Tag: Health and wellbeing

Choudhury: Urgent action needed to tackle housing crisis

“Housing concerns make up over a quarter of my casework – the Scottish Government urgently needs to start prioritising housing for Scotland”

Over the past year, housing issues have made up a significant amount of my casework – currently, approximately 25% of casework is concerned with housing issues (writes Labour Lothian list MSP FOYSUL CHOUDHURY).

Most housing issues that constituents are writing to me about relate to the lack of suitable council accommodation, with many having to live in temporary accommodation.

Recently, a coroner reported that the tragic death of two-year-old Awaab Ishak was a direct result of the black mould in the flat he lived in and constituents have, understandably, been concerned about black mould in their properties. 

The Tory Government has inflicted chaos on the country this year, with a staggering display of financial mismanagement. However, funding for local authorities in Scotland is set by the Scottish government, and it is SNP-inflicted austerity that has left Scotland’s local services under threat.

There has been a cut of more than a quarter to the house building budget. This is a disgraceful dereliction of the duty of this Government to solve our ongoing housing crisis and will lead to less homes being built for those families stuck in temporary accommodation, people sleeping on the streets, or languishing on social housing waiting lists for year after year.

Rapid rehousing transition plans and homelessness prevention are flat, meaning that there will be no more support available for local authorities to deal with the continuing crisis of homelessness, made worse by the supply of new homes being cut off.

NHS waiting times, health issues (including delayed discharge), continue to be a major problem in Lothian, with approximately 11% of my casework being related to these issues.

In Scotland, the length of time that people are having to wait for hospital procedures, outpatient appointments and diagnostic tests has shot up to 776,341 – equivalent to 1 in 7 Scots. Figures have revealed that at the end of September 2022, 2,114 people referred for an outpatient appointment and 7,612 patients waiting for a day case, or inpatient procedure had already been waiting for over two years.

These shocking figures have been reflected by the high number of constituents who have contacted me about the length of time that they are having to wait for appointments, hospital procedures, or the length of time they have had to wait in A&E.

For example, some in Lothian are being told that they may have to wait approximately 70 weeks for some eye laser treatments and over 110 weeks for some exploratory gynaecological operations.

The stress and anxiety caused by such long waits can lead to other mental and physical problems or exacerbate conditions that are already present. Constituents have also contacted me about delayed discharge from hospital due to the lack of social care available, or places in care homes.

Despite the SNP promises to end delayed discharge back in 2015, this practice has soared and in October 2022, an average of 1,898 bed days were lost every day – the worst figure on record.

I will continue to press the Scottish Government on these and other important issues, like the cost of living crisis, and will continue to make representations on behalf of my Lothian constituents as we head into the new year.

EIS: Scottish Government must reverse free school meals delay to help tackle poverty

The EIS is calling upon the Scottish Government to reverse its decision to delay roll-out of free school meals to all children in Primaries 6 and 7.

The commitment was originally due to be delivered by last August, but a previous decision by the Scottish Government delayed the roll-out. This year’s Scottish Budget, published recently, revealed that the universal roll-out of free school meals for P6 and P7 will now be delayed by a further two years, until 2024.

Commenting, EIS General Secretary Andrea Bradley said, “Delaying the roll-out of free school meals to all primary school children was a shameful decision, which runs contrary to the Scottish Government’s stated commitment to tackling child poverty.

“This is now the second time that the roll-out of this hugely important policy has been delayed, with serious consequences for thousands of children and families across Scotland. It is also extremely disappointing how this change in policy came to light – not announced in Parliament, but obscured within the detail of the budget document itself.

“In a country where more than 1 child in 4 lives in poverty, and with the cost-of-living crisis pushing ever more families into financial difficulty, it is more important than ever that universal free school meals should be a priority.”

Ms Bradley added, “Although a watered-down, means-tested policy is being implemented for P6 and P7, this will miss many young people who will just fail to qualify for a free meal, placing great strain on families already struggling with the soaring cost of living.

“Means-testing of entitlement also does nothing to reduce the stigma families and young people often feel in claiming a free meal, which leads to many young people declining to take a free meal in order to avoid unwanted scrutiny from others or being isolated from friends if they do go to the school canteen for their meal when their friends not entitled to free meals go elsewhere to eat.

“Universal free meals remain the best way to ensure that all young people have access to a healthy and nutritious meal at school, without any stigma being attached. The Scottish Government claims that practical barriers to universal roll-out are the problem. The EIS view is that young people should not be hungry, stigmatised or left out whilst adults dither over dining chairs, tables and cutlery.

