
Millions of patients could be taking a combination of drugs that put them at risk of lethal complications, including organ damage, experts have warned
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Millions of patients could be taking a combination of drugs that put them at risk of lethal complications, including organ damage, experts have warned
Kilos and kilos of courgettes, cucumbers, tomatoes and salad leaves are ripe and ready for picking on a small Welsh farm in the rural county of Powys.
The haul being harvested by Tilly Gomersall is not just impressive after a difficult growing season hit by a record string of heatwaves and drought across all of Wales and most of England, but all the more remarkable given that 18 months ago the site was uncultivated pasture.
“Until now, I’ve just been turning the earth with my own power,” Gomersall says. “We’ve got a two-wheel tractor, but you do have to heft that around with your body quite a lot and we’re cultivating from pasture, so it’s really hard work.”
The site at Wern farm, near Newtown, is part of a scheme to encourage young growers to supply fresh produce to nearby towns and cities and boost domestic production in the face of increasing risks to national food supplies.
The 15-hectare (36-acre) site is divided into three plots, each with a holiday chalet where the growers live, as well as shared facilities including a barn and diesel generator, to cover any power not provided by the farm’s solar panels.
Gomersall’s farm, Cân y Pridd (Welsh for Song of the Soil), totals 4.9 hectares but she is now only growing on half a hectare, including in polytunnels, where she says she is “producing very big volumes for the scale”.
She and her two neighbours are already providing fresh fruit and vegetables for the local community, through a veg box subscription service and at markets. In late July, they also started supplying fresh produce to Birmingham city council, where it is distributed to holiday clubs, giving disadvantaged children a taste of homegrown veg for perhaps the first time.
The Wern farm project was launched by Our Food Trust, a charity which is working to increase levels of homegrown produce and aims to tackle Britain’s food insecurity.
The UK depends on imports for about 40% of its food and has one of the lowest food self-sufficiency ratios among large western European countries, leaving it exposed to supply shocks prompted by the climate crisis, or other risks including geopolitical tensions and cyber-attacks.
Just 0.2% of land in Wales is used for horticulture, according to the charity, giving huge scope for expansion. “We have to produce a lot more food for the regional and local market and for our cities,” says Duncan Fisher, joint chief executive at the charity.
One way to do this is to remove barriers for young people who want to get into growing, Fisher says, but who often find themselves priced out of renting or buying land and a suitable home. “There are lots of well-trained and skilful growers who can’t find land to grow food on,” he says. “The price of land here is set by the market, by people who are not going to farm it.”
The charity has given Gomersall the chance to turn a dream into reality and start a farm just 10 miles from where she grew up, while her neighbour, Lydia Dibben, says she was “quite blown away by the opportunity”.
“It was amazing to be offered seven acres, which is a big amount for small-scale vegetable production, with a house with affordable rent and shared infrastructure,” says Dibben, 28. She and her partner Charlie James have named their plot Tir a Nant (Land and Stream).
Our Food worked with the landowner, Powys county council, on the project, securing a 95-year lease for the plot and changes to the county’s planning guidance for rural enterprise dwellings, to enable growers to have a home on the land they work.
The council leader, Jake Berriman, says “there was a perception that planning was a barrier and we wanted to remove that barrier”. He says local worries about extreme weather had also encouraged the authority to get involved. “We are starting to see genuine concern,” he says. “We have gone from flood to drought to fire.”
The charity also negotiated the contract for the farmers to supply Birmingham, which has two aims: to give the growers a guaranteed buyer for some produce as they find their feet, while ensuring nutritious and sustainably produced fruit and vegetables reach deprived areas.
The farmers have 35 customers for their veg box subscription service, along with selling to a local wholesaler and at regional markets. While they stress the importance of growing for their community, they do not believe that doing so would currently sustain their businesses.
“Because of the cost of living crisis, there’s a limited amount of people who can afford to buy the veg we produce, and we are growing a hell of lot more than we can sell locally,” says Dibben, adding it was “really amazing being able to sell a hundred kilos of courgettes a week” to Birmingham.
