Publicly-funded healthcare systems in the United Kingdom
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Dr. Karan Rajan on Fiber Fermentation, Sodium Myths, and What Your Poop Reveals About Disease Risk Your poop is more predictive than almost any other health signal, and you are flushing that data away every single day without a second look. Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Dr. Karan Rajan, a practicing NHS gastrointestinal surgeon, best-selling author, and Chief Science Officer at Throne, who has built a following of over 12 million people by making gut science accessible and actionable. He has spent his career removing colon cancers, treating digestive disease, and now studies how gut bacteria drive nearly every system in the body, from hormone metabolism to brain optimization. They break down why fibermaxxing can backfire without the right mix of fast, medium, and slow fermenting fibers, and why generic "eat more fiber" advice ignores what your gut bacteria actually need. The conversation covers protein absorption limits and how much your body can really use, the truth about saturated fat and metabolism, and why the sodium-to-potassium ratio matters more than sodium alone. They also dig into fasting and the gut's natural cleaning cycle, the estrobolome and testobolome and their role in hormone balance and longevity, and how AI is starting to reshape personalized health data, supplements, and functional medicine. Dr. Rajan shares some of the strangest objects he has surgically removed from patients, and explains what your poop's color, shape, and consistency reveal about liver function, inflammation, and disease risk long before symptoms show up anywhere else. This is essential listening for anyone serious about biohacking, gut health, human performance, longevity, mitochondria function, nootropics, ketosis, carnivore and fiber-based diets, sleep optimization, anti-aging, and hacking your metabolism from the inside out. You'll Learn: Why fibermaxxing can cause bloating instead of better gut health The real difference between fast, medium, and slow fermenting fibers How much protein your gut can actually absorb and digest Why low sodium may be more dangerous than high sodium for most people How fasting triggers your gut's natural cleaning cycle, the migrating motor complex What your poop's color and consistency can reveal about liver and metabolic health How gut bacteria influence hormone metabolism through the estrobolome and testobolome Where AI and functional medicine are headed in personalized gut health tracking Thank you to our sponsors! - Butcher Box | Go to ButcherBox.com/HUMANUPGRADE to get $20 off your first box, plus your choice of free ground beef for life, or free chicken thigh - Download Dave's Free Peptide Guide at daveasprey.com/peptide-guide. - Caldera + Lab | Go to calroy.com/dave for the research, a discount, and a 45-day money back guarantee. - Kenetik | Instead of pushing your system harder, Kenetik feeds your brain the ketones it craves to fuel calm clarity and steady focus. Go to drinkkenetik.com/DAVE and use code DAVE for a discount. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights inhealth, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Karan Rajan, gut surgeon, fibermaxxing, gut microbiome, Bristol stool chart, poop health, Throne, fermentation geography, soluble fiber, insoluble fiber, prebiotics, inulin, oxalates, estrobolome, testobolome, migrating motor complex, sodium potassium ratio, saturated fat, ghee, collagen, protein absorption, keto, carnivore, fasting, gut bacteria, flatulence science Resources: • Dr. Karan's Newsletter: https://drkaran.kit.com • Check Out Dr. Karan's YouTube: https://www.youtube.com/c/DrKaran • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15? • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) Timestamps: 00:00 – Trailer 00:55 – Meet Dr. Karan Rajan 04:04 – Kellogg's History & Farts 11:53 – Throne Poop Tracking 19:35 – Poop Colors & Wild Stories 28:02 – Worst Foods & Saturated Fat 36:26 – Fiber Fermentation Geography 46:57 – Sodium & Salt Myths 59:03 – Keto, Carnivore & Fasting 01:04:45 – AI, Misinformation & Closing See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Do you find you're struggling with self-discipline when it comes to healthy eating? Liz explores what drives us to reach for the biscuit tin – and shares ways to adapt your environment to reduce cravings without relying on willpower alone.Plus: Is HRT making me constipated? What causes hair thinning in midlife, whether exosomes are worth adding to your skincare regime and advice for tackling adult acne.In this episode:· How can I be more disciplined with my eating?· Does berberine reduce food cravings?· Should I add exosomes to my beauty routine?· Biofeedback therapy for a sluggish bowel· Is HRT causing my constipation?· A holistic approach to adult acne· What causes hair thinning in midlife?· Is pumpkin seed oil effective for hair growth?Links in this episode:· The Naked Pharmacy Saffrosun Calm· The Better Menopause Better Metabolism· Berberine· Download the free Strong not skinny guide· Podcast with Justine Masters on exosomes and microneedling· Squatty Potty· Use code LIZLOVES26 for 15% off BioCare Magnesium Citrate· Read Constipation and menopause: easy ways to get things moving· Skin + Me skincare for adult acne· NHS guide to isotretinoin for adult acne· Podcast with Dr Thivi Maruthappu on foods to help your skin· Liz Earle Cleanse & Polish™ Hot Cloth Cleanser· Read Menopause and hair loss – what you need to knowGet in touch with a question for Liz:· Email: podcast@lizearlewellbeing.com· WhatsApp: 07518 471 846More from Liz:· How To Age· A Better Second Half· Follow Liz on Instagram· Follow Liz Earle Wellbeing on InstagramHost: Liz EarleProducer: Lynnike Swerts (Fresh Air Production)Content Writer: Lucy ParleyHead of Brand: Ellie SmithSome links may be affiliate links, which help support the show at no extra cost to you. Read our Affiliate Policy for more information. Hosted on Acast. See acast.com/privacy for more information.
Find out more about William Gee at williamgee.co.uk2a Forest Road, London, E8 3BYSubscribe to
Daniel was working at a market in Lagos when he was given the chance to start anew in the UK. He had no idea what was expected of him in return By Alexis Okeowo. Read by Nneka Okoye. Help support our independent journalism at theguardian.com/longreadpod
Contact us and share your opinion**eGPlearning Update: RCGP Open Letter, Tech Registries, and System Reform**In this episode, we break down the latest macro shifts hitting primary care—from national policy posturing and contract negotiations to digital health transparency and supply chain disruptions.**Key Topics Covered*** **The RCGP Open Letter:** Analyzing the College's 5 commitments, the urgent call to protect relational continuity, and whether the letter actually goes far enough to safeguard the partnership model and GP professional integrity.* **Funding and Structural Reform:** Why matching ambition with investment requires overhauling outdated mechanisms like the Carr-Hill formula, contrasting policy rhetoric with front-line clinical leadership perspectives, and asking whether NHS decision-making can ever genuinely be depoliticized.* **Neighbourhood Care & Clinical Leadership:** Placing properly resourced general practice at the heart of integrated neighbourhood teams without letting top-down restructuring dilute autonomy.* **The 6B NHS Tech Registry:** A look at the crowd-sourced/FOI-driven health tech registry—why independent transparency exists, why central NHS systems fail to provide it, and how social validation shapes clinical procurement.* **Drug Shortages:** The ongoing operational reality and clinical risk of supply chain instability in day-to-day practice.---**Links & Resources Mentioned*** **RCGP Open Letter for a Stronger NHS:** [https://www.rcgp.org.uk/getmedia/39a9c5ae-c41b-4c89-84f0-1f8c7fe6a6f4/Open-Letter-for-a-Stronger-NHS-formatted.pdf](https://www.rcgp.org.uk/getmedia/39a9c5ae-c41b-4c89-84f0-1f8c7fe6a6f4/Open-Letter-for-a-Stronger-NHS-formatted.pdf)* **6B NHS Tech Registry:** [https://nhs-tech.6b.health/](https://nhs-tech.6b.health/)* **GP5T12 Conference Registration:** [https://events.ringcentral.com/events/gp5t12/registration](https://events.ringcentral.com/events/gp5t12/registration)Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse
On Sunday, Alternative for Germany could become the first far-right nationalist party to win a state election since the end of the second world war. Is Britain right to worry about Palantir handling government contracts? And could the Chinese learn to love chocolate? Guests and host:Tom Nuttall, chief Germany correspondentGeorgia Banjo, Britain correspondentDon Weinland, China business and finance editorRosie Blau, co-host of “The Intelligence”Jason Palmer, co-host of “The Intelligence”Topics covered: Germany, AfD, Alternative for Germany, Saxony-AnhaltPalantir, NHSChina, chocolate Listen to what matters most, from global politics and business to science and technology—subscribe to The Economist. Hosted on Acast. See acast.com/privacy for more information.
On Sunday, Alternative for Germany could become the first far-right nationalist party to win a state election since the end of the second world war. Is Britain right to worry about Palantir handling government contracts? And could the Chinese learn to love chocolate? Guests and host:Tom Nuttall, chief Germany correspondentGeorgia Banjo, Britain correspondentDon Weinland, China business and finance editorRosie Blau, co-host of “The Intelligence”Jason Palmer, co-host of “The Intelligence”Topics covered: Germany, AfD, Alternative for Germany, Saxony-AnhaltPalantir, NHSChina, chocolate Listen to what matters most, from global politics and business to science and technology—subscribe to The Economist. Hosted on Acast. See acast.com/privacy for more information.
