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
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Silicon Practice, a tech firm, ran online booking for about 500 GP surgeries in England.
16 Oct
Owner files to bring in administrators
This week
Surgery websites go down
On 16 October its owner, Schappit, moved to bring in administrators after money troubles.
Patients at those surgeries could no longer book or ask for help online.
England has more than 6,000 GP surgeries, and just under 10% were hit.
NHS England
runs the health service in England
NHS England, which runs the health service, told patients to phone or visit instead.
Who is involved
Silicon Practice
a tech firm, owned by Schappit, that ran GP websites, online forms and a chatbot; it went into administration
Who is involved
Victoria Tzortziou Brown
president of the Royal College of GPs, the professional body for family doctors; she called the outage hugely disruptive
Why it matters
Patients who relied on the website now join the queue on busier phone lines.
Why it matters
“hugely disruptive”
Victoria Tzortziou Brown, who leads the Royal College of GPs, called it "hugely disruptive".
Why it matters
Surgeries using FootFall must manage without online requests until a new provider is found.
The short version
That's the story in short.
The whole story has 4 more parts.
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The whole story, in 4 parts ↓
Part 1 of 4 · How it unfolded
This week
Surgery websites and online forms go down
Next
Surgeries look for new online form providers
Part 2 of 4
Since last year, every surgery in England has had to offer online booking.
Part 2 of 4
More than 40% of appointments are now booked that way.
Part 2 of 4
One of the firm's tools, FootFall, ran online consultation forms for surgeries.
Part 2 of 4
In such a form, a patient writes down the problem, and staff then call back.
Part 2 of 4
The firm advertised that FootFall cut phone calls to surgeries by 30%.
Part 3 of 4
In Norfolk and Gloucestershire, surgeries asked patients to phone if they needed help.
Part 3 of 4
Gloucestershire's local NHS body warned that phone waits may be longer than usual.
Part 3 of 4
Surgeries in Wales were hit too, but the NHS App kept working.
Part 3 of 4
A surgery in Thetford said finding a new website provider may take some time.
Part 4 of 4
GP surgeries in England hold more than 1.4 million appointments a day.
Part 4 of 4
People in the poorest areas are less likely to use online GP services.
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 sources
A firm that ran online booking for about 500 GP surgeries in England went bust, sending patients back to the phones
- 1Hundreds of GP surgeries lose online services after Silicon Practice collapse
- 2Websites crash at some Norwich and Great Yarmouth GP practices
- 3Gloucestershire GP websites unavailable due to 'technical issue'
- 4Silicon Practice digital provider goes into administration
- 5As online GP use overtakes phone calls, who's being left behind?
The full story
A firm that ran online booking for about 500 GP surgeries in England went bust, sending patients back to the phones
Silicon Practice, a tech firm, ran online booking for about 500 GP surgeries in England.
Since last year, every surgery in England has had to offer online booking.
In Norfolk and Gloucestershire, surgeries asked patients to phone if they needed help.
GP surgeries in England hold more than 1.4 million appointments a day.
Why it matters. Patients who relied on the website now join the queue on busier phone lines.
Lancet: treat the manosphere like smoking
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Sarah Hawkes
co-author
Kent Buse
co-author
Writers in the Lancet, a medical journal, say the manosphere is a public health problem.
The manosphere is a set of online groups sharing beliefs about manhood and hatred of women.
The authors say it is now a business that profits from the most extreme posts.
“This is a business model, not a fringe.”
Kent Buse, a co-author, said: "This is a business model, not a fringe."
They want a response like the one against tobacco, joining governments, schools and health services.
The Lancet published it beside a new series of papers on men's health.
Why it matters
The authors say loneliness and money worries leave young men looking for somewhere to belong.
Why it matters
“something better”
Sarah Hawkes, the other author, said boys need "something better", not just warnings.
2 sources
Lancet: treat the manosphere like smoking
The full story
Lancet: treat the manosphere like smoking
Writers in the Lancet, a medical journal, say the manosphere is a public health problem.
Why it matters. The authors say loneliness and money worries leave young men looking for somewhere to belong.
An 83-year-old drove himself to heart tests
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Charles Swift, 83, had to drive himself 70 miles to hospital tests in west Wales.
He has had 2 heart attacks and treatment for 3 types of cancer.
The Welsh Ambulance Service refused him free hospital transport because he owned a car.
The trip there and back took him 4 hours.
