One in four ambulances delayed 30 minutes or more as Emergency Care falls deeper into crisis

The latest Winter Sitrep data for the week ending 27 March show:

  • There were 79,588 ambulance arrivals, 2.7% less than the previous week.
  • More than one quarter of ambulances experienced delays of 30 minutes or more, equal to 21,051 ambulances – an increase of 7.4% on the previous week
  • This is the highest proportion of ambulance delays on record
  • More than one in nine ambulances were delayed by more than 60 minutes, a 10.2% increase on the previous week, setting a new record high for this reporting period.
  • The average number of delays for this winter has continued to creep up, increasing from 0.3% up to 21.3%. The previous highest weekly average number of delays was 14.3% in 2019-20.

The Royal College of Emergency Medicine and The College of Paramedics have collaborated on this Ambulance Handover Options Appraisal guidance that details the ways in which Paramedics and Emergency Medicine staff can reduce ambulance handover delays.

Dr Ian Higginson, Vice President of The Royal College of Emergency Medicine, said: “The data show Emergency Department crowding, long “hidden” within the walls of EDs, has become more visible as handover delays have dramatically increased, leading to ambulances waiting outside EDs with their patients still inside.

“It is vital that ambulances return to active service whenever possible and safe to do so. Delaying ambulance handovers should be a last resort. Holding patients in ambulances leads to unnecessary delays to their care, leaving seriously ill or injured patients in the community requiring an ambulance to wait longer.

“Ambulance handover delays are almost entirely caused by dangerous crowding in Emergency Departments. The root cause of these problems is “exit block” where there are delays for patients to be admitted to inpatient beds from the ED. Patients suffer harm or die unnecessarily when they cannot get an ambulance in time, when they are held in ambulances on arrival in ED, or when they are treated in crowded EDs.

“Emergency Departments must have sufficient capacity to meet demand, and constant flow from the Emergency Department into inpatient beds, otherwise they will not be able to keep patients and staff safe. This means that risk must be properly shared within organisations, and through systems.

“When this does not happen leadership teams tend to look for mitigation. Unfortunately, this mitigation is usually focused at the front door of the hospital, rather than being directed at the root cause of the problem. The Royal College and The College of Paramedics have produced this joint guidance to support good decision making when managing ambulance handover delays in an effort to tackle ambulance handover delays and dangerous Emergency Department crowding.”

Tracy Nicholls, Chief Executive of The College of Paramedics, said: “We hear from our members how consistently challenging this situation is and, whilst we can see that paramedics, ambulance clinicians and hospital ambulance liaison officers are doing everything they can, the system is now at breaking point. 

“Those who need an ambulance are continuing to wait an unacceptable length of time and those paramedics and ambulance clinicians who are running to their next job can clearly see how long their next patient has been waiting and know they are going to be met with frustration, anxiety or fear.

“It seems incongruous that additional measures are being taken at the front door when the whole system flow of patients still needs to be addressed, but we suspect that there are now few options left without further risk to both those who are using the ambulance services and those who are working within them.

“Ambulance operations centres are still fielding calls at record numbers because callers want to know when an ambulance will arrive and are often calling back time and time again.

“It is difficult to hear that an ambulance might be delayed but imagine how a caller feels when their 999 call isn’t answered straight away. The moral injury is not just with the paramedics, but also with all of those involved directly with patients and their care.

“The College supports RCEM’s call for both the reduction in ambulance handover delays and in ED overcrowding.  It is only by working together as a system that we will see this much-needed change and this guidance document outlines the risks associated with the current challenges.”

NHS Lothian launches innovative digital Wellbeing Hub

NHS Lothian Children’s Services is giving thousands of children and young people across Scotland access to important wellbeing resources with the launch of a new digital Wellbeing Hub.

Following the launch of the new Children’s Services website, a Wellbeing Hub has been developed to provide an interactive, engaging platform with expert support for young people aged 12–17 in Scotland. A children’s section for 5–11-year-olds has been launched at the same time.

The Wellbeing Hub was designed in collaboration with 10 key partners including CAMHS, the Children’s Rights Commissioner for Scotland, Young Scot, Chalmers Sexual Health Services, and Sleep Scotland who were all instrumental in providing outstanding resources and offering guidance in the development of a Wellbeing Hub that would be fit for purpose for children and young people across Scotland.

The new hub features a wealth of information to support a young person’s physical and mental wellbeing with topics such as anxiety, body image, social media, sleep, healthy relationships and consent featuring on the website.

The Wellbeing hub also incorporates Children’s Health Scotland’s SMS self-management service, advice about drugs, alcohol and tobacco, and support for young carers.

Young people will be able to access tools and resources, including top tips, videos and animations to help manage their own wellbeing.  With an increasing focus on the benefits of youth work, the Hub also includes a tool to ‘Find a Youth Club’ along with how to speak to a youth worker while in hospital.

