Tag: Health and wellbeing

Funding boost for Outdoor Play across Scotland

Children and families across Scotland will soon benefit from expanded outdoor play  opportunities, as 41 organisations receive funding to develop local initiatives. 

Three Edinburgh projects are set to receive funding:

  • Bridgend Farmhouse £15,625.00
  • Smart Play Network £15,972.00
  • Wester Hailes Growing Communities £19,751.00

The Outdoor Community Play Fund, managed by Inspiring Scotland on behalf of the Scottish  Government, supports free, child‑led outdoor play in communities where it can have the  greatest impact.  

Outdoor play is essential for healthy childhoods, stronger families, and thriving communities.  Access to this funding ensures that children living in Scotland’s most deprived areas, as well  as those in rural and remote communities, can access safe, high-quality and inclusive play  opportunities. 

Minister for Children, Young People, and The Promise Natalie Don-Innes said: “We want Scotland to be the best place in the world to grow up. Playing outside is great for  children’s health and happiness. 

“For the first time, local grassroots groups in rural areas will receive funding to create  opportunities for children to play outside in rural parts of Scotland, and the fund will also  continue to support play charities to create opportunities for children in the most deprived  areas to play outside. 

“While the funding supports opportunities for outdoor play all-year-round, with the warmer  months approaching it’s a great time to find out what outdoor play is on near you. I’m really  pleased the Scottish Government can help make this happen.”  

Twenty-two Scottish charities working in the most deprived communities will receive funding  support to deliver free, child‑led outdoor play.

Outdoor play will be delivered using the Play  Ranger model, helping children build confidence, develop social skills, and enjoy nature in a  way that supports their wellbeing and development. 

A further 19 grassroots groups in rural and remote areas will receive funding to develop  sustainable outdoor play provision that reflects the needs, geography, and character of local  communities.

The aim of this funding is to help smaller community organisations overcome  barriers, build capacity, and commence delivery of outdoor play for children and families. 

OutLET: Play Resource, one of the organisations to receive funding, said: “We are delighted  to have received Outdoor Community Play funding this year.

“This valuable funding ensures  we can continue delivering our Wellwoods programme, providing inclusive, high-quality  outdoor play experiences for children and their caregivers.

“Families tell us these  opportunities are a lifeline – providing a welcoming space where they can support their  wellbeing, and feel confident enjoying their local woodlands and greenspaces for play,  connection and growth.”  

In addition to managing the fund, Inspiring Scotland plays a central role in strengthening the  sector by offering funded organisations a wide range of support to build capacity and share  best practice nationally.

Through hands-on guidance, practical tools, and strategic advice,  Inspiring Scotland helps enhance the quality and effectiveness of third sector delivery across the country.

Funded organisations also benefit from support to secure match funding,  increasing investment in communities experiencing high levels of deprivation as well as  those in rural and remote areas. 

Julia Abel, Director of Funds at Inspiring Scotland, said: “This welcomed investment recognises what the evidence has long shown: outdoor play is  essential for children’s wellbeing, development, and long-term outcomes.

“Inspiring Scotland  is proud to continue to collaborate with community organisations nationwide to create high quality, inclusive outdoor play opportunities that build resilience, strengthen families, and  improve life chances.”  

Funding will support the delivery of outdoor play opportunities and contribute directly to the  ambitions set out in the Scottish Government’s Play: Vision Statement and Action Plan.

By  investing in locally‑led outdoor play, the fund aims to strengthen community resilience,  support parents and families, improve wellbeing, and enable more children to enjoy  everyday play in nature.

Outdoor Community Play Awards by LADownload

£314,000 to support community-led dementia projects across Scotland

Over a quarter of a million pounds has been given to 25 dementia projects across Scotland to support the growth of community-led support for people living with dementia, their carers and family members.

Age Scotland’s dementia ‘Encouraging and Supporting Grassroots Activity’ (ESGA) fund is providing a total of £314,662 in community grants to groups across Scotland. 

These grants have been supported by Scottish Government funding, allocated via a National Dementia Resilient Communities Programme Board made up of lived experience voices, local and national partners.

This funding, and the work of the Board, supports the aims of the new National Dementia Strategy, particularly in building resilience and sustainability in community support for people living with dementia and unpaid carers.
 
