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Mental health support to be offered to people with diabetes in UK first

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Warning: This story contains discussion of mental health struggles including self harm and suicidal thoughts

A woman with type 1 diabetes says she was left feeling as though her two young daughters "would be fine if they didn't have me" during her struggle with depression.

Naomi Durnham, from Cardiff, experienced severe post-natal depression after the birth of her second daughter during the Covid pandemic.

Diabetes UK says people with the condition are twice as likely to have depression, with shared symptoms between the two conditions making seeking support more difficult, and Naomi is among those calling for more help.

A leading expert in diabetes psychology is heading up a new UK-first care pathway, offering diabetes patients bespoke mental health support.

Cardiff and Vale health board said it had a perinatal mental health service offering "specialist, safe, effective and compassionate care".

It added it was "sorry to hear" about Naomi's experiences and said, while it was unable to comment on individual cases, it encouraged her to contact its concerns team.

Naomi, 34, said she spent much of lockdown feeling "completely numb".

"My health visitor was amazing, she could see I wasn't myself and she thought I needed some more support so she contacted my GP on my behalf," she said.

But she said the GP prescribed her increasingly higher doses of anti-depressant medication over the phone, until she was on the maximum amount.

She never saw them, and there was "never any suggestion of perinatal mental health support".

"I wasn't really feeling any benefit from it at all," she said.

At its worst, Naomi's mental state led to her not taking the insulin needed to manage her type 1 diabetes.

"I just didn't care about myself… I had complete lack of self worth, I didn't feel like I needed to be here anymore," she said.

After developing diabetic ketoacidosis (DKA), a life-threatening condition that turned her blood acidic due to the lack of insulin, she went through "countless" hospital admissions.

She said she did not feel there was enough support when it came to managing her mental health.

"The diabetes team would say it was mental health, and the mental health team would say it was a diabetes problem," she recalled.

"Those two worlds collide because there's no services set up for that."

Naomi spent two years in and out of hospital, which led to her having to stop her nursing course and, at one stage, there were concerns about whether she could look after her children.

She said it was seeking out peer support networks including online communities and single parent groups – as well as charity services – which helped her recover and be able to resume her studies. But she still worries about the long-term impact that period had on her and her children.

"It took a long time to admit that I needed help," she said.

"I felt guilty that I wasn't there for the girls… I am so conscious of damaging them."

She added she understood GPs did not have a lot of time, but "having to advocate for myself again and again" added to her struggle, and she felt more "holistic assessments" were needed, alongside "appropriate signposting" to help available.

Spoken word poet Duke Al was diagnosed with type 1 diabetes aged 23 in 2018.

The 32-year-old from Sully, Vale of Glamorgan, said the diabetes nurses who showed him how to inject his insulin were "fantastic… really gentle and caring" and, to begin with, he took the diagnosis "on the chin".

But, after a while, he noticed "frustrations start to creep in" and he struggled to shake off the feeling he was "a weaker version of myself".

"That very quickly turned into self-destruct mode, where I would neglect insulin, I deliberately wouldn't inject, which can be very dangerous."

He had already been diagnosed with obsessive compulsive disorder (OCD) and said the diabetes diagnosis "collided with it dramatically", causing him further mental health issues.

For Duke, his OCD takes the form of intrusive thoughts related to numbers and the amount of times he does a particular thing. He feels "responsibility to prevent" these thoughts by "performing compulsions", and uncertainty plays a "viscious role".

"It's like this super-glued grip on your brain is like, if you don't do that compulsion, what if this thing does happen and it's your fault?

"Even though I know it's irrational, that's the nature of the condition."

At its worst, this could lead to him injecting the wrong amount of insulin to avoid dealing with a "bad number".

Duke said he struggled massively for about a year, and "on the odd occasion since".

He explained that diabetes burnout could occur when having to manage his blood glucose levels, insulin injections, diet and exercise became overwhelming.

Duke says he's now "in a good place" – but added there "wasn't a huge amount of support" available for his mental health.

"First and foremost, my coping mechanism is poetry. I use poetry as a self-therapy to express how I feel," he said.

