A new direction for tackling phosphorus inefficiency in the UK food system

Publication history: Accepted - 3 April 2022; Published online - 25 April 2022The UK food system is reliant on imported phosphorus (P) to meet food production demand, though inefficient use and poor stewardship means P is currently accumulating in agricultural soils, wasted or lost with detrimental impacts on aquatic environments. This study presents the results of a detailed P Substance Flow Analysis for the UK food system in 2018, developed in collaboration with industry and government, with the key objective of highlighting priority areas for system interventions to improve the sustainability and resilience of P use in the UK food system. In 2018 the UK food system imported 174.6 Gg P, producing food and exportable commodities containing 74.3 Gg P, a P efficiency of only 43%. Three key system hotspots for P inefficiency were identified: Agricultural soil surplus and accumulation (89.2 Gg P), loss to aquatic environments (26.2 Gg P), and waste disposal to landfill and construction (21.8 Gg P). Greatest soil P accumulation occurred in grassland agriculture (85% of total accumulation), driven by loadings of livestock manures. Waste water treatment (12.5 Gg P) and agriculture (8.38 Gg P) account for most P lost to water, and incineration ashes from food system waste (20.3 Gg P) accounted for nearly all P lost to landfill and construction. New strategies and policy to improve the handling and recovery of P from manures, biosolids and food system waste are therefore necessary to improve system P efficiency and reduce P accumulation and losses, though critically, only if they effectively replace imported mineral P fertilisers.This paper was produced as part of the RePhoKUs project (The role of phosphorus in the sustainability and resilience of the UK food system) funded by BBSRC, ESRC, NERC, and the Scottish Government under the UK Global Food Security research programme (Grant No. BB/R005842/1)

Establishing nurse-led active surveillance for men with localised prostate cancer: development and formative evaluation of a model of care in the ProtecT trial.

Objectives To develop a nurse-led, urologist-supported model of care for men managed by active surveillance or active monitoring (AS/AM) for localised prostate cancer and provide a formative evaluation of its acceptability to patients, clinicians and nurses. Nurse-led care, comprising an explicit nurse-led protocol with support from urologists, was developed as part of the AM arm of the Prostate testing for cancer and Treatment (ProtecT) trial. Design Interviews and questionnaire surveys of clinicians, nurses and patients assessed acceptability. Setting Nurse-led clinics were established in 9 centres in the ProtecT trial and compared with 3 non-ProtecT urology centres elsewhere in UK. Participants Within ProtecT, 22 men receiving AM nurse-led care were interviewed about experiences of care; 11 urologists and 23 research nurses delivering ProtecT trial care completed a questionnaire about its acceptability; 20 men managed in urology clinics elsewhere in the UK were interviewed about models of AS/AM care; 12 urologists and three specialist nurses working in these clinics were also interviewed about management of AS/AM. Results Nurse-led care was commended by ProtecT trial participants, who valued the flexibility, accessibility and continuity of the service and felt confident about the quality of care. ProtecT consultant urologists and nurses also rated it highly, identifying continuity of care and resource savings as key attributes. Clinicians and patients outside the ProtecT trial believed that nurse-led care could relieve pressure on urology clinics without compromising patient care. Conclusions The ProtecT AM nurse-led model of care was acceptable to men with localised prostate cancer and clinical specialists in urology. The protocol is available for implementation; we aim to evaluate its impact on routine clinical practice

Bacterial biodiversity in deep-sea sediments from two regions of contrasting surface water productivity near the Crozet Islands, Southern Ocean

The relationship between surface-derived particulate organic matter (POM) and deep-sea sediment bacterial abundance, community structure and composition was investigated in two different sediment layers from two zones of contrasting surface water productivity in the southern Indian Ocean. Bacterial sediment communities from high chlorophyll (HC) and low chlorophyll (LC) sites were characterized and compared using direct counts, clone library construction, denaturing gradient gel electrophoresis (DGGE) and fluorescence in situ hybridization (FISH). Of the 1566 bacterial clones generated from the sediment communities, 1010 matched published 16 S rDNA sequences at ?97% identity. A comparison of surface sediment clone libraries showed that at least one third of all identified operational taxonomic units (OTUs) were common to both HC and LC sites. DGGE community profiles were consistent (82% similar) and evenness of the major phylogenetic groups was 96% similar between surface sediment communities, where gamma- and alpha-Proteobacteria were dominant. Sediment communities shared similarly high biodiversity, while species richness was marginally higher at the LC site. Intra-site shifts in bacterial abundance and composition were observed with increasing sediment depth. Despite the differences in organic matter input between sites, the consistency observed between HC and LC sediment communities pointed to 1) the extent of remineralisation by mega and meio-fauna was a factor affecting the quantity and quality of POM available to sediment bacteria, 2) sampling during the early ‘nutrient assimilation phase’ of the bacterial response to freshly deposited POM or 3) the action of bacteria in the water column could affect the quantity and quality of POM available to sediment bacteria. Although factors other than these may explain the observed similarities, this first comparison of deep-sea sediment communities in relation to surface-derived productivity may be useful in further elucidating the role of sediment bacteria in carbon remineralisation in the deep-sea environment