Tag: Health and wellbeing

East Lothian E-Coli outbreak: All nurseries get green light to reopen

Each of the five nurseries which were closed as a safety precaution during an E-coli outbreak in East Lothian have now been given the green light to re-open.

The Musselburgh Private Nursery chain has become the latest to welcome back staff and children, following final checks and inspection visits by East Lothian Council environmental health team, the Care Inspectorate and NHS Lothian Public Health team.

The Stoneybank nursery opened today (wed) while it’s sister company in Bridge Street is gearing up to re-open as soon as tomorrow (thurs).

Testing and the stringent E.coli clearance process has also been completed in both nurseries.

Dr Josie Murray, Consultant in Public Health Medicine and Chair of the multi-agency Incident Management Team (IMT), said: “We are really encouraged to see all of the nurseries open their doors once again and welcome back their staff and pupils.

“We know it has been a really difficult time for everyone involved, especially in accepting some of the control measures which were vital in containing the infection and stopping its spread within the community.

 “On behalf of the IMT, I would like to thank everyone for working with us throughout this rapidly evolving and complex outbreak.”

Work is still continuing behind the scenes by the health care scientists in epidemiology and microbiology to try and identify the source of the infection.

Letters providing the most up to date information have been issued to families directly in some circumstances and via the nurseries distribution systems.

Church Street Pear Tree Nursery was originally closed on August 2 after a number of children fell ill and went on to test positive for E-coli.

The sister nursery Meadowpark Pear Tree Nursery was closed next, as well as West Road Pear Tree Nursery, Musselburgh Private Nursery, Bridge Street and Musselburgh Private Nursery, Stoneybank,.

In total, there have been 56 confirmed cases of E.coli. The infection was not confirmed at West Road Pear Tree Nursery.

The complex outbreak has evolved rapidly and a set of FAQs were developed to help answer questions from concerned families and carers and can be found on NHS Lothian’s website:

https://news.nhslothian.scot/2022/08/26/faqs-further-update-on-ecoli/

St Columba’s: Music and Movement Project for people with Parkinson’s

Are you living with Parkinson’s Disease?

Would you be interested in trying out how music and movement sessions can provide valuable social interactions as well as strengthen movement coordination, promote confidence & prevent falls?

Then this project might be for you!

@StColumbas

Public holiday arrangements in NHS Lothian for Monday 19 September

Public holiday arrangements were already in place for Monday 19 September 2022 prior to the announcement of Her Majesty’s funeral, due to the regional public holiday in Lothian.

This means that there are no further changes to our service plans this day. Elective surgeries have not been scheduled for Monday and the majority of outpatient clinics will be closed, as originally planned.

Any clinic appointments that were already scheduled with NHS Lothian will go ahead.

As per standard public holiday arrangements, GP practices and many community pharmacies will be closed. We’d encourage anyone who needs a prescription to make arrangements to collect this before the weekend.

If you’re booked in for a flu jab and/or a COVID-19 winter booster at a local pharmacy, the pharmacy should contact you directly if there are any changes to your appointment.

No winter vaccination appointments have been scheduled in community clinics for Monday, but some staff clinics will still be taking place on our sites.

If you need urgent medical care over the bank holiday weekend, please contact NHS 24 on 111 for advice and help us keep A&E free for critical emergencies. Thank you in advance.

Best before dates, use by dates and sniff test – what do they mean?

Major supermarkets are scrapping best before dates and encouraging shoppers to use the ‘sniff test’ instead, but what do all of these terms really mean?

Penny pinching pros at NetVoucherCodes.co.uk have shared their advice on what the difference between ‘use by’ and ‘best before’ dates are and the importance of the new sniff test.

With some major supermarkets removing the ‘use by’ labels on bottles of milk, shoppers are being encouraged to use the sniff test rather than chucking away expired food which is still safe to eat.

This is causing concern to those who are not aware of the labelling differences and are worried about consuming expired goods.

The change is being brought in by supermarkets in an attempt to tackle food waste following news of further food price increases for everyday essentials like dairy and vegetables.

