Nearly a quarter of people living in Edinburgh can’t name a single symptom of bowel cancer

A new survey by Bowel Cancer UK, of 101 adults living in Edinburgh, has revealed that nearly a quarter of people (24%) can’t name a single symptom of bowel cancer. The disease is the UK’s second biggest cancer killer, but nearly three quarters of people (72%) aren’t aware of this fact.

The YouGov results are published ahead of Bowel Cancer Awareness Month this April, as part of Bowel Cancer UK’s new campaign helping people to #KnowTheHigh5 symptoms of bowel cancer. The campaign is being launched with the support of BBC Radio 1 DJ Adele Roberts, who was diagnosed with the disease in October 2021, and her partner Kate Holderness.

One of the key ‘red flag’ bowel cancer symptoms is blood in your poo but only just over half of people (52%) living in Edinburgh were able to name it.

The other four main symptoms, experienced by many who go on to be diagnosed with the disease, have an alarmingly low rate of awareness based on those people could name:

·        Change in bowel habits (13%)

·        Pain in tummy (17%)

·        Weight loss (13%)

·        Tiredness/fatigue (6%)

Even more concerning is that more than six in 10 people (62%) across Edinburgh said if they experienced a change in bowel habit like diarrhoea or constipation that didn’t clear up, or saw bleeding from their bottom, something would stop them from contacting their doctor.

Their reasons included difficulties getting an appointment (29%), being too embarrassed (12%) or being too afraid that it could be something serious (8%).

BBC Radio 1 DJ Adele Roberts, who was diagnosed with stage 2 bowel cancer in October 2021, says: “It took me a while to pluck up the courage to call my GP at first. My symptoms seemed like things I could explain away. I didn’t want to be a burden to the NHS and I was embarrassed.

“I shouldn’t have worried. My GP took my concerns seriously, put me at ease and also offered me a home testing kit. This meant I was able to do the test in the comfort of my own home. Soon after I was diagnosed with stage 2 bowel cancer, which was very nearly developing into stage 3.

“Getting the help I needed in time helped save my life. If you’re worried please speak to someone, early detection saves lives and it helped save mine.” 

Cabinet Secretary for Health and Social Care – and now First Minister-elect – Humza Yousaf said: “The Scottish Government launched a new campaign earlier this month to reduce fear of cancer and encourage those with possible symptoms to ‘be the early bird’. As part of this, a roadshow is visiting areas of deprivation across Scotland to raise awareness of symptoms, including bowel cancer.

“The NHS is under significant pressure but diagnosing cancer earlier remains a priority. If anybody is worried about any symptoms highlighted through this research, or any other persistent changes unusual for them, they shouldn’t delay contacting their GP practice – they want to hear from you.” 

Genevieve Edwards, Chief Executive of Bowel Cancer UK, says: “It’s concerning that people aren’t aware of the symptoms of the UK’s second biggest cancer killer.

“Someone dies from the disease every 30 minutes in the UK, which means that in the time it takes to watch an episode of your favourite soap, one family will lose a loved one to bowel cancer. 

“But it doesn’t have to be this way as it is treatable and curable, especially when diagnosed early. That’s why this Bowel Cancer Awareness Month we’re launching a new campaign to raise awareness of the five red flag symptoms of the disease and asking people to take our #KnowTheHigh5 quiz.  

 “By going to straight to your GP if you spot any symptoms, or if something just doesn’t feel right, it’s possible to rule out the disease first and fast. They will want to see you and may ask you to do a test at home to help decide whether your symptoms need further investigation. Get to know the symptoms of bowel cancer, tell your friends and family about them – it really could save your life.” 

Bowel Cancer UK is launching a new campaign for Bowel Cancer Awareness Month helping people to #KnowTheHigh5 symptoms of bowel cancer.

People can take the symptoms quiz and share it with others – plus everyone who takes the quiz can enter a free prize draw with five chances to win a year’s supply of Andrex® toilet roll.

Take the symptoms quiz today: bowelcanceruk.org.uk/quiz

NHS 24: Swing into Spring!

HEALTHY KNOW HOW spring health campaign

Swing into spring! 🌼 We are pleased to launch our spring health campaign ‘Healthy Know How.’

