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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

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Christian Horner has revealed that Fernando Alonso “missed his chance” to move to Red Bull 15 years ago after turning down a two-year contract offer. Alonso, a two-time world champion with Renault in 2005 and 2006, was back at Renault in 2008 after a year to forget at McLaren in 2007, when he was involved in a high-profile squabble with rookie Lewis Hamilton. Aspiring to be in a competitive car once more, Alonso was in talks with Red Bull at the end of 2008, Horner says, but instead stayed at Renault before joining Ferrari in 2010. “We got very close to signing Alonso,” Horner told Motor Sport magazine. “Helmut [Marko] and I went to see his management at the end of 2008 for the ’09 and ’10 season and we offered him a two-year contract. “He would only sign up for one year and we said Red Bull’s position was a two-year deal or nothing and he wouldn’t commit to that. We thought he’d had a Ferrari contract very clearly for ’09. “What was weird about that was that Flavio [Briatore] was involved as well, but he was trying to get him for Renault which he was managing at the time and in the end he drove for Renault.” While Alonso failed to win another title, Sebastian Vettel won four championships in a row with Red Bull from 2010-2013, with Alonso finishing runner-up in three of those four years. Horner added that Alonso’s management returned in 2009 to ask if the Spaniard could join Red Bull despite previously turning the team down. “Halfway through ’09, I had an approach to say ‘could he join mid-season?’ because they thought he could win the championship in the car,” he said. “Then we had another conversation in the back of an Alfa Romeo at Spa airport several years later in ’11 or ’12. Again, it never really… the most serious discussion was the first one and then it missed its chance.” Alonso, at 41 years of age, is now at Aston Martin and is still chasing down Red Bull, with Max Verstappen leading the 2023 championship by 59 points to team-mate Sergio Perez. Alonso is third in the standings, 71 points behind Verstappen, ahead of this weekend’s Canadian Grand Prix. Read More Sky suspend F1 pundits after sexist comments live on air F1 gives Canadian Grand Prix update after wildfires cause smoke to descend on Montreal On this day in 2007: Lewis Hamilton claims first Formula One victory F1 Canadian Grand Prix: When is practice on Friday in Montreal?