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Online apps have been recommended to help people with lower back pain in a bid to tackle NHS waiting lists. Seven platforms have been given the green light for people over the age of 16 to manage their condition in early value assessment guidance published by the National Institute for Health and Care Excellence (Nice). According to the NHS Long Term Plan, lower back pain is the biggest cause of disability and is thought to account for about 30% of GP consultations every year. England affected by long-term back pain" data-source="UKHSA"> UK Health Security Agency (UKHSA) figures show there are 9.11 million people living with long-term back pain in England. Nice said it hopes its guidance will work towards reducing inequalities in care for musculoskeletal conditions. It also hopes the move could reduce NHS waiting lists, as well as bringing down the number for people using medication or waiting for GP or physiotherapy appointments. On Thursday, it emerged that a record 7.75 million people in England were waiting to start NHS treatment at the end of August. The digital platforms our committee has recommended could provide the NHS with extra capacity to get those effected off waiting lists, which vary in length across the country, and into treatment Mark Chapman, Nice Mark Chapman, interim director of medical technology and digital evaluation at Nice, said: “More than two million people suffer from low back pain each year and there are considerable pressures on NHS services to provide the treatment and care to those needing support with this debilitating condition. “The digital platforms our committee has recommended could provide the NHS with extra capacity to get those effected off waiting lists, which vary in length across the country, and into treatment. “We believe these technologies have the potential to offer value for money for the taxpayer, while offering people with low back pain quicker access to get the care they need at a time and place of their choosing.” The platforms recommended for NHS use are ACT for PAIN, getUBetter, Hinge Health, Kaia, Pathway through Pain, selfBACK and SupportBack. Some of the apps are designed for people with new back pain, while others are aimed at those with chronic back pain. These apps are yet another example of how technology can be used help patients get the care they need, when they need it Health minister Will Quince The platforms offer access to multi-disciplinary teams, along with guided exercise videos, and reminder functions for patients to do tasks such as filling in questionnaires. Health minister Will Quince added: “These apps are yet another example of how technology can be used help patients get the care they need, when they need it. “They offer a range of services which will allow patients to manage lower back pain from the comfort of their homes by improving access to musculoskeletal services – which will form a key part of our Major Conditions Strategy. “This will help to reduce pressures on the NHS and can help to cut waiting lists – one of the government’s top priorities – and will help people to live happier, healthier lives.” The technologies recommended in the guidance can be used once they have appropriate regulatory approval and meet the standards within NHS England’s Digital Technology Assessment Criteria, Nice said. The watchdog also recommends lower back pain self-management, exercise, manual therapies, psychological therapy, and combined physical and psychological programmes as well as return to work programmes. Denice Logan Rose, executive director of BackCare (National Back Pain Association), said: “Very many people living with non-specific low back pain feel that they have nowhere to turn for help, they are desperate and are at a complete loss about what they can do to help themselves. “Apps form a significant part of the technology-driven world we live in and if they can be used to help people living with back pain to lead more pain-free and active lives, this is a huge step forward.” Read More From choppy bobs to fox red, 5 celebrity-approved hair trends for autumn The UK’s first dedicated male breast cancer organisation has launched – here’s why it matters How Taylor Swift’s style has evolved over the years Model Emily Ratajkowski unveils latest fashion campaign 10 ways to cosy-up your home for an autumnal vibe 5 must-have bag trends for autumn

Bisexual people experience worse health outcomes than other adults in England, a study has found. Data from lesbian, gay or bisexual (LGB) patients indicates these groups have poorer health outcomes compared to those who identify as heterosexual. The new findings indicate that bisexual people face additional health disparities within an already marginalised community. Experts from the Brighton and Sussex Medical School, and Anglia Ruskin University who led the analysis of more than 835,000 adults in England, suggest the differences could result from unique prejudice and discrimination that can come from both mainstream society and LGBTQ+ communities. Minority stress could put bisexual individuals at increased risk of psychological problems and negative behaviours – and ultimately at greater risk of poorer health outcomes Professor Carrie Llewellyn Lead author, Professor Carrie Llewellyn, head of the department of primary care & public health at Brighton and Sussex Medical School, said: “Minority stress could put bisexual individuals at increased risk of psychological problems and negative behaviours – and ultimately at greater risk of poorer health outcomes. “Our results suggest that there is a greater prevalence of long-standing physical health conditions amongst people identifying as LGB. “Furthermore, nearly all LGB individuals across all gender responses in the survey felt less confident in managing their own health.” Prof Llewellyn, added: “While it is well-established that persistent health disparities exist among LGB patients, very little is known about the specific experiences of bisexual people. “Our study goes some way to addressing this gap – finding that bisexual people, especially women, have the worst experiences in healthcare and the worst health outcomes of any sexuality.” The researchers used data from 836,312 adults – including 23,834 people who identified as LGB or ‘other’ – from Ipsos MORI’s 2015/16 English General Practice Patient Survey (GPPS). The study compared the health outcomes of people identifying as LGB with heterosexual groups through their self-reported quality of life, physical and mental health, and confidence in managing their own health. It found that long-term physical and mental health problems were more than twice as likely to be reported for people within LGB groups compared to heterosexual groups. However, for bisexual women the odds were more than four times greater. The research further suggests that bisexual women reported to be half as likely to be living without a long-term health condition. LGB groups across the genders felt less confident in managing their own health and experienced significantly worse quality of life compared to heterosexuals, the study published in The Journal of Sex Research, suggests. Prof Llewellyn said: “A better understanding of the different spectrum of health needs across LGBTQ+ subpopulations is required to provide adequate and equitable healthcare services for all. “Modification of healthcare settings to increase perceived accessibility and providing services that better meet these specific health needs are essential.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Cara Delevingne: Sobriety hasn’t been easy but it has been worth every second What’s the coolest bedding to survive summer heat and night sweats? Harry Judd: I had to learn to be less selfish when I became a father

The majority of Thais are concerned the nation’s next prime minister won’t hail from the Move Forward Party,