Funding decisions were made in collaboration with a lived experience panel of people living with dementia and unpaid carers, ensuring that those with first-hand insight played a key role in shaping the allocation of grants. 

The 25 successfully funded projects are:


Beith Community Development Trust (North Ayrshire)
 
Big Hearts Community Trust (Edinburgh)
 
Feniks (Edinburgh)
 
Networking Key Services (Edinburgh)
 
Boots and Beards (Glasgow)
 
Wing Hong Chinese Elderly Centre (Glasgow)
 
Central Wellbeing (Falkirk)
 
Cobhair Bharraigh (Western Isles)
 
Community Connectors (Moray)
 
Connecting Carers (Highland)
 
Raddery House / Inverness Openarts (Highland)
 
Craignish Community Company (Argyll and Bute)
 
Dementia Friendly Aberfeldy (Perth and Kinross)
 
Dementia Friendly Prestwick (South Ayrshire)
 
Friends of Dundonald Castle (South Ayrshire)
 
DG Voice (Dumfries and Galloway)
 
Forget Me Not Club (Aberdeenshire)
 
Inchgarth Community Centre (Aberdeen city)
 
Friends of Kilsyth (North Lanarkshire)
 
North Lanarkshire Muslim Women & Family Alliance (NLMWFA) (North Lanarkshire)
 
Inspiring Communities (Stirling)
 
Lyle Gateway (Inverclyde)
 
Montrose Connections (Angus)
 
Past Times (South Lanarkshire)
 
Peebles Old Parish Church (Scottish Borders)
 
 
Grants of between £5,000 and £20,000 will be distributed by April 2026 and will allow communities to deliver projects and realise the benefits and impact of their work as soon as possible. 


 
Anna Clements, Head of Dementia at Age Scotland, said: “We were blown away by the number of applications and are proud to announce the recipients of one of our largest allocations of ESGA funding to date.
 
“From towns and cities to islands and remote areas in different corners of Scotland, it’s inspiring to see such a diverse range of projects receiving funding to help people living with dementia, their carers, and families stay connected and supported in their communities.
 
“This year we made a conscious effort to ensure a broad spread of grant holders across Scotland, particularly in rural areas and projects supporting people from ethnic minority communities, where access to dementia services can be especially limited and underrepresented.
 
“We look forward to seeing the funding in action across the country and are confident the projects will play a vital role in empowering people to live well with dementia.”

Funded grassroots dementia projects thriving:

The Forget Me Notes Project is a singing group which aims to create inclusive choirs for everyone, including people living with dementia.

The organisation is based in Edinburgh and hosts weekly sessions alternating between Saughton Park and The Salvation Army on Gorgie Road.

It also runs an online Zoom choir which attracts participants from across the UK.

While these choirs had already been running for two years, it was only when funding from About Dementia was secured last year that the choirs became weekly offerings, enabling them to recruit new volunteers to provide assistance to members.

Alan Midwinter, chief executive of The Forget Me Notes Project, said: “The grant was used to consolidate our work and make it consistent, we wouldn’t be able to keep it going as much without it.”

On a warm sunny day Alan says between 70 to 80 people usually turn up at the outdoor Choir In The Park, including many people living with dementia and unpaid carers.

On colder or wet days, the group move into the park’s glasshouse to sing.

Alan added: “People with dementia who attend our choirs get a sense of achievement, community involvement, its inclusive for people who might be genuinely isolated.”

The smoking ban has shown that meaningful change is possible

Smoking rates in Scotland have halved, and thousands of lives have been saved since smokefree legislation came into force twenty years ago. As the anniversary approaches, Public Health Scotland (PHS) is highlighting the profound impact of the ban — a public health success story that continues to shape the nation’s wellbeing.

A new report, published today by PHS, shows the positive impact this decisive measure has had on non-smokers too. The legislation protected most people in Scotland from breathing in cigarette smoke during their daily lives and the public health gains are clear.

The reduction in second-hand smoke exposure resulted in fewer deaths and hospitalisations from heart attacks and strokes, as well as having a positive impact on the health of pregnant women and their babies. 

What’s more, today’s report highlights that we have made significant shifts in how we view tobacco in Scotland, with smoking having become less socially acceptable.