The service now says it has retrained call takers, so he would get a different answer.
Dolen Teifi, a volunteer transport charity, took 145 calls in 2 months about cancelled hospital trips.
Why it matters
Local councillors say hospital services keep moving further from homes in rural Ceredigion.
Why it matters
The charity says older patients are not comfortable driving to hospitals they do not know.
1 source
An 83-year-old drove himself to heart tests
The full story
An 83-year-old drove himself to heart tests
Charles Swift, 83, had to drive himself 70 miles to hospital tests in west Wales.
Why it matters. Local councillors say hospital services keep moving further from homes in rural Ceredigion.
More patients ask for Alzheimer's blood tests
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New blood tests can show signs of Alzheimer's disease building up in the brain.
They measure a protein called p-tau217, which tracks amyloid plaques, a hallmark of Alzheimer's.
In September, the US drug regulator approved 2 such tests.
They were approved only for people who already have symptoms.
Yet more and more patients are asking their doctors about them, NPR reports.
Susan Dancer
60, from Texas
Susan Dancer, 60, whose mother and grandmother died with Alzheimer's symptoms, got one in a trial.
- 1Her result0.1
- 2Level hoped for0.18
Her result was 0.10, below the 0.18 level she had hoped to be under.
Why it matters
Neurologist David Holtzman says a healthy person with a positive result has no treatment yet.
Why it matters
Researchers are now testing whether treating such people early can delay the disease.
1 source
More patients ask for Alzheimer's blood tests
The full story
More patients ask for Alzheimer's blood tests
New blood tests can show signs of Alzheimer's disease building up in the brain.
Why it matters. Neurologist David Holtzman says a healthy person with a positive result has no treatment yet.
The brain keeps clearing faulty cells for life
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The brain keeps removing nerve cells with DNA errors through adult life, a Nature study confirms.
In adults the clear-out runs much more slowly than around the time of birth.
Cells that fail to link up with their neighbours lose out and die.
“nature's quality control”
Christopher Walsh, a senior author at Boston Children's Hospital, called this "nature's quality control".
Diane Shao
neurologist, Harvard Medical School
Diane Shao, a Harvard neurologist, says a broken clear-out could be part of autism.
Autism is one of several conditions that begin while the brain is still developing.
Why it matters
The team is also checking whether the clear-out plays a part in Alzheimer's later in life.
Why it matters
Shao says knowing how it works could one day point researchers to what to protect.
1 source
The brain keeps clearing faulty cells for life
The full story
The brain keeps clearing faulty cells for life
The brain keeps removing nerve cells with DNA errors through adult life, a Nature study confirms.
Why it matters. The team is also checking whether the clear-out plays a part in Alzheimer's later in life.
One brain signal tied to schizophrenia's symptoms
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Schizophrenia is a mental illness that changes how people experience the world and speak.
A McGill University team measured beta waves, a brain rhythm that helps coordinate sensing and moving.
People with schizophrenia had weaker, slower beta waves than 25 people without it.
Those with the weakest signal had the most jumbled speech and the worst symptoms.
25 of 50
people with schizophrenia, of 50 tested
The study, in Science Advances, tested only 50 people in all.
Why it matters
If confirmed, it might help spot young people at risk of psychosis earlier.
Why it matters
Psychosis means losing touch with what is real, through hallucinations or false beliefs.
1 source
One brain signal tied to schizophrenia's symptoms
The full story
One brain signal tied to schizophrenia's symptoms
Schizophrenia is a mental illness that changes how people experience the world and speak.
Why it matters. If confirmed, it might help spot young people at risk of psychosis earlier.
Party names as nouns drew more prejudice
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Facebook posts using a party name as a noun drew more prejudiced replies, a study finds.
"Senate Republicans" uses the party as a noun; "Republican senators" uses it as an adjective.
The team checked 45,780 posts and 769,684 replies on US Facebook pages.
On a typical page, 16.7% of replies under noun posts showed party prejudice, against 14.8%.
Broad claims like "Democrats want climate action" also drew more prejudiced replies.
Carsten Sander
social psychologist
Juliane Degner
social psychologist
Social psychologists Carsten Sander and Juliane Degner did the work at the University of Hamburg.
Why it matters
Naming a group by one label makes its members seem all the same, the authors say.
Why it matters
The study only watched posts, so it cannot prove the wording caused the prejudice.
