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Muslims the target? Fury as millions lose voting rights in India’s Bengal | Elections News

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West Bengal, India – Nabijan Mondal, 73, has voted in every Indian election – national, state or local – for the past 50 years.

Suddenly, she finds her name missing from the list of voters published by the Election Commission of India (ECI) in her home state of West Bengal as it heads for a two-phase assembly election on April 23 and April 29, with votes to be counted on May 4.

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In the run-up to the election, the ECI this month revised its electoral rolls through special intensive revision (SIR), a controversial exercise India’s election authorities have conducted in more than a dozen states and federally-governed territories so far.

Nabijan’s husband, three sons and a daughter, as well as their spouses, all made it to the final list. But she did not.

The reason: all these years, Nabijan and her family had not paid much attention to the fact that she went by “Nabijan”, her nickname, on the voter card, and “Nabirul” on other government documents, including her biometric ID (Aadhaar) and ration cards.

India West Bengal Muslim voters
Nabijan Mondal at her home in Gobindapur village, North 24 Parganas, West Bengal [Ritwika Mitra/Al Jazeera]

Nabijan is among more than nine million people to lose voting rights in West Bengal – nearly 12 percent of the state’s 76 million voters, after the SIR process was concluded earlier this month. Almost six million of these nine million voters have been declared absentee or deceased, while the remaining three million will be unable to vote until special tribunals hear their cases.

But that seems unlikely, given that the tribunals will not be able to hear such a large volume of cases before the polling days. Approaching the tribunals would also be tedious for people as they scramble for the required documents needed to prove their voting rights. Earlier this week, the Supreme Court of India said it could not allow those whose cases were pending before the tribunals to vote in the April election. However, the court said it could allow the ECI to publish supplementary voter lists before the election.

“This time, my whole family will vote, but I won’t be able to. I do not understand things much, and did not know the names being different would bar me from voting,” Nabijan, a resident of Gobindapur village in West Bengal’s North 24 Parganas district, told Al Jazeera.

‘I am in deep pain’

West Bengal is home to nearly 25 million Muslims, accounting for roughly 27 percent of the state’s 106 million population, according to the last census conducted in 2011 – the community’s second-largest population among Indian states after Uttar Pradesh.

It is also a state the BJP has never won. The Trinamool Congress (TMC), one of India’s key opposition parties led by Mamata Banerjee, a fiery 71-year-old Modi critic, has governed the state since 2011, ending a record 34 years of communist rule.

The analysis of voter deletions across West Bengal shows that Muslims have been disproportionately affected by the SIR exercise, mainly in districts where they constitute a high percentage of the population and could sway the election, including Murshidabad with 460,000 deletions, followed by 330,000 in North 24 Parganas and 240,000 in Malda.

Al Jazeera met nearly a dozen such Muslim families in Gobindapur, Gobra and Balki villages of North 24 Parganas. They said some names were struck off the voter list despite their documents being in place, whereas many others were struggling to find proof of their residential status, change of surnames after their marriage or remarriage of their parents, discrepancies in the spellings of their names, proof of their migrations to other states, or just their names figuring in the last SIR list published in 2002.

Like Nabijan, Sohidul Islam, 49, from Murshidabad’s Sagarpara village, had also been voting in previous elections. Now, he is not a voter any more.

“I am in deep pain. Who will I approach? I never thought my name would be deleted from the list. But now I want to focus on getting my name included. Even if I lose money and time, I have to think ahead,” Islam told Al Jazeera over the telephone.

The ECI claims the SIR process is aimed at removing duplicate or deceased voters and adding genuine people left out of voter lists.

But the process has faced extensive controversies and legal challenges, with opposition parties and Muslim groups accusing the ECI of a systematic exercise to remove people unlikely to vote for Prime Minister Narendra Modi’s Bharatiya Janata Party (BJP) from the voter lists, especially Muslims – the prime targets of the BJP’s Hindu supremacist campaign and policies since Modi came to power in 2014.

West Bengal BJP leader Bimal Sankar Nanda told Al Jazeera that while no eligible Indian should be left out of voter lists, there should be no ineligible voters on the list either, accusing the TMC of keeping names of “dead and shifted voters” in the rolls.

