Emergency Departments in Scotland are struggling against the combined pressures of extreme weather and a rise in hospital admissions from flu.
The Royal College of Emergency Medicine (RCEM) has described the country’s health service as being “in the depth of a winter crisis” as Scotland braces itself against snow and ice.
Yesterday, after coming under increasing pressure regarding the condition of Emergency Care in Scotland, Health Secretary Neil Gray said A&E demands had been “exacerbated by higher than normal levels of influenza infection in the community”. Data released last week showed hospital admissions caused by flu increased by 12% in a week.
The Health Secretary’s comments come as data released yesterday by Public Health Scotland revealed last November 6,429 patients waited 12 hours or more in Emergency Departments – the highest proportion of 12 hour waits for any November since records began in 2011.
Dr Fiona Hunter, Vice Chair of RCEM Scotland said: “Today’s data, and every previous month’s data, shows just how much pressure Scottish EDs were under coming into this winter.
“The system was already under extreme pressure, and this huge flu surge and cold spell are likely to be the straw that breaks the camel’s back.
“But it cannot – and must not – be blamed as the sole cause of the crisis we are currently experiencing.
“My colleagues are working flat out in very difficult conditions with some departments nearing 400% capacity- four times as many patients as there are cubicle spaces for. We are running on hard work and goodwill, and our patients are receiving unacceptable, undignified and unsafe care in corridors and in the back of ambulances.
“The main issue is that we can’t move our patients who desperately need admission to a hospital bed in to wards or high dependency units. These wards have the highest level ever known of patients who are ready to be discharged but have no available social support to allow them to do so.
“We are predictably gridlocked, in the depth of a winter crisis, and our patients and staff are the ones suffering.”
“TYPE 1 DIABETES DOES NOT CHANGE ONCE YOU CROSS THE BORDER, WHY SHOULD TYPE 1s IN SCOTLAND MISS OUT AND RECEIVE WORSE CARE BASED ON WHERE THEY LIVE?”
Scottish Labour MSP for Lothian Region, Foysol Choudhury, led the Scottish Parliament’s first Member’s Business of 2025 on one of Scotland’s most pressing healthcare technology issues – access to medical technology for diabetic patients.
This debate comes after much campaigning from both in and outside of parliament, including groups like iPAG (Insulin Pump Awareness Group), Diabetes Scotland, and MSPs like Mr. Choudhury, fellow Lothian MSP Sarah Boyack and Labour’s health spokesperson, Jackie Baillie.
Access to diabetes technology is crucial for people with Type 1 diabetes (T1D), an incurable autoimmune condition that requires lifelong insulin therapy and constant management, including making up to 180 more daily decisions about their health to balance blood glucose levels.
Access to diabetes technologies is essential to reducing the physical and mental burden of type 1 diabetes and preventing serious complications like seizures, heart disease, blindness, kidney failure, and death.
The physical and mental toll of T1D is immense, often causing symptoms like lethargy, nausea, and anxiety, as well as diabetes distress, but tailored treatments and access to current technologies are critical to easing this burden and improving quality of life.
This push for access to technology comes not only from campaign groups and politicians but also from those suffering long wait times to access HCL systems, with Scottish Labour figures showing about 3,000 patients waiting across Scottish health boards. Nearly 1,000 are waiting in Lothian alone, with some in Scotland waiting over five years for an insulin pump.
In June 2024, the Scottish Government announced “up to” £8.8 million to improve access to diabetes technology, including pumps and continuous glucose monitors. Yet health boards are still facing significant pressures to fund diabetes technology with the ongoing cost of managing and replacing these devices.
Some have stated that patients outside the identified priority groups will not have access to this technology for the foreseeable future. As of November, NHS Lothian has stated that there has been no additional funding for dieticians, diabetes nursing, and administrative costs from the Scottish Government.
As a result, these constraints are driving a shift toward less suitable options, such as systems that prevent carers from monitoring glucose levels remotely. Families report being offered Freestyle Libre 2+ or Freestyle Libre 3 as standard, with little consideration for individual needs.
