World Mental Health Day: a message from The President

Dear Friends

Ingrid Daniels

World Mental Health Day, a programme of the World Federation for Mental Health, was observed for the first time on 10 October 1992.

The world is experiencing the unprecedented impact of the current global health emergency due to COVID-19 that has also impacted on the mental health of millions of people. We know that the levels of anxiety, fear, isolation, social distancing and restrictions, uncertainty and emotional distress experienced have become widespread as the world struggles to bring the virus under control and to find solutions.

The current worldwide pandemic arose against an already dire mental health landscape that saw mental health conditions on the rise across the globe. About 450 million people live with mental disorders that are among the leading causes of ill-health and disability worldwide (WHO’s World Health Report, 2001).

One person in every four will be affected by a mental disorder at some stage of their lives while mental, neurological and substance use disorders exact a high toll on health outcomes, accounting for 13% of the total global burden of disease (WHO, 2012).

The World Health Organization (2018) states that every 40 seconds someone dies by suicide. Annually, this represents over 800 000 people that die by suicide, which is more than people dying by war and homicide put together.

For every suicide, there are many more people who attempt suicide every year. A prior suicide attempt is the single most important risk factor for suicide in the general population. Suicide is the second leading cause of death among 15 to

29-year-olds while 79% of global suicides occur in low- and middle-income countries (LMIC). Every suicide is a tragedy that affects families, communities and entire countries and has long-lasting and devastating effects on the people left behind.

This bleak picture necessitates that we ensure that mental health is prioritised now more than ever before.

The World Economic Forum (2018) noted that mental health disorders are on the rise in every country in the world and could cost the global economy up to $16 trillion between 2010 and 2030 if a collective failure to respond is not addressed.

We are faced with an international mental health crisis and have been forewarned over the past two decades of this imminent catastrophe. This has been compounded by the need for psychosocial support and mental health interventions during this time.

Thus, the drive for universal health coverage (UHC), articulated as a key target in the sustainable development goal for good health and wellbeing, is motivated by the desire for health equity across the globe (United Nations. Sustainable development goals: 17 goals to transform our world. New York: United Nations; 2015).

Universal health coverage means that all people have access to the quality mental health services they need, when and where they need them, without financial hardship.

We believe this is possible and it starts with strong primary health care that adopts a whole-of-society approach to health and wellbeing that is centred on the needs and preferences of individuals, families and communities. To make health for all a reality, governments need to invest in mental health.

Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization stated: “The world is accepting the concept of universal health coverage. Mental health must be an integral part of UHC. Nobody should be denied access to mental health care because she or he is poor or lives in a remote place.”

This statement necessitates that under the current global health emergency no-one should be denied mental health care. Psychosocial support and mental health national plans need to address the mental health consequences of the COVID-19 pandemic and its impact on citizens.

It is therefore of great significance and importance that the theme for World Mental Health Day 2020 will be:

Mental Health for All
Greater Investment – Greater Access

Mental health is a human right – it’s time that mental health is available for all. Quality, accessible primary health care is the foundation for universal health coverage and is urgently required as the world grapples with the current health emergency.

We therefore need to make mental health a reality for all – for everyone, everywhere.

The time for actions is now.

I believe this call to action will be strengthened through our alliances, collaborations and partnerships to ensure that investment in mental health is prioritised, particularly during this time within the content of COVID-19.

It is also a time in which we can capitalise on the resilience displayed by individuals and communities who relaunched, regenerated and rediscovered themselves and their communities to be responsive during a time of crisis, as well as a time of great reflection and finding creative solutions and interventions to facilitate a mental health response in an emergency context despite social distancing or “lockdown”.

We invite you to join our call to action in highlighting the need for greater investment in mental health particularly during this global health emergency and thereafter. World Mental Health Day isn’t simply a one-day event.

We need to start now and continue our call to ensure that no-one is left behind. A great opportunity is provided to focus on the call for greater investment in mental health for all as we lead up to 10 October.

