Appointment letters for winter vaccines inviting those aged 5 and over who are at higher risk of COVID-19 or flu are being sent out by NHS Lothian via post, e-mail or text over the next five weeks.
This includes those with certain underlying health conditions such as chronic respiratory, liver, kidney, heart or neurological disease, diabetes or with a severely weakened immune system.
More than two million people in Scotland will be offered vaccines over the next three months – with those most at risk the first to be vaccinated to protect themselves and help relieve pressure on the NHS.
Pat Wynne, Nurse Director for Primary and Community Care for NHS Lothian, who is overseeing the delivery of this year’s programme, said: “We strongly recommend those who are more vulnerable to serious complications from COVID-19 and flu get the vaccines. Both COVID-19 and flu can be serious even if you are healthy.
“Protection fades over time, so it’s important to restore it by having the vaccines when offered them. If you are unable to make the appointment time, please follow the instructions on your letter to rearrange it.”
Appointment letters will include information about how carers aged 16 and over and people aged 5 and over who live with someone with a weakened immune system can book an appointment.
If you have a condition and do not receive an appointment letter, you can check whether you are eligible and book an appointment at NHS Inform. Appointments for children under 16 must be booked by calling 0800 030 8013.
All people aged 65 or over should have received a scheduled appointment for COVID-19 and flu vaccinations by now. If you have not yet received this you can book an appointment at NHS Inform.
Those who are pregnant are also eligible and should speak to their midwife if they do not yet have an appointment.
If you are aged 50 to 64 with no additional risk factors, please wait to be contacted about your winter vaccination appointment.
A new report from The Royal College of Emergency Medicine finds that patients presenting with mental health problems are twice as likely to spend 12-hours or more in Emergency Departments than other patients.
National data show that nearly one in eight (12%) mental health patients presenting to an Emergency Department in crisis face a 12-hour stay from time of arrival, compared with nearly one in 16 (6%) of all attendances.
A recent SNAP survey of Emergency Departments found that more than one third of clinical leads reported patient stays of 72 hours or more in the last week, for patients with mental health needs.
‘Mental Health Emergency Care’ is the latest report in our series of explainers looking at the web of issues facing Emergency Departments. The report highlights that while patients with mental health presentations account for a very small proportion of Emergency Department attendances, they spend a disproportionate amount of time waiting for a mental health bed if they need admission.
Often, it is the patients who are most unwell and vulnerable that wait the longest. Those of greatest concern are patients waiting for a mental health bed, patients waiting for an assessment under the Mental Health Act, and Children and Young People presenting in crisis.
The prevalence and complexity of the mental health needs of children and young people increased during the pandemic, while capacity is struggling to meet surging demand.
Half of Emergency Departments in England reported waits of 12 to 24 hours for a child or young person to see a specialist mental health professional, despite the accepted standard for adults being a one hour wait to be seen.
If admission is needed, 46% of Emergency Departments reported that children and young people will wait more than 48 hours for a bed, with two respondents reporting a wait of five days in the Emergency Department.
The report looks in detail at factors contributing to these long waits, such as the reduction in mental health beds, inadequate numbers of children and adolescent mental health professionals, and poor organisation of professionals to assess patients under the Mental Health Act. It also examines the consequences for patients and departments and makes wide reaching recommendations.
Commenting on the findings of the report, Dr Katherine Henderson, President of the Royal College of Emergency Medicine, said: “The system is failing patients who present to Emergency Departments in mental health crisis.
“Those waiting the longest are children and young people, patients waiting for admission to a bed, and patients waiting for assessment under the Mental Health Act. It is unacceptable.
“We know long waits in a busy and crowded environment are harmful for any patient, but for these patients it can cause deep distress and upset and worsen their mental state. We must do more to ensure that these patients are seen, treated, and directed to the right care quicker.
“These patients presenting to Emergency Departments are extremely vulnerable, they are in crisis and seeking Emergency Care, yet are left waiting for hours and even days, before being treated and admitted.”
The explainer also shows that the UK has only 37 psychiatric beds per 100,000 population – far lower than the OECD average of 71 psychiatric beds per 100,000 population – and that since 1987, over 48,000 NHS mental health beds have been cut in England, with 5,000 mental health beds having been cut since 2011 alone.
Dr Henderson said: “Data show that bed occupancy at mental health trusts averaged nearly 90% between 2017-20, 5 percentage points higher than the recommended 85%. The NHS mental health bed numbers are clear; capacity does not meet demand.
“While the move towards a provision of community mental health care has been positive, the cuts to emergency mental health care beds have been devastating. Now, the most vulnerable and desperate patients are truly suffering.
