
Resident doctors have good reason to strike over pay
I write in response to the letter from senior clinicians urging resident doctors to vote against strike action (8 June). During my 22-year career we have seen fundamental changes in medical training, including the introduction of tuition fees for medical school, loss of free accommodation for first-year doctors, the lack of expansion in training numbers, and pay erosion over 15 years.
This has left many resident doctors with crippling debt on graduation, spiralling costs of training, deteriorating pay, and the prospect of unemployment. I, and the authors of the letter, were fortunate enough not to face such hardships during training.
Hence I urge colleagues not to influence the negotiations between the British Medical Association (BMA) and the government regarding resident doctors' pay. A mandate for strike action is a strong negotiating position, and I for one welcome productive discussions between the government and the BMA to reach a fair settlement. If senior clinicians cannot be supportive of our resident doctors, I suggest that they sit on their hands (with regard to writing letters) and bite their lip.Dr Ajay M VermaKettering, Northamptonshire
A group of medical professionals write urging resident doctor colleagues to vote against proposed strike action. They cite the Hippocratic oath. They appear to overlook the daily flouting of the oath by colleagues who are active in the systems of American‑accountable care that have replaced a National Health Service in England.
In these, 'first do no harm' appears to have been replaced by 'first protect the bottom line'. The unrest among health workers is not merely about pay; it is about the degradation of an entire public service and its subservience to corporate interests, many of them American.
Let's have impassioned letters urging the expulsion of Palantir and co and a return to the principles of Bevan rather than BlackRock. It is untrue to say 'there is no spare money'. The money simply goes into the wrong pockets.Kevin Donovan Birkenhead, Merseyside
The six senior doctors who wrote to you are key among those responsible for allowing the NHS to become such an unpleasant work environment for training doctors. As Wes Streeting so eloquently pointed out, the NHS treats training doctors 'like crap'. A lot could be done to improve the working lives of doctors – simply telling them not to strike is unhelpful and suggests indifference to the challenges they face. Declared interest: parent of two resident doctors.Stuart EvansMonmouth
I am a former NHS GP now living and working in Canada. I read with interest that senior doctors recommend junior doctors don't strike. Would these be senior doctors who had their university education paid for by the state, then had their hospital accommodation paid for by the state, and then enjoyed a fixed benefit pension that kicked in at age 60 (for most of their careers)? Society looked after them well. Could it be possible that today's resident doctors have a different point of view for a reason?
I suppose the other thing to say is that fixing morale in the NHS and deciding where society spends its money is outside the remit of the doctor. But fixing the NHS is the government's prerogative. Tom NewthNelson, British Columbia, Canada
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Daily Mail
an hour ago
- Daily Mail
Toilet paper over or under? Scientist FINALLY settles the debate - so, do you agree with their method?
It's a cause of arguments in households around the world. And over 150 years since the toilet roll was invented, the question of how exactly it should be oriented still triggers furious debate. In the 'over' position, the next square of toilet paper is facing the user, while in the 'under' position, the next square of toilet paper is facing the wall. Now, a scientist has settled the debate once and for all. Dr Primrose Freestone, professor of clinical microbiology at the University of Leicester, says the 'under' orientation is actually safer and more effective, despite the image in the original toilet paper patent. The researcher points out that the 'over' method requires a second hand to touch the toilet roll. This increases the risk of the paper being contaminated before it reaches our nether-regions – which in turn means greater risk of infection. 'There is more handling of the toilet roll from the over position,' Professor Freestone told MailOnline. Imagine you are on the toilet doing your business, and the toilet roll is in the 'over' position (with the next square facing you). In this scenario, you need to use one hand to hold the toilet roll to stop it from rotating forward, and the other hand to actually tear off the next bit of paper. In contrast, in the 'under' position, you can pin the next sheet against the wall with one hand as you simultaneously tear it off, according to the academic. So you don't have to use the second hand in the process at all – and the overall risk of transferring hand bacteria to the paper is reduced. Especially for women, accidental transfer of bacteria from the hand to the genital area can increase the risk of infection. And women generally tend to use more paper for men – for number ones and number twos. 