How one participant found motivation through movement
A NATIONAL walking challenge is returning this spring, inspiring people across Scotland to improve their wellbeing by increasing their daily step count.
The spring Step Count Challenge, led by walking charity Paths for All, runs from Monday, 5th May to Sunday, 29th June, offering a fun and social way for teams to stay active during the working day.
Past participants have reported benefits including improved mental health, stronger social connections, and increased daily movement – many return year after year to take on the challenge.
For Fiona, from team Strideclyders For Life, the Step Count Challenge has become a workplace tradition. Having taken part in five challenges, she was recognised as a runner-up in the 2024 autumn Step Count Champion competition by Paths for All, with colleagues nominating her for her commitment and motivation.
“My job is mostly desk-based, so I have to motivate myself to get outside—whether it’s a pre-work walk, a lunchtime stroll, or even just climbing the leaderboard. Having teammates makes all the difference, especially in the winter months,” said Fiona, who works in the Alumni and Development Department at the University of Strathclyde.
“My favourite type of walk is a brisk one along the beach. I’m from Kinross-shire, so some of my top spots are St Andrews, Aberdour, and the East Neuk of Fife, though I’ve also enjoyed some stunning beach walks on the west coast.”
Fiona has encouraged dozens of colleagues to get involved, particularly new team members, helping them connect while staying active. A highlight for her was creating a video for the team’s Instagram (@unistrathclydealumni), featuring their favourite walking routes.
The Step Count Challenge invites teams of five—including workplaces, friends, and families—to log their steps and engage in friendly competition while working towards personal and team goals.
The challenge offers more than just physical activity—it supports workplace wellness by reducing stress, improving productivity, and promoting safer, cleaner, and greener work environments through reduced carbon emissions and decreased car use.
Kevin Lafferty, Chief Executive Officer at Paths for All, highlights the benefits of taking part: “Walking is one of the most accessible ways to improve both physical and mental health. Fiona’s story is a perfect example of how small, daily changes can have a big impact.
“The challenge is a fantastic way to build healthy habits, reduce stress, and support Scotland’s journey towards a greener, healthier future.”
To encourage participation, an early bird discount is available until Monday, 31st March. Teams can sign up for £48 instead of £60 by using the voucher code SPRING25 at checkout.
Paths for All, which works with the Scottish Government and partner organisations , is committed to promoting walking as the default choice for short journeys and supporting local authorities in creating inclusive, active environments.
More information and registration details for the Spring Step Count Challenge can be found at www.stepcount.org.uk.
In today’s fast-paced, productivity-focused culture, it can be difficult to prioritise sleep, but what if sleep is the key to helping your overall health? Health and Wellbeing expert Amie Leckie shares how vital sleep is for your heart health.
Sleep is the foundation that underpins our health; if we aren’t well-rested, it is harder to make wise food choices or muster up the energy to exercise. The NHS recommends most adults need seven to nine hours of sleep per day. In the UK, over 37 million or 71% of people do not get this amount of sleep, with the average adult getting six hours and 24 minutes of sleep.
Amie Leckie, Health and Wellbeing Specialist at Heart Research UK, says: “While we sleep soundly, our brains and bodies remain active, at one point in the sleep cycle our brain fires more rapidly than when we are awake.
“Sleep allows our bodies to repair cells and clean out toxins that may have accumulated in the brain. During sleep, we consolidate memories by processing and storing information we gather during our wakeful time. Sleep also impacts our metabolism, mood, hormone balance, immune function and disease resistance.”
How does sleep impact overall health?
Research has shown that sleeping less than seven hours a night is associated with various adverse health outcomes.
Increases our risk of obesity
Studies have found that individuals who regularly sleep less than seven hours a night are more likely to have a higher BMI (body mass index) and develop obesity than those who sleep more.
“Sleep plays a role in body weight regulation due to its effect on our hunger hormones,” says Amie. “Sleep deprivation disrupts the hormones ghrelin and leptin, which work together to regulate hunger and satiety. Generally, if you have under-slept you will crave high-calorie and energy-dense foods, usually cakes, biscuits, crisps, pastries, burgers, pizza and chips, which contribute to weight gain.”
Raises the risk of diabetes
Insufficient sleep has been linked to insulin resistance, which is a sign of type 2 diabetes. Insulin resistance occurs when cells do not respond effectively to insulin, leading to elevated blood glucose levels. Overtime, this can develop into diabetes. Studies have shown that even short-term sleep deprivation can impair glucose metabolism and insulin sensitivity.
Sleep impacts our mental health
Sleep is closely linked to mental health, with sleep disturbances being both a symptom and a cause of mental health disorders.
“Chronic sleep deprivation can lead to increased stress, anxiety, and depression. Conversely, these conditions can further exacerbate sleep problems, creating a challenging cycle for affected individuals. Prioritising sleep can improve mood, cognitive function, and overall mental health,” Amie says.
