NHS Lothian launches organ donation pilot programme

A new organ donation pilot programme is to be launched in NHS Lothian, it was announced yesterday.

The pilot will ensure that people who cannot be resuscitated after suffering a cardiac arrest in the community and who have previously expressed a wish to donate their organs in the event of their death, will have that wish respected.

The pilot will run in the Royal Infirmary of Edinburgh, where emergency medicine clinicians and the Scottish Ambulance Service practice the most advanced resuscitation techniques. As a result many more people who have suffered a cardiac arrest in the community are now making a good recovery.

Should the resuscitative measures prove unsuccessful, a decision will be made by two doctors that further treatment would no longer be in the best interests of the patient. End of life options (including organ donation) will then be discussed with the family.

Previously organ donation was not possible in these circumstances, even if the patient had made it clear that they wished to be an organ donor. The resuscitation process will continue to be run entirely by the emergency department based on their current policies and is totally separate from any consideration of organ donation.

Minister for Public Health, Michael Matheson said: “We welcome the fact that more people who experience a cardiac arrest at home or in the community are now surviving due to the introduction of modern resuscitation techniques by the emergency department clinicians and the Scottish Ambulance Service.

“However when all attempts at resuscitation in hospital have been unsuccessful it can be a source of comfort to the family to be able to respect the wishes of their loved ones who have made their organ donation wishes known by joining the NHS Organ Donor Register. This pilot programme is about doing this.”

Dr Matt Reed, Consultant in Emergency Medicine, Royal Infirmary of Edinburgh said: “We have an ongoing programme of improving the management of patients who have had a cardiac arrest in the community. The modern resuscitation techniques practiced by the Emergency Department in the Royal Infirmary of Edinburgh and the Scottish Ambulance Service in the South East of Scotland have seen survival rates for these patients improve dramatically and many more patients are now going on to make a good recovery.

“Unfortunately however, there are some patients who do not survive despite every attempt to save them. Many of those people will have expressed a wish to be an organ donor by joining the NHS Organ Donor Register in the expectation that their wishes be respected in the event of their death. This pilot will allow their wishes to be acted upon.”

Dr Jean Turner, Executive Director, Scotland Patients Association said: “Scotland Patients Association(SPA) welcomes this pilot which offers patients and their relatives the utmost assurance for the best outcomes from resuscitation with consideration and respect when organ donation may become an option for them.”

The pilot relates to adults aged 16-60 who have a witnessed cardiac arrest and who have expressed a wish to donate organs and/or tissues after their death. In its initial stages it will operate between the hours of 9-5 on weekdays.

Families will continue to be consulted on the proposed donation of their loved one’s organs.

Lothian is leading the way in Scotland in terms of population signed up to the NHS Organ Donor Register (just under 50% of the population). There are currently more than two million Scots on the NHS Organ Donor Register – over 41 per cent of the population which is the highest in the UK. The UK average is 31 per cent (October 2012).

In 2011/12 there were 346 transplants in Scotland. The majority of people on the transplant list are waiting on kidney transplants – 514 people.

NHS Blood and Transplant research found that 96 percent of people would take an organ if they needed one, but only 41 per cent of Scots have joined the NHS Organ Donor Register.

You can join the NHS Organ Donor Register by visiting the Organ Donation Scotland website or by texting LIFE TO 61611.

Benefits advice groups to share Holyrood cash

The Scottish Government is directing new money to agencies helping people facing the brunt of UK benefit cuts, Deputy First Minister Nicola Sturgeon announced yesterday. In response to a substantial increase in requests for help as a result of Westminster welfare reforms, a new package of funding will support those providing front-line advice and support to people across Scotland.

This will include an immediate cash injection of £300,000 for services such as those provided by Citizens Advice Scotland (CAS), the setting up a new £1.7 million fund providing direct support to advice services and a further £3.4 million to be spent over the next two years on helping organisations mitigate the impacts welfare reforms.

Changes in Child Tax Credit and Working Tax Credit will reduce the budgets of more than 100,000 households in Scotland – 88 per cent of them couples with children. On average these families will be £700 a year worse off.

Over 100,000 households across Scotland will also lose on average of around £600 a year as a result of the bedroom tax.

And it is estimated that around 1 million working age households in Scotland will be affected by the uprating of benefits by 1 per cent, announced in the Autumn Statement, reducing the total income of Scottish households by around £210 million by 2014-15.

Announcing the funding boost Ms Sturgeon said: “Many people across Scotland are suffering as a direct result of UK Government benefit cuts, and many more are concerned about how they may be affected by changes yet to come into force. Citizen’s Advice Bureaux across the country are currently dealing with nearly 800 new issues for every working day. And the latest extremely worrying analysis about the families affected by benefits illustrates exactly that point.

“This reflects our serious concerns about the pace, scale and impact of Westminster’s benefits changes. It is clear that the impact of the cuts will extend across Scottish society, with vulnerable groups, women and working families all likely to suffer. This is putting more and more pressure on the organisations that provide crucial front line advice to those affected. These are the people, who, on a daily basis see how lives are being damaged by the fall out from the UK government’s welfare reform changes. That is why we have listened and are providing £5.4 million to help meet the demand for advice and support as it dramatically increases.

