on Whitehall, and too eager to jump in and involve himself in the other stuff going on. But that’s because he’s ambitious – he’s got eyes on the prize.” 

Additional reporting by Adam Payne

 

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Why migration can’t solve the birth crisis, with Stephen J Shaw

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Why migration can’t solve the birth crisis, with Stephen J Shaw

The post Why migration can’t solve the birth crisis, with Stephen J Shaw appeared first on spiked.

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Met Police announced successful repression of antiwar protest

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Met Police announced successful repression of antiwar protest

The Met Police has issued a statement praising itself for its decision to ban today’s London march against the Iran war. The force allied with the Israel lobby to ban the annual Al Quds Day march and limit it to a ‘static rally’. Then it boasted how great its decision had been because its repression of British citizens’ right to march in peaceful protest had caused some not to attend. It ended by thanking police officers for coming from all over the place to prevent an anti-war protest and “keeping protestors and Londoners safe”:

News – 15 March 2026 17:05

Public order update

Today’s policing operation at the Al Quds day protest and counter-protest concluded this afternoon.

Assistant Commissioner Ade Adelekan, Public Order lead said:

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“Our policing plan worked, with both groups kept apart and we saw no attempts from either side to breach conditions by marching. Both sets dispersed as planned from 15:00hrs.

“We saw significantly fewer people attend than we had anticipated. The restrictions and conditions meant many people chose to stay away and not to attend the protest or counter-protest.

“This shows our decision to apply for the ban was the right one. A static protest meant it was easier for officers to keep the two groups apart and prevent serious public disorder.

“We made 12 arrests including for showing support for a proscribed organisation, affray and for threatening or abusive behaviour. We are also investigating chants made by a speaker at the Al Quds protest.

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“As I said from the outset, the decision to ban the protest march does not set a precedent and we will continue to consider each protest on a case-by-case basis.

“I want to extend my thanks to the officers, including those from across the country who supported us. Their professionalism and commitment helped us to keep protestors and Londoners safe.”

Yeah, well done lads and lasses. You protected us all from the big bad mob that doesn’t want the UK to assist two genocidal regimes from killing people. Bravo 👍.

Met Police, happy to repress

The Met doesn’t say so in its statement, but the “chants made by a speaker” were rapper Bob Vylan repeating his Glastonbury 2025 “Death death to the IDF” chant. As well he might, since police and the CPS already looked at the exact same chant then and decided just four months ago, in December 2025, that the chant merited no further action. Ok then, ok now — unless of course the point is to smear the protest rather than to prosecute.

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But the dishonesty ran even deeper. Both the anti-war protest and the several phone-booths worth of pro-war, pro-Israel counter-protesters were treated as if equal in size and significance — when in fact, tens of thousands still turned up to demand peace, despite police and state repression:

Contrast this with the open racism and tiny numbers of the pro-Israel hate-gathering:

Contrary to its claims of keeping both ‘sides’ apart, sources at the scene said the Met also allowed far-right pro-Israel ‘auditors’ in among the peaceful anti-war protest.

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In reality, the Met Police and its bosses in Whitehall and Downing Street are repressing the will of the British public. More than twice as many UK people oppose the US-Israel war of aggression on Iran. Almost as many oppose the Starmer regime allowing the US to use British airbases to attack Iran. Even more certainly would, if they understood that this enabling consists of directly refuelling and re-arming the carpet-bombing B-52 high-altitude bombers Trump is using to slaughter Iranian civilians:

Keir Starmer has turned Britain into a police state over the heads, and against the will, of the people of this country. He is a war criminal just as surely and just as guiltily as Trump, Netanyahu and their racist enablers.

Featured image via Middle East Eye

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Politics Home Article | PM Says His Principles Are The Same As Public On Iran War

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PM Says His Principles Are The Same As Public On Iran War
PM Says His Principles Are The Same As Public On Iran War

(Alamy)


4 min read

Keir Starmer has said he believes that his principles on how to approach the Iran war “are shared by the British people” as he set out support for UK households using heating oil.

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At a Downing Street press conference on Monday morning, Starmer said there would be “immediate support” worth £53m for households reliant on heating oil that are “most exposed” to rising prices.

