
Indy could help us end bed blocking and reduce waiting times
To me, an ageing GP, the answer to these problems is clear and it begins with an independent Scottish government with the same borrowing powers as Westminster.
Then we could end bed blocking by setting up convalescent homes to receive those patients no longer acutely ill but in need of gradually increasing activity until they are fit to return home or enter long-term care homes.
We used to have them. They were staffed by nurses and physiotherapists but had visiting doctors as required and carers and friends were welcome visitors because they could discuss the next step out of convalescence, back to their own homes.
As for General Practice, it is clear that home visits by what used to be called your 'family doctor' are almost non-existent, though certainly in my practice, acute illness is seen and dealt with almost immediately by the doctor on call, though to see the doctor of your choice may mean that you wait a week or more. It is different but appears to work well and if other practices do the same I see no reason to rubbish the care offered. However people vote with their feet and the habit of using the nearest hospital Accident and Emergency department because it is convenient is now endemic.
Why has this happened?
If the one-stop shop is the way patients prefer to be treated, perhaps there should be more Accident and Emergency departments in every hospital or allow GPs immediate access to an A&E department.
Elizabeth Scott, Edinburgh.
Read more letters
New abortion law is so wrong
On Wednesday (June 18) a new legislation was passed in the House of Commons by a majority of 242 MPs who were heard cheering as the result was announced.
At the moment abortion is legal up to 24 weeks, which in itself is utterly ludicrous. I have personally known babies that have been born at 24 weeks and have grown to lead healthy adult lives, some now with children of their own. The NHS is wonderful when it comes to looking after premature babies, moving heaven and earth to save their precious lives. Now, as of yesterday the law is to be changed and decriminalised, which will allow abortion up to the day before birth at nine months. This is barbaric, it is inhuman and violates the human rights of the unborn healthy child.
The majority of supporting MPs were Labour and have said the new law is in place to remove the threat of investigation on the mother of the child. What about the rights of the viable child? What about the many parents who have suffered multiple miscarriages and those who can't have biological children, how does this barbaric decision affect their mental health?
I agree with abortion in the very early stages (under 20 weeks) of pregnancy, if the health of the mother is at critical risk or the child was to be born with profound, life-limiting disabilities or in the case of a pregnancy resulting from rape. That choice must always be permitted and is the decision of the mother.
However, this new law is wrong on every level, it is depraved and disgusting.
Conrad Ritchie, Fraserburgh.
Don't blame CalMac
You headline Peter Wright's letter (June 19) with the words 'What planet is CalMac on?'
Please will you learn to be more accurate about where the origins of the ongoing ferry shambles lie? CalMac has no responsibility for this bourach, it lies entirely with Caledonian Marine Assets Limited, its chief executive, and every member of its board, who should all have been sacked long ago.
Of course, Transport Scotland and, ultimately, the Scottish Government have the final responsibility, but it is certainly not their fault. Oh, no! A big boy did it and ran away!
How the blinkered SNP supporters think this party could run a country, when it has presided over this debacle for over a decade now, is beyond me.
John NE Rankin, Bridge of Allan.
Bus switch makes no sense
Driving around Paisley and local area one notices that the local bus company appears to be using all-electric buses. Having a company in Falkirk that makes them, why were its buses sourced from Japan? The costs of shipping must add greatly to the costs. I also understand Renfrew Council gave the bus company a large grant to purchase said buses. Surely some joined-up thinking is required here?
Robert Mitchell, Elderslie.
Lorna Slater (Image: PA)
Artificial ingratiation
Opposing a motion to the Scottish Parliament titled Demanding a Better Deal for Taxpayers in Scotland, Green MSP Lorna Slater presented the case that, once the benefits of various policies such as "free" prescriptions, bus travel, tuition fees and social care were taken into account and despite higher income tax rates, people in Scotland are generally better off than people in England. To prove her point, she had put her thesis into "an AI" which confirmed her view. If the output from AI was capable of unequivocally defining what is true, it would strengthen her argument; however, it does not have that capability.
Troubled by two recent incidences where ChatGPT had not just given me wrong information but made up "facts" (a phenomenon known as "hallucination"), I challenged ChatGPT why it does that. Its response was enlightening and included the following: "It was trained to sound helpful – not to know the truth. So, when you ask a question, it tries to give you the kind of answer it thinks you want – even if it has to guess."
I find it amusing that Lorna Slater, a politician, turned to AI to justify her position. After all, the text quoted above would also be a reasonable description of most politicians.
George Rennie, Inverness.