Together we are stronger and together we can make a big difference all over the world.

World Mental Health Day aims to raise awareness in the global community about the critical mental health agendas – with a unifying voice through collaboration with various partners – to take action and to create lasting change through the messages we promote.

We are all in this together and together we can bring about mental health for all.

Best regards

Dr INGRID DANIELS

President, World Federation for Mental Health

COVID demo at Holyrood: Police urge protesters to stay away

Police Scotland is urging people not to gather for a planned demonstration against the ongoing coronavirus restrictions at the Holyrood Parliament building today.

Superintendent David Robertson, of Edinburgh Division, said: “We are aware of a proposed demonstration in Edinburgh in relation to the ongoing restrictions in place to help prevent the spread of coronavirus and save lives.

“Anyone thinking of taking part is strongly urged to find alternative ways to protest rather than attending mass gatherings, for example through digital means.

“Police Scotland will have a proportionate and appropriate response should this event go ahead and will act decisively to enforce the law if required.

“We are asking people to take personal responsibility to do the right thing and remember the purpose of these measures is to aid the collective effort to stay safe, protect others and save lives by preventing the virus from spreading.”

High street recovery from lockdown stalled in September as summer ended, says Centre for Cities

Consumer spending fell in almost every city and large town in UK as Autumn approached

  • Double digit drops in visitor footfall for many UK tourist destinations this September
  • Almost everywhere saw a fall in consumer spending as summer concluded
  • But the 10pm curfew made little change to visitor numbers, with a number of areas still above pre-lockdown levels of footfall

The recovery of the UK’s high streets stalled in September as many cities’ and towns’ summer booms ended. This is according to the latest data from the Centre for Cities High Streets Recovery Tracker in partnership with Nationwide Building Society.

Overall footfall in the centres of cities and large towns increased by just one percentage point last month. This is 17 percentage points lower than the increase seen in July and August.

Consumer spending in city and town centres also fell almost everywhere – in many places significantly. While Bournemouth had the biggest increase in visitors this summer, in September the amount of money being spent there fell by 46 percentage points – the most of all the cities studied.

Additionally, Bournemouth and many other tourist destinations such as Blackpool, Brighton, York and Edinburgh saw large drops in the numbers of visitors in September as the summer holidays ended, raising concerns that their initial recovery from Covid-19 may have been short lived.  

Cities and large towns showing the biggest drops in footfall this September
RankCityPercentage point fall in footfall in September
1Bournemouth-31
2Blackpool-25
3Swansea-16
4Brighton-14
5York-14
6Edinburgh-12
7Southampton-11
8Southend-10
9Cardiff-10
10Liverpool-10
UK urban average: 1 percentage point
Cities and large towns showing the biggest drops in spending this September
RankCityPercentage point fall in spending in September
1Bournemouth-46
2Middlesbrough-43
3Blackpool-39
4Birkenhead-29
5Liverpool-28
6Brighton-28
7Wigan-26
8Newport-25
9Preston-25
10Cardiff-24
UK urban average: -9 percentage points

Data from the end of September suggests little indication that the 10pm curfew on pubs and restaurants had an effect on footfall, which overall has not fallen as a result of the measures. 

Cities and large towns showing the biggest drops in footfall this September
Cities with the highest footfall as a percentage of pre-lockdown averageCities with the lowest footfall as a percentage of pre-lockdown average
Rank  Rank  
1Basildon1321London35
2Chatham1292Manchester51
3Birkenhead1233Cardiff51
4Blackpool1164Birmingham55
5Burnley1125Oxford55
6Doncaster1086Liverpool59
7Telford1077Edinburgh60
8Southend1058Leeds61
9Wigan1039Glasgow62
10Bournemouth10210Newcastle65
UK urban average: 64%

The persistently low numbers of people going back to work in city centres, particularly in big cities, reinforces the concerns for the future of shops, cafes, restaurants and bars that depend on office workers for custom.      

