Bringing you our fantastic final commitment in our new Scottish Government Social Impact Pledge!
Ruthanne Baxter and Cathy Southworth, Co-Leads of @edinburghmedicalschool 300 Community Connections, are here to share it with you:
“We will undertake activities that ensure our local communities feel tangible positive impact of our celebration of 300 years of the Faculty of Medicine (EMS300) at the University of Edinburgh.”
We’re hosting a free pop-up community barber session here at North Edinburgh Arts on Wednesday 27 May, 1–3pm, open to local residents in North Edinburgh and delivered by a professional barber.
Spaces are limited and booking is essential, so don’t miss out!
To book, contact the Link Up team on 07493 876 130
North Edinburgh Arts, 12C MacMillan Square, Edinburgh EH4 4AB
Patients, employers and GPs are set to benefit from an overhaul of the broken fit note system following the launch of several pilots by the UK Government to reform the system for workers who fall ill
Radical overhaul of broken fit note system to be piloted so it works for patients, employers, and healthcare professionals.
Trials to be delivered through selected NHS WorkWell sites and major employers.
Comes as new report shows just 29% of primary care staff see issuing fit notes as a good use of GP time.
Patients, employers and GPs are set to benefit from an overhaul of the broken fit note system following the launch of several pilots by the Government today to reform the system for workers who fall ill.
The current system sees some 11 million fit notes issued every year, with more than nine in ten declaring the person ‘not fit for work’.
Four pilots, in different areas in England, will look at the best way to end this tick-box exercise which does not offer any support or guidance and replace it with personalised ‘stay in work’ and ‘return to work’ plans for workers who fall ill.
The pilots will cover up to 100,000 appointments and last up to a year, with continuous testing, in order to narrow down the most effective approach to tackling the inherited steep increase in number of fit notes issued.
Patients will be offered either an initial fit note from a GP and then referred to community health workers – or go through the whole process without an initial fit note from a GP, and will instead be supported by a separate service staffed by clinical and non-clinical practitioners.
They will provide a range of work and health support, including three-way conversations between patients, employers, and trained professionals – covering reasonable adjustments and keeping people connected to their workplace from the first day of absence, helping more people to stay in work with support.
It is the first step in the Government’s ambition for radical fit note reform – with pilot findings due to be shaped by patients, healthcare staff, and employers – before the Government brings forward legislation to further reform the ‘broken system’.
Work and Pensions Secretary Pat McFadden, said: “Fit notes are too often a dead end – a piece of paper that tells people they can’t work but does nothing to help them get better.
“We’re changing that. By bringing employers, the NHS, and patients together we can help people recover faster, stay connected to their jobs, and get the economy firing on all cylinders.
“That’s what these pilots are about, and that’s what this Government is committed to – fixing what is broken.”
The launch comes as the Government publishes the Fit Note Call for Evidence which shows just three in 10 Healthcare Professionals in Primary Care say fit notes are a good use of GPs time, while six in 10 employers think the current process is ineffective at supporting their employees’ work and health needs.
Trials of a new approach was recommended by the former John Lewis chairman Sir Charlie Mayfield in his landmark Keep Britain Working Review into economic inactivity, which noted that the fit note system is “not working as intended” and had become a barrier to contact with employers.
Minister of State for Care Stephen Kinnock said: “Ever since I was appointed Minister of State for Care in July 2024, NHS staff have been telling me that the current fit note system isn’t working – not for patients, and not for the clinicians who sign them off.
“These pilots mark the beginning of the end for that broken system, giving people personalised support to get back into work and freeing up GPs from unnecessary admin so they can focus on what they do best: caring for their patients.
“This is what our 10 Year Health Plan is all about – earlier support, from the right people, in the right place.”
From July, the NHS will test new approaches through four existing WorkWell sites, backed by £3 million in the first year. The areas will test the following models:
Birmingham and Solihull – GPs issue the first fit note where needed, with all patients referred to a new support service led primarily by non-clinical staff, including social prescribers and work and health coaches
Coventry and Warwickshire – GPs issue the first fit note, with patients able to be referred to a support service made up of both clinical and non-clinical staff
Cornwall and the Isles of Scilly – GPs refer patients directly to a non-clinical support service, without issuing a fit note
Lancashire and South Cumbria – GPs refer patients to a support service made up of both clinical and non-clinical staff, without issuing a fit note.