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The Independent
27 minutes ago
- The Independent
The new technology for prosthetic legs that could reduce NHS waiting lists by 50%
A new technology could reduce NHS waiting lists for prosthetic legs by half, a study has found. The software personalises prosthetic leg fittings based on data from previous patients. The data-driven fittings for below the knee prosthetics were, on average, as comfortable for patients as those created by highly skilled prosthetists, the NHS trial suggested. Technology developed by Radii Devices and the University of Southampton is hoping to halve the number of clinical visits for the fitting from an average of four to two using the software. The new technology is built to provide a personalised 'socket' using data from other fittings and a 3D scan of the residual limb to immediately generate a basic design. The CEO and founder of Radii Devices, Dr Joshua Steer, said analysing hundreds of previous sockets allowed them to 'identify trends' between different patient characteristics. 'We can then scan a new patient's residual limb and generate a personalised design recommendation based on features that have been successful for similar patients in the past,' he explained. The results of an NHS trial published on Friday in JMIR Rehabilitation and Assistive Technology suggest the new designs are on average as comfortable as those created by a prosthetist. Nineteen sockets were made for 17 participants, as two participants were double amputees, and all bar one of the sockets were above the 'NHS comfort score target', the Radii Devices CEO said. Of those 19 sockets, six of the new designs were reportedly more comfortable than normal prosthetics, while five were less and eight were very similar. Prosthetic sockets are personalised to ensure they are comfortable and functional, as they need to bear a person's body weight without damaging limb tissue or creating discomfort. Traditionally, a prosthetist makes a plaster cast of the leg and reshapes it to produce a socket which achieves the right balance, producing trial versions before settling on a definitive one. Radii Devices says the NHS currently tries to deliver a prosthetic in four clinical visits roughly a month from their first appointment, while the new system can aim for a 'gold standard' of two appointments. Alex Dickinson, Professor of Prosthetics Engineering at the University of Southampton – who helped to develop the new method, acknowledges that it has limits. He said: 'Only a highly skilled prosthetist can identify things like bone spurs and neuromas, and know how to tweak designs to avoid causing pain or damage at these sensitive areas. 'We developed the data-driven socket design approach to save prosthetists' time by giving them a solid base to work from so they can use their expertise where it is most valuable, in making precise adaptations tailored to their patients' specific needs. 'The method effectively helps prosthetists to learn from each other.' Another co-author, Professor Maggie Donovan-Hall, said it was 'surprising and encouraging' that the data-driven sockets performed so well in a test designed as a 'worst case' scenario where they received no additional input from prosthetists. Nearly 100 people have now had a prosthetic leg designed this way, across multiple centres in the UK and the USA. The study has now moved into its final stage where the new software is developed alongside clinicians to see how it can be best incorporated into their practices.


The Independent
27 minutes ago
- The Independent
New software could reduce NHS waiting lists for prosthetic legs, study finds
New software which personalises prosthetic leg fittings based on data from previous patients could help reduce NHS waiting lists, a study has found. The data-driven fittings for below the knee prosthetics were, on average, as comfortable for patients as those created by highly skilled prosthetists, the NHS trial suggested. Technology developed by Radii Devices and the University of Southampton is hoping to halve the number of clinical visits for the fitting from an average of four to two using the software. The new technology is built to provide a personalised 'socket' using data from other fittings and a 3D scan of the residual limb to immediately generate a basic design. The CEO and founder of Radii Devices, Dr Joshua Steer, said analysing hundreds of previous sockets allowed them to 'identify trends' between different patient characteristics. 'We can then scan a new patient's residual limb and generate a personalised design recommendation based on features that have been successful for similar patients in the past,' he explained. The results of an NHS trial published on Friday in JMIR Rehabilitation and Assistive Technology suggest the new designs are on average as comfortable as those created by a prosthetist. Nineteen sockets were made for 17 participants, as two participants were double amputees, and all bar one of the sockets were above the 'NHS comfort score target', the Radii Devices CEO said. Of those 19 sockets, six of the new designs were reportedly more comfortable than normal prosthetics, while five were less and eight were very similar. Prosthetic sockets are personalised to ensure they are comfortable and functional, as they need to bear a person's body weight without damaging limb tissue or creating discomfort. Traditionally, a prosthetist makes a plaster cast of the leg and reshapes it to produce a socket which achieves the right balance, producing trial versions before settling on a definitive one. Radii Devices says the NHS currently tries to deliver a prosthetic in four clinical visits roughly a month from their first appointment, while the new system can aim for a 'gold standard' of two appointments. Alex Dickinson, Professor of Prosthetics Engineering at the University of Southampton – who helped to develop the new method, acknowledges that it has limits. He said: 'Only a highly skilled prosthetist can identify things like bone spurs and neuromas, and know how to tweak designs to avoid causing pain or damage at these sensitive areas. 'We developed the data-driven socket design approach to save prosthetists' time by giving them a solid base to work from so they can use their expertise where it is most valuable, in making precise adaptations tailored to their patients' specific needs. 'The method effectively helps prosthetists to learn from each other.' Another co-author, Professor Maggie Donovan-Hall, said it was 'surprising and encouraging' that the data-driven sockets performed so well in a test designed as a 'worst case' scenario where they received no additional input from prosthetists. Nearly 100 people have now had a prosthetic leg designed this way, across multiple centres in the UK and the USA. The study has now moved into its final stage where the new software is developed alongside clinicians to see how it can be best incorporated into their practices.