How does sleep affect your heart?
The above health concerns are all risk factors for heart disease, meaning if you experience one or more of the above, you are more likely to develop coronary heart disease.
Lack of sleep can also directly impact the cardiovascular system. A study published in the Journal of Clinical Cardiology in 2023 found that less than five hours of sleep a night is highly associated with an increased risk of a heart attack.
Blood pressure
Sleep is essential for regulating blood pressure, impacting our hormones. During restful sleep, our blood pressure naturally lowers, giving the cardiovascular system a much-needed break. Studies have shown that people who sleep for less than six hours a night can have steeper increases in blood pressure, and if you already have high blood pressure, poor sleep can make your blood pressure worse.
Inflammation
Chronic inflammation is a key player in the development of heart diseases and poor sleep has been shown to increase inflammatory markers in the body.
Amie explains: “Inflammation damages blood vessels, promotes plaque buildup, and contributes to atherosclerosis, a condition where the arteries become narrowed and hardened. This increases the risk of heart attack and stroke.”
Heart Rate Variability
Heart rate variability (HRV) is a measure of the variation in time between each heartbeat. A higher HRV indicates a healthy, responsive cardiovascular system, while a lower HRV is associated with stress and poor cardiovascular health. Sleep quality directly influences HRV, with poor sleep leading to decreased HRV and increased cardiovascular risk.
How do you get better sleep?
Understanding the impact poor sleep has on your health means it’s easier to make lifestyle changes to help ensure you have a good night’s sleep. Here are some easy tips that can change your quality of sleep.
Improving your sleep environment
We sleep better in a cool room, the ideal temperature is around 18 degrees Celsius and having a thermometer in your room can help you measure it. Our bedding also impacts how we sleep, by having bedding made from natural fibres, such as wool or cotton, can help regulate our body temperature to stay cool.
Having a dark room is also essential, you can invest in blackout blinds and remove standby lights that do not give out red light, as red light does not disrupt our sleep.
Limit your time spent on screens
The blue light emitted by phones, tablets, computers and televisions can interfere with the production of melatonin, a hormone that regulates sleep. Limiting screen time before bed can improve sleep onset and quality, try reading a book instead.
Avoid caffeine, alcohol and smoking
Caffeine and nicotine are stimulants that can disrupt sleep. Avoiding these substances, especially in the afternoon and evening, can help promote better sleep. Caffeine stays in the body long after it has been consumed and can disrupt sleep, even after six hours after drinking a caffeinated beverage, half of the caffeine is still present in your body. Alcohol, while not a stimulant, also negatively impacts our sleep, lowers our HRV and decreases the amount of deep sleep we get.
Avoid eating before bed
Eating a large meal close to bedtime can delay the onset of melatonin release, meaning we don’t feel as sleepy before bed. Eating or snacking in the hours before bed can lead to poor-quality sleep. Try to avoid eating for at least two hours before bed, if you need a bedtime snack, opt for something light that will hopefully have minimal impact on your sleep such as a banana and some yoghurt.
Increase your physical activity
Regular physical activity has been shown to improve sleep quality. However, try to avoid vigorous exercise close to bedtime, as it can be stimulating.
Getting morning light and outdoor time
If you struggle to fall asleep, getting outside as soon as possible after you wake up may help. Getting natural daylight into our eyes can help to set our circadian rhythm by letting our bodies know it is time to wake up. Also, spending more time outdoors during the day positively affects our sleep that night.
Reducing stress and anxiety
Chronic stress and anxiety can significantly impact sleep quality and our ability to fall asleep. Incorporating stress management techniques, such as mindfulness, deep breathing, yoga, and even journaling before bedtime can improve sleep.
Keep a diary
If you are someone who struggles with sleep, download our Food & Movement Journal, where you can keep track of meals and physical activity. Here you can log your quality of sleep, and it can be useful to identify patterns affecting your sleep.
Sleep is a critical component of health and well-being, influencing body weight, chronic disease risk and cardiovascular health.
Download our Sleep Hygiene Checklist to help you get started on creating a perfect bedtime routine, you can stick it to your bedroom wall or bathroom mirror, somewhere you will see it regularly to remind you.
In a world that often values productivity over rest, it is crucial to recognise that good sleep is not a luxury – it is a necessity.
North-East project boosts capacity outside Central Belt
First Minister John Swinney has officially opened the first phase of a new residential rehabilitation service in Aberdeenshire, which will increase capacity in the North East of Scotland.
The 27-bed facility, named Rae House and run by Phoenix Futures, will be followed by a second phase which will consist of 53 units of housing and therapeutic community ‘Dayhab’ in Aberdeen City, which in total could provide up to 200 placements a year.
In the following phase, the therapeutic community ‘Dayhab’ model will see people living in separate accommodation coming together for day programmes at a central hub in Aberdeen to help them address their drug and alcohol use.
