Why routine cancer tests have age limits | Brief letters

Jane Ghosh asks why the NHS’s routine screening for bowel and breast cancer has upper age limits (Letters, 28 April). Screening – testing because of risk, not symptoms – stops when the chance of helping you drops below the chance of harming you. Diagnostic testing is done at any age.Dr John Doherty Stratford-upon-Avon, Warwickshire Re Jane Ghosh’s letter about the NHS stopping routine bowel and breast cancer testing after the early 70s, it’s important to know that people over the age thresholds can request a bowel cancer test every two years or breast cancer screening every three years. Remembering to do so is a different story

UK researchers develop tool to identify people most at risk of obesity-related diseases

A new tool that can shed light on who is most at risk of obesity-related diseases could help identify people who would benefit most from weight-loss medications, researchers have said.Recent data suggests about two-thirds of adults in England are overweight or obese – a situation that has caused concern among health experts.Now researchers have developed a tool that, they say, offers an accurate and personalised approach to identifying those at risk of obesity-related conditions.They add it could be useful for prioritising who should receive interventions, such as weight-loss jabs, given that access on the NHS is limited and currently based simply on having a high body mass index (BMI) and particular obesity-related health problems.Prof Nick Wareham, of the University of Cambridge, a co-author of the study, said the measure was not about extending the use of particular therapies

Raise tax on alcohol and junk food to cut deaths from liver disease, experts say

Governments in Europe should impose much higher taxes on alcohol and unhealthy food to tackle the continent’s 284,000 deaths a year from liver disease, experts say.Taxes on those products should rise sharply enough for the money raised to cover the huge costs they place on health services, the criminal justice system and social services.The call for tough action on common causes of serious liver disease comes from a commission of experts from the European Association for the Study of the Liver and the Lancet medical journal.They are urging governments in Europe to ensure all alcoholic products carry health warnings and stop under-18s being targeted with online advertisements for alcoholic drinks and junk food.Bold steps are needed to combat “an escalating and unsustainable burden of liver disease”, the commission says in a report published on Wednesday in the Lancet

Trial of non-invasive endometriosis scan boosts hopes for quicker diagnosis

A non-invasive scan for endometriosis has shown promising results in a trial, boosting hopes for far quicker diagnosis.The trial, which included 19 women with the condition, suggests that an experimental radiotracer, called maraciclatide, can “light up” endometriosis on a scan. The current need for a surgical investigation is seen as a major obstacle to timely diagnosis, with women in England typically waiting nearly a decade.Prof Krina Zondervan, head of department at the Nuffield Department of Women’s and Reproductive Health (NDWRH) at the University of Oxford, and co-lead on the study, said: “The most prevalent subtype of endometriosis currently evades reliable detection, leaving women no choice for diagnosis other than invasive surgery. If these results are confirmed in larger phase 3 studies, imaging with maraciclatide could transform clinical research and practice and potentially empower the development of treatments for women across the globe

Leasehold ban in England and Wales unlikely before next general election, minister says

A ban on new leasehold properties in England and Wales is unlikely to come into force until after the next election, the housing minister has said, as he defended the government’s piecemeal attempts to dismantle the system.The long-promised end would take years to “switch on”, Matthew Pennycook said, even though the ban of leaseholds on new houses was passed in 2024 and the government intends to pass one on new flats soon.Pennycook was giving a speech defending the government’s approach to bringing a de facto end to the feudal-era system after years of complaints from leaseholders about crippling service charges and crumbling buildings. He said the process needed to be rolled out slowly to avoid undermining housing supply and falling into legal pitfalls.“I think it’s highly likely that we don’t switch on the ban in this parliament,” he told reporters afterwards

The use of advanced practitioners in the NHS is no reason to fear for patient safety | Letters

I am an advanced clinical practitioner in acute respiratory medicine, and the British Medical Association’s (BMA) characterisation of practitioners like me as unsafe “substitute doctors” demands a response (Safety fears as UK hospitals use nurses to cover for doctors due to shortage of medics, 25 April).Every shift, I assess and manage patients with severe chronic obstructive pulmonary disease exacerbations, pulmonary embolisms, pneumonia and acute respiratory failure, taking clinical responsibility in a consultant-led multidisciplinary team, underpinned by a master’s-level qualification and over a decade of specialist experience. This is not doctor substitution. This is advanced practice: a distinct, evidence-based clinical role that enhances patient care rather than compromising it.The cases cited in your article (at Rotherham general hospital and a GP practice) represent failures of organisational governance, not evidence that advanced practitioners are inherently unsafe