Tag: Health and wellbeing

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

Healthy Heart Tip: Know Your Numbers, Ladies

Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK

Healthy Heart Tip: Know Your Numbers, Ladies

September is the launch of our #HERdisease campaign, aimed to raise awareness of the fact that 23,000 women die from coronary heart disease every year in the UK and dispel the myth that heart disease only affects men.

This week is ‘Know Your Numbers! Week’ which runs from 5-11th September and encourages everyone to take ownership of their heart health numbers. Cholesterol levels and blood pressure are two key markers to understanding your risk of heart disease.

Blood Pressure

Blood pressure is the measure of the force that your heart uses to pump blood around your body. It is measured in millimetres of mercury (mmHg) and is given as 2 figures: 1) Systolic pressure – the pressure when your heart pumps blood out, 2) Diastolic pressure – the pressure when your heart is at rest, between pumps. Systolic pressure is always shown on top, and diastolic pressure is always shown on the bottom. A simple lifestyle step like reducing your salt intake can help reduce your blood pressure.
Cholesterol

There are two main types of cholesterol, LDL, sometimes termed ‘bad’ cholesterol, and HDL, sometimes termed as ‘good cholesterol’. The reality is that we do need some of both types of cholesterol, but the incorrect balance can be harmful. When LDL cholesterol builds up in the arteries, it can contribute to plaque formation, whilst HDL cholesterol removes harmful cholesterol from the bloodstream.

Before women go through the menopause they can naturally have a higher HDL cholesterol due to the presence of oestrogen which seems to boost good cholesterol. See our previous healthy tip for ways to reduce bad cholesterol.

Get a Test

The only way to know if your blood pressure or cholesterol is high is to have it checked. Checks are quick and easy, and it could be lifesaving. Adults aged 40 years or over should aim to have their blood pressure checked at least every five years.

You can ask your GP to check your blood pressure, or you may be able to have your blood pressure checked with your local pharmacy or gym. You could also consider investing in a home blood pressure monitor to keep track of your numbers.

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/.

NSPCC: Talk PANTS next week!

NSPCC will host a virtual event next week to celebrate success of campaign to help keep children safe from sexual abuse

  • NSPCC will host a virtual event on Wednesday, September 14 to celebrate the positive impact and legacy of Talk PANTS! Campaign
  • Event will coincide with Pantosaurus’ birthday

Almost 300 carers and professionals in the Western Isles, Orkney and Shetland have been trained to communicate important messages to parents and children that will help prevent sexual abuse.

They have been trained as part of the Inter Islands Talk PANTS! campaign, which was launched almost a year ago by the NSPCC and the islands’ protection committees.

The NSPCC’s Talk PANTS! resources give parents, carers and professionals advice on how to have simple, age-appropriate conversations with children about sexual abuse. With the help of a colourful animated character, a friendly dinosaur called Pantosaurus, it helps children understand that their body belongs to them and to recognise when something is not okay, and how to tell someone if they are upset or worried.

As part of this campaign, the resources were translated into Scottish Gaelic and Pantosaurus toured the islands, visiting the HebCelt Festival in Stornoway on the Isle of Lewis, the Cunningsburgh Show in Shetland and the Orkney Agricultural Show. In Orkney, 200 children coloured in Pantosaurus’ pants on the show day alone, and NSPCC staff and volunteers distributed thousands of parents guides and talked to families about the Talk PANTS! resources.

During the past year, campaign activities and events have included soft play sessions in the Western Isles run by the Rape Crisis team and the colourful and entertaining Pantosaurus music video being shown at cinemas on Orkney and in Stornoway.

Over a thousand Pantosaurus and the Power of PANTS books have been delivered to local libraries, and health visitors have handed out the paperback version to families, childminders and teachers to encourage them to read the book to as many children as possible.

The NSPCC also recently created Talk PANTS! resources in partnership with the Makaton Charity, which use symbols and signs to help communicate the messages to people with communications difficulties.

These resources will enable parents and teachers of children with a range of educational needs to share the Talk PANTS! message so they can understand the PANTS rules. Talk PANTS! resources are also available in British Sign Language and can be downloaded for free on the NSPCC website.

Many members of the islands Protection Committees have been instrumental in the campaign’s success including Police Scotland, Rape Crisis, Early Learning and Childcare in Orkney and the army cadets in Shetland to name just a few.