“We urgently need to see an increase in mental health bed capacity, so we are able to admit these patients to a bed and provide the care they urgently need. We regularly hear heart-breaking stories of young people being admitted a long way from their home and family.
“We urge the new Prime Minister and new Health Secretary to prioritise Mental Health care provision in Emergency Departments, especially ahead of winter.
“We are failing these patients and they are suffering; our report and supporting survey show the extent of this crisis. We need urgent action now. To ensure we are able to quickly and effectively help vulnerable patients in crisis the government must increase mental health bed capacity in Trusts.
“Capacity for Children and Adolescent Mental Health Services (CAMHS) is especially important, and CAMHs should be expanded to 24/7 so that children and young people can be assessed and triaged whenever they present at Emergency Departments, rather than face long waits for these services to open.”
2021 emissions data shows continuing downward trajectory in greenhouse gas emissions
Greenhouse gas emissions from SEPA regulated industrial sites fell by 5% between 2020 and 2021.
This continues the downward trend in greenhouse gas emissions since 2007. Emissions figures reflect the continued impact of the pandemic on Scotland’s industries in 2021, with the economy not fully recovering to pre-pandemic levels.
A major accidental release of fluorinated gases by Anglo Beef Processors in Perth is being investigated by SEPA. It is the second largest accidental release in the food and drink sector in Europe.
The Scottish Environment Protection Agency (SEPA) has published its Scottish Pollutant Release Inventory (SPRI) data for 2021.
SPRI provides a valuable picture of the amount of pollutants released in Scotland from SEPA-regulated industrial sites. It is a publicly accessible electronic database and aims to provide information for policy makers, academics and the public about the pressure Scottish industry puts on the environment through greenhouse gas emissions. SPRI does not assess the compliance of the facilities or the health and environmental impact of the releases.
The latest data reveals greenhouse gas emissions fell by 5% between 2020 and 2021. This reduction continues the decreasing trend seen over the last 15 years, with an overall drop of around 62% since 2007.
2007 – 2021 greenhouse gas graph
Global warming potential of greenhouse gases reported to SPRI since 2007 (kg CO2e).
Ongoing impact of Covid-19
Around a third of the sites that report pollutant emissions to SPRI each year noted a significant difference in their 2021 data compared to 2020. This is a similar proportion to previous years.
The economy in Scotland contracted by nearly 11% in 2020, as public health restrictions and changing behaviours in response to the coronavirus pandemic suppressed activity. There were particular falls in the construction, manufacturing, and mining and quarrying industries, and the economy as a whole did not recover to pre-pandemic levels until the beginning of 2022.
Whilst a number of sites mentioned that production (and hence emissions) had increased following a downturn during the pandemic in 2020, other sites mentioned that production did not return to pre-pandemic levels during 2021.
Jo Green, acting Chief Executive of SEPA, said: “Scotland has a clear vision to become a Net Zero society, with ambitious plans for a just transition. The latest data from SEPA continues to see greenhouse gases from Scottish industry continue the long-term downward trend. These official statistics chart the progress we’ve made as a nation, but they also reflect the realism of a modern, Western European economy in transition.
“The data that SPRI holds is vital to helping us understand how changes are impacting on our environment both directly and indirectly, ensuring Scotland can identify priority areas to reduce releases and track progress.
“As Scotland’s environmental regulator, SEPA’s firm focus remains on helping Scottish businesses innovate and continue to emerge stronger and more sustainably from the impacts of the pandemic. We’ve all got a role to play in tackling climate change and the continued reduction of greenhouse gas emissions from Scottish businesses is vital in helping our country reach net zero.”
Increase in F-gas emissions
Fluorinated greenhouse gases (F-gases) are a family of chemicals that contain fluorine. They are also powerful greenhouse gases that contribute to climate change.
In February 2022 SEPA identified a large accidental release of F-gases from a meat producer, Anglo Beef Processors UK, Ruthvenfield Rd, Inveralmond, Perth, when the site submitted its Scottish Pollutant Release Inventory (SPRI) data returns for 2021.
It is one of the largest accidental releases in the food and drink sector in Europe up to 2020 and represents 87% of the total HFC emissions from all sectors in Scotland for 2021. This resulted in a significant increase in this pollutant (around 112%) compared to 2020.
SEPA’s Carbon reduction, Energy and Industry team began an investigation into the cause, which was related to the site’s refrigeration system. This investigation is currently ongoing and SEPA will determine whether any enforcement action is required as a result of its findings.
The site has now installed alternative refrigeration technologies.
