Pioneering study heard from patients, named persons, practitioners and tribunal members
An Edinburgh Napier University-led study, funded by the Nuffield Foundation, into stakeholder experiences of the Mental Health Tribunal for Scotland (MHTS) has recommended several ways it could improve its processes and decision-making.
Addressing the influence of clinicians, encouraging participation of patients and offering more support for named persons are among the suggestions put forward in the report.
The MHTS was set up authorise and review compulsory psychiatric measures under the 2003 Mental Health (Care and Treatment) (Scotland) Act 2003 and began operating in October 2005. The legislation is underpinned by human rights-based principles which govern the way that the MHTS makes its decisions about compulsory psychiatric care and treatment.
This study is the first of its kind since the Tribunal’s formation and heard from patients, their named persons, MHTS panel members, lawyers, independent advocates and health and social care professionals.
The timing of the study’s report means that its findings will be used to help inform the Scottish Mental Health Law Review, which is due to publish its recommendations on Scottish mental health, capacity and adult support and protection law this autumn.
Jill Stavert, Professor of Mental Health and Capacity Law at Edinburgh Napier University said: “Our study revealed several areas of agreement across all participant groups on how the Mental Health Tribunal operates and evidence of considerable caring goodwill on the part of the Tribunal and health and social care practitioners.
“However, there were certain areas where the experience and perceptions of patients and Tribunal panel members was not shared, particularly surrounding patient perceptions of their ability to participate during tribunal hearings.
“An important test whether human rights principles are effective is not only whether they are given effect by state authorities, such as tribunals, but also the extent to which they are felt to be given effect by rightsholders such as patients.”
Some of the report’s recommendations include, among others, addressing perceptions of the influence of clinicians and diversity issues, supporting patient participation, and supporting named persons more.
Professor Stavert continued: “Some of these, we consider, should be addressed by the Tribunal itself while others are for other bodies to take up.
“This is very important as human rights requirements increasingly require active respect for the rights of persons with psychosocial, cognitive and intellectual disabilities.”
A not-for-profit organisation helping people to live happier and healthier lives has officially opened its refurbished office in Edinburgh city centre.
Fedcap Scotland works in the city to help people tackle health conditions, learn new skills, find new jobs and progress their careers. Across the country, its teams have been responsible for supporting more than 14,000 people in the last three years.
The newly branded and refurbished office in Edinburgh was visited by partners and employers last week. During the visit, attendees were given an insight into how Fedcap Scotland helps people overcome the barriers they face – including tackling health concerns and poverty – to realise their ambitions and reach their long-term goals.
Some 92.7% of Fedcap Scotland’s ‘customers’(Eh?- Ed.) in Edinburgh have been unemployed for more than a year, while 80.6% have been unemployed for more than two years. After receiving health and wellbeing support from the organisation, customers showed a 59% improvement, on average, in their health conditions.
The Fedcap Scotland team are also working with some of Scotland’s leading employers to help the region bounce back from the coronavirus pandemic with reliable workers.
Fedcap Scotland is currently delivering the Fair Start Scotland service in partnership with The Lennox Partnership in Edinburgh and the surrounding area, helping people to pick up new skills, confidence and experience and into suitable, sustainable jobs.
People who receive employability support from Fedcap Scotland find work on average within three months.
Stephanie Lang, Employer Relationship Manager for Capital City Partnership, said: “Capital City Partnership co-ordinates employability strategy and delivery through partnership working to tackle inequality and poverty, support job growth, and help more people into employment and skills.
“We welcome every opportunity to work in partnership with key agencies and services and are pleased to welcome Fedcap into the city as a trusted partner, already evidenced in their support of the FUSE Recruitment & Skills Hub for the St James Quarter and city centre recruiting businesses.”
Eaman Abdel-Rahman, a Fedcap Scotland participant in Fair Start Scotland said: “I was a cancer patient and I think I lost a bit of me. Fedcap’s courses helped to get me back to where I am.
“The new Fedcap Hub is like, wow! I like that very much. Shirley Ann Grey, my Personal Adviser, helped me into a DPSI translator course and a job in a local bank, giving me the confidence I need.
“Thanks to Fedcap Scotland, I have regained my confidence and got my life back.”
Brian Bell, Fedcap Chief Executive Officer, said: “You’ve seen today the passion of our people, helping participants who’ve been out of work for a long time.
“There is a real need for our service, and Fedcap is investing in its portfolio across Scotland to further improve our delivery for participants and employers.”
Fedcap has also recently opened new offices in Dumfries and Dunfermline.