Speaking at the official opening, First Minister John Swinney said: ““We want every person experiencing harm from drug use to be able access the support they need. Residential rehabilitation is central to that and we have made £100 million available to improve access over the course of the Parliament.
“Following our support for Phoenix Futures’ family service in Saltcoats, this further investment of £11 million into the North East service will help address geographic barriers and provide a welcome increase in residential rehabilitation capacity in Scotland, particularly for areas outside the Central Belt.
“I am pleased that the way we have funded placements has allowed more people in the North East to access this type of treatment quickly.
“A recent report suggests we have achieved our aim of 1,000 people a year receiving public funding for their residential rehabilitation placement by March 2026, but we want to do more and our Additional Placement Fund will support even more people to access rehabilitation.
“Yesterday’s suspected drug death figures showed an 11% decrease for 2024 but they remain too high. There has been some encouraging progress, but we know there is much more to do and that is why, through our National Mission on drugs, we’ll continue to invest in a wide range of evidence-based measures to save lives and reduce harms.”
Phoenix Futures Chief Executive Karen Biggs said: “We are delighted to open Phoenix Futures Scotland’s new residential rehab in Aberdeenshire, bringing much-needed recovery support to the North East. This service ensures people can access life-changing treatment closer to home.
“Thanks to the Scottish Government’s innovative funding model, we’ve overcome financial and systemic barriers that previously limited access to residential rehab.
“By prioritising investment in recovery services, Scotland is setting a precedent for inclusive and effective addiction treatment. This facility will provide a safe, supportive space for people to rebuild their lives.
“We look forward to working with local communities and partners to make recovery accessible to all who need it.”
Ian Murray, MP for Edinburgh South, has renewed calls for urgent action by the Scottish Government and NHS Lothian to tackle the worsening crisis in South Edinburgh GP services, as residents continue to face unacceptable delays in accessing care.
Constituents regularly report waiting hours on the phone to get appointments, with many surgeries unable to register new patients due to severe capacity issues.
The rapid expansion of new housing developments in South East Edinburgh without the necessary investment in healthcare infrastructure is exacerbating the situation.
Ian Murray has raised these concerns directly with NHS Lothian, and has met with the leadership teams of under-pressure GP practices, to discuss what support they need.
Over 3000 local residents have signed Ian Murray’s petition demanding action.
Ian Murray MP said:“GP services in Edinburgh South are at breaking point. Residents are spending hours on the phone just to get through to their surgery, only to be told they’ll have to wait weeks for an appointment.Meanwhile, new housing estates are being built without the infrastructure to support the growing population. Our community cannot be left without access to vital healthcare.
“The incredible doctors, nurses, and staff in our local practices are working tirelessly, but they are being let down by a failure to plan for demand. Following the record funding settlement given to the Scottish Government by the UK Government in the budget last year, this is unacceptable. The Scottish Government must act now to expand GP capacity, allocate the necessary resources to NHS Lothian, and ensure new developments are built alongside proper infrastructure and healthcare provision.”
Ian Murray has also welcomed Anas Sarwar’s recent announcement of Scottish Labour’s plans to reform the NHS and end the “8am rush” at GP surgeries by revising the GP contract, ensuring patients can get timely appointments.
“These plans offer real, practical solutions to fix our broken NHS and ensure people in Edinburgh South can access the care they need when they need it – representing the biggest reform of the NHS in decades.
“The Scottish Government has failed to get a grip on this crisis – Scottish Labour will.”
Ian Murray is encouraging residents to share their experiences of GP access and has launched a petition to demand better services. He vowed to continue pressing for improvements and holding the Scottish Government to account.
Residents have said:
“I’m registered at a surgery in Gilmerton. I try to get through at 8 am to get an appointment, but even just a call back is impossible. By the time I get through, all appointments are gone for the day. Been trying almost 2 weeks now and never can get through.”
“I have a chronic illness, and getting a GP appointment is virtually impossible. The stress of not being able to prebook an appointment and having to call at 8am relentlessly, normally around at least a 100 redials and then to be told there is no appointment available because they only have 1 doctor available that day and they are full, is intolerable.”
“Being a new mum I haven’t got the time to be sitting about waiting for phone calls all day. I haven’t been able to get through to our GP in over a month now for an appointment. It’s really concerning when I have a 1 year old daughter and can’t get appointments for her.“
Constituents who wish to share their experiences can contact Ian Murray’s office at ian.Murray.MP@parliament.uk.
Community-led mental health and wellbeing projects are to benefit from £30 million Scottish Government funding over the next two years.
The Communities Mental Health and Wellbeing Fund for Adults – first launched in 2021 – supports local groups to deliver programmes for adults which build resilience and tackle social isolation, loneliness and mental health inequalities. It is expected the Fund will open to applications this Autumn.
In the first three years around 4,800 grants were made to a wide range of grassroots community projects focused on connecting people and providing peer support through activities such as sport, outdoor activities, and the arts.