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Gomersall reels off a list of the produce the farmers have supplied to the city in the course of a few short weeks, including a “couple of bathtubs” of salad leaves, 28kg of spring onions and 18kg of French beans.
The gently rolling hills above Wern farm feel a world away from the urban sprawl of Britain’s second-largest city, although it is just 70 miles away on the other side of the Shropshire hills.
The UK, and its largest cities in particular, have become too dependent on international supply chains and imported food sold by large retailers, according to food experts such as Tim Lang, a professor emeritus of food policy at City St George’s, University of London.
This challenge is recognised by Birmingham council and its food system team, led by Sarah Newton.
“Birmingham is an urban area surrounded by urban areas,” she says. “If you’re going to feed 1.2 million people, supply chains are the absolute crux of the matter, and we need to strengthen them.”
Produce grown at Wern farm is sent to the city’s holiday activities and food programme, part of a national scheme for children from low-income families. About 1,000 children who attended these summer holiday clubs received boxes filled with vegetables from Powys, which they could eat fresh or cook as part of activities.
Newton adds: “You’ve got children who have not had exposure to different vegetables. There are huge barriers to trying new foods if you’ve never had the opportunity to be exposed to it, it takes 10 to 15 tastes to develop the liking for food.”
The Powys scheme is deliberately small-scale, she says, with one van of produce travelling from Wales to Birmingham each week. The goal is to prove that a direct relationship between food growers and a city of diners can work.
“It’s connecting the entire supply chain on a small scale, looking at all the barriers and the facilitators on the way,” says Newton. “If we had a coordinated, national approach that we should be eating target foods, you could line up supply and demand nationally and then you’d get a meaningful shift in economies of scale.”
This kind of national approach to overhauling food systems is already under way in other countries: the French government introduced its projets alimentaires territoriaux (territorial food projects) in 2014, which work to connect local production with public health priorities.
Back at Wern farm, the growers are planning how to expand their cultivated area as they further develop the site.
Gomersall says: “What’s so joyful about the Birmingham project is … we really enjoy harvesting knowing that kids are going to be eating it and enjoying the flavours of real food.”
The four-bedroom property on Marine Drive has been listed for £699,950.
The house is located within walking distance of The Knap, Barry Island, and Porthkerry Park.
The estate agent said the house enjoys “views across The Knap and the Bristol Chanel”.
The accommodation is made up of an entrance hall, living/dining room, kitchen, rear hall, and WC on the ground floor, while the first floor comprises four bedrooms and a four-piece family bathroom.
The front of the house has off-road parking for several vehicles, and there are gardens to both the front and rear.
The property also has a large detached garage.
The living/dining room features large sliding doors overlooking Cold Knap beach and the sea.
The estate agent describes the kitchen as “modern”, with a range of wall and base units, a freestanding oven, and space for a fridge/freezer, washing machine, and dishwasher.
Upstairs, the master bedroom has a large window with “far-reaching sea views” and two recessed storage cupboards.
The second and third bedrooms also have windows with sea views, while the fourth bedroom overlooks the rear garden.
The first-floor bathroom has a panelled bath, a corner shower cubicle, a low-level dual flush WC, and a pedestal wash hand basin.
The front garden has a lawn surrounded by mature shrubbery and plants, while the rear garden features a large patio area and further mature shrubbery for privacy.
The estate agent said the property is located in a “fantastic location” on Marine Drive, one of the “most prominent parts of Barry” with “fantastic views”.
The house also has “easy access to the main road network” for commuting to Cardiff, Swansea, Bridgend, and Llantrisant.

It was at a friend’s house one evening, a few months after my double mastectomy and reconstruction, that the subject of my surgery came up. ‘So what are they actually like?’