For more information on how Fedcap Scotland helps communities across the country, visit www.fedcapscotland.scot
The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist children’s services, has warned of a child mental health emergency caused by the cost-of-living crisis, driven by increasing energy costs.
With inflation, energy costs and shopping bills now outstripping wage levels, this has replaced Covid and lockdown restrictions as the primary cause of poor mental health for children and young people
The coalition has called for an urgent co-ordinated response by both the Scottish and UK Governments to address the crisis and avoid a potential “lost generation” of children and young people with mental health problems, such as anxiety, depression and self-harm. It has also called for greatly increased investment in mental health services.
Poverty is a major contributor to mental ill health, and children living in low-income households are three times more likely to suffer mental health problems than their more affluent peers. 1 So more young people will experience worse mental health as a result of the current cost-of-living crisis and as families fall behind with their bills, causing increased anxiety.
Even before the pandemic, cases of poor mental health were at unprecedented levels with services in crisis, and there are a growing number of vulnerable children who cannot access adequate support.
The pandemic and cost-of-living crisis have exacerbated this, with more children and young people driven into poverty, with the resulting impact on their mental health. This has led to unprecedented demand and backlogs, with services struggling to keep up.
Figures published by Public Health Scotland in June indicate that over the quarter covering January to March 2022, 9,672 children and young people were referred to CAMHS for treatment, a staggering 22.4 per cent increase in numbers from the same quarter of the previous year when the equivalent figure was 7,902.2 The cost-of-living crisis is set to further worsen this. At the end of March 2022, a staggering total of 1,322 children and young people had been waiting for over a year for treatment.3
A spokesperson for the SCSC commented: “Millions of our children and young are at breaking point, with stress and anxiety reaching alarming levels because of the effect of the cost-of-living crisis.
“Since the pandemic, referrals have increased and the cost-of-living crisis is only going to make it worse, creating a potential lost generation of vulnerable children and young people.
“If we don’t give young people the support they need, when they need it, the consequences can be catastrophic.
“By minimising the drivers of mental health problems – such as poverty – we can reduce the impact on services and we would urge the Scottish Government and UK Government to work together and address this.”
Pupils in Scotland are starting off the new school year on the right foot by leaving the car at home for the school run and instead walking, wheeling, cycling or scooting to school.
Over 280 primary schools in Scotland are taking part in WOW – the walk to school challenge from Living Streets Scotland, part of the UK charity for everyday walking.
Pupils at St Brendan’s Primary School in Glasgow launched a new year of WOW yesterday with a celebration event where they were joined by Strider, Living Streets’ mascot.
WOW rewards children who walk to school at least once a week with a collectable badge each month, with ten to collect across the academic year.
WOW schools see on average a 13 per cent increase in pupils walking to school in Scotland with a corresponding drop in car use, helping to reduce congestion and increase safety outside the school gates.
Stuart Hay, Director, Living Streets Scotland, said:“WOW is simple to run and pupils love to take part. Just a few minutes of a teacher’s day is all it takes to make a big difference.
“We see a lot of dedication and enthusiasm from pupils and staff across Scotland and are thrilled that so many schools are taking part. We’re looking forward to families getting on their feet this year and experiencing the many benefits walking to school can bring to our health and happiness.”
Mrs Gemma Rutherford, Headteacher, St Brendan’s Primary School, Glasgow said: “St Brendan’s is proud to host the launch of the Walk to School programme.
“Our pupils have been using the interactive WOW Travel Tracker for years now and they love having the opportunity to log their journeys each morning as they arrive at school in a fun, engaging and easy way.”
Living Streets is being supported this year by children television presenter, Dr Ronx, who has joined the charity as the celebrity ambassador for WOW – the walk to school challenge.
The CBBC presenter and emergency doctor will promote WOW and the health benefits of walking to school for the 2022-23 academic year.
Dr Ronx said:“I’m thrilled to be the new ambassador for WOW – the walk to school challenge from Living Streets.
“With notable increases in air pollution, rising childhood inactivity and post-lockdown poor mental health, encouraging children to be more active and ditching school run drives for more sustainable modes of transport is imperative.”
Edinburgh Women’s Aid, which opened its first refuge in 1973 has unveiled plans for a series of year-long events in 2023 to mark 50 years of providing support for tens of thousands of women and their children who have experienced domestic abuse, which includes a competition to design a commemorative artwork to be unveiled at an exhibition in January.
