The Scottish Ambulance Service (SAS) has boosted its staffing by bringing in almost 100 new recruits ahead of winter.
The extra staff were announced yesterday (Tuesday, 11 November) by the Cabinet Secretary for Health and Social Care, Neil Gray while visiting the Service’s East Ambulance Control Centre (ACC) in South Queensferry.
The new staff include 25 call handlers who are based in the Service’s ambulance control centres and 22 staff, including GPs, clinical advisors and advanced practitioners, who have joined the Service’s Integrated Clinical Hub.
A dozen scheduled care coordinators who manage the Service’s patient transport vehicles have also been recruited, along with 36 ambulance care assistants who will transport patients to planned hospital or clinic appointments. An additional 72 ambulance care assistants will join SAS by April 2026.
Michael Dickson, Chief Executive of the Scottish Ambulance Service said: “Compared to last year, we’re already seeing an increase of pressure on our services.It’s therefore essential that we continue to bolster our workforce to ensure we can give the best possible service to our patients and also provide support to our existing staff during this demanding time.
“To help our staff over winter, we’d like to remind the public that if you need urgent care, but it’s not life-threatening, you can call NHS 24 on 111, day or night, or visit your GP during opening hours.”
Health Secretary Neil Gray said: “It was a pleasure to meet some of the new recruits and hardworking staff at the South Queensferry Control Centre.
“These new staff members will provide a crucial boost to the Scottish Ambulance Service as they deal with the increased demand and pressure that winter brings. This is on top of work already underway to recruit an additional 269 newly qualified paramedics this year.
“The additional call handlers and recruits to the Integrated Clinical Hub will all help to reduce conveyances and ensure patients are directed to the most appropriate care. The new staff working in the Hub will help triage less seriously ill patients who don’t need to go to A&E, freeing up ambulances and reducing pressure on emergency departments.”
Nearly three in five parents expect children’s physical activity to drop this winter
Over half of children aren’t getting the recommended 60 minutes of daily activity, with levels set to drop this autumn and winter – and around 8 in 10 parents underestimating how much movement kids need.
The campaign is backed by Alex and Olivia Bowen, Max Whitlock, Beth Tweddle and Joe Wicks, who has shared top tips for parents getting active with children, as research uncovers impact parents have on their children’s activity levels.
Almost three in five (57%) parents say their children’s physical activity levels are likely to suffer a seasonal dip during autumn and winter, with cold or wet weather (60%) and darker evenings (41%) highlighted as the key barriers in new research findings.
To tackle inactivity and help families keep children moving all year-round, the Government has launched ‘Let’s Move!’, a new campaign supported by Sport England that aims to help parents discover simple, fun, and pressure-free ways to build movement into daily life – which can start with just 10 minutes of activity.
NHS guidance recommends that children get at least 60 minutes of physical activity each day – including 30 minutes outside of school hours. Yet the new survey reveals that 81% of parents underestimate how much physical activity children need. Already, more than half ofchildren in England aren’t getting the recommended amount of movement and, worryingly, the research shows this will increase during the colder months.
Supported by Joe Wicks, the ‘Let’s Move!’ campaign makes staying active easy and affordable, offering ideas from kitchen discos to local activities and playground fun. It encourages families to move together – 80% of parents believe their habits influence their child’s activity levels – and highlights how everyday routines can support healthy, active lifestyles.
Regular movement boosts mood, focus, and family connections, with 78% of parents agreeing that their child is happier after being active, has more energy (71%) and has better concentration (68%).
The campaign is part of the Government’s wider effort to break down barriers to physical activity for people all over the country. Already, more than £900 million has been committed to build grassroots facilities in the places that need them most and deliver a pipeline of major sports events that inspire the nation. Alongside this, the new School Sport Partnerships and
Enrichment Framework will ensure all young people have equal access to high-quality sport and extracurricular activity. Sport England evidence shows that improved health from participation in sport and physical activity relieves pressure on the NHS through £10.5 billiona year in health and social care savings.
