Updated guidance for parent and baby groups

The number of adults allowed to attend parent and baby groups has been increased, subject to certain conditions, following the publication of updated public health advice.

When all children in a group are less than 12 months old, and other health and safety criteria are met, groups will now allow up to ten adults to be present at one time. Where children are over 12 months, the maximum number of adults allowed will remain five.

Announcing the updated guidance, First Minister Nicola Sturgeon said: “We understand the vital importance of parent and baby groups, especially for supporting mental health and wellbeing in the early months after having a baby. That is particularly important just now, as we know the pandemic has the potential to increase stress and anxiety for new mothers.

“We are also, however, trying to keep an extremely infectious virus from spreading and protect the health of families and the wider community.

“I hope that this updated guidance will help us to strike the correct balance. No one wants restrictions in place a moment longer than needed, but until then we are all having to accept circumstances that we would not normally ever want to.”

Coronavirus (COVID-19): organised activities for children

Subject to content of the guidance and the following conditions being met, the maximum number of adults who can attend has been set to 10:

o where all children in the group are less than 12 months old

o where the space allows for appropriate physical distancing

o where face coverings must be worn at all times by anyone, except when sitting down

o where the service provider meets all the health and safety criteria and can comply with any specific conditions set out by the venue provider at all times

o where the duration of the activity is kept to a minimum and other blended delivery options are considered including use of outside space and digital delivery

o where group attendees and facilitators, as far as possible, are kept consistent and do not change regularly

One million Scots on precipice of poverty

One in six live ‘precarious and insecure’ lives

Scotland must show “bolder ambition” if it is to meet targets for tackling child poverty, a new report by the Joesph Rowntree Foundation (JRF) has warned.

Over one million Scots – one in six people – are living ‘precarious and insecure’ lives, according to JRF’s latest Poverty in Scotland annual report – and the situation is likely to become even more critical with the ongoing cornavirus and the imminent end of the furlough scheme this month.

Child poverty now stands at 24% – almost one in four of our children now lives in poverty. The Scottish Government’s target is to reduce this figure to 18% or less by 2023 – 24 -but unless there is radical action this target is unlikely to be met.

JRF’s associate director for Scotland Jim McCormick, who also chaired Edinburgh’s Poverty Commission, said we are at a “crucial moment”.

“The decisions we make will determine whether we reach our ambitious child poverty targets by the middle of the next parliament,” he said. “As the shape of our economy changes, it is vital to do all we can to protect people’s jobs, homes and living standards, so more families are not pulled into poverty.”

The JRF report calls on the Scottish Government to be more ambitious.

A Scottish Government spokesperson said the government is ‘absolutely committed’ to tackling child poverty and said initiatives including Scottish Child Payments, Best Start Grants and Best Start Foods are evidence of this. The spokesperson called for the UK Government to match Scotland’s ambition.

One step closer to tackling poverty

New legislation to improve the benefits system to help those who need it most has been unanimously passed by the Scottish Parliament.

The Social Security Administration and Tribunal Membership (Scotland) Bill supports the delivery of the new Scottish Child Payment, to provide low-income families with an additional £10 per week, initially for each child aged under six.

The Payment, together with Best Start Grant and Best Start Foods, will provide over £5,200 of financial support for families by the time their first child turns six. For second and subsequent children this will provide over £4,900.

Cabinet Secretary for Social Security and Older People Shirley-Anne Somerville said: “When I brought this Bill forward, the driving force was to have the Scottish Child Payment in place as soon as possible to make an impact on child poverty.

“I am pleased and proud that, in the teeth of a global pandemic, the Scottish Child Payment will open for applications in November with first payments to start from February 2021. Vitally the bill passed today ensures that the Payment will be up-rated every year in line with inflation, from April 2022 onwards.

“This Bill also ensures that there is a duty to inform people of their potential eligibility for benefits such as our Child Payment. Promoting the take-up of Scotland’s social security benefits is a major part of our strategy to make sure people access the financial assistance they are entitled to.”