The Royal College of Paediatrics and Child Health, the body that represents NHS paediatricians, has warned of a sharp rise in the number of children aged 6 to 17 turning up at A&E units in England in a state of mental health crisis. The RCPCH's Officer for Health Services, Dr Ronny Cheung, a consultant paediatrician based in London, joins Nuala McGovern to discuss the issue. He is joined by Kate Silverton, child therapist and parenting author.Siobhan Daniels joined Woman's Hour a couple of years ago as part of Listener Week to talk about her alternative lifestyle, getting rid of her possessions and living nomadically while travelling the country in a motorhome. Now she's back with a new book, Retire and Refire, which chronicles her 4,000-mile solo RV adventure from Canada to Alaska along the Alaska Highway.The number of babies born in Scotland last year was the lowest on record. Records began in 1855. Esther Roughsedge, Head of Demographic Statistics at National Records of Scotland, explains more.A menopause specialist has said that she is aware of women posing as men to buy testosterone from online pharmacies because of difficulties obtaining NHS prescriptions in Wales. Jenny Rees, BBC Wales Health Correspondent, joins Nuala to discuss the issue.This summer, Woman's Hour has been hearing from some of the academics who have been working with Radio 4 on their research. Professor Nandini Das, Professor of Early Modern Literature and Culture at the University of Oxford, highlights the artist Levina Teerlinc from her new book, This Little World: A New History of Tudor and Stuart England.Divorced. Beheaded. Died. Divorced. Beheaded. Survived. Words familiar to most of us, and perhaps what you learned at school. But what do we really know, in depth, about Henry VIII's wives? There's a campaign to ensure that children learn more about the queens than those six words. Tracy Borman, Chief Historian at Historic Royal Palaces, explains more about their project.Presenter: Nuala McGovern Producer: Dianne McGregor
In this Meaningful Money Q&A episode, Pete Matthew and Roger Weeks answer listener questions on planning for mini-retirements, changing career into financial planning, accessing pensions with a guaranteed annuity rate, and whether to take tax-free cash from a defined benefit pension. They also discuss how to manage inherited money for children approaching financial independence, including ISAs, Junior SIPPs, university costs and future house deposits. Finally, they look at saving and investing alongside the NHS Pension, including using a Stocks and Shares ISA, SIPP contributions and higher-rate tax relief. A practical UK personal finance discussion covering pensions, retirement planning, investing, student loans and long-term wealth building. Shownotes: https://meaningfulmoney.tv/QA59 07:17 Question 1 Hi guys, Financial infrastructure and policy in the UK is built around to support (and likely encourage/enforce) the "standard" life of consistently working for 40 years and then stopping altogether. State and private pensions accessible around age 60, Lifetime ISAS, compounding growth of stocks etc. For various reasons, my wife and I (both 32) don't want to do this. We are in the fortunate position where we can take months or years off at a time and plan to do this several times throughout our lives. We know this means our earning potential and growth will be lower and that we may not end up with as large a pension as we could have. But we may also end up having some sort of income until we're much older. Question: what if anything can people do with today's accounts/tax advantages/schemes to enable this type of lifestyle? Hypothetical question: what type of infrastructure could the government introduce to enable this? How about a "pension" you can take at any time up to some cap per year and only for X years in a row? Given fewer jobs now require physical use of our bodies (and hence 60 may no longer be a necessary stopping point), could we see more people "working" off and on until 70 or 80? Tom 15:36 Question 2 Hi Pete and Roger First of all, thank you for the valuable conversations you bring to listeners. I'm a 32-year-old with a strong interest in personal finance and investing, and I would describe myself as financially literate and proactive in managing my own money. I currently feel I've been underestimating my potential and would like to pivot into financial services. I'm considering self-funding qualifications such as the LP2 (Financial Services – General Route) as a starting point, followed by the RQF Level 4 Diploma in Financial Planning. Do you think starting this pathway at 32 is realistic, or have I left it too late to successfully transition into the industry? Thanks, Darren. G 19:36 Question 3 Hello Pete and Roger, Firstly, I very much enjoy listening to your podcast whilst doing my weekly walks. I currently live in Australia and will be returning to the UK in 6 months to live near my family and will be turning 55 at the same time. My question is: I have a Defined Contribution pension, valued at 70K with a GAR. I am legally required to get IFA before I can drawdown, UFPLS, lump sum etc. There appears to be an exception to this mandatory requirement if I take an annuity. Is this correct? If it is, would this also apply to a fixed term annuity? Secondly, what options do I have to access my pension if no financial advisor is keen to take me on as a client and sign the 'advice taken' form that is required by my pension provider. My provider (Royal London) has said that the advice doesn't have to be positive or negative to what I want to do, I just have to show that I at least went through the procedure. Thanks for your help. Regards Brett 27:08 Question 4 Dear Pete and Rog, Thank you so much for the wealth of wisdom you share with us all - it has helped my family towards a more secure and planned future. I'm not an expert but as the future recipient of a few small DB pensions I have a question. You often infer Defined Benefit pensions are "solid gold", implying they should be preserved at all costs. I want to challenge your strong preference to avoid taking the 25% tax free cash (Pension Commencement Lump Sum (PCLS)). Isn't it "dangerous" to not clarify the commutation rate more explicitly? On one hand, with a poor commutation rate isn't the member effectively "selling" inflation-linked, guaranteed income far too cheaply? On the other, with an attractive commutation, by taking the 25% tax-free cash "off the table," a member can: 1. Eliminate mortality risk: If they die early, that cash stays with the family; the DB income disappears. 2. Manage Tax Drag: Using the PCLS to bridge to state pension age can keep a retiree in the basic rate band rather than being pushed into higher rates by a full DB payout. 3. Seek Outperformance: While DB is index-linked, a well-allocated ISA can historically outperform inflation over the long term. Why do you treat the PCLS as a "loss" of income rather than a strategic "de-risking" of the pension asset? Thanks for clarifying - because I think I must be missing something. Gareth 31:55 Question 5 Hi Pete and Roger, I started listening to the podcast when I began Couch to 5K, and it's been really helpful. It also makes me feel quite virtuous, like I'm improving both my health and finances at the same time! I'd value your thoughts on managing money for a child who is approaching financial independence. I'm the trustee for my 16-year-old daughter, who inherited directly from a relative. She has £140k in total, with 42% in cash savings, 46% in investments (mainly low cost global tracker) and 12% in a junior SIPP (also in global trackers). I'm moving as much as possible into ISA wrappers annually. I don't currently plan to add further to the SIPP. She is aware that there is a "good amount" of money saved for her but not actual figures yet and it is referred to as money for a house deposit. I plan to start involving her more directly in managing it from age 17, although we already talk regularly about money and financial habits. She's academic and likely to go to university although also considering degree apprenticeships. She wants a high paying career but has no idea what career yet! A few things I'd really value your perspective on: How should I think about asset allocation? I'm not risk averse and feel like there's too much in cash but mindful that she will be in control in 2 years and may want to use some of the money in the short term, e.g. for university, car, travelling etc. Would you lean towards encouraging her to fund university costs rather than taking out a student loan if she goes, given that under the new plan around 80% are expected to repay their loans in full? At least there would be less available to fritter away or spend on a red Lamborghini! Or keep it invested and position it more clearly as a future house deposit? And finally I have an 11-year-old in the same position. Given the longer time horizon, would you do anything different now in terms of structure, investment approach, or how and when to involve them? Thanks so much — I'd really appreciate your thoughts. Beth 42:51 Question 6 Hi both, hope you're well. I am 28 , working full time in the NHS. My partner and I bought our first home just before Christmas. I have an emergency fund in an easy access account as well as putting 10% of my salary into a S&S ISA each month which I plan to use to bridge the gap between retirement and access to my NHS Pension. I also recently moved into the 40% tax bracket and so opened a SIPP which I put another 5% of my salary into each month. Any other savings go into high yield interest accounts/ISAs. I just wanted to ask, is there anything else I should be doing with my money or is it simply a case of keep at it now? Thanks a lot, Joe
In this episode of the Explaining History Podcast, we explore the transformation of British society since Brexit – a story of the weaponisation of immigration, the erosion of the NHS, and the narrowing of who counts as "British."Drawing on Liam Stanley's excellent book, Britain Alone, we examine how the anxieties that gave rise to the 2016 referendum have been magnified and entrenched in the years since. The referendum did not create the forces that produced it – it gave them permission to speak openly. Racist discourse, once hinted at, is now shouted. Social media has amplified far-right invective. And political parties – first UKIP, then the Brexit Party, then Reform – have seized upon anti-immigrant sentiment as their primary political offering.We explore the devastating human consequences of the "hostile environment" – the set of policies introduced by Theresa May as Home Secretary to make the lives of migrants "miserable, costly and precarious." The Windrush scandal, in which thousands of people who had legally lived in the UK for decades were detained, deported, or stripped of their rights, is the most extreme example. Sylvester Marshall, who moved to the UK from Jamaica in 1973, was denied cancer treatment because he could not prove his immigration status – despite having lived and worked in Britain for 44 years.The episode also examines the "nationalisation" of the NHS – not in terms of state ownership, but in terms of making the state more national in its regulation and distribution of resources. Eligibility for healthcare, housing, and other essentials of life has become based around nationality – and as defined by Britain's right, based around whiteness. The logic of these changes cannot be reduced to austerity alone; they are a political project of exclusion.Topics covered:Brexit and the mainstreaming of racist discourseThe Windrush scandal and the hostile environmentThe "nationalisation" of the NHSThe politics of austerity and punishmentPost-imperial Britishness and the racialisation of immigrationThe bipartisan embrace of anti-immigrant policiesIf you enjoy the podcast, please consider supporting us – we are migrating from Patreon to Substack. Details in the show notes.Explaining History helps you understand the 20th Century through critical conversations and expert interviews. We connect the past to the present. If you enjoy the show, please subscribe and share.▸ Support the Show & Get Exclusive ContentBecome a Patron: patreon.com/explaininghistory▸ Join the Community & Continue the ConversationFacebook Group: facebook.com/groups/ExplainingHistoryPodcastSubstack: theexplaininghistorypodcast.substack.com▸ Read Articles & Go DeeperWebsite: explaininghistory.org Hosted on Acast. See acast.com/privacy for more information.
One doctor dies by suicide every three weeks, according to figures from the British Medical Association.In 2021, Dr Lalith Wijedoru left his role as consultant paediatrician in emergency medicine, to focus on supporting workforce health and wellbeing, including those working in healthcare. Given rare access to a wellbeing and recovery retreat, we hear emotional testimonies from the four groups of doctors at greatest risk of suicide - General Practitioners, anaesthetists, surgeons and psychiatrists.Their stories - of workplace bullying, isolation, fatigue and fear of patient complaints - suggest a system in which doctors are made to feel like machines, rather than human beings. The concept of 'moral injury' is also a factor - where a doctor is unable to provide the care they wish to give to their patient, due to lack of resources or system breakdown. Many doctors we hear from say they feel intense internalised pressure to do better - to work harder, and to never complain at worsening conditions. All have suffered from fear of failure, and the lack of the opportunity to decompress after traumatic events in the workplace. These stories take us to the heart of issues being faced by many or most NHS professionals - and by the ‘system' more generally.For Lalith, this sharing of difficult stories is an important pathway to recovery, even a life-saving intervention.Lalith is spurred on to talk to those who seek to help and support doctors, from charities like Doctors in Distress, founded by the brother of a doctor who died by suicide, as well as those who are studying the problem of why - and how many - doctors are dying by suicide. Worryingly, there are gaps in available data, because statistics are drawn from coroners' Preventable Death reports. In England, these are a matter for each individual coroner to decide on, so death by suicide is not uniformly recorded. Having laid many of these problems bare, what hope is there of realistic change and improvement? Presenter: Dr Lalith WijedoruProducer: Amanda HargreavesSound design: Joel CoxLocation recordings: Jon CalverExecutive producer: Dave HowardA Bespoken Media Scotland production for BBC Radio 4 This programme contains reference to suicide. If you've been affected by issues raised in this programme, you can find out more about organisations that can help by going to www.bbc.co.uk/actionline.There are also specific resources available to doctors and healthcare workers - some links to these below.NHS Practitioner Health https://www.practitionerhealth.nhs.uk/British Medical Association (confidential helpline with counselling and peer support for doctors and medical students https://www.bma.org.uk/advice-and-support/your-wellbeing/wellbeing-support-services/counselling-and-peer-support-servicesDepartment of Health and Social Care (text message service - support available for workers in NHS England) https://www.england.nhs.uk/supporting-our-nhs-people/support-now/Doctors In Distress https://doctors-in-distress.org.uk/You Okay Doc? https://youokaydoc.org.uk/NHS Employers (Suicide Prevention/Postvention Toolkit) https://www.england.nhs.uk/publication/working-together-to-prevent-suicide-in-the-nhs
With thousands of children across England starting primary school for the first time, we look at the network of specialist NHS weight-loss centres tackling childhood obesity. The World Tonight's Alice Aylett Roberts gained exclusive access to a clinic, where she meets parents, medical pracitioners and a six-year-old patient. Also on the programme: imprisoned Hong Kong activist Joshua Wong pleads guilty to new charges that could see him face life behind bars; and the King and Queen, alongside French President Emmanuel Macron and his wife Brigitte, visit the Bayeux Tapestry ahead of its unprecedented opening at the British Museum next week.
Should a life-saving, but expensive, cancer drug be made available on the NHS even though it only benefits very few people? Or should the money be allocated to drugs that lower blood pressure, which help vast swathes of the population? For the final episode of this season, we spoke to Joe Hilton, a health economist, to understand more about how difficult decisions like this one are made. Joe is a research fellow in mathematical modelling at the Manchester Centre for Health Economics and a 2025 JUNIPER Fellow. JUNIPER is a network of researchers across the UK working to prepare the country for the public health challenges of the future. We spoke to Joe at JUNIPER's annual meeting to understand more about the role of maths and economics in healthcare. He also talked us through his path into this job and what it was like going into research into health policy in 2020 at the very start of the pandemic! To find out more about the mathematics of health, you might enjoy: This article about about how mathematical models are used in epidemiology An exploration of how you can use maths to understand disease spread in a hospital Another podcast on how modellers work between maths and medicine Maths on the Move, is the podcast from plus.maths.org. We speak to researchers from the frontiers of mathematical science so you can connect with the maths that shapes and explains our world. Hosted by Plus editors Rachel Thomas and Marianne Freiberger. This podcast is part of our collaboration with JUNIPER, the Joint UNIversities Pandemic and Epidemiological Research network. JUNIPER is a collaborative network of researchers from across the UK who work at the interface between mathematical modelling, infectious disease control and public health policy. You can see more content produced with JUNIPER here.