Lilian Greenwood, Parliamentary Under-Secretary of State for Work and Pensions(Image: Parliament TV)
The Department for Work and Pensions has outlined plans to reform the Child Maintenance Service. The DWP has confirmed there are four ways in which the CMS system is being overhauled to make it work better for parents.
A minister has this week detailed four specific changes coming to the CMS. Firstly, the changes are designed to produce more accurate maintenance calculations. Secondly, they are aimed at better identifying cases at risk of non-compliance. Furthermore, thirdly, the DWP minister also outlined how the CMS is being updated to review cases more efficiently, and, fourthly, to take more effective action to ensure compliance.
The issue was brought before the House of Commons after an MP questioned the DWP on what measures are in place to accelerate processes within the Child Maintenance Service, including the resolution of complaints and the scheduling of tribunal hearings.
Lilian Greenwood, the Parliamentary Under-Secretary of State for Work and Pensions, responded this week, stating: “The Child Maintenance Service (CMS) is delivering a Modernisation Programme to improve customer access, efficiency and transparency. This includes integrated online application services, the My Child Maintenance Case (MCMC) service, which provides customers with online access to case information and payment schedules, and Customer Connect, which enables secure online communication between parents and caseworkers. Telephone and assisted digital support remain available for customers who need additional assistance.
“The programme has also introduced improved digital communications, enhanced data sharing to support faster and more accurate maintenance calculations, and predictive analytics to help identify cases at risk of non compliance, which allows us to review the cases more swiftly and take action to ensure compliance is maintained.
“The CMS complies with the Department for Work and Pensions (DWP) complaints service standard, to aim to resolve complaints or set a resolution plan within 15 working days. Where a complaint is complex and requires more time, the CMS will inform the complainant within this period of the next steps and when a response can be expected.
“The CMS reviews overall resource supply and takes appropriate steps to ensure that staffing levels meet current demands and regularly reviews complaint data, including insights from the Independent Case Examiner, to identify key themes and trends, which they use to drive improvements to the complaint handling process. Furthermore, lessons learned are regularly presented to operational teams, supporting them to deliver effective interventions at the initial stage of the complaint and thereby improve the overall customer experience.
“The CMS remains focussed on taking proactive steps to improve the customer experience, developing its customer service strategy to focus on improving current and future service throughout the customer journey.. “HM Courts & Tribunals Service (HMCTS) is a separate government department and is responsible for the listing, scheduling and management of tribunal hearings. While CMS provides information required in relation to appeals, the timing of tribunal hearings is a matter for HMCTS.”
The child maintenance system is currently facing severe criticism. In August, parents told BBC Panorama that the agency is pushing them to breaking point.
Mothers described struggling to get their former partners to pay up. Fathers told the programme they had experienced anxiety and stress due to administrative errors.
One mother told Panorama she resorted to food banks after the CMS failed to make her ex-partner pay child maintenance, leaving arrears of nearly £10,000. Another said she had been forced to skip meals after her abusive ex-partner stopped paying.
CMS director Simon Hunter told Panorama he believed the service “has worked pretty effectively”. He told the BBC: “Every case has its own set of circumstances and there are always two sides to the case as well so… we do work through that as best as we possibly can,” he said. “Any opportunity for us, for myself, to improve the service, then we will absolutely take that on board. “To parents who have been affected by “administrative mistakes… where we have made life difficult for our customers – I absolutely apologise for that”, he added.
To report a complaint with CMS or make an appeal, visit the gov.uk web page.

As children pile back into classrooms, many parents fear their child returning home with head lice – the tiny insects that live in hair, feeding on blood and laying eggs near the scalp.
The four-bedroom semi-detached house in Lavernock Road, Penarth, is for sale for £920,000.
It has planning permission for a two-storey side extension to include a large garage and an additional reception room to the ground floor and two double bedrooms on the first floor.
At the top of the garden, there is a large detached studio/gym which has planning permission to convert to a granny annexe.
The house has a 90ft-long south/west facing garden, a garage, and off-road parking for five cars.