This approach poses significant safety risks, particularly for young children and individuals unable to manage their own systems. This goes against SIGN 170, a toolkit published by NHS Health Improvement Scotland and the Scottish Intercollegiate Guidelines Network.
During the debate, MSP Choudhury emphasised: “Type 1 diabetes does not change once you cross the border, why should type 1s in Scotland miss out and receive worse care based on where they live?
“Diabetes technology is genuinely preventative care which will save the NHS money in the long term.”
Mr. Choudhury concluded: ““I want to finish by asking members to place themselves in the shoes of a type 1. Knowing the technology to change your life is available, but there is no political will to ensure you get it soon. Imagine the frustration you would feel day by day. We cannot just tell people to wait.”
Online activist and T1 diabetic, Lesley Ross, contributed online: “We shouldn’t have to fight for the best possible care when we are struggling to manage our condition.”
Chair of iPAG Scotland, Mary Moody contributed online: “We know that diabetes teams across Scotland want to do the best for their patients but are restricted by administrative and budgetary constraints.
A toolkit to assist decision-making is published by NHS Health Improvement Scotland and the Scottish Intercollegiate Guidelines Network,
but may be disregarded with people being given equipment that does not meet their exact needs and may put them at risk. This has got to improve. Patient safety has to come first.”
Following the debate, MSP Choudhury concluded: ““I want to thank the campaigners and type 1s who have been advocating and contributing to this discussion and thank them for their hard work.”
Services dealing with ‘extraordinary surge’ in flu cases
Health Secretary Neil Gray underlined the ‘resolve and resilience’ of the NHS as he praised the dedication of Scotland’s health and social care workforce in facing up to an ‘extraordinary surge’ in Influenza A cases.
The number of patients admitted to hospital as an emergency and testing positive for flu has surpassed the recent peak of the winter of 2022/23.
Following the latest in a series of meetings with First Minister John Swinney, health boards, the Scottish Ambulance Service, Public Health Scotland and NHS 24 earlier this week, Mr Gray praised the NHS response to the increased pressures on the system, in a statement to parliament.
He also thanked members of the public for continuing to follow guidance on the best way to access services, and for doing their bit to reduce the spread of infections in the community.
He stated that, as of 15 December, more than 1.2 million adult flu vaccinations have been administered. Those eligible to be vaccinated have until March to do so, with many health boards offering drop-in clinics.
Mr Gray said expert healthcare advice is available without the need for an appointment through the NHS Pharmacy First Scotland service, adding that £13.6 million of additional funding has been invested in General Practices to enable the recruitment and retention of staff.
Services such as Discharge to Assess and Hospital at Home are also key to helping health and social care partnerships to reduce delayed discharges, ensuring people who are clinically ready to leave hospital can do so.
Mr Gray said: “The resilience and determination shown by staff in the face of pressures across the health and care sector is inspiring.
“Every part of our health service has gone above and beyond to serve the country during the hardest months of the year.
“I’d like to thank the ambulance service staff for their sacrifice and devotion to their task, staying at work beyond the end of their shift as they wait to turnaround at hospitals.
“I’d also like to thank social care staff doing extra shifts to make up for staff being off sick with flu and GPs working at the weekends to offer appointments and bolster the resilience of the entire system.
“Hospital staff, like the porter I met at St John’s in Livingston on Christmas Eve, are working hard to turnaround beds as quickly as possible.
“This is the reality of public service – relentless, skilled, devoted and dedicated work to serve the people that need it most.
“Thanks to the incredible efforts of NHS staff and sure-handed planning, we are facing this with resilience and resolve.”
A groundbreaking new imaging approach developed by researchers at Heriot-Watt University has shown ‘extremely encouraging’ results in early-stage clinical trials on prostate cancer at the Western General Hospital in Edinburgh.
The ongoing clinical trial demonstrated an initial 94% sensitivity rate in tumour detection. The new test is delivered in less than 20 minutes and relies on existing clinical ultrasound equipment.
The cost of an ultrasound scanner is a fraction of an MRI scanner (around 10%), so the new approach provides clinicians with a valuable new tool to help better guide prostate biopsies and focal therapy, a technique that destroys cancer cells.
