Parents can go online to find out what childcare they are eligible for under plans which will see nurseries expanded to provide more places and funding given to councils for wraparound care. Further details of the previously-announced reforms to allow some families of children as young as nine months to claim 30 hours of free childcare a week – set out by Chancellor Jeremy Hunt in the March Budget – have been announced. The Department for Education said parents in England can visit an eligibility checker online to see what they are entitled to, depending on their earnings and their child’s age. The Government said £100 million is being made available for nursery and early years places, with funding intended to support childcare settings to increase their physical space, which the department said is anticipated to add thousands of new places across the country. Following Mr Hunt’s target for all schools to be able to offer care either side of the school day by September 2026, local authorities will also now be getting details of how much of the £289 million wraparound fund they will receive – based on “anticipated need”. Early years leaders had previously expressed concerns that nurseries and childminders could struggle to deliver additional places for younger children from next year if the funding provided by the Government does not meet rising costs. The offer of free childcare for working parents will be available to those with two-year-olds from April 2024, covering around half a million parents, but it will initially be limited to 15 hours. From September 2024, the 15-hour offer will be extended to children from nine months, helping a total of nearly a million parents, and the full 30-hour offer to all under-fives will come in from September 2025. This is the largest investment in childcare in our history, so I encourage people with young children or those thinking about starting a family to visit the Childcare Choices website to find out what they’re eligible for Education Secretary Gillian Keegan Education Secretary Gillian Keegan said: “No-one should have to choose between having a career and having a family, so I’m determined that every parent who wants it should have access to the childcare they need. “Flexibility is at the heart of our plans to transform childcare for families, whether it’s offering quality childcare out of school hours or making sure there are more early years places where they’re needed most. “This is the largest investment in childcare in our history, so I encourage people with young children or those thinking about starting a family to visit the Childcare Choices website to find out what they’re eligible for.” Paul Whiteman, general secretary of school leaders’ union NAHT, said that far more investment is needed. “Unfortunately, the money behind this expansion is a fraction of what is required. Our members are also questioning where they will find the additional staff,” he said. “There is a real danger that the Government’s promises could fall short in reality if they don’t urgently look again at the funding and resources.” Helen Hayes, Labour’s shadow children and early years minister, added: “Without more details about whether this is new money, how many places it will provide and how new childcare will be staffed this pledge isn’t worth the paper it’s written on. “The Conservatives have overseen a dramatic fall in the number of childcare providers and places – they simply cannot be trusted to deliver the change in childcare that families need and deserve.” The department also said the childminder start-up grant scheme will open for applications by the end of November. The grant – £600 for those who register with Ofsted and £1,200 for those who register with a childminder agency – is aimed at boosting the numbers of childminders working to offer parents more flexible childcare. Work and Pensions Secretary Mel Stride said: “Boosting employment is key to growing our economy, and the extra money provided for parents on Universal Credit will give them the flexibility and security they need to find a job, support their children and reap the benefits of work. “I encourage every parent to access this resource to see what help is available and to talk to one of the thousands of Work Coaches in our Jobcentres who are there to help them find work or enhance their skills.” Parents can visit childcarechoices.gov.uk to use the eligibility checker. Read More Is scalp exfoliation the key to healthier hair? Why do some people love horror movies? TikTok influencers warn about ‘potent’ steroid cream risks among black women – dermatologist explains the risks House of the Year 2023 shortlist revealed by Royal Institute of British Architects Fatima Whitbread supporting new fostering campaign, as research finds ‘misconceptions put people off’ 5 key coat trends to complete your autumn/winter wardrobe

Seven years ago, I was at my local antenatal class preparing for the birth of my firstborn. In my forties and armed with a coloured birthing ball, I looked around and gasped. All the other soon-to-be-mums were at least a decade younger than me. Some were nearly half my age. It briefly panicked me. Would I make any friends? Why did I leave it so late to have kids? Was I doing something wrong? In hindsight, though, I had no reason to worry: your forties is absolutely the best decade in which to have your first child. According to data published last week in The Daily Telegraph, the number of women becoming first-time mothers in their forties has increased in recent years: today, one in 25 UK births is to a woman aged 40-plus. That’s a lot of women just like me, despite the fact that getting pregnant over 35 gets you labelled as someone of “advanced maternal age”. That might sound harsh until you remember that older pregnancies used to be termed “geriatric” – thank God that’s been phased out. I’ve never regretted waiting until my forties, even if I had been trying for children for years by that point. My story is undeniably unique: my partner Alex took his own life while we were doing IVF, but that didn’t stop me from continuing to try to get pregnant. The maternal call was strong, so I decided to carry on with the process using Alex’s frozen sperm. Today I have two beautiful daughters with him: Lola, seven, and Liberty, five. It is an understatement to say I was ready for a baby at 40. I was grounded. Confident. Unlike when I was in my twenties or thirties, I knew exactly who I was and what made me tick. I had life experience. I no longer got FOMO. I didn’t even drink, having been through hell and back to become sober 20 years earlier. My career was fully off the ground, and therapy had helped me identify the family dysfunction I knew to ditch for the sake of my kids. I also wasn’t worried about my body bouncing back after the birth. I just desperately wanted to be a mum. Of course, there are all sorts of advantages to having children in your twenties