Day Lila
Day Lila

Friday, 30 October 2026

Mind & body · Story 1 of 15

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

Swipe up for the story ↑Scroll down for the story ↓

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]

Who is involved

Who is involved

Why it matters

Patients who relied on the website now join the queue on busier phone lines. [3]

Why it matters

“hugely disruptive”
Victoria Tzortziou Brown

Victoria Tzortziou Brown, who leads the Royal College of GPs, called it "hugely disruptive". [1]

Why it matters

until a new provider is in place

Surgeries using FootFall must manage without online requests until a new provider is found. [4]

The short version

That's the story in short.

The whole story has 4 more parts.

or swipe up for the next storyor scroll on for the next story ↓

The whole story, in 4 parts ↓

Part 1 of 4 · How it unfolded

Part 2 of 4

online booking, a rule for every surgery

Since last year, every surgery in England has had to offer online booking. [1]

Part 2 of 4

More than 40% of appointments are now booked that way. [1]

Part 2 of 4

FootFall online forms

One of the firm's tools, FootFall, ran online consultation forms for surgeries. [4]

Part 2 of 4

In such a form, a patient writes down the problem, and staff then call back. [5]

Part 2 of 4

The firm advertised that FootFall cut phone calls to surgeries by 30%. [1]

Part 3 of 4

phone the surgery instead

In Norfolk and Gloucestershire, surgeries asked patients to phone if they needed help. [2][3]

Part 3 of 4

longer waits on the phone

Gloucestershire's local NHS body warned that phone waits may be longer than usual. [3]

Part 3 of 4

One route to the surgery stopped; the national app did not.

Surgeries in Wales were hit too, but the NHS App kept working. [1]

Part 3 of 4

looking for a new provider

A surgery in Thetford said finding a new website provider may take some time. [2]

Part 4 of 4

GP surgeries in England hold more than 1.4 million appointments a day. [5]

Part 4 of 4

poorest areas use online booking least

People in the poorest areas are less likely to use online GP services. [5]

Part 4 of 4

51 of 100

found the surgery website easy to use

In the 2025 national patient survey, 51% found contacting their surgery by website easy. [5]

Lancet: treat the manosphere like smoking

Swipe up for the story ↑Scroll down for the story ↓

Writers in the Lancet, a medical journal, say the manosphere is a public health problem. [6]

online groups

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]

“This is a business model, not a fringe.”
Kent Buse

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]

a series on men's health

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]

Why it matters

“something better”
Sarah Hawkes

Sarah Hawkes, the other author, said boys need "something better", not just warnings. [6]

An 83-year-old drove himself to heart tests

Swipe up for the story ↑Scroll down for the story ↓

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]

Why it matters

older patients, long drives

The charity says older patients are not comfortable driving to hospitals they do not know. [13]

More patients ask for Alzheimer's blood tests

Swipe up for the story ↑Scroll down for the story ↓

a blood test for brain changes

New blood tests can show signs of Alzheimer's disease building up in the brain. [12]

amyloid plaques in the brain

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]

The approval covers only people who already have memory problems.

They were approved only for people who already have symptoms. [12]

more patients asking

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]

  1. 1Her result0.1
  2. 2Level hoped for0.18

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]

Why it matters

trials of earlier treatment

Researchers are now testing whether treating such people early can delay the disease. [12]

The brain keeps clearing faulty cells for life

Swipe up for the story ↑Scroll down for the story ↓

The clear-out is fastest around birth and slows after it.

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]

“nature's quality control”
Christopher Walsh

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]

a condition of the developing brain

Autism is one of several conditions that begin while the brain is still developing. [10]

Why it matters

Two conditions the team is now checking.

The team is also checking whether the clear-out plays a part in Alzheimer's later in life. [10]

Why it matters

what to protect

Shao says knowing how it works could one day point researchers to what to protect. [10]

One brain signal tied to schizophrenia's symptoms

Swipe up for the story ↑Scroll down for the story ↓

schizophrenia

Schizophrenia is a mental illness that changes how people experience the world and speak. [11]

beta waves

A McGill University team measured beta waves, a brain rhythm that helps coordinate sensing and moving. [11]

The same rhythm was weaker whether people heard, saw or moved.

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]

25 of 50

people with schizophrenia, of 50 tested

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]

Why it matters

psychosis

Psychosis means losing touch with what is real, through hallucinations or false beliefs. [11]

Party names as nouns drew more prejudice

Swipe up for the story ↑Scroll down for the story ↓

prejudiced replies

Facebook posts using a party name as a noun drew more prejudiced replies, a study finds. [8]

The same people, labelled two ways.

"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]

Share of replies showing prejudice against a party.

On a typical page, 16.7% of replies under noun posts showed party prejudice, against 14.8%. [8]

broad claims about a whole party

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]

Why it matters

cause not proven

The study only watched posts, so it cannot prove the wording caused the prejudice. [8]

Nearly 1 in 4 UK teenagers short of vitamin D

Swipe up for the story ↑Scroll down for the story ↓

1 of 4

nearly 1 in 4 teenagers short of vitamin D

Nearly 1 in 4 UK 11- to 18-year-olds were short of vitamin D last year. [16]

National Diet and Nutrition Survey

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]

no routine test

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]

Why it matters

“they call it the silent disease”
Suma Uday

Doctor Suma Uday says "they call it the silent disease" because it is easy to miss. [16]

Fibre hides in the scraps people bin

Swipe up for the story ↑Scroll down for the story ↓

peels, stalks and cores

Peels, stalks and cores often hold more fibre than the parts people eat, a study finds. [15]

