Every GP practice now has to offer online booking

Move comes despite opposition from union, with ministers saying NHS needs to embrace digital tech.

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New guidance on doctors’ sexual misconduct cases

It follows criticism that the body which determines whether doctors are fit to practise in the UK was being too lenient.

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9 Ridiculously Easy Meals That Are Low-Effort And High-Reward

If you’ve been feeling a lot more tired recently, you’re not alone: autumn fatigue can occur thanks to gut changes and disruptions to your workout routine.

And that’s not to mention the exhausting effects of upcoming clock changes.

That’s only one reason why people (it’s me, I’m ‘people’) might be looking for truly low-effort meal ideas at the moment.

Luckily, the members of Reddit’s r/Cooking have got our backs.

Posting to the forum, site user u/kindnessabound asked people to share their favourite “low-effort high-reward meal”.

Here are some of the most-upvoted responses:

1) “Pan-fried halloumi in a pita or naan with tzatziki, tomatoes, pickled onions and rocket.”

“We always have pickled onions in the fridge, and tzatziki can be made a day or two in advance. I can have dinner on the table in 15 minutes. [You can] substitute the halloumi for shrimp, falafel or rotisserie chicken.”

Credit: u/mtrva

2) “Miso pasta. Like a year ago, someone in this subreddit said it was the lowest effort, highest reward meal they can’t stop making, so I tried it.”

“I can’t live without it now. So easy, so comforting, delicious, and makes a huge batch that heats up well for days.

“Cook 450g spaghetti. Reserve about 240ml of pasta water. Strain the pasta. In the empty, hot pot, mix three tablespoons of miso with six tablespoons of butter and half of the pasta water on low heat until a smooth sauce forms. Put the pasta back.

“Stir in 80g grated Parmesan bit by bit. Add more pasta water if it gets dry. Serve with chilli oil/hot sauce if you’re feeling lazy, or sautée some mushrooms to elevate it.

“Absolutely life-changing. It’s not no-effort like grilled cheese or air fryer food, but the ratio of effort to reward here is off the charts.”

Credit: u/Athyrical

3) “English muffin pizzas with a touch of mozzarella cheese on top, prepared in an air fryer.”

“I use a bagel more often, since I’m more likely to have them in the house, but this is one of my favourites [when I] only have 10 minutes and want comfort meals,” u/ellen_boot agreed.

4) “Caccio e pepe. I’m making it this second.”

“Cook your pasta in less water. Drain (SAVE YOUR PASTA WATER) and keep the cooked pasta on a plate with a lid on.

“Reduce the pasta water until it’s cloudy and thick.

“Pull the pan off the stove, and remove most of the water. Add the pasta back in, reheat for just a moment until streaming, and remove from the heat.

“Stir in the black pepper and finely-grated parmesan until you get your desired consistency.”

5) “Anything in a slow cooker.”

“This! Buy a pork shoulder, make a paste from a BUNCH of spices (paprika, chipotle, cayenne, oregano, thyme, salt and pepper) and a little olive oil, and rub it all over the pork. It’s almost hard to overdo it with the spices.

“Add a chopped onion, a couple of cloves of minced garlic, and a couple of chopped jalapeños. Put that thing in the crock pot for eight hours and then go to town. Buy some rolls and make some coleslaw if you want,” u/BenThere20 replied.

6) “I feel like salmon always has a high bang for your buck flavour [to effort] ratio.”

“Maybe crispy rice, salmon and chilli crisp.”

Credit: u/CoconutDreams

7) “Quesadillas or grilled cheese.”

Credit: u/Koala-o-sha

“I second grilled cheese!” responded u/a-forgetful-elephant.

8) “I toss frozen fish fillets into my air fryer.”

“I make a quick sauce from mayo, chipotle adobo, and Cajun seasoning.

“Then, I fry some corn tortillas into tacos. I put the cooked fish in them, add toppings of my choice, and stuff them in my face.

“Curses. I have leftovers to eat for dinner, and now I want fish tacos.”

9) “Ramen fits this bill for me perfectly.”

“My favourite is carbonara-style packet noodles. Dice some bacon, cook it, and set it aside. Mix the ramen pack with three egg yolks and freshly grated parmesan.

“Cook the noodles, remove them from their liquid and place them into your pan. Heat it up, add back some starchy noodle water, mix in the egg packet mixture, put it in a bowl, add the diced bacon on top, and then grate more Parmesan cheese on it.

“The whole thing takes 10 minutes and is insanely delicious.”

