It’s Freezing: Charity warns public to watch out for signs of Raynaud’s

With Christmas right around the corner and freezing temperatures across Scotland, the charity Scleroderma and Raynaud’s UK (SRUK) is urging people to look out for signs of Raynaud’s – a painful condition that affects blood circulation and is triggered by the cold. 

SRUK says many in the UK are “woefully unaware” of Raynaud’s, despite around one in six people living with the condition. According to the charity, more than one in two UK adults don’t know any of the signs and symptoms with millions likely to dismiss symptoms rather than visit their GP. 

The charity is also concerned that high energy prices are preventing many from properly heating their homes, meaning those in Scotland who are living with Raynaud’s are likely to spend Christmas suffering in silence. According to SRUK, keeping warm is ‘crucial’ for living well with the condition, but a recent survey by the charity found that nine in 10 Scottish people with Raynaud’s (90 percent) reported being worried about the cost of their energy, with many choosing to limit their heating or keep it off altogether. 

Recognising the signs of Raynaud’s 

For someone with Raynaud’s, cold temperatures and stress can cause painful flare-ups, also called Raynaud’s attacks. This is when the blood temporarily stops flowing to parts of the body, most commonly the hands and feet.  

When this happens, the skin can change colour to white, then blue and finally to red as the blood starts to return. The condition can also be extremely painful, preventing many from carrying out everyday tasks like handling bank cards and house keys, unbuttoning a coat and even driving. 

Sue Farrington, SRUK Chief Executive, said: “Winter is well and truly upon us and we know that people with Raynaud’s can find this time of year extremely difficult. We all get cold hands and feet when the temperature drops, but for those affected by Raynaud’s the impact can be seriously debilitating, so it’s important not dismiss it and seek advice and support.”  

Signs of Raynaud’s include: 

  • Colour changes to the skin in areas such as the hands or feet, often in response to cold conditions
  • Cold and numbness in the affected areas, such as the fingers and toes
  • Tingling or pain, especially as the circulation returns to the affected areas. 

For around 300,000 people with Raynaud’s, the condition can be a sign of a serious underlying condition, such as the autoimmune diseases lupus and scleroderma, which is why SRUK is urging people in Scotland to visit their GP if they think they may have Raynaud’s. 

The charity also has an online test people can take to check if they may have the condition. This is available at www.sruk.co.uk/testme  

A warning to stay warm this winter 

SRUK is also warning that many people with Raynaud’s could be jeopardising their health by cutting back on their heating this year. 

From a survey of more than 1,600 people with Raynaud’s, the charity found that in Scotland specifically:  

  • More than four in five respondents (86 percent) said they rely on their heating to prevent painful Raynaud’s attacks 
  • More than eight in 10 people surveyed (83 percent) said they had experienced a Raynaud’s attack as a result of choosing not to put their heating on. Of these, one in three (33 percent) believe it could happen again  
  • More than four in 10 respondents (42 percent) are trying to find other ways to stay warm, such as wearing thick jumpers and gloves 
  • Of those surveyed, the number of people in Scotland paying between £200 and £300 each month for their energy more than doubled between October 2021 and October 2022 (from 16 to 37 percent). Meanwhile, those paying less than £200 almost halved during the same period (from 59 to 32 percent). 

Farrington said: “We know that high inflation and the cost of living are making things difficult for lots of people right now but keeping warm is the key to living well with Raynaud’s. 

“We understand that not everyone will be able to afford to keep their homes heated at a consistent temperature, so you can also stay warm by wearing lots of thin layers, thermal socks and gloves, and using heated slippers and blankets. We would hate for anyone to suffer in silence this winter.” 

The charity has written to the UK government calling for more support to keep heating affordable for people with Raynaud’s this winter and beyond. Read the full letter at www.sruk.co.uk/about-us/news/raynauds-energy-campaign 

SRUK also has a factsheet available, which is packed with tips to help people keep warm this winter. This is available from the SRUK website at www.sruk.co.uk  

Hospitalisations for COVID-19 and flu increasing

Winter vaccines reminder for eligible groups

Those eligible for the free COVID-19 and flu vaccinations are being urged to get their jabs as winter sets in and hospitalisations increase.