The Social Security Administration and Tribunal Membership (Scotland) Bill makes a number of improvements to the social security system, and expands the range of judges allowed to sit on Scottish Tribunals.

It allows Ministers to appoint a person to receive benefit payments on someone else’s behalf if the claimant is a child or – in the case of an adult – if the claimant agrees to the appointment.

The Bill also allows appropriately qualified medical professionals other than just doctors to confirm that a person is terminally ill for the purpose of ‘fast tracking’ their benefit claim. The first benefit to which this will apply is the Child Disability Payment.

The Bill applies the rules for dealing with fraud consistently across different kinds of social security.

The Scottish Fiscal Commission estimates that the Scottish Child Payment could support up to 194,000 children this year. This number has increased by 14 per cent since the Scottish Government released forecasts in June 2019, largely due to the increased Universal Credit caseload as a result of COVID-19.

Initially introduced for children under six, the Payment will be rolled out to under 16 year olds, eventually helping up to 499,000 eligible children.

Vulnerable children face crisis through missed support opportunities

The lives of some of the UK’s most vulnerable children are being devastated by a string of missed opportunities to provide them with timely and adequate support, a new report reveals today.

The Adoption Barometer, published by charity Adoption UK, also describes the dramatic impact the right support can have. Now in its second year, the Barometer is based on the biggest ever survey of adopters. This year, 5,000 people responded to the survey.

One of the main themes to emerge is the failure in diagnosing and treating brain damage caused by children being exposed to alcohol in the womb. The report reveals more than one in three adopted children in Scotland (35%) are either diagnosed with or suspected to have Fetal Alcohol Spectrum Disorder (FASD).

Almost two thirds (63%) of families polled in Scotland had waited two years or longer for a diagnosis, and more than half (53%) felt healthcare professionals lacked even basic knowledge about the condition, even though FASD is more common in the general population than autism.

Adoptive mother Gemma (below) said: “When Isabelle came to us at eight months-old she was described as a perfect baby. At two and a half she started headbutting, kicking and biting. Then she became obsessed with sharp knives.

“She told me she wanted to ‘cut me open and see me bleed’. We went to countless GPs, health visitors and social workers but we got nowhere. We finally got a diagnosis of FASD when she was four years old. It has made a huge difference to the support we’ve been able to access.”

Scotland is leading the field in the UK, as the first nation to establish an FASD diagnostic pathway. In 2019 the Scottish Government backed Adoption UK in Scotland to launch FASD Hub Scotland, supporting all parents and carers of people who were, or may have been, exposed to alcohol during pregnancy, including Gemma and her family.

The service includes a helpline, online support communities, one to one support, access to enhanced therapeutic support, training and information, as well as training and resources for professionals.

FASD Hub Scotland Project Manager, Aliy Brown, says: “During the month of September (FASD Month) we have been working closely with professionals within Scotland, other parts of the UK and further afield to drive the campaign around the need for awareness of FASD, both for prevention as well as support for families, which is so badly needed, as evidenced in the report.

“We are committed to doing everything we can to see the condition recognised in the same way the other neuro-diverse conditions are, and enable both individuals and their families to access early diagnosis, support and intervention to promote positive outcomes for life.”

Around three-quarters of adopted children experienced violence, abuse or neglect while living with their birth families, often with life-long impacts on their relationships, their health and their ability to learn. Despite the considerable challenges, the report shows that adopters remain positive and resilient – 73% of respondents in Scotland would encourage others to consider adoption.

But failures in policy and practice and missed opportunities to intervene mean that problems often build into a crisis. Almost half (48%) of families with older children report severe challenges, such as being drawn into criminally exploitative behaviour, including child sexual exploitation and county lines activities.

Almost two thirds (62%) of respondents from Scotland with secondary aged children anticipate they will leave school with few or no qualifications because they lacked the right support.

Director of Adoption UK Scotland, Fiona Aitken, said: “It is crucial that adoptive families are given the right support from day one, from both a moral and economic perspective.