BMA’s Practice Business policy lead for GPs committee England Dr Clare Bannon said: The BMA has contributed to the design of these pilots with DWP to overhaul the fit note system as we feel the current system is not working for GPs or patients.
“We welcome the opportunity to test how different models work and ensure the new process reduces unnecessary appointments for GPs, but most importantly provides support to patients.
“We will continue to input into the pilots to ensure they have appropriate occupational health support and do not inadvertently increase pressure on general practice or affect patient care. While we are supportive of this pilot, it must be underpinned by appropriate training, clinical oversight and clear governance.”
Professor Victoria Tzortziou Brown, President of the Royal College of GPs, said: “GPs take our responsibility to appropriately issue fit notes seriously, but the current system can involve significant administrative work that takes time away from patient care.
“We are open to exploring evidence-based reforms that could help improve outcomes for patients. However, any reform of the fit note process must put the health and wellbeing of patients first, be fully resourced and avoid creating additional workload for general practice.
“As such we look forward to seeing a comprehensive evaluation of this pilot.”
The Government is also confirming local funding allocations for WorkWell – the proven health-and-employment service through which the NHS-based fit note pilots will be delivered – as the programme expands nationally to support up to 250,000 people with a disability or health condition to get into or stay in work.
WorkWell is a local, health-led service connecting NHS, council and community support to keep people in work and help them return quickly if they don’t.
It comes as part of the Government’s wider £3.5 billion employment support package which meets sick and disabled people where they are, and builds on recent changes including the right for people on benefits to try work without fear of immediate reassessment, and the redeployment of 1,000 Pathways to Work advisers who are supporting those left behind by the previous Government.
Those who need time off to recover will still get it, with the Government’s Statutory Sick Pay reforms meaning employees receive support from day one of sickness absence, putting an extra £400 million a year into people’s pockets.
Alongside the NHS pilots, Keep Britain Working Vanguard businesses – including EDF Energy – will work out how employers can play a practical role in preventing absence where possible, and supporting safe, swift returns when it does occur.
Jacob Lant, Chief Executive of National Voices, said: “The current tick-box system for fit notes isn’t working for anyone, particularly patients. It makes people who are unwell jump through unnecessary admin hoops, and yet the process rarely offers people the support they need to get well and manage their conditions long-term.
The Department for Work and Pensions is absolutely right to test out new ways of supporting those who are signed off, and it is vital that patients are fully involved in that testing process, able to feed back over what works and what doesn’t. This is the only way to reliably avoid unintended consequences and create a system that actually helps both those who can’t work and those who would be able to with the appropriate support.”
“Ultimately the goal has to be about focusing on improving people’s health and getting them well, this is the hallmark of a compassionate state. In the end, investing in this approach will also pay dividends in terms of more people feeling able to work and being able to enjoy all the positives that come as a result.”
Nottingham GP Dr Sanjoy Kumar said: “I am really pleased the government is looking seriously at new approaches to fit notes, a change which is urgently needed.
“As a GP for over 25 years, I know how much of our clinical time is taken up with issuing these, which for many patients is not the right approach.”
Dr Steve Taylor GP Co-Lead Doctors Association UK said: “The Doctors Association UK has been involved in discussions over the past few months with the Department of Work and Pensions around Fit Note reform.
“These discussions were broad and included many groups: GPs, employers, patients and occupational health. We agree that the current system of fit-notes isn’t working well for patients, GPs and employers. It often lacks the nuance to deal with specific work situations and reasons that people have for not being able to work their full or part of their role.
“We hope these pilots will give the opportunity to explore a different way for people to engage with the periods of ill health and ways to make work more accessible and achievable. This recognises that GPs aren’t always best equipped to understand the options for work and we hope that active engagement between patients, GPs, employers and this new service will provide a better experience for everyone.
“It is important that no one is forced to work who cannot, but it is also important that those who can, should be encouraged and given options to work. This could be a great improvement and we look forward to seeing the outcomes from these 4 pilots.”
Chief Policy & Campaigns Officer John Foster at Confederation of British Industry said: “The fit note system is broken and fails employers, workers, and the economy. Business welcomes these pilots. They are an important step towards building a better system.