4 of 100

adults who eat the advised 30g a day

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]

1 of 3

a third of hot meal sales

In the college canteen, dishes made from scraps made up a third of hot meal sales. [15]

Why it matters

some scraps are toxic

The British Nutrition Foundation warns that green potatoes and rhubarb leaves are toxic. [15]

Why it matters

money thrown away

Project lead Rachel Gibson says binned scraps also waste money people paid for food. [15]

Ethiopia builds a simple child death-risk score

Swipe up for the story ↑Scroll down for the story ↓

In north-west Ethiopia, 27.3% of 565 children in intensive care died, a study finds. [19]

a risk score

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]

85 of 100

children who died that the score flagged

It correctly flagged 85% of the children who died. [19]

lab tests many hospitals lack

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]

Why it matters

rural homes

Living in the countryside was itself one of the warning signs. [19]

More violence in Hong Kong homes with SEN children

Swipe up for the story ↑Scroll down for the story ↓

violence at home

In Hong Kong, families raising children with special educational needs reported more violence at home. [18]

Families that faced several kinds of violence at home.

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, less support

Lower income and less support from others were also more common in those homes. [18]

Hong Kong Polytechnic University

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]

Why it matters

which came first

The survey took one snapshot, so it cannot show which came first. [18]

HIV protection habits mostly stick

Swipe up for the story ↑Scroll down for the story ↓

the same protection habit

Gay and bisexual men in a French study mostly kept the same HIV protection. [20]

PrEP

The study followed men in a group using PrEP, a medicine that protects against HIV. [20]

92 of 100

still protected at the next visit

92% of men using condoms or PrEP were still protected at the next visit. [20]

58 of 100

still unprotected at the next visit

Of men using no protection, about 58% still used none at the next visit. [20]

more likely to drop protection

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]

Why it matters

advice at the start

So they call for close advice when someone first starts a protection method. [20]

A gentler caesarean method tested in France

Swipe up for the story ↑Scroll down for the story ↓

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]

up and moving sooner

Mothers got up and moved about 2 hours earlier after the new method. [17]

Mothers who needed stronger painkillers.

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 as well

Babies did about equally well under both methods. [17]

Why it matters

larger trials needed

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

A weak current changed how bodies were seen

Swipe up for the story ↑Scroll down for the story ↓

how we remember bodies

People usually remember sexualised images of women less well than those of men, studies show. [9]

objectification

Psychologists link this to objectification: seeing a person as a body, not a whole person. [9]

Recognising faces and bodies, which we take in as a whole.

Upright, people recognise faces and bodies about 80% of the time, against 55% upside down. [9]

1 of 2

half got the current

In a new study, half of 76 students got a weak current to the forehead. [9]

Remembering women's and men's images, upright.

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

a habit, not wiring

He says objectification looks less like fixed wiring and more like a habit of seeing. [9]

Why it matters

no cure for sexism

He also says brain stimulation is no cure for sexism. [9]

Gerry Fischbach, who watched synapses form, dies

Swipe up for the story ↑Scroll down for the story ↓

Gerald Fischbach, a brain scientist who studied how nerves connect, died on 25 October, aged 87. [14]

nerve and muscle cells in a dish

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]

watching connections form

That let scientists watch connections form live for the first time. [14]

autism research

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]

Why belonging to a group can turn into blaming another one

Swipe up for the story ↑Scroll down for the story ↓

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.

How it works · step 1 of 5

Social identity theory, from social psychology: people sort themselves and others into groups, us and them

How it works · step 2 of 5

Part of how people value themselves comes from their groups

How it works · step 3 of 5

They compare their group with others and want it to come out ahead

How it works · step 4 of 5

When their group feels left behind, putting another group down feels like getting back up

How it works · step 5 of 5

Seeing the other group as one solid block makes its members seem all alike, and easier to dislike

The twist

Belonging to a group feels good.

The twist

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.

Seen today

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.

Seen today

Party names on Facebook

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

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.

The whole

Everyone belongs to several groups at once: a family, a school, a country, a side in an argument.

The whole

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.

What's really going on

Swipe up for the story ↑Scroll down for the story ↓

What's 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]

What's really going on

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 lands

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

Surgeries that used Silicon Practice now need a new provider for websites and online consultation forms. [2][4]

Who pays

They lost online booking and forms and must queue on busier phone lines. [1][3]

Nobody knows yet

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]

The short version

That's the truth, in short.

The rest: who else gains, who else pays and more of what nobody knows yet.

or swipe up for Hopeor scroll on for Hope ↓

The rest of it ↓

Who else gains

The Lancet authors say outrage and grievance earn them money, so the most extreme posts pay best. [6]

Who else gains

They ate their first full meal about 7 hours sooner and fewer needed stronger painkillers. [17]

Who else gains

The new child risk score uses only notes already on record, with no extra lab tests. [19]

Who else pays

Phone lines are busier than usual while surgeries hunt for new providers. [2]

Who else pays

Transport rules refused him because he owned a car, so at 83 he drove a 4-hour round trip himself. [13]

Who else pays

The authors say it sells them an explanation that blames women while profiting from their anger. [6]

Nobody knows yet

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]

Nobody knows yet

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]

Nobody knows yet

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]

Nobody knows yet

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]

Nobody knows yet

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]

Nobody knows yet

Whether the schizophrenia brain signal holds up.

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

Also true today

Swipe up for the story ↑Scroll down for the story ↓

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.

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.

That's the whole Mind & body day.

15 stories, 20 sources.