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.”

HEALTH CRISIS: NHS Lothian is ‘stretched beyond capacity’

Hospitals and GPs in Lothian are being stretched beyond capacity as a result of sustained and intensifying pressures, NHS Lothian has warned.

Speaking in Tuesday, Calum Campbell, Chief Executive, NHS Lothian, said the healthcare system was under extreme duress as a result of an increase in the numbers of emergency patients, large numbers of delayed discharge patients and an increase in respiratory illnesses.

He said teams at the Royal Infirmary of Edinburgh, St John’s Hospital, the Western General Hospital and the Royal Hospital for Children and Young People were all being pushed to the limit.

To help free up vital beds, he said that some relatives may be asked if they can provide care to their loved ones as an interim measure while those packages of care to help in their own homes are put in place by their local Health and Social Care Partnership.

He said: “These challenges are unprecedented, but they are also sustained. We need people in Lothian to help their own communities and the NHS.

“We have large numbers of people waiting to be admitted into a hospital bed, so I would urge everyone who is asked to provide care to their loved one to give the request some serious consideration.”

Dr Tracey Gillies, Medical Director, NHS Lothian, said: “Our teams will have carried out a robust clinical assessment before they discuss the temporary possibilities with patients and their families.

“We know that most patients want to return home as soon as they possibly can, especially at this time of year. This would also help our teams and the patients waiting to be admitted.

“Also, if you have a loved one in hospital who has been discharged and requires to be collected, please do so as early in the day as possible.”

The primary care sector in Lothian also experienced one of its busiest days to date on Monday (19th December) as they provided care to increasing numbers of adults and children, especially families with concerns around Strep A following recent increases in the virus.

Jenny Long, Director of Primary Care, NHS Lothian, urged people to remember that there were a number of winter viruses in circulation and to consider NHS Inform and their local pharmacist for help and advice, use over the counter medication, drink plenty of fluids and rest.

Cold-type symptoms such as a runny nose or mild cough are more likely to suggest a viral illness.

If you have a sore throat, but can eat and drink, and don’t have a very high temperature then it is likely to be a common virus and there is no need to contact your GP.

The most up to date information on Strep A can be found at 

https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/streptococcus-a-strep-a/.

Know how to get the right care, in the right place this Christmas

As Christmas and Hogmanay both fall on the weekend this year, most health care providers will have different opening hours from usual.

Ahead of the busy festive holiday, NHS 24 is reminding people across Scotland to be aware of changes to opening hours for their local GP practice and pharmacies.

Dr Laura Ryan, NHS 24’s Medical Director says, “We are anticipating very high call volumes over the festive break and a continued high demand for the 111 service. NHS 24 staff continue to work tirelessly, with a commitment to deliver safe and effective services 24/7 and answer every call as quickly as possible.

“It’s vital that everyone is aware of what help and advice there is out there over the Christmas and new year public holidays.

“For any health care advice or information that is urgent, but not life-threatening, go online and use nhsinform.scot. NHS inform has lots of health guidance, whether that be self-care advice, information on the appropriate healthcare providers that are close to home. It also explains when and why to call the 111 service.

“Scotland’s Service Directory is a brilliant resource and can be accessed on NHS inform, but very easily on NHS 24’s new app NHS 24 Online. The website and app have the handy ‘Find my Nearest’ function that allows the user to locate health and care services within their local area by using their post code or location. They will be able to see how far away each service is, if it is open or closed, and phone numbers for the service. The app can be downloaded quickly, and could make seeking advice even more convenient.”

Dr Ryan continues: “We are grateful for the public’s patience and understanding if they have to wait to access the 111 service during this period of high demand. By encouraging the public to have ‘Healthy Know How,’ it is hoped more people in Scotland will have a happy and healthy Christmas and New Year.”

“If you do fall ill over the festive period, it’s essential you know where to get the right care, in the right place. Anyone in a  situation considered life-threatening or an emergency, should still always call 999 or go straight to the Emergency Department.”

Dr Ryan’s advice is part of a NHS Scotland 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

Health crisis in NHS Lothian can no longer be ignored, warns Boyack

More than 90 dentists withdrew from NHS Lothian dental list from 2021 to June 2022, a Freedom of Information request submitted by the Scottish Labour has revealed.

Sarah Boyack warns of a health crisis as waiting times for A&E and NHS dentistry continue to spiral, while delayed discharges have gone up.

Scottish Labour’s FOI request revealed that between 2021 and June 2022, 92 dentists withdrew from NHS Lothian dental list. As at beginning of June this year, out of the 163 general dental practices in Lothian, only 51 confirmed that they are accepting patients, with some accepting children only.

Since 8th May 2022 and up until 11th  December, there has been only one week during which the percentage of people seen within Scottish Government’s 4-hour target was above 70 per cent – in the week ending 11th December more than 1,756 people were stuck in A&E for more than four hours – only 63.6 per cent of those attending NHS Lothian’s emergencies were seen within 4 hours. In the same week, 353 people were stuck in A&E for more than 12 hours.