Referring to reports that oil companies had been cancelling orders and hiking prices, the Prime Minister said legal action would be taken if they had been found to have broken the law.

UK households will be protected by the Ofgem cap until July. However, energy bills could rise that month if global prices remain high.

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Drivers are already seeing the impact of the war in Iran, with diesel and petrol prices rising sharply in recent weeks. 

On Sunday night, US President Donald Trump called for European allies to join him in the Middle East, telling the Financial Times that NATO faces a “very bad” future if allies like the UK do not help to reopen the Strait of Hormuz.

The threat of attack by Iran for traffic passing through the Strait, which is one of the most important trade routes in the world, has led to a spike in oil and gas prices. 

Starmer said he was working with allies on a “viable collective plan” to restore freedom of navigation for ships seeking to pass through the Strait of Hormuz.

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“We’ve already acted alongside other countries to release emergency oil stocks at a level that is completely unprecedented. But, ultimately, we have to reopen the Strait of Hormuz to ensure stability in the market.”

Questioned by the media about what shape this plan would take, Starmer said he was “looking at options” and wanted to involve “as many partners as possible”. 

The Prime Minister said that while the UK would take “the necessary action to defend ourselves and our allies”, it would “not be drawn into the wider war”.

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Starmer has so far committed the UK to “defensive” action, allowing the US to use British bases to carry out strikes in Iran.

However, he refused to join the initial US and Israeli attacks on Iran, arguing that there was no viable, long-term plan or clear legal basis for the action.

In his press conference, Starmer said the question of “whether to commit British troops to military action is the most serious responsibility for any Prime Minister”.

“I have been attacked by some for my decision not to join the offensive against Iran. 

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“But at every stage, I’ve stood by my principles, principles which I held just as strongly when it came to debate about the Iraq war in 2003, principles which I believe are shared by the British people, that our decision should be based on a calm, level-headed assessment of the British national interest. 

“And that if we are to send our service men and women into harm’s way, the very least they deserve is to know that they do so on a legal basis and with a properly thought-through plan,” he said.

Referring to the Conservatives and Reform UK’s initial stance on the war, when both parties called on the UK to join the first US and Israeli strikes, Starmer said some would have “rushed the UK headlong into this war without the full picture of what they’re sending our forces into, and without a plan to get us out”, adding that approach was “not leading”, but “following”.

“My leadership is about standing firm for the British interest, no matter the pressure. And I believe time will show that we have the right approach, right on the economy and the cost of living, right on defence and energy, and right on this war in the best interests of the British people.”

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Iran warns major U.S. corporations to evacuate in UAE and Jordan

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Iran warns major U.S. corporations to evacuate in UAE and Jordan

Iran’s Islamic Revolutionary Guard Corps (IRGC) has warned companies in which Americans hold shares to evacuate from West Asia “so they are not harmed”.

An accompanying graphic circulated by the IRGC lists various industrial, tech, energy, and financial firms operating in Jordan and the UAE, including specific office locations.

The list includes: Lockheed Martin, Boeing, Microsoft, Oracle, ExxonMobil, Citigroup, Amazon Web Services
and KKR.

Iran is hitting the US where it hurts — financially.

Iran is taking the moral high ground — which honestly isn’t hard when you’re fighting genocidal maniacs.

The US and Israel did not warn the Iranian school full of little girls that they were about to bomb it.

Who are the real terrorists?

And in comparison, the companies Iran might now target are all propping up Israel’s illegal war.

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Iran is singlehandedly decolonising West Asia. But unlike Israel and the US, it is concerned about civilian casualties.

Iran’s retaliation

The UAE has repeatedly allowed the US and Israel to launch strikes on Iran from its territory. Therefore, its fair game.

As Epstein would say, ‘whoops’.

Israel only colonised Palestine in 1948, whereas Iran is attempting to defend its millennia-old history.

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Company values

The Canary has extensively covered several companies on IRCG’s target list.

Lockheed Martin is the manufacturer of Israel’s F-35 warplanes, which have been linked to specific war crimes in Gaza.

The Times of Israel previously reported:

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The ministry said a delegation to the US signed a letter of agreement for the $3 billion deal that included 25 advanced stealth fighters built by Lockheed Martin.