1 source
Party names as nouns drew more prejudice
The full story
Party names as nouns drew more prejudice
Facebook posts using a party name as a noun drew more prejudiced replies, a study finds.
Why it matters. Naming a group by one label makes its members seem all the same, the authors say.
Nearly 1 in 4 UK teenagers short of vitamin D
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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.
The figure comes from the National Diet and Nutrition Survey.
The body makes most of its vitamin D when sunlight hits the skin.
Darker skin needs stronger light to make the same amount.
Saskia Reeves-Priestley
teacher, 23
Saskia Reeves-Priestley, a 23-year-old teacher, collapsed at work and was found deficient.
Doctors in the UK do not routinely test for it.
Why it matters
Low vitamin D can soften bones, causing rickets in babies and young children.
Why it matters
“they call it the silent disease”
Doctor Suma Uday says "they call it the silent disease" because it is easy to miss.
1 source
Nearly 1 in 4 UK teenagers short of vitamin D
The full story
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.
Why it matters. Low vitamin D can soften bones, causing rickets in babies and young children.
Fibre hides in the scraps people bin
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Peels, stalks and cores often hold more fibre than the parts people eat, a study finds.
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.
Fibre helps the gut work and is linked to less heart disease and bowel cancer.
King's College London scientists tested 12 kinds of fruit and vegetables.
Pineapple skin and core held 5 times more fibre than the flesh.
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.
Why it matters
The British Nutrition Foundation warns that green potatoes and rhubarb leaves are toxic.
Why it matters
Project lead Rachel Gibson says binned scraps also waste money people paid for food.
1 source
Fibre hides in the scraps people bin
The full story
Fibre hides in the scraps people bin
Peels, stalks and cores often hold more fibre than the parts people eat, a study finds.
Why it matters. The British Nutrition Foundation warns that green potatoes and rhubarb leaves are toxic.
Ethiopia builds a simple child death-risk score
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In north-west Ethiopia, 27.3% of 565 children in intensive care died, a study finds.
Doctors there built a simple score to spot which sick children are most at risk.
It uses 9 things already on record, like oxygen levels and living in the countryside.
85 of 100
children who died that the score flagged
It correctly flagged 85% of the children who died.
Most existing scores need lab tests and machines that poorer hospitals often lack.
Why it matters
A score built from routine notes could help such hospitals decide who to treat first.
Why it matters
Living in the countryside was itself one of the warning signs.
1 source
Ethiopia builds a simple child death-risk score
The full story
Ethiopia builds a simple child death-risk score
In north-west Ethiopia, 27.3% of 565 children in intensive care died, a study finds.
Why it matters. A score built from routine notes could help such hospitals decide who to treat first.
More violence in Hong Kong homes with SEN children
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In Hong Kong, families raising children with special educational needs reported more violence at home.
23.1% of those families had faced several kinds of family violence, against 8.2% of others.
The survey covered 1,400 families between August 2022 and March 2023.
Lower income and less support from others were also more common in those homes.
Researchers at the Hong Kong Polytechnic University ran the study.
Why it matters
They say services that already see these children could spot family violence early.
Why it matters
The survey took one snapshot, so it cannot show which came first.
1 source
More violence in Hong Kong homes with SEN children
The full story
More violence in Hong Kong homes with SEN children
In Hong Kong, families raising children with special educational needs reported more violence at home.
Why it matters. They say services that already see these children could spot family violence early.
HIV protection habits mostly stick
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Gay and bisexual men in a French study mostly kept the same HIV protection.
The study followed men in a group using PrEP, a medicine that protects against HIV.
92 of 100
still protected at the next visit
92% of men using condoms or PrEP were still protected at the next visit.
58 of 100
still unprotected at the next visit
Of men using no protection, about 58% still used none at the next visit.
Men who took PrEP only around sex were more likely to drop protection later.
Why it matters
The authors say the first method a man chooses tends to shape what he does next.
Why it matters
So they call for close advice when someone first starts a protection method.
1 source
HIV protection habits mostly stick
The full story
HIV protection habits mostly stick
Gay and bisexual men in a French study mostly kept the same HIV protection.
Why it matters. The authors say the first method a man chooses tends to shape what he does next.
A gentler caesarean method tested in France
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A French caesarean method let mothers eat their first full meal about 7 hours sooner.
The method, called FAUCS, was compared with the usual caesarean in 200 women at one hospital.
Mothers got up and moved about 2 hours earlier after the new method.