“The survey shows 68% of adoptive families had no support plan in place, which we know can lead to crisis situations. The cost of a family breakdown is too high for all involved, particularly the children who have already experienced so much.”

The Adoption Barometer also assesses the government policies that regulate adoption. Welsh policies scored best, with three areas of policy scoring ‘good’. However, all nations score poorly in at least one area of policy. Policy relating to finding families for children scores best across the board.

Policy relating to FASD scores worst, with all nations assessed as ‘poor’, and adopter experiences also ‘poor’ in all nations, however Scotland does come across better than the other three nations in respect of their nationwide strategy.

There has been some progress since last year’s Barometer, including the extension of the English Adoption Support Fund (ASF) and the first experimental data collection on school exclusions in England, both of which were recommendations from last year’s report. In Wales there has been a £2.3m investment in adoption services.

Although respondents in Scotland were most likely to consider their social worker to be knowledgeable and understanding they were least likely to be satisfied with the range of support services on offer, perhaps reflecting the comparatively low proportion who were able to access enhanced support services.

Currently all support services are expected to be provided by agencies, with the exception of the Big Lottery Funded Therapeutic and Education Support Services in Adoption (TESSA), hosted and provided by Adoption UK Scotland.

The Adoption Barometer calls on the governments in all four nations of the UK to provide detailed therapeutic assessments for every child before they arrive in their new family, with up to date support plans to be maintained into early adulthood.

Flu Injection plans announced for Muirhouse Medical Group patients

All Muirhouse Medical Centre patients eligible for the Flu Injection are invited to attend a walk in or drive through clinic. These clinics are being held on Saturdays and Sundays in October and November.

You may attend any clinic, at the time allocated to your surname. Please be aware that the first clinics are likely to be very busy.

Walk-In clinics will be at Pennywell All Care Centre. They are on Saturday 10th, Sunday 11th, Saturday 17th and Sunday 18th October. Please go to the clinic at the allocated time-slot for the first letter of your surname (listed below).

Drive Through Clinics will be held on Saturday 24th, Sunday 25th and Saturday 31st October and Sunday 1st, Saturday 7th, Sunday 8th, Saturday 14th and Sunday 15th November at Scottish Gas, 1 Waterfront Avenue, Edinburgh EH5 1SG

You can attend on any of these dates. Please go to the clinic at the allocated time-slot for the first letter of your surname. If there is more than 1 person in the car, come at the time allocated by the surname of the driver.

The time slots are:
A & B: 9.00am – 10.00am
C & D: 10.00am – 11.00am
E – H: 11.00am – 12 noon
I – L: 12 noon – 1.00pm
M – N: 1.00pm – 2:30pm
O – R: 2.30pm – 3.30pm
S – U: 3.30pm – 4.30pm
V – Z: 4.30pm – 5.30pm

Children’s Flu Vaccine

Children from the age of 2 -5 on 01.09.20 will be offered the flu vaccine and it is strongly recommended that you get your child protected from the flu. You will be sent a leaflet telling you how to book an appointment for your child to get it. (It is a nasal spray, not an injection).

Children at Primary school will be given the injection at school between October and December. They will bring an information leaflet home from school and a permission slip for you to sign.

For more information visit www.nhsinform.scot/childflu or call 0800 22 44 88 .

Children as young as six regularly making their own decisions about what content to watch, without help from mum or dad

  • Over half (51%) of 6 – 15 year olds don’t talk to their parents about choosing what content to watch.
  • Four in ten (42%) parents say they’re concerned about what effect upsetting or disturbing content might have on their child’s development.
  • But the majority of parents (63%) agree films and TV shows are good springboards to talk to their children about difficult topics, including mental health and sexuality.

New research by the British Board of Film Classification (BBFC) has revealed that more than half (51%) of children aged 6 – 15 choose what to watch all or almost all of the time, without help from their parents.

The research, by YouGov, showed that as many as half (46%) of 6 year olds are regularly making their own decisions about what to watch without asking mum or dad. Four in 10 (42%) parents say they’re worried about the effect watching disturbing or upsetting content might have on their development.