Similarly, Boeing provides Israel with F-15 jets, Apache helicopters, satellites, military hardware and missiles.

Back in 2022, Israel used Boeing attack helicopters and fighter jets to attack Gaza. It murdered 44 Palestinians, including 15 children and 4 women, and wounded 360.

Microsoft also has deep ties with the Israeli state and provides services to the government, the Ministry of Defence, the military, and security bodies. All of Israel’s military apps run on Microsoft’s cloud service.

Leaked documents also show that Microsoft has significantly increased its operations with Israel’s military since 2023.

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It is clear that since October 7, Israel has had the might of the world’s technology giants supporting its illegal siege of Gaza and Palestine. However, if profits start to suffer, maybe companies will rethink their ties to a genocidal terrorist state.

Iran is giving the US and Israel a taste of their own medicine and hitting them where it hurts, whilst also trying to clear the BDS list. Maybe Trump will get a reality check and rein in his ego — or maybe US companies will suffer just like Palestine, Iran and Lebanon.

Feature image via Hult International Business School/YouTube

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Lewis Norton: Why the Welsh Conservatives are containing ‘devo-scepticism’ and is it sustainable?

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Lewis Norton: Why the Welsh Conservatives are containing 'devo-scepticism' and is it sustainable?

Lewis Norton is a PhD Researcher at the Department of International Politics at Aberystwyth University.

 Those familiar with recent events in Welsh politics will understand when I say that managing the Welsh Conservatives has become a particularly complex arrangement.

With the elections to the Senedd approaching in mere months, the party has had to address defections to Reform at both its public-facing level as well as its backroom staff, and polling is continuously showing the party to be stuck at around 12 per cent, which is a potentially dangerous level to be polling at given the intricacies of Wales’ new electoral system.

Chiefly among the issues the Welsh party has faced is the ongoing internal tensions around the party’s stance on devolution.

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Darren Millar, the leader of the Conservatives’ Senedd Group, has been explicit in saying that abolishing the Senedd is off the table, and in seeking to ensure that the party’s candidates share this position, has come under frequent scrutiny from those within (or formerly within) the party who accuse the party leadership of a “war on the grassroots”

With a matter of weeks left until voting day, the potential cracks of this approach are beginning to reveal themselves. Despite Darren Millar’s insistence that anti-devolution candidates would not be able to stand, in the case of Calum Davies, there is a candidate topping the party list who has been vocal in his opposition to devolution, and candidates further down the lists have also made suggestions of a devo-sceptic position. Naturally, affirming this position also goes against the grain of the majority of the Welsh Conservative grassroots and voter base at large, of whom two-thirds desire the Senedd’s abolition.

Beyond the party’s grassroots, there is also an untapped and underappreciated market for devo-sceptic views amongst the wider Welsh electorate. In YouGov polling, support for abolition of the Senedd and a Senedd with reduced powers stood at 31 per cent and 23 per cent respectively (compared with 24 per cent supporting Welsh independence). While this is below the level of support for the status quo or more devolution, no option enjoys majority support amongst the Welsh electorate, and polls like this one show that clearly there is an undercurrent of devo-scepticism within the Welsh electorate.

The party’s platform on devolution is somewhat ambiguous, which is a common theme throughout the post-devolution era. While officially supportive of its existence, the party has dedicated a lot of its campaigning energy thus far against the expansion of the Senedd’s membership from 60 to 96. This may be somewhat ingrained in a level of devo-scepticism, but it has largely been argued on a cost and practicality basis as opposed to an ideological disagreement and has perhaps become a proxy to avoid addressing the “elephant in the room” of real devo-scepticism which has become such a divisive topic.

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It would not be fair, however, to suggest that the party’s direction on this matter is without reason. In fact, it is heavily grounded in logical elite decision-making which those looking at party management would expect to observe.

Firstly, the Conservative Party, perhaps more than any party in the democratic world, sees itself as a natural party of government. This office-seeking logic of the Conservatives is deeply established, and the party has a long and sustained record of adaptation to political and societal change to achieve high office. This logic, seemingly, holds even in Welsh politics despite a long and deep-rooted history of Conservative support in Wales lagging far behind its support in England. As a result, since the birth of the (then) Welsh Assembly in 1999, the Welsh Conservatives have usually attempted to put forward a serious platform for the use of devolved powers in Welsh elections as opposed to dipping their toes into the constitutional questions of the existence of the devolved legislature.

