Drug overdose: How to save a life

PUBLIC Health Scotland have worked with @SimonCommScot to publish a new resource on what to do in an emergency response to a drug overdose.

First, know the signs of overdose.

Get your copy of ‘How to save a life’ here:

🔽

https://publichealthscotland.scot/publications/how-to-save-a-life-emergency-response-to-an-overdose/…

#HarmReduction

Caroline is Scotland’s Midwife of the Year

A staff member with NHSGGC has been named Midwife of the Year 2024 at The Mariposa Trust Awards.

The Mariposa Trust exists to ensure that each baby who has died during pregnancy or early in life is recognised and that the parents, extended family, and friends receive the support they need for as long as they need it.

The awards recognise midwives, nurses, bereavement midwives, doctors and community members who have gone above and beyond in the care and support they have provided for people who have experienced baby loss. 

Caroline Judge is a Charge Midwife at the Royal Alexandra Maternity Unit in Paisley, and she was recognised by the charity for her important role in caring for women across Greater Glasgow and Clyde and their families when they experience loss in their pregnancy and birth journey.

In addition to her current charge midwife role Caroline has worked with women and families to provide resources for special memory making during this very emotional and difficult time in the labour ward.

She has introduced sibling boxes for brothers and sisters with the support of various charities, and she is passionate about progressing the service that provides follow-up care and support for women once they leave the hospital.

Caroline was honoured to receive a nomination for Midwife of the Year and in shock when they announced her name as the winner. She explained: “I was aware that the event had received a record number of nominations for this award, so I was very surprised when my name was called.

“I found the night inspirational being surrounded by so many incredible people who care for families with bereavement and do such an amazing job.

“I am forever grateful to the person who nominated me.”

Laura Flynn, Lead Midwife (Clyde) for NHS Greater Glasgow and Clyde, said: “Supporting families through their loss in pregnancy is a hugely important part of our work.

“Caroline leading the charge on many of our initiatives, to provide the level of care that our women and families need, is something that is worth recognising.

“Caroline has been a dedicated midwife in the RAH for many years and the team are so proud that she has been commended for the amazing work she does.”

NHS Greater Glasgow and Clyde is among the second wave of health boards within Scotland to implement the National Bereavement Care Pathways (Scotland) which aim to improve bereavement care for parents after pregnancy or baby loss.

Spending to support Scotland’s vulnerable children slashed by more than a third

SCSC calls for greater resourcing

  • Spending cut of £1,934 per pupil from 2012/13 for those identified with additional support needs (ASN) – 33.9 per cent cut over a decade
  • More than doubling in the number of pupils with ASN from 2012
  • Cut of 546 in the number of ASN teachers 

An alliance of leading providers of specialist children’s services, the Scottish Children’s Services Coalition (SCSC), has called for greater resourcing to support children and young people with ASN, such as autism, dyslexia and mental health problems.

The call comes as new figures contained in a parliamentary answer to the Cabinet Secretary for Education and Skills, Jenny Gilruth MSP, reveal that average additional support for learning (ASL) spend per pupil has slumped by over a third (34.8 per cent). [1] This comes against a perfect storm of escalating numbers of pupils with ASN, against the backdrop of cuts in support.

While the SCSC supports a presumption of mainstreamingfor pupils with ASN, meaning that they are educated in a mainstream school unless exceptional circumstances, without adequate resourcing there is an obvious impact on those with ASN, fellow pupils and teachers.

The SCSC is calling on the Scottish Government to work with local authorities to increase funding to support the needs of vulnerable children and young people, including greater provision of specialist ASN teachers, educational psychologists, behaviour support staff and classroom assistants.

The figures highlight that average spending per pupil on ASL by local authorities in Scotland (primary, secondary and special education) has fallen from £5,698 in the 2012/13 financial year to £3,764 in 2022/23 (in real terms). This amounts to an overall cut in spending of £1,934 per pupil, representing a 33.9 per cent drop.