"I didn't want to tell anybody about how I was feeling in fear of stigmatisation and fear of not being understood. My brain told my hand, my hand told the pen, the pen told the page and I was able to figure out what was going on and articulate myself really well.

"It's a way of reaching other people, hopefully raising awareness, and connecting through creativity."

He added he was working "to advocate for more psychological support with people living with type 1 diabetes".

"Even though your numbers or your HbA1c might read fantastic and your blood glucose are in range, that doesn't mean you're always feeling well mentally.

"I think the person needs to be treated as the whole."

Dr Rose Stewart, the diabetes psychology lead for Wales, said the "relentless condition" had a huge impact on people's mental health.

"A lot of people compare it to having to beat your own heart. It's something that you never get to switch off from," she said.

She referenced research published earlier this month, which highlighted a "bi-directional relationship" in which mental health problems that "impair self-care behaviours" could cause diabetes complications, and in turn "further impair mental health".

The experience of people being passed between diabetes and mental health services, with neither knowing how to address concerns raised, was something she said she saw often.

"It's something that we're working really hard in Wales to rectify," she said.

In her role within the NHS Wales performance and improvement unit, she is developing a national pathway for diabetes psychology, which aims to offer people in Wales quick access to specialist support in various formats to suit their needs, including online programmes, individual therapy, and crisis care.

"This is the first to exist in the UK, and possibly in the world, looking at developing an entire model of care for people living with diabetes," she said.

"This won't just be about people having access to psychology and therapy rooms, this will be about upskilling our diabetes staff.

Reform UK said it was "vital" mental health services were "able to cater to the specific challenges raised by diabetes", while the Green Party said it supported "more joined‑up, accessible mental health provision for people living with long term conditions such as diabetes".

The Conservatives and Liberal Democrats both said they recognised the challenges faced by people living with diabetes and supported "better integration" of physical and mental health services.

Plaid Cymru said it would address "the social determinants of mental health.. by ensuring that the public and third sectors work effectively together" if elected to government, and Labour has been asked for comment.

If you've been affected by the issues in this story, help and support is available via BBC Action Line.

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/c3wlpw3l03qo?at_medium=RSS&at_campaign=rss

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Driving test booking rules tightened after thousands of no shows

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Learner drivers are now only able to swap their test to the three centres nearest to their original booking location in a bid to cut down waiting times.

It comes as official figures shared exclusively with the BBC suggest no-one turned up to take 64,500 practical driving tests last year.

The average wait for practical driving tests across Britain are longer than five months. The new rules will stop learners booking the soonest test available anywhere, then making a series of swaps to get a slot closer to home.

Learner driver Emma told the BBC she was waking up at 05:30 every Monday to try to book a test only to find herself in a queue of thousands. She now has a test in seven months time.

In England the wait time for a driving test is 22.7 weeks, Scotland 22.9 weeks and in Wales 17.3 weeks, according to figures provided to the BBC by the Driver and Vehicle Standards Agency (DVSA) for April 2026.

Last year, 1,998,608 driving tests were booked in the UK but no one turned up for 64,500 of them meaning 3.2% were wasted, according to the DVSA.

Some of these were booked by third party resellers using bots with the intention of charging inflated prices but were unable to sell them, the BBC understands.

The number of no shows last year was higher than the 52,000 recorded the previous year.

Emma, not her real name, is 21 and has been learning to drive in West London for nearly a year.

"Some of my friends who need to drive for work were booking tests at test centres not local to them in areas that they hadn't really driven before…just so that they could get the test and just try and pass as fast as they could," she said.

Emma managed to book a test near to where she lives but it is not for seven months.

"I'm then paying for lessons every week, which is fine, it's good to have the practice, but when you've got so long until your test, it's just a little bit of a waste of money and a massive time burden," she said.

Emma's driving instructor Donovan has been using his local test centre for 10 years.

"At one point, I didn't have a test there for six months, simply because none of my students could get one at booking there," he said.

"Effectively, you had people booking tests in Scotland just to get the date and then changing it to London when one became available," he said.

He hopes the changes "will reduce people booking tests that they have no intention of taking" and "free up a bit more space on the booking system".