Credit: u/crackofdawn

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Meltdowns In Kids With AuDHD Are Never A ‘Choice’ – Trying This With Your Child Might Help

Every parent knows how difficult it can be when their child is struggling to regulate themselves.

But for parents of children with AuDHD – those who are both autistic and have ADHD (attention deficit hyperactivity disorder) – it can be especially tough to navigate emotional outbursts that seem to come out of nowhere.

In my experience, understanding the difference between a meltdown and a tantrum is crucial in knowing how to respond – and how to help.

What’s the difference?

A tantrum is a way of expressing frustration or attempting to get something. It is typically goal-oriented and usually the child has some control over it – for example, if they get what they want, they are usually able to calm down.

A meltdown is not a choice. It’s a neurological response to overwhelm – whether that’s too much sensory input, emotional stress, or cognitive demand.

Meltdowns are associated with the range of intense emotional regulation challenges that can accompany AuDHD. Importantly, meltdowns stem from a loss of control, not a desire to gain it.

An emotional safety plan can help

An emotional safety plan is a proactive, collaborative tool that helps children identify their emotions, recognise their triggers, and explore personalised strategies for managing distress.

It can be as simple as a colourful chart or journal page created together with your child, divided into spaces to note what each emotional state looks and feels like, what might have caused it, and what helped in those moments.

Involving your child in building their plan is key: it not only gives them a sense of ownership, but also helps them reflect on their own needs, feel heard, and develop vital self-awareness skills over time.

This can provide children with the tools to “name it to tame it”, putting words to feelings, to help reduce distress. This can be empowering, in addition to providing a sense of validation and control.

Key emotional states you can map together

Here are some common emotional states your child may experience, and ways you can support them through each one:

Hyper-arousal (meltdowns)

A meltdown is an intense, involuntary reaction to being overwhelmed, often as a result of stress and exhaustion. It may present physically, such as kicking or self-harming; verbally, such as screaming or shouting; and/or emotionally, such as through crying.

Meltdowns are highly individual and situational, with many potential causes, such as sensory overload, changes in routine, loud environments, and an inability to communicate effectively.

Co-regulation is a highly effective strategy to manage a child’s meltdown – stay calm and regulate yourself, while validating their experiences.

Reducing demands and sensory input, such as turning off lights or providing noise-cancelling headphones, can also be very helpful.

Establishing a safe physical space and toolkit for when a meltdown occurs, tailored to an individual’s needs, can provide an important foundation of safety.

Identifying potential triggers can flag opportunities to plan effectively, such as by using visual aids to plan transitions or changes.

Dysregulation (overwhelm)

Dysregulation is linked with overwhelm, such as from sensory input, emotional demands, or social expectations. Masking (suppressing natural responses to ‘fit in’) takes a toll on the nervous system, often resulting in emotional outbursts when this becomes unsustainable.

For example, a common scenario is when an AuDHD child arrives home from school and ‘releases’ overwhelm in a ‘safe’ environment, having masked all day. This can be referred to as the ‘shaken Coke bottle’ effect, where dysregulation builds up pressure internally, until this becomes external.

Overwhelm could appear as ‘naughty’ or ‘rude’ behaviour, which may be more accurately described as decompressing and adjusting.

Identifying these experiences with your child can help signpost potential strategies for support. For example, providing predictable decompression time before any conversations or demands after arriving home from school, or predictable rituals, can provide space for healthy decompression.

‘Normal’/balanced

Many AuDHD children grow up feeling like they need to adapt to what others expect – smiling when distressed, hiding self-soothing activities, or mimicking social behaviours, for example. This can make it difficult for them to understand what they actually need, or what it feels like to be authentically themselves.

Helping them to identify their own version of ‘normal’ (by identifying situations where they feel safe to unmask) and their sensory preferences can empower them to know their own baseline. This enables them to better recognise dysregulation, including when and how to seek support.

Reframing masking in this way can help AuDHD children (and adults) understand the difference between harmful suppression and strategic adaptation in masking, moving towards conscious choices, as opposed to involuntary reactions.

Dysregulation (numbness)

Not all dysregulation looks explosive – sometimes, it can manifest as becoming numb, distant, or zoned out, failing to follow instructions. This stress response may be a form of dissociation, where the brain temporarily disconnects to protect itself from overwhelm or perceived danger.

Such behaviours may be misunderstood as ‘rudeness’, ‘laziness’ or ‘not paying attention’, when the individual is in fact likely freezing up mentally and physically.

