On Wednesday 6th September 2023, the Scottish Parliament debated a Save Our Pools motion brought forwarded by Liz Smith MSP.
The motion and debate recognised the importance of Scottish Swimming’s ‘Save Our Pool’ campaign, which has been fighting to secure long-term financial investment from the Government, in order to sustain swimming pools threatened with inflationary energy costs, staff shortages and, ultimately, closure.
Foysol Choudhury, MSP for Lothian, has been heavily involved in the campaign after West Lothian Leisure closed three swimming pools in his region.
Speaking following his participation in the debate, Foysol Choudhury said: “Swimming pools are community lifelines for people to exercise, socialise and learn water safety.
“However, these vital community resources are under threat due to lack of Scottish Government funding to local councils.
“That’s why it was so important for me to share my constituent’s stories in the Chamber – to highlight how Scottish Government funding decisions leave people with ‘sleepless nights’ ”
Mr Choudhury also highlighted in the debate how swimming is an important life skill and how these closures will mean even less children have the ability to learn to swim: “Evidence shows that children from certain social and economic backgrounds are already at a disadvantage in terms of learning to swim.
“Are we really going to make that worse by removing community swimming pools altogether?”
Mr Choudhury says he wrote to the Minister for Social Care, Mental Well-being and Sport and was told there was no time available to meet.
This lack of engagement from the Scottish Government, he says, was also evident in Wednesday’s debate when Mr Choudhury says his question to the Minister on swimming pool closures across the whole of Scotland was not fully answered by the Minister.
Mr Choudhury also wrote to the First Minister with colleague Neil Bibby MSP. He has not, however, received a response.
Mr Choudhury says that action from the Scottish Government and increased funding must be prioritised this term: “The Scottish Government are responsible for funding local authorities and a lack of funding have meant that local authorities have had to make difficult decisions.
“The UK Government recently announced funding of £63 million to be directly invested into leisure centres with swimming facilities. When I questioned the Scottish Government on this, they confirmed that the consequentials from that funding have been added to the overall Scottish bloc, but nothing further has been earmarked for swimming pools at this time.
“This is funding that should have been directly allocated to local authorities to fund leisure centres with pools.
“It is deeply disappointing that there is no mention of swimming pools in the new programme for government.
“I will continue working with the Council, Scottish Swimming, Ministers and all interested parties where possible to ensure that this devastating lack of Scottish Government funding does not destroy our swimming pools and other aspects of our Natural Health Service.”
Foysol Choudhury MSP’s speech can be watched here:
The 2023 Edinburgh Festival Fringe drew to a close yesterday, (Monday 28 August 2023), having brought together artists, arts industry, media and audiences from nearly 170 countries, with 2,445,609 tickets issued across the festival.
288 venues hosted a diverse selection of work from Scotland, the UK and the rest of the world, with 67 countries represented, and performance showcases from 17 countries. They were joined by nearly 500 of the world’s finest street performers, buskers and street artists, who brought vibrancy and joy to the Mound and Royal Mile as part of the Fringe street events.
As the largest performing arts festival and expo market for professional development in the world, this year’s Fringe also attracted nearly 1,400 accredited producers, programmers, bookers, talent agencies, festivals and others from 49 countries, who come to Edinburgh looking to find talent and shows, providing touring and onward opportunities for artists well beyond August.
In addition, 840 of the world’s media accredited for this year’s festival through the Fringe Society, with the number of reviewers up 10% on last year, and who in total generated 25% more reviews for artists at the Fringe than in 2022.
The themes and issues tackled by artists in the 2023 programme included mental health and wellbeing, disability, queer lives, working-class representation and the climate crisis; with emerging talent showcased alongside big names and ground-breaking international work.
To help audiences discover work among the 3,553* shows featured in this year’s programme, the Fringe Society launched a new Fringe app for 2023. Using the app, audiences could ‘shake to search’, generating a random show suggestion simply by shaking their phone, while the ‘nearby now’ function let app users find shows starting soon in close proximity.