However, Carly Brookfield, chief executive of the Driving Instructors Association, says the industry "doesn't have a huge amount of confidence that any of these measures are realistically fixing the booking system problem".

Ann Harvey contacted BBC Your Voice last month after her teenage son had failed to get a test in Reading and finally sat his driving test in Bury St Edmunds, more than 130 miles away.

"I was also shocked by the number of no shows listed at Bury St Edmunds. Usually 30 per day! There should be a penalty for not turning up," she said.

Beverley Warmington, DVSA's chief executive, said: "The location restrictions introduced on 9 June will help to deter bookings at locations where learners do not intend to take their test."

She added that the DVSA was "determined to reduce waiting times further" and had delivered more than 217,000 additional tests between June 2025 and April 2026 partly using military driving examiners.

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/c4gyel9n02zo?at_medium=RSS&at_campaign=rss

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'Lives still at risk' from unregulated baby sleep industry after BBC investigation

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Lives are "still at risk" from the unregulated baby sleep industry, a parliament debate was told last night.

MPs are now urging the government to set out a timeline for legislation to make training and background checks compulsory, in the wake of a BBC investigation.

Labour MP Connor Rand described the industry as the "Wild West" and called for the introduction of "mandatory safeguarding and qualification standards" for everyone providing paid support to families.

The debate comes after secret filming by the BBC revealed how some self-described baby sleep experts have been giving parents dangerous advice that medical professionals say could increase the risk of Sudden Infant Death Syndrome (Sids).

Liberal Democrat MP Tom Morrison said the government needs "a proper regulatory framework to make sure these charlatans that are putting out bogus sleep advice on social media… are held to account."

Health Minister Karin Smyth said "public safety is and has to remain the top priority".

Rand said the death of Madison Bruce Smith – a baby in his Altrincham and Sale West constituency – had shown the real-world consequences of allowing unqualified practitioners.

The MP, who led the debate, has set out a series of recommendations as the government considers regulating the sector.

These include the introduction of mandatory minimum safeguarding and paediatric qualification standards, backed by the National Nanny Association and The Lullaby Trust.

Rand also called for mandatory enhanced DBS background checks for all individuals working with children – including nannies, maternity nurses, infant sleep consultants and childcare professionals working in private homes.

He highlighted the gap in postnatal support for new parents and urged the government to set out plans to invest in health visitor services.

He said the "infant sleep industry has boomed… as the support that used to be provided by the state has been stripped back."

Conservative MP Robbie Moore said he "absolutely backs all of the calls" Rand put forward in his speech, emphasising that he wants to see regulation for nannies, as well as maternity nurses and those working in infant sleep.

Allie Bell and Maria Culley from the National Nanny Association say they hope the debate is the "start of meaningful reform" and the start of regulation for maternity nurses, nannies and the wider baby sleep industry.

"Families deserve clarity about the qualifications, training and safeguarding standards of those caring for their children, particularly during the earliest and most vulnerable stages of a child's life," Bell and Culley told the BBC.

Last month the UK's leading baby-safety charity The Lullaby Trust and Morrison wrote to Streeting calling for "urgent action" to "ensure that no more babies' lives are put at risk due to unregulated and bogus sleep advice".

Currently anyone can call themselves a maternity nurse, sleep expert or consultant, without any training, oversight or accountability.

DUP MP Jim Shannon highlighted this lack of oversight a sector that predominantly caters for "sleep-deprived and vulnerable parents".

Speaking during the debate, Shannon said: "Anyone can buy a website domain, call themselves an infant sleep expert or a maternity nurse and charge vulnerable sleep-deprived parents hundreds of pounds for unregulated, untested and potentially unsafe advice."

Shannon added that parents "need to have security in that advice that they are taking comes from a solid foundation and that qualifications, or lack of qualifications are clear".

The Department for Health and Social Care (DHSC) said in March that the law would be changed to limit who was allowed to call themselves a nurse.

This means people working in a hands-on capacity as night nannies would no longer be able to operate as "maternity nurses".

Rand called for a clear timeline on when legislation will be introduced, and said the new regulations should apply to those calling themselves sleep consultants or practitioners.

