NHS must learn lessons of Covid to overcome winter flu, say experts

With flu cases rising and resident doctors on strike from Wednesday, the NHS is under considerable pressure. But experts say lessons from the Covid pandemic could help ease the situation.A trio of UK-based academics say a three-pronged approach of increasing uptake of flu vaccines, boosting support so people can stay home when unwell, and increasing ventilation and air quality would help to protect people from influenza.“Many of the lessons we learned during the Covid pandemic about what needs to be done to ease the spread of infection still apply, although we are consistently failing to follow them,” they write in the BMJ.If such measures are not taken, they add, “people will continue to get sick and die while schools close and hospitals are overwhelmed”

The slow death of social housing – and its original purpose | Letters

Your editorial (The Guardian view on England’s social housing system: failing the very people it was built for, 10 December) claims that “social homes were supposed to be for those who couldn’t afford private rents”. That’s not so. Most council estates, such as Becontree and Harold Hill, were built following the first and second world wars to house ordinary working families when decent housing was in dire straits. Privately rented properties were often of poor quality and devoid of basic amenities.The governments then believed it imperative to house ordinary families in good-quality modern housing

Children need mental health care provided by humans, not chatbots | Letter

It is absolutely right that children “need a human, not a bot” for mental health support (‘I feel it’s a friend’: quarter of teenagers turn to AI chatbots for mental health support, 9 December). Overuse of AI for mental health support could well lead to the next public health emergency if the government does not take urgent action.We shouldn’t be surprised that teenagers are turning to tools such as ChatGPT in this way. NHS waiting lists are rising, and one in five young people are living with a mental health condition. It is unacceptable that young people who require support for their mental health are unable to access the services they need, before they reach crisis point

Resident doctors in England vote to go ahead with strike

Resident doctors in England will strike as planned this week after they voted to reject the government’s latest offer to end the long-running pay and jobs dispute.Resident doctors – formerly called junior doctors – will strike for five days starting on Wednesday after refusing to accept the deal in a survey by their union, the British Medical Association.The health secretary, Wes Streeting, had proposed the deal last week. It would have increased the number of training places to enable early-career doctors to start training in their chosen medical speciality but not increased their pay for the current financial year.Resident doctors overwhelmingly rejected the offer, by 83% to 17% on a 65% turnout

DWP needs overhaul to restore trust after carer’s allowance scandal, adviser says

The Department of Work and Pensions needs a management and cultural overhaul if it is to restore public trust after the benefits scandal which left hundreds of thousands of unpaid carers in debt, a key government adviser has warned.Prof Liz Sayce led a scathing review of the carer’s allowance scandal, which found the DWP system and leadership failures were responsible for carers unknowingly running up huge debts, some of which resulted in serious mental illness and, possibly, criminal convictions for fraud.Sayce told the Guardian she had been surprised by the DWP’s “lack of organisational curiosity” about the impact of the problems with carer’s allowance, as well as its reluctance to tackle the issue strategically, despite being aware of the issues for years.Her comments came days after the Guardian revealed a top DWP civil servant, Neil Couling, had insisted carers were to blame for the department’s failures in an internal message to staff, issued a few days after Sayce’s report was published.Sayce said it had been “distressing” to read Couling’s comments which she said were “clearly not right”

Psychedelic treatments show promise for OCD while cannabis doesn’t, review finds

A recent review of alternative treatments for obsessive compulsive disorder (OCD) indicates that psychedelic treatments show promise for the disorder while cannabis does not.Dr Michael Van Ameringen, a psychiatry professor at McMaster University in Ontario, Canada and lead author of the review published in the Journal of Psychiatric Research, said that 40-60 % of OCD patients get either partial or no relief with available treatments, including SSRIs and exposure and response prevention therapy.While psychedelics and cannabinoids have become part of the conversation surrounding OCD – a disorder characterized by intrusive, obsessive thoughts and/or compulsive behaviors – there is a much larger body of published evidence on the efficacy of these substances for more common conditions, like depression and anxiety.“We wanted to hone down and really understand, is there evidence for these things that have been talked about to be used as the next step treatments?” Van Ameringen explained.Given the paucity of existing literature, Van Ameringen said he didn’t know what to expect