and thirties. A huge bonus is that you’re simply more fertile. According to research, 31 is the magic age to have a baby – you’re still as fertile as in your twenties, but you also have more money. I’m sure motherhood in your fifties is great, too – although using your own eggs is highly unlikely, unless you froze them at some point before you turned 35. It means that some older mums often turn to donor eggs. Thinking back on my twenties and thirties, I don’t know how I would have managed motherhood. I don’t think I was ready to put my own needs on hold. I can’t imagine how hard it would have been to juggle work and my children, especially with the spiralling costs of childcare. I do accept that there are greater risks inherent in waiting to have kids. Both the quantity and quality of eggs dwindle. The rates of failed fertilisation, miscarriage and birth defects rise with age. There’s also the social pressure that comes with not having children early – you’re forced into endless conversations about the “ticking timebomb” of your fertility, and expected to fend off probing inquiries about your biological clock. The British Fertility Society advises women to start trying for a baby by the age of 32 at the latest, for a 90 per cent guarantee of having a child without resorting to IVF. But this advice simply wouldn’t have worked for me – I was determined to find the right person to have children with, and that didn’t happen until I was 35. When mine and Alex’s attempts to naturally conceive failed, and then Alex died, only at that point did I know I had the maturity to go it alone. I do have some regrets – I wish I’d frozen my eggs at the peak of my fertility in my mid-twenties, for instance (this process costs between £4,000 and £7,000 in the UK). But otherwise, having children in my forties was the right thing to do. Yes, I had my wobbles. I remember sobbing on the bathroom floor after yet another failed pregnancy test. I would berate myself for leaving it so late. I had to force myself to remember that many women experience fertility struggles in their twenties and thirties, too. All of those anxious feelings, though, flew out the window once I had my first child. When I left the hospital to begin parenthood alone, a new bag of nappies in hand, I didn’t have a meltdown. I was just so grateful that I’d had a baby, especially when the odds seemed so stacked against me. Sleepless nights trying to coax my child back to sleep were what I had most desired. It was all so good, in fact, that I went on to have a second child in my forties. I had a spare embryo in a freezer in St Petersburg. Now I call her Liberty. Every day since becoming a mum, I have embraced the mess and chaos, and appreciate every minute. I’m sure my younger self would cringe at the thought of me spending my evenings helping my children with their homework. But I’m proud to say that I’m living my best life. Read More Vanessa Hudgens addresses pregnancy speculation amid Cole Tucker engagement Rachel Bilson reveals she’s suffered multiple miscarriages Pregnant woman has maternity photo shoot in hospital before giving birth Hailey Bieber responds to ‘disheartening’ pregnancy rumours Like Rebecca Adlington, I also lost my baby at 20 weeks Britney Spears reveals she had an abortion while dating Justin Timberlake

It’s no secret that women are more likely than men to be misdiagnosed by a medical professional. In fact, as many as 57 per cent of women have reported being wrongly diagnosed by a doctor. In 2016, a study found that women have a 50 per cent higher chance than men of receiving a misdiagnosis after a heart attack, while researchers found in 2014 that 33 per cent of women are more likely than men to be misdiagnosed after a stroke. When it comes to women’s health, an explicit gender bias in medicine can lead to serious and sometimes life-threatening results. That’s why Dr Erin Nance, an orthopaedic hand and wrist surgeon located in New York City, has dedicated the month of October to sharing the most commonly misdiagnosed health conditions that affect women. Her series has since gone viral on TikTok, as she discussed how symptoms of rare autoimmune disorders or infertility can present differently in women, leading to a misdiagnosis. For the first video of the series, Dr Nance revealed how postural orthostatic tachycardia syndrome - also known as POTS - affects more than one million people, but is present in mostly women aged 20 to 50. However, Dr Nance explained that POTS is so difficult to diagnose because “we can’t see it”. “This is the group of women that get written off by doctors because they look healthy. There doesn’t seem to be anything wrong with them,” she said. According to the National Institute of Neurological Disorders and Stroke, POTS is a condition in which a reduced volume of blood returns to the heart after someone stands up from a lying down position. As a result, patients with POTS may experience an increased heart rate, dizziness, or fatigue when they stand up after lying down. @littlemissdiagnosed Day 1: It’s me, POTS, I’m the the problem it’s me #littlemissdiagnosed #31for31lmd #pots ♬ original sound - Dr. Erin Nance 🇺🇸 Dr Nance explained that some other symptoms of POTS include “chronic fatigue, brain fog, total body chronic pain, GI [gastrointestinal] stomach issues, anxiety, headaches, and it can affect any part of your body”. Another difficulty about POTS is that there’s “no specific treatment” to help the condition, Dr Nance said. “We can’t do a biopsy, we can’t do any imaging, there’s no blood test for it,” she added. Instead, doctors may recommend drinking more fluid, exercising regularly, or wearing compression stockings to keep blood flow in the centre of the body. For the 14th day of her video series, Dr Nance received 1.4m views when she spoke about the commonly misdiagnosed symptoms of stroke in women. “Stroke is the third leading cause of death in women,” she began the clip. “Yet, women are over 33 per cent more likely to be misdiagnosed when having an acute stroke.” Dr Nance admitted that most women who experience a stroke are often told by doctors that they simply have anxiety or a migraine. When it comes to the “unique” symptoms of stroke that are present in women, some may experience loss of consciousness or fainting; general weakness; shortness of breath; confusion, unresponsiveness, or disorientation; sudden behavioural change; agitation; hallucination; nausea or vomiting; seizures or even just hiccups. @littlemissdiagnosed Day 14: Stroke is no joke #littlemissdiagnosed #31for31lmd #stroke ♬ original sound - Dr. Erin Nance 🇺🇸 “These unique symptoms are often the ones that are overlooked,” Dr Nance said, before detailing the individual risk factors that can put women at a greater chance of having a stroke. The first on the list of risk factors was taking birth control pills, followed by pregnancy, hormone replacement therapy, and history of suffering from