Tag: NHS Scotland

Further investment in cancer support services

£9 million extension of partnership to help patients

A partnership to support cancer patients and their families to deal with the financial, emotional and physical health effects of the disease is to be extended with a further investment of £9 million.

The programme looks to ensure that everyone affected by cancer in Scotland has access to a specialist key support worker. This means clinicians have more time to offer direct medical and clinical support to patients.

Over the next three years, it is anticipated there will be a gradual increase in access to the service, with a minimum of 14,000 new cancer diagnoses accessing it each year.

The Scottish Government has been working in partnership with Macmillan Cancer Support to improve the service offered to those affected by cancer through the Transforming Cancer Care Programme (TCC). This partnership – the first of its kind in the UK – began under the 2016 Cancer Strategy and has seen £18 million invested to date.

The Scottish Government has agreed to continue the partnership and provide an additional three years of funding for the Improving the Cancer Journey services. Each partner will invest an additional £4.5 million.

Making the announcement ahead of a visit to NHS Forth Valley to celebrate the NHS 75th anniversary, First Minister Humza Yousaf said: ““Our recently published Cancer Strategy and Action Plan places an emphasis on person-centred care for all and supporting the mental health of cancer patients and their families.

“We have committed to launch the final Improving the Cancer Journey service, in partnership with Macmillan, over the next three years. We will also commit to spreading this successful model to all areas in Scotland over the coming year.

“This will see an additional £9 million of joint investment and ensure that everyone diagnosed with cancer in Scotland has access to a key support worker. It will be of great benefit to patients while also easing pressure on the NHS by freeing up clinicians.”

Janice Preston, Head of Partnerships at Macmillan Cancer Support in Scotland, said: “The Macmillan Improving the Cancer Journey (ICJ) Services are available for anyone affected by cancer.

“By the end of 2024, everyone in Scotland who needs support will have the chance to talk to an ICJ practitioner who will help individuals to identify their needs and access expert support, from benefits advice to emotional support – whatever they might need.

“This is a unique service for people affected by cancer that helps to reduce pressure on the NHS and is making a really positive difference to people living with cancer and their families. Since 2014, these vital, non-medical services have already helped over 18,500 people and this money will mean they can keep on transforming cancer support across Scotland.

“We are excited that, through our partnership with the Scottish Government, another £9 million is being made available to ensure people can continue to get this help for another three years.”

The roll out of the Improving the Cancer Journey model to every Health & Social Care Partnership follows 4 key principles:

o    100% of adults diagnosed with cancer, within agreed criteria, will be invited or referred to an ICJ service to speak to a specialist practitioner.

o    An ICJ practitioner with the service user will complete a Holistic Needs Assessment (HNA) and generate a care plan to meet the needs identified.

o    Local community assets will be identified and utilised to support the service user in meeting their needs.

o    The service user will be followed up by the ICJ practitioner in the community to monitor progress with agreed actions.

Dermatology: Funding to bring down outpatient waiting list

£1.8 million for new national service

A new national digital dermatology programme will be launched to help speed up treatment and reduce waiting lists.

By capturing quality digital images of a patient’s skin concern when they visit their GP or primary care provider the programme will, where clinically appropriate, allow a senior dermatologist to triage, diagnose and assess some skin conditions without the need for patients to attend an appointment.

People will then either be treated by their GP, directed to a more suitable service for their skin concern like an acne clinic or be offered a face-to-face appointment at a dermatology clinic, with those who need it directly scheduled for treatment or surgery.

Dermatology is one of the biggest outpatient specialties with over 46,000 patients on the waiting list for a first appointment at the end of March 2023. This new programme, backed by £1.8 million of funding, could potentially reduce demand for outpatient dermatology appointments by up to 50 per cent with the potential for up to 90 percent of referrals across Scotland to include a digital image.

Health Secretary Michael Matheson said: “The Scottish Government is determined to reduce waiting times across all specialities, and we know that dermatology is one of the busiest when it comes to demand for outpatient appointments. This new programme will lead to a better and quicker service for patients – allowing clinicians to see patients in the right place sooner. It has the potential to significantly reduce waiting times.  

“Innovation like this is vital for the future of our healthcare service and I am excited to see the real benefits that will come from programmes like this in the years to come.”

Fiona Macdonald, Consultant Dermatologist and Centre for Sustainable Delivery (CfSD) Clinical Lead for Dermatology said: “Managing referrals during the pandemic highlighted to Dermatologists how important a good quality image is to a Dermatology referral.