All men are at risk of prostate cancer with 1 in 8 diagnosed with the disease in their lifetime. 52,000 men in the UK are diagnosed with prostate cancer every year – 144 every day.
Currently, a relatively unreliable blood test, called a Prostate Specific Antigen or PSA test, means many men are unnecessarily sent for an expensive MRI scan in an attempt to spot cancerous tissue. Current long waiting lists for tests mean treatment can be delayed.
Despite using multi-parametric MRI (mpMRI – a specialist type of scan) for prostate cancer diagnosis, up to 28% of clinically significant tumours are missed and 1 in every 2 individuals with positive MRI findings receive a negative biopsy result.
Less Grey Imaging Ltd is a spin-out from Heriot-Watt University, Edinburgh, with the mission to bring greater clarity to prostate imaging. The technology offers clinicians up to a 20-fold increase in resolution compared to mpMRI, which provides a grey and difficult-to-read image.
The new imaging test begins by injecting a commonly used contrast agent into a vein that contains millions of tiny and harmless microbubbles that travel through the patient’s bloodstream to the prostate.
The team uses a technique known as super resolution ultrasound imaging (SRUI) to track these microbubbles as they flow inside the prostate. Due to the altered blood flow in cancerous tissue, the image highlights previously unseen tumours, enabling earlier diagnosis.
Dr. George Papageorgiou, CEO of Less Grey Imaging, explains how the new technique aligns well with histopathology, the diagnosis and study of diseases of the tissues which involves examining tissues or cells under a microscope. He said: “Our initial clinical findings in prostate imaging align well with histopathology, highlighting its potential to reliably detect clinically significant prostate cancer.
“Currently, prostate cancer diagnosis varies widely across the country, with many patients being diagnosed too late for curative treatment. By integrating ultrasound more prominently into the diagnostic pathway, we can ensure equal opportunities for early diagnosis across all regions of the UK.
“Less Grey Imaging’s mission is to revolutionise prostate imaging by delivering clarity and precision. Urologists will have an imaging tool that enables accurate diagnoses and quicker decision-making. Our software deploys existing ultrasound equipment to enhance image quality down to microscopic detail. By minimising reliance on radiologist assessment, we intend to streamline workflows, reduce NHS costs, and improve patient efficiency.”
The potential of the technology has been recognised by Innovate UK, which awarded the company a £370,000 grant through its ICURe Exploit Funding programme. This is being used to support the company’s product development and attract further investment.
The UK has a higher cancer mortality rate compared to several other developed countries, and more recently, the Darzi report, a bleak review of the NHS published in September 2024, revealed that waiting times targets for the first treatment for cancer have not been met since December 2015.
Professor Vassilis Sboros from Heriot-Watt University and co-founder of Less Grey Imaging, explained how the technique can help support an NHS that is fit for the future. He said:“Our super-resolution ultrasound imaging technology provides a leap in imaging resolution.
“By utilising existing ultrasound scanners found in hospitals and clinics worldwide, we’re able to produce high-resolution images of the prostate that clinicians have never seen before. This is exactly what the new Government needs to tackle the challenges facing the NHS.
“Back in 2019, we proved the concept worked in our lab but now we have shown it works during our initial patient trials. It’s just like looking inside the body with a microscope, allowing clinicians to see 20 times more detail than before. Even concealed tumours are possible to identify.
“With one man dying from prostate cancer every 45 minutes in the UK, we hope earlier detection will radically improve treatment outcomes, saving lives while reducing the number of people sent for unnecessary and often risky tests.”
Professor Alan McNeill is a Consultant Urological Surgeon at the Western General Hospital, Edinburgh and founder trustee of charity Prostate Scotland. He said: “The initial trial results are extremely encouraging, providing really useful information for the diagnosis and treatment of prostate cancer. This is the most common cancer in men but, if it is caught early while the cancer remains within the prostate, it can be cured in the majority of cases.
“The technology has the potential to significantly enhance diagnostic accuracy, help clinicians like me to carry out more targeted biopsies and even focus treatments with greater precision.