When an item passes its best before date, it is not necessarily ‘out of date’ so Brits shouldn’t be too worried about this change.

In fact, this date is just a guideline for quality and freshness. It’s typically added by manufacturers and after this date has passed, the ‘best taste’ has gone.

Mitch Barnes, online consumer expert at NetVoucherCodes.co.uk said: “With the cost-of-living soaring, selected supermarkets are adapting their product labelling by removing the best before label.

“While it can massively help with food wastage problems, it can be quite confusing to suss out when they need to be used by and how people can tell if a food has gone off at home.

“We’re advising people to check the remaining labels and to use the sniff test at home to save the extra pennies on a weekly food shop bill.”

Here are NetVoucherCodes.co.uk’s top tips explaining the importance of different expiry date meanings:

Best before dates

Most labels have the best before dates on the packaging, usually two or three days before the use-by dates – this is usually put on by manufacturers. Once you’ve passed the use-by date, it doesn’t necessarily mean the product is inedible, but it’ll just lack the freshness it once had and it will essentially lose its ‘best taste’.

While they may be lacking in taste and texture, they’re still safe to eat for a limited time and can help to save extra cash during a food shop.

Use by dates

Use by dates are often confused with Best Before dates. The labelled use-by date on a product is a recommended time for how long you should use a product by.

Meat and fish products should not be consumed after the ‘use by’ date as there is a high chance that you’ll get food poisoning if you do. What you can do is freeze the meat before the expiry date for as long as nine months if it’s raw chicken.

Sniff test

This is the system being steadily introduced into supermarkets. If a milk carton was previously labelled as ‘best before 12 Sep 2022’, it’s likely to still have a few days of safe consumption afterwards.

You’ll be able to tell if your milk is off by the foul smell, so make sure to just give it the test instead of spending a fortune buying a fresh carton each time it goes beyond the labelled best before date.

Healthy Heart Tip: Positive Thinking

Positive Thinking Day fell on Tuesday the 13th of September. This day is meant for one thing: to put everything aside and concentrate on all things positive in life (even if we’re a day late! – Ed.).

Positive thinking has many benefits, including keeping your heart healthy by reducing stress. Here we explore ways to ensure you see the bright side and keep a positive attitud e…

Start your day with a positive thought

How do you start your day? Each day tends to continue as it starts i.e., if you get off on the wrong foot, you are likely going to experience more negative things throughout the day.

So, why not try to start the day with positivity to ensure you get started on the right foot? Be proactive and choose the thoughts and messages you want to embed in your mind.

Get outdoors

Ever noticed you feel better once you have been outside?

Nature always gives us positive energy. Spending some time outside will increase your energy, boost your mood and help you work efficiently. If going out isn’t an option, you can always surround your workplace or home with plants.

Always be grateful

If you express gratitude as a consistent part of your life; it forces you to acknowledge all the great things which happen.

The quickest way to turn a negative mindset to a positive one is to practice gratitude. Gratitude can be expressed in writing or verbally, for all of the great things you have in your life.

Positive Thinking Day serves as a reminder that something as simple as having a positive outlook towards life can make us significantly happier.

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/.

Health Issues in the Community training course

Health Issues in the Community (HIIC) is a course that helps people understand what affects their health & the health of their communities. HIIC supports people to develop the skills & knowledge to address health issues using community development approaches & bring about change.

Through a small grant from Edinburgh PACT’s Capacity to Collaborate fund we (Edinburgh Community Food, Inspiring Leith, YMCA and Port of Leith) will be running a HIIC course in Leith early next year – more details coming soon!

Before that we want to give workers, who might not be familiar with the course, the chance to find out more about it and what it might be like for people who want to participate in the full course.

We’ve also got a small amount of funds to support local workers attend the full HIIC training for trainers if these sessions inspire you!

The next 2 sessions will take place from 12 – 1.30 on the 14th and 21st of September at the Hibs Foundation Community Space, North Stand Entrance of Easter Road Stadium.