“It can help us prioritise the most urgent referrals, choose the right treatment pathway or offer advice to support care provided in Primary care”.

Dr Stuart Sutton, GP and clinical lead for primary and secondary care interface working, said: “Having a fast, effective and secure way for Primary Care teams to send images of our patient’s skin conditions to specialist colleagues will ensure more rapid and most appropriate advice and treatment is available – a picture provides a level of detail that cannot be conveyed in a traditional referral letter.”

Reducing the carbon footprint in the NHS

Delivering more environmentally sustainable care

A programme to reduce the carbon footprint of NHS Scotland and enable more environmentally sustainable care has been launched.

The National Green Theatres Programme, developed by clinicians, will cut the high emissions and waste typically generated in surgery while maintaining the highest levels of patient safety and quality of care.

The first set of actions will help NHS Scotland meet its net zero target by 2040 and reduce carbon emissions by 7,100 tonnes of carbon dioxide, the equivalent 4,400 single passenger return flights from Glasgow to New York.

The programme features a number of measures, all of which can be made without impacting patient safety or standards of care, including:

  • removing anaesthetic gases from the supply chain
  • moving away from single use instruments/consumables
  • introducing waste segregation
  • switching from pre-operative intravenous to oral paracetamol

The programme is being rolled out across the country following a successful pilot in NHS Highland.

Visiting the green theatre at Raigmore Hospital, Inverness, Minister for Social Care, Mental Wellbeing and Sport Maree Todd said: “The roll out of the Green Theatres Programme is a very positive step in the right direction to making our NHS net zero by 2040.

“Our incredible NHS staff have worked tirelessly to develop a model that not only puts patients and their safety first, but will reduce our environmental impact.”

Dr Kenneth Barker, CfSD Clinical Lead for the National Green Theatres Programme said: “Our patients always comes first but it’s great that we are now making clinically safe patient care decisions with sustainability in mind.

“Theatres are high carbon and energy intensive areas that produce high volumes of waste, so reducing their environmental impact will make a positive difference toward achieving Scotland’s net zero targets.

“We are working with our National Green Theatres Specialty Delivery Group and national partners to support Boards to implement these actions and are developing a Green Map to monitor progress.”

Majority of Scots will take COVID-19 vaccines in the future

A report published yesterday by Healthcare Improvement Scotland finds that the majority of Scots will take COVID-19 vaccines in the future, based on their experiences with COVID-19.

The survey, commissioned by the Scottish Government, asked questions about people’s motivations around vaccination as we move away from the pandemic.

Uptake of the COVID-19 vaccine has been high and the survey asked people if they would take up new offers of COVID-19 vaccination, or, if not, to understand their reasons why.

The Citizens’ Panel survey, which ran between November 2022 and February 2023, found that of the 667 people who responded to the survey, the majority of respondents (72%) said they would take up the offer of the COVID-19 vaccine in the future. The survey also found that of those who will take up the offer of the COVID-19 vaccine in future, their main reasons were to protect themselves (88%) and to protect others (82%).

One respondent said: “If I can do this to help myself and others, and know the vigorous testing the vaccines have gone through, then why wouldn’t I accept the vaccine?”

Some 12% said they would decline the offer and 17% were not sure. Where respondents did not want it, the most common reason given was concern over possible long-term side effects of the vaccine.

In addition, all respondents were asked if their decision about getting the COVID-19 vaccine has changed over time. The majority said that their decision has not changed (82%). Some 16% said they wanted it at first, but now they don’t, and just 2% said that they didn’t want it at first but now they do.

The survey asks if people are more or less likely to take up the offer of other vaccines, such as flu or childhood vaccines, based on their COVID-19 vaccine experiences, with 36% saying  more likely, 56% saying it’s made no difference, and just 7% saying they are less likely.

Simon Watson, Medical Director at Healthcare Improvement Scotland, said: “Vaccination is an absolutely essential element of our response to COVID-19 including future variants. It is vital to protect individuals, their families and the wider population of Scotland.”

Clare Morrison, Director of Community Engagement at Healthcare Improvement Scotland, said: “The findings around vaccination motivations highlight the positive public attitudes towards vaccination, as well as potential areas for improvement, mainly around the need to develop clear and accessible information about vaccine side effects and the benefits of vaccination including their effectiveness against serious illness.”

The report recommends the Scottish Government should continue to consider how to ensure positive and accessible vaccination experiences for all.

It also notes the Government should consider exploring people’s concerns further and their experiences around side effects. Developing further clear and accessible messaging around side effects, and the benefits and effectiveness of vaccination against serious illness may help address this.