Since its launch in July, the app has been downloaded nearly 80,000 times, with over 400,000 tickets issued through it.
Ensuring artists remain at the core of what the Fringe Society does, the Fringe Central: Artist Hub welcomed more than 1,500 artists and hosted a programme of over 40 events, working with 30 external partners including Health in Mind, Nouveau Riche, Birds of Paradise and World Fringe.
The Fringe Society has made a long-term commitment to community engagement and access. Key initiatives this year included loaning out 320 sensory resources for autistic children and adults, BSL interpretation of the street events in partnership with Deaf Action on three dates during August, and a dedicated Changing Places toilet located near George Square. This year the number of access bookings increased by around 35% compared to 2022.
35 local schools, charities and community groups took part in the Fringe Days Out scheme, which offers free Fringe vouchers and Lothian bus tickets to people who wouldn’t normally get to experience the Fringe. In addition, over 800 schoolchildren and teachers came to the festival as part of the Fringe Society’s schools outreach work.
Shona McCarthy, Chief Executive of the Edinburgh Festival Fringe Society, said: “This year’s Fringe has been one that’s felt fresh, brave and energetic, and has sparked joy, discussion and provocation in equal measure, tackling the prevalent issues of our times and looking at them afresh through the creative lens and ingenuity of the performing artists.
“People come from all over the world to perform here, to see shows and to commission work. This festival remains a beacon for people to share and discuss ideas – I want to express my heartfelt thanks and admiration to everyone who makes it happen.
“Congratulations to the whole Fringe community of Fringe 2023; we will be relentless in our ongoing work to ensure that the Edinburgh Fringe lives up to its mantra – to give anyone a stage and everyone a seat.”
Benny Higgins, Edinburgh Festival Fringe Society Chair, added: “The discussions and debates held at this year’s festival have made it one of the most vital and memorable – and one of the loudest conversations was the one around affordability.
“Certainly artists are facing some of the most severe challenges ever, and while the Fringe Society will continue to do everything in its collective power to support artists, this will become harder and harder without finding support commensurate with its contribution to the economy.
“We will continue to make the case for funding, to protect what the Fringe represents – an unrivalled outpouring of creative expression.”
By Monday afternoon, with hundreds of performances still to take place, the Fringe Society can confirm that just under a quarter of a million people attended Fringe shows this year. 33% of attendees came from Edinburgh, 15% from the rest of Scotland and 10% from overseas, highlighting the continued appeal of the Fringe for locals and visitors alike.
Over 800,000 tickets were issued to ticket-buyers with EH postcodes, and 611 shows came from Edinburgh and the Lothians.
CHOUDHURY: Support needed beyond the Fringe
Scottish Labour MSP and Shadow Minister for Culture, Europe, and International Development Foysol Choudhury has raised concerns about the need for increased investment in local arts and culture groups all year round.
“The crowds that our festivals attract from all over the world show great levels of support for the arts from members of the public. However, additional support needs to be provided, all year round, to ensure these can be sustained for the public to enjoy.
“As the Scottish Government continues to waste money on the establishment of a new Independence Minister, Scotland’s culture and arts sector is suffering from a lack of investment.
“The closure of the beloved Edinburgh Filmhouse is testament to this, after it was forced to close its doors despite being known as a community lifeline for many.
“We also sadly see other much-loved venues facing challenges. Action is needed now before we lose these integral arts and culture venues for good.”
The 2023 Edinburgh Fringe Festival ran from the 4th – 28th of August 2023 and the Edinburgh International Festival ran from the 4th– 27th of August 2023.
There are some reports that there has been a drop in the number of shows taking place across the Edinburgh Fringe, with the 2023 Festival reportedly having less shows than the 2019 festival.
Noting this apparent decline in participants in the Fringe festival, Mr Choudhury says he will continue to pursue support for the arts and culture sector, so that Scotland’s vibrant cultural scene can flourish and is supported out of the COVID-19 pandemic and cost-of-living crisis.