The reminder comes as Public Health Scotland (PHS) data shows in the week ending 11 December 2022, there were on average 735 patients in hospital with COVID-19, an 18.2% increase from the previous week.

Admissions for flu are also on this rise with the highest hospital admission rate noted in patients aged less than one year old (18.5 per 100,000). Parents and carers are encouraged to get their children vaccinated as soon as possible if they haven’t done so already. The flu vaccine for children is a painless nasal spray which will help protect them and reduce the risk of them spreading the virus to more vulnerable people.

The vaccines are safe, effective and offer the best protection to those most at risk of serious illness from COVID-19 and flu while also helping to protect the NHS at this, the busiest time of year.

Adults over 50 are entitled to get both free vaccines and further information on eligibility for each jab is available on the NHS Inform website.

Health Secretary Humza Yousaf said: “Uptake for the winter vaccine programme is very encouraging with Scotland delivering more jabs per head of the population among over 50’s than any other UK nation. However, the number of hospitalisations from both COVID-19 and flu are on the rise.

“The vaccines help to prevent serious illness and the need for hospital treatment freeing up capacity as we move into what could be the most challenging winter in the history of our health and care service.

“We are concerned that flu-related hospital admissions have been rising, with admission rates highest among very young children, and we urge parents and carers to get their children vaccinated with the painless nasal spray offered to this group.

“As well as protecting the child, the vaccine helps to reduce the risk of children spreading flu to family and friends who are more vulnerable, which is especially important at this time of year when families are getting together more.”

Winter vaccines | NHS inform

Save money and go green this Christmas with the Woodland Trust’s guide to free winter walks

Are you dreaming of a green Christmas? If so, you’re not alone.

With the cost-of-living crisis biting, a simpler, more environmentally friendly festive celebration is top of many people’s Christmas list this year – with fresh air and free fun on the cards instead of expensive gifts, excess and waste.

With that in mind, the Woodland Trust, the UK’s largest woodland conservation charity, has come up with a guide to its best woods for a glorious – and completely free – winter walk for all the family to enjoy.

The Woodland Trust has more than 1,000 woods which are free to visit and open every day – so you’re spoilt for choice. Even Santa and his reindeer would struggle to get round them all!

This Christmas is a perfect time to embrace the simpler things in life, whether that’s time spent with friends and loved ones, enjoying nature’s magnificent scenery or just getting outdoors and enjoying some fresh air.

Woodland Trust site manager James Jesson said: “If you’d rather not spend the entire festive season overindulging, head out for a woodland adventure. Our woods are real winter wonderlands – so whether it’s a crisp, frosty morning or a damp soggy afternoon, it’s great to pull on your boots and thermals or waterproofs and head out for an invigorating stroll.

“Winter woods take on a whole new character. Spectacular, frosty landscapes and bare branches expose elusive wildlife and hidden history. The fact they are all free to visit is just the icing on the Christmas cake!”.

Woodland Trust sites are open all year round so come prepared for nature in its natural state, unmissable views, clean air and birdsong. And by following the woodland paths, you won’t disturb the winter wildlife and will allow nature to thrive in its woodland surroundings.

You can locate your nearest free woodland escape easily – just enter your postcode at  woodlandtrust.org.uk/findawood  or take a look at the Trust’s pick of the best winter walks from around the UK.

CENTRAL

Archers Wood – Cambridgeshire

An ancient woodland haven nestling in an agricultural landscape, Archers is a real oasis for nature. Wander among majestic oak and field maple trees and watch carefully for a shy fox or deer in the distance.

Archers Wood – Visiting Woods – Woodland Trust

Londonthorpe Wood – Lincolnshire

Just a stone’s throw from historic Belton House and neighbouring a wild deer sanctuary, Londonthorpe is perfect for a winter stroll. There are new all-weather paths and there’s a mix of old and new woodland to explore.

Londonthorpe Wood – Visiting Woods – Woodland Trust

Tring Park – Hertfordshire
A 10-minute stroll from Tring’s famous Natural History Museum, there are lots of hidden treasures to find at Tring Park. Climb the hill for amazing views of Hertfordshire and the Chilterns.

Tring Park – Visiting Woods – Woodland Trust

NORTH

Low Burnhall – Durham

An important haven for people and wildlife on the outskirts of Durham, Low Burnhall is a real beauty. Look out for signs of otters in the rivers which border the site and you might also spy owls, kestrels and sparrowhawks. Waymarked trails lead you past some interesting features – including a sculpture of a miner in a nod to the wood’s historic coal mine.