The house has been totally renovated and has an entrance porch, a hall with a porcelain floor, panelling and plate rack, a lounge with a bay window with original block flooring (beneath the carpet) and an open fireplace.
The family room has doors opening onto the garden, a log burner, and a porcelain tiled floor, and is open plan to the kitchen.
The modern kitchen is fitted with gloss black fronted cupboard and drawer units with grey Corian worktops, integrated Neff appliances, and porcelain tiled floor.
It is open plan to the dining area which leads to the utility room and W.C.
Upstairs, there is a principal bedroom with fitted wardrobes and an en-suite shower room.
Bedrooms two and three also have fitted wardrobes, and there is a fourth bedroom and a family bathroom.
The house has double glazing and gas central heating with a pressurised hot water system.
The estate agent said: “We are absolutely delighted to be instructed to sell this superb family home located in a sought after area of Penarth in an excellent School catchment area.
“This is a wonderful family home which must be viewed to be fully appreciated.”

The pancreas is responsible for helping you digest food (Image: Getty)
A doctor is urging people to keep an eye out for potential warning signs of pancreatic cancer. The pancreas, located behind the stomach, helps digest food and manage blood sugar. What makes this form of cancer extremely dangerous is that it often grows silently without early symptoms, spreads rapidly, and forms a dense physical barrier that blocks treatments. Pancreatic cancer kills around three-quarters of patients within a year of diagnosis.
However, according to Dr Philippa Kaye, there are early signs that people should not ignore. She explains that these signs are usually not “a dramatic symptom” but rather “simply something about a patient’s health suddenly doesn’t make sense”.
Writing in the Daily Mail, she shared two stories about patients with the disease. One, who was suddenly diagnosed with stage four pancreatic cancer and died within a few months, and then a second, who had developed Type 2 diabetes.
While Type 2 diabetes is “extremely common”, Dr Kaye explained that this patient did not look like the typical patient she would expect to develop it, in the sense that he was not overweight and had no family history of the condition and had been losing weight.
The combination of the signs rang alarm bells for the doctor, and further investigations revealed that the patient had pancreatic cancer.
Now, Dr Kaye is hoping to help people pay more attention to sudden changes that may seem unnoticeable, but are worth speaking to a doctor about.

Sudden development of Type 2 diabetes can be a warning (Image: Getty)
1. Sudden development of diabetes
Developing Type 2 diabetes does not automatically mean the cause is a tumour. However, developing the disease in later life without the risk factors, such as being overweight or having a family history, should be looked into.
2. Unexplained weight loss
A sudden development of diabetes with unexpected weight loss would cause significant concern, as Type 2 diabetes is often seen in people who are overweight or suffering from obesity. Weight loss can be a sign of unmanaged sugar levels.
Following the first two, diabetes linked to pancreatic cancer can behave differently, with blood sugar rising rapidly and it being difficult to control. Levels can also climb despite treatment.
4. Change in bowel movements
Persistent change in your typical bowel movements is also a symptom that should be brought to your doctor’s attention. Your pancreas is what helps you digest food, and so if a tumour disrupts this process, then stools can become greasy, oily, pale, foul-smelling and prone to floating in the toilet.
Similarly, the urine is noticeably darker. Research examining symptoms in primary care suggests that this symptom can appear months before the cancer is diagnosed.
While back pain is extremely common, there is a particular pattern that patients should be aware of. According to Dr Kaye, the pain can begin in the upper abdomen and go straight through to the back. Some patients have found that it worsens after eating or when lying flat.
Jaundice is when your skin or the whites of your eyes turn yellow. Pancreatic cancer causes jaundice by blocking the common bile duct, which stops digestive fluid from flowing properly from the liver into the small intestine.
It is important to note that none of these symptoms automatically means you have pancreatic cancer. However, if something about your health changes unexpectedly, persists or doesn’t make sense, do not ignore it. Speak to your GP.

Looking for an easy, low-calorie way to add fiber and crunch to meals without turning to processed ingredients or the same-old recipes you’ve relied on for years?