Events planned throughout the year will highlight and pay tribute to those who have provided support for women and their families over the past five decades, with everything from giving them a safe place to stay in a refuge, specialist housing support, legal advice and help securing employment.
The aim of the commemorative artwork is to showcase how the charity has evolved over the years, the ongoing support available to help keep victims of domestic abuse safe and forthcoming plans.
In addition to being launched at the 50th anniversary exhibition, the artwork will also feature on the cover of the charity’s printed and digital Impact Report and various other marketing materials, including pull-up banners, leaflets, website and social media. The winning artist will also receive a prize of £500.
Entries can be created in any medium and should be submitted with the entry form available on EWA’s website, www.edinwomensaid.co.uk, by the 1st of November 2022.
Linda Rodgers, Chief Executive of Edinburgh Women’s Aid, said: “2023 is such an important milestone for us, it gives us pause to remember the amazing women who came before us – who fought against the odds to get our first refuge in 1973, who provided support and sanctuary to countless women over the many years and those survivors who went on to their full potential after escaping abuse.
“We’ll also be taking the time to think about ‘what next’ so that we continue to provide innovative and necessary services to women and children in Edinburgh.”
Women and children’s rights campaigner Lydia Okroj, who has worked with Edinburgh Women’s Aid and Scottish Women’s Aid for over 40 years and recently received an honorary doctorate from Stirling University in recognition of her outstanding work, said: “EWA, which has been at forefront of shaping support services, policy responses and legislation in the city, which has been informed by the women they have supported, have so much to be proud of as they reach their 50th anniversary.
“Although awareness of domestic abuse has come a long way since 1973, when EWA began to provide refuge and support to ‘battered wives’, the need for the charity to continue supporting women, children and young people remains the same today as it did then, which is why it is important to highlight this milestone.
“It’s been a privilege to work alongside so many committed women over the past four decades and to have played a part in supporting survivors of domestic abuse and also to be involved in so many significant changes in legislation over the years, which will be showcased in some of the events planned throughout 2023.”
A leading sepsis charity and the Scottish Government have marked the start of Sepsis Awareness Month in Scotland today (1 September 2022) by launching a new national awareness campaign.
The charity Sepsis Research FEAT is working in partnership with the Scottish Government to run their first joint campaign since before the COVID-19 pandemic. The campaign aims to help save lives by increasing public awareness of sepsis and how to recognise the key symptoms.
Sepsis is a deadly condition which takes the lives of more than 4,000 people in Scotland every year. It occurs when the body’s response to an infection spirals rapidly out of control, injuring its own tissues and organs which can result in multiple organ failure and death.
The five key symptoms of sepsis highlighted in the campaign are:
Confusion
Not passing as much urine as normal
Very high or low temperature
Uncontrolled shivering
Cold or blotchy arms and legs
If someone has any of these symptoms, becoming noticeably worse, this could indicate sepsis and urgent medical attention should be sought.
Sepsis Research FEAT previously worked with the Scottish Government on awareness campaigns in 2018 and 2019, reaching more than 1.3 million people across Scotland. Their latest partnership will build on this success with a nationwide multimedia campaign which will include commercial TV, radio, print and social media.
This week the charity and Health Secretary Humza Yousaf kicked off the campaign and the beginning of Sepsis Awareness Month with a visit to the home of pioneering research study, GenOMICC at the University of Edinburgh’s Roslin Institute.
They were joined by two charity supporters from Edinburgh – Adam Liddle who lost his wife Emma to sepsis in 2020 and Aimee King whose son Corey was 18 months old when he almost died from sepsis in 2021.
Led by Professor Kenneth Baillie at the Roslin Institute, the world-leading GenOMICC project is increasing understanding of sepsis and helping to develop improved treatments for it by examining DNA samples from patients in intensive care units (ICUs) throughout the UK.
Sepsis Research FEAT has funded the study since 2018 and has just announced increased investment supporting a new pilot study, GenOMICC Acute, in which additional blood samples will be obtained from patients shortly after ICU admission, providing researchers with insight into what happens within a patient’s body when they are at their most critically ill.
Health Secretary Humza Yousafsaid: “I am delighted that the Scottish Government is continuing to work with Sepsis Research FEAT to raise public awareness of the symptoms and dangers of sepsis.
“Patient safety remains key to delivering safe and effective care to all patients every time they access healthcare services and the Scottish Government’s Scottish Patient Safety Programme continues to make progress in its action on sepsis. Focusing on early identification is critical and treatment within one hour of recognition has led to mortality rates among those identified at this stage falling by 21% since 2012.