“It is also true that the demographic character of the border areas [with Bangladesh] has been changing in a calculated manner. It is in public domain and TV channels have showed people who were not Indian citizens leaving the state [in border areas] after the SIR exercise started,” he said.

‘Some motive’ behind hurried SIR

Since 2014, India’s Muslims have overwhelmingly voted for a political party or coalition most likely to defeat the right-wing BJP. In West Bengal, it is the TMC, which is why Banerjee, as the state chief minister, herself moved the Supreme Court in February, accusing the ECI of being partisan towards the BJP after the SIR was launched in October last year.

“The SIR process was selectively applied in West Bengal to benefit the BJP,” she said at a campaign rally this week. “The BJP is plotting to forcefully capture votes through fraudulent means as they don’t have the guts to fight and win the elections democratically.”

The BJP says the exercise was intended to weed out millions of “illegal infiltrators” – often using “Bangladeshis” and “Rohingya” interchangeably – from West Bengal, which shares a porous 2,200km (1,367-mile) border with neighbouring Bangladesh, home to the world’s largest camp of nearly a million Rohingya refugees, most of whom fled a genocidal campaign by the Myanmar army in 2017.

The BJP has been using the bogey of Bangladeshi “infiltrators” or “illegal migrants” to appeal to its mainly Hindu support base, most recently in the northeastern state of Assam, where assembly elections were held earlier this month. The election results of Assam are expected along with those of West Bengal and some other states on May 4.

However, Sabir Ahamed of the Kolkata-based SABAR Institute, an independent research organisation, told Al Jazeera that while the revision of electoral rolls is a routine activity, usually conducted over one or two years, the process was hurried in high-stakes West Bengal.

“There seems to be some motive behind such a hurried activity,” he said. “Micro observers with no local knowledge were brought in from other states … The ECI process also lacked transparency, and lists were published in the middle of the night.”

The SABAR Institute analysed voter deletions in two key constituencies – Nandigram and Bhabanipur, both being contested this year by Suvendu Adhikari, the BJP’s leader of the opposition in the West Bengal Legislative Assembly, the latter against Banerjee, who had lost Nandigram to Adhikari in the 2021 vote. India allows a candidate to contest from two constituencies in regional or national polls.

The SABAR analysis found that while Muslims make up about 25 percent of Nandigram’s population, more than 95 percent of the names deleted from the list were Muslims. Similarly, Bhabanipur has 20 percent Muslims, but 40 percent of voters deleted in the constituency are Muslim.

“The preliminary findings showed that Muslims were the most mapped population. First, over five million people were put in the ASDD [absent, shifted, dead or duplicate] list. After that, they started using AI tools and found huge ‘logical discrepancy’ cases due to Urdu or Arabic words being translated into Bengali or English when it came to Muslim names,” he said.

“Our studies find that Muslims from the mapped population have been disproportionately deleted.”

Mohammad Bakibillah Molla, head of the West Bengal chapter of All India Imam Association, said his organisation has established helplines across West Bengal to help people whose names have been deleted in approaching the tribunals.

“There should be no conspiracy against any eligible Indian voter, be it Muslim or Hindu or any other community. Who will account for people who will be unable to vote?” he said.

Al Jazeera reached out to two senior ECI officials in West Bengal, but they did not respond.

‘Excessive burden’ on female voters

Swati Narayan, who teaches law, poverty and development at the National Law School of India University in the southern city of Bengaluru, told Al Jazeera that women and the poor were at a disproportionate risk of being disenfranchised, as they often lack the required documents to prove their citizenship rights.

“In case of women, they shift houses especially after marriage in a patrilocal society,” she said.

“In West Bengal, there is also the common use of nicknames, which often gets into official documents. Most women, especially Muslim women, are given different surnames before and after marriage. There can also be errors in translating names into English. What we now see is an exercise which has led to the rise of large-scale panic among residents.”