NHS Lothian worked with Passion4Social, a social enterprise that nurtures the talent of people with disabilities, to develop and build the site with funding made available through Edinburgh Children’s Hospital Charity.  

Zoe Paige, Project Manager, Children’s Services, NHS Lothian, said: “Protecting and providing for the wellbeing and health of children and young people is a priority for the Children’s Services at all times and we know that there is a growing need for people to have digital choices if they are struggling and need to reach out, and the pandemic has only made this need more urgent. 

“Colleagues and partners have been eager to bring helpful content together and make our Wellbeing Hub a reality.  It was really important that we made our Wellbeing Hub as engaging and interactive as possible.

“The Wellbeing Hub encourages young people to feel empowered to seek out information on many things they might be struggling with or need advice online within a few clicks.

“The Children’s Services team at the RHCYP are always looking for ways to improve access to wellbeing support and we’re proud to continue to expand our Children’s Services website to support children and young people and their families. We have ambitious plans for its continued development.”

Professor Cathy Richards, Lead Clinician and Head of Psychology at CAMHS, said: “At CAMHS, we are thrilled that children, young people and families in the Lothians and across Scotland will benefit from access to the Wellbeing Hub.

“Young people who use the new platform can access mental health resources and information that are designed to keep them engaged and they can find recommendations for additional resources based on their needs.  

“The new hub contains information that has been created or recommended by the NHS Lothian CAMHS Psychology team. This includes some newly developed online information sessions for parents on supporting children with anxiety and access to computerised CBT.” 

Leanne Hughes, Communications Officer, Healthy Respect (Chalmers Sexual Health Services), said: “Young People can sometimes be embarrassed or unsure about accessing Sexual Health Services.

“We hope that the Wellbeing Hub will help to normalise using our services and highlight what is available locally for those 13+. The hub signposts to key Sexual Health information and resources in a way that makes sense to young people.” 

Bruce Adamson, Children and Young People’s Commissioner Scotland, said: “Children and young people have the right to good healthcare, to have decisions made in their best interests and to be a part of those decisions. They should also get all the information needed to make choices about care. 

“Good healthcare means that children can get the care they need, when they need it and that adults support them to get all of their human rights. The Wellbeing Hub will help children grow in confidence and understanding about the rights that they are entitled to in healthcare settings and will signpost them to extra support.”

Alyson O’Brien, Sleep Services Manager at Sleep Scotland, said: “Sleep Scotland is delighted to be working with the Wellbeing Hub.

“Children’s Services are committed to the health and wellbeing of children and young people in Scotland, and we wanted young people to understand that a lack of sleep can be detrimental to their physical and mental wellbeing.”

Find out more information on @LothianChildren. These channels will share the latest news and updates from the Wellbeing Hub.

Asylum-seeking mums’ and babies’ human rights breached in unsuitable housing unit, says Children’s Commissioner

Mothers and babies seeking asylum in Scotland are still being housed in cramped and unsafe conditions that pose a significant risk of violating their human rights, according to a new report. 

The office of the Children and Young People’s Commissioner Scotland has found that despite assurances from provider the Mears Group in November 2021, many women and their children have not been moved to more suitable housing. 

They are currently placed in bedsit accommodation in Glasgow’s southside, by the Mears Group with full approval of Glasgow City Council and the Glasgow Health and Social Care Partnership (HSPC).

Mothers have told the Commissioner and his staff that there is no space to feed their babies, limited washing and cooking facilities, and little support. Cookers and heaters in the rooms are close to babies’ cots and it’s not safe to let them play, crawl, or stand. 

These conditions pose a significant risk of violating the children’s human rights, including the right to survival, safety and development; an adequate standard of living; the best possible health; family life, and the right to play. 

In April 2021, charities and grassroots organisations raised human rights concerns about the unit, formerly used to house single men. In June, the Commissioner’s team visited the accommodation and met mums and their children.  

Following discussions with the Mears Group, COSLA, and the HSPC, the Commissioner called for the mothers and babies to be rehoused and for Glasgow City Council, NHS Greater Glasgow and Clyde, and the HSCP to withdraw their support for the Home Office and Mears Group’s placements in the unit. 

A mum who lives in the unit with her child said: “The worst part is knowing my child isn’t safe. I’m in a new country, a new mum, and I don’t have support. I worry about my child far more than I worry about myself.” 

Nick Hobbs, Head of Advice and Investigations at the Children and Young People’s Commissioner, said: “I was shocked when the mothers in the unit showed me the conditions they are living in with their babies. This accommodation is totally unsuitable for mothers and babies, particularly those who have the added vulnerability of seeking asylum.  