The charity, Empower Women for Change, has secured grant awards in all rounds of the Fund to date. This year, the group is using its grant to support lone parents, families with a disabled family member, Minority Ethnic families, and young mothers.
Visiting their office in Glasgow Mental Wellbeing Minister Maree Todd said: “I am pleased to meet staff and service users at Empower Women for Change and hear more about the valuable work they do in the community they support. It is inspiring to see first-hand the impact that this funding can have.
“Since the fund was established, we have invested £66 million, reaching a variety of groups supporting those at increased risk of poor mental health and wellbeing – including people facing socio-economic disadvantage, older people and ethnic minority communities.
“I look forward to seeing the positive impact that this further £30 million investment will make to the wellbeing of people and communities across Scotland.”
Empower Women for Change CEO and Founder Asma Abdalla said: “We are delighted and honoured to welcome the Minister Maree Todd to our organisation.The Wellbeing Fund has played a transformative role in improving the lives of our service users of ethnic minority women and girls and our volunteers, members, and staff.
“Through our Inspired Women projects, we have provided vital mental health support, resilience, and community connection, changing lives and strengthening communities. We are looking forward to continuing this work, with support from the Wellbeing Fund.
“We welcome this unique opportunity to share Inspired Women participants’ testimonies, their voices highlight the urgent need for sustained investment in grassroots wellbeing services. Please join us in amplifying their stories and celebrating the power of community-led change.”
Partnership Manager at Glasgow Council for the Voluntary Sector Sheena Arthur said: “We are delighted that the Scottish Government’s Communities Mental Health and Wellbeing Fund is continuing.This fund delivers small grants which make a positive difference and so far, has supported over 900 Third Sector organisations and community groups across Glasgow.
“In increasingly challenging times, the Third Sector plays a crucial role. This fund enables the development of existing projects as well as emerging ideas from the community. It helps to bring people together- contributing to better health and wellbeing of people and families, strengthening social connections and tackling inequality and poverty.”
VPZ, the UK’s leading vape retailer, took to the streets surrounding Holyrood yesterday in a youth vaping awareness campaign to highlight concerns around super-size disposable vapes in the upcoming Tobacco and Vapes Bill.
A specially designed trailer was outside the Scottish Parliament to shed light on the alarming rise of illicit ‘Big Puff’ vapes and its impact on youth vaping.
The trailer featured two striking 1-tonne containers, one filled with legal 2ml vapes (35000 units) and the other packed with illicit, super-size disposable vapes (9000 units), showcasing the stark visual representation of the challenges the industry and policymakers could face if appropriate measures are not taken.
So-called ‘Big Puff’ vapes exploit a loophole in the vaping law that allows the sale of devices with greater liquid capacity than the legislated 2 ml.
By utilising an external plug-in tank of 10 ml, these vaping units effectively become a 12 ml product, which is 6 times more than the allowed vaping liquid in a disposable device. New devices are being approved by the MHRA weekly, some with more capacity than 12ml.
Despite being considered rechargeable, the super-size vape products are made with a low-quality battery, and an unchangeable coil which effectively makes them single use.
Greig Fowler, Director of VPZ – The Vaping Specialist, said: “We hope that our campaign will serve as a wake-up call to policymakers and the public, as it’s crucial that MPs act now to address the dangers of these super-sized disposables before the UK finds itself in the midst of another youth and environmental crisis.
“VPZ is taking a stand against the dangers posed by the unregulated vaping products that threaten to undermine the forthcoming disposable ban in June. Our mission is to highlight the urgent need for action and collaboration to tackle these arising issues to the public.
“Dr Caroline Johnson outlined amendment NC9 which would bring this area into check, however, that was discussed and rejected following a vote. The problem needs addressed now and not in 12-18 months’ time when the Bill is passed.
“If we fail to respond decisively now, we risk further harm to young people, an environmental disaster, and undermining vaping’s role as a smoking cessation tool, which has helped millions to quit smoking.
“We must work together to strike the right balance, protecting smokers and ex-smokers while preventing further damage to public health and the environment.”
VPZ strongly supports most of the Tobacco & Vapes Bill measures to tackle youth access, including restriction of naming, packaging, and marketing.
However, it believes that there should be a balanced regulatory approach to protect adult smokers looking to quit while effectively cracking down on illicit and unregulated products in order for the UK to reach its 2030 Smoke-Free goals.
VPZ has previously warned adult vapers that the UK’s Tobacco and Vapes Bill could restrict some the favourite flavours that helped them quit smoking, potentially affecting around 3 million vapers and ex-smokers if passed.
VPZ has over 185 stores in the UK and has helped over 1 million smokers quit since it was established in 2012.