“Direct cash payments to cover the cost of food at school could be made as was done during the pandemic when schools were closed.”

The EIS has long called for the roll-out of universal free school meals for all young people. In addition to completing the roll-out to all primary pupils, the EIS believes that all secondary school pupils should also receive free school meals.

General Secretary Andrea Bradley is a long-standing member of the STUC Women’s Committee, which has also been active in the campaign for free school meals to combat the impact of poverty.

Stopping “haemorrhaging” of crucial NHS staff must be an urgent priority, says BMA Scotland

‘Sticking our heads in the sand – or using the NHS as a political football to exchange snappy soundbites – will not cut it anymore‘

The number one “quick fix” priority for Scotland’s NHS as we move into 2023 must be the retention of our invaluable healthcare professionals, the chair of BMA Scotland said today (Wednesday, Dec 28th).

Dr Iain Kennedy said any plan for further recruitment, investment in the systems and aspirations of improvement will “fall flat on its face” unless there is a laser like focus on keeping the experienced staff our NHS already has.

Dr Kennedy, who was speaking as he delivered his annual festive message for doctors, added that the need for an open discussion on the NHS is now greater than ever.

His renewed call for a national conversation on the future of the health service comes as BMA Scotland shares more than 100 testimonies from doctors about what working in the NHS is like at the moment and their concerns for what the future holds.

Comments included:

  • “There have been a number of critical incidents in the last six months involving unsafe staffing levels. The acuity of the workload has increased. Patients are generally getting sicker and more complex, but we have less resources or time to care for them. It’s hard to keep them safe. I wouldn’t want to be an inpatient at the moment, and hope everyone in my family remains well for the foreseeable.”
  • “It feels unsafe – because it is. It’s not safe for patients, and it’s not safe for staff either. I have gone from being a passionate committed GP to being a shadow of my former working self. I want to leave the profession and I am devastated by this.”
  • “Things are very bad. Chemotherapy can only be delivered four weeks after seeing a consultant because of a chemotherapy nurse shortage. Radiotherapy preparation scans can only be done two weeks after seeing a consultant because of lack of radiotherapy staff/physicists – and it’s another two or more weeks before radiotherapy can actually be delivered.”

Dr Kennedy said: “The NHS is haemorrhaging crucial staff – staff who we urgently need now more than ever before – and the government must step up to stop it. They can talk as much as they want about recruitment of staff, of investment in the system or of plans for improvement, but every single one will fall flat on its face unless there is a laser like focus on keeping the staff we have.

“That is why the retention of healthcare professionals – keeping them in the service – needs to be the number one priority in terms of the quick fixes to help us just make it through this winter with the NHS in Scotland somehow intact.

“I desperately want to be optimistic and forward looking, to set out some hope for the future – for the medical profession that I am so proud to be a part of, and the Scottish health service that I am equally proud to work in.

“But it’s not easy to find that indication of a brighter future – especially after reading the, frankly, harrowing comments from some of my NHS colleagues about what they are experiencing day in, day out. No one working in the health service would give me any credibility if I gave an upbeat description of the way our NHS will, or can, get better and how the working conditions of those caring for the people of Scotland will miraculously improve.

“All the statistics tell us that it’s a desperate state of affairs. Things are as bad, or worse, than they have ever been. Winter is a meaningless term now – this entire year has been winter.

“But looking beyond the statistics, looking at the people behind the statistics, the picture being painted is even more grim and concerning. The experiences my colleagues have shared speak louder than anything I could say, and anything any official stats could imply.

“We face crises across workload, workforce, working conditions, pay and pensions – all of these are hitting efforts to retain doctors, which we are already short of across both primary and secondary care. Hospitals have too many vacancies – indeed the current vacancy rate for consultants alone is 14.32% – and GP practices are falling over, with the Scottish Government not even close to being on target to deliver their promised 800 additional GPs by 2027.

“In the face of everything else pay and pensions are – incredibly – fairly quick fix issues. The government can make a decision to improve pay for NHS workers. And the UK Government can finally once and for all sort out the pension taxation issues that penalise senior doctors across primary and secondary care and force them to cut hours or face massive and unexpected bills.

“These two things will make a difference in staff retention – junior doctors will feel more valued and be more likely to stay in the NHS instead of looking to move abroad where they will be paid more and have a better work life balance.

“Senior doctors will be less likely to reduce their hours and more likely to work waiting list initiatives if they know they won’t receive a huge tax bill for doing so. We are beyond crisis point now – urgent action is needed to save our NHS and that simply must focus on investing in the workforce.