Triggers could include high pressure environments (such as classrooms), feeling criticised or misunderstood, or sensory overload, which builds up slowly.

Helping children to identify that these experiences aren’t ‘normal’ – or their fault – can be empowering. This can not only enable children to identify early warning signals, but also helpful activities to move through such states.

For example, creating mindfulness routines, such as counting breaths or colours, can help to centre their focus, in addition to identifying tools such as fidget toys to offer grounding through sensory input.

As a parent, providing non-intrusive presence, or grounding activities such as a firm hug (if your child is comfortable with this) can be highly effective. Ultimately, compassion can help them move into a state of safety.

Hypo-arousal (or shutdown)

Hypo-arousal is an intense state of nervous system under-action, often referred to as a shutdown. This is an internalised response, where the body and brain effectively go into ‘power-saving mode’ to survive overwhelm, effectively switching off.

Although highly individual, signs of shutdown can include selective mutism, where they become unable to speak. Children might become non-responsive, and extremely fatigued, withdrawing from interaction or situations and becoming detached from their surroundings.

Triggers for this involuntary response could include being told off, a lack of sleep, or an inability to communicate their needs. Certain sensory stimuli – such as smells, lights, noises, textures or movements – could also result in a shutdown.

In all situations, it’s crucial to prioritise the safety and wellbeing of the child, such as gently guiding them to a less stimulating, safe environment, and respecting their personal space. Avoiding pressure, such as to talk or communicate, is important, and pre-identifying alternative communication methods such as hand signals can be highly effective.

Practicing grounding and self-soothing techniques in a safe environment, such as deep breathing, or identifying calming activities such as colouring or journaling, can also help to form the basis of an emotional safety plan.

These plans can help empower children

Every child’s experience will be very different, but they likely already have a lifetime of experiences to draw upon and identify their own unique triggers and strategies that have helped them.

Having a step-by-step list of things to do in situations that trigger emotional dysregulation can be a highly empowering touchpoint, especially within states of overwhelm.

Just like you wouldn’t be able to stop crying just because someone told you to, neither can children – especially when they’re AuDHD. However, these plans can bridge the gap, providing a window into their invisible experiences, enhancing awareness and empathy.

Ultimately, kindness and understanding are key to supporting AuDHD children. Avoiding judgement, demonstrating reassurance and providing well-informed, tailored support is key to creating environments where AuDHD children can thrive – not just survive.

The experiences I’ve mentioned above are not ‘bad’ – they are simply part of a normal reaction to a world that isn’t designed for their unique neurological makeup, but all AuDHD children deserve to feel happy, safe, and empowered as they are.

Leanne Maskell is the founder and director of ADHD coaching company ADHD Works, and the author of AuDHD: Blooming Differently – a new book offering practical help and advice for AuDHD individuals and those who support them.

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Ed Miliband Sends 1 Bleak Message To Elon Musk: ‘Get The Hell Out’

Ed Miliband told Elon Musk to “get the hell out of our politics and our country” in a fiery speech to Labour Conference today.

The energy secretary slammed the world’s richest man, who briefly served as Donald Trump’s top adviser, and accused him of trying to influence the way Britain is run.

The US-based tech tycoon has been highly critical of Labour since they were elected, claiming “civil war is inevitable” and suggesting the government should be overthrown.

At a far-right rally led by former BNP member Tommy Robinson last month, Musk told protesters “violence is coming” and that they must “fight or die”.

Much of the Labour conference has been occupied with takedowns of Reform UK and Nigel Farage – and Miliband told the party faithful that this was all connected to the world’s richest man.

He claimed Farage has “morphed into something more dangerous” recently, and is part of a global network which “wants to destroy the ties which bind our communities and way of life”.

“I can sum up the threat for you in two words: Elon. Musk,” he said.

“He incites violence on our streets, he calls for the overthrow of our elected government, he’s an enabler of disinformation through X.

“He thinks he can tell us how to run Britain.

“Conference, we have a message for Elon Musk: get the hell out of our politics and our country!”

Musk and Farage famously had a falling out at the start of the year after the billionaire called for Tommy Robinson to be allowed to join Reform UK.

When Farage refused, Musk suggested fellow Reform MP Rupert Lowe, who has since been kicked out of the party and now sits as an independent, to replace him as party leader.

Still, Miliband repeatedly warned about the US influence on British politics during today’s speech where he announced a total ban on fracking.

He claimed: “Reform would wreck everything we are doing.

“They said they would wage war on clean energy, a culture war they’re importing from the United States, driven by the rich and powerful interests who fund them.”