Low Burnhall – Visiting Woods – Woodland Trust

Hackfall – Grewelthorpe, North Yorkshire

Set in a 350ft gorge along the River Ure on the edge of the village of Grewelthorpe this fragile ancient woodland habitat has been restored since the Woodland Trust took over. Stroll along footpaths and woodland walks and spot grottos and glades, temples and waterfalls as well as kingfisher, dipper and grey wagtail.

Hackfall – Visiting Woods – Woodland Trust

Smithills Estate – Bolton, Lancashire

The Woodland Trust’s largest site is steeped in history and shadowed by the famous Winter Hill TV mast, with panoramic views across to Bolton and Manchester. You’ll really be able to stretch your legs here in its vast expanses of moorland, patches of woodland and peat bog. Keep your eyes peeled for the elusive brown hare on the horizon.

Smithhills Estate – Visiting Woods – Woodland Trust

SOUTH EAST

Hainault Forest – London
Herds of majestic red deer roam this ancient hunting forest, which once provided venison for the King’s table, and it’s just 15 miles from central London. With 158 species of bird recorded, it’s a bird-lover’s dream.

Hainault Forest – Visiting Woods – Woodland Trust

Home Farm – Hampshire

Eight miles of pathway through this mosaic of old and new woodland habitats will tire out the most energetic Boxing Day walker. Look up and see if you can spot a red kite or a kestrel wheeling overhead.

Home Farm – Visiting Woods – Woodland Trust

Hucking Estate – Kent
Perfect for wintry family adventures, Hucking serves up breathtaking views of the Kent Downs, ancient woodland to explore and swathes of open grassland where the kids can run off steam. It’s a must-visit in the South East – with a handy pub nearby for warming chilly toes.

Hucking Estate – Visiting Woods – Woodland Trust

SOUTH WEST

Avon Valley Woods, Devon

A hidden treasure in the rolling hills of South Hams, the Avon Valley Woods cluster along the valley side. Winter is a great time to spot a whole range of finches, blue tits and long tailed and great tits that tend to flock in large groups at this time of year. While the riverside walk can be muddy, the extensive path network at the top of the site offers grassy tracks and views across Devon.

Avon Valley Woods – Visiting Woods – Woodland Trust

Credenhill Park Credenhill, Herefordshire

Credenhill Park Wood is a local landmark on an imposing wooded hill, topped by one of the largest Iron Age Hill forts in England and thought to have once been an Iron Age tribal capital.

The walk to the top, where you can revel in views to Wales, is well worth it and when trees are bare, you’re more likely to spot woodpeckers tapping the trees.

Credenhill Park Wood – Visiting Woods – Woodland Trust

Lineover Wood – Gloucestershire

A patchwork of ancient woodland, recent planting and limestone grassland creates a diverse haven for wildlife where rare plants and fungi flourish. The wood lies within the Cotswold Area of Outstanding Natural Beauty (AONB) and offers breathtaking views across Cheltenham and the Malvern Hills.

Lineover Wood – Visiting Woods – Woodland Trust

NORTHERN IRELAND

Carnmoney Hill

With awe-inspiring views of Belfast and the coast, Carnmoney Hill is a must visit. Steeped in history and folklore with a mix of ancient woodland, grassland and wetland, it is home to a wealth of wildlife and has a wide range of walks to suit all abilities. With easy access from the city and plenty of interest for history buffs, Carnmoney Hill is a great destination for a day out.

Carnmoney Hill – Visiting Woods – Woodland Trust

SCOTLAND

Crinan Wood, Argyll and Bute, Scotland

With sweeping vistas across Loch Crinan to Duntrune Castle and the Argyll coastline, there are few woods with a more breathtaking outlook than Crinan Wood. This ancient Atlantic oakwood is a wonderful example of Scotland’s rare and special rainforest and is brimming with wildlife, including the iconic red squirrel. It’s definitely one of our must-see gems.

Woods – Visiting Woods – Woodland Trust

WALES

Wentwood Forest

Once part of the hunting grounds of Chepstow Castle, Wentwood offers walks with breathtaking views over the Severn Estuary. Its diversity of habitats means it is home to some wonderful wildlife. Make sure to visit the ancient Curley Oak while you’re there!