“Employers have increased their investment in supporting employee health and wellbeing and hope that these pilots will direct efforts to interventions that have the greatest impact.
“An improved system also needs to restore employers’ confidence that absence from work is only recommended when it is justified.”
Professor Neil Greenberg, the Society of Occupational Medicine said: “The Society of Occupational Medicine (SOM) welcomes DWP’s proposed fit note pilots, particularly the workability plan. The current fit note system is not working. Too many people who could potentially be supported to stay and return to work are not.
“The fit note reform offers clear benefits for employees, employers, and the NHS. SOM anticipate the pilots will generate useful data to improve how fit notes will support employees, alleviate GP pressures and help bridge the gap between employers and employees.
“SOM will be interested to see if the pilots will support better health outcomes through reduced absenteeism, and improved retention. SOM looks forward to working with the DWP to achieve a better fit note system.”
Charlotte Osborn-Forde, Chief Executive of The National Academy for Social Prescribing: “We are pleased that social prescribers – also known as link workers – will play a part in the fit note pilots.
“Link workers can support people with social issues that affect their health, including loneliness, isolation and problems with debt or housing.
“They focus on what matters to people and connect them to community-based support – including advice on money or housing, carers’ support, physical activity groups or local activities. There is strong evidence that this approach can benefit wellbeing and mental health.
“No one who is unable to work should be pressured into doing so, but this voluntary scheme should help join the dots between the NHS, employers and communities, and help people get the right support for wider issues that affect their health.”
Head of Policy and Practice at the Royal College of Occupational Therapists, Joe Brunwin, said: “These pilots are a real chance to help more people stay in or return to work and are centred around a core skill of occupational therapy: understanding people as individuals and considering how their environment and circumstances affect their ability to work.
“Fit note evaluations and pilots show occupational therapists are more likely to take a work-focused approach, using ‘may be fit’ advice and adjustments to support return to work. As well as signing fit notes occupational therapists can provide clinical supervision and governance for non-clinical staff.
“It’s encouraging to see a shift away from a purely medical approach to work absence, towards taking a more holistic approach.
“We look forward to seeing how this initiative makes use of occupational therapy expertise and how we can continue to work together as part of a multidisciplinary team, supporting people to stay in, return to and thrive in work.”
We wanted to share a quick update about our upcoming sponsored walk planned for 30th May.
Unfortunately we’ve had to make the difficult decision to postpone the event until August.
This is due to a couple of challenges we’ve faced recently. Our minibus has been badly vandalised and is currently out of action for the foreseeable future which has significantly impacted our plans. On top of that, we haven’t yet managed to raise enough funds to make the event as worthwhile as we’d hoped.
We’re really disappointed to delay, but we hope you understand that this is the right decision for now.
For those who have already kindly sponsored us, thank you so much for your support — it truly means a lot. If you have any questions about what this change means please don’t hesitate to get in touch with us.
We’re still very much looking forward to completing the walk in August and continuing our fundraising efforts.
Thank you for your understanding and ongoing support.
POLICE have released an image of a man they believe may be able to assist with their investigation into a serious assault in Edinburgh.
The incident occurred around 2.30am on Sunday, 12 April, 2026, outside a nightclub in Niddry Street when a man was seriously assaulted.
Officers are keen to speak to the man in the image as he could hold vital information which could assist their enquiries. He is described as aged between 25 and 35 years old, with a medium build and short, dark hair. He was wearing a green-coloured long sleeve top and gilet, blue jeans and black and white trainers.
Detective Constable Mark Richmond said: “I would appeal to anyone who has any information about the incident or if you recognise the man in the image, please get in touch.”
Anyone with information is asked to call Police Scotland via 101, quoting incident number 4130 of 12 April, 2026. Alternatively, you can contact Crimestoppers on 0800 555 111 where information can be given
The health of both Edinburgh’s residents and its economy continue to thrive, according to an annual statistical snapshot of the city.
Figures from the 19th yearly Edinburgh by Numbers show that people living in the Capital spend around 80% of their lives in good health – the largest proportion of any Scottish city – while Edinburgh has the highest employment rate (83.2%) of all major UK cities including London.