“I can anticipate it benefiting treatments like focal therapy by allowing us to pinpoint and treat cancerous tissue with greater accuracy. Nearly every week, my colleagues and I meet men in their 50s or early 60s suffering from advanced prostate cancer that leaves them with fewer treatment options. We continue to raise awareness and encourage earlier diagnosis for all men.”
Gary Tait was treated for prostate cancer five years ago after his wife, a practice nurse, encouraged him to see his GP. He is now Chair of Edinburgh & Lothian Prostate Cancer Support Group. He said: “Being diagnosed and treated for prostate cancer is an incredibly anxious time so it is very positive to see these trial results which indicate that the new ultrasound technique could lead to more accurate diagnosis of prostate cancer.
“From the perspective of men who are unaware of a developing tumour in their prostate, this improved method of diagnosis could lead to earlier treatment which improves the likelihood of a good outcome.
“We fully support the development of this new technology which raises the possibility of enabling more men to be both diagnosed and treated earlier than they can be at present.”
Professor Gill Murray, deputy principal of business and enterprise at Heriot-Watt University, said: “This breakthrough exemplifies Heriot-Watt’s commitment to transforming innovative research into real-world healthcare solutions with global applications.
“Less Grey Imaging represents exactly the kind of high-impact spinout company we aim to nurture – one that combines cutting-edge science with clear commercial potential and significant societal benefit.
“These early clinical trials are particularly encouraging as they demonstrate how our research excellence can help address critical healthcare challenges while creating economic opportunities.
“By developing technology that makes cancer diagnosis more accessible and accurate, we’re supporting the NHS and positioning Scotland as a leader in medical innovation.
“Addressing global challenges through the real world application of our research is why we established our Global Research Institutes. Each institute has its own distinctive DNA, and our global research institute in health and care technologies excels in the creation and growth of new innovative businesses.
“Less Grey is a fantastic example of one of these businesses and perfectly aligns with our enterprise strategy of fostering research-led companies that can scale globally while delivering tangible benefits to patients and healthcare systems worldwide.”
Fighting cancer is one of the five key themes for Health and Care Technologies. Anyone interested in collaborating with the new Health and Care Technologies global research institute at Heriot-Watt University can contact GRID@hw.ac.uk.
POLICE are appealing for help to trace 21-year-old Maisy Williams who has been reported missing in Edinburgh.
Maisy was last seen in the Tipperlinn Road area around 12.30pm TODAY – Tuesday, 7 January, 2025.
She is described as being around 5ft 6in tall, of slim build, with black, shoulder length hair. Maisy was last seen wearing black trousers, a black hoodie, a black beanie hat, and red trainers.
Inspector Paul Begley said: “Enquiries to trace Maisy are ongoing and we are appealing to anyone who may have seen her to contact us as soon as possible.
“Anyone with information on where Maisy may be is asked to contact police on 101 quoting reference 1211 of 7 January, 2025.”
A Midlothian company is literally bringing light into the lives of hard-working teams and big-hearted volunteers who staff Scotland’s charities with a brilliant initiative which will also cut waste and boost the circular economy.
Blackmoon Lighting, which has been operating out of Loanhead since 2004, has established a scheme in which whenever it is engaged in a Category (Cat) B fit out, it recovers energy-efficient light fittings from existing Cat A fit outs which otherwise might be thrown away, refurbishes them and donates them to worthy causes.
A Cat A fit out is a basic operational fit out that provides a finished empty space, ready to move into, while a Cat B fit out involves bringing all office design elements, including flooring and furniture, to create an operational workplace.
The firm, which specialises in concept designs, lighting modelling and supplying energy efficient, sustainable lighting solutions, founded the scheme following the appointment of a new management team in May last year.
It gives perfectly serviceable light fittings a second life by collecting them, refurbishing them and distributing them to charities or recycling them. Any fittings donated to charitable causes come with a five-year guarantee.
Matthew Wright,who has taken on the role of Managing Director at Blackmoon, said: “There are lots of Cat B fit outs going on across the Central Belt of Scotland, where a workplace is completely re-designed to a client’s unique specifications, and often the first thing they do is rip out the lights and replace them with new ones. That’s where we step in.