Commenting on the 20th anniversary of the implementation of Scotland’s smoke free legislation, Dr Garth Reid, Consultant in Public Health at Public Health Scotland, said: “Smoking is one of the biggest causes of ill health and premature death in Scotland.

“Thanks to the smoking ban we have historically low smoking rates in Scotland, and we’re keen to encourage more people to give up smoking as we progress to becoming smoke-free in 2034.

“Giving up smoking is one of the best things you can do for your health, and the benefits start to happen quickly ­– even for people who have smoked for a long time. 

“Whether you’re ready to stop, or just beginning to think about it, the NHS Scotland stop smoking service, Quit Your Way, and your local pharmacy are here to help you stop smoking and stay stopped in a way that is right for you.”

Dr Rishma Maini, Consultant in Public Health at PHS said: “Scotland’s smoking ban shows that bold, preventative action works. We now have an opportunity to apply that same ambition to other major drivers of ill health, including overweight and obesity.

“For example, legislation and regulation to improve the food environment could make it easier and more affordable to access a healthy diet. If we get this right, we can deliver the same scale of change again, improving health and wellbeing for people across Scotland.”

Public Health Scotland is the lead national agency for improving and protecting the health and wellbeing of all of Scotland’s people. We lead and support work across Scotland to prevent disease, prolong healthy life, reduce health inequalities and promote health and wellbeing.

*Scottish Health Survey (2024) Scottish Health Survey – gov.scot

Impact of the smoke-free public spaces legislation 20 years on: Evidence briefing.

More information about creating a tobacco-free generation by 2034 is available on the Scottish Government website: Tobacco Control Policy in Scotland – Background – Tobacco and vaping framework: roadmap to 2034 – gov.scot

 Long ED waiting times in Scotland could take generations to recover if the issue isn’t a political priority

ROYAL COLLEGE of EMERGENCY MEDICINE RELEASES NEW REPORT

Without a sustained political focus on reducing extreme long waits in Scotland’s Emergency Departments, it could take more than 200 years to reduce the number of people enduring these waits down to levels seen in 2016.  

That’s the warning from the Royal College of Emergency Medicine following new analysis published today (24 March). 

Last year, more than 75,077 people waited 12 hours or more to be admitted, discharged or transferred from major EDs in Scotland.  

While this number is an ever so slight improvement from 2024 (76,510), at the current rate (a reduction of 1.8% a year) it would take 237 years to reduce these extreme long waits to their 2016 levels (1,005). 

These statistics and latest analysis are contained in RCEM’s ‘State of Emergency Medicine in Scotland’ report, published today. It sets out what patients and staff faced in Emergency Departments across the country last year, including the very real impact long waits are having on patients.  

Further analysis for the previous year (2025) reveals of those patients who waited 12 hours or more, 58,870 were waiting to be admitted to a hospital ward for further care.  

Using the Standard Mortality Ratio – a method which calculates that there will be one additional (excess) death for every 72 patients that spend eight–12-hours in ED prior to their admission – RCEM conservatively estimates that there were 818 associated excess deaths related with long waiting times in 2025. 

That’s the lives of 16 people lost every week. And remains unchanged from the previous year. 

Dr Jayne McLaren, RCEM’s Vice Chair in Scotland, said: “It’s deeply concerning, and put bluntly, a national disgrace, that over the course of a year, there has been no meaningful improvement in the number of patients waiting 12 hours or more in Emergency Departments across the country. 

“A small reduction of just over 1,400 patients waiting this long in the space of a year is nothing to celebrate. Because look at the sheer scale who still waited this long – 75,077. These are people not just numbers. And more often than not, they would’ve experienced this extreme wait on a trolley in a corridor, or another inappropriate space that was never designed to deliver care in.  

“But what’s most upsetting, as an Emergency Medicine consultant, whose whole profession is to help people in their time of need, is seeing how many people died because of the system not working as it should. 

“Ultimately, because there wasn’t an inpatient bed for them when they needed to be moved to a ward.  

“People are losing their lives. And today’s figures suggest that the same number of people died in association with long waits as in 2024.  

“This is a conservative estimate too. We know there may well be many more tragic deaths linked to long stays because this methodology only applies to one group of patients. 