'For the under position, there is less likely to be whole roll contamination,' Professor Freestone told MailOnline. 'You can pin the sheets against the toilet wall without having to touch the exterior of the roll.' Why is the 'under' position better for toilet roll? Unlike the 'over' position, the 'under' position (with the next square of toilet paper facing the wall) requires only one hand, not two. When you enter the bathroom, both hands are immediately exposed to high-touch surfaces potentially teeming with harmful bacteria - such as the doorknob and the toilet seat. So using just one hand instead of two, you are at best halving the risk of bacterial transfer from the hand to the toilet paper that you're about to use. Especially for women, accidental transfer of bacteria from the hand to the nether-regions can risk getting an infection. When people enter the bathroom, both hands are immediately exposed to high-touch surfaces likely teeming with harmful bacteria – including the doorknob and the toilet seat. So by touching the paper with just one hand instead of two, we are potentially halving the risk of bacterial transfer from the hand to the unused toilet paper. Of course, both hands have the potential to transfer bacteria onto toilet paper during a bathroom break – but by only using one hand throughout the whole process, we can reduce the risk of this transfer. Also, using two hands risks the spread of bacteria from the wiping hand to the other hand – because they are brought into close proximity to each other. 'If someone who has wiped say once and the faecal matter has soaked through the layers of toilet paper and makes hand contact, the presumably right hand that did the wiping will likely be contaminated,' Professor Freestone said. 'Then that right hand may contaminate anything it touches as the toilet user reaches for more toilet paper which they then fold for wipe two, possibly touching the left hand as it does so.' According to Professor Freestone, her advice is even more pertinent in public toilets, where there may be multiple sites of heavy faecal contamination all over the toilet door, stall and seat. 'This is why it is so important to wash your hands after going to the toilet, and not to eat, drink or use a phone in the toilet, either,' she told MailOnline. Dated 1891, a drawing for US Patent No. 465588A (left) features a toilet roll clearly positioned unmistakably in the over orientation Interestingly, the original patent for toilet paper more than 150 years ago shows a toilet roll in the over, not under, position. The patent from September 15, 1891 was filed by the inventor of perforated toilet paper sheets, New York business man Seth Wheeler. According to various surveys, around 70 per cent of people prefer the over position and 30 per cent the under position. There's also the argument that the under position reduces the chances of a cat or small child from pulling at the toilet paper. But the over position does have alleged advantages, such as giving you more transparency over how many square you are tearing off. When was toilet paper invented? In the 14th century, perfumed paper sheets were 'manufactured' for the Hongwu dynasty, but only the royal family and the imperial court had access to them. Around the same time in Europe, people used rags to clean up after a trip to the loo. Rich Europeans used wool, hemp or even lace. But commoners used whatever cloth they had including their sleeves. The first mention of toilet paper appeared in Europe in the 16th century in a text by French writer Rabelais. In North America, throughout the 1700s, people were still wiping with whatever they had on hand - even seashells. But by the 1800s, paper was becoming more widely available, and finally in 1857, a New Yorker named Joseph Gayetty introduced and first patented toilet paper. He called it 'Medicated Paper for the Water-Closet' and Gayetty's name was printed on every sheet. His medicated paper contained aloe and was sold in packages of 500 sheets for 50 cents. Seth Wheeler of Albany, New York, obtained the earliest US patents for toilet paper rolls and dispensers, dated 1881. Included in the patent, are Seth's declarations on his new product: 'Be it known that I, SETH WHEELER, of the city and county of Albany, and State of New York, have invented certain new and useful Improvements in Toilet-Paper Rolls.'


