Health and wellbeing – Page 156 – The NEN

Scotland Emergency Department performance drops to reach new record low

Responding to the latest Emergency Department performance figures for Scotland for December 2022 Dr John-Paul Loughrey, Vice President of the Royal College of Emergency Medicine Scotland, said: “December was the most challenging month the NHS in Scotland has ever faced.

“Staff faced increasingly difficult conditions, with huge numbers of patients facing long and dangerous waits throughout the system. We know these long waits are associated with patient harm and even patient deaths, it is increasingly distressing for staff and patients.

“Exit block – where patients are unable to be admitted to a bed because other patients are unable to be discharged – was the worst it has ever been, meaning the entire Emergency Care system has been gridlocked – like a traffic jam.

Patients spending far longer in Emergency Departments than they should be, often in inappropriate or inadequate areas, on trolleys in corridors, in small, cramped spaces with a lack of privacy and lack of dignity.

“We welcome the gravity with which the First Minister and the Cabinet Secretary are taking the current crisis in Emergency Care. We have had constructive meetings with the Cabinet Secretary and do feel that there is recognition of the root of the issues and a political will to tackle it.

“We especially welcome the focus on social care and the whole system capacity. It is critical that we sort out discharges, ensuring patients who are medically fit to leave are able to return home or to the community in a timely way. We must continue to focus on this to free up beds so we can increase flow throughout hospitals and admit patients from Emergency Departments into a bed on wards.

“While these are the right initiatives, the green shoots of hope are not translating to big enough or fast enough improvements. Without significantly increasing capacity across Scotland, we will continue to borrow from tomorrow to cover today.

“This means cancelling elective surgery so we can admit Emergency Care patients to a bed, but at the cost of further delaying what may be serious surgery for patients who have already waited for a long time. We should not be in a position where decisions like these need to be made.

“It is wrong for specialties to compete for beds for their patients. What is better is to increase the number of staffed beds throughout the system, where safely possible, so we do not need to compromise on which patients are able to be treated.”

Edinburgh Cancer Centre investigates COVID-19 immunity in cancer patients

Researchers from NHS Lothian and the University of Edinburgh have conducted a clinical study to investigate the extent to which cancer and cancer treatment affects COVID-19 immunity.

Blood samples were taken regularly from over 760 consenting patients, most from Southeast Scotland, who were receiving routine treatments for cancer.

The samples were then tested for signs of an immune response to COVID-19 using an antibody test.

The study is the largest of its kind in the world with the first patients being recruited in May 2020, just months after the United Kingdom experienced its first lockdown.

Dr Peter Hall, Consultant Medical Oncologist at Edinburgh Cancer Centre, said: “Treatments such as chemotherapy can affect the immune system, so it was really important for us to understand the effects of COVID-19 on people undergoing anti-cancer treatment.

“We now have a better understanding of how the virus affects these patients in the short and long-term, and to what extent the vaccine had an impact on their antibodies.

“It’s very reassuring to see that most cancer patients can go ahead with their treatments without fear of excessive risk from COVID-19, and that vaccination offers an effective means of protection.”

The study found that COVID-19 infection rates in patients with cancer largely mirrored those of their local population and that treatment type did not impact the rate of their antibody response.

It also concluded that vaccination was effective in protecting people with cancer from COVID-19.

Dr Hall continued: “More research is needed, but this was an important step in understanding how people receiving anti-cancer treatment are impacted by the virus.

“It’s also another example of NHS Lothian and the University of Edinburgh working collaboratively to understand how best to care for some of the most vulnerable patients.”

You can read the Scottish COVID Cancer Immunity Prevalence Study in full in The Oncologist.

Latest Edinburgh support initiative for secondary breast cancer patients

Monthly gathering to share experiences and advice

People in Edinburgh living with secondary breast cancer now have a crucial additional support resource.

Charity Make 2nds Count, which is based in the Scottish capital, has launched a monthly meeting where patients can gather to share experiences and advice and widen their vital friendship network.

The Tea & A Chat initiative is a joint venture with the Karen Henderson Legacy Fund which raises money in memory of the 48-year-old Edinburgh mum, a pioneering Make 2nds Count patient champion, who died two years ago.

Meetings will be held on the second Tuesday of every month, between 11 am and 1 pm, at Morningside Parish Church.

Secondary breast cancer claims 1,000 lives each month in the UK – that’s an average of 31 deaths every day. Make 2nds Count is dedicated to raising awareness of this little-known form of the disease, also known as metastatic, advanced or stage IV breast cancer, which has spread beyond the breast to other parts of the body.