118. We welcome Sarah back to the podcast to share her decade-long journey to motherhood. After years of trying naturally in her 30s, Sarah and her husband faced unexplained infertility, the overwhelming grief of monthly disappointments, and the practical challenges of seeking fertility care from a remote Scottish island. When a massive, undetected fibroid disrupted their plans for NHS-funded IVF, Sarah was forced to navigate private fertility clinics, age-related pushback, and the emotional transition to donor eggs.Sarah opens up about the raw realities of her path to parenthood, including a chemical pregnancy, the devastating loss of an embryo at seven weeks, and the high-stakes birth of her daughter via c-section. From dealing with a vehicle fire on the way home from the hospital with a newborn to tackling postpartum hormones, flat nipples, and relationship shifts, Sarah shares an inspiring, unfiltered look at why a fertility journey is not over in your 40s and how life experience shapes early motherhood.Get the resources, transcript, and more information about this episode: https://over40fabulousandpregnant.com/episode118/Shop the Show
This week on High on Home Grown, we bring you another packed episode of cannabis news, covering the growing battle over hemp-derived THC products in America, cannabis and sport, the UK's medical cannabis system, and some interesting new research. Macky: Big hemp is betting Republicans roll over on ‘diet weed' ban to avoid shutdown - POLITICO Smee: Katie Boulter says cannabis smell at US Open is distracting - BBC Sport Billy: New White Paper Calls for NHS Cannabis Pilot and Parliamentary Inquiry Into the Industry John: Medical Cannabis Reduces Pain, Insomnia Or Mood Issues In 91% Of Older Adults, Study Finds Dr. Margaret: No Margaret this week, she's off camping, so we're letting her enjoy the great outdoors! This week we take a closer look at the increasingly heated battle over America's hemp-derived THC market and what could happen if Congress moves forward with a broad ban. We also discuss Katie Boulter's comments from the US Open and the slightly surreal situation of cannabis smell becoming a talking point in professional tennis. Closer to home, Billy brings us a potentially important development for UK medical cannabis, with calls for an NHS pilot and a Parliamentary investigation into why so few patients currently receive cannabis-based medicines through the NHS. We also examine fresh research into the experiences of older medical cannabis patients and the reported improvements in pain, sleep and mood. Another packed episode of cannabis news, science, medicine, politics and plenty for the panel to get stuck into.
Como as novas diretrizes da Sociedade Europeia de Cardiologia, a autocoleta domiciliar no rastreamento cervical e o enfrentamento de surtos infecciosos transformam o cuidado em saúde? Neste episódio do Afya News, analisamos a primeira diretriz da ESC totalmente dedicada à reabilitação cardiovascular, estabelecendo-a como intervenção multidisciplinar precoce para diversas condições, incluindo a cardio-oncologia. Discutimos também a expansão do programa do NHS na Inglaterra com kits de autocoleta de HPV entregues em domicílio para superar barreiras de acesso e diagnosticar o câncer cervical precocemente. Por fim, apresentamos no Radar a gravidade epidemiológica do surto de Ebola na República Democrática do Congo, que já registra milhares de óbitos e reforça a urgência de medidas de biossegurança. O Afya News apresenta notícias da medicina com informação confiável e atualizada no seu tempo. Criado pela Afya, o maior hub de educação e soluções para a prática médica do Brasil, nosso propósito é transformar a saúde junto com quem tem a medicina como vocação.Fontes do episódio aqui:https://portal.afya.com.br/podcasts/afya-news/31-08-2026 Conteúdo 100% validado por equipe médica.Médico Responsável: Dr. Guilherme Rodrigues — CRM-RJ 1049461.
Daniel Mahncke and Shawn O'Malley take a deep dive into Palantir (NASDAQ: PLTR), the data and AI platform behind everything from battlefield targeting systems to Airbus's A350 production line, with customers including the U.S. Army, the NHS, Ferrari, and Airbus. Palantir is growing revenue at over 90%, with net dollar retention at 157% and adjusted operating margins above 60% — a Rule of 40 score of 155%, roughly double what the best software companies in the world achieve. It also trades at around 60 times sales, which is why The Economist called it possibly the most overvalued firm of all time. Daniel and Shawn discuss whether the ontology layer is a sustainable moat now that Microsoft and Google have launched competing products, what Alex Karp and Peter Thiel's politics mean for a company selling to Western governments, and why twenty years of losses turned into the fastest-accelerating software business on the market. In the end, Daniel values the business and decides whether PLTR deserves a spot in The Intrinsic Value Portfolio. IN THIS EPISODE YOU'LL LEARN: (00:00:00) Intro (00:02:29) How Palantir's Ontology actually works (00:16:26) How AI turned around Palantir's business (00:20:59) Why Palantir has the best margins in the industry (00:34:22) Why no one seems to be able to copy Palantir's Ontology (00:38:01) How Palantir grows its customer base (01:07:36) Palantir's valuation discussion (01:11:37) How much Palantir stock is actually worth (01:12:52) Whether PLTR will be added to The Intrinsic Value Portfolio Disclaimer: Slight discrepancies in the timestamps may occur due to podcast platform differences. BOOKS AND RESOURCES Join the exclusive The Intrinsic Value Mastermind Community. Track The Intrinsic Value Portfolio. Learn more about how to join us in NYC for our Intrinsic Value Conference. Portfolio Review Submit Tool. Satish Terala's AI Masterclass. Future Investing's Interview with a Palantir FDE. Check out our previous Intrinsic Value breakdowns: Constellation Software, Dell, Alphabet, Constellation Software Spinoffs. Related books mentioned in the podcast. Ad-free episodes on our Premium Feed. NEW TO THE SHOW? Get smarter about valuing businesses through The Intrinsic Value Newsletter. Check out The Investor's Podcast Starter Packs. Follow our official social media accounts: X | LinkedIn | Facebook. Try our tool for picking stock winners and managing our portfolios: TIP Finance. Enjoy exclusive perks from our favorite Apps and Services. Learn how to better start, manage, and grow your business with the best business podcasts. SPONSORS Support our free podcast by supporting our sponsors: Fiscal.AI References to any third-party products, services, or advertisers do not constitute endorsements, and The Investor's Podcast Network is not responsible for any claims made by them. Support our show by becoming a premium member! https://theinvestorspodcastnetwork.supportingcast.fm
Is it possible for us to shape how AI is used rather than have tech firms decide for us? Should the UK government be looking to create our own ChatGPT? Or would open source AI be better for public services? How do we make sure we don't hand over all our valuable NHS data to a US tech firm? Dr Laura Gilbert CBE – senior director of AI at the Tony Blair Institute for Global Change talks to Steph about why we should stop asking experts to predict the future of AI because they're rubbish at it. She also argues for a National Open Source AI Lab. Plus, how she saved the government £40 million pounds in half an hour when she was a civil servant. The Rest is Money is brought to you by Octopus Energy, Britain's smart energy pioneer. Email: therestismoney@goalhanger.com X: @TheRestIsMoney Instagram: @TheRestIsMoney TikTok: @RestIsMoney Advertise with us: Partnerships@goalhanger.com For more Goalhanger Podcasts, head to www.goalhanger.com Video Editor: Dylan Bonham Producer: Isabelle Bougeard Exec Producers: Bella Soames and Tom Whiter Learn more about your ad choices. Visit podcastchoices.com/adchoices
Women who have missed a cervical screening appointment in England are to be offered HPV self-testing kits by the NHS. Over the next year, nearly four million women will receive invites on the NHS App or via text message, email or letter to order a free kit to use at home. The aim is to encourage more women to complete their potentially lifesaving screening to detect HPV, which can increase the risk of cervical cancer. Dr Sue Mann, National Clinical Director for Women's Health in England and a consultant in Sexual and Reproductive Health, joined Nuala McGovern.For more than a decade, armed gangs in northern Nigeria have repeatedly targeted schools, kidnapping children for ransom and forcing some educational establishments to close. BBC journalist Yemisi Adegoke has recently returned from the state of Zamfara, where ongoing insecurity has left many girls unable to attend school, threatening their futures. She talks to Anita about her experience.After the death of both her parents, best-selling novelist Louise Doughty made a startling discovery whilst clearing out the family home. Inside a black suitcase, she stumbled upon a treasure trove of letters that revealed the origins of her parents' love affair. She joined Nuala to discuss her first memoir On This Spot Fell One Tear of Love described as a portrait of grief and loss and family – and a love story.Presenter: Anita Rani Producer: Annette Wells
Britain's obesity crisis is getting worse, and the latest figures suggest younger adults are gaining weight faster than ever. According to the King's Fund, obesity rates in England are now at record levels, with around 30% of adults living with obesity or severe obesity, roughly double the proportion seen in the early 1990s. Among 16 to 24-year-olds, the rise is even more striking. Around 18% are now obese or severely obese, compared with just 6% in 1993.Hence the title of this episode of Mark and Pete: Gross Britannia: Britain Is Getting Fatter.Cheerful stuff.But beneath the slightly rude title sits a serious question. What on earth has happened to us?This is not simply a matter of people becoming greedier, lazier, or somehow morally defective because they have discovered crisps. The environment around food has changed enormously. Ultra-processed food is cheap, convenient, heavily marketed and everywhere. Portion sizes have grown. Delivery apps can now bring a week's worth of calories to the front door before you've found your slippers. Many jobs involve sitting down all day, entertainment involves sitting down all evening, and even shopping can be done while remaining impressively horizontal.And then there is poverty, stress, sleep, mental health, childhood habits, lack of exercise, local environment and, increasingly, medication.The arrival of Ozempic, Wegovy and Mounjaro has changed the obesity debate dramatically. These drugs can help some people lose significant amounts of weight and may prove enormously important medically. But do we really want the national plan to be: create an obesogenic culture, then inject everybody afterwards?That seems, well, slightly backwards.The King's Fund says England has had 14 government obesity strategies since 1992, while obesity has continued to rise. There are now thought to be around 14 million adults in England living with obesity or severe obesity, with vast consequences for diabetes, heart disease, joint problems, NHS demand and public spending.So what should actually change?Do we regulate junk-food advertising more aggressively? Improve school meals? Make healthy food cheaper? Encourage walking and cycling? Teach cooking properly again? Restrict portion sizes? Tax sugar harder? Or is government already interfering quite enough in what people put on their plates?There is also the awkward personal question of self-control. Christianity treats the body as something significant, not disposable. Food is good. Feasting is good. Enjoyment is good. But being dominated by appetite is something else.So this episode asks what Britain should do about obesity without shaming people, pretending weight is simple, or handing responsibility entirely to either government or the individual.Because clearly what we are doing now is not working.
Today, NHS bosses have warned of chaos in ADHD and autism care as costs spiral and unregulated private providers capitalise on the huge demand for help.Health editor Hugh Pym is in the studio to describe what's been going on in the NHS, and why bosses are warning about what's going on behind the scenes as requests for ADHD and autism diagnoses rise.And, what more have we learned about the unannounced visit of CIA chief John Ratcliffe to Moscow earlier this week? The Economist's Washington bureau chief Shashank Joshi unpacks the reports around possible motives for his visit, including warning Russia against attacking NATO members. Plus, as the war in Iran enters its sixth month - what is the mood around President Trump? You can now listen to Newscast on a smart speaker. If you want to listen, just say "Ask BBC Sounds to play Newscast”. It works on most smart speakers. You can join our Newscast online community here: https://bbc.in/newscastdiscordGet in touch with Newscast by emailing newscast@bbc.co.uk or send us a WhatsApp on +44 0330 123 9480.New episodes released every day. If you're in the UK, for more News and Current Affairs podcasts from the BBC, listen on BBC Sounds: https://bbc.in/4guXgXd Newscast brings you daily analysis of the latest political news stories from the BBC. The presenter was Adam Fleming. It was made by Jack Maclaren with Eleanor Harrison-Dengate. The social producer was Joe Wilkinson. The technical producer was Mike Regaard. The assistant editor is Chris Gray. The senior news editor is Sam Bonham.