“That needs to spark anger and upset from those in power to bring about the changes that are desperately needed in our hospital system.  

“Our State of Emergency Care report should serve as essential reading for ministers, NHS leaders and policymakers. It sets out clear, practical recommendations to make our emergency care system something that we can be proud of once again.  

“Patients, and those working within our Emergency Departments deserve so much better – a service that is safe, timely, and fit for purpose.”   

rcem-reportDownload

85% of people in Scotland support higher taxes on the wealthy, major new study finds

SHARING OUR WEALTH REPORT LAUNCHED

Research challenges political assumptions and highlights widespread concern about wealth inequality

A new national study from Wellbeing Economy Alliance Scotland has found overwhelming concern about wealth inequality and strong backing for fairer taxation of wealth, including among people in higher-income households, challenging the common assumption that such reforms lack public support.

Key findings include:

• 85% support increasing taxes on the wealthy 

• 90% say wealth inequality is more harmful than good for Scottish society 

• 83% say the wealth gap is too large 

• Two-thirds would prefer higher taxes to protect public services rather than cuts

Concern about inequality and backing for fairer taxation were consistent across income levels, age groups, and social backgrounds.

Participants described wealth inequality as damaging to people’s security, opportunities, and quality of life. Many said those with the greatest wealth should contribute more, particularly to support public services.

There is also strong public backing for specific reforms. Around 70% of people supported changes to ensure those with higher-value properties pay more council tax, reflecting broader support for progressive taxation.

Participants consistently linked their views on taxation to fairness and public benefit. Support was strongest where people believed the system was fair, transparent, and clearly linked to protecting public services such as healthcare, education, and local communities.

Lisa Hough-Stewart, Director, Wellbeing Economy Alliance Scotland and a member of the campaign Tax Justice Scotland, said: “This research shows clearly that people across Scotland are deeply concerned about wealth inequality and strongly support fairer taxation of wealth.

“For too long, political debate has assumed that taxing wealth is unpopular or politically impossible. Our findings show that this is not the case.

“Support comes from across society — including people who recognise they may need to contribute more.

“People recognise the role public services play in supporting everyone in society, and believe those with the greatest wealth should contribute more to sustain them.

“Public opinion is not the barrier to reform. The public is ready for change.”

The findings come at a time of continued pressure on public services and growing debate about inequality, taxation, and Scotland’s public finances. The Scottish Fiscal Commission has forecast a shortfall of £4.7 billion by 2029-30 even to fund existing spending commitments. 

Support for tax reform was closely linked to fairness and trust. Participants emphasised the importance of ensuring that tax changes are proportionate, transparently implemented, and designed so those with the greatest wealth contribute their fair share.

The results add to mounting calls for a fairer tax system. Tax Justice Scotland – a campaign backed by more than 50 organisations, from anti-poverty and environment charities to social enterprise bodies, academics, policy think tanks and trade unions – is calling for fair tax reform at UK and Scotland levels.

Ahead of the Scottish election, it is urging every party to set out Tax Justice Plans to ensure national and local taxes in Scotland do more to help tackle inequality, poverty and the climate crisis while fairly generating additional money to invest in crucial public services. 

Jamie Livingstone, Head of Oxfam Scotland and a member of Tax Justice Scotland, said: “People in Scotland are well ahead of the current political debate on inequality and tax.  They can see too much wealth sitting in too few hands while children live in poverty and public services struggle and people know that’s not right.

“Most of us are willing to pay a bit more to support the services we all rely on but we expect the money to be spent wisely and those with the deepest pockets to contribute properly too. That it isn’t radical or complicated economics, it’s basic fairness.

“With the Scottish election fast approaching, every party should set out how they will help deliver a fairer tax system within the next Scottish Parliament.”

The study draws on nationally representative research conducted with more than 2,300 people across Scotland, alongside in-depth focus groups exploring attitudes to wealth inequality, taxation, and council tax reform.

https://www.weallscotland.org/post/sharing-our-wealth

SHARING-OUR-WEATHDownload

Improving maternity services

New maternity standards to improve consistency and quality of care

Clear information about the standards women and their families can expect during their maternity care has been published by Healthcare Improvement Scotland. 