“Sepsis Research FEAT plays a vital role in funding research into this devastating disease and in making the public aware of the symptoms, and the Scottish Government is supporting them in their efforts.”
Colin Graham, Chief Operating Officer at Sepsis Research FEAT, commented: “Sepsis Research FEAT is proud to mark the beginning of Sepsis Awareness Month 2022 with our new campaign in partnership with the Scottish Government.
“This will be our largest campaign yet and will help us reach an even greater number of people and educate them about the symptoms of sepsis that everyone in Scotland should know about. We are grateful to Mr Yousaf for joining us to help launch it with the incredible GenOMICC team at the University of Edinburgh’s Roslin Institute.
“Sepsis is a medical emergency. It is a devastating condition that can kill a previously healthy adult in hours. Even those who survive are often left with long term physical or psychological effects.
“Sepsis Awareness Month, which is observed worldwide every September, is always an important time for our charity to spread the word about sepsis. We’re asking everyone in Scotland to get involved this year by sharing our awareness campaign and learning the five key symptoms to help save lives.”
Sepsis Research FEAT is the only UK charity that exists to fund research into sepsis alongside increasing awareness of the condition. Sepsis Awareness Month – which includes World Sepsis Day on 13 September – is a key time for the charity to raise funds for vital research and this year it is doing this through a fundraising campaign called ‘Give us 5!’.
In order to highlight the five key symptoms of sepsis and also recognise the five lives tragically lost to sepsis every hour in the UK, supporters across the country are being encouraged to give five of something – this could be giving five minutes or hours of their time, taking part in a fundraising activity covering five miles on land or on water, or donating or raising £5, £500 or even £5,000.
Services for secondary breast cancer patients have received an unexpected boost after a surprise donation of more than £12,000.
The cash will be used to further the work of Make 2nds Count, which campaigns to raise awareness of the little-known form of the disease, support patients and their families and fund education and research into secondary breast cancer.
Also known as metastatic, advanced or stage IV breast cancer, secondary breast cancer is an incurable cancer that has spread beyond the breast to other parts of the body. It can be treated, but around 35,000 patients in the UK are living with the disease and the death toll here is, on average, a shocking 1,000 women each month.
This significant donation comes from Challenge Breast Cancer Scotland, which has recently decided to close its operations and wanted the funds to continue to serve secondary breast cancer patients through Make 2nds Count.
Moira Adams, Trustee of Challenge Breast Cancer Scotland, said: “It was a bittersweet moment to donate all of our funds to Make 2nds Count as we finally wind up our organisation, but we are confident that the money will be sympathetically and efficiently utilised for the benefit of breast cancer patients in Scotland.
“Our thanks must go to all our friends and supporters who have generously donated to our charity over the past 30 years. We wish Make 2nds Count every success.”
Make 2nds Count was founded by mum Lisa Fleming, 38, of Edinburgh, who had no previous breast cancer diagnosis, warning signs or lump when she was told she had primary and secondary breast cancer.
Her aim is to support patients and families, educate and raise funds for research into the disease. So far her charity has raised more than £1million.
Lisa said: “While we’re incredibly sad to see the end of Challenge Breast Cancer Scotland, we’re happy to carry the torch on their behalf and to continue the great work being done to support people diagnosed with this form of the disease.
“Our lifeline comes from donations and we are committed to doing everything we can to raise awareness, fund research and improve the lives of those living with secondary breast cancer.
“This is an important and much-needed boost for our work.”
Children’s Hearings Scotland (CHS) has launched its’ autumn campaign to recruit new Panel Members to support infants, children and young people in their local communities.
Across Scotland, the organisation are looking to recruit volunteers from a diverse range of backgrounds aged 18 and over who can listen, show empathy, build trust and show compassion to support this group of young people.
Panel Members are volunteers from local communities who take part in children’s hearings. Their role is to listen and make legal decisions with and for infants, children and young people. They are there to ensure that the young person is at the heart of every decision made – because every decision, no matter how big or small, has an impact on the life of the child or young person in the hearing.
All Panel Members, once selected, all take part in the CHS dedicated Learning Academy, in partnership with West Lothian College. In addition to the training the Panel Member will also gain a Professional Development Award for ‘Children’s Hearings in Scotland: Panel Members’, a verified award by the Scottish Qualifications Authority.
Children’s Hearings Scotland National Convener and Chief Executive, Elliot Jackson, says: “Scotland has an ambition to be the best place in the world to grow up, to make sure all children are loved, safe, respected and able to fulfil their full potential.