“This re-purposing initiative is our way of closing the loop, reducing resource consumption, lowering emissions and making a contribution to building a Net Zero future through our circular economy approach.
“We have already helped the Smart Works charity in Edinburgh and a major educational concern in the city. Energy-efficient light fittings benefit charities financially, but many can’t afford them. Now all they have to do is get in touch with us and we’ll see how we can assist.”
Smart Works Scotland, which gives unemployed women the clothes, coaching and confidence to secure employment and change their lives, has two centres, at Annandale Street in Edinburgh and in Glasgow.
Rachel Shields, its Fundraising and Partnerships Manager, said: “We were delighted that the light fittings were donated free to our charity’s new centre in Edinburgh by this amazing and sustainable initiative.
“Thanks so much to Blackmoon Lighting for supporting our cause and helping to transform our new centre into a warm and welcoming hub where even more women can access our transformative interview, dressing and coaching service to help them connect with their potential, get the job and change their lives.”
The new management team at Blackmoon Lighting, which includes Ewan Arthur as Sales Director and Marc Faughnan as Operations Director, took over on the retirement of the company’s founder, Kenny Morrison.
It employs 12 people and carries out installations across the UK. The fast-growing company also has the facility to design and manufacture bespoke luminaires and systems for both decorative and commercial applications.
Predators who create sexually explicit ‘deepfakes’ could face prosecution as the Government bears down on vile online abuse
Government to make creating sexually explicit ‘deepfake’ images a criminal offence
Perpetrators to face up to two years behind bars under new offences for taking an intimate image without consent and installing equipment to enable these offences
Package delivers on UK Government’s Plan for Change and manifesto commitment to protect women and girls
Predators who create sexually explicit ‘deepfakes’ could face prosecution as the Government bears down on vile online abuse as part of its mission to make our streets safer.
The proliferation of these hyper-realistic images has grown at an alarming rate, causing devastating harm to victims, particularly women and girls who are often the target.
To tackle this, the government will introduce a new offence meaning perpetrators could be charged for both creating and sharing these images, not only marking a crackdown on this abhorrent behaviour but making it clear there is no excuse for creating a sexually explicit deepfake of someone without their consent.
The Government will also create new offences for the taking of intimate images without consent and the installation of equipment with intent to commit these offences – sending a clear message that abusers will face the full force of the law.
Victims Minister Alex Davies-Jones said: “It is unacceptable that one in three women have been victims of online abuse. This demeaning and disgusting form of chauvinism must not become normalised, and as part of our Plan for Change we are bearing down on violence against women – whatever form it takes.
“These new offences will help prevent people being victimised online. We are putting offenders on notice – they will face the full force of the law.”
While it is already an offence to share – or threaten to share – an intimate image without consent, it is only an offence to take an image without consent in certain circumstances, such as upskirting.
Under the new offences, anyone who takes an intimate image without consent faces up to two years’ custody. Those who install equipment so that they, or someone else, can take intimate images without consent also face up to two years behind bars.
The move delivers on the Government’s manifesto commitment to ban the creation of sexually explicit deepfakes as well as recommendations from the Law Commission relating to intimate images.
Alongside existing offences of sharing intimate images without consent, this will give law enforcement a holistic package of offences to effectively tackle non-consensual intimate image abuse.
Baroness Jones, Technology Minister, said: “The rise of intimate image abuse is a horrifying trend that exploits victims and perpetuates a toxic online culture. These acts are not just cowardly, they are deeply damaging, particularly for women and girls who are disproportionately targeted.
“With these new measures, we’re sending an unequivocal message: creating or sharing these vile images is not only unacceptable but criminal. Tech companies need to step up too – platforms hosting this content will face tougher scrutiny and significant penalties.”
Campaigner and presenter Jess Davies said: “Intimate-image abuse is a national emergency that is causing significant, long-lasting harm to women and girls who face a total loss of control over their digital footprint, at the hands of online misogyny.
“Women should not have to accept sexual harassment and abuse as a normal part of their online lives, we need urgent action and legislation to better protect women and girls from the mammoth scale of misogyny they are experiencing online.”