Jesmina Khatun, 31, lives in Gobindapur. She told Al Jazeera all her documents were in place with the correct spellings of her name, while her parents and grandfather figured in the 2002 list. Except for a tiny detail: her father’s name appeared as “Goffer Mondal” on her school certificate and as “Gaffar Mondal” on other documents. While her father still made it to the SIR list, Jesmina’s name was scrapped.

“I do not know what the way ahead is now. All my documents are in place. I feel so anxious these days. None of my other relatives has had to face this problem,” said Jesmina, adding that she had voted in three previous elections.

Jesmina Khatun
Jesmina Khatun at her home in Gobindapur village, North 24 Parganas, West Bengal [Ritwika Mitra/Al Jazeera]

Psephologist and political commentator Yogendra Yadav told Al Jazeera the SIR places an “excessive burden” on female voters.

“Men have to account for papers in the family in the location where they live, and women have to produce papers from the location they don’t live, which is their ‘maika’ [father’s home]. This differential burden of papers has led to a large number of deletions of women’s names,” he said.

“Also, in many parts of India, probably not so much in West Bengal, it is a standard practice for women to change their first names after marriage. Now, in the eyes of law, it looks like a crime or fraud. Because of this lack of sensitivity over this issue, it has led to the largest ever disenfranchisement of women voters.”

Yadav, who last year challenged the SIR exercise conducted in the neighbouring state of Bihar before the Supreme Court, said the problem lies with the Indian government, which uses its power to translate its own failures as crimes of the population.

“The problem lies with the state. It demands of people documents that it has never provided. Suddenly, you want documents of some kind; the expectation that your name must be recorded the same from a person who is probably not educated. Or say, if they are educated, the names are not recorded by themselves. The problem is the state itself writes them in different formats in different registers,” Yadav said.

Back in Murshidabad, Islam says his name was deleted despite attending two SIR hearings and submitting all the relevant documents.

“You know what is sad? If you dig this land, you can find our umbilical cords here,” he said. “I am a Muslim man … We will vote here, and we will die here.”



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Server-room lock was nothing but a crock • The Register

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PWNED Welcome back to Pwned, the column where we immortalize the worst vulns that organizations opened up for themselves. If you’re the kind of person who leaves your car doors unlocked with a pile of cash in the center console, this week’s story is for you.

Our tall tech tale of woe comes courtesy of a reader we’ll Regomize as Pete. Pete used to work at a company that handled parking fees and was trying to secure ISO 27001 certification for its security controls.

One vulnerability that showed up as part of the initial security screening was that the server room network was connected to the production datacenter network, so anyone entering that room could get all kinds of access. The solution: put a lock on the server room door.

The lock that Pete’s company bought used two-factor authentication. First, the entrant would have to swipe an ID card. Then, they’d have to enter a four-digit PIN. If someone entered the wrong code, the failed attempt would be logged.

On the day when the auditor was to come to the office, the team performed a final drill, which looked good at first. First, the CTO swiped their pass, entered the correct PIN, and gained access. Then a senior sysop swiped a card, entered the wrong passcode, and was denied entry. A junior sysop repeated the process and was also denied, as expected.

However, the junior sysop then decided to try bashing the buttons on the keypad without swiping a card first. To his surprise, the door unlocked itself. The senior sysop was able to reproduce this unexpected behavior.

Apparently, the problem was that if you entered more than 10 or 11 digits, the lock would become overloaded and open. If you entered the expected four digits and they were wrong or you didn’t swipe a card, the lock would stay closed.

With the inspection due that day, the company was faced with a major problem, which they solved by strategically withholding some information. When the auditor arrived, the senior sysop demonstrated the lock by only entering a four-digit PIN number every time. It worked as expected and the auditor signed off on the certification.

The vendor who supplied the lock was unable to fix the problem because they weren’t the manufacturer. Supposedly, the lock manufacturer was on the hook to provide a replacement, but that didn’t happen while Pete worked there.

As far as he knows, no one ever exploited this physical security vuln, but it’s still distressing. Just remember: All the cybersecurity in the world breaks down if you don’t have physical security.

Have a story about someone leaving a gaping hole in their network? Share it with us at pwned@sitpub.com. Anonymity available upon request. ®



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Fire at key Australian refinery deepens fuel risks amid Iran war shortages | US-Israel war on Iran

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NewsFeed

A major fire at a key refinery in Australia refinery has disrupted fuel production, raising fears of shortages as supplies are already strained by the Iran war.