This PRmoment News Review opens with Ben Smith framing three big themes of the week: the return of Harry and Meghan to the UK, Meta's eye‑watering $18 billion settlement with dozens of US states, and an uneasy communications environment around Russia, Ukraine and NATO. Here are some highlights from this week's episode:“Harry is built for purpose, he's built for service, and being stuck out under an orange tree in Montecito is hardly fulfilling for someone who still has a lot to give to this country.” – Mark Borkowski [0:02:48]“I think the days of the paid influencer are changing… a lot of them are just on the make, on the take – they're not authentic partners.” – Angie Moxham [0:12:40]“Facebook was always going to be more toxic than big tobacco, and it's clearly proved to be the case.” – Mark Borkowski [0:08:13]“Eighteen billion sounds a lot to us, but it's a drop in the ocean to Zuckerberg – I'm glad he had his ass slapped, but it hasn't gone far enough.” – Angie Moxham [0:11:08]“Social media is now a utility – it's as important as water, heat and food in our lives, so it's going nowhere.” – Angie Moxham [0:12:40]“The Royal Family has survived Wallis Simpson and Princess Diana, and it will survive Meghan Markle – its prime concern is to keep the institution alive and relevant.” – Mark Borkowski [0:05:47]“UK society doesn't seem to be ready for any sort of hardship – we've become incredibly complacent.” – Angie Moxham [0:17:04]“The fabric of society is more likely to be broken by cutting our digital umbilical cords – the undersea cables, the ATMs, the supply chains – than by nuclear weapons flying across our skies.” – Mark Borkowski [0:18:06]Across the episode, Ben, Angie Moxham and Mark Borkowski keep circling back to power, ego and the fragility of modern institutions – from the Royal Family to social platforms and digital infrastructure.On Harry and Meghan, Mark argues the comeback has been handled with precision PR. The story is seeded in the US, the Telegraph and key West Coast outlets so that, by the time Britain wakes up, the narrative is everywhere. He sees the move as a smart test of the UK market and a reaction to things “not working” in America. In his view, Harry is “built for service”, and life “under an orange tree in Montecito” was never going to be enough. He also points to worries about US gun crime in schools and the King's poor health as likely drivers of a return.Angie is more sceptical that this signals long-term reconciliation. She reads it as a short-term move shaped by Charles's health and by Meghan wanting to be a “big fish in a small pond” after an underwhelming US celebrity run. For Angie, the deeper blocker will be William's character: she paints him as stubborn and profoundly wounded by Harry's book and its challenge to the fabric of the monarchy. While Mark insists “anything is retrievable” given the brothers' shared trauma and the institutional resilience of the Royal Family, Angie feels the relationship is fundamentally broken, even if everyone can fake unity for PR optics.The conversation then pivots to Meta's $18 billion settlement. Ben notes the paradox that Meta's share price rose after the deal, despite the size of the fine and the absence of any admission of wrongdoing. Mark characterises Facebook and Meta as structurally “more toxic than big tobacco”, driven by profit with no real social value. He cites whistleblower literature that details knowing failures to protect children and sees the settlement, plus Meta's open letter inviting TikTok and YouTube into a “better internet”, as a reputational sugar rush that tries to shift blame onto rivals while preserving a rotten culture.Angie agrees that, in Meta terms, $18 billion is a slap rather than a reckoning. She makes the point that social platforms could, technically, make themselves less addictive but won't. For her, social media is now a utility – as essential as electricity water and food – which makes genuine disengagement impossible. She also suggests the era of the paid influencer is waning as audiences increasingly view them as inauthentic, with brand spend cycling back towards big, bankable celebrities.The final section zooms out to geopolitical risk. Mark, casting himself as a “Cold War baby”, worries less about nuclear war than about asymmetric attacks on digital and infrastructure systems: undersea cables, ATMs, the NHS, supply chains.Angie notes repeated tabloid stories urging people to “stock up”, plus recent emergency alerts, as unsettling signals. Both suggest the UK public is complacent and unprepared for real disruption, while Russia's messaging and capabilities point towards a future where the most effective attacks target connectivity and the fabric of civil society rather than physical territory.Support the show
Daniel Mahncke and Shawn O'Malley take a deep dive into Palantir (NASDAQ: PLTR), the data and AI platform behind everything from battlefield targeting systems to Airbus's A350 production line, with customers including the U.S. Army, the NHS, Ferrari, and Airbus. Palantir is growing revenue at over 90%, with net dollar retention at 157% and adjusted operating margins above 60% — a Rule of 40 score of 155%, roughly double what the best software companies in the world achieve. It also trades at around 60 times sales, which is why The Economist called it possibly the most overvalued firm of all time. Daniel and Shawn discuss whether the ontology layer is a sustainable moat now that Microsoft and Google have launched competing products, what Alex Karp and Peter Thiel's politics mean for a company selling to Western governments, and why twenty years of losses turned into the fastest-accelerating software business on the market. In the end, Daniel values the business and decides whether PLTR deserves a spot in The Intrinsic Value Portfolio. IN THIS EPISODE YOU'LL LEARN: (00:00:00) Intro (00:02:29) How Palantir's Ontology actually works (00:16:26) How AI turned around Palantir's business (00:20:59) Why Palantir has the best margins in the industry (00:34:22) Why no one seems to be able to copy Palantir's Ontology (00:38:01) How Palantir grows its customer base (01:07:36) Palantir's valuation discussion (01:11:37) How much Palantir stock is actually worth (01:12:52) Whether PLTR will be added to The Intrinsic Value Portfolio Disclaimer: Slight discrepancies in the timestamps may occur due to podcast platform differences. BOOKS AND RESOURCES Join the exclusive The Intrinsic Value Mastermind Community. Track The Intrinsic Value Portfolio. Learn more about how to join us in NYC for our Intrinsic Value Conference. Portfolio Review Submit Tool. Satish Terala's AI Masterclass. Future Investing's Interview with a Palantir FDE. Check out our previous Intrinsic Value breakdowns: Constellation Software, Dell, Alphabet, Constellation Software Spinoffs. Related books mentioned in the podcast. Ad-free episodes on our Premium Feed. NEW TO THE SHOW? Get smarter about valuing businesses through The Intrinsic Value Newsletter. Check out The Investor's Podcast Starter Packs. Follow our official social media accounts: X | LinkedIn | Facebook. Try our tool for picking stock winners and managing our portfolios: TIP Finance. Enjoy exclusive perks from our favorite Apps and Services. Learn how to better start, manage, and grow your business with the best business podcasts. SPONSORS Support our free podcast by supporting our sponsors: Scribe Plus500 Netsuite Plaud References to any third-party products, services, or advertisers do not constitute endorsements, and The Investor's Podcast Network is not responsible for any claims made by them. Support our show by becoming a premium member! https://theinvestorspodcastnetwork.supportingcast.fm
People who were sexually abused as children and later seek help for mental health problems are being failed by the NHS, according to The Royal College of Psychiatrists. The RCOP has issued a public apology, saying decades of mismanagement and misdiagnosis have left many survivors without the support they need. Anita Rani is joined by Caroline Thompson, a survivor of childhood sexual abuse, and Dr Jo Stubley, a consultant psychiatrist and clinical lead of the Tavistock Trauma Service, who are co-authors of the RCOP's position statement. Today in towns and cities across the country, parents are being encouraged to go on strike to raise awareness about, what the strike's organisers say are the rising costs of raising children and the impossible demands this puts on parents. Anna Whitehouse, the founder of Flex Appeal, and George Gabriel, who co-founded The Dad Shift, discuss the flexible working and parental leave policies that they are calling for with The Parent Strike and how the Government is responding. For more than a decade, armed gangs in northern Nigeria have repeatedly targeted schools, kidnapping children for ransom and forcing some educational establishments to close. BBC journalist Yemisi Adegoke has recently returned from the state of Zamfara, where ongoing insecurity has left many girls unable to attend school, threatening their futures.Bella Mackie's third novel, Claws Out!, is published this week. It's a witty crime caper about an ageing ‘gold-digger,' who is rumoured to have murdered three husbands and has a new suitor in sight. Bella - whose debut How to Kill Your Family is currently being turned into a Netflix series starring Anya Taylor-Joy - tells Anita why she loves exploring the British class system in her books and why she's determined to use her platform to talk openly about mental health.Presenter: Anita Rani Producer: Rebecca Myatt
Download your FREE Start, Grow, Scale Roadmap in under 30 seconds: ROADMAP Why do you know exactly what you should be doing, and still not do it? Dr Julie Smith breaks down the psychology of procrastination, fear and self-sabotage, and reveals how she went from an NHS psychologist to building a mental health platform with millions of followers and a Sunday Times #1 bestseller. Dr Julie Smith is a Chartered Clinical Psychologist who spent a decade in the NHS before building one of the world's largest mental health education platforms, reaching an audience of over 10 million people across TikTok, Instagram and YouTube. She is the Sunday Times #1 bestselling author of Why Has Nobody Told Me This Before?, which has sold nearly 2 million copies and was the UK's top-selling nonfiction book of 2022. She explains: Why the fear you feel before doing something new is just your brain's stress response, and how to work with it instead of against it Why she's never once used a call to action, and how giving everything away for free built a following of millions The real psychological reason behind procrastination, and the simple weekly framework she uses to beat it Chapters 00:00:00 Intro 00:02:06 Leaving The NHS To Build A Private Practice 00:05:07 The First Viral TikTok Video 00:06:34 Fear Of What Colleagues Would Think 00:09:29 Overcoming Fear Of Being On Camera 00:11:25 Understanding The Stress Response 00:12:38 Building A Healthy Relationship With Failure 00:14:22 How Lockdown Accelerated Her Content Growth 00:16:27 Getting A Book Deal 00:18:29 Becoming The UK's Top-Selling Nonfiction Author Of 2022 00:21:52 Handling Fame And Millions Of Followers 00:24:11 Her Content Creation Process With Husband Matt 00:29:04 When A Video Goes Viral For The Wrong Reasons 00:31:19 You Don't Have To Go Viral To Build A Business 00:32:42 The Unsustainable Early Years Of Content Creation 00:34:35 Raising Entrepreneurial Kids 00:39:19 Making An Unsexy Topic Engaging 00:40:05 The Power Of A Visual Hook 00:45:06 Why Content Creation Is Harder Than It Looks 00:47:09 Why She Never Uses A Call To Action 00:51:37 Using A Teleprompter Without Losing Personality 00:54:23 Overcoming Fear When Starting A Business 00:56:37 Why Word Of Mouth Still Works 00:57:31 A Step-By-Step Framework For Facing Fear 00:59:57 Handling Unsupportive Family And Friends 01:03:36 Beating Procrastination 01:07:03 Closing Thoughts Even More Value: Download your FREE Start, Grow, Scale Roadmap in under 30 seconds: ROADMAP Learn how to build a 7 Figure SCALE plan that runs WITHOUT you: SCALE UP Get Adam's tell-all book about building Million Pound Success: BOOK Follow Adam Stott's Socials: LinkedIn | Instagram | YouTube | Coaching
Could allowing patients to choose their own appointment times help reduce missed visits and shorten NHS waiting lists? In this episode of Tech Talks Daily, I speak with Alison MacDonald, European Lead and Senior Vice President at Nordic Global. Alison brings an unusual combination of clinical and technology experience as a registered nurse who moved into digital health over 15 years ago. Her career began in community nursing, where she was asked to lead an electronic health record project because colleagues thought she was good with computers. What initially appeared to be a simple exercise in converting paper forms into digital records encouraged her to question whether healthcare could redesign the process rather than copy it onto a screen. We discuss Nordic's work with Cambridge University Hospitals NHS Foundation Trust on patient self-scheduling and automated earlier appointment offers. Before the program, missed outpatient appointments were removing valuable clinical capacity while administrative teams spent time calling patients and rearranging bookings. Cambridge introduced self-scheduling through Epic MyChart, allowing patients to select appointment times through the patient portal. Alison says the DNA rate fell from 5% to 2.2% during the program. According to the supplied results, over 20,000 patients successfully scheduled their own appointments and over 3,000 accepted offers to attend earlier when cancellations created availability. Patients moved appointments forward by an average of 16 days. Forty percent of accepted earlier appointments occurred within seven days of the offer, while 7% took place on the same or following day. Administrative teams also saved an estimated ten minutes for every self-booked appointment. Alison explains why patient control can improve attendance. People can choose times that work around employment, caring responsibilities, travel, and family life instead of receiving a fixed appointment through a letter or telephone call. Patients can also cancel or reschedule without waiting for somebody to answer the phone. The operational lesson goes beyond appointment booking. Healthcare systems may be able to recover existing capacity by examining missed appointments, theater scheduling, waiting list processes, pre-visit questionnaires, and patient communications before concluding that every problem requires additional staff or facilities. We also discuss where AI is producing practical results in healthcare. Alison points to medical imaging, emergency department triage, waiting list management, clinical documentation, and workforce deployment. She warns against discussing AI as one generic solution because each application requires a defined use case, suitable data, workable processes, governance, and staff adoption. Ambient clinical documentation offers one example. An AI scribe can record a consultation, prepare a structured note, and pass it to the clinician for review and correction. Alison cites an NHS evaluation reporting a 23.5% increase in direct patient interaction time and an 8.2% reduction in appointment length. Interoperability remains another major challenge. Healthcare journeys cross hospitals, primary care, community services, and specialist providers that may use different systems or a mixture of electronic and paper records. Even basic differences, such as one organization measuring pain on a five-point scale and another using ten points, can prevent reliable comparison. Alison recommends agreeing on common data standards, defining the minimum patient information required during care transitions, including interoperability requirements in procurement, and avoiding bespoke integrations that make future information sharing harder. Digital access also requires balance. Online services can improve convenience, but healthcare providers must retain appropriate alternatives for patients who lack digital skills, connectivity, confidence, or access. Could your healthcare organization improve patient access and staff capacity by redesigning one familiar process before purchasing another large technology platform? Listen to the episode and share your thoughts with me.