On average, across large cities and towns just one in five workers have now returned to their place of work. In London, Birmingham, Glasgow, Leeds and Oxford the figure is even lower – at around 15%. Meanwhile in Basildon and Mansfield, the figure has reached almost half. 

Centre for Cities’ Chief Executive Andrew Carter said: “Many places in the UK benefited from the good weather, Eat Out To Help Out and domestic holiday makers. But it’s clear that this was a seasonal boom and with winter approaching, Covid cases rising and the prospect of more local lockdowns, policy makers need to think hard about how to support places through the difficult months ahead.

“The Job Support Scheme and related measures will help but, as the Chancellor said, it can’t support every job. However, there is a still risk that many of the local amenities that many of us have made use of this summer could be lost in the months ahead. So, I’d like to see the Chancellor set out how he proposes to protect these for us to enjoy once again when it is once again safe to do so.

“Greater devolution of powers and responsibilities, such as those expected in the postponed devolution white paper would have been one way for to help places help themselves so the Government should press ahead with doing this as soon as possible.”

Make A Splash! Edinburgh Leisure offers Family Swim

As leisure venues start to adapt to the new norm, Edinburgh Leisure has introduced new Family Swim sessions at their five pools that are open, in a bid to offer activities for all ages and stages.

The Family Swim sessions will be available to book at Ainslie Park Leisure Centre, Drumbrae Leisure Centre, The Royal Commonwealth Pool, Gracemount Leisure Centre and Leith Victoria Swim Centre.

To enable customers to safely enjoy the benefits of family swimming, the pool will be sectioned off into ‘pods’, with each family having their own private area. Each pod will cost from £9.60 – £12, depending on type of membership held.

Members can book eight days in advance or seven days for non-members, with sessions starting from Saturday, 17 October 2020.  Booking is now live to members and non-members can book from 9pm tonight (Friday, 9th October).

Customers will be able to book a 40-minute session with a maximum of five people, from the same household bubble. However, customers will need to stick to the existing adult: child ratios*.

This will allow flexibility for how customers use the space – e.g. children from 9-12 years who do not need to socially distance, can book to attend with their friends if they wish. During any one sessions, there will be between three to eight pods to book.

Angela McCowan, Swim Development Officer at Edinburgh Leisure said:  “We are delighted to be welcoming families back to our pools. We know how popular previous family swim sessions have been so opening up our pools to families in time for the October holidays, will mean that more people, of all ages and stages, can continue to get active with Edinburgh Leisure.

”Things may be a little different than before but we have everything in place to keep families safe and most importantly, enjoy making a splash with us.”

Following guidance from Scottish Swimming and from Edinburgh Leisure’s Health and Compliance Manager, Edinburgh Leisure has introduced the following guidelines to keep everyone safe:

  • All Family Swim Sessions must be pre-booked online or via the Edinburgh Leisure app.  To book a session, an Edinburgh Leisure account is required. (This will be in place if a person is an Edinburgh Leisure customer of hold a discount or loyalty card).  For customers who do not have an account, one can easily be created by visiting the Edinburgh Leisure website.
  • Customers are encouraged to arrive ‘beach-ready’, wearing their swimwear underneath their clothes to minimise time spent in changing areas. Lockers will be available for customer use but customers should bring their own token.  (These are also available to buy at reception with cashless payment.)
  • Customers will be asked to follow the COVID-19 guidance, and maintain physical distancing, sanitising hands before and after each session, and following any signage guidance around the venue. Masks are mandatory when moving around public places, unless exempt due to age or health conditions.
  • Customers are asked to arrive only 5 minutes before their swim time.  Any earlier, they will be asked to wait outside the venue, physically distanced in their groups.
  • No toys or equipment will be provided or loaned by Edinburgh Leisure.  However, customers will be allowed to bring their own toys with them to the session, including floats, sinkers, armbands – but they must be washed before entering the pool. Large inflatables are not allowed. There will also be items available to purchase, using cashless payment only.
  • Once a family session has finished, customers will be asked to exit the pool safely and ensure they maintain distancing from other family groups.  Although showers will be available to rinse off after the session, the use of soaps, shampoos and conditioners is discouraged.  This is to maintain physical distancing.  Hairdryers and costumer drying will not be available.
  • Customers or any family group/household displaying symptoms of COVID-19 are asked not to book or to cancel any pre-booked sessions.