These new offences follow the Government’s action in September 2024 to add sharing intimate image offences as priority offences under the Online Safety Act. This put the onus on platforms to root out and remove this type of content – or face enforcement action from Ofcom.
The new offences will be included in the Westminster government’s Crime and Policing Bill, which will be introduced when parliamentary time allows. Further details of the new offences will be set out in due course.
Further information:
The sexually explicit deepfakes offences will apply to images of adults. This is because the law already covers this behaviour where the image is of a child (under the age of 18).
It is already an offence to share or threaten to share intimate images, including deepfakes, under the Sexual Offences Act 2003, following amendments that were made by the Online Safety Act 2023.
The Government will repeal two existing voyeurism offences that relate to the recording of a person doing a private act, and recording an image beneath a person’s clothing.
They will be replaced with a range of new offences:
Taking or recording an intimate photograph or film without consent or reasonable belief in it
Taking or recording an intimate photograph or film without consent and with intent to cause alarm, distress, or humiliation
Taking or recording an intimate photograph or film without consent or reasonable belief in it, and for the purpose of the sexual gratification of oneself or another
We will also introduce new offences that criminalise someone if they install or adapt, prepare or maintain equipment, and do so with the intent of enabling themselves or another to commit one of the three offences of taking an intimate image without consent.
EDINBURGH NAPIER UNIVERSITY TO LEAD AMBITIOUS STUDY
The Marine Alliance for Science and Technology for Scotland (MASTS) has secured funding for a groundbreaking project studying sharks and skates in Scottish waters – the SharkScape project.
Sharks and skates play a crucial role in marine ecosystems around Scotland but are often misunderstood. Edinburgh Napier University will lead the ambitious study which aims to enhance our understanding of these species.
The project team includes researchers from the University of Edinburgh, the Scottish Association of Marine Science, the University of the Highlands and Islands, the Orkney Skate Trust, the University of Aberdeen, Marine Directorate Science, and NatureScot.
The first project stage will bring together existing data on sharks and skates and identify knowledge gaps. The second stage will use advanced and innovative methods – such as tagging technology, environmental DNA, and underwater video – to map distribution, migratory patterns, population dynamics, and interactions of these fish with their environment.
The findings are expected to provide valuable insights into the conservation needs of the species, helping to inform sustainable management practices and nature-positive solutions that will help protect and enhance the delicate balance of our marine ecosystems.
This initiative underscores the commitment of MASTS members to understanding the marine environment and informing decision making that positively affects the sustainability of our seas and oceans.
Lead researcher Dr James Thorburn, Associate Professor of Marine Ecology at Edinburgh Napier University’s Centre for Conservation and Restoration Science said: “The impact of this research extends far beyond scientific curiosity.
“As apex predators, sharks and skates are essential for maintaining the health and diversity of marine life. By shedding light on the behaviour and health of these species in Scottish waters, we hope to enhance our ecological knowledge and strengthen efforts to safeguard marine biodiversity.
“Securing this funding marks a pivotal moment in our quest to understand and protect these fish in Scottish waters. They are among the most threatened vertebrates on the planet because of factors such as historic overfishing, habitat removal, and climate change.
“Our research will provide the data needed to develop effective conservation strategies, ensuring the overall stability of oceanic ecosystems. We are excited to embark on this crucial journey and look forward to our findings having a positive impact on marine biodiversity and sustainability efforts.”
The funding for this project has been provided by Shell U.K. Limited to support research related to species and habitat conservation in the marine environment under its ambition to have a positive impact on biodiversity.
The funding agreement is for £1 million over three years.
How much should someone receive when they are off sick from work?
This is the question that ministers were considering over Christmas. And the answer they arrive at will have a huge impact on many households’ budgets (writes TUC’s TIM CLARK).
For the majority of workers today the answer to that question is straightforward: when they are ill they simply receive their normal salary for a period.
Others, particularly many low-paid workers get less-than-generous statutory sick pay (SSP), currently £116.75 a week, if they are ill. But this only kicks in from the fourth day of absence.