Smyth reiterated the plans to protect the title of nurse on Monday night, adding that the government will "shortly" be publishing "a call for evidence on the protection of the title nurse".

Following our investigation, the BBC spoke to dozens more parents, who say the government's commitment to increased regulation is "absolutely essential" for the safety of babies and maternal mental health.

Mother-of-two Aimee Beesley welcomes the changes proposed and says currently "babies lives are at risk".

When she was sleep-deprived, and struggling with postnatal depression with her first child, she paid hundreds of pounds for a sleep consultant and self-described maternity nurse, who had thousands of followers online. She had wrongly assumed there was a regulatory body already in place.

She says the advice she received included sleeping her babies in their own room at eight weeks old and placing muslin towels around their heads in the cot.

She believes that self-described maternity nurses "capitalise on women's vulnerability" and "say whatever they want" online.

Now supporting families herself after undertaking a qualification in infant sleep, Aimee believes "any coach worth their salt would be prepared to re-train under the right regulatory body".

Responding on behalf of the government, Smyth said the early stages of parenting is "a really worrying and stressful time… and rogue advice from so-called experts can have a damaging and devastating effect on those who seek reputable advice and guidance."

She outlined existing provision for new parents, including the Healthy Babies programme which "supports new parents and families by offering integrated preventative and universal support, including perinatal mental health, parent-infant relationships and infant feeding in the 1,001 days from pregnancy to age two."

Have you been affected by the issues raised in this story? Contact the team at: ParentingInvestigation@bbc.co.uk

Details of organisations offering information and support on child bereavement are available at BBC Action Line

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/crrprxy2257o?at_medium=RSS&at_campaign=rss

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SpaceX's stock market blast-off could be Musk's biggest gamble yet

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It's 07:25 am, 13 October 2024, at Starbase, near Boca Chica on the Texas side of the US/Mexico border, and on the launch pad stands the biggest rocket ever made. Its engines fire and it climbs into the skies over the Gulf of Mexico to cheers and screams in the SpaceX control room.

But the launch is not the main event. What goes up must come down – and how it comes down will become a milestone in space exploration.

Seven minutes later, the massive rocket booster that blasted the craft towards space starts falling back to Earth – until its engines reignite as planned. It slows its descent and guides itself with pinpoint precision so it can be captured by a clasp called Mechazilla, or "the chopsticks", by engineers who have achieved something that's never been done before.

Amid the whoops and high-fives in SpaceX's control room, Elon Musk tells his millions of social media followers that this is a "big step towards making life multiplanetary" – a reusable rocket that will slash the costs of launching things into orbit, to the Moon and one day to Mars.

A company with a futuristic vision, led by what some would call a maverick unconventional genius, SpaceX and Musk have drawn comparisons with Tony Stark, leader of Stark Industries and also known as Iron Man of the Marvel Comics Universe.

On 12 June, trading will begin in a chunk of shares in a company that, up to now, only Musk and a select group of rich private institutions have been able or invited to own.

It is perhaps little wonder that more than one UK stockbroker has told the BBC that there has been "a surge" in interest in signing up for the chance to buy shares in this exciting company, controlled by a talismanic individual, that has captured the world's imagination. UK retail investors are likely to be allocated around £1.5bn worth of shares and one of the UK's leading investing platforms hopes this could encourage a new generation of investors.

Simon Belsham, Chief Client Officer at Hargreaves Lansdown said: "While we recognise this IPO might not be right for everyone, it's an exciting moment for many of our clients. We're expecting this might be a first foray into investing for many."

Even if you don't apply directly to buy shares, if you have retirement savings invested in shares – as almost everyone with a pension plan does – then it is very likely you will soon be a part-owner of a company, whether you like it or not, that sits at the crossroads between technology and geopolitics and, as Musk would have it, the very future of the human race.

The chance for normal Earthlings to buy shares in SpaceX is one of the most important moments in the history of stock markets and is close at hand – and one that will almost certainly make Elon Musk the world's first ever trillionaire.