Visit our Community Engagement website to access the full report.

Tech partnership boosts health innovation

Linking business and clinical expertise

Innovative companies will be able to trial new health products in clinical settings across the country following a link-up between the Scottish Government’s £42 million Techscaler programme and the NHS.

Participants in the programme, which provides world class expertise and support to young businesses with high growth potential, are being offered access to NHS Regional Test Beds. These enable entrepreneurs to work alongside clinicians and have access to patients and anonymised data to test ideas, products and services.

And in a reciprocal agreement, firms already using the NHS Test Beds will automatically become part of the Techscaler network.

Wellbeing Economy Secretary Neil Gray announced the move during a visit to Bioliberty in Edinburgh, which uses robotics to provide rehabilitation and assistance for stroke survivors.

The company will be one of 14 firms in sectors including healthtech and life sciences to join a Scottish Government-funded visit to New York to showcase their work.

Mr Gray said: “Scotland’s life sciences sector has an annual turnover of more than £8 billion and is one of our key sectors for transformative economic growth. This partnership will be able to leverage our world-leading universities, life sciences hubs and excellent healthcare systems to support the growth of the sector and development of entrepreneurs.

“Testing products in a real world environment and accelerating development is vital, and will enable a broader reach of the Tech Scaler programme. This in turn will benefit patients and medical staff as they develop cutting-edge technology for use across the NHS, from stroke and rehabilitation through to reducing drug-related deaths.

“It is a further example of the steps we are taking as we develop a sustainable, high-skill economy that works for everyone.”

Chief Scientist (Health) Anna Dominiczak said: “I welcome this collaboration, which will result in transformative innovations for the NHS and help to ensure that Scotland is the best location for life sciences companies.”

Scotland’s Chief Entrepreneur Mark Logan said: “By making this connection between health testing and business support, we create an environment for innovation which enables Scottish companies to compete effectively, whilst bringing much-needed treatment solutions to the NHS.”

Hospitalisations for COVID-19 and flu increasing

Winter vaccines reminder for eligible groups

Those eligible for the free COVID-19 and flu vaccinations are being urged to get their jabs as winter sets in and hospitalisations increase.

The reminder comes as Public Health Scotland (PHS) data shows in the week ending 11 December 2022, there were on average 735 patients in hospital with COVID-19, an 18.2% increase from the previous week.

Admissions for flu are also on this rise with the highest hospital admission rate noted in patients aged less than one year old (18.5 per 100,000). Parents and carers are encouraged to get their children vaccinated as soon as possible if they haven’t done so already. The flu vaccine for children is a painless nasal spray which will help protect them and reduce the risk of them spreading the virus to more vulnerable people.

The vaccines are safe, effective and offer the best protection to those most at risk of serious illness from COVID-19 and flu while also helping to protect the NHS at this, the busiest time of year.

Adults over 50 are entitled to get both free vaccines and further information on eligibility for each jab is available on the NHS Inform website.

Health Secretary Humza Yousaf said: “Uptake for the winter vaccine programme is very encouraging with Scotland delivering more jabs per head of the population among over 50’s than any other UK nation. However, the number of hospitalisations from both COVID-19 and flu are on the rise.

“The vaccines help to prevent serious illness and the need for hospital treatment freeing up capacity as we move into what could be the most challenging winter in the history of our health and care service.

“We are concerned that flu-related hospital admissions have been rising, with admission rates highest among very young children, and we urge parents and carers to get their children vaccinated with the painless nasal spray offered to this group.

“As well as protecting the child, the vaccine helps to reduce the risk of children spreading flu to family and friends who are more vulnerable, which is especially important at this time of year when families are getting together more.”

Winter vaccines | NHS inform

Health Secretary launches NHS Scotland’s winter campaign

People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency.

Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow.

Meeting staff at NHS 24, Mr Yousaf said healthy know how can help us stay well this winter: “Nobody wants to be unwell, especially over the festive holidays, and these few simple steps can help everyone manage common illnesses and avoid the need to interrupt the festivities with a trip to the pharmacy or GP.

“This is going to be the most challenging winter for our health service, and a lot of the ailments for which people access out-of-hours care can be easily managed at home. NHS 24’s 111 service is always busy over the holiday period, but roughly a third of calls to 111 result in safe, self-care advice at home.

“If this campaign can encourage people to care for common seasonal conditions at home, that will leave our frontline services free to help those with more serious conditions.

“By taking a few simple steps we can all do our bit to help support our health services this winter.”