Sports Minister Stephanie Peacock said: “Building a more active nation is a huge part of this Government’s Plan for Change and we want to show families all over the country just how many ways there are to get involved.
“Whether it’s dancing, playing team sport or playing in the playground with their friends, we know that children who get at least an hour of exercise a day experience so many benefits – they’re happier, healthier and focus better at school.
“I am determined that every child, whatever their circumstances, should have those opportunities.”
While just over half (52%) of parents say their children really enjoy traditional forms of sport, others face barriers such as low confidence (31%) or a dislike of competitiveness (30%). However, 94% of parents say their children enjoy physical play as a form of movement – with top activities including visiting the playground (56%), riding a bike (46%), dancing (44%) and playing tag or chase (43%).
‘Let’s Move!’ aims to support different ways for children to enjoy being active – from sport to play and everyday movement. The campaign features real families from local areas having fun getting active together in ways which suit them, such as dancing or playing in the playground. Their images are featured in out-of-home and social channels in the local areas to inspire others to visit nhs.uk/LetsMove for tips, local activities and inspiration.
Parents and TV personalities Alex and Olivia Bowen launched the campaign in Essex alongside inspiring local families, demonstrating that movement really can be for everyone. Olympic champions Beth Tweddle and Max Whitlock led activities at the event, including dance challenges to obstacle courses, as families shared how they’ve been inspired to get active this winter.
Public Health Minister Ashley Dalton said: “Every child deserves the chance to be active, healthy and happy – but right now, too many are missing out on the 60 minutes of daily exercise their bodies need.
“’Let’s Move!’ is about showing families that physical activity doesn’t have to mean expensive gym memberships or organised sports. A kitchen disco, a walk to the park, or ten minutes of silly dancing – it all counts, and it all makes a real difference to children’s health, happiness and development. This builds on the work we have already done with Joe Wicks and his Activate animated series, inspiring children to move more.
“This campaign is part of our Plan for Change to build an NHS fit for the future by helping families make movement a natural, joyful part of everyday life.”
Joe Wicks, who got the nation moving during ‘PE With Joe’, is backing the campaign following the success of his animated workout series Activate, which was supported by a cross-section of government departments including DCMS, DfE and DHSC.
The series aims to make fitness fun for kids with short five-minute animated workouts. He shares new top tips as part of the ‘Let’s Move!’ campaign to help families slot activity into their everyday life, including being a role model, exploring local activities and getting outside whatever the weather.
Joe Wicks said: “As a dad, I know how hard it can be to keep kids moving – especially in the winter when it’s getting cold and dark.
“The idea of 60 minutes of movement a day for kids can sound like a lot, especially for kids who don’t feel confident doing traditional sports – but it doesn’t have to be all at once. It can start with something simple – a quick dance in the kitchen, a run or a brisk walk to the park, or an episode or two of Activate!
“It all adds up and gives kids an amazing mood boost – the key is making it fun.
“Let’s Move is about helping families find those little moments together – whether it’s discovering something local, or just getting active at home. It’s not about perfection, it’s about showing kids that moving isn’t a chore, it’s play. And when it’s playful, they’re way more likely to want to do it again, and again.”
‘Let’s Move!’ is being piloted in targeted areas of Sandwell, Lancashire, Essex and Bradford where inactivity levels and inequalities are greater than other parts of the country. These areas all receive funding from Sport England via their place partnership programme, to ensure those in greatest need can be active. The campaign supports the Government’s Health Mission, which prioritises preventative health measures, including addressing physical inactivity.
Sport England data also shows significant inequalities remain in activity levels, with Black (42%) and Asian (43%) children and young people, and those from the least affluent families (45%), still less likely to play sport or be physically active than the average across all ethnicities and affluence groups.
Removing barriers for migrant workers in Scotland’s care sector
Migrant social care workers impacted by the UK Government’s changes to immigration policy are to be offered targeted support in Scotland.
In the year ending June 2025, the number of Health and Care Worker visas issued to migrant workers in Caring Personal Service Occupations fell by 88%, following restrictions introduced by the UK Government to the visa route.