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QUIC will soon be as important as TCP • The Register

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While Larry was producing most of the content for the “Request/Reponse” chapter for the next edition of our book, I took the lead on writing a section on QUIC (Quick UDP Internet Connections), since I have closely followed its development.

Our expectation is that the role of QUIC will be about as important as that of TCP in the coming years, which means it warrants more substantial coverage than we provided in the last edition. So I dug a bit deeper into the bits and bytes of QUIC than I have previously, with a goal of bringing the coverage up to par with our TCP coverage. In addition to reading through the RFCs, I found lots of good information in the original QUIC design spec as well as some conference publications on the design and evaluation of SPDY (predecessor of HTTP/2) and QUIC.

One rather trivial thing that makes it harder for me to get to grips with QUIC is the fact that its RFCs (four of them, spanning hundreds of pages) lack pictures of the packet headers. The rationale for this, I believe, is that QUIC makes extensive use of fields that are variable in length and frequently not aligned on 32-bit boundaries, which makes packet header pictures a bit complicated and less tidy. I decided to have a go at drawing my own – here’s one example, which I provide here in the hope that I’ll hear from others who find it either useful or confusing.

The structure of packet headers in QUIC

The structure of packet headers in QUIC

For comparison, RFC 9000 represents this header as follows:

Long Header Packet {
Header Form (1) = 1,
Fixed Bit (1) = 1,
Long Packet Type (2), Type-Specific Bits (4),
Version (32),
Destination Connection ID Length (8),
Destination Connection ID Length (8),
Destination Connection ID (0..160),
Source Connection ID Length (8),
Source Connection ID (0..160), Type-Specific Payload (..),
}

Maybe I am just old-fashioned in liking to see packet headers when I am learning about a protocol. And I admit that the text version contains more information; e.g. it explains the Flags in detail. Feel free to let us know your preferences. (I guess we know what the “Wall of Text” reviewer thinks already!)

The use of variable-length fields pervades the protocol, in an effort to balance efficiency and future-proofness.

Both TCP and IP have a history of defining 32-bit fields that turned out not to be long enough; QUIC generally avoids that issue by allowing for fields to be very large, such as the 160-bit connection IDs in the packet header above.

At the same time, efficiency has been a concern throughout the design process for QUIC and HTTP/2, since the time to transfer small objects in HTTP is significantly impacted by the amount of header overhead. Hence the use of variable-length encodings that keep the fields small when the extra length isn’t needed.

It’s probably also fair to say that processing unaligned fields in software is much less of a concern now than it was on the computing hardware of the 1970s, so saving bytes on the wire now takes precedence over 32-bit alignment.

Those long connection IDs replace the way in which TCP connections are identified (source and destination IP addresses and TCP port numbers) with a single identifier that is unique from the perspective of the receiving host. That provides a handy starting point for enabling QUIC connections to survive a change of IP address, e.g., when a host switches from one network to another.

Because QUIC differs from TCP in many ways large and small and spans four RFCs, trying to describe its most important features feels a bit like the parable of the blind man and the elephant. One aspect that grabs my attention is the way the layering with TLS was redesigned in QUIC (previously discussed here ). Here is the picture we use to show this:

How layering with TLS was redesigned in QUIC

How layering with TLS was redesigned in QUIC

HTTP over TLS was a traditional layered approach: TCP gives you a reliable byte-stream; TLS provides a secure channel on top of TCP; and HTTP sends application data over that secure channel.

QUIC, by contrast, absorbs the record layer of TLS, with the TLS handshake setting up the secure channel and HTTP then getting to run over QUIC’s secure channel directly. This more integrated approach has allowed for several round-trip times of connection establishment to be reduced to a single RTT, with the potential for application data to be sent in the first RTT. As I discussed a few months ago, 0-RTT data is a good example of a complex tradeoff between performance and security. Even without 0-RTT data, the redesigned layers of QUIC and TLS reduce the number of RTTs needed to get a secure channel established, thus providing a real performance benefit to the application.