Healthy know how tips to keep well this winter include:

Details on the Healthy Know How campaign and the full range of winter health advice can be found here – www.nhsinform.scot/winter

Cabinet Secretary for Health launches NHS Scotland’s winter campaign People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency. Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow. L/R Pic Peter Devlin

Joint working to reduce violence against workers under the National Assault Pledge

Emergency services, prosecutors and health colleagues are among those supporting a National Assault Pledge underlining a joint commitment to reduce violence and abuse against workers.

The National Assault Pledge builds upon Chief Constable Sir Iain Livingstone’s Assault Pledge, developed in response to a concerning increase in violence and abuse against Police Scotland officers and staff. The Chief Constable’s Assault Pledge was published in August 2020 with the support of the then Lord Advocate and Cabinet Secretary for Justice.

Since then, local pledges have been developed by services in Ayrshire and Dumfries and Galloway.

The national partnership group includes British Transport Police, NHS Scotland, Scottish Prison Service, Scottish Ambulance Service and others. The group will share best practice, develop preventative measures and use consistent messaging in their workplace to support and encourage staff to report incidents.

The National Assault Pledge was agreed by signatories at an event at Police Scotland Headquarters, Tulliallan, on Tuesday, 15 November.

Deputy Chief Constable Fiona Taylor QPM has been leading Police Scotland’s drive to reduce the impact violence and abuse has on officers and staff and introduce measures to improve their safety.

DCC Taylor said: “Being the victim of an assault can have a long lasting impact both physically and mentally. It’s not simply part of the job.

“Working in partnership with a number of key organisations highlights our collective approach and united pledge to reduce assaults at work.

“I want our officers and staff to feel supported and this partnership adds to work already ongoing in this area.”

Lord Advocate Dorothy Bain KC said: “Assaults on front line workers will not be tolerated and Scotland’s prosecutors will help protect their safety through robust action.

“The Crown Office and Procurator Fiscal Service work closely with police to ensure the effective investigation and prosecution of crime.

“Any criminal behaviour that threatens public safety and the safety of front line workers will be taken very seriously.”

In 2021/22, there were 7,858 common assaults against emergency workers – an increase of 12 per cent compared to the previous year. Over 7,000 of these were against police officers and staff.

Improved operational safety training, a Taser uplift programme and partnership with the Crown Office and Procurator Fiscal Service to introduce impact statements are some of the work that has been driven within Police Scotland to support officer and staff safety.

Video consultation scheme for patients rolled out to community hubs

Up to 40,000 consultations taking place every month

The Near Me video consultation scheme is being extended so patients can use it in community settings such as libraries, community and health and care facilities as well as their own home.

The platform is already being used for around 40,000 consultations a month, helping to ease pressure on the health service, and saving people time and money travelling to appointments.

Near Me consultations include hospital outpatient appointments, GPs, and a wide range of other services including care homes, dietetics and mental health support. Patients should be offered the option of a Near Me appointment, if appropriate, by the hospital, GP practice or other service, along with details of a website address for its video clinic.

Now patients will be able to visit 55 hubs across Scotland which have set up areas for private video consultations thanks to funding from the Scottish Government.

The new hubs provide private confidential space, good connectivity, and help for those with low digital confidence or no access to a suitable device. 

Health Secretary Humza Yousaf praised the innovative use of technology to benefit patients and ease the pressure of the NHS.

Mr Yousaf said: “Face to face appointments will always be there for people who need them, but Near Me has many benefits to patients, including saving time and money. It is valuable in giving them options on accessing healthcare in a way that is easy and comfortable for them.

“It allows multiple family members to join consultations and saves patients having to take time off work or organise childcare.

“The platform has also reduced the need for travel, saving an estimated 57 million miles of travel since January 2020. That is so important at this time when we are looking at fuel costs and the impact on the environment.”

Andrina Robb, Near Me Support Manager for NHS Highland, said:  “The Near Me system is safe and secure, and very straightforward to use. There is no app to download or registration required. Your details remain private, just like any other appointment.

“All you need is a device for making video calls, like a smartphone, tablet, or laptop, and an internet connection. If you don’t have these things, Near Me rooms are now available in some GP surgeries and other locations such as libraries. You can even invite along a friend or family member for support, and they can join the call even if they live far away.”

A feedback survey of nearly 25,000 users reported an average saving of 36 miles per visit – around 1.4 million miles a month. They survey also revealed 92% said the system was easy to use and 97% would use it again.

Video Appointments (nearme.scot)