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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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Spanish football star Jenni Hermoso has filed a legal complaint over an unsolicited kiss by football federation boss Luis Rubiales following Spain’s win over England in the Women’s World Cup final, the national prosecutor’s office said on Wednesday. With the complaint, Rubiales could face criminal charges in addition to the ongoing probe by Spain’s top sport court for “serious misconduct” and an investigation by world governing body Fifa. The kiss occurred minutes after Spain won the World Cup, immediately prior to lifting the trophy as the squad received their medals and passed a line of dignitaries – one of which was Rubiales in his position as president of the Royal Spanish Football Federation (Rfef). There, he was seen planting a kiss on Hermoso’s lips – which the player says was not consensual and Rubiales insists that it was. While the crisis engulfing Spanish football has centred around Rubiales’ position and conduct, it has not been limited to the president, with head coach Jorge Vilda sacked from his post this week and claiming it to have been an “unfair” decision. Rubiales, meanwhile, continues to protest his innocence in the situation, releasing a statement to say “justice will be served” and that “information [...] is being subjected to numerous manipulations, lies, and censorship”. Spanish prosecutors initially opened a preliminary investigation into whether the incident amounts to a crime of sexual assault, with the office now saying the legal complaint has been filed. The national sports tribunal also opened a misconduct case against Rubiales, ruling the kiss on Hermoso constituted a “serious offence”, but not one to the degree which would have resulted in his suspension. However, he has already been suspended from his duties by Fifa, while Uefa also said his behaviour was “inappropriate”, but are leaving any sanctions to the game’s governing body to hand out. Meanwhile, the Rfef’s regional leaders have called for Rubiales’ resignation from the head of the organisation. Rubiales’ mother locked herself in a church and went on a hunger strike as the controversy around her son broke out, insisting she was “willing to die” to protest his innocence. However, she was eventually taken to hospital for treatment. Former England international Jill Scott said this week that the saga had “overshadowed” the enormous sporting achievement of the Spanish squad having won the World Cup, while every member of the squad have refused to play for Spain again while Rubiales remains head of the federation. Neither Hermoso’s representatives nor Rubiales were immediately available for comment. Read More Sacked Jorge Vilda defends clapping Luis Rubiales’ ‘I will not resign’ speech Luis Rubiales fallout live: Spain boss Vilda hits out at ‘unfair’ sacking Jill Scott says World Cup kiss saga ‘overshadowed’ Spain playing ‘great football’

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