The standards set out that patients should receive safe and compassionate care throughout pregnancy, birth and the postnatal period, regardless of where they live or their individual circumstances, and that care should be responsive to each woman’s individual needs. 

The standards cover all aspects of maternity care, from antenatal appointments through to postnatal support, emergency care, mental health and wellbeing, and bereavement care. They apply across all settings, including hospitals, community services, midwifery units, and home births, and support NHS boards to actively work to reduce health inequalities and improve outcomes for women and their babies.

Once implemented, Healthcare Improvement Scotland will use the standards to drive this improvement, informing inspection and assurance activities across NHS boards.

Public Health and Women’s Health Minister Jenni Minto said: “The safety of women and babies is paramount.

“We commissioned Healthcare Improvement Scotland to develop the Maternity Care Standards, and I am grateful for their work to improve the quality and consistency of maternity care for women, babies, and families across Scotland. 

“Every woman deserves to feel safe, supported and listened to during pregnancy and beyond. These standards recognise that some women face additional barriers to getting the care they need and set out a clear commitment to making sure maternity services work equally well for everyone — whatever their background or circumstances.”

Melissa Dowdeswell, Director of Nursing and Integrated Care, Healthcare Improvement Scotland, said: “We are pleased to have published maternity care standards that set clear expectations for how maternity care should be delivered in Scotland. 

“The standards aim to promote consistency and improve the quality of maternity services across the country. They set out a blueprint for what good maternity care looks like and detail the levels of high-quality care and support that all women should expect to receive before, during and after birth. 

“During the development of the standards, we spoke to women from many different backgrounds, who shared their experiences of being pregnant and giving birth in Scotland. Their voices were central to the creation of the standards.

“We heard that women need to feel confident that a high-level of safe, effective and person-centred care will be consistently delivered in all maternity units across Scotland regardless of individual circumstances or needs.

“The development of these standards is a commitment to making sure this happens.”

“Completely unacceptable”

Issues faced by neurodivergent people must be urgently addressed, says Holyrood committee

Challenges faced by people with neurodivergence should be addressed “without delay” according to MSPs on Holyrood’s Equalities, Human Rights and Civil Justice Committee.

The Committee launched the inquiry after the delay to the Learning Disabilities, Autism and Neurodivergence Bill. Having held formal and informal sessions in light of this delay, the Committee agreed to focus on the challenges facing neurodivergent people in education, work and the criminal justice system

Throughout the inquiry the Committee heard about the importance of, and difficulty of getting, a diagnosis of a neurodivergent condition.

Dr Jim Crabb from the Royal College of Psychiatrists told the Committee that “[A] diagnosis can be incredibly powerful and validating; for some people, it can be life saving”, while Karbie Brook, from ARGH Scotland, told MSPs that prior to diagnosis: “I simply thought that I was a broken human, that I was no good at being human and that I did not really deserve to be here because what use was I anyway.”

The Committee also heard that, in some situations, delays to diagnosis had led to people taking their own lives and concludes that this situation is “completely unacceptable”.

In its report, the Committee warns that, with 43 percent of children in Scottish schools having an additional support need, action must be taken so that neurodivergence is not seen as a deficit.

The Committee says that it is essential for young people to receive a diagnosis early in life and calls for the Government to ensure that there is a long-term strategy and funding to ensure that Scotland has the workforce needed to be able to respond to the demand for diagnoses.

The report also explores the implementation gap between Scottish Government policies and the lived experience of witnesses. The Minister for Social Care and Mental Wellbeing told the Committee that the Government was now recalibrating systems due to an unforeseen increase in demand.

While the Committee welcomes this, it urges the Government to speak to people with lived experience to ensure services meet the needs of neurodivergent people.

Karen Adam MSP, Convener of the Equalities, Human Rights and Civil Justice Committee said: “Some of the testimony that we heard during this inquiry was devastating and, as we say in our report, as a country we cannot carry on like this.

“Our inquiry has found that we must fundamentally change as a society. The Scottish Government must act urgently so that our public services understand distress, communication and difference properly, so that we can intervene early, reduce harm, and support better outcomes across education, health, employment and justice.

“I am also grateful to all those we heard from during our inquiry. We repeatedly heard about the barriers, stigma and discrimination faced by neurodivergent people, but having their views on the record shone a light on the scale of the problem.”

