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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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In the days since a blast ripped through the packed Al-Ahli Hospital in Gaza City, killing hundreds of Palestinians, dueling claims between Palestinian militants and the Israeli government over culpability are still raging. But forensic analysis of publicly available imagery and footage has begun to offer some clues as to what caused the explosion.

Twitter trolls who suggested a ship carrying the first wave of the Windrush generation should have “sunk” have been taken down following public criticism. On June 22, 1948, HMT Empire Windrush arrived at Tilbury in Essex with around 500 workers aboard from Jamaica and Trinidad and Tobago. They were among the first of the Windrush generation – people who had travelled to the UK between 1948 and 1971 from Caribbean countries as part of a scheme to help fill post-war labour shortages. On 75th anniversary of Windrush, Sunder Katwala, director of independent think tank British Future, told the PA news agency about a series of offensive tweets. One anonymous user with a profile image of a St George’s flag had suggested that the then-prime minister Clement Attlee “should have told the Royal Navy to sink it in the middle of the Atlantic”. The user had also argued that black and Jewish people could not be British. Initially, complaints about the account were rejected – despite MPs receiving assurances in the past that such comments probably violated Twitter rules. Mr Katwala was tagged in a further tweet by another user, which stated: “Should have sunk it just as we should be sinking the illegals coming to our shores.” He had reported that offensive post too, but on Thursday had yet to receive a response from moderators. PA had attempted to contact Twitter on Thursday for a comment. By Friday afternoon, both accounts appeared to have been removed or suspended from the micro-blogging site. Mr Katwala said: “It is good that the right decision has been made in this case after the indefensible decision to declare this incessant racism within the rules was challenged publicly. “My concern is that the Twitter moderation system is invariably getting the most clear cut cases wrong so users are not getting the protection they need most of the time.” Previously, the author and prominent social commentator had said that public figures including Prime Minister Rishi Sunak, ministers and MPs “face daily racism because of the failures of social media platforms”. “So you can’t participate in public space on equal terms without experiencing racism, even though in every other sphere of life, if you’re on the train, on the bus, or in the playground, or in business, people can’t do that anymore, because we have social norms and we uphold them. “There’s no enforcement at all of the most basic social norms even when put in the most vitriolic terms,” he said. Allowing the views of a tiny minority to be amplified on social media skewed how the younger generation saw progress in the real world, leaving an impression society was “going backwards, no forwards”, he suggested. Mr Katwala had said social media does have the ability to “step up” to tackle online hate, as happened after the Christchurch terror attack in New Zealand and after Euro 2020 racist abuse. But he added on Thursday: “It is very clear to me that Twitter is now taking the most extreme content considerably less seriously than two years ago. “How far that is a policy decision under new ownership and how far a reduction in staff capacity is less clear. “The type of very extreme content they would take down when challenged is much more likely to stay up for much longer now. If the platform is not going to act, the case for external regulation gets stronger.” Mr Katwala has recently published a new book, How To Be A Patriot, which is a personal account of what it is to be British. He joined a celebration of the 75th anniversary at the National Windrush Monument in Waterloo, south London, and at a special service at Southwark Cathedral. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Meta rejects accusation of censorship of language around female body AI developing faster than laws aiming to regulate it, academic warns Facebook Marketplace is most complained-about online retail platforms