36% of young men believe no one will ever love them. Dating app usage is falling. Synthetic relationships with AI are on the rise. This isn't just a cultural shift — it's a full-scale dating recession, and most men don't know why it's happening to them. In this episode of The Authentic Man Podcast, I sit down with Dr. Madeleine Mason-Rountree — chartered counselling psychologist and relationship expert — to unpack the real psychology behind why modern men are struggling to connect, date, and find lasting love. We cover: The data behind the dating recession and why it's worse than headlines suggest Why anxiety is the single biggest barrier men face in dating The rise of "synthetic relationships" and what AI companionship is doing to real connection The "centre of health" framework — how self-perception shapes who you attract Why vulnerability is your greatest dating asset, not a weakness Practical tools from relational life therapy to help you show up authentically If dating feels harder, more confusing, or just exhausting — this conversation is for you. Dr Madeleine Roantree is a Chartered Counselling Psychologist registered with both the BPS and HCPC, with over 20 years' experience in mental health. Her clinical background includes extensive experience within the NHS, where she has supported individuals experiencing complex and enduring psychological difficulties. This work has provided her with a depth of experience in understanding not only psychological distress, but also what is required to facilitate meaningful and sustained change. Her training spans multiple evidence-based modalities, including Cognitive Behavioural Therapy (CBT), Dynamic Interpersonal Therapy (DIT), Relational Life Therapy (RLT), Compassion Focused Therapy (CFT), Trauma-Focused Acceptance and Commitment Therapy (TF-ACT), and ILF Neurofeedback. She integrates these approaches within a cohesive framework, tailoring her work to the unique needs of each individual or couple she supports. Key Topics: ⭐ The Dating Recession & Modern Dating Challenges ⭐ Dating App Fatigue & Changing Relationship Trends ⭐ Anxiety, Rejection & Fear of Dating ⭐ Self-Worth, Confidence & Desirability ⭐ Victim Mindset vs Personal Accountability ⭐ Emotional Resilience & Managing Rejection ⭐ Vulnerability as the Foundation of Connection ⭐ Communication Skills & Building Attraction ⭐ Attachment, Intimacy & Healthy Relationships ⭐ Intentional Dating & Long-Term Relationship Success Connect With David - The Authentic Man: Instagram: https://www.instagram.com/theauthenticman_/ Website: https://www.theauthenticman.net/ For Coaching: hello@theauthenticman.net Newsletter: https://www.theauthenticman.net/home-subscribe Connect With Madeleine Roantree: Madeleine Instagram: https://www.instagram.com/dr.madeleineroantree/ Madeleine Website: https://madeleinemasonroantree.com/ ___________________ RELATE:
Women who have missed a cervical screening appointment in England are to be offered HPV self-testing kits by the NHS. Over the next year, nearly four million women will receive invites on the NHS App or via text message, email or letter to order a free kit to use at home. The aim is to encourage more women to complete their potentially lifesaving screening to detect HPV, which can increase the risk of cervical cancer. Figures show that around a third of women who are eligible for cervical cancer screening have not taken up the offer recently. Dr Sue Mann, National Clinical Director for Women's Health in England and a consultant in Sexual and Reproductive Health, joins Nuala McGovern to discuss.Chef Sally Abe, who owns the restaurant The Pem, and Kayla Lawrie, a producer with social media food influencers TopJaw, have launched a map of women-owned hospitality businesses. What began with 350 restaurants, pubs, cafés and bakeries has now grown to more than 1,000 venues across the UK. They explain to Nuala what they hope to achieve.Around 7,500 women are diagnosed with ovarian cancer every year, with the majority aged over 50. But around 120 of those women are between 15 and 24. Enlli Thompson was just 19 when a growth was found on one of her ovaries. Since then, she's undergone chemotherapy, egg freezing, a hysterectomy and medically induced menopause. Enlli joins Nuala, alongside GP Charlotte Badescu, who was also diagnosed with ovarian cancer in 2021 when she was 31.Stephanie Brown from the University of Hull has spent the past year as Woman's Hour's researcher in residence on the scheme that Radio 4 runs with the Arts and Humanities Research Council. She studies the history of crime and, as part of our summer series exploring some of the latest research into women's lives past and present, she shares new findings about the punishment of women in medieval England.Is your wardrobe a clutter-free haven of beautifully coordinated outfits? Or is it more a chaotic jumble of jumpers, jeans and everything in between? Could an app be the answer? Some apps allow users to catalogue what they own, visualise outfits and experiment with their style. Nuala is joined by Nicole Glennon, Deputy Editor of the Irish Examiner Weekend magazine, and Dion Terrelonge, fashion psychologist and practitioner.Presenter: Nuala McGovern Producer: Dianne McGregor
Send me a DM here (it doesn't let me respond), OR email me: imagineabetterworld2020@gmail.comIn this 2014 segment from the Bases 37 interviews (conducted by Miles Johnston in Broadstairs, Kent), Max Spiers discusses alleged occult and programming elements within the music industry. He connects pop music and celebrity culture to bloodline rituals, referencing Aleister Crowley's unfinished work at Boleskine House, the 72 demons associated with King Solomon, energy grids, and portals. Spiers claims the industry harvests individuals from specific bloodlines for ritual purposes, citing examples involving Bob Geldof, the death of Peaches Geldof, and Michael Hutchence. He references James Casbolt's list of “endangered” people and links these themes to broader claims of satanic networks, Live Aid symbolism, NHS tracking, and Project Oak Tree. The conversation also covers reptilian/inner-earth influences (including the Rothschild family as intermediaries), the Black Sun, Montauk-related time travel, crystal skulls, reincarnation cycles tied to the precession of the equinoxes, and Spiers' own reported super-soldier experiences (implants, DNA aspects, and early trauma). The interviewer interjects frequently. The segment ends with comments on shifting planetary forces and a possible reset. This is one extracted portion of the larger multi-part Bases 37 series.
Palantir UK chief Louis Mosley joins Secrets of Statecraft to discuss how the company's technology is transforming warfare, healthcare, and policing—from supporting Ukraine and NATO on the battlefield to connecting NHS data and helping police tackle crime and misconduct. Andrew and Louis explore the political controversy surrounding Palantir, the extraordinary promise and potential dangers of artificial intelligence, and how AI could reshape intelligence, productivity, and the balance of power. The conversation concludes by looking back to Ernest Bevin, the creation of NATO, and the postwar settlement for lessons about how the West might navigate another era of technological and geopolitical upheaval.
Imagine being fifteen years old and having your head teacher tell you straight to your face that you will amount to absolutely nothing. For years, Gina carried that heavy, wounding line with her, pouring her energy into a relentless, high-stakes, fifteen-year career in corporate tech and consulting—constantly striving, doing more, and trying to prove her worth. But after years of managing massive, multi-million-pound projects for major organisations like the NHS and Sainsbury's, her body and mind finally hit a breaking point. She realized that society's version of success was nothing more than a fast track to burnout, and she had to learn a completely new way to exist.Together, Michelle and Gina unpack the psychology of overwhelm and how to outsmart it using simple, daily micro-steps. From treating your "future self" with kindness—like wiping down the kitchen sides before bed or packing with rucksack cubes—to her weekly ritual of "F*** It Thursdays," where she shoots for the stars to train her brain that it is safe to fail, Gina shares an actionable blueprint for mental freedom. They discuss why the word priority was historically only ever meant to be singular, why we must stop letting technology hijack our attention spans, and how to unpick our identity from our jobs so we can finally start living on our own terms.✨ IN THIS EPISODE:00:00 – Introduction: Meeting Gina, corporate tech consultant turned founder of Kind Too.02:15 – Written Off at 14: Surviving her head teacher's rude prediction and forging a career in tech consulting.04:15 – Directness as a Superpower: How living in Serbia forced Gina to ditch the email emojis and speak her needs in three words.07:15 – Touching the Ground: Learning to live with the seasons from her Serbian in-laws and finding happiness in simplicity.10:30 – Moving Millions: Working on high-pressure projects for the NHS and Sainsbury's while running from her past.12:10 – The Packing Cube Shift: Managing transitional moments and the physical structures built to protect her future self.16:15 – Compounding Kindness: Launching Kind Too and why taking three simple breaths is the ultimate act of self-care.22:15 – The Singular Priority: Why "priority" was never meant to be plural, and the danger of running on 18 focus areas at once.26:15 – The Overwhelm Trap: How Michelle battled a full-time workload schedule and why we must learn to strip things back.30:30 – Object Permeability & Accountability: The whiteboard trick, why out-of-sight goals disappear, and how to use "body doubling" to conquer boring admin.39:00 – Smaller Cycles: Building software, building lives, and why shipping the "scrappy blueprint" builds deep trust.48:15 – F* It Thursdays:** How shooting for the stars trains your brain that it is safe to fail.1:00:30 – Who Are You Without Your Job? Reconnecting with non-work hobbies and why Gina would tell her old teacher: "Thanks for the fuel."