Public Health Scotland: Update on Meningitis

Public Health Scotland (PHS) is working closely with the UK Health Security Agency (UKHSA), other public health colleagues across the UK and NHS Boards in Scotland, to monitor the outbreak of meningitis in Kent.  

There are currently no cases known to be linked to this outbreak in Scotland and therefore no evidence of any increased risk here. 

Dr Jim McMenamin, Head of Health Protection Infection Services at PHS is encouraging everyone to be aware of signs and symptoms of meningitis: “Meningitis and meningococcal septicaemia can be very serious and life threatening if not treated quickly. 

“Signs and symptoms include a sudden high temperature, severe and worsening headache, a stiff neck, joint and muscle pain, vomiting and diarrhoea, a rash that doesn’t fade when a glass is rolled over it, confusion, drowsiness or unresponsiveness, a dislike of bright lights, and seizures (fits). These symptoms can appear in any order, but some may not appear. 

“If you or anyone you know develops symptoms, seek medical help immediately. Phone 999 for an ambulance or go to your nearest accident and emergency (A&E) department. Phone 111 or your GP practice for advice if you’re not sure if it’s anything serious or you think you may have been exposed to someone with meningitis.”

Vaccination against meningitis

The Joint Committee for Vaccination and Immunisation (JCVI) continues to review evidence on the most effective use of meningococcal vaccines within the UK routine schedule.

There are currently no plans to offer MenB vaccination outside the existing routine childhood schedule, other than for those identified by the Incident Response Team in Kent.

Two different types of meningococcal vaccines are available in Scotland and are part of routine immunisation programmes for children and young people.  

  • The Meningococcal B (MenB) vaccine was introduced in 2015 and is offered to infants and young children under 2 years old.
  • The Meningococcal ACWY (MenACWY) vaccine is offered to all young people in S3 as part of the school-based immunisation programme. This vaccine protects against disease caused by meningococcal groups A, C, W and Y.

Anyone who has missed the MenACWY vaccine offer can still receive this up to their 25th birthday. Visit www.nhsinform.scot/vaccinesforstudents to find out how to catch up.

Parents are encouraged to check if their children are up to date on their vaccinations. For information on how to check your own or your child’s vaccination history, please visit: www.nhsinform.scot/gettingvaccinations

More information on signs and symptoms of meningitis is available at 

www.nhsinform.scot/meningitis

Improving miscarriage care

Scotland leads the way with new patient charter

Scotland is set to become the first country in the UK to publish a miscarriage patient charter, giving women clear information about the care and support they can expect from the NHS.

The charter, commissioned by the Scottish Government and developed in partnership with baby loss charities Tommy’s, Held In Our Hearts and the Miscarriage Association, sets out the rights and entitlements women should receive during and following a miscarriage.

It builds on the Scottish Government’s Delivery Framework for Miscarriage Care, which is changing the way in which NHS Boards support women — ensuring they are supported after a first miscarriage, rather than after three.

Women across Scotland should be able to access private spaces in hospitals, progesterone treatment where clinically appropriate, and compassionate, culturally competent bereavement support with additional improved information available online and in printed patient leaflets in 18 languages including BSL and audio formats.

Public Health and Women’s Health Minister Jenni Minto said: “Miscarriage is devastating, and for too long women have not had the care and support they deserve.

“That is changing. Scotland will become the first country in the UK to publish a miscarriage patient charter, meaning women know exactly how they will be supported by health services following their loss.

“This charter is a landmark moment — it tells women clearly what they should expect from their NHS, and it holds services to account for delivering it. Scotland is leading the way, and I am proud of the progress NHS Boards, and our charity partners have made together.”

Kath Abrahams, Chief Executive of Tommy’s, said: “The care and support offered to women after a miscarriage in the UK has for too long been inconsistent and inadequate.

“We welcome the commitment to change that for women in Scotland, and we’re delighted to have worked with the Scottish Government to create its charter for miscarriage care.

“We will continue to push for similar improvements across the UK and for the roll-out of Tommy’s Graded Model of Miscarriage Care, which promises women support and care from their first miscarriage rather than only after their third.”