He added: “We’ve got to call out Farage and his cronies for who they really are.

“They’re the investment crushing, bill-raising, poverty-driving, science-denying, Putin-appeasing, young people betrayers, bunch of ideological extremists, that is who they are.”

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‘Buy one, get one free’ deals for unhealthy food banned

Crisps, sweets, chocolate and fizzy drinks will be covered by restrictions starting in England.

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I went undercover as a cleaner at a failing care home. Here’s what I witnessed

Catriona MacPhee worked in a Highland care home for seven weeks as part of BBC Disclosure investigation.

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Webb spots first hints of atmosphere on a potentially habitable world

University of Bristol astrophysicists are helping shed new light on an Earth-sized exoplanet 40 light years away where liquid water in the form of a global ocean or icy expanse might exist on its surface.

That would only be possible if an atmosphere is present – a big mystery the scientists are attempting to unravel and now even closer to solving using the largest telescope in Space.

Deploying NASA’s JWST, the researchers have reached these discoveries as part of a major international project which is probing the atmosphere and surface of TRAPPIST-1e, also more simply known as planet e in the system, orbiting within the habitable zone of red dwarf star TRAPPIST-1.

Exoplanets are highly varied planets which orbit stars outside the solar system. Planet e is of particular interest because the presence of liquid water – not too hot or cold – is theoretically viable, but only if the planet has an atmosphere.

Researchers aimed JWST’s powerful NIRSpec (Near-Infrared Spectrograph) instrument at the system as planet e passed in front of its star. Starlight passing through the planet’s atmosphere, if there is one, will be partially absorbed and the corresponding dips in the light spectrum that reaches JWST tell astronomers what chemicals are found there. With each additional transit, the atmospheric contents become clearer.

Initial results, published in two scientific papers in the journal Astrophysical Journal Letters, indicate several potential scenarios, including the possibility of an atmosphere.

Dr Hannah Wakeford, Associate Professor in Astrophysics at the University of Bristol, is a leading member of the JWST Transiting Exoplanet team who helped design the observational set-up for the telescope to ensure scientists obtain vital data.

Dr Wakeford said: “What we have found with JWST in these first four observations helps refine the earlier Hubble measurements and reveals there might now be hints of an atmosphere, but we cannot yet rule out the possibility there is nothing to detect.”

“JWST’s infrared instruments are providing unprecedented detail, helping us understand much more about what determines a planet’s atmosphere and surface environment, and what they’re composed of. It’s incredibly exciting to be peeling back the curtain of these fascinating other worlds, measuring the details of starlight around Earth-sized planets to ascertain what it might be like, and if life could be possible. Through a careful process of elimination and comparison we’re uncovering great new insights.”

Although various possibilities remain open for planet e, the researchers are confident the planet does not have its original atmosphere.

Co-author of both studies, Dr David Grant, a former Senior Research Associate at the University of Bristol, explained: “The findings also further rule out the presence of a primordial hydrogen-based atmosphere. This is the gaseous envelope, mainly comprising hydrogen, that surrounded a planet in its early stages of formation. Such atmospheres are believed to be common for both giant planets and terrestrial planets in the early solar system.”

Dr Wakeford added: “Since TRAPPIST-1 is a very active star, with frequent flares, it’s not surprising that any hydrogen-helium atmosphere the planet may have formed would be stripped off by stellar radiation. Many planets, including Earth, build up a heavier secondary atmosphere after losing their primary atmosphere. It is possible planet e was never able to do this and doesn’t have a secondary atmosphere, but there’s an equal chance one does exist.”

The presence of a secondary atmosphere means liquid water could also exist on the surface and if that’s the case, researchers understand it would be accompanied by a greenhouse effect, akin to that of planet Earth, in which various gases, especially carbon dioxide, keep the atmosphere stable and the planet warm.

The second paper details work on the theoretical interpretation and lead author Dr Ana Glidden, a post-doctoral researcher at Massachusetts Institute of Technology, explained: “It is unlikely the atmosphere of planet e is dominated by carbon dioxide, like the thick atmosphere of Venus and the thin atmosphere of Mars. But it’s also important to note there are no direct parallels with our solar system. TRAPPIST-1 is a very different star from our Sun, and the planetary system around it is also distinct.”

Dr Wakeford added: “A little greenhouse effect can go a long way and the new measurements do not rule out sufficient carbon dioxide to sustain some liquid water on the surface. The liquid water could take the form of a global ocean, or cover a smaller area of the planet where the star is at perpetual noon, surrounded by ice. This would be possible because, owing to TRAPPIST-1’s planets’ sizes and close orbits to their star, they are all tidally locked, with one side always facing the star and the other side in perpetual darkness.”