migraines. “The reason why this is so important for everyone - every normal, everyday person - to know this is because the best outcomes are when women are evaluated and treated within three hours of having this symptom,” Dr Nance added. On day 16, the orthopedic surgeon explained how symptoms of a heart attack can also be wrongfully overlooked by doctors. “More women than men die of heart disease every year, yet women have a 59 per cent increased risk of being misdiagnosed with acid reflux, stress, or anxiety,” Dr Nance said. Besides chest pain, a woman may exhibit signs of a heart attack when she experiences unusual fatigue for several days; sleep disturbances; shortness of breath; lightheadedness; nausea or cold sweats; indigestion or gas-like pain; and pain in the arm, neck, jaw, or back. @littlemissdiagnosed Day 16: It’s not always Big on the Peloton #littlemissdiagnosed #31for31lmd #heartattack #womensheart ♬ original sound - Dr. Erin Nance 🇺🇸 When it comes to multiple sclerosis (MS), Dr Nance revealed on day 19 of her video series that women are 83 per cent more likely to be misdiagnosed for MS by a doctor. MS is a disease that affects the “myelin” - the protective sheath covering the brain, nerves, and the spinal cord. According to Dr Nance, some of the often-missed signs of MS include extreme fatigue, confusion, forgetfulness, and mood swings. @littlemissdiagnosed Day 19: You’re gonna be okay #littlemissdiagnosed #31for31lmd #ms #multiplesclerosis ♬ original sound - Dr. Erin Nance 🇺🇸 As for lupus - an autoimmune disease in which the immune system attacks its own tissues, causing inflammation in the body - Dr Nance shared in the 20th video of her series that women between the ages of 15 and 45 are most likely to develop the disorder. “The average time from when you first develop your symptoms to diagnosis is six years,” Dr Nance revealed. @littlemissdiagnosed Day 20: Sneaky little 👿 #littlemissdiagnosed #31for31lmd #lupus ♬ original sound - Dr. Erin Nance 🇺🇸 She claimed that 46 per cent of patients report being misdiagnosed with something other than lupus, while “54 per cent of them were told that either nothing was wrong with them or that their symptoms were psychological.” “The main problem with lupus is that the longer you go undiagnosed and untreated, then the greater risk for end organ damages,” she added. The Independent has contacted Dr Nance for comment. Read More How to optimise your 22 minutes exercise a day according to fitness experts TikTok influencers warn about ‘potent’ steroid cream risks among black women – dermatologist explains the risks Want to be a useful man? Arnold Schwarzenegger is here to tell you how How to optimise your 22 minutes exercise a day according to fitness experts TikTok influencers warn about ‘potent’ steroid cream risks among black women – dermatologist explains the risks Want to be a useful man? Arnold Schwarzenegger is here to tell you how

According to skin influencers on TikTok, topical steroid creams are being ‘illegally sold’ in some black Afro hair and beauty supply stores, affecting black women in particular. Angela Mavalla, a pharmacist and skincare educator, has been sharing TikTok videos garnering thousands of views, encouraging black women to stop purchasing topical steroid creams from these shops – as they are meant to be prescription-only treatments used with appropriate guidance from a doctor. When used incorrectly, the creams can make potentially make skin symptoms worse and harder to manage. “Though these creams tend to address issues like acne and eczema very quickly, because of their potent nature, the skin becomes addicted to it and will flare up badly once you stop using them,” said Mavalla. “A lot my clients – [who are black women] – that I consult privately, were coming to me with issues relating to topical steroid use, such as having terrible flare-ups because they had stopped using the cream, and needed help with tapering off them. “I began making content based on these creams, mainly to warn people of them, and found that these TikTok’s would go viral in a short space of time, with lots of people relating to it, and giving their own testimonials of how the creams damaged their skin,” Mavalla added. “I have seen instances of accidental skin bleaching, worsened eczema and hyperpigmentation, topical steroidal withdrawal and addiction, and worst of all, a crippling low self-esteem and self image. It’s awful. “The first point of call when it comes to steroidal creams should always be a pharmacy. Pharmacists are always willing to help, advise and where necessary, signpost to the most appropriate medical profession, such as a dermatologist.” Dr Unnati Desai, the national GP lead, as well as safeguarding lead for GP services and dermatology lead at Nuffield Health, acknowledged that it can take sometimes take time to correctly diagnose these conditions, and might require a biopsy. It might also take a longer period of time to get symptoms under control, as skin conditions may require trying multiple different treatment regimes to find the one that suits each individual person, as well as getting to grips with individual triggers. What are topical steroid creams and what should they be used for? Doctors prescribe topical steroid creams to treat a wide range of skin complaints – but it’s important to have proper assessments first. “They are topical medications (synthetic corticosteroids) that have an anti-inflammatory action on the skin, by suppressing the skin immune system and constricting the blood vessels of the skin where applied,” Desai told the PA news agency. “They are used for dermatological conditions that result in inflamed, itchy or irritated skin – e.g. eczema, psoriasis, lichen simplex, lichen planus, lichen sclerosus and other autoimmune dermatoses.” Why do people experience topical steroid withdrawal after using steroid creams? When used incorrectly, topical steroids may have potentially significant side-effects. And as Desai warned: “Stopping any steroid treatment suddenly can often result in a flare-up of the condition, which may be worse than the original presentation.” There are some obvious signs and symptoms to look out for to figure out if you are experiencing topical steroid withdrawal, such as red, burning skin and a lumpy, papulopustular rash. “When using a steroid cream to get a dermatitis flare-up under control, especially when a more potent steroid cream has been used for a prolonged period of time, it is necessary to slowly come off the steroid cream and wean your skin off treatment by either reducing the potency of the cream, or the frequency [of application],” said Desai. “This gives the skin time to adjust to coming off the steroid cream slowly, but also clarifies whether the skin condition is coming under control with treatment. “Sometimes, severe dermatoses require long-term use of a medication to be controlled, in which case your doctor will consider alternative