Potential drivers of changing ecological conditions in English and Welsh rivers since 1990.

River invertebrate communities across Europe have been changing in response to variations in water quality over recent decades, but the underlying drivers are difficult to identify because of the complex stressors and environmental heterogeneity involved. Here, using data from ∼4000 locations across England and Wales, collected over 29 years, we use three approaches to help resolve the drivers of spatiotemporal variation in the face of this complexity: i) mapping changes in invertebrate richness and community composition; ii) structural equation modelling (SEM) to distinguish land cover, water quality and climatic influences; and iii) geographically weighted regression (GWR) to identify how the apparent relationships between invertebrate communities and abiotic variables change across the area. Mapping confirmed widespread increases in richness and the proportion of pollution-sensitive taxa across much of England and Wales. It also revealed regions where pollution-sensitive taxa or overall richness declined, the former primarily in the uplands. SEMs confirmed strong increases in average biochemical oxygen demand and nutrient concentrations related to urban and agricultural land cover, but only a minority of land cover's effect upon invertebrate communities was explained by average water chemistry, highlighting potential factors such as episodic extremes or emerging contaminants. GWR identified strong geographical variation in estimated relationships between macroinvertebrate communities and environmental variables, with evidence that the estimated negative impacts of nutrients and water temperature were increasing through time. Overall the results are consistent with widespread biological recovery of Britain's rivers from past gross organic pollution, whilst highlighting declines in some of the most diverse and least impacted streams. Modelling points to a complex and changing set of drivers, highlighting the multifaceted impacts of catchment land cover and the evolving role of different stressors, with the relationship to gross organic pollution weakening, whilst estimated nutrient and warming effects strengthened.

Tackling differential attainment in specialist GP training in England and Scotland.

In this article NHS England and NHS Education for Scotland describe practical ways we are tackling differences in the attainment of people training as general practitioners (GPs).Trainees from minority ethnic groups and international medical graduates are less likely than others to qualify as GPs. It is difficult to change systemic inequalities, but over the past five years we have made practical changes to GP speciality training. Educators recognise there is an issue and are trying to tackle it.For example, people who had not successfully qualified had an opportunity to return to GP training. When we provided individualised targeted support, the proportion who completed training significantly increased (76%).This was a catalyst for reviewing unconscious bias in GP training. We implemented a national programme to tackle differential attainment and system-level bias. Educators now work with all GP trainees to identify their individual needs. Supervisors are trained to recognise bias and provide targeted support. There is mental health support and regular reviews to see whether trainees are ready to sit exams. Trainee representatives are championing the learner voice in national committees. Exams are being altered to reduce unconscious bias. We are monitoring attainment over time.The key message is that differential attainment should not be in the 'too hard basket'. The narrative is changing from 'can't do' to 'must do', supported by appropriate leadership, promotion and resourcing. There is much more to do, but we are making changes, evaluating and applying our learning. We have moved from talking to taking action.

The genome sequence of a caddisfly, Limnephilus lunatus (Curtis, 1834).

We present a genome assembly from an individual Limnephilus lunatus (a caddisfly; Arthropoda; Insecta; Trichoptera; Limnephilidae). The genome sequence is 1,270 megabases in span. Most of the assembly is scaffolded into 13 chromosomal pseudomolecules, including the assembled Z chromosome. The mitochondrial genome has also been assembled and is 15.4 kilobases long.

Evidence of biological recovery from gross pollution in English and Welsh rivers over three decades.

Uncertainty around the changing ecological status of European rivers reflects an evolving array of anthropogenic stressors, including climate change. Although previous studies have revealed some recovery from historical pollution in the 1990s and early-2000s, there are contrasting trends among pollutants across Europe and recovery may have stalled or been reversed. To provide more contemporary evidence on trends and status, here we investigate changes in English and Welsh river macroinvertebrate communities over almost 30 years (1991-2019) using a network of nearly 4000 survey locations. Analysis comprised: i) trends in taxonomic and functional richness, community composition and ecological traits, ii) gains, losses and turnover of taxa, and the overall homogeneity of macroinvertebrate communities nationally, and iii) an exploration of how temporal trends varied with catchment characteristics. Taxonomic richness increased, primarily in the 1990s, whilst a shift towards pollution-sensitive taxa continued throughout the study period, accompanied by a growing prevalence in traits such as preferences for fast-flowing conditions, coarser substrata, and 'shredding' or 'scraping' feeding strategies. Changes consistent with improvement occurred in both urbanised and agricultural catchments, but were more pronounced in urban rivers as they gained pollution sensitive taxa that were otherwise more prevalent in rural rivers. Overall, these results indicate continuing biological recovery from organic pollution, consistent with national scale trends in water quality. Results reemphasise the importance of looking at multiple facets of diversity, with periods of near-constant richness disguising changes in taxonomic and functional composition. Whilst this national-scale picture is broadly positive, we highlight the need to investigate more local variations or pollutants that depart from this aggregate picture.