Day Lila

Mind & Body · Friday, 30 October 2026

01 Briefing what happened

A firm that ran online booking for about 500 GP surgeries in England went bust, sending patients back to the phones

15 stories 20 sources

Silicon Practice, which ran websites and online forms for just under 10% of England's GP surgeries, went into administration. Patients must phone instead, phone lines are busier, and surgeries are looking for new providers.

about 500

GP surgeries in England lost their websites and online booking

just under 10% of all surgeries in England [1]

40%+

of GP appointments in England are booked online

every surgery has had to offer online booking since last year [1]

1.4 million

GP appointments a day in England

people in the poorest areas are least likely to book online [5]

The lead story — what happened

  • Silicon Practice, a tech firm, ran online booking for about 500 GP surgeries in England. [1] On 16 October its owner, Schappit, moved to bring in administrators after money troubles. [2] Patients at those surgeries could no longer book or ask for help online. [1] England has more than 6,000 GP surgeries, and just under 10% were hit. [2] NHS England, which runs the health service, told patients to phone or visit instead. [1]
  • Since last year, every surgery in England has had to offer online booking. [1] More than 40% of appointments are now booked that way. [1] One of the firm's tools, FootFall, ran online consultation forms for surgeries. [4] In such a form, a patient writes down the problem, and staff then call back. [5] The firm advertised that FootFall cut phone calls to surgeries by 30%. [1]
  • In Norfolk and Gloucestershire, surgeries asked patients to phone if they needed help. [2][3] Gloucestershire's local NHS body warned that phone waits may be longer than usual. [3] Surgeries in Wales were hit too, but the NHS App kept working. [1] A surgery in Thetford said finding a new website provider may take some time. [2]
  • GP surgeries in England hold more than 1.4 million appointments a day. [5] People in the poorest areas are less likely to use online GP services. [5] In the 2025 national patient survey, 51% found contacting their surgery by website easy. [5]

Who is involved

  • Silicon Practice

    a tech firm, owned by Schappit, that ran GP websites, online forms and a chatbot; it went into administration

  • NHS England

    the public body in charge of England's health service; it told patients to phone or visit their surgery

  • Victoria Tzortziou Brown

    president of the Royal College of GPs, the professional body for family doctors; she called the outage hugely disruptive

How it unfolded

  1. Last year Every surgery in England must offer online booking [1]
  2. 16 Oct Silicon Practice's owner moves to bring in administrators [2]
  3. This week Surgery websites and online forms go down [1]
  4. Next Surgeries look for new online form providers [4]

Where this points

Patients who relied on the website now join the queue on busier phone lines. [3] Victoria Tzortziou Brown, who leads the Royal College of GPs, called it "hugely disruptive". [1] Surgeries using FootFall must manage without online requests until a new provider is found. [4]

Signals on this beat

The bar and the word are our reading of how hard each one is pushing, and the arrow is where it is heading.

Getting to the doctor Building↑

About 500 GP surgeries in England lost online booking when a tech firm went bust. [1] In Wales, an 83-year-old heart patient was refused hospital transport because he owned a car. [13]

Groups turning on groups Building↑

Lancet authors say the manosphere, online groups selling ideas about men, earns money from anger. [6] Facebook posts using a party name as a noun drew more prejudiced replies. [8]

Tests people cannot easily get Building↑

Alzheimer's blood tests are approved only for people with symptoms, yet more patients ask for them. [12] UK doctors do not routinely test for low vitamin D, which nearly 1 in 4 teenagers had last year. [16]

Findings from small studies Steady→

A brain signal tied to schizophrenia's symptoms was found in a study of only 50 people. [11] A gentler French caesarean was tested on 200 women at one hospital, and its authors want larger trials. [17]

The rest of the day

14 more stories on this beat.

Each with its own sources. None of these is a link to the story above.