treatment modalities.” What damage can it do to your skin?Desai added: “Long-term use of potent steroid creams is not recommended, as there may be some systemic absorption, which can result in suppression of your body’s natural cortisol hormone at the worst. “In most cases, it is the long-term impact on the skin itself that is the concern, as regular or long-term use of steroid creams can impact the skin integrity and thickness, resulting in thinning of the skin, stretch marks, increased hair at the site of use, enlarged skin blood vessels and bruising. “Using a steroid cream when there is an underlying infection present on the skin will make the infection worse, or using steroid creams on the face can result in other chronic skin conditions, such as perioral dermatitis or other acneiform eruptions. “Occasionally, an allergy can develop to components within the cream that can make the dermatitis worse.” How can people remain safe? Desai stressed the importance of only using topical steroid treatments under the appropriate supervision of a qualified clinician. “In addition, as most chronic inflammatory skin conditions tend to result in drier skin, self-care at home with soap substitutes and emollients is important,” she said. “This includes gently cleansing the skin one to two times daily maximum (over-washing will negatively impact the skin barrier function, as will long hot bubble baths), and using unscented emollients (medical grade skin creams designed to gently hydrate the skin), which will better protect the skin and may, depending on the skin condition, make a flare-up less frequent or less severe. “If a steroid cream is needed, a doctor will recommend the amount of cream to be used according to the size of the area affected. We use the ‘Finger Tip Unit’ (FTU) – one FTU is the amount of topical steroid that is squeezed out from a standard tube along an adult’s fingertip – as a method of advising each patient how much cream they need to use with each application.” Read More House of the Year 2023 shortlist revealed by Royal Institute of British Architects Fatima Whitbread supporting new fostering campaign, as research finds ‘misconceptions put people off’ 5 key coat trends to complete your autumn/winter wardrobe 12 ways to weave some woodland wonder into your home Hibernation mode: 5 small self-care adjustments to make before the clocks change 13 possible cancer symptoms you should get checked out

Misconceptions including being single or too old are said to be putting people off fostering at a time of dire need for more carers, as Olympian Fatima Whitbread and poet Lemn Sissay front a new recruitment campaign. Radio presenter Pandora Christie has also joined efforts to get more people to consider fostering, as the trio – who all had experience living in care as children – shared photographs of their younger selves in support of the campaign. The National Fostering Group (NFG), which describes itself as the largest network of independent fostering agencies in the UK, said its research had shown thousands of carers are needed across Great Britain. Sissay, who has previously detailed his experiences in the British care system, said fostering or adoption is “the greatest thing a human being can do for another”, while Whitbread, who grew up in children’s homes, said it is “a unique chance to make a real difference to a child’s life”. The NFG described the care system as being “at a critical point” and said information it had received from 128 local authority fostering agencies in England, Scotland and Wales suggested almost two thirds of those had seen a rise in young people going into care in the last 12 months and an estimated 10,500 foster carers are now “urgently needed across the country”. But its polling of 2,000 adults suggested less than a fifth (14%)of people would consider fostering – a figure the NFG said could be higher if certain misconceptions were not held. More than a third (34%) of people felt they were too old to foster – with most of those who said this in the 65-plus age bracket, but 18% aged between 55 and 64 and 11% aged 45 to 54, the NFG said. Other reasons included already having their own children (13%), being single (13%), working (11%) and being disabled (9%), it added. Steve Christie, chief executive of the NFG said: “Many people perceive there to be barriers to becoming a foster carer that simply aren’t true. “We will consider people regardless of age, marital status, gender, sexuality, disability or employment status. “Anyone who has room in their home and their heart could be a foster carer, and most of our foster carers say that fostering is the best thing they have ever done.” Backing the campaign, Olympic javelin champion Whitbread said: “Foster carers offer children and young people a safe, loving and nurturing home when they can’t live with their birth families. This means they have a unique chance to make a real difference to a child’s life.” Heart radio presenter Christie, who went into foster care aged nine, said: “Foster parents are fundamental in creating a safe home environment and support system for children and young people who find themselves needing care. “The amount of futures they help to change and the difference foster parents can make to a child’s life is indescribable.” Sissay, who wrote about his time in care in his autobiography, My Name Is Why, said: “A child will test you emotionally, spiritually, financially, throughout your life, so to foster or adopt a child is the greatest thing a human being can do for another.” For more information on fostering, visit www.nfa.co.uk. Read More 5 key coat trends to complete your autumn/winter wardrobe 12 ways to weave some woodland wonder into your home Hibernation mode: 5 small self-care adjustments to make before the clocks change 13 possible cancer symptoms you should get checked out Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Nearly three-quarters of mothers feel invisible, study suggests