Finally, A Protocol for RPC

The QUIC feature that I found myself focusing on this time around was the support of streams within a single connection. This is particularly relevant because Larry and I have chosen to place QUIC inside our chapter on Request/Response protocols.

As we have argued since our first edition, the request/response paradigm is not a good fit for a reliable byte-stream abstraction as provided by TCP. So while QUIC is usually presented as a transport protocol to improve performance of Web applications (which it is) we view it as the long-awaited answer to the question “where is the protocol for request/response applications?”

While the example of request/response that we have tended to use is remote procedure calls (RPC), many similar arguments apply for the retrieval of web pages. In particular, it’s generally not required that the responses to a series of requests for objects come back in order; what is important is that they all get back quickly. Furthermore, HTTPS is not just a protocol for fetching web pages; it also underpins RPC protocols such as gRPC, further underscoring the need for the protocol stack under HTTP to be well tuned for RPC.

Streams are the primary mechanism making QUIC a better fit for request/response operations. When HTTP runs over TCP, the only way to allow one request to proceed independently of another is to open multiple parallel TCP connections.

With each connection running its own congestion control loop, the experience of congestion on one connection is not apparent to the other connections; each connection tries to figure out the appropriate amount of bandwidth to consume on its own, while competing with the others. And if HTTP runs over a single TCP connection, a single dropped packet blocks the entire progress of any requests in flight until that lost packet is retransmitted.

So QUIC allows for many streams within a single connection, and each stream can make progress independently from the others. A single packet loss only impacts the stream (or streams) whose data was in that packet. At the same time, QUIC can use that one packet loss to respond appropriately to congestion. Streams are provided by a mechanism that places Stream frames within packets, and the process of starting a stream is lightweight: either end of a connection can initiate a new stream by picking a new Stream Identifier and sending a frame with that ID and the first frame of data.

The way in which QUIC handles congestion and packet loss is worth a whole RFC (9002) and there are some interesting details in how QUIC differs from TCP, mostly in the way sequence numbers refer to packets, not bytes, and are never re-used, even for retransmissions. SACK is more expansive, allowing for more gaps in the set of acknowledged packets. But the default approach is very similar to that of TCP NewReno, while allowing for other options.

Boiling down hundreds of pages of RFCs to a section of a textbook means that inevitably we must skim over some details. I’m not even sure if our book on all of networking will be as long as the full set of QUIC RFCs. But having made the case since the 1990s for a third transport protocol that is neither UDP or TCP, we are pleased to finally have a candidate for that spot that seems to be gaining real traction in the Internet.

Of course there have been many other efforts to add to the TCP/UDP duopoly in the past, with SCTP being a valiant effort, but QUIC has a lot going for it. The team that has worked on it since 2012 has paid close attention to deployment considerations (which is why it runs over UDP—the duopoly lives on thanks to middleboxes). And with a lot of carefully considered design, QUIC has made a real difference to the performance of the web and of other applications needing request/response semantics. ®

Larry Peterson and Bruce Davie are the authors behind Computer Networks: A Systems Approach and the related Systems Approach series of books. All their content is open source and available for free on GitHub. You can find them on Mastodon, their newsletter right here, and past The Register columns here.



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Sensex, Nifty pare early gains, metal stocks shine amid volatility

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Equity benchmarks surrendered early gains in Thursday’s afternoon session, even as midcap stocks showed resilience and small-caps managed mild advances. The pullback in frontline indices came after a strong start, driven by easing geopolitical concerns and positive global cues.

Asian markets traded higher. Meanwhile, safe-haven demand pushed precious metals higher, with gold and silver prices witnessing a sharp surge amid volatility and currency movements.

BSE Sensex had jumped 619 points to 78,730.32 in early trade, while the NSE Nifty climbed 169.65 points to 24,400.95, supported by optimism around progress in restarting US–Iran negotiations, which helped cool crude oil prices. Fresh foreign fund inflows and a positive global market trend also boosted sentiment initially.

However, by 12.35 pm, both indices slipped into the red, with the Sensex down 324.86 points or 0.42 per cent at 77,786.38, and the Nifty 50 falling 93.50 points or 0.39 per cent to 24,137.80.

