ADHD care needs better regulation and fewer pills | Letters

As a UK-trained consultant psychiatrist, fully indemnified, appraised and regulated by the General Medical Council, with specialist expertise in adult attention deficit hyperactivity disorder (ADHD) assessment and treatment, I read your article on rising ADHD care costs with concern and frustration (NHS ADHD spending over budget by £164m as unregulated clinics boom, 12 January).For the past eight months I have been navigating the opaque Care Quality Commission (CQC) registration process to provide high-quality, fully regulated ADHD assessments in an independent setting, alongside two similarly qualified colleagues. Until this process is complete, I am legally prohibited from seeing patients.It is therefore deeply troubling to learn from your article that multiple companies have been awarded NHS ADHD contracts despite not having CQC registration. In addition, some health professions fall outside the CQC remit and thus can set up a practice “diagnosing and treating” ADHD tomorrow – for example, a psychologist working with a prescribing pharmacist

Religious tradition, child safety and the law on circumcision | Letters

I would welcome criminalising circumcision if it was performed by an unqualified person – just as would be the case if someone unqualified conducted any other surgical operation (Circumcision classed as possible child abuse in draft CPS document, 10 January). But leaping from that to banning the practice altogether is not justified.Given that it is a longstanding and important tradition among Jews, Muslims and various other cultures, the best way forward is to only permit circumcision if it is practised by someone specifically qualified for it and who belongs to a nationally accredited scheme. This would involve compulsory training, monitoring all cases and producing annual reports.Such a step is vital if we value both the safety of children and the integrity of faith backgrounds, and should be implemented as soon as possible

Woman pulled out of UK ultramarathon after death threats over Afghanistan fundraising

A woman was pulled out of Britain’s most gruelling ultramarathon after receiving death threats over her fundraising for Afghan women and girls.Sarah Porter was nearly a third of the way through the 108-mile Montane Winter Spine Challenger South endurance race when organisers made the “difficult decision” to withdraw her due to threats to her life in relation to the foundation she runs helping women and girls in war zones.Speaking to the Guardian, Porter said she was disappointed. “My immediate feeling was just one of shame really.”“I was very emotional,” she said, “just born from the perspective that I really felt like I’d let down the girls that I was running for and I’d really kind of got this narrative in my head and psyched myself up that what I was doing was just so insignificant in comparison to what they’re enduring

Circumcision kits found on sale on Amazon UK as concerns grow over harm to baby boys

Circumcision kits have been found on sale on Amazon UK, highlighting lax regulation as concerns grow about deaths and serious harm to baby boys.In December, a UK coroner issued warnings about insufficient circumcision regulation after the death in 2023 of a six-month-old boy, Mohamed Abdisamad, from a streptococcus infection.In a prevention of future deaths report, Dr Anton van Dellen, assistant coroner for west London, highlighted how “any individual may conduct a non-therapeutic male circumcision (NTMC) without any prior training”, with “no requirement for any infection control measures [and] no requirements for any aftercare”, adding that “action should be taken to prevent future deaths”.The Department of Health and Social Care has until the end of February to respond.The Guardian found “Plastibell” kits, in various sizes, on sale for £200 on Amazon in January

One in four UK teenagers in care have attempted to end their lives, study says

One in four teenagers in care have attempted to end their own life, and are four times more likely to do so than their peers with no care experience, according to a landmark study.The research analysed data from the millennium cohort study, which follows the lives of 19,000 people born in the UK between 2000 and 2002, and considered how out of home care, including foster, residential and kinship care, affected the social and mental health outcomes of the participants.More than one in four (26%) 17-year-olds who have lived in foster or residential care have attempted to end their own lives, the analysis found, compared with only one in 14 (7%) of teenagers with no experience of being in care.Although previous research has found that about 7% of UK children have attempted suicide by the age of 17, this study, conducted by academics from the UCL Centre for Longitudinal Studies and funded by the Nuffield Foundation, is the first to calculate the elevated suicide risk teenagers with care experience have.Lisa Harker, the director of the Nuffield Family Justice Observatory, said the fact that one in four care-experienced children had attempted suicide was a “national emergency”

Five minutes more exercise and 30 minutes less sitting could help millions live longer

Just five extra minutes of exercise and half an hour less sitting time each day could help millions of people live longer, according to research highlighting the potentially huge population benefits of making even tiny lifestyle changes.Until now, evidence about reducing the number of premature deaths assumed that everyone must meet specific targets, overlooking the positives of even minor increases in physical activity.Moderate-intensity physical activity such as brisk walking for an extra five minutes a day was associated with an estimated 10% reduction in deaths, the study of 135,000 people from the UK, US, Norway and Sweden found.Researchers led by the Norwegian School of Sport Sciences also found reducing sedentary time by 30 minutes a day was associated with an estimated 7% reduction in all deaths.The greatest benefit was seen if the least active 20% of the population increased their activity by five minutes each day