Next year’s Edinburgh Festival Fringe will run from 02 – 26 August 2024.
YESTERDAY (Wednesday 9th August), the Scottish Parliament in partnership with the Cross-Party Group (CPG) on Bangladesh held a panel discussion on the ‘Urgency of climate change and justice in vulnerable low-lying countries ahead of COP28.’
The event, chaired by Member of Scottish Parliament and Convener of CPG Bangladesh Foysol Choudhury, is part of the 19th Festival of Politics hosted by the Scottish Parliament and Edinburgh International Festival between 9th – 11th August.
The panel on climate justice featured experts on climate advocacy, including Ben Wilson, Advocacy Manager at the Scottish International Catholic Aid Fund (SCIAF); Jelina Berlow-Rahman, Senior Director of Berlow Rahman Hassan Ltd. Solicitors in Glasgow; Dr Elizabeth Cripps, Senior Lecturer in Political Theory at the University of Edinburgh and Professor Saleemul Huq, Director of the International Centre for Climate Change in Bangladesh.
Among the guests were the Consul General of India in Edinburgh; Turkish-Scottish Chamber of Commerce and academics from Scotland and Bangladesh.
The event centred on the theme of the unequal impact of global climate change on low-lying countries such as Bangladesh, Maldives, and Small Island Developing States (SIDS).
Panellists engaged in discussions about climate change as a moral and human rights issue, and how countries can mobilise long-term climate adaptation plans to tackle emerging challenges such as climate migration.
They further deliberated on the loss and damage fund established at COP27 and how the international community can best continue supporting local actors at the frontline of climate disasters ahead of COP28 this year.
Speaking after the event, Foysol Choudhury MSP said: “Today’s discussion reaffirmed that Scotland must reinvigorate its commitments to net zero emissions, as well as its targets to ensure climate justice elsewhere in the world, before COP28.
“Failure to meet climate goals will have, and is having, a devastating impact on low-lying countries, who have contributed the least to the climate change which is devastating them.
“We have already seen an increase in extreme weather in countries vulnerable to climate change, such as the floods in Pakistan and Bangladesh.
“Scotland needs to urgently engage in a multifaceted response comprising of climate mitigation, adaptation, and support, to ensure that climate justice for all countries can be realised on our path to net-zero.
“I hope this discussion offers insight into the urgency of the situation and reinvigorates the drive for change.
“We cannot afford to wait any longer before doing so.”
The panel event can be viewed on the following link:
Against the backdrop of the world’s biggest cycling event in history, discussions are taking place which aim to further boost equality, diversity and inclusion across Scotland’s world-renowned events sector.
The 2023 UCI Cycling World Championships has seen competitions for disabled and non-disabled athletes taking place alongside each other. This inclusive approach has helped to showcase and raise awareness of Para sport.
Yesterday in Glasgow Culture Secretary Angus Robertson hosted a roundtable with partners representing people with protected characteristics, such as race and young people, to explore ways to strengthen the approach to the planning, delivery and legacy of major events.
Along with a public consultation and stakeholder workshops held earlier in 2023, this will inform the refreshed National Events Strategy for 2025-2035.
Mr Robertson said: “It’s important that collectively we make most of the many benefits events can bring to the lives of diverse communities right across Scotland.
“The UCI Cycling World Championships are a great example of how mega events like this can showcase our cultural diversity, boost accessibility and extend a warm welcome to all communities.
“The inclusion of Para sports in the Cycling World Championships has contributed significantly to the atmosphere. The competitive spirit and level of skill and dedication demonstrated by all athletes taking part side by side has been inspirational and an important part of the success of the event.
“We want our portfolio of world-class events to deliver positive economic, social, cultural and environmental benefits for everyone in Scotland.”
Scottish Labour’s Shadow Minister for Culture Foysol Choudhury MSP said that championships as such are an excellent opportunity to get more people into sports and showcase all that Scotland has to offer to the world.
