Data from The Royal College of Emergency Medicine’s Winter Flow Project 2021/22 reveals that in November 2021 6,726 elective care operations were cancelled and in October 2021 6,335 elective care operations were cancelled.
Dr Adrian Boyle, Vice-President of the Royal College of Emergency Medicine, said:“In its first week of reporting, the Royal College’s Winter Flow project 2021/22 has a stark warning for the months ahead.
“Nearly 7,000 elective care operations were cancelled at reporting sites in November alone. This data comes as the National Audit Office, in their latest report, predict that the elective care waiting list could reach 12 million by March 2025.
“Data show 12-hour stays are twice as high as the same time last year; four-hour performance remains incredibly low averaging at 62% in November; long hospital stays have increased 13% since the beginning of October. Urgent and Emergency Care is verging on crisis and it is impacting and derailing elective care, meaning surgery for patients with serious conditions is delayed.
“The situation is unsustainable; we must see a willingness to address these crises and tackle the problems. The core of the issue is poor patient flow throughout the hospital and exit block caused by difficulties in discharging patients. These blockages cause ambulance handover delays, crowding and corridor care.
“Capacity must be expanded to avoid a hard-hitting impact on elective care. While it is crucial that social care is resourced to enable a timely and supported discharge of patients.
“In the long-term, restoring bed capacity to pre-pandemic levels and publishing a long-term workforce plan are vital to ensuring no parts of the system are compromised or derailed; to promoting good flow throughout the system; and keeping patients safe.”
£13 million to improve recycling and cut emissions
More than £13 million has been awarded to local authorities to increase the quantity and quality of recycling in Scotland.
Nine more local authorities have successfully bid for support from the Scottish Government’s Recycling Improvement Fund, bringing the total investment to date to £20 million.
The city of Edinburgh will receive £7.7 million for upgrades and expansion to recycling collection services which will see services improved for approximately 130,000 households.
The fund, which will total £70 million over five years, will deliver a step change in Scotland’s recycling performance and help local authorities get ready for future developments, including Scotland’s Deposit Return Scheme.
The investment to date could reduce CO2 emissions by as much 21,400 tonnes each year — the equivalent of taking 11,400 cars off the road.
Circular Economy Minister Lorna Slater said: “This is one of the biggest investments in recycling in Scotland in a generation.
“By providing the support that’s needed to modernise local recycling infrastructure, we can help local authorities significantly improve their recycling performance.
“That won’t just make it easier for households to recycle more – it will also make an important contribution to meeting Scotland’s ambitious climate targets.
“I look forward to seeing these projects deliver for local communities and the environment, and to further innovative ideas from local authorities on how they can utilise this fund to improve recycling in their area.
“We also want to see materials remain in use for as long as possible before they are recycled. To help make that happen, we will also be introducing an ambitious Circular Economy Bill during this parliament.”
Iain Gulland, Chief Executive, Zero Waste Scotland said: “These awards represent a major new development in Scotland’s recycling story, with nine more impactful projects from across Scotland which make the most of our resources, boosting recycling and the circular economy.
“We’ve been impressed by the thinking from councils and look forward to even more transformational projects being brought forward next year.”
Councillor Steven Heddle, COSLA spokesperson for Environment and Economy said: “Local Government in Scotland is fully committed to combatting climate change and supporting the Just Transition to a net zero society.
“A circular economy is an important part of this. The Recycling Improvement Fund projects announced today demonstrate the range of work and level of innovation undertaken by Councils here.
“We are keen to see the full fund supporting a wide range of projects in the next few years that make it easier for our citizens to recycle and reduce waste.”
The city council has welcomed the announcement.
Councillor Lesley Macinnes, Environment Convener, said: “We really welcome this funding and endorsement from Zero Waste Scotland for our new modern communal waste and recycling service.
“It’s a significant contribution to our overall delivery budget which will help us provide this improved service to around 130,000 residents who live in shared properties and therefore don’t have our kerbside service.
“The new convenient hubs make recycling easier and more accessible for residents as we’ve grouped all of the different types of waste bins together.”
Councillor Karen Doran, Environment Vice-Convener, said: “This significant funding shows great support for our new communal bin hubs which provide increased capacity, a more reliable and frequent service as well as reducing overflowing bins and street clutter.
“The funding will also be used for new bin sensors and five new electric vehicles for our fleet helping towards Edinburgh’s net zero ambitions and making improvements to our air quality.”