To thank everyone involved and celebrate the campaign’s achievements to date and its legacy, the NSPCC is hosting a virtual event on Wednesday, September 14, with fellow members of its steering group and protection committees.

Guest speaker Rachel Wallace, NSPCC Local Campaigns manager for the Midlands, in England, will explain more about the Talk PANTS! Makaton resources and participants will be shown a selection of stunning photos from NSPCC Scotland’s tour of the islands on the day, which also falls on Pantosaurus’ birthday.  

Tam Baillie, Chair of Public Protection Committees in Orkney and Shetland and the Western Isles, said: “It has been great to see how each of the islands has embraced the PANTS campaign, working in partnership with the NSPCC. 

“The enthusiasm and inventiveness of different island approaches has brought a wide range of activities all targeted at getting simple messages across in a fun way to young children about the importance of keeping themselves safe. 

“The use of cartoons, dance and song has made it engaging with children, parents and professionals, and it has been an inspiration to be part of the joint efforts. We are all looking forward to celebrating the work done and hearing about how it will endure through ongoing legacy work.”    

Mubashar Khaliq, Local Campaigns Manager at the NSPCC, said: “Each year in Scotland, Police record more than 5,000 sexual offences committed against children. We started this campaign because it’s crucial that we do all we can to help prevent abuse from happening in the first place.

“Talk PANTS is about helping start difficult, but vital, conversations with children from a young age about sexual abuse and their right to be safe. We don’t talk about sex or use scary words but focus on keeping safe and rules that help children understand important messages, like their body belongs to them and they should tell an adult if they’re upset or worried.”

Gail Sayles, Local Campaigns Manager for NSPCC Scotland, said: “It has been so wonderful to see our Talk PANTS messaging reaching people in some of the most remote parts of the UK. It was great to chat with families at the events who already knew about our campaign, either from school or their local nursery. Many of the children would sing the song at us and give Pantosaurus a high five!

“The Power of Pants book is already a firm bedtime favourite with many families, and parents told us they were so pleased to be given a copy. Everyone also valued the Gaelic resources and I felt so proud that we had been able to deliver on a need that was prized so highly. 

“This campaign has made a real difference and we hope that continues in the future too. It feels like we have lit a spark on the islands, for sure.”

Professionals and volunteers working with children and families who would like to attend this free event on Wednesday, September 14 from 3-5pm can book a place, visit: www.eventbrite.co.uk/e/inter-island-pants-campaign-celebration-legacy-event-tickets-388530684737

To find out more about Talk PANTS and  access resources and tools to help keep children safe from abuse, visit www.nspcc.org.uk/keeping-children-safe/support-for-parents/pants-underwear-rule/

To watch the Pantosaurus video visit: www.youtube.com/watch?v=-lL07JOGU5o

Anyone with concerns about the welfare of a child can call the NSPCC’s free and confidential helpline on 0808 800 5000 for advice.

Buckingham Palace: A Statement

“Following further evaluation this morning, The Queen’s doctors are concerned for Her Majesty’s health and have recommended she remain under medical supervision. The Queen remains comfortable and at Balmoral.”

Price Charles is now with the Queen, who is 96, and other members of the royal family are now travelling to Balmoral.

Miles Briggs MSP raises a cup for Macmillan Cancer Support

One in two of us will face a cancer diagnosis in our lifetime. Going through cancer treatment or getting a diagnosis is tough enough to deal with, and now the cost-of-living crisis is increasing people’s worries.  It’s never been more important for people living with cancer to get the urgent help they need. 

Macmillan Cancer Support is doing whatever it takes to support people in Scotland from the moment they are diagnosed. Macmillan health professionals are working tirelessly across Scotland, local Macmillan Benefits advisors are at the end of the phone, and the charity’s Improving the Cancer Journey team provide much needed support with the emotional, practical and financial impact of cancer in various locations across Scotland.

The cancer charity relies almost entirely on public donations. That’s why Macmillan is calling on people to dust off their aprons and get involved in this year’s Macmillan Coffee Morning to raise invaluable funds.  

Kate Seymour, Macmillan Cancer Support said: “Last year, people hosted Coffee Mornings across Scotland and raised over £710,000 which was amazing. It helped us to provide much needed support, including Macmillan Grants to over 4,000 people in Scotland.

“Whether you host a Coffee Morning or join in, every penny raised helps Macmillan to provide the local services that people living with cancer desperately need, especially at the moment.