On the first few pages of the prospectus – or sales brochure – for SpaceX shares is this modest mission statement: "To build the systems and technologies necessary to make life multiplanetary, to understand the true nature of the universe and to extend the light of consciousness to the stars."

But SpaceX isn't just about rockets – it's not even mainly about rockets. It's a bet on the future of artificial intelligence (AI). And the success or failure of its imminent partial sale to the public is an important test of the hitherto unbridled investor optimism – and some people's dismay – that AI will hoover up large parts of the world economy.

The continued concentration of power in a few US mega-corps also poses important questions about the way business, economics and politics works here on Earth. And many think this is Musk's Icarus moment – when he flies too close to the sun. "I think it's an Elon Musk ego project," says Sinead O'Sullivan, an economist who has worked for Nasa in the past.

So should we be pleased we will all likely be passengers on his astral journey?

SpaceX has filed for an initial public offering (IPO) of its shares. Although it's only selling a portion of the company to the likes of us, the price of the shares Elon Musk is selling means we can calculate the price tag of the whole company.

The bankers selling the shares have put a target price tag on the company on $1.75trn – which puts it comfortably in the top 10 most valuable companies on Earth.

That is a staggering valuation for a company that lost nearly $5bn (£3.7bn) last year. So what are we buying?

SpaceX is in fact several businesses in one company. It designs rockets as well as manufacturing and launching its own and other people's satellites. Its launch capabilities alone dwarf that of any other company – or indeed country on Earth.

Its own satellites also form the basis of the Starlink communications network, which has proven to have crucial geopolitical importance during Ukraine's defence against the Russian invasion.

This is a profitable business and one that generates significant income. But even the most optimistic estimates value this part of SpaceX at around $300bn – less than 20% of SpaceX's $1.75trn target valuation.

The real bet is on AI because bundled into SpaceX is Elon Musk's AI company xAI, along with a deeper space programme with plans to create data centres in space providing vast computing power – powered by the sun, cooled by the chill of space – while creating human-crewed bases on the Moon and eventually Mars.

The success of SpaceX depends to a huge extent on its AI business. Of the $28.5trn market that SpaceX has identified for its services, known as its total addressable market – $26.5trn of that is in AI.

To believe that, you need to believe that the AI industry will be comparable in size to the entire economy of the United States or all of Europe.

The SpaceX prospectus estimates that the space and communications sector is less than 10% of the $28trn total – and yet those are the only businesses that SpaceX has demonstrated commercial and technical advantages.

"If we look at the business itself, it's really unclear as to what business or industry SpaceX is even in," says O'Sullivan.

"The logo, the brand is built on two decades of rocketry but most of the capital expenditure is actually on data centres and an AI company that seems to be more about social media than anything to do with space," she adds. "All of these are just in a kind of conglomerated business under Elon Musk's name."

The prospectus admits that SpaceX will have to do things no company has ever done before. It says it "requires, building, commercialising and operating products and services… at a scale that has not been previously achieved".

O'Sullivan is sceptical. "When we look at the massive share price that they are trying to get here, you're buying a share of the Elon Musk brand more than any kind of space industry."

But there is no shortage of evangelists who will point to Musk's staggering ability to raise money, challenge orthodoxy and prove his doubters wrong.

He took on the combined might of the global car industry and within 20 years of its founding his carmaker Tesla was worth more than Toyota, Ford, General Motors and Volkswagen combined.

The other reason that some investors intend to pass on the opportunity to invest in Musk's greatest adventure yet is their objection to the total control he will exert over the company.

Musk is listed as founder, chief executive, chief technical officer and chairman of the board.

Even though he only owns 42% of the company, his shares come with extra voting rights meaning he effectively controls 85% of the company.

Financial journalist Robert Armstrong asks: "What is holding shares in a company? It's ownership – but what kind of ownership is this? Do you really own something you can't control?"

Armstrong adds that investors should get a discount for forfeiting control: "I want to pay less for a company where my ownership does not include control."

But as one large institutional investor told the BBC, "the cult of Elon Musk requires disciples to pay a premium for the ques

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/cy8d9e4lzv1o?at_medium=RSS&at_campaign=rss

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