Dr Hazel Wallace joins Georgie to explore why female physiology still isn't properly accounted for in health, nutrition and performance.Hazel is a former NHS doctor, nutritionist, personal trainer, bestselling author and founder of The Food Medic. She explains how women have historically been treated as “small men” in medical research, and why that can have serious consequences, from misdiagnosis and adverse drug reactions to gaps in our understanding of hormones, nutrition and performance.They discuss how the menstrual cycle can influence energy, motivation, sleep and recovery, why Hazel prefers women to be “cycle aware” rather than rigidly training around different phases, and the nutritional issues that disproportionately affect women, including iron deficiency.The conversation also covers perimenopause, HRT, fertility, IVF and egg freezing, including why the months before conception or egg collection can be important from a nutritional perspective.Plus, she shares the exercise she believes matters most for longevity, the supplement she recommends for many people in the UK, and the one principle she believes every woman should remember:Just because something is common doesn't make it normal.FAQsWho is Dr Hazel Wallace?Dr Hazel Wallace is a former NHS medical doctor, nutritionist, personal trainer, bestselling author and founder of The Food Medic, an educational platform focused on evidence-based health and nutrition.How does the menstrual cycle affect performance?Hazel explains that changing hormone levels can influence factors including energy, motivation, mood, sleep and recovery. However, she says the research does not currently support rigid week-by-week training prescriptions for every woman.Should women train according to their menstrual cycle?Hazel recommends being cycle aware rather than strictly “cycle syncing”. Tracking your own symptoms and recognising when you personally feel strongest or most fatigued can help inform training decisions.Why is iron deficiency particularly relevant for women?Women lose iron through menstruation and can have increased requirements during stages such as pregnancy and breastfeeding. Hazel says iron deficiency is an important issue in female health and performance.Can nutrition affect IVF and egg freezing?Hazel discusses evidence suggesting nutrition can influence fertility-related outcomes and highlights the importance of the period leading up to conception, IVF or egg collection.What does Hazel say about perimenopause?Perimenopause can last months or years and may involve changes in periods, sleep, mood, concentration, hair, skin and temperature regulation. Hazel recommends tracking symptoms and speaking to a healthcare professional if they become troublesome.Does Hazel recommend HRT?Hazel explains that HRT can be safe and effective for many women but is still a medication and isn't appropriate for everybody. Decisions should be made with a doctor based on individual symptoms, risks and medical history.Does Hazel recommend continuous glucose monitors?Not routinely for healthy people. She says unnecessary glucose monitoring can sometimes create anxiety or food obsession.What is the best exercise for longevity?Hazel highlights resistance training, while also stressing that the best form of exercise is ultimately one you can consistently maintain.The Performance People podcast is produced in partnership with J.P. Morgan Private Bank.______Connect with Performance PeopleHit subscribe today for the latest.
Host Dr Russell Thackeray interviews Dale Atkinson from near Reading, a former finance compliance consultant who now works as a patient advocate, audits companies for “patient trust leaks,” sells adjunct wellness modalities, and writes.Dale recounts that in 2024 his partner was diagnosed with small cell lung cancer and surgically cured, then he was found to have a large esophageal tumour and later told he had terminal, metastatic cancer (T4b N3 M1) with 11.5 months to live, after years of GP visits for GI symptoms and a long wait for a “routine” endoscopy.He pursued chemotherapy and immunotherapy alongside extensive research, next-generation sequencing, off-label medications, nutrition/naturopathic support, and modalities such as hyperbaric oxygen, high-dose vitamin C protocols, ketosis/fasting, and medical cannabis, while warning against social-media “snake oil.”He reports no visible signs of disease, has made major lifestyle changes to reduce stress, and is launching a charity, Beyond the Standard, to push NHS change; he emphasises self-advocacy.00:00 Welcome and Introductions00:28 From Finance to Advocacy01:34 A Shocking Cancer Cascade03:38 Years of Missed Symptoms06:09 Turning Anger Into Research09:24 Snake Oil and Red Herrings11:57 Chemo Immuno and Realistic Goals13:17 Next-Gen Sequencing Explained16:41 Integrative Care vs NHS Pathway18:30 Lifestyle Overhaul After Diagnosis20:03 Where to Start Without Rabbit Holes20:41 Avoid Social Media Gurus21:26 Find Credible Integrative Experts22:08 Vetting Doctors and Directories24:27 Biohacking Hype and Supplement Scams25:30 Bloodwork Guided Supplementation26:31 Ketosis and Fasting Strategy28:23 Medical Cannabis for Symptoms31:31 Access and NHS Change Efforts33:51 Prognosis and Staying on Protocol34:37 Hyperbaric Oxygen and Red Light36:43 Self Advocacy and Final TakeawaysYou can contact us at info@qedod.comResources can be found online or link to our website https://resilienceunravelled.com
There are meetings happening in your organisation that you are not in. They take place in corridors, car parks, over lunch and in WhatsApp groups you do not know exist. In these conversations you would find out exactly what the staff think of the culture you have shaped and environment in which they work. Most leaders believe they have created psychological safety but the research shows there is usually a gap between the leaders perception and the reality their staff experience. In this episode James Rule explores that gap, asks the uncomfortable questions every leader should ask themselves to identify it and shares the key step every leader can take to establish psychological safety.KEY TAKEAWAYSWhy the warning signs of a lack of psychological safety have become largely invisible in hybrid and remote working environments. Three practical tests for a leader to establish if psychological safety truly exists in their team.The single most powerful thing you can do to truly establish psychological safety in your culture. Accelerate your growth and development with The Lonely Leader Academy If you want to work through some of these areas in more depth, to accelerate your learning and access tools, tactics and tips to drive performance and enhance fulfilment then check out The Lonely Leader Academy: https://tll.academy/RELATED EPISODES FROM THE ARCHIVEEpisode 22 - Creating psychological safety in a teamEpisode 35 - Leading a Hybrid TeamEpisode 12 - Eight Steps to a Quality CultureENJOYED THE EPISODE?James works with senior leaders, CEOs, and founders who want to perform at the highest level without losing what matters most in the process. If this conversation has prompted something for you professionally or personally James would genuinely love to hear from you.You can reach him directly via LinkedIn or through the website below. Everything shared is in complete confidence.ABOUT THE HOST James is an experienced mentor, coach and thought leader who works with a range of clients from FTSE 100 companies, SME´s the NHS and wider public and not for profit sectors.His twenty year career in elite sport initially as a professional rugby player but predominantly as a chief executive has given him an invaluable insight in managing the success, failures and pressures associated with leadership at the highest level.As a high performance coach James specialises in enhancing resilience and leadership development. He is a passionate advocate of the notion that to find lasting fulfilment we need to take a holistic view of high performance. CONNECT & CONTACT The Lonely Leader Academy: The Lonely Leaderwww.thelonelyleader.co.ukThe Lonely Leader's LinkedIn James' LinkedInInstagramhello@thelonelyleader.co.uk THIS SHOW WAS BROUGHT TO YOU BY LONELY LEADER MEDIA NEWSLETTERSign Up to The Leadership Accelerator Newsletter for advice, inspiration and ideas, you'll also receive James' Top 10 Tips for Combating Your Fear of Public Speaking. Hosted on Acast. See acast.com/privacy for more information.
"The worst part of a death like that is that all you can do is learn from it. You can't comfort the family. You can promise them you're going to do better, but their family member is still dead." Hannah Wallen hosts with Lauren Brooks, Mike Stevenson and Richard the Lionhearted, on an ITV News investigation into learning disabled and autistic patients dying in NHS care. Adrian Pulton, 56, went into hospital with a broken hip. He was incorrectly listed nil by mouth and went nine days without food. His sister says he told her he knew he was going to die. By the time the family worked out he wasn't being fed, he was too unwell to recover. Also: why knowing something about your own condition makes doctors less likely to diagnose it, what happens to a patient who understands everything and can't enunciate it, and the healthy seventeen-year-old whose family waited years for an answer. The trust's statement said they had undertaken an investigation "to identify any learning points." "If you don't know what NPO stands for, you don't know that your family member has been ordered no food." Support the show: feedthebadger.com/support Send us a message: feedthebadger.com/justthetip Join the community: badgernation.online
This week we're focusing on how healthcare is using AI systems. The NHS is firmly set on a course of AI integration, with NHS England committing £10 billion of taxpayer funds to the cause over the next three years. The pressure to implement AI in our hospitals is intense. But, how can healthcare leaders know what makes for a good AI adoption strategy? Victor Montori and Jon Tilburt are physicians from the US' Mayo Clinic. They join us to lay out what they are calling the ‘five red flags' that any organisation needs to consider in its AI rollout. The UK is already having this conversation. The National Commission into the Regulation of AI in Healthcare released its initial report in June of this year. Among its findings was a call for a ‘lifecycle-based approach' to regulation. To explain what this means, as well as how doctors can be equipped to ‘surveil' AI systems as conditions evolve, we're joined by the co-authors of a new BMJ editorial - Mark Ball from the University of Derby, and Elvira Perez Vallejos from the University of Nottingham. And lastly, we talk about a research paper from last week that sparked off some concern. Researchers at Stanford University in California have used generative AI to design novel bacteriophage viruses. But, what have these scientists actually accomplished, and how can we put the right safeguards around the technology? Simon Clarke, associate professor in cellular microbiology at the University of Reading, explains the breakthrough and lays out its real implications. References: We can, but should we? Red flags for hasty, low integrity AI integration into healthcare Regulating AI in healthcare: a moving target Developments in AI designed viruses demonstrate why such research must be done in the open
With his fuzz of chaotic grey hair and love of philosophy, Palantir boss Alex Karp isn't your average tech bro. Not least because he recently published a pro-West manifesto that has been described as the “ramblings of a supervillain”. His highly-controversial data analytics firm is known by critics as “the world's most dangerous tech company” - so what does it actually do and why does it sit right at the heart of the NHS? Niall is joined by Sky's technology correspondent, Rowland Manthorpe, for the latest episode of our series looking at the most important people in tech that you might have never heard of. Have you got a question for Niall? Email us: why@sky.uk
Send us Fan MailShould healthcare be a basic human right or a private enterprise? All my life, I worked for the National Health Service, the so-called beacon of socialist medicine. Make no mistake, the NHS is a capitalist employer that could give Amazon a run for its money. It is controlled by the private sector and big pharma, and it is rotten at its very core. The ruling class wrote the rules that operates under long before it was formed and the ruling class will be the cause of its downfall. In these week's episode, we examine what it would take for healthcare to deliver on its promise, and whether it's all just wishful thinking. Got a question for the next podcast? Let me know!Connect With MeBUY THE BOOK: Never suffer through another through another weight loss lecture from your doctor againJOIN THE NO WEIGH MOVEMENT: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. BOOK A CONSULTATION: For the ultimate transformation in your healthcare journeyEXPLORE THE MASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.