“For some children and families, the Children’s Hearings System has a significant role to play in this ambition. Children’s Hearings couldn’t operate without volunteer Panel Members making decisions with and for children and young people.
“To do this, we are committed to having children at the heart of everything we do – including recruitment.
“This campaign comes at an exciting time of growth and change at CHS and is totally centred on what young people who have experience of children’s hearings, are telling us they want to see in their Panel Members.
“Qualities like being caring, compassionate, open minded, empathetic and a good listener. If you want to make a difference in your local community, I encourage you to take the opportunity this year to apply to join our unique volunteer community.”
Clare Haughey MSP, Minister for Children and Young People, said: “Panel Members play a critical role in ensuring children and young people’s views are heard by placing them at the heart of their hearing and, in the current challenging climate, it is vital now more than ever that we recruit new volunteers to continue this.
“This is a unique opportunity to join a diverse, empathetic, caring panel who will listen to children and young people.”
Children’s Hearings Scotland is the organisation responsible for recruiting, training and supporting volunteer Panel Members.
There are 2,500 volunteer Panel Members across Scotland who take part in children’s hearings and make decisions with and for infants, children and young people in their local community.
In 2020/21 16,2481 children’s hearings were held across Scotland supporting 8,9771 children and young people. The majority of hearings during the pandemic have been held virtually which was a massive undertaking for our volunteers who managed to continue providing their support throughout.
There are a range of reasons that a child or young person may be referred to attend a children’s hearing; in the last year, approximately 85%¹ of all referrals were on care and protection grounds.
Applications for new Panel Members open on 01 September to midnight 6th October 2022 and you can apply by going online to: https://chscotland.gov.uk/
TWO Edinburgh dental practices have become the latest to join the network of the nation’s leading dental group.
Clyde Munro has struck a deal with married dentists, Duncan Sandland and Suzanne Seaton, to acquire their Colinton Dental and Riccarton Dental practices after nearly two decades in charge.
The Glasgow-based firm will take the reins of running the business and the administration involved in caring for more than 13,000 patients; while Duncan and Suzanne, both 52, will continue to work at the practices concentrating on what they love doing most, looking after patients.
With patients coming from as far as Kingussie to the Colinton practice, and the Riccarton site catering for a large cohort of students and staff from Heriot Watt University; Duncan, Suzanne and their 11 staff have reassured their patients that both practices will continue to run as normal.
Duncan said: “We have been filtering into our new roles this past month, and solely focusing on what we love doing, being dentists. It has brought Suzanne and I great joy.
“It has been no secret that the pandemic has induced a lot of stress on the dental sector, and Brexit has made recruitment difficult in finding qualified workers. Everyone at both practices has worked hard to pull through, and it felt like this was the next natural step for the business.
“Clyde Munro offered what Suzanne and I wanted, we also had good feedback from colleagues in the sector who opted to go with Clyde Munro.”
Duncan joined the Colinton Dental Practice in 1994 as an associate, and was followed by his wife Suzanne in 2003.
In 2006, Duncan and Suzanne decided to buy the practice from founders Robbie Richards and Tom Wishart.
From there the duo took on the Riccarton Dental Practice which currently has 60% of its patients enrolled from Heriot Watt University, under their stewardship the practice grew from one part-time surgery to three full-time surgeries culminating in a move to a new premises.
Duncan and Suzanne believe patients will see improvements on the high levels of service they currently receive.
Duncan added: “We expect there to be very little change in how the business is run day-to-day. Clyde Munro is likely to improve the business functions and systems to make life easier for the staff.
“Suzanne and I will still be there as well as the other members of staff and in fact it should improve the business as a whole.
“There are a lot of benefits for us dentists in being part of a group, and for the patients I think it will create a better environment.”
This comes after Clyde Munro last month announced it has exceeded 500,000 patients under its care. It now has 70 practices, more than 200 dentists and 500 members of staff.
Having launched in 2015 with just seven practices, approximately one in 11 Scots are now patients within its network.
Kirsty Dace, Chief Development Officer at Clyde Munro, said: “Duncan and Suzanne have been tremendously easy to work with and we are delighted that they are staying to focus on their passion for dentistry.
“We want to see independent practices thrive with little impact on the front of house operations when they join the group, and both Colinton Dental Practice and Riccarton Dental Practice are no exceptions.
“We look forward to a productive relationship with Duncan, Suzanne and everyone involved at the practices.”
Practices which join the group benefit from help with business functions including HR, accounts, marketing, compliance and facilities management – relieving many dentists from gruelling and distracting administration duties.