  1. 02

    Lancet: treat the manosphere like smoking

    Writers in the Lancet, a medical journal, say the manosphere is a public health problem. [6] The manosphere is a set of online groups sharing beliefs about manhood and hatred of women. [6] The authors say it is now a business that profits from the most extreme posts. [6] Kent Buse, a co-author, said: "This is a business model, not a fringe." [6] They want a response like the one against tobacco, joining governments, schools and health services. [6] The Lancet published it beside a new series of papers on men's health. [7]

    Why it matters — The authors say loneliness and money worries leave young men looking for somewhere to belong. [6] Sarah Hawkes, the other author, said boys need "something better", not just warnings. [6]

  2. 03

    An 83-year-old drove himself to heart tests

    Charles Swift, 83, had to drive himself 70 miles to hospital tests in west Wales. [13] He has had 2 heart attacks and treatment for 3 types of cancer. [13] The Welsh Ambulance Service refused him free hospital transport because he owned a car. [13] The trip there and back took him 4 hours. [13] The service now says it has retrained call takers, so he would get a different answer. [13] Dolen Teifi, a volunteer transport charity, took 145 calls in 2 months about cancelled hospital trips. [13]

    Why it matters — Local councillors say hospital services keep moving further from homes in rural Ceredigion. [13] The charity says older patients are not comfortable driving to hospitals they do not know. [13]

  3. 04

    More patients ask for Alzheimer's blood tests

    New blood tests can show signs of Alzheimer's disease building up in the brain. [12] They measure a protein called p-tau217, which tracks amyloid plaques, a hallmark of Alzheimer's. [12] In September, the US drug regulator approved 2 such tests. [12] They were approved only for people who already have symptoms. [12] Yet more and more patients are asking their doctors about them, NPR reports. [12] Susan Dancer, 60, whose mother and grandmother died with Alzheimer's symptoms, got one in a trial. [12] Her result was 0.10, below the 0.18 level she had hoped to be under. [12]

    Why it matters — Neurologist David Holtzman says a healthy person with a positive result has no treatment yet. [12] Researchers are now testing whether treating such people early can delay the disease. [12]

  4. 05

    The brain keeps clearing faulty cells for life

    The brain keeps removing nerve cells with DNA errors through adult life, a Nature study confirms. [10] In adults the clear-out runs much more slowly than around the time of birth. [10] Cells that fail to link up with their neighbours lose out and die. [10] Christopher Walsh, a senior author at Boston Children's Hospital, called this "nature's quality control". [10] Diane Shao, a Harvard neurologist, says a broken clear-out could be part of autism. [10] Autism is one of several conditions that begin while the brain is still developing. [10]

    Why it matters — The team is also checking whether the clear-out plays a part in Alzheimer's later in life. [10] Shao says knowing how it works could one day point researchers to what to protect. [10]

  5. 06

    One brain signal tied to schizophrenia's symptoms

    Schizophrenia is a mental illness that changes how people experience the world and speak. [11] A McGill University team measured beta waves, a brain rhythm that helps coordinate sensing and moving. [11] People with schizophrenia had weaker, slower beta waves than 25 people without it. [11] Those with the weakest signal had the most jumbled speech and the worst symptoms. [11] The study, in Science Advances, tested only 50 people in all. [11]

    Why it matters — If confirmed, it might help spot young people at risk of psychosis earlier. [11] Psychosis means losing touch with what is real, through hallucinations or false beliefs. [11]

  6. 07

    Party names as nouns drew more prejudice

    Facebook posts using a party name as a noun drew more prejudiced replies, a study finds. [8] "Senate Republicans" uses the party as a noun; "Republican senators" uses it as an adjective. [8] The team checked 45,780 posts and 769,684 replies on US Facebook pages. [8] On a typical page, 16.7% of replies under noun posts showed party prejudice, against 14.8%. [8] Broad claims like "Democrats want climate action" also drew more prejudiced replies. [8] Social psychologists Carsten Sander and Juliane Degner did the work at the University of Hamburg. [8]

    Why it matters — Naming a group by one label makes its members seem all the same, the authors say. [8] The study only watched posts, so it cannot prove the wording caused the prejudice. [8]

  7. 08

    Nearly 1 in 4 UK teenagers short of vitamin D

    Nearly 1 in 4 UK 11- to 18-year-olds were short of vitamin D last year. [16] The figure comes from the National Diet and Nutrition Survey. [16] The body makes most of its vitamin D when sunlight hits the skin. [16] Darker skin needs stronger light to make the same amount. [16] Saskia Reeves-Priestley, a 23-year-old teacher, collapsed at work and was found deficient. [16] Doctors in the UK do not routinely test for it. [16]

    Why it matters — Low vitamin D can soften bones, causing rickets in babies and young children. [16] Doctor Suma Uday says "they call it the silent disease" because it is easy to miss. [16]