For more information:   https://www.edinburghleisure.co.uk/activities/swim/types-of-swimming

Committees unite to scrutinise UK Government coranvirus response

Westminster’s Health and Social Care Committee and Science and Technology Committee  have today launched a joint inquiry into lessons to be learned from the response to the coronavirus pandemic so far.

Scope of the inquiry

The two Select Committees will jointly conduct evidence sessions examining the impact and effectiveness of action taken by government and the advice it has received. Each Committee will draw on specialist expertise and call witnesses to consider a range of issues including:

  • the deployment of non-pharmaceutical interventions like lockdown and social distancing rules to manage the pandemic;
  • the impact on the social care sector;
  • the impact on BAME communities;
  • testing and contact tracing;
  • modelling and the use of statistics;
  • Government communications and public health messaging;
  • the UK’s prior preparedness for a pandemic; and
  • the development of treatments and vaccines.

Joint Inquiry Chairs Rt Hon Jeremy Hunt MP and Rt Hon Greg Clark MP issued the following statement:

“Parliament has a crucial role in scrutinising the actions of government at a time when the country is in the grip of a crisis such as the current pandemic with its tragic impact on lives and livelihoods.

“Important lessons need to be learned that can help inform further decisions that will need to be taken in the months ahead. It is crucial to learn and apply them now since the Public Inquiry that the Prime Minister has promised is likely to be some time away.

“Our committees will jointly learn what went well, what didn’t, and what lessons must be learnt at this point in the pandemic.

“We will use the independence of our cross-party committees and weekly detailed questioning of witnesses to consider the decisions taken and the evidence they were based on and assess their effectiveness. We will develop clear recommendations so that the UK can benefit from the lessons learned for future stages of this pandemic and for future crises.”

Follow the Scottish Government Covid-19 rules and respect shop workers, says Usdaw

Retail trade union Usdaw has responded to yesterday’s tightening of the Covid-19 restrictions, by the Scottish Government, with a call for respect for shop workers.

From this weekend, shops across Scotland are to return to 2 metre physical distancing and reintroduce safety measures put in place earlier in the pandemic.

Usdaw is reminding customers of the five simple steps to encourage considerate shopping, that were agreed with the Scottish Retail Consortium (SRC) and the Scottish Government, urging the public to play their part in creating a safe and enjoyable retail environment for other customers and retail staff:

1. Queue considerately.

2. Maintain social distancing.

3. Follow instructions inside and outside shops.

4. Follow all necessary hygiene measures.

5. Be respectful to shop staff.

Tracy Gilbert  – Usdaw’s Scottish Deputy Divisional Officer said: “Unfortunately the early part of the Covid-19 crisis saw instances of abuse towards shop workers double and we are absolutely clear that ‘abuse is not part of the job’.

“With infections rising we understand why the Scottish Government wants to return to the original safety guidance for shops, that we developed with the SRC, to provide staff and customers with a safer shopping experience.

“Customers need to play their part and be patient, observe social distancing and show respect to shop workers. Retail staff are key workers delivering essential services and that role must be valued and respected.”

Morrisons introduces new measures to help people who are self isolating

– Customers can order a delivery to their doorstep from items across the supermarket –

Morrisons has launched a service aimed at ensuring customers who are self-isolating can get a delivery of food to their doorstep.

With coronavirus cases rising, Morrisons wants no customer to be left behind and the ‘doorstep delivery’ service will offer all customers who are self-isolating a next-day food delivery (from 10am-6pm). 