Seeking to celebrate the deep (and expanding) history of photography in Wales and bring great international examples to our domestic galleries, Ffoto Cymru’s second edition looks to be as arresting and thought-provoking as its debut two years ago. Ben Woolhead sifts through some potential highlights.
October sees the return of the biennial, month-long Ffoto Cymru to venues around the country, following its debut in 2024 as a successor to Diffusion. Under the broad theme “There’s More To Life”, this year’s event is focused on offering new angles and fresh perspectives and, in the words of organisers Ffotogallery, “celebrates photography as a tool for storytelling, questioning and imagining – creating spaces where different experiences, ideas and conversations can come together”.
The headline exhibition, arguably, is Coping With And Enjoying Life, a retrospective of images taken by the late Francesca Odell between 1983 and 1985, when she was studying at the storied School Of Documentary Photography in Newport. Many of the prints come from the archives of Ffotogallery and the University Of South Wales, but it’s the tantalising prospect of previously unseen pictures, selected by Odell’s daughters, that will have enthusiasts flocking to Penarth’s Turner House Gallery.
The tender fly-on-the-wall work is the result of a sensitive approach and a concern to construct rapport. Odell’s photographic philosophy – “I try to convey the essential humanity we share as individuals, despite sometimes very adverse situations, believing that through knowledge and understanding, we can come to a more tolerant attitude towards each other and, perhaps ultimately, change for the better” – makes her an ideal figurehead for the festival.
Richard Billingham also made his name with intimate domestic images – in his case, lurid portraits of his dysfunctional parents. 1996’s Ray’s A Laugh has a fair claim on being one of the most controversial photobooks ever published, and pictures from the series were selected by Charles Saatchi for his infamous 1997 exhibition Sensation. For Ffoto Cymru, he’s been specifically commissioned to produce new work: a moving image installation on far-right protest to be screened at the Elysium Gallery in Swansea.
Politics and simmering anger are also to the fore in Jack Moyse’s work on disability and inadequate welfare provision, on display at Machynlleth’s Oriel Sploj. The title of his project, A Sorry State, draws attention to the way in which structural problems are all too often read merely as individual failings. Exploring and depicting how others live is a key preoccupation of Bindi Vora’s practice too, with her exhibition Silence In The Dream Of A Language That Cannot Hold Us showing at Chapter Arts Centre in Cardiff.

At Ffotogallery HQ, the curators have brought together a quartet of photographers for a thematic group exhibition. These include Heather Agyepong, whose work centres around Blackness, identity, agency and mental health, and Harley Weir, who pursues personal projects alongside her commercial and editorial work for prestigious publications and international fashion brands.
Beyond the capital, another group show is taking place at Carmarthen’s Coleg Sir Gar, featuring images by Welsh photographers Peter Finnemore and Paul Cabuts, who share a fascination with culture, memory and history. At Pontypridd’s YMa, self-proclaimed “visual storyteller” Bukunmi Oyewole’s Living On The Edge tackles the thorny and urgent topic of climate change, illustrating its devastating impacts in Nigeria and The Gambia but also human resilience and resistance in the face of environmental apocalypse. Visitors to Theatr Clwyd in Mold, meanwhile, have the opportunity to enjoy Gemma Pepper’s intriguing project The Quiet Locus, in which found photos are absorbed into carefully arranged natural collages.

With a programme that builds on and strengthens the fledgling festival’s international alliances (with the GLAZ Festival in Rennes, for example, and with the Foto Feminas group in South America) and encompasses a Portfolio Review day on Fri 16 Oct and the ever-popular Photobook Fair on Sat 24 Oct, Ffoto Cymru promises to provoke dialogue and promote creative connections.
Ffoto Cymru 2026: Wales International Festival Of Photography, various venues across Wales throughout October
Admission: FREE. Info: Linktree
words BEN WOOLHEAD

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All Right Reserved. Designed and Developed by Martyn Jones.