  8. 09

    Fibre hides in the scraps people bin

    Peels, stalks and cores often hold more fibre than the parts people eat, a study finds. [15] Only 4% of UK adults eat the 30g of fibre a day that is advised. [15] Fibre helps the gut work and is linked to less heart disease and bowel cancer. [15] King's College London scientists tested 12 kinds of fruit and vegetables. [15] Pineapple skin and core held 5 times more fibre than the flesh. [15] In the college canteen, dishes made from scraps made up a third of hot meal sales. [15]

    Why it matters — The British Nutrition Foundation warns that green potatoes and rhubarb leaves are toxic. [15] Project lead Rachel Gibson says binned scraps also waste money people paid for food. [15]

  9. 10

    Ethiopia builds a simple child death-risk score

    In north-west Ethiopia, 27.3% of 565 children in intensive care died, a study finds. [19] Doctors there built a simple score to spot which sick children are most at risk. [19] It uses 9 things already on record, like oxygen levels and living in the countryside. [19] It correctly flagged 85% of the children who died. [19] Most existing scores need lab tests and machines that poorer hospitals often lack. [19]

    Why it matters — A score built from routine notes could help such hospitals decide who to treat first. [19] Living in the countryside was itself one of the warning signs. [19]

  10. 11

    More violence in Hong Kong homes with SEN children

    In Hong Kong, families raising children with special educational needs reported more violence at home. [18] 23.1% of those families had faced several kinds of family violence, against 8.2% of others. [18] The survey covered 1,400 families between August 2022 and March 2023. [18] Lower income and less support from others were also more common in those homes. [18] Researchers at the Hong Kong Polytechnic University ran the study. [18]

    Why it matters — They say services that already see these children could spot family violence early. [18] The survey took one snapshot, so it cannot show which came first. [18]

  11. 12

    HIV protection habits mostly stick

    Gay and bisexual men in a French study mostly kept the same HIV protection. [20] The study followed men in a group using PrEP, a medicine that protects against HIV. [20] 92% of men using condoms or PrEP were still protected at the next visit. [20] Of men using no protection, about 58% still used none at the next visit. [20] Men who took PrEP only around sex were more likely to drop protection later. [20]

    Why it matters — The authors say the first method a man chooses tends to shape what he does next. [20] So they call for close advice when someone first starts a protection method. [20]

  12. 13

    A gentler caesarean method tested in France

    A French caesarean method let mothers eat their first full meal about 7 hours sooner. [17] The method, called FAUCS, was compared with the usual caesarean in 200 women at one hospital. [17] Mothers got up and moved about 2 hours earlier after the new method. [17] 49% needed stronger painkillers, against 69% after the usual operation. [17] But they stayed in hospital almost a day longer, and the surgery took longer. [17] Babies did about equally well under both methods. [17]

    Why it matters — The team says larger trials in many hospitals are needed before it is called safe. [17]

  13. 14

    A weak current changed how bodies were seen

    People usually remember sexualised images of women less well than those of men, studies show. [9] Psychologists link this to objectification: seeing a person as a body, not a whole person. [9] Upright, people recognise faces and bodies about 80% of the time, against 55% upside down. [9] In a new study, half of 76 students got a weak current to the forehead. [9] With the current, the gap between remembering women and men disappeared. [9] Ciro Civile, one of the researchers, reported the results in Social Neuroscience. [9]

    Why it matters — He says objectification looks less like fixed wiring and more like a habit of seeing. [9] He also says brain stimulation is no cure for sexism. [9]

  14. 15

    Gerry Fischbach, who watched synapses form, dies

    Gerald Fischbach, a brain scientist who studied how nerves connect, died on 25 October, aged 87. [14] At the NIH, the US research agency, from 1966 he grew nerve and muscle cells together. [14] In 1970 he showed synapses, the joins where nerves signal to muscles, form there. [14] That let scientists watch connections form live for the first time. [14] In 2006 he became the first science director of the Simons Foundation's autism research project. [14]

    Why it matters — Colleagues say he brought geneticists and brain scientists together to study autism. [14]

02 Lesson why it matters

Why belonging to a group can turn into blaming another one

Social psychologists call it social identity: people take pride from their groups, so when theirs feels looked down on, blaming an outside group can win that pride back.