Six in 10 (63%) parents of 12-15 year olds think that films and TV can be a useful springboard in starting difficult conversations with their children around topics like mental health and sexuality. And interestingly, three quarters of teens agree (72%).

When it comes to parents with young children, two thirds (65%) with 4-11 years olds say that content can help them start conversations about relationship breakdown, death, illness or bullying. And their children also agree (66%).

David Austin, Chief Executive of the BBFC, said: “It’s clear from our new research that young people and their parents need the right information to help them choose content well. It’s vital for children’s healthy development, and parents’ peace of mind, that they’re confident they’re pressing play on something that won’t cause harm or upset.

“It’s very encouraging that parents – and their children – are approaching each other to talk about depictions of issues they see on screen. That’s why we have comprehensive ratings info on our website, alongside our trusted and well known age ratings, which gives everyone an idea of what to expect.”

Girls are much more likely to talk about their mental health with a parent after watching content on a streaming service – with a quarter of 6 – 15 year old girls (25%) saying they’ve approached a parent after seeing something, compared to less than one in five (19%) boys.

Find out more information on the BBFC website www.bbfc.co.uk 

Call for views on UN Convention on the Rights of the Child Bill

New legislation which would incorporate the United Nations Convention on the Rights of the Child (UNCRC) into Scots law and allow children to take public authorities to court for breaches of their rights is to be considered by a Holyrood Committee.

The Scottish Parliament’s Equalities and Human Rights Committee has issued a call for views on the United Nations Convention on the Rights of the Child (Incorporation) (Scotland) Bill, which aims to ensure children’s rights are respected, protected and fulfilled by councils, health boards and other public bodies.

The Bill legally obliges public authorities – including Scottish Ministers – to respect children’s rights, placing them under a duty not to act incompatibly with the UN Convention, while Ministers will also be required to make a Children’s Rights Scheme to set out how it will comply with the duty.

Children and representatives acting on their behalf will be able to challenge public authorities in court for infringing their rights, and the new legislation will allow the courts to strike down legislation that is incompatible with any UNCRC requirements.

The Bill also provides new powers to the Children and Young People’s Commissioner in Scotland (CYPCS) to litigate in the public interest, which would enable the Commissioner to take cases to court on behalf of children and provide advice to courts about the Convention.

Committee Convener, Ruth Maguire MSP, said: “The UNCRC is the most widely ratified human rights treaty in the world and this Bill aims to incorporate the treaty into domestic law so that all children in Scotland – whatever their ethnicity, gender, religion or abilities – have their rights respected.

“We want to hear from children and young people, as well from public authorities and third sector organisations, about whether they think this legislation will make it easier for children to access and enforce their rights.

“Children have different experiences and backgrounds, so we want to explore the existing barriers which currently prevent young people from making sure their rights are respected.

“We also want to consider whether the Bill goes far enough and if there is anything more that can be done to make children’s rights stronger in Scotland.”

The closing date for responses to the committee, which is expected to be designated lead committee for stage one of the Bill, is Friday 16 October 2020. 

The UNCRC was adopted by the General Assembly of the 1989 and ratified by the UK Government in 1991. Since then the UK has been obliged under international law to give effect to the rights set out in the UNCRC.

It sets out the civil, political, economic, social and cultural rights that all children are entitled to and is the most widely ratified human rights treaty in the world. The rights in the UNCRC, which consists of 54 articles, are guaranteed to every child whatever their ethnicity, gender, religion, language, abilities or any other status.

The UK has also signed two out of three optional protocols: (1) on the involvement of children in armed conflict; and (2) on the sale of children, child prostitution and child pornography.

The third optional protocol, which allows complaints to be made to the UN Committee on the Rights of the Child, has not yet been signed by the UK.

While the UK is bound by the UNCRC in international law, because the UNCRC has not been incorporated into domestic law, those rights are not part of the law which can be enforced directly in Scottish courts.

Schools video helps parents decide when it’s time to test

NHSGGC’s Director of Public Health has produced a helpful video for parents worried about when to get their children tested for Covid.

