Health
Decrease in organ donations: what’s behind the trend
A record number of individuals are currently awaiting an organ transplant, a situation exacerbated by the growing trend of family members refusing to consent to donation.
Matthew Smith's life was put on hold for nearly a year as he awaited a crucial phone call that would determine his fate, a call that would inform him of a potential double lung transplant.

Following his diagnosis with a terminal lung condition in 2023, Smith was placed on a waiting list, enduring an agonizing wait for a transplant that would save his life.
He recalled the daily uncertainty, saying, "The moment you wake up, you can't help but wonder if today will be the day you receive that life-changing call."
For Smith and his wife, Nicola, from Wednesbury, each day was a nerve-wracking experience, filled with anticipation and uncertainty.
Nicola described the sleepless nights, saying, "I would often wake up in the middle of the night to check my phone, fearing I might have missed the call that could change our lives."
After 10 long months, the call finally came, but thousands of others remain on the waiting list, with over 8,000 people in the UK awaiting an organ donation, a record high.
Despite the growing demand for organ donations, the consent rate has plateaued, leading to longer waiting times for those in need.
An increasing number of families are opting out of organ donation, even when their loved ones had previously expressed a desire to donate, ultimately prolonging the wait for individuals like Smith.
In the West Midlands alone, over 500 people are waiting for a life-saving transplant, their hopes resting on the generosity of others.
In 2020, England introduced an "opt-out" donation system, which presumes consent for all adults unless they explicitly opt out, a move aimed at increasing donation rates.

The system, introduced five years after its implementation in Wales, was expected to save up to 700 lives annually, according to estimates by Theresa May's government in 2018.
However, the system has a significant flaw: family members can still override their loved one's decision to donate, even if they had registered as an organ donor.
Between 2020/21 and 2023/4, the number of family-blocked donations tripled, resulting in an estimated 2,040 "missed opportunities" in 2024, a 10-year low.
Families have cited various reasons for blocking donations, including uncertainty about the patient's wishes, concerns about the process, and objections based on religious or cultural beliefs.
Christine Cox MBE, a veteran campaigner from Wolverhampton, has dedicated over 35 years to promoting organ donation, inspired by her brother Peter's death in 1989.

Peter, who died of a brain tumor at 24, had wished to donate his organs, and his selfless act saved the lives of 17 people.
Cox recalled her brother's words, saying, "He believed it was our duty to ensure that as many organs as possible could benefit others, even in death."
However, the family soon discovered that there was no formal list for organ donors at the time, prompting them to campaign for its introduction, which finally occurred in 1994.
Prior to the donor list, organ donation relied on individuals carrying donor cards, which often proved unreliable.
Cox explained the challenges, saying, "People often didn't carry their donor cards with them, and medical staff didn't have the time to search for them, creating a significant problem."
Over the years, Cox has continued to advocate for organ donation, earning numerous awards for her tireless efforts.
While she welcomed the introduction of the opt-out system, she was dismayed to discover that family members could still override their loved one's wishes.

Cox believes that open discussion is key to resolving this issue, encouraging individuals to share their wishes with their loved ones.
She emphasized the importance of conversation, saying, "I urge everyone to make their wishes known and to discuss them with their friends and family."
Cox stressed that having these conversations can help ensure that one's wishes are respected, even in the event of an unexpected death.
The NHS has also launched the Hope Takes Flight campaign, which encourages families to discuss organ donation and make their wishes clear.
Harpreet Matharu, an NHS organ donation specialist nurse, emphasized the importance of conversation, saying, "When patients have opted in and had these discussions, consent rates are significantly higher."

Matharu also addressed concerns about the donation process, reassuring individuals that donors are treated with utmost respect and that their cultural and religious needs are catered to.
For those who are hesitant about donation, she encouraged them to learn more about the process, which can often help families during the grieving process.
Nicola Smith described the day of her husband's transplant as "a very long day," filled with emotions and uncertainty.
She recalled, "I cried from the moment he went into surgery until he came out, but it marked the beginning of a new chapter in our lives."

The transplant has given Matthew a new lease on life, allowing him to participate in activities he previously couldn't.
The couple is now looking forward to renewing their vows on their 30th wedding anniversary, a celebration of their love and Matthew's second chance at life.
Nicola urged people to consider the impact of organ donation, saying, "You're giving someone the chance to experience life, to create memories, and to live a long and fulfilling life."
By donating their organs, individuals can leave a lasting legacy, touching the lives of others in a profound way.
The Smiths' story serves as a testament to the power of organ donation, a selfless act that can change lives forever.
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.

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.

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.
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.

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.
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.

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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