The subsequent decision by the UK Home Office in July to close the Social Care Visa Route altogether will have a further impact on the social care sector.
According to a Scottish Care survey, more than a quarter of the social care workforce in Scotland is made up by international workers – with many sector leaders citing concerns with workforce shortages and recruitment.
The Scottish Government is continuing to call on the Home Office to reverse its decision to close the route and is investing £500,000 to fund a tailored offer to help ‘displaced’ international social care workers who have found themselves without sponsored employment elsewhere in the UK at no fault of their own.
The funding will be used to help support international social care workers meet the costs associated with moving to and working in Scotland’s social care sector.
Health Secretary Neil Gray said: “The UK Government’s hostile and restrictive migration policies are damaging Scotland’s health and social care sector.
“In Scotland we need a migration system that works for our NHS, our social care sector, our businesses and third sector. Until we have the full powers over migration that will come with independence, we will do all we can within the devolved powers of the Scottish Parliament to mitigate the UK Government’s harmful approach to migration.
“I am therefore pleased to confirm today that the Scottish Government will create a bespoke offering to help social care workers who have been displaced to come to Scotland and contribute to our care sector.
“We will provide £500,000 to mitigate the devastating impact of the UK Government’s closure of the care worker visa route and provide targeted support to help displaced social care workers.
“This will support international social care workers already in the UK who have lost their social care jobs as a result of their employer losing their visa sponsor licence, to come to Scotland and contribute their valuable skills to our social care sector.
“It is our intention for this work to begin immediately so that social care workers can settle into new jobs before Christmas.”
MyCare.scot, Scotland’s new health and social care online app, will be made available to everyone across Scotland from April 2026, following an initial launch in Lanarkshire in December.
The new online service will transform how people access and interact with health and social care services. Users will be provided with a secure digital identity, access to some personal information and the national service finder from NHS inform.
The initial launch in Lanarkshire will be targeted at dermatology outpatients. It will be evaluated thoroughly, with the app’s development reflecting user feedback and experience before being rolled out progressively across Scotland from April.
Following initial roll-out, MyCare will be expanded to hospital-based services, before including other areas of the health and social care system, including GP practices, pharmacy, social work and social care.
Today’s announcement coincides with the final day of Scotland’s National Innovation Week. Once the rollout is complete, MyCare will be the most wide-ranging app offered to patients anywhere in the UK.
Today we’re announcing the new online app for health and social care in Scotland giving you access to your records and appointments in the palm of your hand.
MyCare will be live across the country from April 2026 and a pilot in Lanarkshire this December.
Health Secretary Neil Gray said: “MyCare.scot is the single biggest digital innovation in Scotland’s health and social care system and will revolutionise how people manage and receive their healthcare.
“The introduction of this app will be a landmark moment for Scotland and aligns with the commitments this Government has made to bringing down waiting lists, and making care more personal and closer to home.
“Our initial launch in NHS Lanarkshire will help us ensure the MyCare app is robust, safe, secure, and meets peoples’ needs. I am delighted we will then see a population-wide rollout from April and we have today published a high-level summary rollout plan setting out our approach.
“We have worked closely with NHS Education for Scotland and key stakeholders to develop MyCare.scot, and I want to thank everyone who has worked hard to help us reach this stage and to ensure we deliver rollout of the app across the country from April.”
Scottish Government and local partners must act now to protect vital palliative care services
St Columba’s Hospice Care and Marie Curie Edinburgh are warning that essential palliative and end-of-life care services are now at serious risk due to funding decisions made by the Edinburgh Health and Social Care Partnership (HSCP) and inaction by the Scottish Government.
The HSCP has chosen to reverse a 3% inflationary uplift in funding to hospices, which they committed to earlier in the year. This decision was taken in reaction to the Scottish Government announcement of an additional £5 million to help hospices address workforce pressures.
That £5 million was solely intended to support hospices with the recruitment and retention of skilled staff during a time of extreme pressure, not to replace existing funding agreements.
This decision from HSCP undermines the purpose of the allocation and places essential palliative and end-of-life services across the Lothians at risk. To date, St Columba’s Hospice Care has not received its share of the £5 million, which is approximately £496,000. The delay is creating further financial uncertainty and threatening frontline services for patients and families.
We call on the Scottish Government and HSCP to:
Reinstate the 3% inflationary uplift immediately.
Release the national pay parity funding without delay.
Commit to a national review of hospice funding to ensure equity and sustainability across Scotland.
Jackie Stone, CEO, St Columba’s Hospice Care, said:“Hospice’s are being pushed to make very difficult decisions that may impact on our patients and families. This reversal sends a devastating message to our staff and to the families we care for that fair pay and essential services are negotiable. They are not.
“The Scottish Government made a public commitment to fair pay and sustainable services, but we are being left with broken promises and growing deficits.
“We urge the Scottish Government and local partnerships to act now before we are forced to withdraw services that thousands of people across Edinburgh and the Lothians rely on every year.”
Hospices are an integral part of Scotland’s healthcare system and must be treated as such. They need sustainable, equitable funding. The government must act now to ensure a consistent national approach to hospice funding.
Hospices deliver vital, high-quality care that the NHS relies on, and they must be supported, not penalised, for working to achieve fair pay for their staff.
Edinburgh & Lothians Greenspace Trust, working alongside our partners in the Thrive Collective, is deeply disappointed by the recent decision of the Edinburgh Integrated Joint Board (EIJB) to end the Thrive contract for Physical Activities and Greenspaces from the end of November.
Through Thrive, we and our partners have worked in close collaboration with communities, health services, and local organisations to provide inclusive opportunities that improve physical and mental wellbeing.
We are proud of the collective impact that this work has had for people across Edinburgh, particularly those experiencing health inequalities.
This follows the earlier decision to withdraw grant funding for our Healthy Lifestyles work in South Edinburgh. Together, these cuts represent a significant reduction in support for programmes that enable communities across the city to access the health and wellbeing benefits of nature, physical activity, and local greenspaces.
The decision will have a real impact on the 1250 participants who rely on these programmes to support their physical health, mental wellbeing, and sense of social connection. Many of the people we work with face health inequalities and barriers to accessing mainstream services, and these activities have provided an essential lifeline.
Charlie Cumming, ELGT Chief Executive, confirmed the loss of this funding will directly affect our capacity to deliver dedicated programmes that improve health through engagement with local greenspaces.
It will also reduce the resources that are community-based, accessible, and effective alternatives to clinical treatment—helping people recover and build resilience outside of primary care settings.
Despite this setback, ELGT remain committed to championing greenspaces and active lives as vital to Edinburgh’s health and wellbeing.
We will continue to explore new ways of sustaining this essential work and will seek to secure funding that ensures these opportunities remain accessible to the communities who need them most.
We would like to sincerely thank all participants, volunteers, and partner organisations who have engaged with us.
Your commitment and enthusiasm highlight just how much this work matters and the difference it makes across the city.
EDINBURGH Integration Joint Board has reined back on plans to slash services delivered on their behalf by third sector organisations across the city. The EIJB is trying to tackle a massive funding deficit but bowed to pressure to rethink their plans at a meeting yesterday.
Change Mental Health is relieved that the Stafford Centre and services delivered in Edinburgh by the organisation are effectively safeguarded, for the time being, following yesterday’s decision by the Edinburgh Integration Joint Board (EIJB). However, there is still a lot of work to be done to ensure better collaboration leading to better outcomes.
Nick Ward, CEO of Change Mental Health, said: “While this is good news for the people who use our services, we remain clear that the proposed cuts were in themselves not needed. They represented a tiny part of the EIJB’s budget while having a significant, detrimental effect upon Edinburgh’s population.
“The process they put in place was fundamentally flawed in its approach, causing unnecessary distress to both organisations and service users. It has been disheartening for the third sector to have to continually make the argument that cutting early intervention and prevention services will only ever result in greater costs in the end.
“The fact remains that there are still significant cuts taking place to mental health services in the city and our sympathy and solidarity goes out to those charities affected. We are very disappointed and concerned that many of these cuts have been passed that disproportionately affect ethnic minorities and LGBT+ people.
“We called for the EIJB’s proposals to be paused to allow for a full, evidence-led and co-produced redesign of services. That appears to be what will now happen and we are grateful for that.
“We will now be a part of a crucial recommissioning exercise that can enable services to be more integrated and cost-effective through a better collaborative approach.
“However, trust needs to be rebuilt. There needs to be full transparency and a genuine dedication to working with the third sector by the EIJB, as well as a commitment to the principles of community-based early intervention and preventative approaches. We’re here to work closely with them, along with our partners, to ensure that we can truly meet the needs of our communities.”
Speaking after the meeting, Billy Watson, Chief Executive of SAMH (Scottish Action for Mental Health), said:“We are in a mental health crisis, and community and preventative mental health support is an essential part of how we tackle it.
“We welcome the IJB’s decision not to go ahead with the original proposals which would have effectively ended that support in Edinburgh. However, we are disappointed that a number of impactful support and advocacy services have been cut.
“This process has shown that we need to come together – funders, providers and especially the people who need this support – to jointly design a mental health system that works for and meets the needs of the people of Edinburgh.
“Redhall Walled Garden will continue to provide essential support to people with mental health problems for the time being, albeit with reduced funding and a recommissioning process to come.
“We’re hugely grateful to everyone that came out in support of Redhall, including Edinburgh’s politicians, members of the public and, most importantly, the people we support at Redhall and who make it what it is.”
The IJB voted in favour of the proposals relating to agenda item 6.1.
Foysol Choudhury MSP has called on the Edinburgh Integration Joint Board (EIJB) to pause £29 million of proposed cuts to health and social care, warning that the measures would have devastating consequences for vulnerable people across the city.
The EIJB is set to decide on the cuts today. If approved, they could result in:
More than 4,000 people losing community mental health support
£2.2 million of Thrive Edinburgh contracts cancelled
82% of Collective Advocacy at CAPS disappearing by November
Closure of services such as Pilton Community Health Project and Bipolar Edinburgh
Mr Choudhury said: “I recognise that the Board faces huge financial pressures. These are difficult decisions that no one wishes to make. However, the reality is that the EIJB has been forced into this impossible position because of chronic underfunding from the SNP Government.
“These cuts are not just about numbers on a balance sheet. They represent real people losing vital support, families, communities, and some of Edinburgh’s most vulnerable being left without the services they rely upon.
“I urge the Board to carefully consider the human impact, not just the balance sheet; and to pause these cuts. Edinburgh deserves sustainable funding, not short-term measures that will cause long-term harm. Services must remain available to users while new approaches are explored.”
Clubs, schools, day centres and other community settings could help to make health and care more accessible, new research suggests.
Familiar places like these could remove barriers to care, like not being sure if there is a health or care issue, where to go, how to get there, who to see or what to tell the health or care practitioner.
This is one of more than 20 recommendations made by people across the UK who researchers say are rarely consulted about the design of health and social care services.
A new report coins the term ‘seldom-listened-to’ to describe these people and communities. The researchers also coin the term ‘health labour’ to describe the effort needed by seldom-listened-to people to access health and care.
Participants in the research included siblings of children with life-limiting conditions; women, trans men, non-binary, and gender nonconforming people with energy limiting chronic illness, such as Long Covid and autoimmune conditions; older autistic people with learning disabilities; people living with chronic inflammatory disease, endometriosis; rural communities in the Highlands and Islands of Scotland; diverse communities in Greater Manchester; children living in areas of high deprivation in the South Tees region; African-Caribbean communities in London; mental health service users in Kent and both patients and staff who are staying or working in care units in hospitals.
“The people in our study are from communities which aren’t often listened to or included in discussions about the design of health and care services,” explained Professor Mary Stewart, academic lead for the project and Director of Social Interaction, Mental Health and Wellbeing at Heriot-Watt University.
“And yet these communities can experience profound health and care inequalities that can impact on their physical and mental health, quality of life, and the ability to live well – not only for the individual – but also their families and the wider community.
“Our research sets out the specific ways in which staff, organisations, stakeholders, and policymakers can place seldom-listened-to individuals and communities at the heart of the design of the future of health and care.
“We show not only that this is possible – but that it’s vital to co-design the future of health and care with these people and communities to improve health and care for everyone.”
The report is part of research funded by the UKRI Arts and Humanities Research Council (AHRC) – which supports arts and humanities research and study in the UK – and uses creative methods to explore how seldom-listened-to people and groups would like the future of health and social care to look.
Instead of using traditional research methods like surveys and interviews – which aren’t always accessible to seldom-listened-to people – the researchers worked with artists and creative methods to capture the views and experiences of participants. These creative methods included film, music, poetry, podcasts, comics, creative writing and folk stories.
Through a series of activities and workshops, the seldom-listened-to participants ‘reimagined’ health and social care services which could give them more say in decision-making, help them to access and engage with care – and use safer spaces to build trust and rapport.
Research co-author Bryony Nisbet, a Psychology Research Assistant at Heriot-Watt University, explained: “By safer spaces, we mean community places that are already familiar to people, and where they may already have support from trusted others.
“For example, if you’re an autistic adult with learning disabilities, accessing health and care in a day centre you already attend potentially removes the huge physical and sensory overload of trying to get to and navigate around a new place you’ve never been to before.
“For the NHS and social care, the practical change we’re proposing is moving the point of care from GP surgeries into the community. This in turn can help to tackle the growing burden on primary care in the UK.”
Other recommendations in the report include providing multidisciplinary services that span sectors including housing, employment and education – alongside health and care.
Care should also anticipate future needs, for example by developing ‘future-ready homes’ that are already adapted to meet the needs of vulnerable groups as they get older.
The report also recommends that professionals are trained to work with people with varying communication, cognitive, sensory and cultural needs.
The research aligns with the UK government’s 10-year plan to bring the NHS closer to home, including neighbourhood health centres which will house services under one roof and will be open at evenings and weekends.
The researchers have written a policy brief detailing their recommendations for policymakers. This will be shared with politicians across the UK, including Members of the Scottish Parliament and Members of Parliament at Westminster.
The ten projects in the research were all partnerships between communities, community organisations and universities. The other university partners were University of Liverpool, University of Greenwich, University of Strathclyde, Edge Hill University in Lancashire, University of Manchester, Manchester Metropolitan University, Teeside University, University of Kent and University of the Highlands and Islands Inverness.
The organisations and charities involved in the research included disability group Chronic Illness Inclusion, Manchester public arts project We Live Here; charity Endometriosis UK; Scottish Autism; educational institution Tees Valley Education Trust and arts community outreach project, Inverness Openarts.
Participants in the research included Oliver Waite, who took part in University of Manchester’s research project, called NHS 75/150 Looking Back, Looking Forwards. This engaged diverse communities in Greater Manchester in discussions around the future of health and care. Oliver’s story is captured in a comic-book style artwork that highlights the importance of seeing people as individuals.
Oliver explained: “I have schizoaffective disorder, I’m autistic and I’ve transitioned from female to male. But I’m more than just a list of medical issues.
“I’m a part-time history student with the Open University, I build models, such as Lego, and I play wheelchair rugby league.”
She said: “African-Caribbean communities are 40% more likely than white British people to come into contact with mental health services and to be detained under the Mental Health Act. “
Our project looked at a different approach, one that builds on the cultural traditions and community support that have always helped people stay mentally well. Through storytelling and folk song workshops, we created a practical toolkit to help promote good mental health in local communities”
She said: “The children and young people in our project were able to explore and express their lived experiences and perspectives on social inequality and health and wellbeing through a series of interactive and inclusive workshops, including comic-making, creative writing, dance and performance.
“We hope the artworks, creative writing and films that captured their voices will help health professionals, policy makers, researchers and the wider public to learn from the experience and insights of children and young people.”