Western Telegraph
40 minutes ago
- Western Telegraph
Manufacturers given 18 months to cut sugar and salt in baby food products
Accompanying new guidelines to clarify labelling on baby food will help parents make informed choices about what they feed their children, the Department of Health and Social Care said. Manufacturers will be challenged to change the recipes for their products to reduce levels of salt and sugar, without the use of sweeteners, which are not permitted for use in commercial baby food. For example, baby desserts and breakfasts such as rice pudding, custard and ready-to-eat fruity porridge should contain less than 10g of total sugar per 100g, while baby meals should have no more than 60mg of salt per 100 calories or 100mg per 100 calories if cheese is included in the recipe. Too often, parents are bombarded with confusing labels, disguising unhealthy foods packed with hidden sugars and salt Public health minister Ashley Dalton The guidelines will also tackle misleading labelling that often conflicts with official feeding advice. For example, some products labelled as snacks for babies from seven months on directly contradict government recommendations that children aged between six and 12 months do not need snacks between meals, only milk. Manufacturers will also be told to stop using misleading marketing claims that make products appear healthier than they are, for example products with labels such as 'contains no nasties' when they may be high in sugar. The move comes as data from the National Diet and Nutrition Survey, published in June, shows that more than two thirds of children aged 18 months to three years are eating too much sugar, while more than a fifth of children aged four to five years are overweight or living with obesity in England. High sugar intake in children's diets is a significant factor contributing to high rates of childhood obesity in the UK, which is among the highest in western Europe. Obesity rates have doubled since the 1990s, including among children. Obesity costs the NHS £11.4 billion a year and is one of the root causes of diabetes, heart disease and cancer. Public health minister Ashley Dalton said: 'Every child deserves a healthy, happy start to life. But babies' development is being harmed by poor diets and unhealthy food, holding them back and piling up pressure on the NHS. It should not even be possible to sell baby food that goes against official feeding guidance, and the public agrees, with three in four people supporting a ban on high-sugar baby foods Katharine Jenner, Obesity Health Alliance 'Too often, parents are bombarded with confusing labels, disguising unhealthy foods packed with hidden sugars and salt. 'Our plan for change will tackle this, giving parents the information they need and providing children with good nutritious food. 'I'm determined to make it far easier for parents to keep their children healthy. 'From working with influencers to get children exercising, to banning junk food ads near schools, our 10-year health plan will help kids today be part of the healthiest generation of children ever.' Katharine Jenner, director of the Obesity Health Alliance, said: 'For too long, commercial baby foods have been promoting high-sugar products disguised as 'healthy options', using misleading packaging. 'These new guidelines put the industry on notice: this practice must end. 'Making it easier for parents to buy healthier products is a baby step in the right direction – but what's really needed is a giant leap. 'It should not even be possible to sell baby food that goes against official feeding guidance, and the public agrees, with three in four people supporting a ban on high-sugar baby foods. Our research has consistently shown excessive levels of sugars in commercial baby foods Dr Kawther Hashem, Action on Sugar 'If the industry fails to act quickly, the Government must step in with mandatory rules to set children up for a lifetime of good health.' Dr Kawther Hashem, head of research and impact at Action on Sugar, said: 'Our research has consistently shown excessive levels of sugars in commercial baby foods. 'These long-overdue voluntary guidelines are a step in the right direction, but they must not be the final word. 'Consuming too much sugar on a regular basis means children are taking in excess calories that, if not used for energy, are stored as fat. 'This increases the risk of weight gain and, if it starts early, that excess weight is often carried into adolescence and adulthood, raising the risk of overweight, obesity and agonising tooth decay. 'If we're serious about protecting our youngest children, these guidelines must be made mandatory. 'We urge the Government to closely monitor progress and act swiftly if companies fail to change.' The industry has been warned to clean up their act with voluntary guidelines, but to truly protect children, mandatory standards are needed Dr Hannah Brisden, Food Foundation Professor Simon Kenny, NHS England's national clinical director for children and young people, said: 'I can't overstate just how important good nutrition is during these formative months for babies' health in the long term, and you can't beat fresh foods. 'Reducing the salt and sugar levels in shop-bought baby food is a really important step, and these new guidelines alongside clearer labelling will help empower busy parents to make nutritious choices that give their children the best possible start in life.' Dr Hannah Brisden, head of policy and advocacy at the Food Foundation, said: 'Giving every child the best start in life begins with good nutrition. 'Today's announcement on commercial baby foods highlights the need to protect families from aggressive marketing and end misleading claims on sugary products. 'Our research found up to 43 claims on a single baby snack, despite many being high in sugar. 'The industry has been warned to clean up their act with voluntary guidelines, but to truly protect children, mandatory standards are needed. 'We urge the Government to monitor progress closely and be ready to step in if companies don't act.'