Customers simply have to ring the doorstep delivery service where they can choose the items for their emergency delivery. The service was previously only available for elderly and clinically vulnerable people. 

Now anybody who is self-isolating can: 

  • Phone 0345 611 6111 and select option five. 
  • Choose from a items across the supermarket, guided by the telesales operator
  • Place the order and then the delivery is made the following day by a store colleague from their local store, often the store’s Community Champion, who is tasked with helping the community.
  • Pay for delivery on their doorstep via a mobile chip and pin device. The delivery charge is £4.50 (students £2). There is no delivery charge for elderly and vulnerable people.  

Students can also contact Morrisons on email: students-ug@morrisons.co.uk.

Anna Lane, Morrisons Local Director, said: “This doorstep service will ensure that more people who can’t leave their home to go shopping will be able to get a delivery of affordable food.”

Morrisons will be delivering from more stores in order to extend the service across the country. 

Devolved nations issue united call for financial action

Finance Ministers from across the devolved nations have joined forces to call for flexibility, fairness and clarity from the UK Government.

For the first time, all three finance ministers – Kate Forbes, Rebecca Evans and Conor Murphy –  today made co-ordinated statements in their respective legislatures.

The ministers are asking the UK Government for greater fiscal flexibility to manage the implications of coronavirus (COVID-19), meaningful involvement in the Spending Review to enable planning of budgets and an assurance that lost EU funding will be replaced in full and brought under the control of devolved administrations.

Finance Secretary Ms Forbes said: “Today the finance ministers of the devolved administrations are taking this unprecedented step to demonstrate the level of concern we share across the different nations of the UK, across different parties and across different legislatures.

“The importance of these issues cannot be overstated. They directly impact our ability to respond to COVID-19, to manage our nations’ finances and to support our communities and businesses during the pandemic.

“As representatives of our three nations, we are calling for the UK Government to provide the clarity, certainty and flexibility we require. These calls must not go unanswered.”

Ms Evans said: “I am focused on protecting the people of Wales from the worst impacts of the pandemic, while laying the foundations for recovery based on jobs, our young people and the environment.

“However, the Chancellor’s decision to cancel the UK autumn budget, alongside the uncertainty of the Spending Review and the complete lack of information on replacement EU funding, all contribute to making our task harder still.

“Wales, Scotland and Northern Ireland are today calling on the UK government to provide the fairness, flexibility and clarity we need to support and protect our communities and businesses.”

Speaking in the Northern Ireland Assembly, Mr Murphy said: “As Finance Ministers we represent over 10 million people and today we speak with one voice. We are calling for more fiscal flexibility to manage the implications of COVID-19.

“We are calling for proper involvement in the Spending Review so we can plan our Budgets. We are also calling for lost EU funding to be replaced in full, and brought under local control.” 

Finance Secretary Kate Forbes’ statement to the Scottish Parliament is available online.

Concern over COVID outbreaks in two Lothian care homes

Two Lothian care homes are under investigation by NHS Lothian following significant coronavirus outbreaks.

53 cases have been reported in Redmill Care home in Broxburn while 29 people have tested positive for the virus in Millford House Care Home in Duddingston.

Lothian MSP, Miles Briggs, said: “My thoughts are with the families and loved ones who have died from this cruel virus at these care homes.

“Since the start of the covid-19 outbreak care homes have been by far where the highest proportion of deaths have been, with residents at higher risk to Covid-19 and living under the same roof.

“SNP Ministers have failed to introduce effective infection prevention measures comprehensively across all care homes, which has left residents at greater risk.”

800 new cases of Covid-19 have been reported across Scotland in the last 24 hours. Of these, 164 are in Lothian.

Local MSP Neil Findlay said: “I am very concerned about the situation at Redmill care home in Whitburn (above) where there is an outbreak of Covid 19 – the company and Scottish Govt must be transparent about the situation and advise families and staff about the situation.

“Families are very appreciative of the efforts of staff at the home who are very worried about their wellbeing and that of all their residents.”

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