Ending NHS England will ‘reduce bureaucracy, make savings and empower NHS staff to deliver better care for patients’
Major reforms to empower NHS staff and put patients first
Changes will drive efficiency and empower staff to deliver better care as part of Prime Minister’s Plan for Change
Move will reduce complex bureaucracy and undo the damage caused by 2012 reorganisation
Reforms to reduce bureaucracy, make savings and empower NHS staff to deliver better care for patients have been set out today by the Prime Minister, Keir Starmer.
NHS England will be brought back into the Department of Health and Social Care (DHSC) to put an end to the duplication resulting from 2 organisations doing the same job in a system currently holding staff back from delivering for patients.
By stripping back layers of red tape and bureaucracy, more resources will be put back into the front line rather than being spent on unnecessary admin.
The reforms will reverse the 2012 top-down reorganisation of the NHS which created burdensome layers of bureaucracy without any clear lines of accountability. As Lord Darzi’s independent investigation into the state of the NHS found, the effects of this are still felt today and have left patients worse off under a convoluted and broken system.
The current system also penalises hardworking staff at NHS England and DHSC who desperately want to improve the lives of patients but who are being held back by the current overly bureaucratic and fragmented system.
Health and Social Care Secretary, Wes Streeting, said: “This is the final nail in the coffin of the disastrous 2012 reorganisation, which led to the longest waiting times, lowest patient satisfaction and most expensive NHS in history.
“When money is so tight, we cannot justify such a complex bureaucracy with 2 organisations doing the same jobs. We need more doers and fewer checkers, which is why I’m devolving resources and responsibilities to the NHS frontline.
“NHS staff are working flat out but the current system sets them up to fail. These changes will support the huge number of capable, innovative and committed people across the NHS to deliver for patients and taxpayers.
“Just because reform is difficult does not mean it should not be done. This government will never duck the hard work of reform.
“We will take on vested interests and change the status quo, so the NHS can once again be there for you when you need it.”
Sir James Mackey, who will be taking over as Transition CEO of NHS England, said: “We know that while unsettling for our staff, today’s announcement will bring welcome clarity as we focus on tackling the significant challenges ahead and delivering on the government’s priorities for patients.
“From managing the COVID pandemic, the biggest and most successful vaccine campaign which got the country back on its feet, to introducing the latest, most innovative new treatments for patients, NHS England has played a vital role in improving the nation’s health. I have always been exceptionally proud to work for the NHS – and our staff in NHS England have much to be proud of.
“But we now need to bring NHS England and DHSC together so we can deliver the biggest bang for our buck for patients, as we look to implement the 3 big shifts – analogue to digital, sickness to prevention and hospital to community – and build an NHS fit for the future.”
Incoming NHS England chair, Dr Penny Dash, said: “I am committed to working with Jim, the board and wider colleagues at NHS England to ensure we start 2025 to 2026 in the strongest possible position to support the wider NHS to deliver consistently high-quality care for patients and value for money for taxpayers.
“I will also be working closely with Alan Milburn to lead the work to bring together NHS England and DHSC to reduce duplication and streamline functions.”
Work will begin immediately to return many of NHS England’s current functions to DHSC. A longer-term programme of work will deliver the changes to bring NHS England back into the department, while maintaining a ‘laser-like focus’ on the government’s priorities to cut waiting times and responsibly manage finances.
It will also realise the untapped potential of the NHS as a single payer system, using its centralised model to procure cutting-edge technology more rapidly, get a better deal for taxpayers on procurement and work more closely with the life sciences sector to develop the treatments of the future.
The reforms to deliver a more efficient, leaner centre will also free up capacity and help deliver significant savings of hundreds of millions of pounds a year, which will be reinvested in frontline services to cut waiting times through the government’s Plan for Change.
The changes will crucially also give more power and autonomy to local leaders and systems – instead of weighing them down in increasing mountains of red tape, they will be given the tools and trust they need to deliver health services for the local communities they serve with more freedom to tailor provision to meet local needs.
The number of people working in the centre has more than doubled since 2010, when the NHS delivered the shortest waiting times and highest patient satisfaction in its history. Today, the NHS delivers worse care for patients but is more expensive than ever, meaning that taxpayers are paying more but getting less.
Too much centralisation and over-supervision has led to a tangled bureaucracy, which focuses on compliance and box-ticking, rather than patient care, value for money and innovation. In one example, highlighted by Dame Patricia Hewitt’s 2023 review, one integrated care system received 97 ad-hoc requests in a month from DHSC and NHS England, in addition to the 6 key monthly, 11 weekly and 3 daily data returns.
The review also revealed the challenges caused by duplication – citing examples of tensions, wasted time and needless frictional costs generated by uncoordinated pursuit of organisational goals that do not take account of their wider effects.
Substantial reform, not just short term investment, is needed to deliver the government’s Plan for Change mission to get the NHS back on its feet and fit for the future, and this announcement is one of a series of steps the government is taking to make the NHS more productive and resilient so that it can meet the needs of the population it cares for.