Featuring the character Billy, his son, cat and neighbour Mollie, Healthy Know How provides advice to ensure you are prepared for any illnesses or mishaps over the Easter holidays.

Tips include:

🔹Check your repeat prescription, order only what you need, in plenty of time

🔹Keep some medicines to treat common illnesses at home

🔹If you become unwell, NHS inform has useful symptom checkers to help you decide what to do next

🔹Be aware that your GP practice and local pharmacy may have amended opening hours over the Easter weekend

Find out more about the spring campaign:

🔗www.nhsinform.scot/spring

COVID-19 spring booster programme gets underway today

At-risk groups offered additional dose

Residents in care homes for older adults are receiving their spring COVID-19 booster from today (Monday) as the latest stage of the national vaccination programme gets underway.

Following recent advice from the Joint Committee on Vaccination and Immunisation (JCVI), a spring booster dose will also be offered to those aged 75 and over from 11 April and individuals aged five and over with a weakened immune system from 24 April. These groups will either receive appointment details through their preferred means of contact or will be sent details of how to book.

Health Secretary Humza Yousaf said: “We know that people in high-priority groups are at higher risk of serious illness from COVID-19 so I welcome the start of the spring rollout which will offer an additional dose to those who are most vulnerable, boosting their protection.  

 “Prioritising those most at risk has been our approach from the outset and vaccination has been our most effective tool against COVID-19. However, the degree of protection offered does fade over time, which is why booster vaccination is needed.

“I continue to encourage everyone to receive the doses they are eligible for as and when they become available.”

Spring coronavirus (COVID-19) booster | NHS inform

Healthy Heart Tip: Spring Cleaning

Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK

Healthy Heart Tip: Get your spring clean on!

Spring is the season of fresh starts. This week, we wanted to shine a light on good old-fashioned spring cleaning and the potential health benefits it offers.

Cleaning counts towards our daily movement goals, lighter tasks like dusting can burn around 160 calories an hour, and more heavy-duty tasks like washing windows or scrubbing can burn around 350 calories an hour!

In addition, having a clean and tidy home can improve our mental health, and making sure our kitchen is clean and organised can have a positive impact on our motivation to eat healthy foods and cook from scratch.

Get prepared

To ensure you have a successful and stress-free spring clean make sure you have everything you need before starting.

Set up a ‘cleaning station’ at a central point in your house with all the things you will need and only take one thing at a time. Doing it this way rather than using a cleaning caddy or bucket to carry things from room to room means you will end up moving more which will get your heart pumping.

Turn up the volume

Whether its jazz, pop, hip hop or rock, having upbeat music playing while cleaning can improve our mood, energy, and motivation.

You could take the time to listen to a podcast or audiobook on a subject you want to learn more about, or enjoy the silence, anything that helps make the task more enjoyable.

Declutter

Set aside some time to declutter your house too, donating or selling things you no longer need or use. Having less clutter makes it easier to keep your house and possessions clean and organised.

Spring is also a good time to think about your mental health and assess things like your work-life balance and how much time you spend doing the things you enjoy. Embrace this season of new beginnings by starting a new activity or hobby and saying goodbye to habits that no longer serve you.

To help keep your heart healthy, why not try out some of our Healthy Heart recipes from our website: https://heartresearch.org.uk/heart-research-uk-recipes-2/.

Scottish Government launches campaign to raise awareness of Inflammatory Bowel Disease

A campaign to raise awareness of the bowel conditions Crohn’s and Colitis has been launched as study shows cases are rising.

Crohn’s disease and Ulcerative Colitis – commonly referred to as Inflammatory Bowel Disease (IBD) – are long-term conditions which inflame the gut.

The campaign comes as research from Crohn’s & Colitis UK shows the rates of IBD are higher than previously thought, with Scotland found to have the highest rates in the UK.

Symptoms include a sore stomach, recurring diarrhoea, weight loss and extreme tiredness, which if not treated can lead to complications.

The campaign will raise awareness of the symptoms with posters and leaflets in GP surgeries and community centres, as well as social media, urging anyone who is concerned to contact their GP practice.

Cabinet Secretary for Health and Social Care, Humza Yousaf said: “Raising awareness of Crohn’s and Colitis is crucial to ensure we can get people diagnosed as early as possible, and give them the right care and treatment.