Although it can be treated it is incurable and currently affects around 35,000 people in the UK.

Emma Hall, Head of Operations for Make 2nds Count says it is so important that patients can share their experiences: “A diagnosis can take people to a very lonely place but being able to meet with others who truly understand the situation can be hugely beneficial.

“Friendships forged in these circumstances are uniquely valuable and we know this initiative, simple though the premise is, can make a real difference.”

Karen’s husband, Alistair Henderson says he’s delighted to be supporting the launch of the first Tea & A Chat in Edinburgh with Make 2nds Count.

“What Karen benefited from through the charity was the community and the sense of family that Make 2nds Count brought, so this event is a great opportunity for people in a similar position, to get together and support one another”, he said. “Karen would have been so pleased to be supporting this great initiative.”

To find out more about Tea & A Chat Edinburgh and to register to attend, visit: https://www.make2ndscount.co.uk/support/tea-and-a-chat-all/tea-and-a-chat-edinburgh/

Research reveals extent of trauma caused by Russian invasion of Ukraine

It is the first study to assess CPTSD prevalence in an active warzone

Addressing the post-traumatic stress caused by the Russian war on Ukraine should play a significant part in the humanitarian response to the conflict, according to new research.

The study, co-led by Edinburgh Napier University’s Professor Thanos Karatzias, is the first to ever assess the prevalence of complex posttraumatic stress disorder (CPTSD) in an active warzone – and comes as the first anniversary of the invasion approaches.

It found 40.5% of the 2,000 participants, made up of adults living in Ukraine between July and September 2022, met the global standard threshold for either PTSD or CPTSD. This compares to a prevalence of 26.5% detected in recent analysis of adult survivors of war and around 10% or less in places unaffected by conflict.

The rates were higher in the east of the country, already occupied by Russia in recent years, although people in every region had been severely affected. Respondents also reported very high rates of war-related stressors, such as having an experience of threat to their personal safety, financial security, or local environment.

It is hoped the research could help inform measures to support Ukrainians impacted by the war.

Professor Karatzias, from ENU’s School of Health and Social Care, said: “Almost a year on from Russia’s invasion of Ukraine, we are beginning to understand the extent of the psychological toll it will be taking on civilians.

“We found people have often been exposed to several potentially traumatic events in that time, whether it is hearing an air-raid siren, facing the destruction of local infrastructure or losing a loved one.

“If and when this war ends, we will need to think about ways we can help people move on with their lives. The humanitarian response, which is already hugely complex, will require some innovative thinking to address these psychological harms.”

Among the other findings were a higher prevalence of CPTSD (compared to PTSD) among female respondents, suggesting the conditions of war in Ukraine have left women more vulnerable to it than men. CPTSD is a more complex condition than PTSD – based on six clusters of symptoms – and may require longer interventions for recovery.

The report also notes that existing trauma treatments would likely be beneficial to support those affected by this conflict – with online delivery a potential solution, given the geographically dispersed population.

Acta-Psychiatr-Scand-2023-Karatzias-War-exposure-posttraumatic-stress-disorder-and-complex-posttraumatic-stress Download

BME mental health: Choudhury challenges treatment inequalities

Responding to the recently published report by the UK Parliament’s Joint Committee on the Draft Mental Health Bill 2022, Foysol Choudhury MSP said: “It is simply unacceptable when those from Black and Minority Ethnic backgrounds are treated unequally. It is also unacceptable when this unequal treatment is enacted against vulnerable members of our society who need protection and care.

“It has been five years since Professor Wessely’s landmark review of the Mental Health Act which exposed racial and ethnic inequalities in treatment of patients in England, yet these problems of racial bias in the treatment of mental health are shockingly getting “rapidly worse”.

“In England in 2021-22, Black people were four times more likely than white people to be detained under the Mental Health Act (MHA), and more than 11 times more likely to be given a community treatment order.

“I am glad to see the Joint Committee on the Mental Health Bill is working to ensure these failures are addressed, however, Scotland needs to learn lessons from these shocking revelations and ensure that Scotland’s mental health legislation contains appropriate safeguards which allow patients to have more choice.

“Following the introduction of this Bill in England, I am calling on the Scottish Government to review its own practices in relation to Mental Health to ensure that the services we provide in Scotland prioritise racial equity and treat all of our citizens with the dignity and equality they deserve.

“It is unacceptable that some from minority communities in England are more likely to experience detentions in the face of the Mental Health Act, when instead we should be offering everyone support and choice equally.