This week we talk about the liver, viral infections, and the NHS.We also discuss blood scandals, needle usage, and Nobel Prizes.Recommended Book: A World Appears by Michael PollanTranscriptThe term “hepatitis” refers to the inflammation of the liver, which can result from all kinds of things, including environmental toxins, the consumption of alcohol, or autoimmune diseases. It can also result from viral infections, and the most prominent liver-inflaming viruses are called viral hepatitis.There are five types of viral hepatitis, A, B, C, D, and E, and each of these viruses are distinct, not part of the same viral family, they're just similarly named because they impact the same organ.Hepatitis A and E are primarily spread through contaminated food and water, and generally resolve on their own, untreated, and cause relatively mild symptoms. Hepatitis B and C are spread through blood and other bodily fluids, and can linger in a host's body for decades before even showing symptoms. Hepatitis D is a parasite of Hepatitis B, and thus only infects people who carry Hepatitis B.Now again, these are all different conditions that just happen to inflame the liver, so impact and treatment also vary quite a lot. As I mentioned, A and E generally present with mild symptoms and tend to go away on their own, while B and C can stick around a long time. There's a vaccine for B, but no cure; you can treat it, but that treatment involves suppressing it, and keeping it suppressed, forever. Hep C, in contrast, is curable, and has been since 2014 using what are called direct-acting antiviral pills, but these pills, which are taken for 8 to 12 weeks, are expensive—ranging from $22-95k without insurance, though that price is often reduced substantially for those with insurance, down to as low as $5. This category of drug coverage is often rejected by insurance companies, though, in part because they're so expensive, that expense the result of little competition in this space; few companies make this type of drug, so those that do can charge more or less whatever they like.Some people with Hepatitis C clear it on their own; about 30% of people who contract it, in fact, clear it within a few months, medication-free. Which is good, because our understanding of this virus is relatively new. Up until 1989, Hep C didn't even have its own name: it was established as its own thing, not Hep A and not Hep B, back in the 1970s, and doctors knew that something that wasn't those two viruses, that was being spread by transfusions, was causing hepatitis symptoms, but they didn't know any real specifics, so they just called it “non-A, non-B hepatitis,” and that name stuck for more than a decade.In 1989 the virus was cloned using molecular techniques (as opposed to simply growing the virus, which wasn't proving fruitful in trying to isolate and identify the thing), and the folks who managed that cloning, and the person who later proved that the genome they cloned, alone, caused the disease, received a Nobel Prize in Medicine for their efforts in 2020.By 1991, antibody tests were available for Hep C, and many countries began screening donated blood for this virus, to ensure it wasn't working its way into their blood supply.And one instance of that screening process, or I suppose, an event that led up to mass screening, and the consequences that followed, are what I'd like to talk about today. The UK's efforts in trying to eliminate Hep C, and England's recently announced near-success in that pursuit.—Hepatitis C is an RNA virus with high genetic variability that makes developing a reliable vaccine difficult. And though somewhere between a quarter and a third of all cases clear on their own, those that don't clear on their own become chronic, lying in wait for twenty to thirty years, slowly accumulating fibrosis—thick scar tissue in the liver—which eventually results in cirrhosis, which means a liver that's so heavily scarred that the organ is no longer fully functional and the damage is permanent. From there, infected people often experience liver failure or hepatocellular (huh-pah-toe) carcinoma, liver cancer.So this virus is a sleeper, and unless it's caught by accident somewhere along the way, it slowly causes damage over time until the damage is too severe to reverse. About 80% of people who have it don't know they have it, and in some parts of the world medical injections are the most common transmitter, but in higher-income areas, it's usually transmitted by injectable drugs.Pre-2014 treatments for Hep C were pretty horrible, involving a combination antiviral therapy called pegylated interferon plus ribavirin that was injected weekly for six months to a year, and this was terribly tolerated by pretty much everyone, causing anemia, depression, and flu-like symptoms for the duration. It also only cured about 50% of people who received the full treatment, and a lot of people had to stop because it caused such ridiculous side effects.Another antiviral called Sofosbuvir (so-FAS-buh-vir), which kept Hep C from replicating in its host, hit the market in late-2013, and that led to a series of direct-acting antivirals that reduced the treatment period dramatically, allowing most people, 95%, to cure their Hep C entirely by taking generally well-tolerated pills for 8 to 12 weeks.These pills were staggeringly expensive from the get-go, with an entire treatment course initially costing about $84,000, or $1,000 a pill. This led to rationing, and saving these pills for the worst-impacted people who already had severe liver damage. There were also pretty stringent requirements attached to their distribution, including that people who received them could no longer drink alcohol, because it was considered a waste to give these crazy expensive, liver-saving drugs to people who would just go and hurt their liver more, anyway.In the UK, the demand for this treatment type was different than in most other countries, in large part because of something that happened back in the 1970s and 80s.The UK's publicly funded healthcare system, the NHS, was in the midst of a shortage of clotting factor, which are plasma proteins and ions that help blood clot and which are used for medical purposes. So they imported a bunch of plasma products from the US, and those products were sourced from the blood of paid donors—and that donor pool included prisoners and people who used injectable drugs. Just one Hep C contaminated blood donation could contaminate an entire batch of blood, and remember, they only started screening the blood supply for Hep C in 1991, and they didn't start treating their blood supply for Hep C until a little before that, 1985, so this was well before they had any idea what was in those blood products they were importing and administering.Consequently, between 1970 and the early 1990s, more than 30,000 NHS patients received transfusions or other blood product treatments contaminated with Hep B, Hep C, or HIV, and about a tenth of those people, around 3,000 patients, have since died of those conditions.The UK government leaned on denial and a refusal to look into the details of this for years, but in 2017 it announced an independent public inquiry into the matter, and in May of 2024, that inquiry concluded that this whole scandal was avoidable, that patients were knowingly exposed to “unacceptable risks,” and that there was a big cover up by government officials, doctors, and other people working with the NHS.As of mid-2026, only a little over 3,200 people of the more than 18,500 who registered claims, demanding compensation from the government because they were impacted by this scandal, have been paid out. The expected total expense for the UK government is on the order of 12.8 billion pounds, but a lot of people who are probably due a payout, and who are in poor and deteriorating health as a consequence of all this, don't yet have a sense of when they'll receive their payment.Back in 2016, before all that came to a head, the UK set itself an aggressive goal: to eliminate Hep C by the WHO's 2030 target, or before. It then ran a competitive tender for antivirals, inviting medical suppliers to submit competing bids, resulting in the largest single medicine procurement program in the NHS' history. The pharmaceutical companies that won their bids were also obliged, as part of the agreement, to help fund efforts to identify undiagnosed but infected patients, in addition to supplying antiviral pills, and this combination of investment and application led to the deployment of new tests and scanning machines, free postal test kits, the hiring of specialists, and services that focused on prisons and drug users.The impact of all this has been significant: a more than 61% decline in infections from 2015 to 2024, nearly half of all drug users with Hep C had cleared the virus in that time, and deaths from Hep C are down 36% over the past decade.The WHO treatment-coverage target—the percentage of people who are diagnosed getting treatment—was 80%, and England has hit 81.5%, which was recently announced to much fanfare. It hasn't yet hit the diagnosis target, however, which is to diagnose 90% of people who are estimated to have Hep C; they've hit 84.6%, which is still quite a lot of progress, even if they're not yet where they'd like to be. That's all based on models, of course, as are the assumed number of infections among people who use injectable drugs, which is also a spot where England is currently flagging; there's no centralized system in England to monitor needle and syringe provisions, and reinfection rates are around 8.8 per 100 person-years among people who had injected within three years of receiving treatment, and that rate is even higher for people who have ever been to prison, around 9.4 per 100.What that means in practice is that the English government overall has done a pretty astounding and effective job at negotiating their relationships with pharma companies and getting detection on track at that scale, but on more ground-level issues that are, interestingly, a lot cheaper to implement, but at times more politically complicated because of public sentiment about drug use and drug users, they're doing a lot less well—and important to note here is that these outcomes vary a bit across the four programs being run across the UK. Scotland and Wales are doing relatively better and worse in some regards compared to England, for instance.Also worth noting here that while England is broadly doing a great job with Hep C diagnosis and treatment, they aren't the first to achieve those WHO-set goals: Egypt reached Gold tier status according to the WHO's Hep C guidelines in October of 2023, at that point having diagnosed 87% of people who have the virus, and treating 93% of those who were diagnosed. They managed to cut incidence of the virus by 97% in just 8 years, leaning on a system of high-yield testing—they tested more than 60 million people during those 8 years—alongside a production scheme that included local manufacturing of antivirals, making them more available and affordable.All of which are generally good signs about where Hep C testing and treatment is going, at least in these regions. And it paints a optimistic picture for other countries that might want to replicate some of what's working within their own borders.Show Noteshttps://www.bbc.com/news/articles/c75gk620r22ohttps://en.wikipedia.org/wiki/Infected_blood_scandal_in_the_United_Kingdomhttps://en.wikipedia.org/wiki/Hepatitis_Chttps://en.wikipedia.org/wiki/Viral_hepatitishttps://en.wikipedia.org/wiki/Hepatitis_Bhttps://www.healthline.com/health/hepatitis-c/treatment-costshttps://www.who.int/news-room/fact-sheets/detail/hepatitis-chttps://publichealthscotland.scot/publications/surveillance-of-hepatitis-c-in-scotland/surveillance-of-hepatitis-c-in-scotland-progress-on-elimination-of-hepatitis-c-as-a-major-public-health-concern-2025-update/https://www.emro.who.int/media/news/egypt-becomes-the-first-country-to-achieve-who-validation-on-the-path-to-elimination-of-hepatitis-c.htmlhttps://www.gov.uk/government/publications/hepatitis-c-in-england-and-the-uk/hepatitis-c-in-england-2025https://www.england.nhs.uk/2026/08/100000-people-receive-treatment-to-cure-deadly-hep-c-virus-on-nhs-in-just-ten-years/https://www.hepctrust.org.uk/blog/2019/04/hepatitis-c-trust-welcomes-elimination-deal-hepatitis-c-and-calls-government-backed/https://commonslibrary.parliament.uk/research-briefings/cbp-10099/https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/hepatitis/reports/global-hepatitis-report-2026 This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit letsknowthings.substack.com/subscribe
The revelation that a paedophile had changed his name more than 20 times to hide his past has renewed pressure on the government to change the law. Jason Brown was first convicted 12 years ago. He has now pleaded guilty to a further offence. There's been campaigning for many years for it to be illegal for sex offenders to change their name, as many use their new identities to avoid being monitored. The Labour MP for Rotherham Sarah Champion is one of those calling for this legal change and she tells Nuala why.Millions of Filipinos work overseas to help raise money for their families back home. And of these millions more than half are women. Here in the UK tens of thousands of Filipinos work in the NHS, they are one of the most common non-UK nationalities for nurses and health visitors in our health system. But what is life like for those who are left behind? Poet and nurse Romalyn Ante's debut novel, the Left Behind Child, explores the teenage years of Neneng, who is eleven when her mother, Rosa, leaves to work as a nurse abroad. Romalyn tells Nuala McGovern how her true story of being a ‘left behind child' influenced her writing. The parents of 30 children have told the BBC they fear they were given the wrong sperm or egg donors, during IVF treatments, in northern Cyprus. Fertility clinics in the Turkish-occupied territory are loosely regulated and are popular with British people who need medical help to have a baby. A small team of journalists first exposed this IVF scandal earlier this year - which led to many more people coming forwards. The BBC has now found the majority of cases are linked to one clinic and a small group of staff. Nuala hears from one of those families, a woman called Rachel, who was given the wrong sperm donor. She is joined by Investigative Journalist Anna Collinson and fertility lawyer, Natalie Gamble. From Dua Lipa to Zendaya, the bandana is the 90's accessory that's making a come back. In the heatwaves it has proved practical as well as stylish. But the simple square or triangle of fabric with the paisley design has a history with a range of meanings and cultural references, from workwear and protest movements to fashion and self-expression. Amber Butchart, Fashion & textile historian, and the author and broadcaster Emma Dabiri discuss the history behind the comeback. Presenter: Nuala McGovern Producer: Helen Fitzhenry
Insulin has been used to treat type 1 diabetes for more than a century but now there is a new treatment being rolled out on the NHS that can delay the onset of the disease for years. Alongside, screening is gathering pace, identifying those that could benefit. So, is this the beginning of a new era for type 1 diabetes treatment? Dima and his mum Elena explain what it was like to be told that he had tested positive for developing type 1 diabetes and what it was like taking part in the trial for this new drug, teplizumab. Parth Narendran, a Professor of Diabetes Medicine at the University of Birmingham, and Consultant Paediatric Endocrinologist Dr Renuka Dias at Birmingham Women's and Children's Hospital, reveal how these changes are transforming treatment. In July, the NHS announced plans to incentivise us to walk a marathon a month by offering vouchers and discounts. But with scant detail on how the plan will actually work, we ask Joan Costa-i-Font, Professor of Health Economics at London School of Economics, what makes schemes like this succeed or fail. Plus, why are horse fly bites so painful? Dr Erica McAlister, an entomologist at the Natural History Museum, explains how the flies break into our skin, while consultant dermatologist Dr Alexandra Banner describes what's happening in our bodies. Presenter: James Gallagher Producer: Hannah Robins
FERAL, FECKLESS & FREELOADERS: Is This What Britain Has Become?! #JonGaunt #JonGauntTV #FeralFecklessFreeloaders #UKPolitics #BrokenBritain #WelfareReform #ReformUK What the hell is happening to Britain? We seem to have created a country where the feral, the feckless and the freeloaders are increasingly put ahead of the millions of decent people who work hard, pay their taxes, obey the law and play by the rules. And if saying that "triggers" you — GOOD! Because tonight at 6PM LIVE, I want a proper debate. We'll talk about the extraordinary case surrounding the killer of Henry Nowak, including reports about prison visits involving his mother, who is herself behind bars! Then there's welfare. Reform UK wants benefit reform — but how far should it go? When does a welfare state designed as a safety net become a lifestyle choice? And why are politicians so terrified of even having that conversation? Meanwhile, we get ridiculous warnings about barbecue safety while roads are crumbling, public services are struggling and ordinary taxpayers increasingly wonder what exactly they are getting for their money. And then there's the NHS. We were promised a National Health Service. Has it become a World Health Service? Is it wrong even to ask whether people who have paid into the system should come first? These are uncomfortable questions. But somebody has to ask them. Has Britain become a country where politicians worry more about offending people than standing up for the law-abiding majority? Or am I just a grumpy old git who needs to calm down?! YOU decide. Join me, Jon Gaunt, LIVE at 6PM and get involved in the comments.