“This will help them to get the best support, make informed choices about their diet – and live their lives to the full.

“As part of the Modernising Patient Pathways Programme from the Centre of Sustainable Delivery, improvements have already been made for patients with IBD and we will continue working with the third-sector and people with the condition to make sure this important work continues.”

Sarah Sleet, CEO of Crohn’s & Colitis UK said: “We know that there are over 50,000 people in Scotland living with Crohn’s Disease and Ulcerative Colitis but too many take too long to get diagnosed.

“For one in four, it’s over a year and nearly half of them end up in A&E in the meantime. Recognising the symptoms of Crohn’s and Colitis, which are widely misunderstood, and having the confidence to talk to a healthcare professional are the first steps on the path to a diagnosis. 

“We’re thrilled that the Scottish Government is leading the rest of the UK in raising public awareness of Crohn’s and Colitis, to improve the lives of everyone affected.

Our message is simple: if you have frequent diarrhoea, stomach pain or blood in your poo, don’t suffer in silence, go and see your GP. The earlier you find out what’s wrong, the sooner you can get the help you need.”

Easter boost for Make 2nds Count

Dalkeith Country Park raises funds for Edinburgh-based charity 

Breast cancer charity Make 2nds Count is set for a bumper Easter boost courtesy of Dalkeith Country Park. 

The organisation, which supports patients with secondary breast cancer, is the visitor attraction’s charity partner for 2023 and benefits from a range of fundraising initiatives through The Park’s activities and the generosity of visitors. 

Easter provides the latest chance to support the work of Make 2nds Count, which raises awareness of, and funds research into, the little-known form of incurable cancer which claims 1,000 lives each month in the UK and is currently affecting 61,000 people. 

And Dalkeith Country Park, just outside Edinburgh, has a cracking Easter calendar of events including a fashion show, Easter cookie decorating workshops and its first Duck Race

Fashionistas can get an exclusive preview of the Restoration Yard’s new spring and summer collection on the evening of March 30. The boutique shopping event, featuring fizz, a goody bag and styling tips straight from the catwalk, also includes a charity raffle for the Karen Henderson Charity Fund, in aid of Make 2nds Count. 

A couple of days later, April 1 sees the staging of the inaugural Duck Race when a flock of yellow birds will vie for position on the River Esk, and throughout April 2-14 kids can take part in a hands-on Easter biscuit decorating workshop. 

Then on May 4, the Inception Art Show returns to Dalkeith Palace, showcasing a curated collection of artists until May 14. This year, Dalkeith Country Park is delighted to have Anderson Strathern on board as the headline sponsor. The exciting, sales-led contemporary art exhibition launched in 2021. This year 35 modern and contemporary artists, sculptors, photographers and painters have been invited to ‘take over’ The Palace. 

As part of the 10-day programme, an online charity art auction will run in partnership with The Auction Collective creating an enticing event when buyers have the chance to bid for works from many of the Inception artists, painters & photographers, whilst supporting Make 2nds Count.  

Also known as metastatic, advanced or stage IV breast cancer, which has spread beyond the breast to other parts of the body, secondary breast cancer is incurable, although it can be treated. Make 2nds Count patient champion, the late Karen Henderson, was a visitor to The Park and is fondly remembered there.   

Remko Plooij, Managing Director of Dalkeith Country Park says: “Make 2nds Count was chosen as our charity partner in recognition of the connection between Dalkeith Country Park and Karen Henderson, who was a dearly loved visitor.

“The tireless work that the charity does to support patients and families living with secondary breast cancer is outstanding, and we are thrilled to be part of their efforts for this coming year.” 

Emma Hall, Head of Operations for Make 2nds Count: “We rely so heavily on fundraising and donations and are thrilled that Dalkeith Country Park is supporting us.

“It’s wonderful that, at this special time of year, visitors to The Park can also share their fundraising ethos and help make such a difference in the lives of patients and their families.” 

£15,000 grants available for Healthy Heart community projects across UK

Community groups that are helping local people look after their hearts can now apply for a grant of up to £15,000 from national charity Heart Research UK. Grants will be awarded in Scotland, Northern Ireland, Wales and England.