Shingles can be a very painful experience that affects around one in four adults in their lifetime. The infection, also known as herpes zoster, is caused by the varicella-zoster virus which also causes chickenpox. The virus is extremely common, with more than 90 per cent of the world’s population having it. It is usually contracted when people get chickenpox as children, but the virus does not go away, instead, it will lay dormant in the body’s nervous system for years. For about a third of people who get the virus, it will reactivate some years later and cause shingles. Here is everything you need to know about the symptoms of shingles and how to treat it: What are the symptoms? A person who gets shingles will experience a painful rash that can occur anywhere on the body. Early signs of shingles could be a tingling or painful feeling in an area of skin, a headache or feeling generally unwell. According to the NHS, the rash usually looks like “a single stripe of blisters that wraps around the left side or right side of your torso”. They appear as blotches on the skin that become itchy blisters, which can break and ooze fluid. The rash can be red, but this can be harder to see on brown or black skin. The rash can also appear on your face, eyes and genitals. If it appears around your eyes, it can affect your sight or hearing and make it hard to move one side of your face. According to the Mayo Clinic, if left untreated, the infection can lead to permanent eye damage. After a few days, the blisters will dry out and become scabs. If a rash appears on both the left and right side of the body, it is unlikely to be shingles. How is it treated? Shingles can take up to four weeks to heal, but can have more severe consequences in older people above the age of 50. If the symptoms are not serious, patients can take paracetamol to ease the pain and use a cool compress on the rash several times a day to soothe it. It is also recommended that you keep the area with the rash clean and dry to reduce the risk of infection and wear loose-fitting clothing. But there are some situations in which it is recommended you contact your GP or call 111. Due to the heightened risk in older people, you should seek help if you are aged 50 or older. People with a weakened immune system should also contact the health service, as well as those who have a rash that is widespread and painful, or has appeared near an eye. Are shingles contagious? Shingles are not contagious and you cannot spread them. However, if you come into contact with someone who has not had chickenpox and has not been vaccinated against chickenpox, they could catch chickenpox from you. The NHS recommends you avoid being around pregnant people who have not had chickenpox before, people with a weakened immune system, and babies that are less than a month old. Is there a vaccine against shingles? Yes, but it is only available on the NHS to people in their 70s. Shingles can be fatal for around one in 1,000 over-70s who develop it. The vaccine injection only needs to be given once. However, some people who cannot have the routine vaccine for health reasons will need two doses. Getting the vaccine will reduce your risk of getting shingles, and if you do get it, your symptoms may be milder and the illness shorter. If you already had shingles, you can still get the vaccine to protect yourself against developing it again. You may have to wait up to one year after you have recovered from the illness before you can get the vaccine. Read More When do the clocks go back in the UK this year? Hibernation mode: 5 small self-care adjustments to make before the clocks change Want to be a useful man? Arnold Schwarzenegger is here to tell you how When do the clocks go back in the UK this year? Hibernation mode: 5 small self-care adjustments to make before the clocks change Want to be a useful man? Arnold Schwarzenegger is here to tell you how

Holly Willoughby has announced that she “may not” be c-hosting ITV’s This Morning in the coming week due to contracting shingles. The 42-year-old TV presenter wrote on her Instagram Story on Sunday (16 April): “Hi, just to let you know, I may be away for the rest of the week as I have shingles.” “I’ll be back as soon as I’m better. Huge love,” she added. Shingles can be a very painful experience that affects around one in four adults in their lifetime. The infection, also known as herpes zoster, is caused by the varicella-zoster virus which also causes chickenpox. The virus is extremely common, with more than 90 per cent of the world’s population having it. It is usually contracted when people get chickenpox as children, but the virus does not go away, instead, it will lay dormant in the body’s nervous system for years. For about a third of people who get the virus, it will reactivate some years later and cause shingles. Here is everything you need to know about the symptoms of shingles and how to treat it: What are the symptoms? A person who gets shingles will experience a painful rash that can occur anywhere on the body. Early signs of shingles could be a tingling or painful feeling in an area of skin, a headache or feeling generally unwell. According to the NHS, the rash usually looks like “a single stripe of blisters that wraps around the left side or right side of your torso”. They appear as blotches on the skin that become itchy blisters, which can break and ooze fluid. The rash can be red, but this can be harder to see on brown or black skin. The rash can also appear on your face, eyes and genitals. If it appears around your eyes, it can affect your sight or hearing and make it hard to move one side of your face. According to the Mayo Clinic, if left untreated, the infection can lead to permanent eye damage. After a few days, the blisters will dry out and become scabs. If a rash appears on both the left and right side of the body, it is unlikely to be shingles. How is it treated? Shingles can take up to four weeks to heal, but can have more severe consequences in older people above the age of 50. If the symptoms are not serious, patients can take paracetamol to ease the pain and use a cool compress on the rash several times a day to soothe it. It is also recommended that you keep the area with the rash clean and dry to reduce the risk of infection and wear loose-fitting clothing. But there are some situations in which it is recommended you contact your GP or call 111. Due to the heightened risk in older people, you should seek help if you are aged 50 or older. People with a weakened immune system should also contact the health service, as well as those who have a rash that is widespread and painful, or has appeared near an eye. Are shingles contagious? Shingles are not contagious and you cannot spread them. However, if you come into contact with someone who has not had chickenpox and has not been vaccinated against chickenpox, they could catch chickenpox from you. The NHS recommends you avoid being around pregnant people who have not had chickenpox before, people with a weakened immune system, and babies that are less than a month old. Is there a vaccine against shingles? Yes, but it is only available on the NHS to people in their 70s. Shingles can be fatal for around one in 1,000 over-70s who develop it. The vaccine injection only needs to be given once. However, some people who cannot have the routine vaccine for health reasons will need two doses. Getting the vaccine will reduce your risk of getting shingles, and if you do get it, your symptoms may be milder and the illness shorter. If you already had shingles, you can still get the vaccine to protect yourself against developing it again. You may have to wait up to one year after you have recovered from the illness before you can get the vaccine. Read More Five signs of sepsis you need to know and act on immediately EuroMillions winner burned through £40m by spending £100K a week Tech entrepreneur, 45, spends $2m a year on reverse ageing to achieve body of an 18 year old: ‘Horrifying’ Shingles symptoms, what causes it and how to treat the virus When do the clocks go back in the UK this year? Hibernation mode: 5 small self-care adjustments to make before the clocks change