NHS England’s new leadership team, Sir Jim Mackey and Dr Penny Dash, will lead this transformation while re-asserting financial discipline and continuing to deliver on the government’s priority of cutting waiting times through the Plan for Change.
These reforms will provide the structure necessary to drive forward the 3 big shifts identified by government as crucial to building an NHS fit for the future – analogue to digital, sickness to prevention and hospital to community.
Since July, the government has already taken significant steps to get the NHS back on its feet, including bringing an end to the resident doctor strikes, delivering an extra 2 million appointments 7 months early and cutting waiting lists by 193,000 since July.
Commenting on the Prime Minister’s announcement that NHS England is to be abolished, UNISON general secretary Christina McAnea said: “Everyone wants more to be spent on frontline services so the sick and injured can be treated sooner.
“Delays and long waits for operations and appointments have left several million unable to work, with a knock-on effect on economic growth.
“More of a focus and greater investment in the entire NHS team of staff, not just nurses and doctors, would help turn around the fortunes of a floundering NHS.
“Put simply the health service needs thousands more staff and to be able to hold on to experienced employees. At the moment, it’s struggling to do that. Giving staff a decent pay rise would help no end.
“But this announcement will have left NHS England staff reeling. Just days ago they learned their numbers were to be slashed by half, now they discover their employer will cease to exist.
“The way the news of the axing has been handled is nothing short of shambolic. It could surely have been managed in a more sympathetic way.
“Thousands of expert staff will be left wondering what their future holds. Wherever possible, their valuable skills must be redeployed and used to the benefit of the reformed NHS and patients.
“Ministers have to reassure employees right across the NHS that there’s a robust plan to rejuvenate a flailing NHS and deliver for working people.”
Following Sir Keir Starmer’s announcement to scrap NHS England, a leading cybersecurity expert has warned the move could leave the health service dangerously exposed to cyberattacks.
While the proposed reforms aim to cut bureaucracy and streamline services, he warns that removing NHS England’s centralised cybersecurity infrastructure is “like a hospital suddenly removing its emergency department and expecting patients to fend for themselves.”
Graeme Stewart, head of public sector at Check Point Software, said, “While the Prime Minister’s sweeping reforms cover everything from cutting red tape to reining in bureaucracy, one critical area must not be left in the lurch: our cybersecurity defences. Scrapping NHS England’s centralised services is not just a bureaucratic shake-up; it’s like a hospital suddenly removing its emergency department and expecting patients to fend for themselves.
“At present, NHS England provides the backbone for our cyber defences, from a unified email service to specialised threat protection. Removing these central functions risks leaving individual NHS Trusts to fend off cyberattacks with a patchwork of under-resourced teams. As the adage goes, ‘a chain is only as strong as its weakest link,’ and our cyber chain is already under severe strain with attacks on the rise.
“Moreover, dismantling these central services could open the door for a surge of third-party suppliers to step in. While more suppliers might seem like a win for competition, it also fragments our defence and leaves us vulnerable; each new supplier is a potential weak link in our security armour.
“We need a robust, unified security system that acts like a digital fortress, not a hodgepodge of outsourced patches. In the midst of these broad reforms, let’s ensure the cyber element isn’t left out in the cold. Our digital defences must be retained or replaced with an equally robust solution; otherwise, we’re setting the stage for a cyber disaster.”
The right to guaranteed hours for zero hours workers.
Protection from unfair dismissal from day one in the job.
Sick pay for all workers, from the first day of absence
The right for unions to access workplaces to speak to workers.
The establishment of a state Fair Work Agency to bring together existing bodies to better enforce the law.
The common sense reforms take a step towards resolving key issues for many workers, such as being parked on zero hours contracts for months or years on end. Or workers being afraid to take a better job because currently they can be dismissed for no reason within the first two years.
Such steps take the UK closer to equivalent countries in the strength of its employment law.
After consultations with businesses, trade unions and the wider public at the end of last year, the government tabled a number of other notable changes when the Bill returned to parliament this week.
Here are some of the key ones:
Zero hours contracts
Agency workers will have to be offered guaranteed hours contracts reflecting their normal hours, based on a 12-week reference period. This closes a loophole that could have allowed employers to switch from employing zero hours workers directly to hiring them via an agency.
There is a provision that new rights to guaranteed hours, reasonable notice of a shift and payment for cancelled, moved and curtailed shifts can be changed if workers and an employer agree alternative arrangements in a collective agreement. This means arrangements can be tailored to suit particular workplaces.
Sick pay
The government has confirmed that workers will be entitled to receive minimum sick pay of 80 per cent of their normal wages or statutory sick pay, whichever is the lower. This largely affects workers who are not currently entitled to statutory sick pay. The government had modelled a rate as low as 60 per cent.
Union access
The right for a trade union to access a workplace to support workers and talk to them about joining has been extended to a digital right of access as well. This will be especially important where workers work outside an office and are better contacted by digital means such as email or intranet posts.