Secondly, in a similar vein to the first reason, the Welsh Conservative aversion to committing to a devo-sceptic platform has become enshrined in a vote-winning logic. While, as mentioned earlier, there is clearly a market for these views amongst a minority of the electorate, targeting this group comes with risks which the party management likely deem unacceptable. The primary risk is that by focusing on the wishes of the grassroots and the devo-sceptic portion of the electorate, the party may alienate the majority of the Welsh electorate who find themselves on the outside of this cluster. Furthermore, those not aligned with the existence of the Senedd are less likely to turn out to vote in its elections. This has been observed throughout devolution, as many Conservative voters in Westminster elections simply don’t turn out at all in Senedd elections. From a vote-seeking perspective, why appeal to a section of the electorate who don’t vote?

If devo-sceptics want to increase their influence on the agenda-setting of the Senedd, then they need to turn out like they haven’t previously. This is somewhat of a double-edged sword, with the lack of a major outwardly devo-sceptic party likely contributing to the lesser turnout, but even where parties campaigning on an abolition platform have been present (namely the Abolish the Welsh Assembly Party – who in 2021 were expected to achieve representation) they haven’t been able to mobilise this voter base to achieve anything substantial. Such cases likely reinforce the current Welsh Conservative antipathy toward adopting such a position.

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The question here is whether this approach is tenable in the long term. Increasingly, there is a sense that the party needs to make a decision on this constitutional question which has been an ever-present issue for nearly three decades. Ultimately, the sustainability of this approach will depend largely on the result the party achieves in May. In particular, what the make-up of the potentially reduced in size Conservative Senedd group is, and its impact on the dominant faction of the group which currently accommodates devolution. If a smaller Conservative group is proportionately more populated with candidates who support an abolitionist position, we may quickly see a change in tact post-election.

Such a change may be further incentivised depending on how Reform’s Senedd cohort addresses devolution. Thus far, in the face of a similar dilemma as the Conservatives, Reform have also sought to accommodate devolution, and are insistent that they will be a constructive presence to “make devolution work”, going so far as to express excitement at the Senedd expansion which the Conservatives have been in steadfast opposition towards, although this excitement was likely more strategically based on the opportunities it provides for the party rather than an ideological delight towards an expanded Senedd.

Similarly to the Conservatives, whether this position holds for Reform will depend on the composition of its Senedd cohort. If the last time a Farage-led party achieved representation in the Senedd on the basis of working constructively within the institution is to be informative (in the case of UKIP in 2016), then Reform may bring with them an influx of very devo-sceptic Senedd members. But if they don’t, and a potentially small Conservative group coming out of the other side of the huge external shock of a poor election result observes the low-hanging fruit of differentiation through scepticism, then a change in tact may become much harder to resist, and potentially even necessary.

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11 Symptoms Of Meningitis Parents Should Never Ignore

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11 Symptoms Of Meningitis Parents Should Never Ignore

This article features advice from Dr Tom Nutt, of Meningitis Now, the NHS and the UK government.

After an outbreak of meningitis claimed the lives of two students in Canterbury, experts are urging people to be aware of the symptoms and seek urgent help if they experience them.

A further 11 people are hospitalised by the illness, the BBC reported, with most aged between 18 and 21 years old.

Dr Tom Nutt, chief executive of the charity Meningitis Now, said they are “deeply saddened” to hear of the deaths.

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“Our heartfelt thoughts are with their families, friends and the entire university community at this incredibly difficult time,” he added.

What is meningitis?

Meningitis is an infection of the protective membranes that surround the brain and spinal cord. It’s usually caused by a bacterial or viral infection (the former is less common, but more serious).

The infection most commonly occurs in babies, young children, teens and young adults.