With the clocks going back on October 29, longer, darker nights are imminent – and many of us may be nervous about how this could impact our wellbeing. But, there are some little acts of self-care that could help. Here’s how to switch up your self-care routine as the clocks change… 1. Spend more time outdoorsIt may be getting colder, but time outside could be the best thing for you to protect your emotional welfare as the shorter days draw in. “When the clocks change, the internal body clock, our circadian rhythm, has to reset and it can become out of sync with our standard night-and-day cycle. It can take a few days for our body to adjust to the new sleep pattern, which can affect our hormones and temperature,” explains Dr Harriet Leyland, clinical advisor at myGP. To mitigate this, “spend more time outdoors”, she suggests. “Sunlight can alleviate drowsiness as it limits the release of melatonin, a hormone that induces tiredness and gets you ready for bed.” Jodie Relf, a Pilates instructor and registered dietitian from myOva, suggests making this part of your daytime routine. “[Getting outside] can be more challenging once the clocks have changed, it’s often dark for many of us both going to and returning from work. Therefore trying to get outside during the day, at lunchtime, perhaps, can be beneficial in the winter months,” says Relf. 2. Think about your body temperatureYou may be feeling the cold outside, but we don’t want to overheat indoors – especially at bedtime. “We sleep better in a cooler environment, with the ideal bedroom temperature reported to be a cool 16-17C,” says Dr Guy Meadows, co-founder and clinical lead at Sleep School. “For best sleep, switch off the central heating and swap your lightweight summer duvet for a higher tog winter one. Alternatively, use a combination of sheets, quilts and blankets, as this allows you to more easily regulate your temperature at night for better sleep.” 3. Prepare for good sleepIf you always struggle with sleep when the clocks change, give yourself a helping hand by being prepared. “Gradually adjust your bedtime in the few days leading up to the clocks changing – go to bed 15-30 minutes earlier each night for a few nights in the lead-up,” suggests Meadows, explaining this will help with the body-clock switch. 4. Eat a colourful plate While you may just want stodgy comfort food to warm the chillier evenings, eating well is one of the best ways to support your overall wellbeing – aiding energy, immunity, mood and sleep. “Eat a balanced diet with a colourful variety of plant foods including fruits, vegetables and whole grains, as well as lean protein,” explains Dana Moinian, a psychotherapist at The Soke. “Avoid heavy or high-sugar meals close to bedtime.” 5. See friends While social plans may have wound down compared with summer, hibernating and distancing yourself too much could be damaging to your wellbeing. “Spend time with friends and loved ones,” says Moinian. “Socialising naturally boosts your mood and reduces stress levels.” So get the diary out and plan in some fun outings and get-togethers! Read More 13 possible cancer symptoms you should get checked out Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Nearly three-quarters of mothers feel invisible, study suggests The best ways to work-out in 22 minutes – as study finds this is magic number for offsetting ‘negative impact of sitting’ What crops will we be growing in the future, as climate change alters the landscape? As Rebecca Adlington shares heart-breaking miscarriage news: How to support others experiencing baby loss

Kylie Jenner has shared a rare comment about co-parenting with her ex, Travis Scott. The 26-year-old model spoke candidly about her and Scott’s children – Stormi, five, and Aire, one – during an interview with The Wall Street Journal Magazine, published on 24 October. When asked about co-parenting with the rapper, she said: “It’s going…. I think we’re doing the best job that we can do.” Scott and Jenner first started dating in 2017 and had an off-and-on relationship until January 2023. At the time, a source claimed to Us Weekly that the pair were “off again,” after rekindling their romance for a second time in February 2020. However, the publication also claimed that the former couple was still on good terms, adding: “This has happened so many times before, they’re known to be on-again, off-again, but always remain friends and great co-parents.” Since their split, Scott has shown his support for his ex. In April, he took to the comments of one of her Instagram posts and wrote: “A beauty.” However, fans came up with a different theory in July, with claims that a reference in his song, MELTDOWN”, was about Jenner’s new relationship with Timothée Chalamet, who she’s been romantically linked to since May 2023. At the end of the song’s second verse, Scott raps the lines: “Chocolate AP and chocolate the Vs got the/ Willy Wonka factory (Vs)/ Burn a athlete like it’s calories find another flame/ hot as me, b****.” The mention of Willy Wonka is seemingly in reference to Chalamet’s leading role as Roald Dahl’s famous fictional chocolatier in the forthcoming musical feature film, Wonka. During her interview with WSJ Magazine, the reality star also spoke candidly about motherhood, and how her perspective on beauty standards has changed while raising Stormi. She also described some of the lessons she’s teaching her daughter. “My daughter has totally taught me a lot more about myself, and seeing myself in her has changed everything. I’ve had so much growth and am just embracing natural beauty,” she said. “I’m teaching her about mistakes that I made and making sure she knows she’s just perfect exactly how she is.” The Kardashians star specified that some mistakes she’s made over the years have included getting “surgery when [she] was younger”. She added that while she’s never gotten work done on her face, she still decided to have a breast augmentation, which she’s previously been open about. “But just even getting my breasts done when I was 19 and getting pregnant soon after, not obviously planning to be pregnant at 19,” she said. “And I was never insecure about myself. I actually was always super confident and loved my body. I was just having fun. I was influenced by amazing boobs and was like, that’s what I wanted to do, and had fun with it.” According to the Kylie Beauty founder, her experiences can be lessons for her children. “I probably just should have waited until I maybe had kids or let my body just develop,” she said about the procedure, before adding that motherhood is about “teaching our kids to do better than us, be better versions of who we were”. During the interview, she also spoke about legally changing her son’s name from Wolf Jacques to Aire in 2023, one year after he was born. “That was the hardest thing that I’ve ever done in my life,” she said. “I’m still like: ‘Did I make the right decision?’” She also explained how difficult it was for her to come up with her son’s name shortly after giving birth. “The postpartum hit, and the hormones, and I couldn’t even make a decision or think straight,” she added. “And it just destroyed me. I could not name him. And I was like: ‘I feel like a failure. I don’t have a name for my son.’ So it took me a while. And then the longer I waited, the harder it was to name him.” Read More Timothée Chalamet compares Kylie Jenner romance to Harry-Meghan South Park episode Gym maths: How to optimise 22 minutes exercise a day according to fitness experts Chris Pratt sparks relatable parenting debate about childhood trophies Gym maths: How to optimise 22 minutes exercise a day according to fitness experts Chris Pratt sparks relatable parenting debate about childhood trophies Jasmine Harman tearfully recalls mother’s struggles with hoarding

Chris Pratt has asked the question almost every parent wonders when raising their children: Is it okay to throw away childhood trophies? The Guardians of the Galaxy star, 44, recently posed the question to his social media followers after he and his wife, Katherine Schwarzenegger, came across all her childhood trophies kept by her parents, Arnold Schwarzenegger and Maria Shriver. Pratt took to Instagram on 24 October, where he shared several photos of the children’s book author, 33, holding up some of her many childhood trophies - including “Problem Solving Super Star 4th Grade 2000” and “most improved two-year-old in swim class”. In the lengthy caption, the Parks and Recreation alum explained that Schwarzenegger’s mother had been “storing special items” from her daughter’s childhood for years, which he noted was “so very thoughtful”. “To see my darling wife beaming with sentiment as she opens these crates of meticulously organised keepsakes, remembering her cherished youth, makes me grateful for the efforts her folks put into archiving,” Pratt wrote. “I suppose that’s the payoff for the work it took to store this stuff, the smile on her face as she relives moments of her youth. To pray one day that your children will look back on their childhood with glee is a blessing. It is the hope of parenthood.” However, as the couple - who have been married since 2019 - perused Schwarzenegger’s prized possessions, it got him thinking about how long he’s supposed to hold onto his own children’s mementos. Pratt shares an 11-year-old son, Jack, with ex-wife Anna Faris and two daughters - Lyla, three, and Eloise, one - with Schwarzenegger. “Real talk,” Pratt said. “Once your kid goes through the stuff, is it okay to toss? I mean… do we need the ‘I was on a sports team trophy?’ Can they be donated? Repurposed? How many do we gotta keep? Not all of them right? Any of them? Is there a grading scale? Like, did you win? Were you a champion? Is there a specific sentimental connection? Help me out here. Do they go back in storage?” His relatable question prompted many parents in the comments section to sound off on how long they’ve kept their children’s trophies. Some users admitted that they wished their own parents had held onto their accolades for so long. “Wait this is amazing. I’ll be saving my children’s stuff for sure,” one person commented. “Well, I have no keepsakes from childhood and I wish I did. So there is that,” another said. “I had my boys go through their boxes and they kept what was special to them. I tossed the rest,” a third fan wrote. “FREEDOM!!!” Others revealed what they did to cherish their children’s precious memories while still saving some room in the storage bin. “I donated all my old trophies to an organisation that removes the labels and repurposes them for fun awards,” wrote one fan. “For those sentimental ones, we peeled off the engraved part and kept it in a plastic pocket notebook and tossed the trophy part,” said someone else. Another user suggested: “Give them out as prizes when your friends come over for game night.” Meanwhile, Schwarzenegger joked that her husband was simply jealous she’s acquired so many trophies over the years. “Feels like someone is a litttlllee bit jealous of my natural athleticism from birth and ability to solve problems,” she commented. Pratt’s mother-in-law also weighed in on the debate, as she applauded herself for saving almost every prized possession for her four children. “Omg I’m so happy,” Shriver commented. “Here’s to story trophies and school work and dresses and party outfits I feel vindicated.” The Jurassic World star was married to Faris in 2009. The former couple announced their split in August 2017 and finalised their divorce in October 2018, four months after he began dating Schwarzenegger. He proposed to the author in January 2019 and they were married in June that year. Pratt has often shared glimpses into his life as a father of three on social media. Most recently, he went viral when he posted a photo of the glittery makeover he received from his two daughters. He shared two photos of his new look, including one where his forehead was bedazzled with teal, purple, and silver gems. The other photo showed Pratt with pearl-like gems dotting his face, as well as a teal manicure. “All I have to say is… Jack would never do this to me,” he captioned the post. Read More Gym maths: How to optimise 22 minutes exercise a day according to fitness experts Jasmine Harman tearfully recalls mother’s struggles with hoarding Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Gym maths: How to optimise 22 minutes exercise a day according to fitness experts Jasmine Harman tearfully recalls mother’s struggles with hoarding Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis

TV presenter Jasmine Harman became emotional as she opened up about her mother’s struggles with hoarding – and how it adversely impacted their relationship for years. The host of Channel 4’s A Place in the Sun, Harman, 47, said she “refused to bring people home” and was “really, really embarrassed and ashamed” about her mum Vasoulla’s condition, on Wednesday (25 October) during an appearance on This Morning. “In fact, when I started working in television, it was my biggest fear that someone would find out about the way I’d grown up and the way that we lived at the time,” she told Dermot O’Leary and Allison Hammond. Reflecting on how things had changed since then, Harman teared up as she affirmed her priority is “having a loving relationship” with Vasoulla – and not “focussing on the hoarding” anymore. Addressing her mother, Harman added: “She’s helped me to become a much more compassionate person. We used to fight, didn’t we? “But now we have a relationship that’s outside [of the hoarding].” Hoarding was recognised as a mental health disorder in 2013. According to the World Health Organisation (WHO), it is characterised by “an accumulation of possessions due to excessive acquisition of, or difficulty discarding possessions, regardless of their actual value”. The Diagnostic and Statistical Manual of Mental Disorders (DSM) outlines detailed criteria that psychologists can use to diagnose hoarding, including cluttered living spaces where the room’s intended use [of cooking, sleeping, or sleeping] has become impossible. These behaviours usually appear during a person’s early life, with Vasoulla explaining it was triggered by “the trauma of loss” in her case. “We moved from Cyprus when I was about three so I left my baby things back home and started collecting trinkets in bombed-out houses that were still about in the early Sixties, after the war – trinkets that I treasured,” she explained. “Then we moved back to Cyprus for a couple of years and those things all got lost. Then we moved back to England and all my new ties got lost – so I just had lots of upheaval, lots of loss.” Vasoulla, whose father was killed in Cyprus, added: “It’s more the loss, like a bereavement. Losing your father is a big thing, moving country ...you lose everything and you get a new place to live. The trauma of loss [is] something that a lot of people have as the onset of their hoarding behaviour.” The mother-daughter duo previously opened up about how hoarding affected their lives in a 2011 BBC documentary, titled My Hoarder Mum & Me. Speaking about the “cathartic experience”, Harman on Wednesday confessed:“I genuinely had no idea how many people were affected by this.” Around three million people are reportedly impacted by the mental health condition, according to Hoarding Disorders UK. The organisation’s director Jo Cook, who joined Vasoulla and Harman on the This Morning couch, explained that hoarding is neither a lifestyle choice, nor “about poor housekeeping”. When asked about supporting loved ones who might struggle with hoarding, Cook recommended joining a support group and approaching the anxiety-based disorder with empathy. “It’s really important that that person that you’re helping, feels safe in their home with you. Because, essentially, you’re unpicking someone’s nest, so you need to make sure you’re doing it slowly and surely,” she added. If you have been affected by this article, you can contact the following organisations for support: actiononaddiction.org.uk, mind.org.uk, nhs.uk/livewell/mentalhealth, mentalhealth.org.uk. Read More Pete Davidson is on the market for a hot date - but not for him Gym math: How to optimise 22 minutes exercise a day according to fitness experts Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Gym math: How to optimise 22 minutes exercise a day according to fitness experts Neglecting women’s health at work could cost UK economy £20.2bn a year – analysis Nearly three-quarters of mothers feel invisible, study suggests

Neglecting women’s health in the workplace could be costing the UK economy around £20.2 billion each year, analysis has suggested. In a new survey of 2,000 women, 68% said that they have dealt with health issues at some point in their career, whilst almost 29% felt their employers were not supportive. When factoring in specific health matters that relate to women, including endometriosis, fertility, menopause and periods, this figure increases to 36%, leaving 46% of women worried that their health could impact their career trajectory and 48% thinking they would be forced to resign. The study conducted by AXA Health in partnership with the Centre of Economics and Business Research (CEBR) also suggested that 83% of women have had their personal finances affected when faced with health issues. For instance, 52% of women have had to take time off, 22% missed out on a promotion and 20% settled for lower pay. Economic modelling from AXA Health and CEBR suggested that ignoring women’s health at work could be costing the UK economy £20.2 billion a year. From 90% of women struggling emotionally, 46% feeling helpless and 43% feeling less motivated at work, this issue has also had a huge impact on their mental health and wellbeing. “As this report finds, neglecting the health of women in our workplaces isn’t just a matter of compassion; it’s a serious economic oversight,” said Flick Drummond MP, who is serving as the co-chair of the All-Party Parliamentary Group on Women and Work. Dr Pallavi Bradshaw, deputy chief medical officer at AXA Health, added: “While companies certainly still have a way to go in addressing women’s health at work, there is promise in the increased willingness of women to discuss their health concerns with colleagues and managers.. “For example, our women’s health report found that 60% of women who talked about their health found their employers to be supportive, whether this be through time off, offering counselling or making adaptations to the workplace. “These developments are positive, but as we delve further into the findings, it becomes evident that concerns extend beyond just health issues. A striking 53% of the women we surveyed voiced that, within their workplaces, women often shoulder more unplanned responsibilities – such as caring for loved ones – than their male counterparts. “Furthermore, when reflecting on their own families, 39% of respondents revealed that they bear a greater burden than male family members when it came to unexpected caring responsibilities. This gender-based imbalance in unpaid labour not only perpetuates inequality but also places women at risk of being sidelined in their careers, overlooked for promotions, or compelled to work beneath their true potential.” Bradshaw said the economic impact of neglecting women’s health is “still significant”, and urged the need for “more education, robust workplace policies and talent retention initiatives”. The report suggested women who work part-time are hit even harder when it comes to health-related issues. It found that 61% are worried about having to leave their jobs prematurely, which exceeds the average by 19%. Only 17% of women who work full-time believe that conversations surrounding women’s health are not encouraged in their workplaces, but this increases to 23% for those who are employed part-time. According to a report conducted by The Royal College of Obstetricians and Gynaecologists, women represent 51% of the population and 47% of the workforce. Read More Nearly three-quarters of mothers feel invisible, study suggests The best ways to work-out in 22 minutes – as study finds this is magic number for offsetting ‘negative impact of sitting’ What crops will we be growing in the future, as climate change alters the landscape? As Rebecca Adlington shares heart-breaking miscarriage news: How to support others experiencing baby loss What you need to know about new research into treating cervical cancer How to do Halloween make up and still take care of your skin