The Sun
an hour ago
- The Sun
How to get rid of love handles without giving up chocolate on the ‘HCS plan' – and the 3 biggest mistakes people make
YOU'VE hauled last year's shorts out from under the bed and they're a little more snug than you remember. Sound familiar? Well don't despair. It's not as hard as you might think to shift that layer of flab around your middle. From avoiding 'fat traps' to the best five exercises you can do in your living room, a top personal trainer reveals his slimming secrets. Many of us put on some weight after six months of Netflix binges and comfort food, particularly around our centres. But Monty Simmons, from Move With Monty, says some simple lifestyle tweaks could reverse that. He tells Sun Health: 'The fat around your hips, waist and lower back is often referred to as love handles. 'You know them as that little roll over your waistband when your jeans or shorts are too tight. 'While a little bit of this fat isn't necessarily harmful, significant love handles can be a sign your health could be at risk.' Love handles have been linked to high blood pressure, high cholesterol, heart disease, sleep apnoea and other breathing issues. They are also said to increase your risk of stroke, type 2 diabetes, liver disease, osteoarthritis, and cancer. 'If you have love handles, you likely have excessive visceral fat (around the organs) and subcutaneous fat (just beneath the skin and above your muscles),' Monty says. 'It's important to reduce both, but visceral fat is especially dangerous because of its impact on how well your organs can function long-term. 'So if your love handles are hanging out too much, it means your body fat percentage is too high and you need to focus on bringing it down.' The 5 best exercises to blast your love handles and trim inches off your waist He adds: 'Unfortunately you can't spot-reduce fat in one region - you can't just tell your body to only slim down around your middle. 'Getting rid of love handles comes down to overall fat reduction. 'Some people naturally store more fat in that area due to genetics or hormones, but the principle remains the same: reduce overall body fat by following these five rules.' 1. IN VERSUS OUT A CALORIE deficit is one of the fundamental principles of losing weight. This simply means consuming fewer calories than you're burning. 'You should maintain a calorie deficit and exercise consistently so you preserve (or build) muscle while burning more calories throughout the day,' Monty says. Exactly how many calories you need to eat will depend on several factors, including your size, age, gender and activity levels. The NHS recommended daily calorie intake for men in the UK is 2,500, while women should have around 2,000. When trying to lose weight, the average person should aim to reduce their daily intake by about 600 calories, according to the health service. You can use this calorie calculator to find the best number for you. Monty says: 'Some days you'll eat a bit more, some days less, but aim for a net deficit each week. 'My top dietary strategies for slimming down are: 1. Eat more salads "They're usually low in calories - under 400 or 500 if you add protein - and fill you up nicely." 2. But spread your protein throughout the day "It's not just about getting enough, it's about timing. "Having it evenly in every meal keeps you fuller for longer and helps your muscles repair properly after training, which is key when you're trying to get lean. 3. Beware of constipation "High protein can mean slower digestion and leave you bloated and backed up. "Combat this with high-fibre foods like whole grains, fruit, vegetables and legumes. 4. Skip or reduce carbs "Things like bread, pasta, or large portions of rice can ramp up calorie intake fast. 5. Use an air fryer instead of oil in a pan "Just one tablespoon of oil adds 120 calories. If you're cooking with oil every day, it stacks up fast. "Air fryers give you the crunch without the calories, which can make a big difference over time. "It makes you crave more sugar, often leading to a surplus of calories. I lost almost 9st with Monty's top slimming tips RuPaul's Drag Race UK star Kitty Scott-Claus, 33, lost 7st 12lbs (50kg) in just over a year by following personal trainer Monty Simmons' tips. They started with simple adjustments - cutting alcohol, skipping bread, adding salads - and trained twice a week, focusing on progressive improvements in strength and stamina. Monty says: "After a holiday break and Christmas period slowed progress, I reached out early in the new year to rebuild momentum. That consistent check-in made a huge difference. "We worked toward a realistic but ambitious target - around 1kg per week - and focused on making the process manageable and sustainable. "Eventually, Kitty was smashing it: running, swimming daily, eating high-protein meals, and sticking to a completely new food routine. "We tracked progress not just in weight but also in performance - more reps, more sets, tighter technique. That kept motivation high. "When people tried to undermine her success, accusing her of using weight loss drugs, it really upset me because I'd seen firsthand how hard she'd worked. So we started posting workouts on social media to show the graft. "Kitty was training for a marathon by then - something no shortcut can fake. "Now, Kitty's maintained her healthy weight, lives a consistent and active lifestyle, and is proof that with the right support, structure and mindset, a complete transformation is possible. "I'm proud to have coached her through it all." 7. Upgrade your yoghurt "It's a solid low-calorie, high-protein option, but if it's not filling you up, mix in psyllium husk, flaxseed or goji berries. "It will boost your fibre intake and keep you fuller for longer. 