 A Patient Charter for Miscarriage Care In Scotland

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Emergency Care crisis threatens UK’s ability to withstand next pandemic, RCEM warns

Efforts to ensure the UK healthcare system is resilient against future pandemics will be undermined if the capacity issues in emergency care systems that are already ‘struggling to cope year-round’ are not addressed, according to the Royal College of Emergency Medicine. 

The warning comes following the publication of the UK Covid Inquiry’s third report on the pandemic, titled the ‘Impact of Covid-19 pandemic on healthcare systems in the 4 nations of the UK (Module 3)’. 

The Chair of the inquiry, Baroness Heather Hallett, investigated the impact of Covid-19 on healthcare systems across the four nations, including government response, how society responded, capacity of health care systems, and the impact on patients and healthcare workers.  

Yesterday’s report concludes that healthcare systems “came close to collapse” and that ultimately, they “coped, but only just.” 

The inquiry has made 10 recommendations, including the need to increase capacity in urgent and emergency care and ensure hospitals have the ability to implement surge capacity.  

Dr Ian Higginson, President of the Royal College of Emergency Medicine said: “We welcome this thorough investigation by Baroness Heather Hallett and her team which has made a damning but honest assessment of how health systems around the UK coped with Covid-19. 

“For our members and their colleagues, this report will make for sobering reading – it reflects the reality they lived through during the pandemic. They showed up when they were needed, and in many cases worked beyond their limits. They remain exhausted and burnt out because of a system that continues to run red hot.  

“Covid-19 landed on an already fragile system. Our EDs were already experiencing overcrowding and long waits, which have only got worse since. 

It’s really frustrating that the obvious lessons around investing in emergency care haven’t been learned, and that it is necessary for a public enquiry into COVID to point out what everyone who works in emergency care already knew, still knows, and have been loudly saying.  

“Our EDs are struggling to cope year-round. There are doubts as to how well many would cope with a local major incident. How can they be regarded as prepared for the next pandemic or other potential crises?  

“Last year, 1,688,555 people waited 12 hours or more to be admitted, discharged, or transferred from a major ED in England. Compare that to 2019, when 487,729 people endured this wait.  

“We have patients receiving care on trolleys in corridors, on chairs in other non-clinical areas, waiting for an inpatient bed to become available for them to move into.  

“As the report recommended, there need to be plans for surge capacity in urgent and emergency care during a pandemic. This is true and we whole heartedly agree. But we need capacity all year round.  

“While we do have institutional knowledge of what a pandemic could bring, and the ability to isolate some patients with infectious illnesses due to infrastructural improvements, I haven’t seen anything to suggest that our emergency care systems are better prepared now than we were then.” 

“The failure to prepare, which is an ongoing theme of the enquiry modules, put front line workers at risk due to inadequate PPE and outdated facilities compared to other countries that have chosen to invest in their emergency care systems and their ability to manage infectious disease outbreaks. Our patients and colleagues paid the price of this failure. 

“This report is more evidence of the need to tackle systemic issues in urgent and emergency care. RCEM is pleased to have contributed to this important inquiry, and we will work with governments, across all four nations, to restore Emergency Departments to a state where they are fit for purpose and prepared for anything.” 

The Royal College of Emergency Medicine provided evidence to the inquiry. 

A witness statement was submitted by former President, Dr Katherine Henderson MBE, who held the post between October 2019 and October 2022. 

Former RCEM President, Dr Katherine Henderson MBE said: “The Covid-19 pandemic was unprecedented.   

“For our members and their colleagues working in Emergency Medicine, it was a time few of us have faced before and our health care system was Nnot adequately prepared for a pandemic to hit, and to hit with such force.   

“Emergency care is a core service for the public that they should be able to trust can deliver the care they need. It must be adequately resourced to be able to respond.  

“In the pandemic staff lacked appropriate personnel protective equipment (PPE). And we struggled to isolate people who had COVID-19 to minimise the risk and prevent transmission of the virus. And there were concerns over ventilators and oxygen supplies. 

 “Emergency medicine staff are incredibly pragmatic and resilient, but the toll this has taken on the workforce cannot be understated. And the goodwill of those who are working in Emergency Departments can’t be the sole reason to prop up the system that isn’t working as it should. 

“The lessons contained in this report must bring about the urgent changes we need to futureproof our service – for both staff, and our patients.”