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The bill also called for a more joined-up approach between tackling climate change and nature loss.

But where Trump talks in terms of increasing GDP spending, Europeans are discussing how to spend their defence budgets more wisely and in a more joined-up way to boost continental safety.

Linda Graham, who is regional manager of nine nursing homes, said the system required consistency and joined-up thinking.

There are examples of projects offering this kind of joined-up help, often in partnerships between councils, charities and, sometimes, the NHS.

"So I would urge all local authorities, and maybe there's a role there for the new mayor for the North East, to bang a few heads together and try to get a joined-up working group to deal with this quite serious issue."