“This is just further evidence of the need for independence. We want a welfare system in Scotland that provides fair and decent support for all and protects the vulnerable in our society. The only way to guarantee that is to have possession of the powers to deliver it.”

Background Information:

The Child Tax Credit and Working Tax Credit analysis is taken from published DWP statistics. Bedroom tax analysis estimates that:

105,000 households will be affected by the bedroom tax.

Of these, 83,000 will be under-occupying by one bedroom and 22,000 will be under-occupying by two or more rooms.

With around 586,000 households in the social rented sector, it is estimated that 18 per cent of all households in the sector will be affected.

Depending on the measure of inflation used, the average weekly loss in 2012/13 prices is between £11 and £12.

This gives an estimate total loss of Housing Benefit to the sector of between £60 -£65 million per annum.

The Bedroom Tax will reduce the amount of housing benefit support that can be given to tenants in the social rented sector by introducing new size criteria for working-age Housing Benefit claimants, who have extra bedrooms.

People who are judged to be ‘under occupying’ their home by one bedroom will have their housing benefit slashed by 14 per Cent. Where they are under occupying by two or more bedrooms the deduction is 25 per Cent.

The new criteria for under occupation could mean that ill or disabled people, who use a spare bedroom for medical equipment, may all be affected.

East of Scotland forces join to launch crime initiative

Criminals across the East of Scotland who fund their lifestyles through crime are being targeted in a major new campaign launched yesterday. Lothian and Borders, Central Scotland and Fife Constabulary will work together in the latest phase of the successful ‘Made From Crime?’ initiative.

It is designed to make full use of the Proceeds of Crime Act, specific legislation that allows officers to seize assets that have been purchased through criminal activity, and the campaign asks communities throughout the East of Scotland to report their suspicions via Crimestoppers about those making money illegally through crimes.

People can voice their concerns over the the telephone, online using the secure Crimestoppers website or through specific facebook advertising that is geo-targeted to communities throughout the East of Scotland.

‘Made from Crime?’ is the only POCA (Proceeds of Crime Act) initiative of its kind in Scotland, and has the backing of both the Scottish Government and the Crown Office and Procurator Fiscal Service.

Justice Secretary Kenny MacAskill joined Deputy Chief Constable Iain Livingstone, who will oversee the crime portfolio for the upcoming Police Service of Scotland, David Harvie (Director of Operations from the Crown Office and Procurator Fiscal Service) and Crimestoppers Chairman Bill Matthews to launch the campaign.

Monday’s launch marks an extension of the previous ‘Made From Crime?’ campaign which ran to huge success across the Lothian and Borders region in 2011 – during that phase of ‘Made from Crime?’ 44 people were arrested and charged in connection with POCA offences, and over £6.4 million of cash and assets were earmarked for seizure from criminals.

The joint working between Central Scotland Police, Fife Constabulary and Lothian and Borders Police comes in advance of the Police Service of Scotland launching on 1st April. These forces will join to form “East Command”, and will share services and resources.

Deputy Chief Constable Iain Livingstone said: “The launch of this campaign today sends out a strong message that the police in Scotland will not tolerate criminals profiting from crime. We know there are people living beyond their means on the proceeds of crime, be it through the purchase of flash cars, designer clothes or expensive jewellery, and that communities are suffering from the side affects of drug dealing, violence and other associated crimes.

” I would assure people who are trapped by those threatening them with violence or retribution, either associates or partners, that we will help them and tackle the violence and criminality they face. We will act on information and bring offenders to justice.

“Criminals don’t care or respect policing boundaries and it’s crucial that where they go, we go. This joined up working between Fife, Lothian and Borders and Central is the first step in stripping away the artificial barriers that force boundaries put up and tackling crime in a leaner, meaner and sharper way.”

Justice Secretary Kenny MacAskill said: “‘Made From Crime?’ is a great initiative in the fight against organised crime and I welcome it being expanded across the east of Scotland. There should be no hiding place in our neighbourhoods for those who cash in on crime.

“More than £6.4 million worth of dirty money and assets was earmarked for seizure through the first phase and I look forward to this second phase building on that. The Proceeds of Crime Act in Scotland has allowed over £60 million to be recovered from criminals, and we are investing this money through the CashBack for Communities Programme to put that bad money to good use.

“With Lothian and Borders, Central and Fife joining forces to build on the progress made 12 months ago, the net is closing in on those responsible for crimes that cause serious harm to individuals and communities. With the public’s help, more of those profiting from crime should and will be firmly brought to justice.”

Director of Operations for Crown Office and Procurator Fiscal Service David Harvie said: “We know that organised criminals are ever more resourceful and we need to be one step ahead of them. To do that, we need to know what is happening on the ground. Law Enforcement and prosecutors can’t do that alone. Our biggest allies in this are the decent, hardworking people who see first hand the devastation that organised crime brings to communities and the profits made by those criminals from the misery of others. We have to make sure, together with one another and with the help of Scotland’s communities, that crime does not pay.”

Bill Matthews, Chairman of Crimestoppers said: “Crimestoppers are delighted to be playing a key role in ‘Made from Crime?’. As the charity celebrates its’ 25th anniversary, we are proud of our unblemished record in support of those who wish to report crime anonymously”.