Tag: CHSS

A mistake to cut funding for life-enhancing stroke treatment

Health charities and NHS clinicians have united in a call for the Scottish Government to reverse a cut to the funding of a vital stroke treatment that significantly reduces long-term disability.

More than 150 stroke clinicians have backed a call from charities Chest, Heart & Stroke Scotland (CHSS) and the Stroke Association for the reinstatement of £7m to the national thrombectomy service funding.

An open letter to the Cabinet Secretary for Health and Social Care ahead of the Scottish Government budget next week, says the 50% funding cut and a recruitment freeze is a mistake.

The letter says the savings, which amount to less than 0.1% of Scotland’s total health budget, will create far greater costs, when Scots missing out on the “extraordinarily effective” medical treatment end up needing longer hospital stays, community rehabilitation and social care services.

Thrombectomy is a highly specialised procedure that involves physically removing the blood clot in the brain which has caused a severe stroke. The treatment is suitable for about 10% of stroke patients. People are more likely to walk and talk again, return to work and live their lives to the full. 

The Scottish Government has previously committed to rolling out a national thrombectomy service, which would see around 800 stroke patients receive the procedure each year. It is expected to save the health and social care system up to £47,000 per patient in the first five years – a total saving of £37.6m to the NHS.

Ruth Hector, 36, from Stirling said: “I had a stroke at the age of 30. I lost the ability to walk and talk in an instant. I was too young to have a stroke and to feel trapped inside my own body, was scary and hard to comprehend.

“I was taken to The Royal Infirmary in Edinburgh, where after investigations I was able to receive a thrombectomy. After receiving that, I was able to talk perfectly, write and walk around within hours. It felt like I had made a full recovery. I was so thankful for receiving that treatment, I dread to think what it would have been like otherwise.

“I then had another stroke and for some reason wasn’t able to receive a thrombectomy. My recovery has been good with the second stroke, but nowhere near as good as the outcome after thrombectomy.

“I believe everyone should have access to this life saving treatment. My independence is everything. I’m working now, I take part in fundraising events, so truly believe I’m contributing to society and that feels good.”

CHSS and the Stroke Association are jointly calling for the Scottish Government to commit to continuing to fund the service and recruit the staff necessary for a national rollout.

Jane-Claire Judson, CHSS Chief Executive, said: “CHSS and the Stroke Association are united in our plea to the Scottish Government to stand by its commitment to a national thrombectomy service. 

“It is unthinkable that the Scottish Government will deny Scots a treatment we know will make a huge difference to their lives for the sake of a small short-term budget saving.

“Hundreds of Scots who have a stroke each year should be able to trust they will get the best possible medical attention and chance of making a full recovery.” 

John Watson, Associate Director Scotland at the Stroke Association said: “Thrombectomy saves brains, money and lives. It can change the course of recovery from stroke in an instant, and is one of the most effective medical interventions ever developed. 

“We understand the financial pressure the Government is under, but to cut a service that improves patients’ lives while saving money would be a serious mistake. The current resource crisis should lead to thrombectomy being prioritised, not cut.

“That is why we, alongside CHSS and clinicians at the coal face, are calling on The Scottish Government to reinstate its funding for a national thrombectomy service. 

 “The financial savings of having this procedure are undeniably positive, but the potential outcome without it, could have devastating consequences for stroke patients, including severe disability or death.”

Dr Vera Cvoro, Consultant Geriatrician and Stroke Physician, Honorary Senior Lecturer at The University of Edinburgh said: “Thrombectomy is the single most effective treatment we have for stroke. Many patients that come to hospitals with a stroke could benefit from this treatment that prevents disability. 

“This can mean being able to walk again, talk again and even going back to work. We have the expertise to deliver such treatment and it should be available to all people living in Scotland.”

MyTailoredTalks: new digital support for people living with Long Covid

An innovative pilot project to transform support for Long Covid patients in Scotland is underway to improve care for people living with the condition and dramatically relieve the pressure on GPs.

NHS Lothian has been working with Chest Heart & Stroke Scotland (CHSS) and Pogo Digital Healthcare to deliver a ground-breaking digital platform that brings primary care and third sector services seamlessly together for the first time.

The platform, called ‘MyTailoredTalks’, has been developed by Pogo Digital Healthcare and has been jointly funded by NHS Lothian, CHSS and the NHS Lothian Charity (formerly Edinburgh and Lothians Health Foundation) – with £120,000 invested in the platform so far.