Edinburgh by Numbers is collated by the City of Edinburgh Council and is based on data from a variety of sources including the ONS, National Records of Scotland and the Scottish Household Survey.
Highlighting citizens’ wellbeing, the report reveals that Edinburgh has the highest life expectancy of all Scottish cities — 82 years for women and 78 for men – and that 86% of people participate in some kind of sport or fitness activity, including walking.
However, 17% of the city’s population continues to live in relative poverty, while property prices are rising – Edinburgh’s average property price is higher than the rest of the major UK cities outside London, except for Bristol.
Edinburgh’s population is growing, increasing by 9.4% in the decade leading up to 2024, compared to a national average of 4%. Overseas migration is attributed as the main driver behind the growth – with a net migratory effect over ten times greater than the net effect of births and deaths. Despite its growth, Edinburgh remains a relatively low-density city at 2,015 residents per km² which is well below comparable cities such as Manchester (5,099) and Sheffield (4,755).
Statistics published in Edinburgh by Numbers include:
Edinburgh attracted 5 million overnight visits in 2024, generating £2.57 billion in total visitor spend — a 14.3% increase on 2023
Renewable electricity generation rose from 27.3 GWh in 2019 to a peak of 39.7 GWh in 2023, before dipping to 35.5 GWh in 2024 due to reduced bioenergy output
The Capital’s median hourly pay is £20.49 – more than any comparable city other than London and over 50% above the UK Real Living Wage
17% of the city’s residents live in relative poverty (households whose income is below 60% of UK median income in the same year) though this is below the national average of 21%
Close to 23,000 new trees were planted in the council area as part of Edinburgh’s Million Tree City project
Around 60% of trips involve walking or public transport, 68% of short journeys under two miles are made on foot or by bike
86% of residents are satisfied with public transport, more than 20 percentage points above the Scottish average
Edinburgh has the second highest number of higher education students per 1,000 residents (140) of all major UK cities, behind Manchester (148)
The Capital has 36 Green Flag parks – over twice as many as Sheffield, the city with the next highest number of parks with the award
25% of people moving to Scotland from other countries outside the UK come to live in Edinburgh
Council Leader Jane Meagher said:“There’s always so much to learn from Edinburgh by Numbers and this year it shows us just what the city has to offer in terms of quality of life, employment opportunities and environment.
“We have more outdoor space than other leading cities while sustainable transport is the norm, with two thirds of short journeys made by foot or bike and Scotland’s highest satisfaction rating for public transport.
“Our economic output exceeds comparable cities, employees here receive fair pay and we have a booming higher education sector, all of which are amongst the reasons our population continues to grow at speed, with overseas migration driving the growth.
“I am proud that so many people coming to Scotland choose to call the Capital home, demonstrating what an inclusive and welcoming place it is. We’ll be celebrating the positive contribution immigration makes to our city in our new campaign, ‘Edinburgh is our Home’.
“Of course, with this popularity comes challenges – housing is in real demand, 17% of the city’s residents still live in relative poverty and the impacts of climate change loom large.
“As we plan for the future, data from Edinburgh by Numbers will be invaluable to our response to these pressures, from our Net Zero ambitions to the implementation of the Visitor Levy and our ambitious housebuilding programme.”
Today (22nd May) marks the anniversary of the worst rail disaster in British history, the Quintinhsill Rail Disaster, which will be marked at an annual Memorial Service at Rosebank Cemetery in Edinburgh on Saturday.
Taking place on 22nd May, 1915, at the height of the First World War, the event occurred at the Quintinshill signal box near Gretna Green. A train packed with nearly 500 members of the Leith Battalion of the Royal Scots, travelling from Larbert, collided with a local passenger service at Quintinshill.
Straight afterwards, a Glasgow-bound express train smashed into the wreckage at Quintinshill, setting off a devastating fire which engulfed the troop train. In total, around 226 people were killed (215 of whom were soldiers) and a further 246 people were injured.
Some bodies were never recovered, having been wholly consumed by the fire, and when the bodies of the men of the Royal Scots were returned to Leith, they were buried together in a mass grave in Rosebank Cemetery.
As we mark the 111th anniversary of this disaster, it is heartening to see continued recognition of this event, which I suspect few are aware of.