Russian president Vladimir Putin is visiting Kyrgyzstan for his first trip abroad since the International Criminal Court (ICC) issued an arrest warrant for him over war crimes in Ukraine. Mr Putin arrived in the central Asian nation on Thursday for a two-day state visit for bilateral meetings and a ceremony marking the 20th anniversary of the founding of Russia’s Kant military airbase outside Bishkek, the Kyrgyz capital. The Kremlin chief has rarely taken trips abroad since he launched what he called a “special military operation” in Ukraine in early 2022 and is not known to have stepped out of Russia since the ICC warrant was issued. The ICC issued a warrant in March on charges of overseeing the illegal deportation of children from Ukraine. Russia, which does not recognise the ICC’s jurisdiction, has rejected the warrant as “illegal” and politically motivated. But its issuing has complicated Mr Putin’s plans for international travel, seeing him miss a key summit of the Brics group of developing nations in South Africa – which is an ICC member. Mr Putin is due to travel to China next week for the third Belt and Road Forum in Beijing. Neither Kyrgyzstan nor China are members of the ICC, which was established to prosecute war crimes. During his visit to Bishkek, Mr Putin promised to continue to deliver modern weapons to its military base in Kyrgyzstan. “For my part, I would like to offer assurances that the Russian leadership will continue to pay close attention to the issues of providing the air base with advanced types of weapons, modern technology and equipment,” said Mr Putin. "This military outpost significantly contributes to boosting Kyrgyzstan’s defensive power and ensuring security and stability in the whole region of Central Asia," he added. The leader highlighted double-digit growth in Russia and Kyrgyz trade, which analysts suggest is due to violation of Western sanctions by Russian businesses. He reiterated Russia’s importance as a strong trade partner for Kyrgyzstan. “Our country is the main supplier of oil products to Kyrgyzstan, we fully supply Kyrgyz consumers with gasoline (petrol) and diesel,” Mr Putin told a briefing. “Russia is one of the leading trade partners of Kyrgyzstan. Our trade turnover grew 37 per cent last year to a record of nearly $3.5bn. In the first half of this year it grew a further 17.9 per cent,” he added. The Russian president is expected to hold a number of bilateral meetings including with Kyrgyz president Sadyr Japarov and Azerbaijani president Ilham Aliyev, and conclude with his attendance at a summit of the Commonwealth of Independent States (CIS), a grouping of former Soviet nations. Moscow’s relationships with other nations in a region it has historically considered its sphere of influence have faced challenges due to Western sanctions imposed on Russia in response to the situation in Ukraine. Last week, the central bank of Kyrgyzstan called upon domestic banks to enhance their monitoring and enforcement measures to ensure better adherence to Western sanctions targeting Moscow. It comes after the US imposed sanctions on four Kyrgyz companies in July for re-exporting electronics components and other technology to Russia. Additional reporting by agencies Read More IOC bans Russian Olympic Committee for including annexed Ukraine territories Ukraine-Russia war – live: Putin’s ‘exhausted’ troops ‘suffer significant losses in key town Avdiivka’ French police probe ‘poisoning’ of TV journalist who denounced Putin’s war live on air The Body in the Woods | An Independent TV Original Documentary The harrowing discovery at centre of The Independent’s new documentary

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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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