It will allow GPs and other clinicians to refer patients automatically to the CHSS’s Long Covid support services and to provide tailored self-management information to patients.

Over 70 patients are taking part in the pilot across 26 GP practices in the region.

The team behind the project is appealing for partners to expand the ground-breaking innovation beyond Lothian so that everyone with Long Covid in Scotland can get better access to support.

Lothian-based GP Amy Small is living with Long Covid. She has been at the heart of developing the new system. She said: “As a GP and someone living with Long Covid this new digital system will be hugely beneficial to patients and primary care.

 “It’s a big breakthrough in integrated care. It gives patients direct access to support to help manage their condition.

 “GPs will also now be able to seamlessly refer their patients through to the charity’s Long Covid Support Service which provides one-to-one support and advice from experienced advisors who can provide more time to the patients than GPs can.”

Health Secretary Humza Yousaf welcomed the project. He said: “Chest Heart & Stroke Scotland’s Long Covid support service not only supports people living with Long Covid, but also helps reduce some of the pressure on NHS services. That is why we have funded and continue to support Chest Heart and Stroke Scotland to deliver a Long Covid Support Service.

“I welcome this collaboration and investment. This kind of digital innovation is just one example of the flexible way in which our NHS boards across Scotland are adapting to meet the needs of people with Long Covid. We are spending £3m this year to support NHS boards like NHS Lothian to develop and deliver the best models of care appropriate for their local population’s needs.

“I look forward to seeing the full results of the pilot exercise and we are committed to working closely with Chest Heart & Stroke Scotland to share the learning generated from it to support the sustainability of our health services.” 

Professor Tim Walsh, Director of Innovation for NHS Lothian, said: “This project shows what can be achieved by the NHS, patients, charities and digital expertise working closely together to find innovative solutions.

 “The personalised ‘MyTailoredTalks’ have been designed to provide trusted ‘bite sized’ information for patients to access whenever they need to and be able to share with family or friends.

 “We hope that these, together with the holistic support CHSS offer, will make a real difference to people living with Long Covid.”

Allan Cowie, interim chief executive at Chest Heart & Stroke Scotland, said: “For the past two years we’ve been campaigning alongside people living with Long Covid to ensure that systems are in place to help them easily access the care and support they desperately need.

“This system has the potential to transform access to wraparound care through GP services. It has been developed with clinicians and people with Long Covid and we want it to be adopted right across the country as soon as possible.

“It not only makes this process easier for people living with Long Covid, but it helps to alleviate some of the pressure that primary care is under by allowing clinicians to easily refer their patients into a service they can trust.”

Greig Brown, 44, contracted Covid-19 in January 2021 and has been hospitalised twice because of the condition. Once a keen runner and cyclist, Greig now lives with the symptoms of Long Covid, suffering from severe breathing difficulties and memory loss.

He has not been able to return to his job as a joiner at St John’s Hospital in Livingston, and he fears he will never regain the health and fitness he once had.

Greig lives in Armadale, West Lothian, with his partner, Sam. Their plans to marry are up in the air as they have had to use their savings while Greig has been off long-term sick.

He says: “This is my reality. I am so breathless and exhausted every day that simply getting downstairs and settled on the couch wipes me out.

“I used to walk miles every day around the hospital, carrying tools and anything else I needed. Now I can’t even walk to the kitchen without needing to sit down.

“My GPs kept telling me Long Covid is all new to them, too, and they don’t know how to treat it.

“I feel as if people like me have fallen through the cracks. I hope having a system in place like this NHS Lothian pilot that lets doctors refer patients directly to the CHSS support service can make a real difference to everyone living with Long Covid symptoms.”

Sanjay Singh, Head of Funding Programmes with NHS Lothian Charity, said the pilot is a “great example of partners working together during the pandemic to achieve patient care that is personalised and, crucially, in response to Long Covid, as we learn more about this awful illness as time goes on.”

 “We were delighted to be involved in this innovative project and to be able to support through funding made available to support our communities dealing with the effects of Long Covid,” he said.

Jack Francis, chief executive and founder of Pogo Digital Healthcare, added: “Working in partnership with healthcare professionals, patients and technology experts to develop this innovative new healthcare pathway has resulted in a unique way for patients to manage their Long Covid symptoms.

“I am delighted with the pilot engagement so far from both the patient groups and Chest Heart & Stroke Scotland’s advice line team, and it has been great to be part of such an innovative new healthcare solution.”