Unions have been given stronger rights to access workplaces when workers are seeking recognition. Employers will be barred from carrying unfair practices to undermine unions from the start of the process.
Trade union rights
Current law deliberately ties unions up in red tape, which gives employers great opportunities to challenge strike action in the courts on technicalities. This will reduce somewhat as the government reduces the amount of information unions must disclose to employers when they launch a strike ballot.
Meanwhile, notice for strike action will be cut from 14 days currently to ten days. And the mandate for taking strike action after a vote in favour doubled to 12 months.
Industrial action is a last resort for trade union members. After all, workers usually suffer a significant loss of income. But a vote for action can give real weight to union negotiations and kickstart talks when progress has stalled.
These changes mean some of the artificial barriers to action have been removed.
Work still to do
While the Employment Rights Bill will take important steps towards a fairer economy, there are further reforms required. These include:
Some workers could receive less sick pay under these changes than they currently receive. This should be remedied and a review conducted to improve the paltry headline rate of SSP.
A huge amount of detail will be set out in subsequent regulations laid by the government. It is crucial that new “initial periods of employment” during a worker’s first nine months in the job provide sufficient protection from unfair sacking, including a route to take a case to the employment tribunal. And that loopholes are not opened up stopping workers getting guaranteed hours contracts.
The Bill makes it easier for workers to gain recognition for their trade union. But leaves in place a law requiring a three-year gap between recognition attempts, benefiting union-busting employers. This gap should be significantly reduced.
The government will delay the repeal of a Tory measure that requires a 50 per cent turnout for a strike law to be valid until after it has introduced electronic balloting.
The government has pledged to reform current employment status rules that govern whether someone is self-employed, a worker with some rights, or an employee with full rights. An overhaul is needed to stop exploitative employers attempting to deny workers their protections.
The passage of the Employment Rights Bill represents another significant step forward for working people.
The recent amendments further strengthen government efforts to crack down on worker exploitation and strengthen their voice in the workplace.
TUC: Work-related ill-health is costing the UK economy over £400 million a week
New analysis shows that number of days lost due to work-related ill-health has rocketed by a third since 2010 to 34 million days
Work-related ill-health reduced economic output by £22bn in 2023
TUC says findings highlight the importance of driving up job quality in the UK and stronger rights at work ahead of Employment Rights Bill returning
Work-related ill-health is costing the UK economy over £415 million a week, according to new TUC analysis published on Monday.
The analysis of official statistics shows that the number of days lost due to health conditions – including stress, depression and anxiety – has shot up by a third since 2010.
In 2023 to 2024 (the latest year for which figures are available) 34 million working days were lost to work-related ill-health – compared to 22 million in 2010.
The TUC says the findings – which are published as the Employment Rights Bill returns to parliament – show the “urgent importance” of improving the quality of work in the UK.
In 2022 to 2023 (the latest year for which figures are available) work-related ill-health is estimated to have reduced economic output by £21.6bn.
Boom in insecure work
The TUC says the rise in days lost to work-related ill health has coincided with a huge boom in insecure work.
The union body estimates that over a similar period (2011-2023) the number of people in precarious employment also rocketed by a third to over 4 million.
A separate report out this week from the Commission for Healthier Working Lives suggests that poor quality work can harm employee health.It states:
“Most health conditions develop outside work, but for a significant number of people, work itself is the cause. Persistent insecurity, workplace discrimination and extreme demands take a serious toll on health. In some cases, poor-quality work is even worse for health than being unemployed.”
The TUC says driving up employment standards will help improve staff well-being, health and productivity. It will also ensure that more people with disabilities or health conditions can stay in work.
This view was backed up by polling last autumn which revealed that:
Three-quarters (75 per cent) of managers think that strengthened employment rights will improve employee health, compared to just 4 per cent who disagree
Seven in 10 (74 per cent) believe that strengthening employment rights will improve workforce retention, compared to just 6 per cent who do not.
Employment Rights Bill back in parliament
The government’s Employment Rights Bill returned to parliament this week for its report stage. The Bill will deliver “common-sense reforms” which bring the UK closer to the European mainstream on workers’ rights, the union body says.
The TUC says the legislation will help to deliver better quality work in every corner of the country by cracking down on insecure work and banning exploitative zero-hours contracts.
TUC general secretary Paul Nowak said: ”Improving the quality of work in Britain is good for workers and our economy. Work related ill-health is costing us hundreds of millions each week – that’s billions of pounds down the drain every year.
”That’s why the government’s Employment Rights Bill is so important. Cracking down on exploitative practices like zero-hours contracts and giving people more security will boost workers’ health, well-being and productivity. It will also help more people stay in work.
“We need to turn the corner on Britain’s low-rights, low-pay economic model that has been tested to destruction over the last 14 years. Giving working people more control and predictability over their lives will help create a happier, healthier and more robust workforce.”