The Lothians list MSP said: “With our fantastic landscape and cities as backdrops for the event, it’s been great to show the world exactly why so many of us are proud to call Scotland our home.
“Not only that, but it’s really helped to encourage sport, amongst young people and adults alike.
“We not only have breath-taking scenery if you want to cycle outdoors, but we also have excellent velodromes for indoor cycling.
“This is a great opportunity to embrace active travel as part of a healthy lifestyle and start cycling again-I know I’ve definitely been inspired to get back into the habit!”
As part of the build-up to the 2023 UCI Cycling World Championships, an £8 million Cycling Facilities Fund has been jointly invested by the Scottish Government and Sportscotland to support cycling communities and club facilities across Scotland.
Mr Choudhury continued: “To encourage active travel and sport, we need to make sure that everybody has access to the equipment and facilities needed to participate. That’s why funding to community and club facilities is so important.
“I would like to congratulate two projects from West Lothian – Balbardie Park Pump Track and West Lothian Cycle Circuit, Linlithgow – who have received awards of £45,433 and £636,011, respectively.
“I hope that my constituents can make use of the benefits that these funds can bring.
“Let’s all get inspired by the Championships this summer and join in to feel the Power Of The Bike! “
Passengers rely on good connectivity through our train network, whether it be for work or leisure (writes Lothians Labour MSP FOYSOL CHOUDHURY).
What’s more, many passengers rely on ticket offices in stations to guide them through a journey and help them with buying tickets for a stress-free experience. This is especially true of older people or those without digital connectivity, who might not have the ability to book tickets on their phone.
They are also a massive resource for tourists, such as the thousands who visit Scotland, to help them enjoy trips in what might be an unfamiliar environment.
That’s why the plans to remove, or reduce the opening hours of, ticket offices for many train operators would be so catastrophic. Not only will this affect passengers on train services leaving Scotland – for example, the Avanti West Coast services leaving Glasgow – but it will also affect the huge numbers of passengers who wish to buy tickets in England to travel up to Scotland.
Just the other week, I was travelling back home to Scotland from England and had difficulties buying tickets on my phone in the station due to connection issues, so much so that I missed the train I wanted to get on.
If this was difficult for me, I can only imagine how difficult it would be for somebody who was less able to use a smartphone or navigate the complex booking and payment process online.
Without ticket offices, passenger service could be drastically worsened due to poor accessibility, restricted access to best value tickets and a devastating lack of support for ease of journeys. This will also lead to a de-staffing of stations, which could worsen passenger safety, security and experience.
This is why we must save our ticket offices. You can have your say by responding to the Transport Focus consultation by 1st September 2023.
The Scottish Fire and Rescue Service (SFRS) have announced a programme of £11 million worth of cuts for 2023-24, which could lead to catastrophic removals of equipment and firefighter positions at fire stations.
Crewe Toll Fire Station in Edinburgh is due to be affected, with the potential loss of the station’s Turntable Ladder, the piece of equipment which allows rescues from height.
If the equipment is removed from the station, and if no other height appliance was available to attend, there would be no external rescue possible from above the fourth floor in a building.
Foysol Choudhury MSP this week visited Crewe Toll Fire Station to discuss the impact that these cuts would have on the firefighters and their ability to do their job safely.
Following the visit, Mr Choudhury said: “Firefighters risk their lives doing their jobs to save us, and our buildings, from fire.
“They depend on vital equipment to help them do this safely and so I am incredibly concerned that this equipment could be removed, meaning that rescues from height will not be possible.
“With over 50 buildings above four floors in the surrounding area, this proposal makes no sense.
“If there is a fire in a block of flats in the area surrounding Crewe Toll, what will happen?
“These cuts should not be made, knowing the dangers that fires can cause and the tragedies they lead to.
“You can sign the petition to help Crewe Toll Fire Station retain their height appliance here: https://chng.it/CJncjdvty7”
The Labour list MSP is supporting FBU Scotland’s #CutsLeaveScars campaign, which is calling for a reverse to the decision to cut £11million from services.