“This year, Macmillan Coffee Morning is on Friday 30 September. Whether it’s a traybake with pals in the garden, a virtual Coffee Morning by screen, or a cuppa and cake in the office, hold yours however and whenever you like. There are so many reasons to host a Coffee Morning – whatever your reason, it’s a great one! Every Coffee Morning has the power to raise vital pounds.” 

There’s lots of information online including recipes and hosting ideas.

To find out more and sign up to host a Macmillan Coffee Morning today, visit www.macmillan.org.uk/coffee 

For comprehensive cancer information and support visit www.macmillan.org.uk  

Facemasks no longer recommended in social care

Guidance relaxed in line with latest clinical advice

Social care staff and visitors are no longer being advised to wear facemasks at all times under new guidance published today (7 September).

The recommendation has been lifted due to a sharp drop in coronavirus infections and a reduction in severity of illness, which has been driven by Scotland’s successful vaccination programme which has so far seen more than 12 million Covid-19 vaccine doses administered in Scotland.

Care home residents and their loved ones will benefit from these more relaxed visiting arrangements. Masks and face coverings in social care may still be worn if recommended in certain situations, such as a local outbreak of COVID, or if staff deem it necessary. Staff and visitors remain free to wear one if they choose.

This guidance balances the risk of harm from COVID-19 with the impact masks can have on communication, mental wellbeing and rights and choices of those working in and using social care services.

Social Care Minister Kevin Stewart said: “Our phenomenally successful vaccination programme has driven down infections and saved the NHS from untold pressures.

“Removing the need for facemasks in social care settings including care homes is the latest step in our path to recovering from the pandemic.

“This will make communication and relationships easier in care settings, benefiting mental health and promoting the rights and choices of those working in and using social care.”

 Read the new guidance for face mask use in social care settings.

July sees worst performance figures ever recorded in Scotland

‘this should ring alarm bells to all political and health leaders’ RCEM says

Responding to the latest Emergency Department performance figures for Scotland, Dr John-Paul Loughrey, Vice Chair of the Royal College of Emergency Medicine Scotland, said: “The latest Emergency Department performance figures for July should ring alarm bells to all political and health leaders.

“These are the worst performance figures since records began, with over 4,000 patients waiting 12-hours or more in major Emergency Departments in Scotland – equal to nearly one in every 25 patients.

“The depth and scale of this crisis is deeply concerning. Patients are already coming to harm, a consequence of long and dangerous waiting times. These data must be a call to action, especially as winter is fast approaching.

“The government must urgently expand capacity where safely possible; we know there is a shortfall of 1,000 beds in the health system in Scotland. The Scottish government and local authorities must also bolster the social care workforce. Good social care underpins an effective health service.

“Ensuring the timely discharge of patients, which relies on good social care, is crucial for freeing up beds, admitting patients and encouraging flow throughout the hospital.

“Lastly, we must see a long-term workforce plan for the NHS in Scotland. Staff have been pushed to the brink; burnout and distress are leading to health workers considering leaving the workforce.

“We must do all we can to retain staff as well as look to recruiting new staff into the health service. Without the workforce, more and more patients will face longer and longer waits and come to further harm.

“Our priority is patient safety and delivering effective care, that is only possible with a workforce that is not overwhelmed, not burnt out and not undervalued.”

The latest performance figures for July 2022 for Emergency Departments across Scotland show:

  • There were 110,494 attendances at major Emergency Departments
  • 66.5% of patients were seen within four-hours
    • This is the lowest four-hour performance since records began
    • This meant that 37,067 patients waited more than four-hours to be seen, admitted, discharged, or transferred.
  • 11,419 patients waited more than eight-hours before being seen, admitted, discharged, or transferred
    • This is the highest number of eight-hour waits since records began
    • There have been almost 20,000 more eight hour waits between January 2022 and July 2022 than in all of 2021.  
    • It means that one in 10 patients were waiting eight-hours or more in a major Emergency Department 
  • 4,271 patients waited more than 12-hours before being seen, admitted, discharged, or transferred
    • This is the highest number of 12-hour waits since records began
    • It means that nearly 1 in 25 patients waited 12-hours or more in a major Emergency Department
    • In the first seven months of 2022 there have been double the number 12-hour waits when compared to the whole of 2021
    • It is a 14% increase on the previous month, June 2022 and a 461% increase on the same month last year, July 2021