“Looking beyond that, of course we need to finally get a proper long-term workforce plan in place. But even more fundamentally we need, as a whole society, to grasp the nettle, face up to hard truths that have been brushed under the carpet for too long, and have a proper grown up, depoliticised national conversation about the future of the NHS in Scotland.

“Sticking our heads in the sand – or using the NHS as a political football to exchange snappy soundbites – will not cut it anymore.

“It’s clear we need to reflect on what we ask of our NHS and the levels of funding we, as a country, are prepared to provide to meet those asks, and to ensure the health service stays true to its founding principles and remains free at the point of delivery. The current approach of pushing insufficient resources harder and harder, then blaming staff when standards fall has failed and is failing patients every single day. I know doctors across Scotland are suffering moral injury as a result.

“Let’s stop putting healthcare workers in the impossible and insidious position of having to constantly be apologising and being the bearer of bad news.

“We need politicians on all sides to be brave and act – by bringing us together and finally actually properly talking about a plan for a future NHS we can all confidently get behind. And a better NHS will be better not just for Scotland’s doctors, but for the many people who rely on it for care.”

NHS Lothian helps pioneer new treatment for kidney cancer patients

A kidney cancer drug has been accepted for use within NHS Scotland and across the UK thanks to an international study, with NHS Lothian and Edinburgh University leading the UK part of the trial.

The treatment, pembrolizumab, is an antibody delivered intravenously as an immunotherapy to reduce the chances of a relapse after kidney cancer surgery.

Thanks to the research, the Scottish Medicines Consortium (SMC) has advised that the drug will now be made available to treat eligible adults with renal cell carcinoma (RCC).

In Scotland, about 1000 patients are diagnosed with RCC each year, and the incidence of the disease has been increasing over time.

Surgery carries the hope of cure if disease is caught early, but about a quarter to half of patients who undergo a nephrectomy (whole or partial kidney removal) have disease recurrence at different sites within three to five years of this.

RCC is generally resistant to chemotherapy and radiation therapy so, until now, there have been no additional treatments that reduce this risk of relapse.

The study showed that, for patients with a raised risk of relapse, pembrolizumab reduced the risk of kidney cancer coming back by a about a third and there are early indications that this is leading to patients living longer.

This has led to the SMC recommending the drug for NHS use and the first non-trial patients are now receiving this new treatment in Edinburgh.

Dr Stefan Symeonides, Senior Lecturer at the University of Edinburgh and Oncology Consultant at the Edinburgh Cancer Centre, said: “Research continues to explore which people might benefit most from this treatment, as pembrolizumab is not always effective or suitable for every patient.

“However, this represents a significant breakthrough in the treatment of kidney cancer as confirmed by UK approvals from the SMC in Scotland and NICE in England and Wales, as well as its incorporation in treatment guidelines from the European Society for Medical Oncology (ESMO).

“Approval of pembrolizumab is welcome news to many RCC patients, who otherwise had no treatment options available to them to prevent or reduce the risk of relapse of the cancer following nephrectomy.”

Visit the University of Edinburgh‘s website to read more.

Mental health festive support

Anyone who may be feeling anxious, stressed or low is being encouraged to seek support as soon as possible and not wait until the festive season is over.

They are also being reminded that mental wellbeing support is available over the festive period for anyone who may be struggling over the coming days and weeks.

Mental Wellbeing Minister Kevin Stewart said: “For some, the festive season can be a tough time. People may be on their own with no family, they may have health issues, concerns about Covid or flu or other worries affecting them. This time of year can also be the trigger for existing family tensions or anniversaries of a life-changing event.

“The rising cost of living is on everyone’s mind and many people are having to make difficult decisions about how they will pay for things. All this can have an impact on our mental health and wellbeing and lead to increased stress and anxiety.

“With the challenging times we’ve been through over the last few years, many are finding things particularly tough this year and it’s normal to feel stressed or down.

“Reaching out to others for help, whether that’s to friends and family or to services who can provide emotional support, is often the hardest step. There is help and support available throughout – please don’t wait until after the festive season to speak to somebody.”