Mr Choudhury is also calling on the Scottish Government to urgently review their funding arrangements with the SFRS, so that these cuts are not forced and so that both firefighters and the public can be kept safe by a fully resourced fire and rescue service.
As the public consultation on proposed changes to ticket offices entered its final week, Transport Focus and London TravelWatch had received more than 100,000 responses.
The consultation on train operator proposals to close the majority of ticket offices in England ends today (Wednesday 26 July.
Launched at the start of the month, the consultation provides people with the opportunity to have their say on how operators sell tickets at stations.
Transport Focus wants to hear from as many people as possible on what the proposals would mean for them and how they might be impacted.
Transport Focus chief executive Anthony Smith, said: “We’ve had a huge response to the consultation so far, with 100,000 responses received already and one week still to go for people to make their voices heard.
“There’s still time to respond to the consultation if you haven’t done so yet. We want to hear from everyone, so we can consider the needs of all station users and local communities.”
Transport Focus will scrutinise the train company proposals and any mitigations in detail, alongside the public responses, to inform its response.
Transport Focus will be considering issues such as whether the station will continue to be staffed, accessibility, the alternative options for buying tickets and whether passengers will continue to be able to access station facilities like lifts, waiting rooms and toilets.
It is a regulatory requirement as part of the process that Transport Focus and passengers are consulted. Transport Focus will review the impact of the proposed changes and passenger comments received before responding to train operator proposals.
For more information and to take part in the consultation visit:
LOTHIAN MSP Foysol Choudhury is supporting the campaign to keep ticket offices open. He said: “Passengers rely on good connectivity through our train network, whether it be for work or leisure.
“What’s more, many passengers rely on ticket offices in stations to guide them through a journey and help them with buying tickets for a stress-free experience.
“This is especially true of older people or those without digital connectivity, who might not have the ability to book tickets on their phone.
“They are also a massive resource for tourists, such as the thousands who visit Scotland, to help them enjoy trips in what might be an unfamiliar environment.
“That’s why the plans to remove, or reduce the opening hours of, ticket offices for many train operators would be so catastrophic.
“Not only will this affect passengers on train services leaving Scotland, for example, the Avanti West Coast services leaving Glasgow, but it will also affect the huge numbers of passengers who wish to buy tickets in England to travel up to Scotland.
“Just the other week, I was travelling back home to Scotland from England and had difficulties buying tickets on my phone in the station due to connection issues, so much so that I missed the train I wanted to get on.
“If this was difficult for me, I can only imagine how difficult it would be for somebody who was less able to use a smartphone or navigate the complex booking and payment process online.
“Without ticket offices, passenger service could be drastically worsened due to poor accessibility, restricted access to best value tickets and a devastating lack of support for ease of journeys.
“This will also lead to a de-staffing of stations, which could worsen passenger safety, security and experience.
“The consultation runs until TODAY – 26th July 2023.
A Scottish Government Reporter appointed to consider the Eyre Place planning application has dismissed the developer’s appeal and refused planning permission.
Nearly 400 objections to the planning application 22/0384/FUL (Student Accommodation) 72-74 Eyre Place were received from residents. The residents were largely concerned with the overall scale of the development, its overbearing presence blocking natural light for neighbours, and dense accommodation which would overburden local infrastructure and amenities.
Many local residents, therefore, felt the proposal was not compatible with the character of the area in terms of use or design and could also increase noise and disturbance due to plans that the top storey of the flats would be dedicated to ‘entertainment’ and karaoke booths.
On 11 January 2023, it was unanimously agreed by The City of Edinburgh Council’s Planning and Development Management Sub-Committee that a hearing would be held, so that local residents and developers could make their case in the Council chambers, before a final vote was held.
However, the developers, CA Europe Operating Company, appealed, and a Reporter, (a lawyer appointed by Scottish Government Ministers), instead was tasked to decide on the merits of the planning application.
Foysol Choudhury, list MSP for Lothian, raised deep concerns at the time about the fact that the public hearing would not take place and that the voices of local residents would not be heard, with local democracy being sidelined by the developer’s appeal.