The grants are available for new and effective projects working with adults to promote healthy hearts with the aim to reduce the risk of heart disease in their community.

Cardiovascular disease is one of the world’s biggest killers, and the Healthy Heart grants aim to work preventatively within communities that may be marginalised or not have much access to health resources.

Projects should deliver health initiatives mainly focusing on one or more risk factors for heart disease, such as nutrition and healthy eating, physical activity, smoking, or alcohol.

The grants are available to registered charities with an annual income of less than £1m.

Opening dates for applications for each region will be staggered, with Wales being the first to open on the 30th of March with a closing date of the 27th of April.

Since 2001, Heart Research UK has awarded over 300 community grants, directly benefiting the hearts of over 70,000 individuals and countless wider community and family members across all regions of the UK.

Kate Bratt-Farrar, Chief Executive at Heart Research UK, said: “We’ve seen amazing results from our Healthy Heart Grants over the years and are thrilled to be able to continue to award these in 2023.

“We know it’s a challenge to try and change your life for the better when it comes to things like eating and exercising, and through these grants we’ve seen what a massive impact grassroot community projects can have in providing resources, knowledge and tools and motivating people to look after their hearts.

“We’re now looking for new and innovative projects that really will have an impact, especially if they aim to improve the health of at risk or hard to reach communities.”

To see the full list of opening and closing dates for applications, please visit:

https://heartresearch.org.uk/healthy-heart-grants/.

Agenda for Change pay offer accepted by health trade unions

Healthcare staff will begin to benefit from largest overall investment in Agenda for Change pay in a single year from next month, following unions’ unanimous agreement.

160,000 NHS staff – including nurses, midwives, paramedics, allied health professionals, porters and others – will receive an average 6.5% increase in pay in 2023-24.

This £568 million deal includes a commitment to deliver the most progressive package of terms and conditions reform in decades and support for workforce recruitment, sustainability and retention.

Health Secretary Humza Yousaf said: “I am very pleased that the Agenda for Change trade unions have unanimously agreed to accept this pay offer, meaning staff will start seeing the benefits of this deal in their April pay packets.

“This £568 million deal that will ensure NHS Agenda for Change staff remain, by far and away, the best paid anywhere in the UK. We are also committed to delivering the most progressive package of terms and conditions reform in decades. 

“Our healthcare staff have shown how dedicated and hardworking they are time and again and I cannot thank them enough for their commitment, particularly over the last few challenging years. Our staff are the very backbone of the NHS and we are committed to supporting them, particularly during a cost of living crisis.

“I am grateful for the continued efforts to keep discussions going to reach this deal and that this has been able to be processed in time to get the money to staff so quickly.

A total of £568 million has been committed for Agenda for Change pay in 2023-24. This equates to an average uplift of at least 6.5% for all staff at Band 8a and below.

All staff will also receive a one-off pro rata payment of between £387 and £939 depending on banding.

The offer also reaffirms previous commitments to work to reduce the working week, protect learning time and review band 5 job nursing profiles.

Examples of increases over the two years (2022-23 and 2023-24):

  • experienced porters (band 2) receive more than £3,750 extra (19.1%)
  • experienced healthcare support workers (band 4) receive more than £4,000 extra.
  • experienced AHPs (band 5) receive more than £4,700 extra (14.4%)
  • experienced paramedics (band 6) receive more than £5,360 extra (13.2%)
  • experienced advance nurse practitioners (band 7) receive more than £5,900 extra (12.4%)

The revised pay scales are set out below:

Band  2021-222022-232023-24 Offer  2023-24 £ Uplift2023-24 % UpliftConsolidated increase over two years  One-off Payment 
11£19,487£21,692£23,240 £1,5487.1%£3,75319.3% £387 
21£19,609£21,814£23,362 £1,5487.1%£3,75319.1% £387 
 2£21,615£23,820£25,368 £1,5486.5%£3,75317.4% £387 
31£21,709£23,914£25,468 £1,5546.5%£3,75917.3% £389 
 2£23,603£25,808£27,486 £1,6786.5%£3,88316.5% £420 
41£23,709£25,914£27,598 £1,6846.5%£3,88916.4% £421 
 2£25,982£28,187£30,019 £1,8326.5%£4,03715.5% £458 
51£26,104£28,384£30,229 £1,8456.5%£4,12515.8% £461 
 2£28,049£30,329£32,300 £1,9716.5%£4,25115.2% £493 
 3£32,915£35,365£37,664 £2,2996.5%£4,74914.4% £575 
61£33,072£35,522£37,831 £2,3096.5%£4,75914.4% £577 
 2£34,637£37,087£39,498 £2,4116.5%£4,86114.0% £603 
 3£40,739£43,286£46,100 £2,8146.5%£5,36113.2% £703 
71£40,872£43,422£46,244 £2,8226.5%£5,37213.1% £706 
 2£42,530£45,080£48,010 £2,9306.5%£5,48012.9% £733 
 3£47,846£50,506£53,789 £3,2836.5%£5,94312.4% £821 
8a1£50,965£53,513£56,992 £3,4796.5%£6,02711.8% £870 
 2£55,016£57,767£61,522 £3,7556.5%£6,50611.8% £939 
8b1£61,325£63,530£67,285 £3,7555.9%£5,9609.7% £939 
 2£66,018£68,223£71,978 £3,7555.5%£5,9609.0% £939 
8c1£73,506£75,711£79,466 £3,7555.0%£5,9608.1% £939 
 2£79,221£81,426£85,181 £3,7554.6%£5,9607.5% £939 
8d1£88,385£90,590£94,345 £3,7554.1%£5,9606.7% £939 
 2£92,424£94,629£98,384 £3,7554.0%£5,9606.4% £939 
91£105,635£107,840£111,595 £3,7553.5%£5,9605.6% £939 
 2£110,468£112,673£116,428 £3,7553.3%£5,9605.4% £939 

Hydration for a Healthy Heart

Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK

Healthy Heart Tip: Hydration for a Healthy Heart

Nutrition and Hydration Week is an annual event that aims to educate and celebrate improvements in the provision of nutrition and hydration.

When thinking about heart health, we often think about nutrition and the impact this can have, but we can forget to consider how inadequate hydration levels can negatively impact our cardiac health.

This week’s Healthy Tip is all about hydration, and how it’s an essential component to our health and optimal functioning of our cardiovascular system.

Why is hydration important?

Water accounts for about 60% of our body weight, and every single cell in our body needs to be properly hydrated to work well.

Water performs many roles in the body, such as regulating body temperature through sweating, lubricating joints, and removing waste products via bowel movements and urination. If we don’t drink enough fluids the amount of blood circulating in our body decreases. When this happens the heart must beat faster and our blood pressure may be affected, which can increase our risk of a cardiac event.

Signs of dehydration

Dehydration occurs when we lose more fluids (through urination and sweating) than we replace with the fluids from the food and drinks we consume.

Symptoms of moderate dehydration include not urinating much throughout the day, dark yellow urine, muscle cramps, thirst and a dry mouth. If you are experiencing any of these symptoms often, it’s a good idea to increase your fluid intake.

Ways to drink more

Drinking water is the easiest and cheapest way to ensure you stay properly hydrated, but there are other drinks that count towards your liquid intake such as herbal teas, sugar-free juice and low-fat milk.

The NHS recommends drinking 6 to 8 cups or glasses of fluids every day, which is about 1.5 to 2 litres.

Fruits and vegetables also contain water, so increasing the amount you consume can improve your hydration levels. Some great options include cucumber, tomatoes, apples, watermelon and peaches.

For more tips on how to stay healthy, sign up for our weekly healthy tips at 

www.heartresearch.org.uk/healthy-tips.

Minimum Unit Pricing ‘reducing alcohol deaths’

Report estimates the policy has saved hundreds of lives

Today, Public Health Scotland (PHS) and The Lancet publish new evidence showing the impact of alcohol minimum unit pricing (MUP) on deaths and hospital admissions attributable to alcohol consumption. The report has been welcomed by the Scottish Government.

Carried out in collaboration with the University of Glasgow, the study evaluated the impact of MUP on alcohol health harms, over the first two-and-half years of the policy.