If you need to talk to someone, you can call these free services:

On mental health and wellbeing:

  • Out of GP opening hours, telephone advice and support is available from NHS 24 via the Mental Health Hub on 111 and is open 24/7
  • Breathing Space offers free and confidential advice for people experiencing low mood, depression or anxiety, whatever the cause. They can be contacted on 0800 83 85 87, 6pm to 2am Monday to Thursday; and 6pm Friday through the weekend to 6am Monday.
  • Samaritans on116 123, or email jo@samaritans.org, for confidential emotional support if you’re in distress or despair. Open 24 hours a day.
  • There is also a range of practical resources and support on Mind to Mind

On money worries and finances:

  • Money Talk Team at Citizens Advice Scotland provides free money and debt advice for anyone living in Scotland or call your local Citizens Advice Bureau on 0800 028 1456.
  • Money Advice Scotland provides free and confidential advice to anyone with money worries.  Their team is available on 0141 572 0237 Monday – Thursday 8:30 am to 8 pm and Friday 8:30 am to 5 pm.
  • Mental Health and Money Advice provides practical advice and support for anyone experiencing issues with mental health and money.
  • Find out what help is available through the cost of living crisis support website

Community Justice: Unpaid workers give back at Christmas

Teams serving community payback orders (CPOs) have been making Christmas wreaths for sale to support people’s mental health over the festive season.

Unpaid workers in Fife have been raising money for mental health charity the Samaritans through the sale of wreaths made from foraged local materials. 

Justice Secretary Keith Brown welcomed the initiative as demonstrating the positive impact that CPOs can have not only for people with convictions, but for their wider local communities in the run up to Christmas.

He said: “This is a time of year when people’s mental health can be more greatly impacted and it’s good to see this recognised in the work carried out by people on community payback orders. 

“Of course many people in the justice system struggle with mental health problems, so it is particularly heartening to see the active contributions that this group of unpaid workers have been making to their community – and to charity.

“Community sentences, with supervision and other conditions where necessary, add structure and help people make the positive changes needed to tackle the causes of their behaviour.

“Our reforms to community-based sentences, in particular as an alternative to short spells in prison for less serious offences, is a key element of Scotland’s modern justice system – which in recent years has seen record low reconviction rates that in turn help keep crime down and communities safe, with fewer victims.”

Fife Council’s service manager Lisa McCran said: “This project is a great example of how our service users can help raise funds for a local charity and give something back to the community through unpaid work.

“Unfortunately, for some service users poor mental health is not uncommon, so this was also an opportunity to give back to those organisations who give help and support locally and nationally.” 

Community Justice Scotland chief executive, Karyn McCluskey, said: “Communities in Scotland have benefitted from more than 8 million hours of unpaid work since 2011. This has led to extraordinary change across the country.

“Crime is reducing and organisations and people across Scotland are making a difference day in day out. We know we have more to do, but we have shown great change is possible if we work together and strive for a safer society with wellbeing for all.”

Edinburgh Castle gives the green light this Christmas in support of the NSPCC

Edinburgh Castle, Edinburgh Ice Rink and Camera Obscura and World of Illusions illuminated green on the longest night of the year on Wednesday, December 21, in support of the child protection charity, the NSPCC and its Childline counselling service.

On the same night, people dusted off their walking boots and took part in the charity’s 5k fundraiser in the city. The NSPCC invited families, friends and colleagues to get together for the sponsored walk to raise money to support it and its Childline service this Christmas.

On average, two children a minute contact Childline. The service’s counsellors receive calls about many concerns and issues, including abuse, neglect, self-harm, and anxiety.

Caroline Renton, Supporter Fundraising Manager for NSPCC Scotland, said: “We’re extremely grateful for the support given by Edinburgh Castle and Camera Obscura in helping raise awareness of the NSPCC and its Childline service. It was fantastic to see them illuminated green on Wednesday evening.

“And thank you to all those who joined in and raised money for our Walk for Children. Every pound raised will make a difference and help Childline to be there for children, this Christmas and beyond.”

For anyone that took part in Walk for Children in Edinburgh, please remember to share any photos on social media using #WalkforChildren.

Letter: Swap the salt and reduce your risk of stroke 

Dear Editor 

In Scotland, more than five million adults have been diagnosed with high blood pressure. And for every ten people diagnosed with high blood pressure, seven remain undiagnosed and untreated. 

That’s extremely worrying to our charity as high blood pressure is the biggest single risk factor for a stroke. 

Please consider making a New Year’s Resolution to lower your blood pressure, even by a small amount, to help stay healthy in 2023. 

One way to do this is to reduce your sodium intake. Most sodium is in the salt we eat and that’s why we’re proud to support Season with Sense, a public health campaign which aims to drive down consumer sodium intake.

Find out more at www.seasonwithsense.com. 

