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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

EXETER, England--(BUSINESS WIRE)--Jun 14, 2023--

There used to be a banner that hung from the top tier of the Stretford End. It was an exercise in mocking Manchester United’s neighbours, containing a number that rose by the year. The ticker had reached 35 before it was taken down. Yaya Toure was the man who removed it; not physically but because of what was, until Saturday, the biggest Manchester derby ever held in the FA Cup. The 2011 FA Cup was Manchester City’s first trophy in 35 years. It was secured by Toure’s winner in the final against Stoke; even that felt less important, however, than his semi-final decider against United. The balance of power in Manchester was shifted by Sheikh Mansour’s millions, by the management of Roberto Mancini, even if Sir Alex Ferguson then had the last word, Manuel Pellegrini and, most emphatically, Pep Guardiola, by some of United’s missteps, by a host of City players. Vincent Kompany is their most successful captain, Sergio Aguero their record scorer, though Erling Haaland is eating up other goalscoring feats, there was a case for calling David Silva their greatest player and there are growing reasons to instead give that mantle to Kevin de Bruyne. But Toure’s catalytic impact meant he has always had an argument to be the most significant. “From the moment I signed for the club I always had the feeling it was going to be a huge project,” he said. “My head was about trying to change things and make things happen.” More than most, he made things happen. United had won six of eight derbies since City’s 2008 takeover; they had also overturned their one defeat in the second leg of the League Cup semi-finals. Then they arrived at Wembley in April 2011. “Winning that first trophy was important. Of course, in that period United were so comfortable - they’d win week in, week out, they were winning the league easily,” Toure recalled. “At the beginning it was very tough. It’s only now, as I look back, that I realise how tough.” Bought from Barcelona, Toure was one of the trophy winners City had hired to try and change their attitude. Another made his own contribution in the dressing room. There was a rousing team talk from City’s most experienced and decorated player, the World Cup winner Patrick Vieira. “He delivered a great speech,” Toure recalled. “We all remember the message.” And yet, as Toure noted, United still began in imposing mood. Like City now, they were going for a treble. “In the first half we were getting battered,” he said. “They were dominant in all aspects: defensively, offensively, all over the field. Whereas the second half we knew we had to change the mentality and go for it. Because after that it’s going to be so noisy, the city.” To borrow Ferguson’s phrase, Toure turned City into the noisy neighbours. His goal, he argued, was “not something creative, just desire”. He felt Michael Carrick was the United Sergio Busquets, the holding midfielder comfortable in possession. But he closed him down and robbed him. “Then I only had to push the ball past [Nemanja] Vidic because I believed in my strengths and was arriving at pace. [Edwin] Van der Sar came out - he’s big - but I just knew I had to put the ball between his legs. I didn’t think a lot,” Toure said, making it all sound easy. He had often been a defensive midfielder for Guardiola’s Barcelona. He played as a centre-back in the 2009 Champions League final. But he was unleashed in Manchester as an attacking midfielder, one who scored 24 goals in the 2013-14 season. “In England, I had the freedom to run,” Toure said. “I think most of my game was about taking advantage of those sort of moments at speed and I think that few seconds against United was like a resume of my career at Man City.” That City career was not without its controversies. Nor was that of another whose arrival came at a cost to United; a more direct one, arguably. Carlos Tevez swapped red for blue in 2009, City infamously announcing his arrival with a billboard that read, ‘Welcome to Manchester’. The Argentinian went on to lift the 2011 FA Cup as City captain. “Tevez was one of the biggest players and to take him from a big rival and bring him to you, you can maybe understand why Ferguson was frustrated and pissed off,” Toure said. “Tevez was incredible in that period. I was at Barcelona then but I remember being away at the time and seeing it on Sky and it was a big thing. ‘Tevez switches from United to City’. It was incredible. Tevez had been someone who was so important in the reign of United. [Dimitar] Berbatov, [Wayne] Rooney, [Ryan] Giggs: this team was unbeatable. So to see one of their talismans go to their rival like that is something; you could see something was changing.” Yet he accelerated the change. City have won the Premier League six times since United last did; Guardiola’s side could emulate Ferguson’s team of 1999 by doing the treble. City have now won more since Toure’s 2017 departure than they did with him, but, like Eric Cantona for United, he will always have a status as the man who ended a wait that spanned decades. Now he is coaching Tottenham’s Under-16s. “I dream to one day be a manager,” he said. “We never know in life; maybe I’ll meet Man City one day again.” Or maybe he will face United again. Which may cause them tremors. The FA Cup semi-final was not even their most famous derby defeat in 2011; five months later, with Toure at the heart of the midfield, City scored six at Old Trafford. “I think what hurt United the most - the club, their fans - was the 6-1 win.” Toure added. “That was impressive from us. After the FA Cup, we believed we could beat them even at Old Trafford with Ferguson. Ferguson is one of the great managers. Old Trafford is the most emblematic stadium around the world. Most of their players were there. It was like a slap in the face of United fans.” Toure still has a memento, a souvenir from United in his house. “It’s in Ivory Coast,” he said. “That teamsheet is in a United frame.” Read More 5 key talking points as rivals Man City and Man Utd clash in FA Cup final The year that sportswashing won: A season that changed football forever Premier League 2022/23 season awards: Best player, manager, transfer flop and breakthrough act

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