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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

Helmut Marko has received a written warning from the FIA and was “reminded of his responsibilities as a public figure in motorsport” after his ”offensive remark” about Sergio Perez. The 80-year-old, who works as a special advisor for Red Bull, apologised after comments made after the Italian Grand Prix two weeks ago. Marko referred to Perez’s background when discussing his poor form, saying: “Let’s remember that he (Perez) is South American and so he is not as focused as Max Verstappen or Sebastian Vettel was.” While Marko apologised for the “offensive remark”, with Perez accepting the apology, Lewis Hamilton and Toto Wolff were among the figures to condemn Marko’s actions when speaking this weekend in Singapore. Now, the FIA have confirmed that Marko has "received a written warning and been reminded of his responsibilities as a public figure in motorsport in line with the FIA Code of Ethics." Hamilton, 38, labelled Marko’s comments as “completely unacceptable” on Thursday. “This is not something you just apologise for and it is all OK,” the seven-time world champion said. “Whilst we say there is no room for any type of discrimination in this sport – and there should be no room for it – to have leaders and people in his position making comments like this is not good for us moving forward. “There are a lot of people in the background that really are combating these kind of things, but it is hard to manoeuvre if people at the top have mindsets which stop us from progressing. “But it is not my team and not how we move as a team. We still have a lot of work to do to make this a more inclusive environment.” Mercedes boss Wolff added: “That thing is so embarrassing for Formula 1., overall. “It’s not even saying it, it’s to have the mindset. To come up with these things. We are trying to do so much on diversity and equality, not only because we need to it’s because it needs it. “This is a role model environment, we are a global sport, we are going to every country, we are embracing the cultural differences. That hasn’t got any place in Formula 1. Not now and not in the future.” Read More Red Bull chief apologises to Sergio Perez over ‘offensive remark’ Sergio Pérez says he received personal apology from Red Bull boss over heritage comments Lewis Hamilton labels Helmut Marko’s comments about Sergio Perez ‘completely unacceptable’ F1 Singapore Grand Prix LIVE: Practice updates and lap times at Marina Bay Zhou Guanyu interview: ‘There is a lot of pressure – only winners stay in F1’ Max Verstappen tells Toto Wolff to focus on Mercedes after snipe

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