8. Watch your alcohol intake "Just a few pints of beer can easily put you hundreds of calories over your limit, and no one wants a 'beer belly' either! 9. You eat what's in your house "If your cupboards are full of crisps, biscuits and high-calorie snacks, you're going to reach for them when you're tired or stressed. "Don't buy them in the first place - it removes the decision battle. 10. Cravings often come from missing nutrients "A lot of processed foods are low in vitamins and minerals. "Your body keeps hunting for nutrition, so you end up eating more junk. "Get your gut and taste buds used to nutrient-dense foods again. 11. Don't neglect your micronutrients "People chasing fat loss focus on calories and protein, but your body still needs vitamins. "Green smoothies with spinach, celery, carrot or ginger are a great way to top up and build good habits that last!" You can still enjoy your favourite foods like pizza, chocolate and biscuits every now and then, as long as you remain in a calorie deficit. But the best way to see results is to prioritise high-protein foods, like chicken, fish and beans, and keep the fatty or sweet treats as just that. Monty adds: "Don't panic over daily weight changes. "Our bodies naturally fluctuate by 0.5 to 1kg across the week thanks to water retention and food volume. It's not fat gain. "Weigh yourself regularly and track the weekly trend. If the number is gradually dropping, you're on the right track." 12 2. 80:20 RULE IT'S a common misconception that to lose weight you need to spend hours in the gym. 'In reality, when it comes to dropping body fat, 80 per cent of it is about diet and 20 per cent about exercise,' Monty says. 'Doing regular, consistent exercise will increase your daily calorie burn, which will help you slim down. 'Even boosting it by 200 to 250 calories can help a lot over time. 'Keep in mind though that it's always easier to eat 300 calories than it is to burn 300 calories. 'So yes, exercise is crucial, but you still need to watch your food intake.' 3. HCS PLAN WHEN you head to the gym or schedule a living room workout, prioritise high-intensity (H), cardio (C) and strength (S) moves. High-intensity 'This might look like sprints, interval circuits, or fast-paced classes like HIIT,' Monty says. 'They torch calories in a short time but they're harder to maintain for long durations. 'Take it slow to begin with so you don't burn out too quickly and lose motivation to do more.' Cardio 'Running, swimming, and cycling keep your heart rate elevated for longer periods, further improving your cardiovascular health,' Monty says. 'But they also mean you can burn more calories because you're able to sustain it for longer. 'I'd recommend starting with 30 minutes and slowly building this up.' Strength 'You don't have to bulk up, but having more muscle increases how many calories you burn at rest,' Monty says. 'Your body uses more energy to maintain muscle tissue, helping you stay lean. 'If you want to increase your daily calorie burn long-term, increasing your muscle mass by lifting weights and doing body weight exercises is essential, and most effective with a consistently active lifestyle.' 4. THE BEST MOVES SO what exactly should you be doing? 'If you want a home routine that targets the muscles of your midsection to keep the muscles firm, as well as intense full-body exercises to maximise your calorie burn, check out these five moves,' Monty says. 'They'll help strengthen and form your abs, and lower your overall body fat.' 1. Mountain climbers Start in a high plank position and drive your knees to chest one at a time, almost as if you're running on the spot. Keep your core tight and move quickly but don't let your front foot touch the floor. 2. Russian twists Sit down and lean back to a 45-degree angle. If you're new to exercise, tuck your feet under something heavy like your sofa and twist your torso side to side with a chopping motion. If you're intermediate, you can rest your feet on the floor. For a real challenge, hover them just off it. Hold a weight or clasp your hands for added resistance and an extra burn. 3. Sit-ups Lie down with your knees bent (hard), straight out in front of you (intermediate) or tucked under something heavy like a sofa (beginner). Curl your spine up, engage core, and sit up. Avoid using your arms for momentum, if you can. Lower back down slowly while squeezing your abs tight. 4. Speed skaters Stand up tall with your arms by your sides. Jump laterally side to side, landing softly with bent knees. Swing your arms to give you momentum and to help you balance, and tuck your opposite leg behind. Stay low and engage your core. Caution: do not do this on a slippery surface. Try wearing socks on carpet, or bare feet on a hard or smooth floor. 5. Side plank Lie on one side, propped up on your forearm or hand with your legs stacked on top of one another (or one in front of the other if that's more comfortable). Lift your hips high, keeping your body straight. Hold the position while engaging your core, but mainly your obliques, which sit under the 'love handle' areas. 5. AVOID COMMON MISTAKES YOU can do everything above and still not see results if you're making what Monty describes as 'silly mistakes'. 'Firstly, people often try side bends or side crunches, hoping to melt belly fat, but this just won't work,' he says. 'If there's still a thick layer of fat on top, you won't see any definition. 