Next steps in the research will involve further detailed observations, comparing data from another exoplanet – planet b – orbiting closest to TRAPPIST-1 in order to make more revelations.

One of the principal investigators of the research team focused on TRAPPIST-1e Dr Néstor Espinoza, an Associate Astronomer and Mission Scientist for Exoplanet Science at the the Space Telescope Science Institute (STScI) in Baltimore, Maryland, said: “Webb’s infrared instruments are giving us more detail than we’ve ever had access to before, and the initial four observations we’ve been able to make of planet e are showing us what we will have to work with when the rest of the information comes in.”

The JWST is the world’s premier space science observatory, capable of observing distant worlds and stars, and probing the mysterious structures of our universe. It is an international programme led by NASA, the European Space Agency, and the Canadian Space Agency.

The project is part of the JWST-TST DREAMS program, led by Dr Nikole Lewis, Associate Professor of Astronomy at Cornell University in the US city Ithaca, New York. This international project involves more than 30 scientists from the UK, USA, and India, five of whom are members or former members of Dr Wakeford’s team. It includes the breakthrough detection of Quartz clouds in the atmosphere of a hot exoplanet, as shown in a recent study, led by Dr Grant and co-authored by Dr Wakeford.

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Yoga isn’t as heart-healthy as you think, new study reveals

Contrary to widespread belief, yoga may be less effective than conventional forms of exercise in enhancing vascular health, according to a new study published in Advances in Integrative Medicine.

The study systematically reviews existing literature, including randomized controlled trials, crossover trials, and non-randomized studies, comparing yoga and other exercise interventions in sedentary adults.

The researchers point out that their aim has been to assess the impact of these interventions on vascular function, as measured by ultrasound.

Vascular function refers to the ability of blood vessels to efficiently transport blood to tissues. The elasticity and responsiveness of these vessels are critical indicators of cardiovascular health.

Sedentary behavior and prolonged sitting are known to impair vascular function, increasing the risk of hypertension, cholesterol buildup, and thrombosis.

Co-author Dr. Leena David, a specialist in medical diagnostic imaging and lecturer at the University of Sharjah, says:

“Think of blood vessels like flexible garden hoses. If they stiffen, the risk of heart attacks and strokes increases. Our study shows that structured exercise keeps those hoses flexible, while yoga provides some benefits but not as reliably. Middle-aged and older adults often notice improvements from yoga, but younger adults might not.”

The findings are particularly relevant for the estimated 300 million people worldwide who practice yoga and the more than 620 million individuals affected by cardiovascular disease as of 2023.

The researchers conclude that traditional exercise modalities, such as Tai Chi, Pilates, and high-intensity interval training, consistently outperform yoga in improving vascular function among sedentary individuals.

Dr. David emphasizes that while movement is essential, the type, intensity, and consistency of physical activity are key determinants of vascular health.

“Even simple routines can make arteries more resilient. Blood vessels have a memory — and every workout helps them forget the damage of sitting all day,” she adds.

She also describes prolonged sitting as “the new smoking — silent, sneaky, and stealing years from your arteries,” adding that “movement is the perfect antidote.”

While yoga remains accessible and culturally significant, the study suggests that individuals seeking consistent cardiovascular benefits may need to supplement yoga with more vigorous forms of exercise.

The authors advocate for a nuanced approach to physical activity, especially in public health messaging.

“Yoga has deep cultural roots and shows promise as an inclusive, accessible health intervention,” Dr. David notes.

“At the same time, the fitness and digital health industries can leverage these insights to develop structured exercise programs and technology-driven solutions for sedentary populations.”

The researchers hope their findings will encourage healthcare providers to recommend exercise not only for weight management but also as a proven strategy for improving vascular health.

Although yoga may not consistently enhance vascular function, it remains a valuable option, particularly for older adults and those unable or unwilling to engage in high-intensity workouts.

“On a larger scale, public health campaigns could emphasize that movement is medicine,” Dr. David explains. “This may encourage a mix of exercise and yoga to make heart health more accessible and culturally appropriate.

Forget the fitness goals — this is about protecting your body’s internal GPS system that keeps you alive.”

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Surgeon offered womb removals in ‘minutes’ without proper examination, women say

Only “good fortune” prevented ex-gynaecologist Daniel Hay from causing more harm to women, a report says.

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