This fall is against the backdrop of a 104.8 per cent increase between 2012 and 2022 in the number of pupils identified with ASN, from 118,011 to 241,639, amounting to 123,628 individuals. Those with ASNcurrently represent more than a third of all pupils (34.2 per cent).3

Between 2012 and 2022 the number of full-time equivalent ASN teachers (publicly funded primary, secondary, special and centrally employed) has fallen from 3,390 to an all-time low of 2,844, a decrease of 546 teachers, representing a cut in numbers of 16.1 per cent.4

Against the backdrop of Covid-19 and the cost-of-living crisis, with its disproportionate impact on those with ASN, this cut in support has created a perfect storm for those with ASN.

A spokesperson for the SCSC commented: “It is devastating to note cuts in spending supporting those with ASN, and we would urge the Scottish Government to adequately resource the provision of the likes of specialist teachers, educational psychologists and classroom assistants.

“We are facing a lost generation of children with ASN, and it is vital that they get the care and support they need, when they need it, especially given the impacts of the Covid-19 and cost-of-living crisis. This is also key if we are to genuinely close the educational attainment gap, as we know that those with ASN are disproportionately drawn from poorer neighbourhoods.

“We are experiencing a mental health emergency, and have also witnessed dramatic increases in classroom disruption, impacting on pupils and teachers alike. This is in part due to increased levels of social, emotional and behavioural difficulties post-lockdown.

“The Scottish Government and local authorities must work together to provide adequately resourced support across Scotland for those children and young people with ASN, representing some of the most vulnerable individuals in our society. “

Healthy Heart Tip: Reducing your salt consumption

Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK

Healthy Heart Tip: Reducing your salt consumption

Consuming too much salt can lead to high blood pressure, a major risk factor for developing heart diseases. Salt is a source of sodium which is essential for a healthy body and diet. However, when we consume too much it can have a negative effect on our cardiovascular system and kidneys.

Did you know that one tablespoon of soy sauce contains almost 3g of salt? The NHS recommends no more than 6g of salt a day, this is around one level teaspoon. This includes salt that is already in our foods, plus any that’s added during or after cooking.

Here are some tips to help you reduce your salt consumption:

Reduce processed food consumption

Processed, ultra-processed foods and packaged foods are often responsible for much of the salt you eat. Eating a diet based on fresh foods, fruits and vegetables will help to reduce your salt intake and improve your heart health.

Processed foods are those that undergo any deliberate changes before being sold, for example, washing, cutting, canning, freezing or adding preservatives. Whereas ultra-processed foods, undergo extensive processing and end up looking nothing like their original state. They often have additives, artificial flavours and colours, sweeteners and preservatives added to them.

Always check your food labels when purchasing packaged foods. Green and amber on the traffic light system labels are healthier as they tend to be lower in salt. Try to avoid labels with red on them where you can.

If possible, try and make the foods from scratch, this way you know exactly what’s going into it. It may help to batch cook and freeze some of the meals for convenience.

Choose lower-salt alternatives

Try low, reduced salt or sodium versions of foods and sauces. These are often available for soy sauces, jars of sauce and stock.

If possible, buy tinned vegetables, pulses or fish in water instead of brine, this will reduce your salt consumption further.

For a food to be classified as low in salt, it needs to have 0.3g salt or less per 100g. Between 0.3g and 1.5g of salt is classed as medium salt content, whilst 1.5g salt or more per 100g is seen as high salt content.

Don’t add salt to your food

Herbs and spices such as parsley, oregano and chilli powder are a great alternative to use than salt.

You could try adding lemon, garlic and wholegrain mustard for extra flavours in your cooking too.

Experiment with your flavours and enjoy your cooking.

Two in three Scots may be at risk of stress, charity warns

A mental health charity’s research has revealed more than two thirds of Scottish respondents are not meeting their needs and could be at risk of stress, which can lead to mental health challenges.

The Mental Health Toolkit, the training arm of independent mental health charity Suffolk Mind, has identified 12 emotional and physical needs – including Achievement, Emotional Connection, Sleep, Movement, Security, Attention, Control and Community – we should aim to meet to stay well.

The charity’s validated Emotional Needs Survey reveals that out of 2,367 Scottish respondents, 66% felt they were not meeting their Emotional Needs.