Broader markets, however, held relatively firm. Midcap stocks remained resilient, while smallcaps posted modest gains. Sectoral trends were mixed, with metal stocks outperforming, rising over 1 per cent. The IT index also edged higher ahead of Wipro’s Q4 results.

On the downside, banking, financials, healthcare and realty stocks saw selling pressure.

Hindalco, Trent, BEL lead Nifty 50 gainers

Among the Nifty 50 constituents, Hindalco Industries, Trent, Adani EnterprisesBharat Electronics and Larsen & Toubro led gains. In contrast, Titan Company, Apollo HospitalsONGC, Sun Pharma and HDFC Bank were among the top laggards.

Market breadth remained positive, with 1,678 stocks advancing out of 3,180 traded on the NSE, while 1,408 declined and 94 remained unchanged. As many as 87 stocks hit 52-week highs, including GMDC, Vedanta, MTAR Technologies, Thangamayil Jewellery, Adani Energy Solutions and Granules India, while only three stocks touched 52-week lows.

Additionally, 120 stocks hit the upper circuit and 21 touched the lower circuit.

Among the most active equities by traded value, GMDC led the charts with a traded value of ₹3,10,232.76 lakh, followed by HDFC Bank at ₹2,37,578.92 lakh and Reliance Industries at ₹1,95,372.56 lakh. GAIL India also saw strong activity with ₹1,75,487.31 lakh in traded value, while ICICI Bank recorded ₹1,63,503.90 lakh.

The high traded values ​​indicate sustained investor interest, particularly in GMDC amid its sharp rally, alongside continued traction in heavyweight banking and energy stocks.

Midcap & smallcap movers

In the midcap space, Radico Khaitan, National Aluminum Company, ICICI Lombard, Oracle Financial Services Software, Coforge and YES Bank rose 2–3 per cent. On the flip side, Astral, Supreme Industries, GMR Airports and Hero MotoCorp declined 2–5 per cent.

Among smallcaps, GMDCFirstsource Solutions, Swan Energy and Aptus Value Housing Finance surged between 6 per cent and 19 per cent. Meanwhile, Poonawalla Fincorp, Deepak Fertilizers, Piramal Finance, CG Power and Industrial Solutions and Meesho fell 2–3 per cent.

On the BSE, GMDC, Firstsource Solutions, Sonata Software and NLC India rallied 11–18 per cent, while Mahindra Lifespace Developers and Tejas Networks were among the top losers.

Stocks such as Wipro, HDFC Life Insurance, HDFC Asset Management Company, CRISIL, Angel One, Waaree Renewable Technologies and Alok Industries will be in focus as they are set to announce their Q4 results. Meanwhile, HDB Financial ServicesICICI Lombard, Elecon Engineering, Hathway Cable & Datacom and Tejas Networks shares reacted to the Q4 performance announced yesterday. FOLLOW OUR Q4 LIVE

On Wednesday, Wall Street ended higher.

Domestic market: Sensex settled 1263.67 points or 1.64 per cent higher at 78,111.24, and Nifty 50 soared 388.65 points or 1.63 per cent to 24,231.30. FIIs bought equities worth ₹666.15 crore.

Published on April 16, 2026

April Windows Server 2025 update may fail to install

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Windows Server

Microsoft is investigating an issue causing this month’s KB5082063 security update to fail to install on some Windows Server 2025 systems.

On affected systems, users are also reporting seeing 0x800F0983 install errors when trying to deploy the April 2026 cumulative updates.

“Microsoft is monitoring diagnostic data reports on update installation failures and has observed a recurring error on Windows Server 2025 devices when installing the April 2026 Windows security update (the Originating KBs listed above), released on April 14, 2026,” the company says in a service alert spotted by Microsoft MVP Susan Bradley.

Wiz

“A limited number of affected servers might experience an installation failure accompanied by the error code 800F0983.”

Microsoft says it’s currently looking into this known issue and will share more details as it learns more about the root cause.