By making small changes to our diet – such as cutting the amount or type of salt we use – we can greatly reduce our risk of serious health conditions such as stroke. 

We know it can be hard to cut out salt completely, so it’s good to know there are alternatives to regular table, sea and rock salts, such as LoSalt® – which has two thirds less sodium (66%), without any taste compromise.  

When you’re out shopping, look out for the special tubs of LoSalt® on sale in supermarkets. For every tub sold, a 20p donation will be made to the Stroke Association to help fund the vital work we do to support stroke survivors and carers. Last year, the promotional tubs raised a staggering £30,000, all of which helped towards rebuilding lives.  

The tubs will also have information on the FAST test. Face, Arms, Speech, are the most common signs that someone is having a stroke. Time tells you that Stroke is a medical emergency and you must phone 999 straight away. By Acting FAST you could save someone’s life or reduce the likelihood of serious disability. 

Please note that if you take certain types of medication that affect potassium levels, LoSalt® and other reduced sodium salt alternatives may not be suitable for you. This may include people receiving medication for diabetes, heart or kidney disorders. Check with your GP for advice. 

John Watson

Associate Director Scotland, The Stroke Association 

Nearly 50% of 999 calls being managed outwith Emergency Departments

The Scottish Ambulance Service is managing nearly 50% of the 999 calls it receives without the need to take patients to Emergency Departments across Scotland

The Scottish Ambulance Service is managing nearly 50% of the 999 calls it receives without the need to take patients to Emergency Departments across Scotland.

Latest figures for the Scottish Ambulance Service (SAS) in October 2022 show that the proportion of patients being cared for out with Emergency Departments was 49.1%. 

This was made up of 24.9% of patients who were managed at the point of call and a further 24.2% whose care was managed by SAS clinicians on scene.

These results have been  achieved through a range of initiatives, including working closely with partners to increase the range of alternative clinical pathways in communities which support the Service to deliver care closer to home, accessing  Health Board Flow Navigation Centres, expanding our Mental Health pathway access, and utilising highly-trained staff in remote clinical consultation and assessment.

The Service’s central Pathway Navigation Hub also continues to increase the volume of calls it manages, connecting patients with services and communicating pathway information to SAS clinicians.

The figures are released as the Service launches its Integrated Clinical Hub, co-ordinated through the SAS Ambulance Control Centres in the west, north and east of Scotland.

Health secretary Humza Yousaf visited the Service’s East ACC base n South Queensferry yesterday to meet SAS Chief Executive Pauline Howie and Chair Tom Steele, along with key staff involved in the Integrated Clinical Hub. The Health Secretary also thanked staff for their dedication over the past year.

Using a multi-disciplinary network of skilled clinical staff across Scotland, the Hub gives SAS the ability to provide a detailed consultation for patients whose initial 999 triage has ruled out time-critical illness. The hub will operate 24 hours a day, to ensure patients receive the best possible response to their need when they dial 999.

SAS Chief Executive Pauline Howie said: “The number of patients being cared for out with hospital Emergency Departments remains substantial and as we head into a challenging winter period, it’s vital we work together with our health board and community colleagues to find ways of delivering the right care for individuals and easing pressure on Emergency Departments.

“We are focussed on continuing to develop our clinical care model to support more patients in communities where it is safe to do so and to ensure patients get the right care, at the right time.

“The clinical decision-making roles within our Integrated Clinical Hub all have a role to play in understanding patients’ need at point of call, and that they receive the most appropriate care and support to ensure there is a positive impact across the whole system.

“If the patient’s symptoms are not immediately life-threatening, they can then benefit from a clinical assessment with a senior experienced clinician to agree how help can be best provided. Frontline emergency clinicians can also be supported by more senior clinical staff via telephone and video, aiming to enable the patient to access the most appropriate pathway or care provision to address their need. This can help reduce pressure within Scotland’s Emergency Departments.

“To help our staff, we also would like to remind people that if you need urgent care, but it’s not life-threatening, you can call NHS 24 on 111, day or night, or your GP during opening hours.”

Health Secretary Humza Yousaf said: ““We are facing a challenging winter ahead for the NHS and it’s initiatives such as the integrated clinical hub that can help ensure patients receive appropriate care at home or in the community and alleviate pressures on our already busy A&E departments.

“There are a range of pathways of care and not every call to 999 needs an ambulance or a trip to A&E as demonstrated by stats out today.  Experienced clinical staff are on hand to triage calls and get patients the right care at the right place.

“Once again, I would like to thank Scottish Ambulance Service staff for their tremendous work and dedication.”