People in Manchester are facing waiting times of up to 18 months to receive ADHD medication due to a ‘significant demand’ for neurodevelopmental disorder services.
“I’ve literally paid for services privately. If they want to privatise the NHS, at least make it work. I paid to have that done so it could get done quickly and so I could get access to the help that I need and it still didn’t work. “It’s not their fault, they need someone who can do the job properly but the point was that if I got the medication, I would have been able to do the job.
The ADHD Foundation criticised the programme by describing it as a ‘poorly researched, sensationalist piece of television journalism’ which they said was ‘completely ignoring the broader context’. The ADHD Foundation, an organisation helping those affected by the condition,, said that they are aware that there are a number of medications that are in short supply for a range of health reasons. They said they 'share the concern of many people who are experiencing difficulty obtaining their medication prescriptions'.
The Mental Health Team at NHS Greater Manchester Integrated Care said that it was prioritising current ADHD services for adults to make sure patients ‘receive the best possible care and support possible’.
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Healing of acute anterior cruciate ligament rupture on MRI and outcomes following non-surgical management with the Cross Bracing ProtocolObjective Investigate MRI evidence of anterior cruciate ligament (ACL) healing, patient-reported outcomes and knee laxity in patients with acute ACL rupture managed non-surgically with the Cross Bracing Protocol (CBP). Methods Eighty consecutive patients within 4 weeks of ACL rupture were managed with CBP (knee immobilisation at 90° flexion in brace for 4 weeks, followed by progressive increases in range-of-motion until brace removal at 12 weeks, and physiotherapist-supervised goal-oriented rehabilitation). MRIs (3 months and 6 months) were graded using the ACL OsteoArthritis Score (ACLOAS) by three radiologists. Mann-Whitney U tests compared Lysholm Scale and ACL quality of life (ACLQOL) scores evaluated at median (IQR) of 12 months (7–16 months) post-injury, and χ2 tests compared knee laxity (3-month Lachman’s test and 6-month Pivot-shift test), and return-to-sport at 12 months between groups (ACLOAS grades 0–1 (continuous±thickened ligament and/or high intraligamentous signal) versus ACLOAS grades 2–3 (continuous but thinned/elongated or complete discontinuity)). Results Participants were aged 26±10 years at injury, 39% were female, 49% had concomitant meniscal injury. At 3 months, 90% (n=72) had evidence of ACL healing (ACLOAS grade 1: 50%; grade 2: 40%; grade 3: 10%). Participants with ACLOAS grade 1 reported better Lysholm Scale (median (IQR): 98 (94–100) vs 94 (85–100)) and ACLQOL (89 (76–96) vs 70 (64–82)) scores, compared with ACLOAS grades 2–3. More participants with ACLOAS grade 1 had normal 3-month knee laxity (100% vs 40%) and returned to pre-injury sport (92% vs 64%), compared with participants with an ACLOAS grades 2–3. Eleven patients (14%) re-injured their ACL. Conclusion After management of acute ACL rupture with the CBP, 90% of patients had evidence of healing on 3-month MRI (continuity of the ACL). More ACL healing on 3-month MRI was associated with better outcomes. Longer-term follow-up and clinical trials are needed to inform clinical practice.
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