Book your  place by filling in this form: https://forms.office.com/r/Qjd48Fcs4d

Fears for NHS as winter looms

Responding to the latest Emergency Department performance figures published by NHS England for August 2022, President of the Royal College of Emergency Medicine, Dr Katherine Henderson said: “The data is stark. We are worried about the coming winter.

“These are the second worst data on record. Too many patients are waiting too long. We know long waits contribute to patient harm. In August over 29,000 patients waited over 12 hours after a decision to admit was made, with some patients waiting up to three days for a bed.

“We think the consequence of this is shown in the ONS data as 500 excess deaths a week. We must not accept these long stays as normal. We need to see leadership and meaningful action that gets to grips with this crisis.

“We urge the new Prime Minister, Liz Truss, and incoming Health and Social Care Secretary, Therese Coffey (above), to make tackling the crisis in Emergency Care a priority.

The scale of patient harm occurring is shocking. The Emergency Care system is failing to its core functions; it is vital that we mitigate the impact of this crisis ahead of winter and do all we can to keep patients safe and reduce these dangerous waiting times.

“The Prime Minister and Health Secretary must urgently bolster the social care workforce. Thousands of beds are occupied by patients who are medically fit to be discharged, but the lack of social care service means that getting patients home is a slow and complex process.

“This means that hospitals have difficulty in discharging patients in a timely way, leading to exit block, poor flow throughout the hospital and subsequent problems in Emergency Departments and ambulance waits. The need for investment in social care couldn’t be clearer.

“Staff are exhausted, overwhelmed and in the midst of the worst crisis the NHS has ever faced. Widespread shortfalls of staff across all grades and departments mean health care workers are spread increasingly thinly and more prone to burnout – there are currently around 130,000 vacancies in the NHS almost 10% of its workforce.

“The Prime Minister must deliver the fully funded long-term NHS workforce plan that the government pledged to deliver in 2019. Emergency Care is in crisis and there is a shortfall of 2,000-2,500 Emergency Medicine consultants and widespread shortages of vital nursing staff, trainees, SAS doctors and junior and supporting staff are contributing to the challenges.”

The latest Emergency Department performance figures published by NHS England for August 2022for show:

  • There were 1,304,378 attendances at major Emergency Departments
    • There were 1,988,779 total attendances at all Emergency Care facilities
  • 28,756 patients were delayed for 12 hours or more from decision to admit to admission
    • This is the second highest number of 12-hour waits on record, just 561 short of the previous record in July 2022
    • There have now been 178,770 12-hour waits (from decision to admit to admission) so far this year
  • Four-hour performance at major Emergency Departments was 58.0%, this is the second worst four-hour performance on record, the lowest was recorded the previous month, July 2022
    • More than 2 in 5 patients were delayed by four-hours or more
  • Type 1 admissions stood at 350,618 (a daily average of 11,310)
  • 130,528patients spent more than four hours in an Emergency Department from decision to admit to admission (also referred to as ‘trolley waits’)
  • Bed occupancy stood at 92.8% (far higher than the recommended 85%)

Hopsital Episodic Statisticsfor July 2022 published by NHS Digital show:

  • The longest wait in an Emergency Department from time of arrival until treatment was 4,320 minutes or 72 hours
  • The number of patients leaving the department before being seen stood at 6.0%
  • The rate of unplanned reattendance was 9.0%

Letters of Friendship initiative

Lisa Maynard from Care Inspectorate’s improvement team shares a great new initiative that is being rolled out in Fife to combat loneliness among people living in care homes:

During the pandemic Carol Hands, Care Home Liaison Nurse, reflected on how isolated people were feeling so she began a pen pal service called Letters of Friendship, Loneliness is not an option.

The poster has been distributed to care homes across the region and the team of care home liaison nurses to promote it when they are out on their visits or during their support calls.

There has already been a good interest in the scheme with around 50 residents starting to write letters. This communication tool can not only stimulate new conversations with new people but tackle loneliness and improve mental health.

If you would like to find out more about this initiative or share any initiatives of your own with us please contact Lisa Maynard, Interim Senior Improvement Adviser: Lisa.Maynard@careinspectorate.gov.scot