The twist

Belonging to a group feels good. When that group feels looked down on, blaming an outside group becomes the quickest way to feel good about it again.

The picture

Share of Facebook replies that showed prejudice against a party, on a typical page. The gap is small, and the study could not show the wording caused it.

How it works

  1. Social identity theory, from social psychology: people sort themselves and others into groups, us and them
  2. Part of how people value themselves comes from their groups
  3. They compare their group with others and want it to come out ahead
  4. When their group feels left behind, putting another group down feels like getting back up
  5. Seeing the other group as one solid block makes its members seem all alike, and easier to dislike

The same force, elsewhere today

Where this chain is also running, in today's other stories.

  • The Lancet on the manosphere

    Young men who feel lonely and short of money are offered belonging by online groups, and those groups tell them women and feminism are to blame.

  • Party names on Facebook

    Posts that named people only by their party, as one block, drew more replies showing prejudice against that whole party.

Where you've seen this

School friendship groups

a group that feels left out can mock another group to feel on top

Football rivals

fans often talk about the other club's supporters as if they were all one person

Workplaces

one department blames another for a missed target instead of its own plan

The catch

Belonging to a group is mostly good for people, and most pride in a group never turns into hostility; the theory describes a tendency, not a rule.

And the whole of it

Everyone belongs to several groups at once: a family, a school, a country, a side in an argument. The wish to see our own group as better works on all of us, and from inside one group it is hard to see how it shapes what we think of the others.

03 Truth what's really going on

What is really going on

England's NHS told every GP surgery to offer online booking, and about 500 of them used one firm, Silicon Practice, for their websites and online forms. [1] When its owner went into administration, those surgeries' online front doors shut, and their patients were sent back to the phones. [2][3]

Why it works on us — Calling the outage a 'technical issue' makes it sound small and brief, while more than 40% of appointments now start online. [3][1]

Who gains

  • Other companies that run GP websites and online forms — Surgeries that used Silicon Practice now need a new provider for websites and online consultation forms. [2][4]
  • Sellers in the manosphere — The Lancet authors say outrage and grievance earn them money, so the most extreme posts pay best. [6]
  • Mothers who had the FAUCS caesarean — They ate their first full meal about 7 hours sooner and fewer needed stronger painkillers. [17]
  • Poorer hospitals in Ethiopia — The new child risk score uses only notes already on record, with no extra lab tests. [19]

Who pays

  • Patients at about 500 GP surgeries — They lost online booking and forms and must queue on busier phone lines. [1][3]
  • Surgery reception teams — Phone lines are busier than usual while surgeries hunt for new providers. [2]
  • Charles Swift and other rural patients in west Wales — Transport rules refused him because he owned a car, so at 83 he drove a 4-hour round trip himself. [13]
  • Boys and young men drawn into the manosphere — The authors say it sells them an explanation that blames women while profiting from their anger. [6]

What nobody knows yet

Open questions from across today’s stories — ours included.

  • 01

    How long the hit surgeries will be without online forms.

    No NHS body has given a date, and one surgery said finding a new provider may take some time. [2][4]

  • 02

    Whether any patient missed care during the outage.

    The reports give no count of lost or delayed appointments, only warnings of longer phone waits. [3]

  • 03

    Whether NHS bodies saw the firm's money trouble coming.

    Its owner filed to bring in administrators on 16 October, and no report says what the NHS knew before then. [2]

  • 04

    Whether the manosphere can be tackled the way tobacco was.

    The Lancet authors call for it, but the report names no government that has agreed to try. [6]

  • 05

    Whether naming a party as a noun causes prejudice, or only goes with it.

    The Facebook study only watched posts, and its authors say other features of a post could explain both. [8]

  • 06

    What a positive Alzheimer's blood test means for someone with no symptoms.

    The tests are approved only for people with symptoms, and trials of earlier treatment are still running. [12]

  • 07

    Whether the schizophrenia brain signal holds up.

    The study tested 50 people, and its lead author says larger groups must test it. [11]

04 Hope carry this

The Welsh Ambulance Service changed how it handles transport calls and retrained its call takers after an 83-year-old heart patient was refused a lift to hospital.

Also true today

  • Mothers who had a French method of caesarean ate their first full meal about 7 hours sooner, and their babies did about as well.
  • In a London university canteen, dishes made from peels, stalks and cores made up a third of hot meal sales.

Across the beats