​On Wednesday, Microsoft also warned IT administrators that some Windows Server 2025 devices will boot into BitLocker recovery after deploying the KB5082063 Windows security update, prompting users to enter a BitLocker key.

However, as the company further explained, this is unlikely to affect home users, as affected configurations are typically found on systems managed by enterprise teams.

This week, Microsoft also finally addressed a bug that has been plaguing Windows servers for 1.5 years, causing systems running Windows Server 2019 and 2022 to upgrade to Windows Server 2025 “unexpectedly.”

While it initially blamed the issue on misconfigured third-party update management software, Microsoft said it had addressed the issue and that customers can once again check for updates through the Windows Settings app.

Since the start of the year, it has also released several emergency updates to resolve security vulnerabilities in the Routing and Remote Access Service (RRAS) management tool, a Bluetooth device visibility bug, broken sign-ins with Microsoft accounts, and update installation issues affecting the March 2026 non-security preview update.

Automated pentesting proves the path exists. BAS proves whether your controls stop it. Most teams run one without the other.

This whitepaper maps six validation surfaces, shows where coverage ends, and provides practitioners with three diagnostic questions for any tool evaluation.



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Future of the NHS, saviour of the high street? High hopes for health hub in a Barnsley shopping centre | NHS

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It is a revolution that might just save the NHS – and the high street. Imagine being able to have your eyes tested, mole examined or get an appointment with a consultant without going to your local hospital – and maybe fit in some shopping or a cinema visit afterwards.

That, increasingly, is what people in Barnsley are doing after an unprecedented relocation of medical services from the district general hospital into a purpose-built outpatients centre in the Alhambra shopping centre, which is getting a new lease of life thanks to the experiment.

Those involved say the initiative – the first of its kind in the NHS – is trailblazing and revolutionary. After a recent visit, Wes Streeting, the health secretary, described it as “really inspiring”. He said: “What we’re seeing right here in the heart of Barnsley town centre is the future of the NHS.”

The outpatients centre has been created as a result of a collaboration between Barnsley hospital NHS foundation trust and the town’s Labour-run council. Hundreds of people a week are visiting it to have tests or treatment, including minor operations,for example to treat cataracts, blocked tear ducts or ingrowing eyelashes. Soon the number will rise to 1,000 or more.

It gives patients easier access to a range of non-urgent services than at the hospital on the town’s outskirts, where parking is limited. Through the extra footfall it is generating, it is also boosting custom for shops, cafes, restaurants and leisure facilities.

“It’s about having your mammogram while your husband wanders around at Sports Direct, or meeting your friend for a coffee after a dermatology appointment where someone looked at your rash,” says Michael Brown, the architect who designed the new facility.

Helen Campbell, 68, from Barnsley, being examined at the outpatients centre. Photograph: Joel Goodman/The Guardian

The centre, which opened last October and cost £8.8m, occupies what used to be a large branch of the variety retailer Wilko on the first floor of the Alhambra, which the council bought to stop it going bust. Services have been moving in from the hospital gradually since then.

Ophthalmology, optometry and retinal screening arrived first. Dermatology began seeing patients there last week and rheumatology and orthotics care opened for business this week. In all, 121 staff who used to work at the hospital – mainly nurses and healthcare assistants but also some doctors – now do so in the new facility.

The trust and council intend to turn the entire first floor of the centre into a health and wellbeing hub through their “health on the high street” joint plan. Shops – some open, many shuttered – will be replaced by a private gym, a council-run healthy eating cafe and mental health services provided by the local NHS mental health trust.

The trust and council intend to turn the entire first floor of the centre into a health and wellbeing hub. Photograph: Joel Goodman/The Guardian

Barnsley hospital was encouraged to create the outpatients centre by the success of a community diagnostic centre (CDC) it opened in April 2022 in the shiny, modern Glass Works shopping centre beside the tired-looking Alhambra. NHS England and Streeting see the expanding network of CDCs, which provide blood tests, X-rays and scans in community settings, as a way of helping to crack the service’s 7.25m-strong backlog of care. The hope is that faster, easier access to tests – in convenient locations, not hospitals – will mean treatment starts sooner.