Dr Linda de Caestecker worked with Glasgow City Council on the video, after a dramatic rise in requests for tests for children after the schools returned in mid August.

Dr de Caestecker said: “The idea of the video is to explain in some detail the work that goes on in Public Health when a positive case is confirmed in a particular school.

“In each case a Public Health doctor will work with teachers, the headteacher of the school and the Education Department to carefully calculate who are close contacts of a case.

“There is also lots of information in the video about the symptoms to look out for and who does and does not need to be tested.

“I really do understand the anxiety that some parents may have but it’s vital we make sure the system is not overloaded. This means it’s really important to keep those testing slots for the people who really need them.

“I hope parents find the video reassuring in what are fairly uncertain times. The NHS inform website is another great source of information – www.nhsinform.scot.”

The video can be found at: www.nhsggc.org.uk/covid/schoolsvideo

Delivering the Youth Guarantee

Giving every young person the chance to succeed

Economy Secretary Fiona Hyslop has set out more details of how Scotland’s Youth Guarantee will give young people the chance to succeed despite the economic impacts of coronavirus (COVID-19).

The guarantee will ensure everyone aged between 16 and 24 has the opportunity of work, education or training. The Scottish Government is funding it with £60 million which will be broken down as follows:

  • £30 million through local authorities to help local partnerships to deliver employability support for young people
  • £10 million to create additional opportunities in colleges
  • £10 million additional funding for Developing the Young Workforce, the Scottish Government’s internationally recognised Youth Employment Strategy
  • £10 million to support pathways to apprenticeships

Sandy Begbie, who led the Developing the Young Workforce Group that played a pivotal role in the delivery of the Edinburgh Guarantee to young people, was asked to write an implementation plan which has been published yesterday.

The report’s recommendations include:

  • early work to identify youth employment opportunities with employers in some of the least-impacted sectors, including financial services, utilities and life sciences
  • working to introduce an incentive model where government pays 50% of wages for young people who need the most help
  • a call for the public sector to create more opportunities for young people
  • a call for businesses who would not normally have taken an apprentice full-time to consider sharing an apprentice with other employers
  • providing support to encourage SMEs to take on a young person if they are able to do so

Ms Hyslop said: “I would like to thank Sandy Begbie for the significant work he has put into developing this proposal in such a short period of time. He has engaged widely and set out ambitious recommendations for which I am grateful, and I look forward to working with him to implement them.

“The guarantee will be crucial to improving the opportunities of young people in light of the pandemic, and I was delighted to be able to speak to some of them earlier today about how the Edinburgh Guarantee has benefitted them.

“The scale of this task will be significant, and that is why we have set ourselves the challenge of this ambitious guarantee. I would urge all employers who are able, to work with us to create more opportunities that recognise the valuable contribution our young people have to make in growing our economy.

“Progress will only be possible through collaboration and a collective determination to succeed. I am pleased that the Scottish Government has become one of the early adopters of the Youth Guarantee.

“My message to Scotland’s young people is simple: we are right behind you, we want you to be successful and we will do everything we can to give you the opportunities you need.”

Mr Begbie said: “While very ambitious, in many ways this guarantee is quite simple. It is an unconditional commitment to all our 16-24 year olds, whose lives and prospects could be irreparably damaged by COVID-19.

“It is a guarantee of education, an apprenticeship, training, employment, volunteering or supported activity.  Keeping young people connected in a way they feel valued and productive is at the heart of this guarantee.

“To deliver this we need a call to action across the private, public, third and education sectors with everyone doing all they can to create opportunities for our young people.  

“The guarantee, if delivered effectively, will also go a long way to help address the inequalities we know exist, and every young person regardless of background will have the same opportunity.”

Young Person Guarantee. No-one left behind: initial report. 

Child mental health services: Coalition calls for national crusade

The Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, has warned of a mental health “perfect storm” for children and young people. It has also called for a “national crusade” to tackle this.