Dr Pat Carragher from Fife collected his prestigious national 2022 WellChild Award, in association with GSK, at The Hurlingham Club in London on September 8th, having been nominated by his colleague Emma Craig,
The Awards are run by WellChild, the national charity for seriously ill children. The charity’s Patron, The Duke of Sussex was called away to Balmoral and so could not attend the WellChild Awards ceremony with his wife the Duchess as planned.
The news of Her Majesty’s passing broke just as the awards ceremony was about to take place. In a change to the planned proceedings, there was a short silence as a mark of respect followed by a rendition of The National Anthem from opera singers Natalie Rushdie and Camilla Kerslake. The winners then all came onto the stage as a group to receive their awards.
Dr Carragher, who is Medical Director at Children’s Hospices Across Scotland, was picked from hundreds of nominations from across the UK to win the Legacy category in these Awards which celebrate the resilience of children living with serious illnesses or complex conditions and honour the dedication of those individuals who go the extra mile to help these children and their families.
In summer of 2022, Dr Pat Carragher will be retiring as Medical Director at CHAS after nearly 39 years of working as a doctor. He has encountered periods of great change in his years as a medic including in Primary Care when he was a GP in Kinross before becoming Rachel House’s first hospice doctor and formally beginning work in Children’s Palliative Care in March 1996.
Dr Carragher has led the changes to CHAS’s medical service provisions through the Covid-19 pandemic. Despite the challenges the pandemic brought, alongside the team, he was determined to find ways to continue to reach the thousands of children with life-shortening conditions that rely on CHAS.
He helped establish new and innovative ways of working using technology to provide help to families across Scotland and proved himself to be a strong and resilient leader through immense change. He has reshaped CHAS’s medical services, helping families during what continues to be an isolating and unpredictable time.
Within three to four weeks from the start of the Coid-19 Pandemic, CHAS completely adapted its service offering to survive and to maintain the very best standards of care for children with palliative care needs, and to support their families.
Dr Carragher also led on virtual work through the “Near me” consultations via the NHS and by the use of Microsoft Teams, to interact with and assess children at home, and to work with their parents. CHAS’s pioneering virtual children’s hospice was also launched at the beginning of the pandemic and has rapidly developed since proving to be extremely successful.
Dr Carragher has also helped lead the CHAS hospital teams in Glasgow, Aberdeen and Edinburgh through this period of transformation, providing clinical leadership and support in the planning and delivery of palliative care whilst working closely with the NHS and local authorities.
He was key in launching the first hospital-based Supportive and Palliative Care team in Scotland at the Royal Hospital for Children in Glasgow and has continued to provide specialist advice through the pandemic.
Rami Okasha, the Chief Executive Officer of Children’s Hospices Across Scotland, who nominated Dr Carragher for the WellChild Award, said: “Dr Pat’s leadership and strength of character has enabled the team to adapt in ways which they never imagined.
“He’s shown resilience and an unwavering drive for reaching all of those who require CHAS’s help, and he’s inspired not only the medical team but all teams.”
“Dr Pat was continuously able to inspire and encourage teams to ‘keep going’ during the pandemic and to embrace the new and innovate ways to deliver care. He has provided solid leadership throughout this period of immense change.”
Dr Carragher ends many presentations with the following which he feels is vital for us all to understand: “The death of a child has serious and lasting effects on parents and other family members, effectively for the rest of their lives.
“Any attempt to reduce symptoms and improve quality of life in the final days or weeks, must not only be good for a child but, in the fullness of time, be helpful to those left behind.”
WellChild Chief Executive, Matt James said: “We were so pleased to be able to celebrate our remarkable winners at The WellChild Awards 2022, in association with GSK, despite the unique circumstances this year.
“It was a chance to recognise and highlight the immense challenges they have faced and to celebrate the remarkable positivity, resilience, and spirit they have demonstrated. It also helped us to shine a light on the dedication of those around them, from siblings, professionals and volunteers who have gone above and beyond to help them through such challenging times.”
Bring neighbours, friends and family together at this welcoming event at The Heart of Newhaven this Saturday afternoon.
There will be something for everyone to enjoy and I’ll have a brilliant screen printing activity running that’s easy, fun, experimental and colourful so pop in and have a taster of what Ink on Mesh and other businesses at the HEaRT have for you all.
Police have released an image of a man that they wish to speak to as they believe he may have information that can assist with an investigation into a serious assault.
The incident took place around 7.20pm on Sunday, 17 July 2021, on Windsor Street, Edinburgh. A 24-year-old man was verbally abused and assaulted by two males, and sustained facial injuries which required hospital treatment.
The person shown in the CCTV image, is described as a white male, slim build, 5ft 5 to 5ft 19 inches in height, between 15 and 18 years old, with light brown/blond hair. He was wearing a black t-shirt with a white logo on the front, black Nike shorts, grey trainers and was carrying a black rucksack on his back.