The Barnsley CDC already carries out 50,000 to 60,000 tests a year. The trust hopes that it and the outpatients centre will between them provide more than 200,000 appointments. The latter is expected to offer 38,000 slots a year for adults with eye conditions, another 4,400 for children with sight problems, 19,500 episodes of care for people with skin conditions, 10,400 for rheumatology and 4,200 for people who have issues with their feet.

The outpatient centre’s location is proving a hit with patients, partly because it is a quick walk from the bus and rail station, says Alan Heathcote, Barnsley hospital’s project manager. “Patient feedback has been very positive. And the themes are consistent: easier access, a better location, less walking, shorter waits and no need to battle for hospital parking”, he says. Parking near the Alhambra is plentiful and cheap.

The experience of the CDC so far suggests that offering care in a town centre location has helped to reduce “DNAs” – patients who don’t show up – by 24%.

Alan Heathcote, the project manager: ‘We see this as a trailblazing model.’ Photograph: Joel Goodman/The Guardian

Heathcote says: “For Barnsley hospital, this is about much more than relocating clinics. We see this as a trailblazing model that puts health at the heart of Barnsley town centre. It’s about making care easier to reach, more joined up and more suited to how people live their lives, while also helping to support the wider regeneration of the town.

“We recognise that bringing hospital services into the town centre has a wider benefit. It increases footfall [and] supports local business.”

Each patient attending the CDC spends an average of £17.50 while in the town, the trust has found. Expected spend for those visiting the Alhambra is slightly less – £15 a head. But if that is borne out then the projected 100,000 appointments could yield £1.5m of extra spending in a town centre that, like so many, needs help to survive the challenges of decay, online shopping and the cost of living crisis.

“Our first priority is always better care and a better experience for patients [but] we are proud that this investment can also contribute to the vitality and long-term renewal of the town centre,” Heathcote says.

Visitors in the waiting room. Photograph: Joel Goodman/The Guardian

The layout, furniture and colour scheme have been designed to make it not look or feel like a normal clinical facility, to help reduce patients’ anxiety about receiving care.

When the Guardian visited the facility last week, the dermatology service was about to see its first patients in its new home. They have conditions such as psoriasis, eczema and impetigo. Some receive UV light therapy to relieve their inflammation and itching.

For Lisa Shaw, the service’s lead nurse, the outpatients centre is a welcome change from her previous base at the hospital two miles away. “It feels very welcoming when you come in,” she says. “There’s better parking than at the hospital, where it’s horrendous. There are several pharmacies nearby where patients can get prescriptions dispensed. [Until now] our services at the hospital were provided in an old building with a flat roof which always leaked.”

Barnsley’s innovation is attracting attention. Officials from Bradford’s NHS trust have visited to see how it works, as have delegations from five councils, the Department of Health, the Ministry of Housing, Communities and Local Government and even a German town. The Commons health and social care select committee has begun an inquiry into how Streeting’s promise of a network of new “neighbourhood health centres” – offering health services under one roof, closer to people’s homes – can move from rhetoric to reality.

A sculpture based on a character in the film Kes outside the main entrance to the Alhambra centre. Photograph: Joel Goodman/The Guardian

Streeting has urged the NHS to undertake “three big shifts” – from an analogue to a digital service, from hospital-based to community-based care and from treatment to prevention – to help it cope with the intense pressures on it. Progress is mixed. But the outpatients centre in Barnsley is an example of the strategy in action, with economic benefits an added bonus.

Brown says: “When people look at their town, they look at the high street. If they see boarded-up shops, it’s depressing and gives a sense of ‘my town’s not going well’. Barnsley’s initiative – putting healthcare in a town centre shopping centre or empty units – could be a good way of the government reviving their northern towns and even helping to fight off Reform.”

Radix Big Tent, a centrist thinktank, is about to launch a commission of inquiry into how healthcare – both NHS and private – can help save ailing high streets.

“Barnsley NHS trust are potentially providing a model not just for better health but also for the revival of our high streets,” says Ben Rich, its director. “Visitors spending £17.50 in local restaurants, cafes and retailers is money that’s gamechanging for a town like Barnsley and could be gamechanging for other struggling town centres and high streets across the country.”



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