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Following the latest outbreak; parents, students and university staff are being urged to “remain vigilant” for the signs of meningitis, which can include:

  1. High fever
  2. Severe headache
  3. Vomiting
  4. Sensitivity to light
  5. Confusion
  6. Cold hands and feet
  7. Limb pain
  8. Stiff neck
  9. Drowsiness/unresponsiveness
  10. Seizures
  11. A rash that doesn’t fade under pressure

(Source: Dr Nutt and the NHS)

“Symptoms can appear suddenly and can easily be mistaken for flu, a heavy cold or even the after-effects of a night out, so it is vital that anyone who is concerned seeks urgent medical help immediately,” said Dr Nutt.

What’s behind the outbreak?

Cases of meningitis dropped sharply during the Covid-19 pandemic but have since increased – in 2024-25, cases were higher than they were the year previous, according to the UK Health Security Agency (UKHSA)

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Alongside this, infant and teenage vaccination rates have declined, leaving more people vulnerable.

Three vaccines protect against the main causes of meningitis. The MenB vaccine is offered to infants at eight weeks, 16 weeks and one year of age, as part of routine NHS vaccinations. Babies are also given the pneumococcal vaccine at 16 weeks and one year.

The MenACWY vaccine protects teenagers against four types of bacteria linked to meningitis and is usually given in school during Year 9 (when kids are aged 13-14).

If you haven’t had it and are in higher education, speak to your GP about getting one (you remain eligible for the MenACWY jab until your 25th birthday).

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University students and young adults are among the groups at increased risk because meningitis bacteria “can spread more easily in settings where people live, study and socialise closely together”, Dr Nutt noted.

Infections that cause meningitis can be spread through sneezing, coughing and kissing.

How is meningitis treated?

While viral meningitis typically improves on its own within seven to 10 days, the NHS notes bacterial meningitis usually needs to be treated in hospital with antibiotics (and possible fluids/oxygen) for at least a week.

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The UK Health Security Agency is currently identifying close contacts of those impacted by the outbreak and offering precautionary antibiotics where needed.

Dr Nutt concluded: “If anyone is worried about symptoms, trust your instincts and seek urgent medical help. Acting quickly can save lives.”

The government advises that anyone affected with meningococcal disease “will usually become seriously ill within a few hours”.

You should contact your GP or NHS 111 for advice if you have any concerns about your own or someone else’s health.

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If symptoms are getting worse, seek medical help urgently at the closest emergency department or by dialling 999.

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Trump Stuns With Bombshell Admission About His Iran War

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Trump Stuns With Bombshell Admission About His Iran War

Donald Trump left critics in disbelief on Sunday with a remark about his Iran war during a press huddle on board Air Force One.

The president was discussing his call for other countries to send ships to help secure the Strait of Hormuz, the vital — and currently effectively shut — waterway off Iran through which roughly one-fifth of the world’s oil passes.

Asked how quickly those deployments would happen, Trump said it would “start immediately,” with different countries offering different forms of assistance, including minesweeper boats.

He later said: “So, we need, I, I would really, I’m demanding that these countries come in and protect their own territory because it is their territory, it’s the place from which they get their energy and they should come and they should help us protect it.”

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Then came the line that quickly sparked reaction online:

“You could make the case that maybe we shouldn’t even be there at all because we don’t need it.”

“We have a lot of oil,” said Trump. “We were the number one producer anywhere in the world times two by double at least double. Now I think it’s much higher than that. But we do it. It’s almost like we do it for habit, but we also do it for some very good allies that we have in the Middle East.”

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Politics Home | Britain’s economy cannot afford a false choice between creativity and innovation

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Britain’s economy cannot afford a false choice between creativity and innovation
Britain’s economy cannot afford a false choice between creativity and innovation

Neil Ross, Director of Technology, Media and Telecoms



Neil Ross, Director of Technology, Media and Telecoms
| Public First

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Britain’s debate over AI and text and data mining has been framed as a choice between protecting creativity and enabling innovation. In reality, the UK’s economic future depends on building a framework that allows both to thrive, argues Neil Ross from Public First

Britain has a bad habit of turning policy debates into battles – one side pitched against the other. The discussion around text and data mining (TDM), the process by which AI uses data, has become the latest example, creating a false choice between innovation and creativity.

That framing is wrong. Britain’s creative industries are one of the country’s great success stories. So too is British tech and innovation – an area where we shine on the world stage. Policymakers should not force a choice between them, but create the conditions for both to grow together.

