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It is widely acknowledged that the climate is warming globally and within the UK. In this paper, studies which assess the direct impact of current increased temperatures and heat-waves on health and those which project future health impacts of heat under different climate change scenarios in the UK are reviewed.This review finds that all UK studies demonstrate an increase in heat-related mortality occurring at temperatures above threshold values, with respiratory deaths being more sensitive to heat than deaths from cardiovascular disease (although the burden from cardiovascular deaths is greater in absolute terms). The relationship between heat and other health outcomes such as hospital admissions, myocardial infarctions and birth outcomes is less consistent. We highlight the main populations who are vulnerable to heat. Within the UK, these are older populations, those with certain co-morbidities and those living in Greater London, the South East and Eastern regions.In all assessments of heat-related impacts using different climate change scenarios, deaths are expected to increase due to hotter temperatures, with some studies demonstrating that an increase in the elderly population will also amplify burdens. However, key gaps in knowledge are found in relation to how urbanisation and population adaptation to heat will affect health impacts, and in relation to current and future strategies for effective, sustainable and equitable adaptation to heat. These and other key gaps in knowledge, both in terms of research needs and knowledge required to make sound public- health policy, are discussed. [ABSTRACT FROM AUTHOR]

British summers are known to have become warmer and drier in recent decades, but has there also been a change in the timing of this season’s beginning, as has occurred for spring? This paper addresses this question by examining records of the first blooming date of early summer flowering plants (phenology) and the timing of first occurrences of warm ‘summer’ temperatures, both events that we associate with the onset of summer. This has revealed that the onset of summer in England has been advancing since the mid 1950s. The occurrence of ‘summer’ temperatures has advanced more than early summer flowering, by eleven and three days respectively in the 1990s compared to the period 1954–1963. This may have encouraged drought or heat wave conditions by prolonging the period of warm temperatures and lower rainfall in which these events occur. [ABSTRACT FROM AUTHOR]