The warning comes on the back of figures from Public Health Scotland which indicate that the number of referrals to child and adolescent mental health services (CAMHS) has dropped by a staggering 55.8 per cent between quarters January and March 2020 and April and June 2020 (from 9,017 to 3,985). 1

These range from a 66.7 per cent fall in referrals for NHS Dumfries and Galloway to 7.7 per cent in NHS Orkney (full table in Notes to Editors).

It also highlights that in June 2020, 1,136 children and young people had been waiting more than a year for treatment, up from 581 on the same point last year.2

The SCSC has warned that mental health services will face an overwhelming and unprecedented pressure due to pent-up demand created by the COVID-19 lockdown, coupled with a cut in youth support services. This could potentially lead to a “lost generation” of vulnerable children and young people who are missing out on the support they vitally need.

It has called for a “national crusade”, with the Scottish Government working closely with authorities, including the third and independent sectors, and investing significantly in mental health services. The coalition has also urged that greater awareness is made of the services on offer, especially those at a community level.

The SCSC has warned that self-isolation and social distancing have had an impact on young people struggling with issues such as anxiety and depression. It has noted that even the most resilient children are going to need additional support as they navigate this transition back into whatever is the new normal, and some will need a lot of extra support.

A  report commissioned by Young Scot, YouthLink Scotland and the Scottish Youth Parliament, called Lockdown Lowdown, found almost two-fifths of young people felt moderately or extremely concerned about their own mental wellbeing.3

A spokesperson for the SCSC commented: “These latest figures are deeply troubling and point to a ‘perfect storm’ for our young people, with increased demand coupled with cuts in services.

“While referrals have dropped during lockdown and children are not accessing support, we are storing up immense problems for the future as specialist mental health services face being overwhelmed due to greatly increased demand.

“We need a ‘national crusade’ to deliver the mental health provision our young people desperately need. The Government needs to work urgently with the relevant authorities to ensure that not only is there sufficient provision available at the local community level, but that this is clearly communicated and easily accessible for young people and their parents or carers.

“It is not just the NHS, but the third sector and other independent organisations play a key role in addressing mental health services and must receive the funding they vitally need or we face a ‘lost generation’ of vulnerable children and young people.” 

Six out of ten young people waiting over 18 weeks to be seen in Lothian

The number of children and young adults waiting over 18 weeks to be seen by a mental health professional has increased to 147 out of 247 patients seen, 59.5%, In June 2020 the latest month of statistics available.

As of June 2020 there are 2,482 young people waiting to be seen in Edinburgh and the Lothians, with a record 472 waiting for over a year, 19% of total waits.

In April to June 2020 there were 825 CAMHS referrals, with 109 rejected, making a total of 706 new referrals. This is compared to 1,659 referrals in January to March 2020, with 382 referrals rejected, making a total of 1277 new referrals.

Lothian MSP, Miles Briggs, said: “These figures reinforce the mental health crisis for young people in NHS Lothian with exceptionally long waits to be seen by a mental health professional.

“Mental Health professionals in NHS Lothian work incredibly hard to support young people who are struggling with their mental health, but services are simply not being properly resourced to meet demand.

“Lockdown, Covid-19 restrictions and failures by SNP Ministers over SQA results will all have added to stresses for young people making mental health support even more important.
“SNP Ministers have presided over our health service for over 13 years and have failed to support a generation of young people.”

1 NHS Information Services Division, Child and Adolescent Mental Health Services Waiting Times in Scotland – Full report (PDF link), 1st September, Table 5, Available at: https://beta.isdscotland.org/find-publications-and-data/conditions-and-diseases/mental-health/child-and-adolescent-mental-health-services-camhs-waiting-times/  (accessed 1st September 2020).

2 Ibid., waiting times table 1b

3  Young Scot, YouthLink Scotland and the Scottish Youth Parliament, Lockdown Lockdown – what young people in Scotland are thinking about COVID-19 (PDF), 23rd April 2020. Available at: https://www.youthlinkscotland.org/media/4486/lockdown-lowdown-final-report.pdf (accessed 11th August 2020).