NASA has captured this satellite image of a thick pool of smoke spewing from the California coastline and merging with the clouds over the Pacific Ocean.
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Almost a fifth of hospital patients were also unable to reach their call button, a report warned.
At least 2,400 cancer sufferers die needlessly every year because their GP does not refer them to a specialist quickly enough.
It comes after shadow chancellor John McDonnell made a surprise U-turn on the Tory budget vote which is due later today.