This week on the Full of Beans podcast, Han is joined by Dr Stella Kozmér, an NIHR SPCR-funded Postdoctoral Researcher at the University of Exeter, a Researcher at the University of Oxford, and an incoming Trainee Clinical Psychologist at the University of Oxford. Coming from an Eastern European background, Stella's research focuses on the identification and management of binge eating disorder and bulimia nervosa in primary care settings, using mixed-methods research to inform NHS clinical guidelines, policy and practice. Her work is driven by her own lived experience, which she integrates into the core of what she does.In This Episode:Stella's personal and professional journey into binge eating disorder researchHow Stella felt in recognising BED after a decade of not having a name for itWhy Stella felt stigma and shame disclosing her mental health issues in healthcareWhy lived experience is a strength in research, not a bias to hideWhy primary care screening tools for binge eating disorder and bulimia fall shortThe problem with SCOFF and other outdated eating disorder screening criteriaHow weight stigma affects whether binge eating disorder gets identified at allWhy GPs are hesitant to talk about BED without services to refer patients toThe real-world cost of untreated binge eating disorder and its comorbiditiesHow to use the diabetes care model as a blueprint without more fundingA review of GLP-1 medications for binge eating disorderWhat the GLP-1 evidence does and doesn't tell us, and the misuse risks to considerWhy treatment for binge eating disorder must be personalised, not one-size-fits-all⚠️ Content note: this episode discusses eating disorders (including binge eating disorder and bulimia), disordered eating, weight stigma, obesity, and prescription medication. Please take care while listening.Connect with us:Subscribe to the Full of Beans PodcastFollow Full of Beans on InstagramCheck out our websiteListen on YouTubeConnect with Dr Stella Kozmér: via LinkedInRead Stella's research via Research Gate
Send us Fan MailThis episode of the Art of Dying Well podcast features the remarkable Emma O'Brien from Leo's Angels. We learn how Emma channelled her grief, tech skills, and a highly-skilled female entrepreneurial network to turn the dial on Sudden Unexpected Death in Epilepsy (SUDEP).Tragically, Emma and her family lost their much-loved son Leo to SUDEP when he was just 11 years old. To honour Leo's memory, she founded Leo's Angels to drive technological innovation to address the critical gaps in epilepsy care that they experienced living with and caring for a child with epilepsy.Despite her warm appreciation of the many supportive healthcare professionals, Emma had to navigate a system that was far from joined up and functioning.Listen to how Emma refused to let her own grief and pain win the day, and instead used her skills and contacts to push technology-driven solutions to transform and improve patient outcomes.
NOTHING WORKS IN UK! BECAUSE POLITICIANS HAVE NEVER HAD A PROPER JOB #JonGaunt #JonGauntTV #UKPolitics #CareerPoliticians#BrokenBritain #AndyBurnham #NigelFarage #PCAndrewHarper Why does NOTHING seem to work properly in Britain anymore? The borders. The prisons. The NHS. Housing. Roads. Water. Government IT. The criminal justice system. Major infrastructure. We pay more and more tax — but where are the results? So tonight I'm asking a deliberately provocative question: IS ONE OF BRITAIN'S BIGGEST PROBLEMS THAT TOO MANY OF THE PEOPLE RUNNING THE COUNTRY HAVE NEVER HAD A PROPER JOB IN THE REAL WORLD? Look at the people at the top of British politics. How many have spent a substantial part of their working lives running a business, meeting a payroll, selling something, making something, working on a building site, driving a van, working in a factory, serving customers or simply dealing with the pressures ordinary workers and employers face every day? Instead we've created the PROFESSIONAL POLITICIAN. University. Political researcher. Think tank. Union. Special adviser. MP. Minister. Cabinet. Politics isn't something they enter after experiencing life. POLITICS IS THEIR LIFE. And I think that matters. Where are the awkward, independent-minded MPs prepared to tell their own party: "That's complete rubbish and I'm not voting for it"? Where are the characters? The entrepreneurs? The people who've actually succeeded — or failed — outside Westminster? Last night millions of phones across England and Wales suddenly started screaming with an Emergency Alert warning about the extreme wildfire risk. Fine. Fire chiefs believed the danger justified it. But it got me thinking. WHAT DOES THIS GOVERNMENT CONSIDER AN EMERGENCY? We're in August. It's extremely hot. Most of us can work that out. But what about the prisons? What about the possibility of serious offenders being released early because we haven't built enough prison places? What about the extraordinary controversy over two men convicted of the manslaughter of PC Andrew Harper potentially qualifying for early release? What about foreign national offenders occupying prison places when the Government should be doing everything possible to remove those who can lawfully be deported? And what about the Channel? More than 3,000 people had crossed in small boats in the first fortnight of Andy Burnham's premiership, despite his promise to be "relentless" on the issue. These are the things many ordinary people are talking about. So why does Westminster so often appear to be having a completely different conversation? THEY DON'T LIVE IN OUR WORLD. And perhaps that's why they're so frightened of politicians who can bypass Westminster and connect directly with voters. Whatever you think of Nigel Farage, he understands how to communicate with people who believe the political establishment neither listens to them nor understands them. Perhaps that's the real political divide now. Not simply LEFT versus RIGHT. THE POLITICAL CLASS versus EVERYONE ELSE I want YOUR views. Is Britain suffering because we've created a generation of career politicians? Should MPs have substantial real-world experience before entering Parliament? Would Parliament be better with more builders, nurses, engineers, soldiers, shopkeepers, farmers, factory workers and entrepreneurs — and fewer professional politicians? Or is the whole idea nonsense and political experience exactly what ministers need? JUST ASKING! Join me LIVE and don't sit on the fence.
What happens when someone who spends his life thinking about risk, decision-making and human behaviour is confronted with an uncertainty he simply can't control?Episode summaryMy guest is Paul Craven, a behavioural scientist, former investment professional, magician and keynote speaker, and one of my favourite people to talk to. When we sat down to record this episode, I noticed that Paul's voice sounded different.His explanation — that he had recently been diagnosed with oral cancer — took our conversation in an unexpected and deeply personal direction.We explore what his experience has taught him about uncertainty, why he deliberately chose not to Google his diagnosis, and the difference between having information and having useful information.From there, we explore luck and skill, decision and gratitude journals, relationships versus transactions, the dangers of binary thinking, and why sometimes the best thing you can do when you're in a bad mood is go for a walk in the rain. It's a conversation about behavioural science, but also about perspective, paying attention and what we discover about ourselves when life doesn't go according to plan.Key themesLiving with uncertainty and the psychological value of having a planWhy more information isn't always better informationAI, search engines and our desire for certaintyNuance versus binary thinkingLuck, skill and decision journalsGratitude and paying attention to what mattersRelationships versus transactionsStorytelling, lived experience and different ways of seeing the worldChameleon Thinking and the value of changing perspectiveGuest Profile - Paul CravenPaul is a behavioural scientist, keynote speaker and former investment professional who brings together insights from psychology, behavioural science, finance and magic to explore how people really think and make decisions. LinksPaul Craven — speaker profile and booking enquiriesPaul Craven's websiteIain McGilchristMartin ShawMark VernonPaul's previous appearances on the Human Risk PodcastSolo: Paul Craven on Magic, Money & The MindWith Gerald Ashley: Gerald Ashley & Paul Craven on Statistics, Spreadsheets & Scam Artistsand Paul Craven & Gerald Ashley on Context, Consequences & ChangeabilityWith Rory Sutherland: Rory Sutherland & Paul Craven on Alchemy & Magic and Paul Craven & Rory Sutherland on Magic & AlchemyWith Rory Sutherland & Gerald Ashley at Abbey RoadTimestamped summary00:00 — Introduction01:35 — Paul's diagnosis and living with uncertaintyPaul reveals his cancer diagnosis and reflects on why not knowing can sometimes be harder than receiving difficult news.07:00 — Medicine, empathy and different perspectivesWhat Paul's experience of the NHS taught him about communication, multidisciplinary thinking and the importance of context.10:00 — Appreciating life, stories and walking in the rainFrom Iain McGilchrist and Martin Shaw to Rowan Williams' wonderfully simple advice for dealing with a bad mood.17:10 — Reframing, Chameleon Thinking and “All shall be well”Why changing perspective can help us navigate difficult circumstances — including Paul's own illness.25:45 — Why Paul chose not to Google his cancerThe risks of searching without context, what AI adds to the problem, and why life rarely provides simple binary answers.31:20 — Luck, skill and keeping journalsWhat investment management can teach us about hindsight, decision quality and the value of both decision and gratitude journals.37:20 — Relationships, transactions and the limits of efficiencyWhy trust and relationships matter, and what can be lost when we optimise purely for efficiency.43:25 — Authenticity, AI and Chesterton's FenceThe value of individuality in an AI-mediated world and why we should understand what we're discarding before we replace it.47:10 — Wisdom under every rockPaul brings together the themes of reframing, curiosity and learning from different perspectives.49:10 — An update on PaulChristian shares encouraging news following Paul's surgery and looks forward to welcoming him back to the show.
Riley speaks to Foxglove's Donald Campbell about the campaign to prevent Palantir from working with the NHS, but before we get to that, we have to talk about… fictive elven graves. And real Bronze Age burial sites. And a man in Texas who's willing to move heaven and earth in order to view anime. Get more TF episodes each week by subscribing to our Patreon here! Learn more about Foxglove and support them here! RILEY ALERT Check out No Gods, No Mayors here! HUSSEIN ALERT Check out 10k Posts here! MILO ALERT Check out Milo's tour dates here: https://www.miloedwards.co.uk/liveshows NATE ALERT Nate's band Second Homes has just released their debut album and you can stream it for free here! Trashfuture are: Riley (@raaleh), Milo (@Milo_Edwards), Hussein (@HKesvani), Nate (@inthesedeserts), and November (@postoctobrist)
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