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This matters because TDM is no longer a niche technical issue, nor is it confined to major technology firms. It is now widely used across the economy and sits at the heart of how modern businesses use AI, analyse information, develop new products and raise productivity – from Britain’s car industry to new medicines for the NHS.

Public First research shows that one in five UK businesses already use TDM tools. In sectors central to the UK’s industrial strategy – life sciences and financial services – that figure rises to a third. If we want the UK to lead in AI adoption, scientific discovery, advanced services and digital innovation, we cannot ignore that access to AI tools will determine whether British firms can compete.

More than half of British businesses want to move from basic to advanced integration of AI and cloud technologies within two to three years. Yet many told us that legal risk is holding them back. Seventy‑four per cent of businesses performing TDM said access to external data is essential to their operations.

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That should concern ministers. Britain’s growth outlook is far from rosy. Productivity remains weak, fiscal headroom is tight, and every serious economic strategy relies on far faster diffusion of AI and digital technologies. In these circumstances, we cannot afford to close off potential growth by making it harder for UK businesses to compete in a global economy that is only becoming more cut‑throat.

The decisions the government takes now have major consequences. If Britain creates an environment where companies have clear permission to embrace new technology, our modelling suggests AI‑powered businesses could contribute as much as £510 billion to UK GDP by 2035. But under a highly restrictive path, that falls to £290 billion – a £220 billion gap, roughly equivalent to Scotland’s GDP (including oil and gas).

None of this is to dismiss the legitimate concerns of rights holders. Creators should be confident their work is respected and rewarded. But we should not respond by building a regime so restrictive that businesses from biotech to education hesitate to use AI.

Licensing is one obvious part of the solution. Voluntary commercial agreements are beginning to emerge and can offer value for rights holders while giving technology firms access to high‑quality, curated data. Both tech companies and rights holders are already investing in licensing tools. Developing workable models is far preferable to a prolonged policy battle.

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Yet licensing alone will not be enough. If companies lack confidence that they can use AI for commercial advantage, the framework becomes too cumbersome and too uncertain. That would throw grit into the gears of UK innovation at exactly the moment growth is needed most – leaving the country poorer, less productive and less competitive.

Creative industries would feel those consequences too. Many of the UK’s most dynamic creative sectors – from video games to visual effects – have themselves argued for commercial TDM exemptions. Britain does not need to choose. It can build a framework that gives both sectors the confidence to invest, experiment and work together.

Other countries have already made that choice, from the EU to Singapore and Japan. Yet a polarised domestic debate risks leaving Britain behind. The Government should aim for a settlement that supports both creativity and innovation – and look at how widely this kind of AI innovation is already being used across the economy to give them the confidence to act.

Neil Ross is Director at Public First and leads its Technology, Media and Telecoms practice.

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The House Article | Restoring the home of Parliament is an act of responsibility

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Restoring the home of Parliament is an act of responsibility
Restoring the home of Parliament is an act of responsibility


4 min read

Restoring the home of Parliament is about safeguarding the heart of our democracy for future generations.

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The proposals now before Parliament are the result of years of detailed analysis, technical studies, and independent expert assurance. It is right that work of this scale has prompted wide debate, particularly given the very significant costs involved.

There is, however, a broad consensus on one central point: the Victorian building requires major work to address fundamental issues such as fire safety, ageing infrastructure, asbestos, and deteriorating stonework. Without decisive action, these challenges will continue to grow.

Most of the proposed investment—around 85 per cent of construction costs for the Palace of Westminster—is focused on priority works. This includes replacing mechanical, power, water, sewage and heating systems; improving fire safety; managing asbestos safely; and repairing extensive stone damage. These are not optional enhancements but core requirements to keep a complex, heavily occupied historic building functioning safely and effectively.

One of the biggest costs is linked to the extensive network of increasingly outdated services embedded throughout the Palace. The steam heating system for example was installed in the 1950s and has become increasingly unreliable. Recent years have seen up to 80 leaks annually and just a few weeks ago it took several days to fix a major failure.

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Ensuring that heating, power and water systems can operate dependably across a 150-year-old building with more than 1,100 rooms is a basic necessity. Improved energy efficiency would be a welcome and sensible byproduct of modernising these systems.