More than a million workers wouldn’t receive anything when absent because they earn too little to qualify under current rules. They are often part-time workers and are predominantly women.
This means many workers face hardship if they suffer illness or injury or risk spreading illness in their workplace by attending while sick.
This could change as ministers implement their promise that “no one should be forced to choose between their health and financial hardship”.
Measures in the Employment Rights Bill being considered by MPs will scrap the qualifying earnings test and sick pay will be paid from the first day of absence in future.
The options on the table
But how effective these changes will be rest on the percentage rate to be paid to low earners.
Among the options modelled was an SSP payment as low as 60 per cent of wages.
This would be the entitlement for the lowest paid 2.3 million workers,
Under the current proposals, this could lead to some 1.1 million workers who are currently entitled to full SSP eligible for less under the new system because they currently get full SSP, albeit at less than £117 a week.
The TUC is urging the government to ensure that workers receive the lower of their earnings or statutory sick pay. At the very least they should receive 95 per cent of pay to reflect the payments received by the lowest-earning workers who currently qualify for SSP.
For this is not a cold exercise in abstract numbers. There is a risk that some low earners could miss out the equivalent of a family’s food budget if ministers opt for lower pay-outs.
Scenarios set out below show the potential real-world impact of ministers’ decisions.
Scenario one
Rita works 10 hours a week (two hours a day) in an office canteen on the national minimum wage. Her partner is a sales assistant earning £25,000.
One weekend, Rita sprains her foot and is unable to work that week.
She has no access to occupational sick pay and currently would be unable to claim SSP as she earns under the lower earnings limit of £123 required to qualify. This means that the household income is cut by £114.40 a week.
She struggles to give her three children money for their daily school meals and out-of-school sports activities and has to use money set aside for the next energy bill.
Under the new system, if the rate is set on the basis of the lower amount of earnings or SSP she would receive £114.40.
However, a 60 per cent rate, one of the options modelled by the government in its latest consultation would mean she only receives £68.64. This cut of £45.76 is close to what a family spends on school meals for three children every week.
Scenario two
Sam is a single parent earning the national minimum wage at a food factory – working part time for nine hours Monday to Wednesday and gets paid weekly.
Sam catches a nasty cold and is unable to work Monday to Wednesday. She has no access to occupational sick pay, and, under the current system doesn’t earn enough to qualify for SSP.
She claims Universal Credit and by notifying the DWP about a drop in earnings in the next assessment period could receive a higher universal credit payment. But this wouldn’t be paid out for more than a month, leaving her immediate bills to pay.
But if payouts were the lowest of SSP and actual earnings Sam would have received £102.96 in wages.
This means that Sam and her two children would struggle to buy food that week, although they would be better off than currently.
Scenario three
Raj works two jobs. On Monday to Tuesday he works part time at a retail store for three hours a day. He works at a florist on Wednesday and Thursday for two hours.
This is to fit in with caring responsibilities for three children with his wife who works at the local biscuit factory from Monday to Friday (9-5pm). She earns slightly above the national minimum wage, and both Raj’s jobs are on the minimum wage.
Due to a car accident, he is unable to work for three months – this causes immense pressure on the family finances as during this period Raj receives no earnings.
If he received SSP based on his actual earnings this would have been £114.40 a week.
But at a 60 per cent rate he would receive £68.64 a week. This would mean that over the course of 12 weeks he would receive£549.12 less than if he was getting his normal earnings.
This is equivalent to almost two years’ worth of spending on clothes and footwear for a family in the lowest income decile at £5.60 a week.
Conclusion
The coronarvirus outbreak showed the dangers of an inadequate sick pay system.
Lots of frontline workers were forced to choose between falling into poverty because they got no or little sick pay, or continue to work and risk spreading the virus.
Four years on and many workers continue to face similar dilemmas every week.
The government is making the right choice in extending sick pay to all workers, without an income test.
But when ministers announce payouts for low-paid workers in the coming weeks, they should peg them to SSP or wages, whatever is the lower. And no-one should be entitled to less after the changes, than they are now.
Then the next stage will be ensuring that the headline rate of SSP is improved.