The survey also found that 66% are not feeling rested after sleep, 61% do not feel part of a community and 51% do not feel secure.

Wendy Sheppard, Corporate Relationships Manager at The Mental Health Toolkit, said: “When needs aren’t being met, we feel stress, nature’s way of alerting us that something is wrong.

“Our research shows more and more people in Scotland feel they are not meeting their needs which, as a result, could cause stress and mental ill-health.

“Many of the survey respondents were employed, and we know that our workplace can either support mental health or be a barrier to wellbeing.”

The Mental Health Toolkit provides workplace training through a suite of practical mental health courses for staff, managers, and leadership teams.

Officially launching in Scotland in April through a free breakfast event, The Mental Health Toolkit offers practical skills to support mental wellbeing at work.

The event, at Dalmahoy Hotel and Country Club in Kerknewton, near Edinburgh, takes place from 8.30am on Wednesday, April 3.

It will include networking with refreshments, an introduction to The Mental Health Toolkit and a Q&A session.

Wendy added: “Increasing knowledge and awareness of mental health and how to support colleagues is essential within any business or organisation.

“The Mental Health Toolkit gives people powerful tools to help recognise and meet their physical and emotional needs, as well as support those around them.

“We are excited to be officially launching our workplace wellbeing courses to businesses in Scotland, following success in our home county, Suffolk, and across the UK.”

For more information on The Mental Health Toolkit and to book your free place at the event, contact the team.

“We must improve patient strategy for Brain Tumours” – Foysol Choudhury

Lothian MSP Foysol Choudhury has called for an improved Scottish patient strategy for brain tumours, following his Member’s Business Debate which marked March as Brain Tumour Awareness Month.

Mr Choudhury, whose Member’s Business Motion on Brain Tumour Awareness Month achieved Cross-Party Support this week (26th March 2024) opened the debate on that Motion and shone a light on the importance of increasing funding for brain tumour research and improved patient outcomes, which he says have changed little in over a generation.

One in three people know someone affected by a Brain Tumour and this prevalence of the disease,  Mr Choudhury argues, is why brain tumours must be treated as a clinical and strategic priority by Government, with increased funding for research into brain tumours.

Mr Choudhury said: “Brain Tumours are a cancer of unmet need- despite poor outcomes, funding for brain tumour research remains at just a percentage of research funding for other cancers.

“Money must be ring fenced to support the discovery science that could transform patient outcomes in the field. More investment in research can lead to more clinical trials, new knowledge, and improved options and outcomes for patients.

MSP Choudhury also shared the experience of Rayhan and Theo, who both had to eventually attend A&E where a scan diagnosed their brain tumours after these went unnoticed by GPs.

Mr Choudhury said: “The saddening experiences of Rayhan and Theo are unfortunately not unique-many other patients have to struggle with misdiagnosis or their brain tumours going undetected for some time.

“The Brain Tumour Charity found 41 percent of people suffering from a brain tumour had to visit their GP three or more times before being diagnosed.

“This must change if we are going to achieve early and successful treatment for brain tumour patients.

“That’s why it should be a priority to develop new clinical pathways informed by specialist knowledge and clinical training to identify Brain Tumours.”

Thomas Brayford, Policy and Public Affairs Manager at Brain Tumour Research, said of the debate: “We come together every March to mark Brain Tumour Awareness Month and to raise awareness of this deadly disease, which kills more children and adults under the age of 40 than any other cancer.

“And, only 12% of brain tumour patients survive beyond five years of their diagnosis. These outcomes can and must improve. But this will only happen if the Government prioritises brain tumours and declares them a clinical priority.

Mr Choudhury says that Brain tumours have been left ignored for too long and that following his Member’s Business Debate, he will continue to argue for increased funding and clinical development to tackle the devastating outcomes for brain tumour patients.

Foysol Choudhury MSP’s Member’s Business Debate for Brain Tumour Awareness Month on 26/03/34 can be watched here: https://www.scottishparliament.tv/

Lottery funding for Hearts & Minds’ Elderflower programme

Award-winning Edinburgh charity Hearts & Minds has today received an award of £15,360 from the National Lottery Community Fund Awards for All Scotland to enable the charity to develop their Elderflower Programme for people living with dementia in Alloa.

Sean Donnelly, CEO, Hearts & Minds commented: “We are delighted that our Elderflower programme has been awarded funding from the National Lottery.

“This crucial support will enable Hearts & Minds to create personalised interactions specifically designed for individuals living with dementia in Clackmannan.

“We understand the importance of fostering positive human connections for those affected by dementia, and our aim is to provide them with meaningful, engaging, and often uplifting experiences that significantly contribute to their well-being and overall quality of life.

“We extend our heartfelt gratitude to the National Lottery for this award, which will allow us to extend our reach and impact to even more individuals this year.”

The National Lottery Community Fund, Scotland Chair, Kate Still said: “Every day National Lottery funding is changing the lives of thousands of people in communities across Scotland for the better.

“This project delivered by Hearts & Minds Limited, is a great example of community activity in action, showing just what can be achieved when people come together for a common cause or to help others.

“National Lottery players can be proud to know that the money they raise is helping to support this vital work which is making a real difference to so many.”

Hearts & Minds would like to thank The National Lottery Community Fund, for this award made possible by National Lottery players.

The Elderflowers are professional performers selected for their empathy, compassion, respect, and playfulness and are trained in clowning techniques including improvisation, music, slapstick, celebrating mistakes and rhythm.

They are also trained how to use their clowning skills in healthcare environments for older people living with dementia and other associated cognitive difficulties, who might be feeling anxious, isolated, confused, or frustrated, have sensory decline, and a loss of confidence and self-esteem. 

The Elderflowers currently visit Findlay House, Edinburgh and Borders General Hospital and with this funding will return to Clackmannan.

Championing care-experienced children and young people

£10.5 million to improve educational outcomes

Care experienced children and young people will receive further support to improve attainment, attendance and wellbeing throughout their education and beyond.

The Scottish Government will provide £10.5 million to be shared by local authorities across Scotland through the Care Experienced Children and Young People Fund.

Launched in 2018, the funding is provided to local authorities and aims to improve the educational outcomes for care experienced children and young people, supported by the strategic goals of The Promise and the Scottish Attainment Challenge.

The fund has so far provided more than £60 million to deliver initiatives such as mentoring programmes and out of school support.

First Minister Humza Yousaf, said: “I am fully committed to Keeping the Promise – every single child should grow up loved, safe, supported and respected, as well as being given every opportunity to flourish and reach their full potential.

“Supporting care-experienced young people includes helping them to continue or re-enter education and The Care Experienced Children and Young People Fund plays a vital role in delivering additional support to improve educational outcomes.

“We know it is making a real difference as the latest figures show more care experienced children and young people are staying in school for longer and achieving higher qualifications.

“Improving outcomes for care-experienced young people requires a truly national effort, and the Scottish Government will continue to work with local authorities, schools and others to ensure that all young people in Scotland can meet their full potential.”

COSLA Children and Young People Spokesperson Cllr Tony Buchanan said: “Local Government is committed to keeping the Promise made to care experience children and young people by 2030.

“We have welcomed this funding, which councils have used in recent years for a number of innovative approaches responding to the diverse needs of care experience children and young people across Scotland. This has included ‘virtual’ head teacher and mentoring schemes.

“We will continue to work with the Scottish Government, across Local Government and with our partners across the education system to ensure that all children and young people grow up loved, safe and respected and achieve the best possible outcomes.”

Working towards a Tobacco Free Scotland

ASH Scotland has responded to yesterday’s Scottish Government’s Ministerial Statement on Working Towards a Tobacco-free Scotland by 2034 and Tackling Youth Vaping.

Sheila Duffy, Chief Executive of ASH Scotland, said: “We warmly welcome the Scottish Government’s commitment to reducing the harms caused by tobacco which continues to be the biggest preventable killer of people in Scotland with more than 8,000 deaths each year.

“We are pleased that the Minister has listened to concerns expressed by ASH Scotland and has confirmed the Scottish Government is content that, if the UK Government’s Tobacco and Vapes Bill is passed at Westminster, no one buying addictive, health harming tobacco products under-age in Scotland will be criminalised.

“We do, however, want to see the Scottish Government taking rapid action in laying, at the earliest practicable opportunity, its proposed restrictions tightening the rules on the advertising and promotions of recreational vaping products which were consulted on two years ago in Spring 2022 and are enabled by legislation passed in Holyrood back in 2016.

“Following mounting evidence of adverse health impacts, and studies consistently showing that youngsters who use e-cigarettes are up to three times at greater risk of starting to smoke tobacco, government must move at pace to take all vital steps to protect young people’s health.

“Waiting for potential four-nation agreement by MPs at Westminster, with a General Election pending, presents a severe risk of delays to regulations that children’s health and wellbeing can ill afford.

“As most e-cigarettes contain high levels of nicotine, which is extremely addictive, as well as toxic chemicals that have not been safety tested for inhalation and can damage lung health, retail marketing restrictions need to be introduced urgently as a vital measure to discourage youth vaping by reducing the promotion and visibility of e-cigarettes on our high streets and in communities across Scotland.”

Patients with glaucoma in Edinburgh to access care in the community

PEOPLE living with glaucoma in Edinburgh will soon be able to access support within the community rather than travel to hospital, thanks to a ‘revolutionary’ NHS healthcare policy.

NHS Scotland’s Community Glaucoma Service, which was piloted in Glasgow last year, will soon be rolled out in the capital after a city-centre optician was selected to deliver the scheme.

Michael O’Kane, clinical director of Specsavers in Cameron Toll and Morningside, is one of a handful of opticians across the country who has successfully completed an SQA qualification in Glaucoma Management.

The certificate will allow him to treat people with lower risk glaucoma or treated ocular hypertension in his practices in the city, rather than in hospital as soon as NHS Lothian rolls out the scheme.

It’s hoped the initiative will help alleviate pressure on NHS services in the long-term.

Michael says: ‘After 300 hours of training, clinical placements and studying, I’m delighted to have gained this qualification which will allow me to deliver this revolutionary eyecare service to patients in our community.

‘This qualification means I’ll be able to manage patient’s medications and continue to provide hospital-level care to people in Morningside, Cameron Toll and beyond.

‘This scheme will be of huge benefit to hundreds – if not thousands – of people right across Edinburgh, giving them faster and easier access to treatments and check-ups. I’m delighted to be a part of that.’

The flagship healthcare policy is expected to support around 20,000 patients across Scotland as it is rolled out over the next year.

Speaking at the time of its launch, public health minister, Jenni Minto, said: ‘Scotland is regarded as a world leader in community eye care service provision.

‘We are the only country in the UK to provide free universal NHS-funded eye examinations, and our investment in community optometry services has helped reduce the burden on GPs and secondary care services.’

Michael’s qualification follows the recent relocation of his Morningside practice to 85 Morningside Road.

The new store has seen investment in the region of £750,000 and includes seven new testing rooms, including a fully wheelchair-accessible test room and diagnostics area, and two Optical Coherence Tomography (OCT) machines, which allows optometrists to take a 3D image of the back of the eye to help spot serious eye conditions – including glaucoma – up to four years earlier.

The store also features two digital slit lamps and a host of state-of-the-art technology which allows opticians to identify the type of glaucoma a patient is living with.

Michael adds: ‘Timely diagnosis and treatment are essential and so our increased testing capacity and state-of-the-art diagnostic machines will allow our expert team to quickly identify any problems that may be detected.’

Specsavers Morningside, located at 85 Morningside Road, is open from 9am – 6:30pm Monday to Thursday, 9am – 6pm Friday and Saturday and 10am – 6pm every Sunday.

To book an appointment, call the store directly on 0131 446 9960 or visit: 

www.specsavers.co.uk/stores/morningside.

Specsavers Cameron toll, located within Cameron Toll Shopping Centre, is open from 9am – 6pm every Monday to Wednesday and Friday to Saturday, 9am – 6:30pm every Thursday and 10am – 6pm every Sunday.

To book an appointment, call the store directly on 0131 672 9210 or visit: 

www.specsavers.co.uk/stores/camerontoll