Woods – Visiting Woods – Woodland Trust

‘Focus on simple solutions’ RCEM says, as patients continue to face long waits amid crisis in Scotland

Responding to the latest weekly Emergency Department performance figures in Scotland Dr John-Paul Loughrey, Vice President of The Royal College of Emergency Medicine Scotland, said:

“We are deeply concerned about this winter; the crisis continues to escalate. Patients continue to face exceptionally dangerous long waits. We estimate that one in 72 patients waiting between eight to 12-hours in an Emergency Department can die as a result of these waiting times (30-day all-cause mortality).

“But these are data, the reality is Emergency Departments are overcrowded and in extremis. Patients with an array of different needs and care are packed in, facing high-risk and uncomfortable waits on trolleys in corridors. There is a lack of privacy, a lack of dignity, staff are stretched thinly meaning patients find it difficult to get the things they need – be it food or water or bathroom facilities, while they wait hours for a bed. Meanwhile, ambulances queue outside our Emergency Departments with more patients waiting to simply get in.

“Emergency Medicine staff and ambulance crews and paramedics are highly skilled, highly trained competent professionals, but the inability to move patients through the system means they are overstretched and overwhelmed, and unable to provide the high-quality care that they are trained to provide. Patients are worried and anxious, staff are increasingly distressed, unable to provide the real care that they want and should be providing.

“The solutions are simple; bolster the social care workforce to ensure the timely discharge of patients; tackle the recruitment and retention crisis among all health workers; increase capacity by opening an additional 1,000 beds in the acute system across Scotland. These will begin to address the root of the crisis.”

Addressing the concern around Strep A and the increase in attendances at Paediatric Emergency Departments in Scotland, Dr JP Loughrey said: “In recent weeks we have seen a marked increase in the number of children attending our Paediatric Emergency Departments, cases of Strep A remain high.

“We know parents are worried at this time. The College has issued advice and guidance together with the Royal College of Paediatrics and Child Health and the Royal College of General Practitioners.

“Emergency Departments remain open to those who need it. If children have symptoms, or parents are unsure, please seek care first through NHS 24, your GP or local pharmacist. If the symptoms are severe or your child’s condition worsens, do not hesitate to seek the necessary emergency care. We are here to help.”

Scotland’s latest weekly Emergency Department performance figures show:

  • There were 25,450 attendances at Emergency Departments
  • Four-hour performance stood at 63.4%, the fourth lowest on record
  • 9,314 patients waited more than four-hours in an Emergency Department
    • More than one third of patients were waiting for more than four hours in an Emergency Department
  • 3,048 patients waited more than eight-hours in an Emergency Department
    • Nearly one in eight patients were waiting for more than eight-hours in an Emergency Department
  • 1,276 patients waited more than 12-hours in an Emergency Department
    • One in twenty patients were waiting more than 12-hours in an Emergency Department

Concerns raised as record high of Scottish pupils identified with additional support needs while statutory support falls

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, has raised concerns over an increase in the number of pupils identified with additional support needs (ASN), against a backdrop of a lack of support and proposed budget cuts.

It has also voiced similar concerns over a declining number of those with complex needs receiving a co-ordinated support plan (CSP), the only education plans that are legal documents. This is despite a Scottish Government promise that there would be no decline in the numbers of those receiving them.

The figures were released yesterday (13th December) in the Scottish Government’s annual census of pupils and teachers in publicly funded schools.

These figures show that the number of pupils with ASN, such as autism, dyslexia and mental health problems in 2022 has reached a record high of 241,639. Of this total 57.2% are boys. This represents 34.2% of the pupil population, rising from 118,011 in 2012, and a more than doubling (104.8%) in numbers from that year.

An increase in demand is however set against a backdrop of proposed budget cuts and a lack of specialist ASN teachers, support staff and the resources needed to support this. This is also exacerbated by the ongoing impacts of Covid-19 lockdowns and the cost-of-living crisis, with those with ASN drawn proportionately from the poorest backgrounds, as well as an increase in those experiencing mental health problems.

The SCSC has also raised concerns over a decline in the number of those receiving a CSP. These are statutory education plans prepared by local authorities to identify and ensure the provision of services for children and young people with complex or multiple ASN.