World Glaucoma Week (9–15 March) is ‘Uniting for a Glaucoma-Free World’ with eyecare innovation high on the list of priorities amid an estimated 150,000 people in Scotland living with the condition.
Supported by formal NHS Scotland partner InnoScot Health, the annual initiative of the World Glaucoma Association (WGA) aims to raise awareness of what is considered the leading global cause of preventable irreversible blindness.
Last year, InnoScot Health welcomed a £2 million Scottish Government investment aimed at reducing short-term ophthalmology waiting times – but still believes that the focus must remain on embedding longer-term innovation.
The organisation says that the Scottish population has historically suffered from chronic long-term eye diseases, and the multi-faceted, often interlinked issues causing them now requires more advanced approaches alongside efforts to enhance awareness and encourage regular eye tests.
Innovation Manager Frances Ramsay insists that forward-thinking ophthalmic solutions can instil a more sustainable service that helps to prevent further exacerbation of waiting times in future and detect glaucoma in its earliest stages.
She believes World Glaucoma Week is a key annual event for encouraging better preventative understanding and collaborative thinking.
Frances said: “It is undoubtedly an exciting time for innovation in the field of glaucoma detection and treatment, all aimed at improving early diagnosis and more effective management of the disease. Scotland has to be alive to the possibilities.
“Worldwide, we are seeing an increasing focus on such advancements as artificial intelligence-powered image analysis for early detection, genetic testing for risk assessment, and novel drug delivery systems.
“While some of these solutions are not available to us yet, we should be setting our sights on laying the groundwork for their eventual implementation now, creating a more resilient health service.
“World Glaucoma Week is also a reminder that the NHS Scotland workforce can drive that work by leveraging its vast knowledge and deep understanding of patient needs, together with analysis of where bottlenecks occur and identification of smarter, more innovative approaches to solving them.
“NHS Scotland staff with a vision for ophthalmic innovation must be encouraged to use World Glaucoma Week as their focus for inspiring lasting change during this pivotal period of renewal.”
Scotland’s launch of the NHS Community Glaucoma Service in 2023 has demonstrated the potential of independent prescribing optometrists to support eye care at a national level, helping up to 20,000 stable glaucoma patients to be discharged from hospital eye services into the community.
However, ophthalmic innovation from within NHS Scotland can yet unlock more solutions amid an increasing number of treatments for glaucoma patients, including fresh laser-led and minimally invasive procedures.
Frances continued: “Progressive thinking can transform pressured ophthalmic services, and the 180,000-strong NHS Scotland workforce can take a lead on grasping its possibilities in this priority area.
“Ophthalmology responds to a complex mixture of treating the increasing needs of an ageing population, management of life-long issues, and one-off surgical interventions.
“In order to ease demand, Scotland’s forward-thinking workforce should feel empowered to make a vital contribution to an eye-opening future through the submission of ideas, whether simple or complex.”
Encouraging NHS Scotland’s diverse workforce to come up with new ideas that achieve better outcomes in pressured ophthalmology is vital and at the heart of InnoScot Health’s latest innovation call.
The call offers a package of support to health and social care staff, including advice and guidance in such areas as intellectual property protection, regulation, funding, project management, and commercialisation.
Foysol Choudhury MSP is backing a health charity’s national No Smoking Day campaign, urging Lothian residents who smoke to make attempts to stop and win through improvements in their physical health, mental wellbeing and finances.
The MSP is supporting ASH Scotland’s ‘Quit and Win’ campaign, which is highlighting that giving up smoking increases opportunities to live a healthier life through improving mental health and decreasing the risks of developing coronary heart disease, type 2 diabetes, dementia and some cancers.
The charity advises that an average smoker who gives up tobacco on No Smoking Day (Wednesday 12 March) would save £3,332 within 12 months, money that could be better spent on a holiday or something special for themselves or their loved ones.
Alan Dalziel, Senior Policy Manager for ASH Scotland, said: “Tobacco is still the biggest cause of preventable death in Scotland but people across Lothian can have a brighter future by quitting smoking, and we’re delighted Foysol Choudhury MSP is backing our campaign to raise awareness of the free help that is available on the NHS.
“Most people in Scotland who give up smoking do so without quit aids but, for those who need support, nicotine replacement patches, gums or lozenges that are backed by established evidence and safety controls can help your chances of success, along with free specialist health advice from Quit Your Way services.
“Reach out to Quit Your Way today as their personalised support to give up smoking could be vital in helping you to improve your physical health, mental wellbeing and personal finances.”
Commenting, Foysol Choudhury MSP stated:“I am pleased to be supporting ASH Scotland’s ‘Quit and Win’ campaign and encourage my constituents who smoke but want to give up to try for the first time, or try again, to quit smoking and gain a range of health benefits as well as the chance to save your money when you live a tobacco-free life.”