49% needed stronger painkillers, against 69% after the usual operation.
But they stayed in hospital almost a day longer, and the surgery took longer.
Babies did about equally well under both methods.
Why it matters
The team says larger trials in many hospitals are needed before it is called safe.
1 source
A gentler caesarean method tested in France
The full story
A gentler caesarean method tested in France
A French caesarean method let mothers eat their first full meal about 7 hours sooner.
Why it matters. The team says larger trials in many hospitals are needed before it is called safe.
A weak current changed how bodies were seen
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People usually remember sexualised images of women less well than those of men, studies show.
Psychologists link this to objectification: seeing a person as a body, not a whole person.
Upright, people recognise faces and bodies about 80% of the time, against 55% upside down.
1 of 2
half got the current
In a new study, half of 76 students got a weak current to the forehead.
With the current, the gap between remembering women and men disappeared.
Ciro Civile
one of the researchers
Ciro Civile, one of the researchers, reported the results in Social Neuroscience.
Why it matters
He says objectification looks less like fixed wiring and more like a habit of seeing.
Why it matters
He also says brain stimulation is no cure for sexism.
1 source
A weak current changed how bodies were seen
The full story
A weak current changed how bodies were seen
People usually remember sexualised images of women less well than those of men, studies show.
Why it matters. He says objectification looks less like fixed wiring and more like a habit of seeing.
Gerry Fischbach, who watched synapses form, dies
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Gerald Fischbach
brain scientist, 87
Gerald Fischbach, a brain scientist who studied how nerves connect, died on 25 October, aged 87.
At the NIH, the US research agency, from 1966 he grew nerve and muscle cells together.
1966
Starts at the NIH
1970
Shows synapses form in a dish
2006
Leads autism research at the Simons Foundation
In 1970 he showed synapses, the joins where nerves signal to muscles, form there.
That let scientists watch connections form live for the first time.
In 2006 he became the first science director of the Simons Foundation's autism research project.
Why it matters
Colleagues say he brought geneticists and brain scientists together to study autism.
1 source
Gerry Fischbach, who watched synapses form, dies
The full story
Gerry Fischbach, who watched synapses form, dies
Gerald Fischbach, a brain scientist who studied how nerves connect, died on 25 October, aged 87.
Why it matters. Colleagues say he brought geneticists and brain scientists together to study autism.
Why belonging to a group can turn into blaming another one
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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
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
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
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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.
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.
Why it lands
Calling the outage a 'technical issue' makes it sound small and brief, while more than 40% of appointments now start online.
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.
Who pays
Patients at about 500 GP surgeries
They lost online booking and forms and must queue on busier phone lines.
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.
The short version
That's the truth, in short.
The rest: who else gains, who else pays and more of what nobody knows yet.
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The rest of it ↓
Who else gains
Sellers in the manosphere
The Lancet authors say outrage and grievance earn them money, so the most extreme posts pay best.
Who else gains
Mothers who had the FAUCS caesarean
They ate their first full meal about 7 hours sooner and fewer needed stronger painkillers.
Who else gains
Poorer hospitals in Ethiopia
The new child risk score uses only notes already on record, with no extra lab tests.
Who else pays
Surgery reception teams
Phone lines are busier than usual while surgeries hunt for new providers.
Who else pays
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.
Who else pays
Boys and young men drawn into the manosphere
The authors say it sells them an explanation that blames women while profiting from their anger.
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.
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.
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.
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.
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.
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 sources
What's really going on
- 1Hundreds of GP surgeries lose online services after Silicon Practice collapse
- 2Websites crash at some Norwich and Great Yarmouth GP practices
- 3Gloucestershire GP websites unavailable due to 'technical issue'
- 4Silicon Practice digital provider goes into administration
- 6Manosphere and online misogyny should be treated as public health issues, say UK experts
- 8The grammar of political hate? How a single word choice predicts nastier Facebook comment sections
- 11A single brain signal may explain schizophrenia's most puzzling symptoms
- 12New blood test can detect changes associated with Alzheimer's disease
- 13Heart attack patient, 83, had to drive four hours for hospital appointment
- 17Maternal and neonatal outcomes after French Ambulatory Cesarean Section (FAUCS): a prospective study
- 19Development and validation of a risk score to predict mortality in the pediatric intensive care unit using routinely collected data in Northwest Ethiopia: a retrospective study
Also true today
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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.