Officers believe that the male shown in the image may have information that could assist them and would appeal to him or anyone who recognises him to contact them.
Members of the public can contact Police Scotland via 101, quoting reference number 2274 of 21 July 2021, or if they wish to remain anonymous, they can call the independent charity Crimestoppers on 0800 555 111
Each of the five nurseries which were closed as a safety precaution during an E-coli outbreak in East Lothian have now been given the green light to re-open.
The Musselburgh Private Nursery chain has become the latest to welcome back staff and children, following final checks and inspection visits by East Lothian Council environmental health team, the Care Inspectorate and NHS Lothian Public Health team.
The Stoneybank nursery opened today (wed) while it’s sister company in Bridge Street is gearing up to re-open as soon as tomorrow (thurs).
Testing and the stringent E.coli clearance process has also been completed in both nurseries.
Dr Josie Murray, Consultant in Public Health Medicine and Chair of the multi-agency Incident Management Team (IMT), said: “We are really encouraged to see all of the nurseries open their doors once again and welcome back their staff and pupils.
“We know it has been a really difficult time for everyone involved, especially in accepting some of the control measures which were vital in containing the infection and stopping its spread within the community.
“On behalf of the IMT, I would like to thank everyone for working with us throughout this rapidly evolving and complex outbreak.”
Work is still continuing behind the scenes by the health care scientists in epidemiology and microbiology to try and identify the source of the infection.
Letters providing the most up to date information have been issued to families directly in some circumstances and via the nurseries distribution systems.
Church Street Pear Tree Nursery was originally closed on August 2 after a number of children fell ill and went on to test positive for E-coli.
The sister nursery Meadowpark Pear Tree Nursery was closed next, as well as West Road Pear Tree Nursery, Musselburgh Private Nursery, Bridge Street and Musselburgh Private Nursery, Stoneybank,.
In total, there have been 56 confirmed cases of E.coli. The infection was not confirmed at West Road Pear Tree Nursery.
The complex outbreak has evolved rapidly and a set of FAQs were developed to help answer questions from concerned families and carers and can be found on NHS Lothian’s website:
Positive Thinking Day fell on Tuesday the 13th of September. This day is meant for one thing: to put everything aside and concentrate on all things positive in life (even if we’re a day late! – Ed.).
Positive thinking has many benefits, including keeping your heart healthy by reducing stress. Here we explore ways to ensure you see the bright side and keep a positive attitud e…
Start your day with a positive thought
How do you start your day? Each day tends to continue as it starts i.e., if you get off on the wrong foot, you are likely going to experience more negative things throughout the day.
So, why not try to start the day with positivity to ensure you get started on the right foot? Be proactive and choose the thoughts and messages you want to embed in your mind.
Get outdoors
Ever noticed you feel better once you have been outside?
Nature always gives us positive energy. Spending some time outside will increase your energy, boost your mood and help you work efficiently. If going out isn’t an option, you can always surround your workplace or home with plants.
Always be grateful
If you express gratitude as a consistent part of your life; it forces you to acknowledge all the great things which happen.
The quickest way to turn a negative mindset to a positive one is to practice gratitude. Gratitude can be expressed in writing or verbally, for all of the great things you have in your life.
Positive Thinking Day serves as a reminder that something as simple as having a positive outlook towards life can make us significantly happier.
City councillors will unite to pay tribute to HM The Queen in a specially convened meeting this Friday (16 September).
The meeting, to be held in the City Chambers and broadcast live on the City of Edinburgh Council’s webcast channel, will take place at 10am.
The sole item for debate on the agenda is a motion put forward by Lord Provost Robert Aldridge, Lord Lieutenant of the City of Edinburgh, which states:
Death of Her Majesty the Queen – Motion by the Lord Provost
“On behalf of the citizens of Edinburgh, this Council offers its deep condolences to the Royal Family on news of the death of Her Majesty the Queen.
Throughout her extraordinary reign she showed great appreciation for her ancient and hereditary Kingdom of Scotland and its capital city Edinburgh.
During her countless visits to Edinburgh, she reached out to charities, veterans, service personnel, hospitals and children and won a very special place in the hearts of the citizens of Edinburgh and Scotland.
Over her seven-decade reign, she showed unwavering and inspirational, dedication to serving the nation and the Commonwealth, offering wise counsel in often turbulent times.
This Council and this City are in mourning. Council gives thanks for Her Majesty Queen Elizabeth’s exceptional 70 years’ service and extends its deepest sympathy to the Royal Family at this very difficult time.”
The agenda for this special meeting can be found at:
