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.”
Review recommendations will benefit patients, staff and students
People affected by mental health issues can expect higher and more consistent standards of care following the publication of Scotland’s Mental Health Nursing Review.
The Review outlines ways to enhance and further support the mental health nursing profession. The paper was developed by mental health nurses and students, academics, with support from carers and people accessing mental health nursing care.
The Review makes a total of 24 recommendations including:
ensuring people accessing services have meaningful involvement in their mental health nursing care
improving support for newly qualified mental health nurses and sharing best practice
considering specific education needs for rural and island settings
improving access to post-registration learning for mental health nurses across all sectors
A new Mental Health Nursing Review Implementation Group will be established to ensure effective collaboration, delivery, monitoring and evaluation of the Review actions.
Mental Wellbeing Minister Tom Arthur said: “Through their expert care, compassion and dedication, mental health nursing staff make a significant and positive impact to people’s health and wellbeing every day.
“The Review focuses on their unique role, and it will ensure the profession is supported and empowered to drive the enhancement of mental health and wellbeing services now, and in the future.
“I want to thank all the mental health nursing staff and students, academics, carers and those people accessing care who engaged with and supported this work.
“I am looking forward to working collaboratively to deliver the ambition of ensuring Scotland is the best place for mental health nursing to flourish and where people live longer, healthier and more fulfilling lives.”
Chair of Scotland’s first Mental Health Nursing Review, former Chief Nursing Officer, Professor Alex McMahon said: “It has been an honour as a mental health nurse to have chaired the review and to have heard from mental health nurses and those that represent people who use services across Scotland.
“The report and its recommendations, mean that patients and mental health nurses who deliver services now and, in the future, will benefit from the reforms.
“It will be important to ensure these recommendations are implemented, and one aspiration I and others share is that we will attract and retain even more people into undergraduate nursing degree programmes.
“I believe being a mental health nurse, is one of the best and most fulfilling careers you can chose.”
Mark Richards, Associate Chief Nursing Officer said: “Our Mental Health Nursing Review highlights the vital role mental health nurses play in supporting the mental health and wellbeing of the people of Scotland.
During our work on the Review, we heard that mental health nurses are at the heart of care delivery and that their relational expertise often has a transformational impact on people’s lives.
“Mental health nurses told us they are proud of the work they do. They strive every day to deliver compassionate, high-quality care, and to work with people who need expert support to enable recovery and promote wellbeing.
“This Review is important in advancing the contribution of mental health nurses and will help ensure we have a profession that is skilled, well supported and sustainable – now and for many years to come.
“It was collectively produced by our mental health nurses in Scotland, and I look forward to us working together to deliver our ambitions.”
Darren Fullarton, Associate Nurse Director for NHS Ayrshire and Arran and Chair of the Mental Health Nurse Leads Group for Scotland, said: “The national review of mental health nursing recognises and celebrates the important role that mental health nurses play in their support and compassionate care for people experiencing mental health issues.
“The National Mental Health Nurse Lead Group are delighted to have had the opportunity to support this significant piece of work which captures views from those with lived experience, families and carers and from mental health nurses themselves to develop an ambitious vision for mental health nurses that exemplifies our commitment to care, compassion and connection.”
Supporting people to lead longer, healthier and more fulfilling lives will be at the heart of two new ten-year plans published today to create and maintain good health, prevent disease and reform health and social care services.
The Population Health Framework aims to tackle the root causes of poor health and outlines a wide range of actions, including giving greater access to green spaces and opportunities for sport and active recreation.
Addressing these underlying factors can increase life expectancy, reduce the gap between the most deprived communities and the national average and prevent chronic illnesses like diabetes and cardiovascular disease which disproportionately affect those in more disadvantaged areas.
The Population Health Framework includes legislating to make the balance of foods available on promotion healthier and to restrict the location of less healthy foods in stores and on websites.
Targeting the location and promotion of foods high in fat, salt or sugar will focus on those foods of most concern for childhood obesity, which mirrors the current policy in England and Wales.
The Health and Social Care Service Renewal Framework aims to ensure health and social care services are sustainable, efficient, high quality, and accessible – which includes being able to expect faster and fairer access to care.
It empowers people to be more involved in and in charge of their own care and includes measures to improve access to treatment in the community; enhance preventative services and maximise the opportunities of digital innovation.
There will also be a new national body called NHS Delivery, created by bringing together NHS National Services Scotland and NHS Education for Scotland.
This will provide a focal point for training, digital and support to other health boards, with scope to deliver more national support to local services in future.
Health Secretary Neil Gray visited Blackburn Partnership Centre in West Lothian with COSLA Health and Social Care Spokesperson Councillor Paul Kelly before launching the frameworks in the Scottish Parliament.
The centre includes a GP practice and community centre which promotes weight loss and healthy living through exercise and low-cost, nutritious food.
Mr Gray said: “Too many lives are cut short in Scotland because of illness that is preventable. We know health is not determined solely by what happens within the walls of hospitals or care homes and we want to create an environment in which everyone can live a healthy life.
“Through action on early years, jobs, income and building powerful communities the Population Health Framework builds the conditions to help people thrive and prevent poor health.
“Addressing the problem of obesity and helping people eat well and maintain a healthy weight is a public health priority. We are taking wide-ranging action to support people to make healthier food choices, recognising the contribution which poor diet makes to worsening health trends.
“Through the Service Renewal Framework we will take action to deliver care closer to home, support people to better manage their own treatment and build on innovation, digital and treatment advances.
“This will help shape an efficient health and social care system that is focused on prevention and early intervention, and delivers high quality care at the right time in the right place. The creation of a new national body, NHS Delivery, will help to support that journey.
“Refocusing the whole system towards preventing ill-health from occurring or escalating can help us ensure the sustainability of our National Health Service. I am determined to ensure the measures outlined are delivered effectively and as quickly as possible as we work to transform the health of the nation.”
Cllr Kelly said: “Health is created in the communities in which we live, go to school or work, and access essential services. It is at the local level where we find the key levers to tackle the root causes of health problems and ensure people live long, healthy and fulfilling lives. Local Authorities, working with key partners, are uniquely placed to shape our communities.
“The Population Health Framework sets out action across every building block of health. Committing to this preventative approach requires whole system working in order to intervene as early as possible and provide support to people in all aspects of their lives.
“Currently, people from deprived communities have less access to affordable, nutritious food. The Population Health Framework sets out a priority to improve the food environment and ensure access to a healthy, balanced diet is accessible and affordable to all.
“Alongside this, Local Government is committed to improving public services across the whole system, and the Health and Social Care Service Renewal Framework sets out our high level ambition for improving the sustainability of the system and services people may need in order to help them live healthier, fulfilled lives.”
Obesity Action Scotland Chair Andrew Fraser said: “Obesity Action Scotland welcomes the Scottish Government’s commitment to taking progressive measures on retail food and drink promotions.
“They will improve the food environment and protect consumers from in-store choices that encourage people to purchase food that is high in fat, sugar and salt.
“Promotions result in over-consumption of calories, and make it easy to gain weight; measures that counter this pressure on consumers will contribute to the prevention of overweight and obesity that we want to see.”
Plans to transform social care across Scotland will be progressed after the Scottish Parliament approved the Care Reform (Scotland) Bill.
Thousands of people with experience of accessing, delivering and receiving social care, social work and community health services have helped co-design the legislation, putting people at the heart of reform.
The Bill will bring forward a number of enhancements to social care that include:
enshrining Anne’s Law into legislation to uphold the rights of people living in adult care homes to see loved ones and identify an essential care supporter
strengthening support for unpaid carers by establishing a legal right to breaks, following the additional £13 million already allocated for up to 40,000 carers to take voluntary sector short breaks
empowering people to access information on their care and improving the flow of information across care settings
improving access to independent advocacy to guarantee people are heard and involved in decisions about their own care
creating a National Chief Social Work Adviser role to provide professional leadership and champion the sector, as part of plans for a new National Social Work Agency.
Alongside the Bill, an advisory board will be established to drive progress and scrutinise reform, replacing an interim board that met for the first time in May.
Social Care Minister Maree Todd said: “More than 200,000 people across Scotland access care each year.
“Anyone may need care during their lives, and that care should be high quality and delivered consistently across Scotland.
“That is why we have been so determined to bring forward much-needed reform, alongside the work we are already doing through the near £2.2 billion total investment in social care and integration in 2025-26.
“Reform is not easy to deliver and it is being made more challenging by recent UK Government changes to Employer National Insurance Contributions and changes to migration. These will undoubtedly impact on care delivery.
“However, we have remained steadfast in our commitment to deliver the sustainable change to social care that people urgently need.
“This is a significant step that will strengthen the rights of people living in care homes, support unpaid carers and social workers and improve experiences for the many people who access social care across Scotland.”
An essential care supporter is someone, for example close relatives or friends, who plays a vital role in providing their loved ones with regular care and support alongside staff. This includes companionship, personal support and advocacy.
HC-One Scotland’s Victoria Manor Care Home, in Leith’s Albert Street, is delighted to announce its ‘Good’ rating after a recent inspection from the Care Inspectorate (CI), Scotland’s independent regulator of social care.
This outstanding achievement underscores the home’s unwavering commitment to delivering compassionate, person-centred care to its residents. Following a comprehensive inspection, Victoria Manor received a ‘Good’ rating across all key areas, with exceptional scores of 5 (Very Good) in Leadership and Management, Staffing, and specific aspects of resident well-being and involvement.
The CI praised the home’s positive leadership from Home Manager Julie McNaughton and Deputy Manager Natasha Thomas, who have helped foster a supportive environment for both staff and residents. This has led to excellent care outcomes at the home which provides nursing and nursing dementia care services.
The report highlighted the team’s transparent complaint reviews, embedded skilled-level dementia training, and a holistic approach to end-of-life care, which families described as “very positive”. Inspectors commended the kind and dedicated staff, with comments reflecting their pride in working at Victoria Manor and their collaborative spirit, described by social workers as a “dream to work with”.
The home’s beautifully landscaped gardens, accessible facilities, and vibrant activity programmes were also recognised as key strengths to create a warm and engaging environment.
Julie McNaughton, HC-One Scotland’s Victoria Manor Home Manager, said: “We’reincredibly proud of this achievement, which reflects the hard work and passion of our team at Victoria Manor. I would like to thank the whole team for their commitment, and I want to congratulate them on a positive report.
“Our focus remains on creating a nurturing environment where every resident feels valued and supported. This rating is a testament to our mission.”
Natasha Thomas, HC-One Scotland’s Victoria Manor Deputy Manager, added: “We’re dedicated to achieving our aim of being the care provider of choice for those looking for the very best care.
“The culture is changing at Victoria Manor for the better as our colleagues feel valued and supported.”
New paper led by ENU’s Dr Adele Goman is the first randomised control trial of this kind
Hearing interventions such as hearing aids and regular audiology appointments have been linked to a reduction in the number of falls among older adults, according to a new paper led by Dr Adele Goman of Edinburgh Napier University’s School of Health & Social Care.
This research, published today in the Lancet Public Health journal, showed that participants with hearing loss who were randomly assigned best practice hearing care reported an average of 27% fewer falls over the course of three years compared to a control group.
Falls are a leading cause of injury for older people and have rising mortality rates, while hearing loss is highly prevalent among those aged 70 and above. However, existing evidence on the effect of hearing aids on falls is mixed, and limited by the methodology of previous studies.
Goman and her colleagues analysed data from the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study, a three-year, unmasked, randomised controlled trial of adults aged 70–84 years in the USA designed to study the effect of intervention on cognitive abilities and other health outcomes, such as falls.
The ACHIEVE study was funded by the National Institute on Aging, part of the U.S. National Institutes of Health. It was conducted by a consortium of eight universities in the United States and led by researchers at Johns Hopkins University, Baltimore, MD, USA.
The 977 ACHIEVE study participants, all of whom had hearing loss, were randomly assigned to either receive a hearing intervention or to a health education control intervention. Those randomly assigned to the hearing intervention were offered regular one-to-one audiologist appointments, bilateral hearing aids, the option of additional hearing assistive devices, device use support and educational materials. The health education control intervention group received the same number of appointments with a health educator and more broad educational content on healthy aging.
For this paper, participants were asked to report the number of falls they had experienced over a period of three years. Data indicate that participants who received the hearing intervention reported an average of 27% fewer falls over the course of three years compared to a control group.
Dr Goman’s is the first known large-scale randomised control trial that has examined the effect of hearing intervention on falls.
The researchers believe the reduced number of falls among the hearing intervention group could be down to improved auditory input enhancing spatial awareness, or from having to devote less attention to processing auditory input allowing for more attention to be placed on maintaining postural control.
They are now working on a follow-up study with participants to examine the longer-term effects of hearing intervention on brain health, falls, and other health outcomes.
Dr Adele Goman said: “Hearing loss has previously been associated with a greater risk of falling among older adults, but few studies have directly investigated the connection.
“It is possible that the benefit of improved hearing may have enhanced the spatial environmental awareness of these participants, or that the lower demand on cognitive resources for hearing allowed them to focus more on their movement.
“As this is the first study of its kind, more research is needed to establish our conclusion that hearing intervention may reduce the overall average rate of falls. Our ongoing follow-up will also aim to tell us more about the effect over a longer period of time.
“We hope that these findings have the potential to inform researchers and health professionals, and address a leading cause of injury among older people.”
State of Caring in Scotland 2024: Health and social care support for unpaid carers
36% of unpaid carers reported their mental health as ‘bad or very bad’– a 29% increase in 12 months.
65% stated they need more support with their health and wellbeing.
56% often or always feel overwhelmed by their caring role.
59% said that support services were not there when they needed them.
80% have been unable to take a break because of a lack of support from social services.
There is a growing mental health crisis in Scotland’s unpaid carer population – this is the message from Carers Scotland in ‘State of Caring in Scotland 2024: Health and social care support for unpaid carers’.
This new research, based on a survey of over 1,700 unpaid carers in Scotland, saw a 29% increase in the last 12 months of the number of unpaid carers who reported their mental health as “bad or very bad” – 36% of respondents in 2024, compared to 28% in 2023.
This statistic was even more severe when a carer reported struggling financially, with 59% of carers who are struggling to make ends meet saying they had “bad or very bad” mental health. 28% of respondents also rated their physical health as “bad or very bad”, with this number rising to 49% among carers struggling to make ends meet.
80% of unpaid carers from the research stated that the main challenge they will face over the next year is the impact of caring on their physical and/or mental health.
These new findings show that unpaid carers are not receiving the support they need to maintain their health and wellbeing whilst managing their caring responsibilities. More support with health and wellbeing was the number one need cited by unpaid carers in the research, with long waiting times for appointments, inflexible GP appointment systems, and insufficient replacement care all highlighted as barriers to support.
Another challenge is the inability of many unpaid carers to take a physical and mental break from their caring role. Taking a break from caring is essential for carers to recharge, spend time with family and friends, and engage with their own hobbies and interests to improve their wellbeing. However, 63% of carers who stated in the research that they felt overwhelmed in their caring role said that this was due to them not having a break from caring.
Richard Meade from Carers Scotland said: “Unpaid carers in Scotland are in a mental and physical health crisis, which only threatens to get worse without immediate action.
“Unpaid carers continue to bear the weight of an overstretched health and social care system as they are increasingly expected to fill the growing gaps in service provision without increased support for themselves.
“Whilst the Scottish Government has focused on reducing NHS waiting lists, improving hospital discharge delays and access to essential health services there still remains an urgent need for investment in social care and support for unpaid carers.
“Unpaid carers provide the equivalent of £15.9bn in health and social care support and without them the system would collapse, yet they receive a fraction of the support they need.
“The stalled National Care Service provided hope for many unpaid carers that things could change. However, many feel their needs have been lost to a wider political debate and little has changed to improve their lives.
“The Scottish Government, the NHS, and local councils must act now to ensure that carers can access the support they need to continue to care without such devastating consequences to their physical and mental health.”
The monetary value of the contribution of unpaid carers in Scotland estimated at £15.9 billion(1) a year. Despite this, unpaid carers face deteriorating physical and mental health, loneliness and isolation, with too many driven to despair and unable to access to the supports they need to maintain a healthy life.
Carers Scotland has included a range of recommendations alongside this research for the Scottish Government, NHS Boards and Health and Social Care Partnerships to ensure all unpaid carers get the support they need to look after their health and wellbeing and receive the right help for caring.
Download and read the report in full at the link below:
Plans to transform the way social care is delivered are being progressed as part of the Scottish Government’s commitment to improve the experience of everyone who accesses social care, social work and community health services.
Ahead of Stage 2 proceedings of the National Care Service Bill later this month, a number of amendments have been lodged, all of which are subject to Parliament’s agreement.
As the National Care Service will now be established through both legislative and non-legislative means, with reform of social care at the centre it is proposed the Bill will be known as the “Care Reform (Scotland) Bill”.
If agreed by Parliament, as amended, the Bill will also bring forward significant reforms to social care, including:
Anne’s Law being enshrined into legislation to uphold the rights of people living in adult care homes to see loved ones and identify an essential care supporter
ensuring all those working in or supplying services to the health and social care sector follow the same information standards allowing easier communication
the creation of a National Chief Social Work Advisor post, in statute, to bring strategic leadership at a national level.
The Bill will also retain measures to establish a legal right to breaks for unpaid carers. Ahead of the legislation, the Scottish Government has identified an additional £5 million in the draft 2025-26 Budget to support 15,000 carers to take short breaks from their caring responsibilities.
Ministers announced in January that legislation to set up a new public body to oversee national improvements would no longer go ahead. However, work to establish a National Care Service Advisory Board is progressing and it is due to meet for the first time in March.
Social Care Minister Maree Todd said: ”Social care has the power to transform people lives, that is why it is so important that those accessing services receive the highest quality care, delivered consistently across Scotland.
“The amendments lodged in Parliament offer us the best opportunity to urgently get to work to reform the system and have a transformative impact on people’s lives.
“Positive progress is being made on establishing an advisory board that puts people with experience of the social care system at the heart of it, helping deliver the changes we all want to see.”
An essential care supporter is someone, for example close relatives or friends, who plays a vital role in providing their loved ones with regular care and support alongside staff. This includes companionship, personal support and advocacy.