“The Scottish Government should prioritise a review into mental health provision in Scotland to ensure that this shocking case of mental health treatment disparity is not also happening in Scotland. Let’s be a Scotland which truly cares for all.”

Draft Mental Health Bill: https://www.gov.uk/government/publications/draft-mental-health-bill-2022

Letters: Tinnitus Week

Dear Sir/ Madam,

This week is Tinnitus Week (6-12 February 2023), and latest research suggests that 1 in 7 adults have tinnitus.

Everyone’s tinnitus is different, but it’s usually described as a ringing, hissing, buzzing, roaring or humming sound. There may be one or more sounds and the noise may be there all the time or come and go.

The causes of tinnitus can be linked to different things, including hearing loss, exposure to loud noise, certain medications, ear or head injuries, some ear conditions and emotional stress. Sometimes, there’s no recognisable link at all. Many people get tinnitus for a short time – for example, after being exposed to loud music, or when they have congestion because of a cold. But for some people, it doesn’t go away, and it can have a significant impact on their daily life.

The good news is, RNID is here to help. Our free Tinnitus Guide contains information on ways to manage tinnitus, from professional support to self-help options. It also includes information on useful apps and technology, how to support a loved one with tinnitus, and what to do if tinnitus is affecting your sleep.

RNID is committed to funding research to silence tinnitus, and our guide contains the latest information on our work to identify the causes of tinnitus and develop strategies to treat it. You can find all this and more by downloading our free tinnitus guide at rnid.org.uk/tinnitus

Yours sincerely,

Crystal Rolfe, Director of Health at RNID

Royal National Institute for Deaf People

Healthy Heart Tip: Sustainable Physical Activity

It’s well known that exercise helps keep us healthy, yet around 34% of men and 42% of women don’t do enough physical activity. Regular physical activity reduces your risk of cardiovascular disease by up to 35% and it is something we should all be aiming to achieve.

The key word is ‘regular’, while trying new activities which increase our physical activity levels temporarily are of benefit, we need to find ways to incorporate movement and regular physical activity into our daily routines.

Here are some tips that might help:

Make a commitment

Committing to a weekly exercise class (or multiple) can help you stay active when motivation drops. If attending a paid class isn’t an option, ask a few local friends or neighbours if they want to form an exercise group with you.

Set aside the same time each week to be active together, this could be something as simple as going for a walk or jog. The main thing is the commitment, having a set time scheduled into your week makes it easier to hit your activity goals.

Identify opportunities

Day to day life usually presents opportunities for us to move more, but in today’s modern world we find lifts and escalators in most places with stairs, and it has become the norm to drive rather than walk.

Look at your weekly activities and determine ways you can be more active while going about your day-to-day duties. This could be taking the stairs in a shopping centre or parking a little further away from work and walking the rest of the way.

Know how much

Adults should aim to do 150 minutes of physical activity every week, which is 20-30 minutes a day. Other activities such as cleaning and gardening can count towards our movement goals.

Don’t just think about sweating in a gym and let that put you off, reframe even the most mundane activities like hoovering and appreciate them for helping us to stay healthy.

For more tips on how to stay healthy, sign up for our weekly healthy tips at www.heartresearch.org.uk/healthy-tips.

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/.

Or have a look through our Healthy Heart cookbook filled with recipes from top chefs, celebrities and food bloggers:https://heartresearch.org.uk/heart-research-uk-cookbook/.

https://heartresearch.org.uk/heart-research-uk-cookbook/.

‘Continued improvement’ in A & E performance as winter pressures ease

Resilience committee holds further meeting

The Scottish Government’s resilience committee (SGoRR) met again yesterday to discuss the challenges facing health and social care this winter.

Chaired by First Minister Nicola Sturgeon, the meeting focussed on hospital occupancy, and the measures being taken to reduce levels of delayed discharge and find care placements and packages for those clinically fit to leave hospital.

The most recent A&E statistics have shown a continued improvement in performance, with 70.1% of people being admitted, transferred or discharged within four hours – the best performance since May.

Additional funding has also been made available Health and Social Care Partnerships who have the responsibility of providing care packages for those in their locality, to provide 300 interim care home beds for people who no longer need to be in hospital. So far, 162 people have entered interim care facilities paid for using this additional funding.

The SGoRR meeting was also attended by the Health Secretary, other cabinet ministers, the Chief Medical Officer and senior representatives from NHS boards, COSLA, Integration Joint Boards and the Scottish Ambulance Service.