This comes as the recent monthly report on delayed discharge shows rates in NHS Lothian for October 2022 soaring to 1,644 compared to 1,420 in September 2022.

This makes NHS Lothian the second-worst performing health board in Scotland, only topped by NHS Greater Glasgow and Clyde, with 3,848 delayed discharges in October 2022.

October recorded the highest average number of beds occupied per day due to delayed discharges in Scotland since the current guidance came into place in July 2016.

Scottish Labour MSP for Lothian Sarah Boyack said: “Another month, another set of damning statistics from NHS Lothian.

“On top of the cost of living crisis, which is taking its toll on people’s mental and physical health, we see piling pressure on our NHS, worsening patients outcomes and huge waste of public money.

“With the freezing cold, people will get sick and they will require care. That’s why we need support to GPs to allow them to respond to the rising demand and handle cases, whenever possible, at primary care level.

“These are not just figures – it is someone’s dad, friend or life partner; it’s the NHS staff who is overworked and underpaid; it’s the people who left our health service because they simply couldn’t cope.

“With a general election approaching, now is the time focus on what really matters and make a difference for millions of people.”

Care staff ‘sleigh’ month of festivities

THE CHRISTMAS cheer is flowing at an Edinburgh care home as it kicks off a bumper month of festive fun with a light switch-on and live band.

Lifestyle Co-ordinators at Cramond Residence have prepared a variety of activities throughout December including a Christmas party, a bespoke seasonal menu, wreath decorating workshops and a secret Santa to engage residents over the festive period and spread joy.

The team carefully curate a fitting calendar of engaging physical, mental and spiritual activities tailored to residents’ interests and abilities each month, with December set to be the merriest yet.

Elspeth Baxter, resident at the home said: “The lifestyle team at Cramond Residence always make such a big effort for every holiday – and Christmas is no different!

“It is much appreciated and spreads a lot of joy within the home. From putting the final touches to our Christmas tree to creating a 7ft wreath which now sits proudly at our entrance, it brings everyone together and we love seeing the home decorated.”

The Christmas party will see residents eat, drink and be merry, with festive themed food and drink, as well as music and games – with a special guest appearance from Santa who will be presenting each deserving resident with a gift.

Other activities throughout the month include carol singing, a festive cocktail and mocktails class, a Christmas movie night and a ceilidh with a live band, before treating the residents to a whisky by the fire on Christmas Eve and a jam-packed all-day celebration on the 25th. 

Garylee Rushforth, Lifestyle Coordinator at the 74-bedroom care home, said: “The festivities are always looked forward to by our residents, so we strive to put on a good mix of activities for everyone to get involved in.

“This year we are delighted to be welcoming family, friends and the local community back into the home to celebrate with us, which really is what Christmas is all about.

“Coming together over the festive period can help our residents reminisce on previous Christmas memories from their childhood or family times – their stories are always a treat to hear.”

Cramond Residence adopts a small-group living philosophy spread across three floors. That means groups of eight rooms form distinct “houses” where residents are encouraged to eat and socialise together.

The home provides a range of activities specially designed to give residents a richer and more satisfying life, with specialist facilities and trained staff on hand to provide support & relief.

Prices at the home start from £2,200 per week.

To find out more about Cramond Residence, visit: cramondresidence.co.uk/ or contact enquiries@cramondresidence.co.uk.

Don’t let aches and pains stop festive fun

Winter is here and that means Scotland’s 111 service sees an increase in calls relating to muscle aches, as well as joint and bone injuries.

As part of the national winter ‘healthy know how’ campaign, NHS 24 is advising people how to safely treat common musculoskeletal (MSK) conditions such as back pain, wrist ache and twisted ankles so they can still enjoy the holidays with family and friends.

Dr Ronald Cook, NHS 24’s Associate Medical Director says: ‘During winter, we always see an increase in calls relating to muscle, joint and bone injuries – often because of slips, trips and falls in bad weather.

“People can suffer a wide range of symptoms from minor discomfort right through to severe pain but a lot of the time these types of injuries will naturally heal and with safe treatment at home, don’t need a trip to the hospital.

‘We have recently updated NHS inform’s MSK pages with the most up to date advice on how to look after this type of injury, and also when and where to seek further help if the issue needs urgent attention or symptoms are not improving. It’s a fantastic resource and I would recommend anyone with an MSK issue to visit NHS inform first to help them get the right care, in the right place.’

Dr Cook’s advice compliments the national winter health campaign ‘Healthy Know How.’ The ‘Healthy Know How’ 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 the medicine cupboard is well stocked.
  • 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.

Advice on musculoskeletal (MSK) conditions and treatment advice can be found here – nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints

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