The only education plans that are legal documents, CSPs require services such as education, health and social work to work together to give a child or young person the support they need. This provides some guarantees of entitlement to additional resources and legal redress, placing statutory duties on local authorities to review and ensure the provisions contained within it are being met.

Despite a Scottish Government promise that there would be no reduction in the proportion of pupils receiving them since their introduction in 2004, there has been a significant fall in the number of pupils with a CSP. Declining from 3,448 in 2012 3 to 1,401 in 2022, this amounts to a drop of 59.4%. This is a reduction from 2.9% to 0.6% of those with ASN.

A spokesperson for the SCSC commented: “While more children and young people are being identified as having ASN, this is against the increasingly challenging backdrop of a lack of specialist teachers, support staff and the resources needed to support them. This clearly has an impact not only on the individuals concerned but also on their peers and teachers.

“Such support is critical, especially post the Covid-19 pandemic and the damaging impact this has had on many of our children and young people, exacerbated by the cost-of-living crisis, which is hitting the poorest hardest.

“We are also concerned that despite an increase in the numbers of those with ASN we are experiencing a decline in the use of CSPs, which are designed to support those with the most complex needs.

“The Scottish Government and local authorities need to work in collaboration with the private and third sectors to provide the necessary resourcing and support to address the needs of children and young people with ASN. They must also work together to ensure that those who are entitled to a CSP receive one.

“With those with ASN drawn disproportionately from poorer neighbourhoods, if we are to genuinely close the educational attainment gap they must get the care and support they need when they need it.”

Know how to be prepared for common illnesses this festive season

People across the Lothians are being encouraged to check they have basic home remedies in ahead of the Festive and New Year holidays to avoid having to find a pharmacy on a bank holiday.

Dr John McAnaw, a pharmacist and NHS 24’s Associate Clinical Director says most seasonal illnesses can be looked after at home with self-care and things like paracetamol: ‘Christmas is a fun but hectic time for most people. It’s easy to get swept up in the festive atmosphere and forget that health should be on your priority list.

‘Making sure you have home remedies for common ailments will save you time and help you focus on the celebrations. NHS 24’s 111 service is there to help if you need urgent health care support, but we know that roughly 30% of people who call 111 need self-help advice on common illnesses and conditions that can normally be managed at home.

‘Avoiding the need to call 111 means the service can help those who need urgent help more quickly, and also save you the bother of trying to find a local pharmacy.

Dr McAnaw continues: ‘I would recommend you have pain relief such as paracetamol or ibuprofen at home. For little ones get age-appropriate pain remedies which you can also get in liquid form. In the case of fevers, a thermometer is also a good idea as it means you can monitor temperatures accurately.

‘To cover accidents, I’d recommend reviewing your first-aid kit and make sure it is stocked with things like plasters, antiseptic, and bandages. For common conditions such as rashes, tummy upsets and earaches, NHS inform has lots of information on how to treat these at home and when to seek medical help.

Dr McAnaw’s advice is part of an NHSScotland national health campaign ‘Healthy Know How.’ The campaign provides advice on how to stay well and enjoy the festivities, avoiding the need to get medical help over the holidays. Tips include:

  • Know how to stay on top of prescriptions. Order only what is needed and in plenty of time before the festive holidays.
  • Know how to be prepared for common illnesses. Ensure you have some remedies in the house.
  • Know how to check symptoms if you do become unwell. NHS inform’s symptom checkers can give you all the health advice you need online.
  • Know how to get the right care, in the right place. Further medical advice can be found during the week by contacting your GP, pharmacist, dentist or optometrist. For out of hours or during holiday closures call NHS 24 on 111.

More details on the Healthy Know How campaign can be found here – www.nhsinform.scot/winter

Scotmid launches funding for first Scotland-wide community orchard

An environmental and wellbeing initiative that will benefit almost 200 communities across Scotland has been launched by Scotmid.

‘Scotmid Community Orchard’ funding will allow fruit trees and bushes to be planted across the communities Scotmid serves. The sites, of five or more plants, will then form part of a Scotland-wide orchard of thousands of trees and bushes. 

The retailer is seeking a group near each of its stores to plant five or more fruit trees or bushes within a community space. They will award £200 to each successful applicant, to fund the purchase of plants.