Responding to the news that the Reporter has now dismissed the developer’s appeal and that planning permission has been denied, Foysol Choudhury MSP said: “My constituents are overjoyed at this result and they should be congratulated for all their hard work in organising as a community, to ensure their concerns about this planning application were heard by elected officials.
“Many of my constituents told me that the community was in despair, not just because of the proposed development but because they felt the decision to sideline the public hearing led to their voices being silenced.
“The developers attempted to bypass local democracy and failed in their appeal, which is of course a relief for my constituents, but we must learn lessons so that local democracy is not circumvented like this again in the future.
“Nevertheless, I am glad that this deeply unpopular planning application has been denied. It’s great to see what can be achieved through the power of community!”
Local resident, Hannah Edwards, said: “Our community is delighted with the Reporter’s decision. It reflects what was obvious to so many when we first saw this aggressive proposal 18 months ago.
“A development of this size on a constrained site would have had a really negative impact on the lives of so many. We’re eternally grateful to each and every person who fought so hard to get the result we were so dearly hoping for.”
Responding to the news that foreign postgraduate students on non-research courses will no longer be able to bring family members to the UK due to new UK Tory immigration curbs, Foysol Choudhury MSP said:“The recent news from the Tories at 10 Downing Street is that foreign postgraduate students on non-research courses will no longer be able to bring family members to the UK.
“This is disappointing news for Scotland which could hinder the Scottish economy.
“Suella Braverman, UK Home Secretary, says that this policy “strikes the right balance” between bringing down migration and “protecting the economic benefits that students can bring to the UK”.
“In fact, not only could these policies hurt the economy in the future and damage the talented pool from which we can draw on to fill roles, but harmful Tory immigration policies could continue to fracture relationships between migrants to the UK and existing communities.
“I’m incredibly concerned about reports suggesting that some in the UK Government wanted to go even further and ban the dependants of all postgraduate students, including those on research courses.
“We run the risk of discouraging talented postgraduate students from coming to the UK at all.
“If their families are not welcomed by the UK Government, they might choose to take their talent and knowledge elsewhere, both potentially damaging the economy in the long-run and contributing further to the dangerous rhetoric on immigration which we have sadly seen all too often come out of 10 Downing Street recently.
“It is time to create policies that allow our communities across the UK to diversify, flourish and be enriched by the multitude of perspectives, skills and knowledge which migrants in our country offer.
“We cannot allow harmful policies like this divide us even further.
“The Scottish Government should enter into urgent talks with the UK Government to ensure that international students in Scotland are not further impacted by disruption to their studies and are instead made to feel welcome and valued.”
LOTHIAN MSPs have spoken out following a critical report on safety issues at the Royal Infirmary of Edinburgh at Little France. Inspectors reported safety concerns following visits to the hospital’s A & E Department in February and subsequent follow-ups.
Conservative Lothian list MSP Miles Briggs said: “These are very serious concerns in regards to overcrowding at Royal Infirmary of Edinburgh and the fire safety risk it creates.
“The A&E department at the hospital has been running over capacity for a number of years now, with SNP Ministers showing an ability to make any progress.
“Patient and staff safety must be the number one priority at the RIE and urgent improvements must be made.
“I have written to NHS Lothian to ask for further details and a timetable for when these improvements are being made .”
Labour list MSP Foysol Choudhury added: “It is incredibly disappointing and worrying that inspectors raised numerous serious concerns about safety in the A&E department at Royal Infirmary Edinburgh (RIE).
“Constituents in Edinburgh need to be sure that they can safely attend hospital for care and treatment. Instead, patient safety, care and dignity were called into question.
“This is terrifying for those patients in the region who need to be able to rely on and trust the A&E department should they ever need it.
“I’m very concerned that our hardworking NHS staff may also be put in danger by this crisis in the NHS, with concerns raised over staff wellbeing at RIE. Our hospital staff work incredibly hard to provide the best service possible.