'Those exercises might firm up the muscle underneath, but the fat still conceals it and you'll be wasting your time, without focusing on your diet.' How many calories should I be eating to lose weight? THE key to a healthy diet is eating the right amount for your body. This will depend on several factors, including your size, age, gender and activity levels. If you eat or drink more than your body needs, you will put on weight. If you consume less, you will lose it. The NHS recommended daily calorie intake for men in the UK is 2,500, while women should have around 2,000. When trying to lose weight, the average person should aim to reduce their daily intake by about 600 calories, according to the health service. Personal trainer Monty Simmons says: 'If I was going to calculate how many calories someone needs to lose weight, I'd either: Download a fitness app like MyFitnessPal, set a fat loss target in there, and track calories; or Go to click the health and fitness section, and use the calorie calculator. You enter your age, height, weight, and activity level and it'll give you an approximate daily calorie burn. 'To lose 0.5kg (1lb) per week, you need to be in a 500-calorie deficit daily. 'To lose 1kg per week, you need to be in a 1,000-calorie deficit. 'Without a calorie deficit, you will not lose weight and if you don't lose the fat, you won't see your abs. It's that simple.' But don't turn to crash or fad diets, or neglect vital nutrients. 'Crash dieting, which often encourages very low calorie intake, or ignoring your protein intake are bad moves. 'You need protein to maintain or build the muscle that helps keep your metabolism higher, and drastic diets that look nothing like your usual eating habits rarely work in the long run. They're too big of a shock and too tough to sustain. 'You're better off making gradual changes to your regular eating habits - like swapping a high-carb meal for a lean protein and veggie combo. 'Aim for whole foods (lean proteins, whole grains, healthy fats, and plenty of veg), salads, and avoid piling on extra oils or breads at restaurants. 'This approach, coupled with consistent exercise, promotes sustained fat loss. Research confirms that combining diet and exercise is the best strategy.' A study published in the International Journal of Obesity found that people who exercised and dieted at the same time lost 20 per cent more fat compared to those who dieted alone. 'Remember: you won't lose love handles just by working the muscles,' Monty says. 'You have to create a calorie deficit through diet, too. 'There's no shortcut around it - eat fewer calories than you burn, and you'll start seeing your waist tighten up and your clothes start fitting better.'


BBC News
2 hours ago
- BBC News
'We are running the Leeds 10k in memory of loved ones'
When Steve Scott laces up his trainers for the Leeds 10k race on Sunday, he will be running "in the footsteps" of his friend and colleague, Satpal Singh died in March, shortly after his 50th birthday. He had been diagnosed with motor neurone disease (MND) around a year of Mr Singh's colleagues at Leeds Teaching Hospitals are taking to the course as part of Satpal's Sprinters - the group formed in his memory. "He did the 10k when he was a younger man and a student - his family found a lovely photo of him doing it," Mr Scott told the runners are tackling the Run for All event in aid of the MND Association, the charity that supported Mrs Singh and his wife Rani through his diagnosis."He struggled to come to terms with it, but the MND Association was there to support him," Mr Scott added."We felt like we had to do something for the charity as we knew how much they do for people who are diagnosed, and their families." Mr Singh was given regular updates on the group's training and progress before his death."He could see the fun we were having."With some of his colleagues, he was perhaps wondering how on earth they would make it around a 10k!"Mr Scott said the group has "quite a mix" of running abilities; one person had to drop out due to a broken toe but despite the challenges, the team all have a joint motivation."This is mirroring him, he was such a selfless person, such a warm person and the entire group have bought into that; that's why it has grown so much."So far, Satpal's Sprinters have raised more than £14,000 for the MND Association, more than double their original target of £7,000. What is the Leeds 10k? First launched in 2007, the Leeds 10k is running for the 18th year with thousands expected to take event will kick off at University of Leeds before ending at the Headrow by Leeds Art by Jane Tomlinson's Run for All foundation, it will support a wide range of local and national are encouraged to run for a cause close to their hearts. Jodie Stead and her partner Matt Murphy are also among the runners taking couple are attempting the challenge in memory of Mr Murphy's friend Lee, who took his own life in 2024. Mr Murphy told the BBC that his death came as a shock. "There was nothing, nobody spotted anything. When the phone calls came around, everyone was baffled."As clichéd as it might sound, he was the life of the party."He was just a really intelligent guy, a funny guy without even trying." The couple are raising money for Andy's Man Club, a charity which encourages men to speak up about their mental Stead believes that if Lee had known about the charity it "might have been a different situation"."We know it is somewhere men can go and talk to peers about anything they are going through. It is a safe space." Listen to highlights from West Yorkshire on BBC Sounds, catch up with the latest episode of Look North.