Fire safety is another critical area. Proper fire zoning in a building used daily by thousands of people is essential. In fact, these measures will build on the original fire safety principles in Sir Charles Barry’s design, which have been compromised over time by successive alterations. Restoring that integrity and improving fire protection is both achievable and vital.

Alongside these priority works, the proposals also deliver important benefits for everyone who uses the building. Improving step-free access to around 60 per cent would make Parliament more usable for those who work here and for visitors. In many cases, accessibility improvements are a welcome benefit of safety upgrades—for example, the installation of fire evacuation lifts gives an in-built accessibility improvement. 

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The plans also include a permanent education centre for the tens of thousands of children on school visits every year as well as an improved visitor entrance and visitor routes. These changes are designed to enhance security and safety for visitors and those who work in Parliament. Basement visitor routes and education centre would make use of existing, underused spaces that would be repurposed with sympathetic restoration that respects the Palace’s historic fabric.

Importantly, these education and visitor improvements represent a modest proportion of the budget— between 0.8 and 2.7 per cent of Palace construction costs—yet they deliver significant benefits for security, safety, and public access.

No one underestimates the scale or cost of a programme of this complexity and duration. That is why extensive parliamentary scrutiny has already been applied and will continue throughout the project. Robust accountability for public spending is essential.

What is equally clear is that delaying decisions comes at a price. Putting off a decision will add many hundreds of millions to the costs of doing the work due to the impact of inflation. As the report warns, continuing with this approach will lead to managed decline of one of the most recognised buildings in the world as it becomes increasingly unfit for the country it serves. It will mean higher maintenance costs, and increasing safety and operational risks for those who visit and work in the building.

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After more than a decade of studies, committees and analysis, it is evident that there is no perfect or low cost option. The recommended way forward is a pragmatic one: approval for seven years of work to begin now, with costs capped at £3 billion, averaging £429 million a year (both figures exclude inflation). This approach allows work to proceed while continuing to bear down on costs while testing and assuring designs with MPs and Peers before decisions on the longer term work need to be taken.

Investment in the Palace will also support thousands of jobs and apprenticeships from modern construction and engineering to traditional crafts. The restoration will need the skills of businesses and people in nations and regions across the UK in this national endeavour to preserve one of the world’s most recognised and cherished buildings.

As custodians of this national symbol, we have a responsibility to act. Continuing to defer decisions only increases risk and cost. The sensible way forward is to begin the work now, safeguard the future of the Palace of Westminster, and ensure it remains a safe, functioning home for UK democracy. It is time to get on with the job.

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How To Improve Physically And Cognitively After 65

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How To Improve Physically And Cognitively After 65

Many associate ageing with different kinds of decline. There’s sarcopenia, or the loss of muscle, frailty, cognitive decline, and bone loss, to name a few.

Often, that link can feel inevitable and linear. But new research published in the journal Geriatrics has suggested that’s not always true.

Speaking to Yale, the study’s lead author, Dr Becca R. Levy, said: “Many people equate ageing with an inevitable and continuous loss of physical and cognitive abilities.

“What we found is that improvement in later life is not rare, it’s common, and it should be included in our understanding of the ageing process.”

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What did the paper find?

The researchers followed over 11,000 participants aged 65 and over, involved in the Health & Retirement Study, for 12 years.

They used two metrics to track their physical and mental wellness over time. These were a walking speed test – often used as an indicator of people’s overall physical ageing – and a global cognitive test.

In the 12 years of follow-up, researchers found that 45% of people improved in at least one of the two factors.

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Roughly 32% improved cognitively, and 28% improved physically. And when you add people whose cognitive ability stayed the same, “more than half defied the stereotype of inevitable deterioration in cognition,” Yale said.

Positive views about ageing seemed to be linked to these results

OK, if so many of these participants seemed to get better, rather than the expected worse, over time, what did they do differently?

Well, the researchers thought it might have something to do with their attitude towards ageing. And after looking at the data provided, they found that in general, people who had internalised more positive beliefs about ageing were more likely to show improvement in both physical and cognitive capacities after 65.

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“Our findings suggest there is often a reserve capacity for improvement in later life,” Dr Levy said.

“And because age beliefs are modifiable, this opens the door to interventions at both the individual and societal level.”

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