The initiative has been created to encourage people to work together, increasing physical activity and improving local environments.

Orchards offer volunteering opportunities throughout the year as well as the chance to learn new skills, create habitats for wildlife and produce an array of edible produce. 

John Brodie, Chief Executive of Scotmid, said: “We love the idea that lots of people doing something simple locally, like planting fruit trees or bushes, not only benefits those close to them but allows them to be part of something so much bigger – an orchard spanning hundreds of miles weaving through our Scottish communities.

“We all recognise the value that green spaces bring. Scotmid is thrilled to provide the funding for our communities to plant, grow, learn, and let nature thrive.”

Karen Davidson from Social Farms and Gardens, who are providing advice to budding growers, said: “We are so excited to see Scotmid leading the way, creating a network of micro-orchards across Scotland through this funding.

“Community orchards are part of a local food system. Promoting the health benefits of fresh produce and outdoor exercise to people of all age groups, orchards are excellent places for people to come together and enjoy the outdoors, whilst providing a focal point for community activities.”

Scotmid is seeking a group near each of its stores across Scotland to plant five or more fruit trees or bushes.

To apply, please visit: https://www.smartsurvey.co.uk/s/communityorchard/

Applications close on 20th January 2023.

£8 million National Lottery funding will help bring people and communities together this winter

The Festive season can be an especially lonely time for many thousands of Scots, but over £8 million National Lottery funding announced today (TUESDAY 13 DECEMBER\) means that charities and community groups across Scotland can continue to bring people together all year round.

The latest round of funding from The National Lottery Community Fund is shared amongst 246 community projects.  A full list of projects is attached.

An award of £121,192 means that Restalrig based charity, The Ripple can continue to deliver their ‘Older Person’s Service’ for over 65s which offers a range of activities, trips and support services helping people in the community come together, making them feel less isolated.

Rachel Green, Director of The Ripple, said: “We’re delighted to have been awarded a grant by The National Lottery Community Fund. We have a thriving social club for over 65’s on a Friday but this funding means we can now extend our opportunities across the whole week.

“Older people bring so much to our community, and we are looking forward to working with them to plan activities and events that will help them stay physically well, connected to their community and keep them energised and active as life moves on.”

Branch Out Together also welcomes the award of £98,774, which will allow them to continue their ‘Basecamp’ youth club for autistic children. The programme offers children the opportunity to develop skills in social communication and interaction using games and arts and crafts projects.

Michael Penny, Chief Executive of Branch Out Together, said: “It’s great that The National Lottery Community Fund is supporting our Basecamp project which will allow us to help more children and their families.

“Children with autism will get the chance to make friends, have fun and grow confidence around others.”

There’s also Lottery joy for Wester Hailes-based With Kids, who will use their £150,000 grant to expand their child mental health support service across South West Edinburgh, and Niddrie’s Caring in Craigmillar receives over £59,000 to provide dementia-friendly activities. Euan’s Guide is also a big winner, picking up over £144,000 to provide opportunities for disabled people in Edinburgh to write reviews on accessibility.

Among the local organisations receiving small grants are Ama-zing Harmonies (£9900), Friends of Victoria Park (£2150) and Saheliya (£10,000), who will be using their award to deliver a series of talks, workshops and activities to celebrate their 30th anniversary.

Announcing the funding, Kate Still, Scotland Chair, The National Lottery Community Fund said: ““It’s fantastic to see this latest round of funding go to charity and community groups helping people in communities across Scotland come together.

“The connections we have to our family, friends and the wider community makes us feel we are not so alone and that we are part of something bigger.  The strength and comfort that we draw from this will be important for us all as we face some challenging times ahead.

“National Lottery players can be proud that they are supporting this vital work, not only during the Festive Season but all year round. “

The National Lottery Community Fund distributes funding on behalf of National Lottery players who raise more than £30 million each week for good causes throughout the UK. 

To find out more visit www.TNLCommunityFund.org.uk  

Coorie in for Winter

It’s time to Coorie in for Winter once more!

☃️

There are a range of tips for keeping well during the winter period, including crafts, recipes and support available.

For copies, please contact emma.gall@nhslothian.scot.nhs.uk or you can download from https://bit.ly/3FfkfDq