Tag: asthma

Letters: Creating a step change in the health of the nation

Scottish charities call to cut deaths from our biggest killers

Dear Editor,

Heart disease, cancer, stroke, chronic lung disease and diabetes are responsible for around two thirds of all deaths in Scotland – around 39,000 every year – and are among the world’s biggest killers. And yet sadly deaths from these conditions are often preventable. The burden of these diseases on families and on our society cannot be underestimated.

This week, as a global campaign takes place raising awareness of the impact of these non-communicable diseases (NCDs), we have come together – representing ten of Scotland’s leading health charities – to call for action.

We believe many of these deaths and lost healthy years of life are preventable through addressing modifiable and societal risk factors. Official statistics estimate that each year around 14,000 deaths in Scotland could be prevented through public health interventions.

As a collective, we have set out a series of priorities to tackle three of the biggest risk factors that affect people today – tobacco use, alcohol consumption and unhealthy diets – to improve the health of everyone in Scotland.

Evidence shows the environment around us heavily influences whether we smoke, the amount of alcohol we drink and what we eat. The visibility of products on our high streets and the way they are marketed all contribute to Scotland having one of the lowest healthy life expectancies in Western Europe.

This is particularly true in our most deprived communities where levels of smoking, harmful alcohol use and overweight and obesity are often at their highest. Research shows us that this is in part due to the higher presence of outlets in these areas selling alcohol, tobacco and unhealthy food and drink. We must act now to ensure that the healthy choice is an easy choice for everyone in Scotland.

Covid-19 has also provided a wake-up call on these issues. We are becoming aware of possible links between smoking, alcohol intake and obesity on the severity of Covid-19 infections, highlighting the need to take action now more than ever as we continue to tackle the Covid-19 pandemic.

Scotland has been a pioneer in public health. It was the first country in the UK to ban smoking in enclosed public spaces and the first in the world to introduce a minimum unit price for alcohol.

In this week of awareness, we are calling on all political parties to place the prevention of Scotland’s biggest killers as a priority and to give a strong commitment, ahead of next year’s Scottish Parliamentary elections, to work with us to create a step change in the health of the nation.

Yours sincerely,

Alison Douglas, Chief Executive, Alcohol Focus Scotland
Shelia Duffy, Chief Executive, ASH Scotland
Lorraine Tulloch, Programme Lead, Obesity Action Scotland
Lindsay Paterson, Interim Director, SHAAP
Joseph Carter, Head of the Devolved Nations, Asthma UK and the British Lung Foundation
Dr Charmaine Griffiths, Chief Executive, British Heart Foundation
Michelle Mitchell OBE, Chief Executive, Cancer Research UK
Andrea Cail, Scotland Director, Stroke Association
Angela Mitchell, National Director, Diabetes Scotland

Scotland has poorest asthma care

Asthma UK Scotland have called for more radical action to improve the level of asthma care available folllowing the results of their yearly Asthma Survey, which shows the level of basic asthma care in Scotland has fallen by 7% in the last year – making it the worst nation in the UK for basic care provision.

The Asthma UK survey was conducted over the summer of 2019, with more than 12,000 people taking part and 1,403 of these respondents being based in Scotland.

It found that only 36% of Scottish asthma sufferers are receiving the most basic level of asthma care, a startling decrease of 7% in two years. Respondents with a lower household income were also found to suffer from asthma symptoms more frequently.

Across the UK, twice as many people (24.9%) from the top income band have well controlled asthma, compared to 11.9% of those in the lowest income band in the survey. The lowest income band is the only one where over half (57.4%) of people have uncontrolled asthma.

Whilst access to basic asthma care remains similar across income levels, the quality of asthma reviews is poorer for lower income groups. Without high quality asthma reviews assessing symptoms, inhaler and preventer usage, poorer outcomes are experienced.

There are other contributing factors that drive health inequalities for people with asthma. In deprived areas, air quality can be worse and poor housing increases exposure to mould, cold air and dust triggers. Almost half (48.8%) of Scottish respondents listed air pollution as a trigger.

In response to these shocking figures, Asthma UK Scotland are calling for more urgent work to be done to develop and implement the Respiratory Care Action Plan for Scotland in 2020.

Joseph Carter, Head of Asthma UK Scotland said: “This survey makes for grim reading and shows the scale of the task needed. It is very disappointing to see Scotland’s level of care decrease so sharply, leaving almost two thirds (64%) of people with Asthma unable to access basic care and asthma reviews.

“It’s also incredibly worrying to read that it is the most deprived communities that are being affected most by this shortfall in care provision. We need to ensure that everyone, regardless of their economic background or where they live, can access the care they need to live a healthy life and keep their lungs well.

“To do this we must also take action to improve the quality of air across Scotland, protecting people’s lung health and helping avoid the development of conditions like asthma and COPD, as well as cracking on with the new Respiratory Care Action Plan.

“The plan is needed now more than ever as we cannot afford to continue on this downward trend. We hope the Scottish Government will soon be forthcoming with proposals to help reverse this trend and that we can refocus our efforts to getting Scotland’s asthma care provision back on track.”

Dr Andy Whittamore, Clinical Lead for Asthma UK, said: “As a practising GP I understand the pressure to cover so much in any appointment, especially an annual asthma review.

“When we are providing basic asthma care, healthcare professionals need to have the time to fully assess someone’s asthma and the impact that it has on people’s diverse lives.

“We also need to be able to tailor treatments and their action plan to people’s lifestyles and help them to use their medicines and seek health care at appropriate times. By doing this we can bring down the high rates of asthma attacks particularly in at risk and disadvantaged groups and reduce the burden that poorly controlled asthma has on the NHS.”