The First Minister said: “The continued improvement in A&E performance is something to be welcomed, but there is still much work being done on safely freeing up hospital capacity and easing pressures elsewhere in the system. That is why we are continuing to pursue a range of measures to enable people to leave hospital as soon as possible when it is clinically safe for them to do so.

“We remain indebted to the health and social care staff in all parts of Scotland who have continued to do an outstanding job, despite the extra challenges that winter has presented.”

Figures showing the uptake of additional interim care placements and the total number of people in interim care placements.

MSP backs lifesaving CPR campaign to mark Heart Month

Foysol Choudhury MSP is urging people across Lothian to show their support for the British Heart Foundation this Heart Month, by helping to save and improve the lives of those affected by heart and circulatory diseases.

From learning lifesaving CPR to “Going Red” to support ground-breaking research, the BHF hopes to inspire the nation to get involved and join the campaign this February.

There are around 3,100 cardiac arrests out of hospital in Scotland every year but sadly just one in ten people survive. However, early CPR and defibrillation can more than double the chances of survival.

This Heart Month, the BHF is encouraging everyone to learn CPR using its first-of-a-kind tool, RevivR, which helps the public learn this lifesaving skill for free in just 15 minutes – and all that is needed is a mobile phone and a firm cushion.

RevivR teaches how to recognise a cardiac arrest, gives feedback on chest compressions and outlines the correct steps of defibrillator use, giving anyone the confidence to step in and save a life in the event of the ultimate medical emergency.

Foysol Choudhury MSP said: “This is such an important campaign and I’m delighted to support it. A cardiac arrest can happen to anyone at any time and knowing what to do in those crucial moments could be the difference between life and death. We need more people to know CPR in our communities and the BHF’s RevivR tool makes it easy. It’s free, simple to follow and in 15 minutes you will learn how to become a lifesaver.”

Alongside learning CPR with RevivR, the BHF is also encouraging supporters to “Go Red” this Heart Month to help fund groundbreaking research into heart and circulatory diseases, which affect around 700,000 people in Scotland. The BHF is currently funding more than £50 million of research in Scotland – research that is funded entirely by donations from the public.

David McColgan, Head of BHF Scotland, said: “We’re delighted Foysol Choudhury MSP is backing the BHF’s Heart Month campaign, working together with us to help save and improve more lives from heart and circulatory diseases.

“CPR could be the most important lesson you ever learn. With RevivR, it only takes 15 minutes – that’s a coffee break, half time in the football or the time you might spend scrolling through social media. It could help you save a life.”

“Our BHF-funded scientists are also working to find the breakthroughs to help those affected by heart and circulatory diseases. Over the last 60 years, research has turned ideas that once seemed like ‘science fiction’ into reality. By going red and supporting the BHF this Heart Month, you will be helping to fund vital research that makes a real difference and helps to keep families together for longer.”

To find out more – bhf.org.uk/heartmonth #HeartMonth

Hibernian Executive Chairman Ron Gordon reveals he has cancer

A LETTER TO SUPPORTERS FROM EXECUTIVE CHAIRMAN RONALD J GORDON

Dear Supporters,

Some of you may have noticed that I have not been at Easter Road in some time. I love the Club and I love Edinburgh, and I come to our home in the city as often as possible and go to as many games as I can. That is why I’m writing this letter to you all to explain why I’ve not been around as usual.

For most of this past year I have been receiving treatment for cancer. It has been a difficult time for me and the family, but I’m blessed to have their love and support as we navigate through the challenge. I imagine many of you will have gone through similar times in your own families. We all stick together to get through these difficult times. Unfortunately, my treatment has made international travel a little more challenging as I’m sure you will understand.

However, while undergoing the treatment I’ve remained in daily contact with our Chief Executive Ben Kensell, who continues to run the club with the support of the Board. That will remain the case as we continue to move forward on a variety of initiatives to further advance the club.

I want to assure you all that our family’s commitment to the club’s long-term success remains absolute, and I will be back with you at Easter Road as soon as my treatment allows.

I realize that our men’s team has gone through a challenging time on the pitch – it was disappointing for all of us to go out of the Cup to our city rivals. However, the result and performance against Aberdeen showed that we can be a real force in this league once we manage to achieve some consistency. There have been mistakes, but we are learning from them, and we are working to put things in place to be better going forward.

I am very grateful and fully appreciate your continued support of the team and the club. As you know, it will take all of us working together to help the club achieve its goals on and off the pitch, so your commitment and engagement is both necessary and very welcomed. As always, thank you for your support and your trust, and I wish all of you the very best for 2023.

Ronald J Gordon, Executive Chairman

#GGTTH