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Patient’s experience highlights challenges in accessing coil procedures

Elaine Gracey experienced significant discomfort, yet she claims she was anticipated to tolerate her menopause symptoms without complaint.

A warning is necessary as this article discusses certain graphic details that may be disturbing to some readers.

Elaine is looking at the camera. She has long brown/grey hair and is wearing a green floral top with a high neckline.
Elaine Gracey, 50, was prescribed the coil in 2022 after experiencing heavy periods

Elaine Gracey's doctor recommended a coil insertion over three years ago to alleviate her severe and painful menstrual periods, but she has yet to undergo the procedure.

Despite her persistent symptoms, Elaine claims she was expected to endure the bleeding without receiving adequate medical attention.

In one particularly distressing incident, Elaine experienced extreme pain and bleeding, resulting in a large amount of blood and clots, comparable in size to baby potatoes, while taking a bath.

Northern Ireland currently has the longest gynaecology waiting lists in the UK, but the Department of Health has initiated efforts to address the issue and develop more efficient pathways.

The coil insertion was intended to be the initial step in Elaine's menopause treatment, and she was eager to receive the necessary care.

Elaine's symptoms significantly impacted her daily life, causing her to sleep with a towel on her sheets due to excessive bleeding, and leaving her exhausted and in pain, particularly at night.

After being prescribed a different form of hormone replacement therapy (HRT), Elaine felt that her symptoms were not being taken seriously.

As a carer from Craigavon, Elaine expressed her frustration, stating that no woman should have to wait several years for medical attention, and that this neglect is a sign of a broader disregard for women's health issues.

The Southern Trust acknowledged the significant distress caused by long waiting times for gynaecology services and apologized to those affected.

A spokesperson for the trust announced that efforts are underway to reduce waiting times, including the allocation of additional funding, clinics, and capacity.

According to the Royal College of Obstetricians and Gynaecologists, nearly 60,000 women are currently waiting to be seen or treated for gynaecology-related issues.

BBC News NI requested data on menopause and gynaecology waiting lists from each health trust, covering the period from 1 July to 31 December 2025.

The data revealed that 6,597 women have been prioritized to see a specialist across the five trusts.

The longest waiting times were found to be four and a half years in both the Southern and Western trusts.

While some trusts operate dedicated menopause clinics, others lack the necessary funding to provide such services.

Gail Ritchie, a 45-year-old woman from Londonderry, spent over seven years on a waiting list after being diagnosed with pelvic congestion syndrome (PCS).

Gail has a white T-shirt on and long brown hair, some of which is tied back. She is standing in front of some trees.
Gail Ritchie, 45, lost hope after being on a waiting list for years

Gail's condition caused her to experience severe symptoms, including heavy bleeding, low mood, and debilitating physical and mental distress.

She described her experience as being in a "very dark place," where she felt hopeless and struggled to cope with her condition.

As the years passed, Gail's expectations of receiving timely medical attention diminished, and she eventually lost hope of being seen by a specialist within a reasonable timeframe.

After reaching the eight-year milestone, Gail decided to seek private medical care, and within four weeks, she had an appointment with a specialist.

The private care experience was transformative for Gail, as she finally felt heard and understood by her doctor, who confirmed her symptoms and offered a solution.

Using her health insurance, Gail underwent a hysterectomy and started HRT, which cost approximately £6,000.

A spokesperson for the Western Trust apologized for the delays in patient care and announced that the trust is part of the Gynaecology Collaborative, which aims to implement initiatives to reduce long waiting times.

Dr. Charlie Beattie, an obstetrician and gynaecologist in the Northern Health Trust, expressed concern about the waiting times, stating that they have a profound impact on women's physical and mental well-being.

Dr. Beattie emphasized that the waiting times not only affect women but also their families and the broader community, highlighting the need for improved services.

He believes that many women struggle with symptoms without seeking medical attention due to various barriers, including lack of awareness, limited access to healthcare, and societal expectations.

Dr. Beattie noted that the resources available to provide effective gynaecology services do not meet the increasing demand, resulting in prolonged waiting times.

Regarding menopause care, Dr. Beattie warned that delayed access to HRT can increase the risk of long-term health complications, including osteoporosis, cardiovascular disease, and dementia.

Across four of the five trusts, over 1,000 women are waiting to see a menopause specialist, while the Western Health Trust does not offer a dedicated service.

The longest waiting times for menopause care are 160 weeks in the Southern Trust, 146 weeks in the Northern Trust, and 141 weeks in the South Eastern Trust, with the Western Health Trust unable to provide data.

The Belfast Trust, which previously had the longest waiting times, now has 34 women waiting, with the longest wait being four months, likely due to the funding of two additional consultant posts.

The Department of Health stated that it is working to reduce waiting lists and develop specialized pathways for gynaecology services, including menopause care, within each health trust.

Although the efforts are still in the early stages and require additional funding, the Department of Health aims to establish a regional gynaecology services forum to oversee services and improve patient care.

A specific task force has been established to focus on menopause care, aiming to address the unique needs of women experiencing menopause-related symptoms.

Health

Study Explores if Brain Stimulation Can Reduce Selfish Behavior

Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.

Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

The image shows a brain scan seen from the dront of the head. The lobes of the brain are artifically coloured in bright red and you can see the pink outline of a person's skull around the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.

The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.

According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.

Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.

The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.

Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.

However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.

Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.

This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

A participant receiving non-invasive brain stimulation during an experiment in a laboratory setting. The volunteer sits in the foreground with another person, whose hands can be seen, holding a scanning device over the person's head. A scan of their brain is visible on a screen behind.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.

These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.

When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.

The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.

One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.

The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.

The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.

Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.

Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.

By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.

Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.

The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.

Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.

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Health

NHS Workers to Receive 3.3% Pay Increase

Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.

The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

Nurses on a ward, checking patient notes

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.

Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.

However, several health unions have expressed disappointment with the announced pay award.

Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.

Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."

She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."

Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.

The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".

Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."

Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."

"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.

In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.

A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."

The pay increase is expected to be implemented by the start of April.

However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.

The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.

Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.

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Health

NHS Waiting List Hits Three-Year Low

In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.

England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

A group of surgeons operating on a patient in theatre

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.

However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.

In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.

This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.

According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.

Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.

Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.

Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.

Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.

Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".

Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.

Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.

A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.

Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.

According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.

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