The study estimated a 13.4% reduction in deaths, and a 4.1% reduction in hospital admissions, wholly attributable to alcohol consumption following the implementation of MUP. The study also found that MUP reduced deaths and hospital admissions where alcohol consumption may be one of a range of causative factors. The findings cover the period from MUP implementation up to the end of 2020.

This latest report builds on previous work that estimated alcohol sales reduced by 3% in the three years following the implementation of MUP.

Dr Grant Wyper, Public Health Intelligence Adviser at PHS, said: “Our study estimates that, following more than two and a half years of implementation, around 150 deaths, and around 400 hospital admissions, wholly attributable to alcohol consumption, were averted each year due to MUP.

“The greatest reductions were seen for chronic alcohol health harms, in particular alcoholic liver disease, which were slightly offset with less certain evidence of increases in acute alcohol health harms.

“The findings highlight that the largest reductions were found for males, and for those living in the 40% most deprived areas, groups which are known to experience disproportionally high levels of alcohol health harms in Scotland.

“We know that those living in the most socioeconomically deprived areas in Scotland experience alcohol-specific death rates more than five times higher compared to those living in the least deprived areas.

“The results published today are therefore very encouraging in addressing this inequality, and the overall scale of preventable harm which affects far too many people.”

Prof Daniel Mackay, Professor of Public Health Informatics at the School of Health and Wellbeing, University of Glasgow, said: “The methods we’ve used in this study allow us to be confident that the reduction in alcohol health harms we’ve shown is due to the introduction of MUP, rather than some other factor.

“This was important as the COVID-19 pandemic occurred towards the end of our study period and may have had an impact on alcohol-related health harms that was unrelated to MUP. Our main findings for the whole study period were consistent with findings from an additional analysis that focused on the pre-pandemic period only.

“In fact, we tested our main finding across a range of different scenarios and found the results to be largely consistent with our main finding, strengthening our conclusion that MUP has been effective at reducing the harm to health caused by alcohol.”

Prof Jim Lewsey, Professor of Medical Statistics also at the School of Health and Wellbeing, University of Glasgow, added: “Our approach compared what happened to alcohol health harms in Scotland with its neighbouring country, England, where MUP was not introduced.

“The methods we have used and the consistency of our findings with what was anticipated before MUP was introduced, allow us to be confident that the reduction in alcohol health harms is because of the MUP intervention.”

The MUP Evaluation Portfolio comprises of a number of research studies that are being undertaken to assess the impact of MUP across a range of outcomes, all of which have now been concluded. A report bringing together all the evaluation findings will be published in June 2023.

Research which estimates 156 deaths were averted each year following the implementation of Minimum Unit Pricing (MUP) has been welcomed by the Public Health Minister Maree Todd.

A Public Health Scotland and University of Glasgow study indicates a 13.4% reduction in deaths, and a 4.1% reduction in hospital admissions wholly attributable to alcohol consumption in the first two and a half years after MUP was introduced in May 2018. The report also concludes the policy had reduced deaths and hospital admissions where alcohol consumption may have been a factor.

Researchers say they are confident there is a link between the introduction of MUP and the reduction in alcohol health harms. They also noted there had been significant reductions in deaths in areas of deprivation, suggesting MUP has helped reduce inequalities in alcohol-attributable deaths in Scotland.

Ms Todd said: “I am very pleased with these findings which point to more than 150 lives a year being saved and 411 fewer hospital admissions, further underlining the value of our world-leading Minimum Unit Pricing policy which has helped reduce alcohol sales to their lowest on record.

“We’re determined to do all we can to reduce alcohol-related harm which is one of the most pressing public health challenges that we face in Scotland.

“Minimum Unit Pricing continues to achieve its aim – cutting overall sales, particularly cheap high-strength alcohol, which is often drunk by people drinking at harmful levels.

“It’s also encouraging to see that the research has highlighted that the policy is having an effect in Scotland’s most deprived areas – which experience higher death rates and levels of harms from problem alcohol.”

The study – published by PHS and the Lancet – focused on the first two-and-half years of the policy. It follows a previous report which estimated that alcohol sales had dropped by 3% after MUP. A report bringing together all the evaluation findings on MUP will be published in June this year.

PHS report – ‘Evaluating the impact of alcohol minimum unit pricing (MUP) on alcohol-attributable deaths and hospital admissions in Scotland’