“Patients at RIE and their relatives spoke highly of the compassionate care they received from staff. “This makes it all the more disappointing that staff and patients alike are being affected by 16 years of SNP incompetence.
“Staff and patients are crying out for help. Will the new Health Secretary answer their call and reverse years of damage done by Humza Yousaf when he held the post?”
NHS Lothian says the concerns expressed in the report are already being addressed. Alison Macdonald, nurse director at NHS Lothian, told the BBC the HIS visit came at a time of “unprecedented pressure” on the hospital.
She said: “We accept and acknowledge the findings of the HIS report and we sincerely apologise to patients for longer than usual waiting times in the emergency department and a poorer experience of care.
“We had already begun our own improvement work when the inspectors carried out their first visit.
“When they returned for their follow-up, it was clear to see that improvements had already been made, but more was required. We are now focused on our improvement and safety action plans.”
HEALTHCARE IMPROVEMENT SCOTLAND’S REPORT
HEALTH watchdog Healthcare Improvement Scotland carried out an unannounced inspection to the Royal Infirmary of Edinburgh, NHS Lothian on Monday 20 to Wednesday 22 February 2023 using our safe delivery of care inspection methodology.
During our inspection, we:
inspected the ward and hospital environment
observed staff practice and interactions with patients, such as during patient mealtimes
spoke with patients, visitors and ward staff (where appropriate), and
accessed patients’ health records, monitoring reports, policies and procedures.
As part of our inspection, we also asked NHS Lothian to provide evidence of its policies and procedures relevant to this inspection. The purpose of this is to limit the time the inspection team is onsite, reduce the burden on ward staff and to inform the virtual discussion session.
On Tuesday 14 March 2023, we carried out an unannounced follow-up visit to the Royal Infirmary of Edinburgh to establish if concerns we raised during our initial visit had been addressed.
On Thursday 16 March 2023, we held a virtual discussion session with key members of NHS Lothian staff to discuss the evidence provided and the findings of the inspection.
As a result of serious concerns about patient safety within the emergency department identified during this inspection we wrote to NHS Lothian to formal escalate our concerns in accordance with level 1 of our escalation process in the Healthcare Improvement Scotland and Scottish Government: operating framework.
A copy of the letter has been published with this report.
Summary of our findings
At the time of inspection, the Royal Infirmary of Edinburgh, like much of NHS Scotland, was experiencing a significant range of pressures including increased hospital admissions, increased pressures in the emergency department and admission units and reduced staff availability. During our onsite inspections the hospital was operating at over 100% capacity.
In ward areas, senior managers were visible, wards were generally calm and well organised and we observed good leadership and care being delivered. Patients and relatives spoken with described a good experience of care and helpful staff.
During the safety huddles we attended, we observed a strong focus on patient care needs across the hospital. However, serious patient safety concerns within the emergency department were identified during this inspection.
Inspectors raised a number of serious patient safety concerns regarding the emergency department during both our onsite inspection and return visit regarding the delivery of fundamental care for patients, patient safety, care and dignity, the current operating environment, leadership and coordination of care in the emergency department, as well as concerns about staff wellbeing.
Other areas for improvement identified during the inspection include the management of intravenous fluids, medicine administration processes, locked doors policies and procedures, and feedback to staff following incident reporting.
NHS Lothian senior managers responded quickly to concerns raised during the initial inspection. However, during our return visit on 14 March 2023, we remained concerned that the immediate actions put in place by NHS Lothian did not lead to significant improvements in the delivery of safe and effective care within the emergency department.
This resulted in us writing a formal letter of non-compliance to NHS Lothian in accordance with level 1 of our escalation process, setting out the serious patient safety concerns that required immediate action.
NHS Lothian promptly responded to this escalation, providing a detailed plan of improvement action to address each of the concerns. We will seek assurance on progress with planned improvement actions in accordance with our published inspection methodology.
This inspection resulted in five areas of good practice, three recommendations and 13 requirements.