“Asylum accommodation is a reserved matter to Westminster, but use of this unit has been approved by Glasgow City Council and the health board. Scottish public bodies have human rights obligations under the United Nations Convention on the Rights of the Child and must ensure that all their decisions are consistent with the UNCRC. They could have withheld or withdrawn support and advocated for more suitable accommodation.  

“We must make sure all refugee and asylum-seeking children are treated with dignity and respect for their human rights. No child should live in conditions that violate their human rights and the Scottish Government should legislate urgently to create human rights-based statutory minimum housing standards for children.” 

The Mears Group advised the Commissioner’s office in November that the unit would be repurposed for single people only – but they have failed to move all the babies and their mothers to more appropriate accommodation. 

Mr Hobbs added: “We want the Mears Group to urgently relocate all the mothers and babies in this unit to suitable accommodation in Glasgow. They must also be given the support they need for that relocation and helped to integrate into their new communities.

“We also want the council, the health board, and HSPC to make a commitment to not approve asylum accommodation for children that violates their human rights.” 

Yvonne Blake, co-founder of Migrants Organising for Rights and Empowerment (MORE), said: “All mothers and babies should live in conditions that are conducive to the nurturing of their babies and the mothers’ health and well-being. 

“The unit is wholly unsuitable to have mothers and babies living there, especially during the first year of their lives which is crucial for development. They need to be housed where the mums have support and the children can play. 

“The authorities, including Glasgow City Council, must act on the recommendations in this report and act on the numerous calls by the mothers and supporting groups to rehouse the mothers and babies into suitable accommodation in the community where they have support.”  

Graham O’Neill, Policy Manager at Scottish Refugee Council, said: “We echo the Commissioner’s call for the women and children to be moved urgently to proper accommodation that is safe and fit for their needs as new mothers, babies and toddlers.  

“Too often, people’s needs are forgotten or neglected within the asylum system. Unfortunately, we are seeing inappropriate and substandard housing being used more often, including long-term stays in what should be very temporary accommodation and an increase in institutional settings such as hotel rooms and army barracks. This is completely inappropriate for people who have fled violent conflicts and are living with the ongoing effects of trauma.” 

Amanda Purdie, Head of Strategy and Public Affairs at Amma Birth Companions, said: “It is crucial that every parent and child in Scotland is supported to experience positive mental health and wellbeing throughout the perinatal period.

“We remain deeply concerned that the physical, social, and mental wellbeing of both mothers and babies in this unit is suffering as a direct consequence of their living environment.  

“We hope the findings of this report will incite swift action from Mears and all relevant authorities – not only to relocate current residents to suitable accommodation, but also to ensure that no child in Scotland is again placed within an environment that violates their human rights.” 

Following the report, the Commissioner recommends that:  

  • All mother and babies in the unit are urgently relocated  
  • COSLA and partners must amend procedures to ensure human rights duties of statutory agencies 
  • The Scottish Government should legislate to create human rights-based statutory minimum housing standards for children  
  • Glasgow City Council, NHS Greater Glasgow and Clyde, and the HSCP must commit to not approving any asylum accommodation for children that violates their human rights

Weekly Scottish Emergency Department waiting times are ‘worst on record’

Serious concerns for patient safety

The latest weekly update (w/e 20 March 2022) of Emergency Department activity and waiting time statistics show:

  • There were 25,506 attendances in week ending 20 March 2022
  • Four-hour performance was 66.2%, the lowest on record
  • 8,610 patients were delayed by four hours or more, this is the highest on record and means one third of all patients were waiting for four hours or more in an Emergency Department
  • 2,615 patients were delayed by eight hours or more, this is the highest on record and means more than one in 10 patients were waiting for eight hours or more in an Emergency Department
  • 1,015 patients were delayed by 12 hours or more, this is the highest on record and means one in 25 patients were waiting for 12 hours or more in an Emergency Department

Dr John Thomson, Vice President of the Royal College of Emergency Medicine Scotland, said: “Each week the Urgent and Emergency Care crisis worsens.

“Scotland’s Emergency Care system is failing patients who are coming to harm, and failing staff who are overworked, exhausted, and burned out but are left to cover the widespread shortcomings of the health system. Shortages of beds, shortages of staff, the social care crisis; existing staff do all they can to keep patients safe in these exceptionally challenging circumstances.

“It is an untenable and unsustainable situation. This week saw the highest number of long waits on record yet again. Data show that there is one excess death for every 82 patients delayed for more than six hours.

“This week 2,615 patients were delayed by eight hours or more, from this we can estimate that over 30 patients in this week alone could have come to associated harm or death as a result of their delay to admission.

“The significance of this appalling harm must not go unnoticed and must be met immediately with effective and meaningful action. The Scottish Government must understand the severity and extent of harm befalling our patients, and see that existing staff facing moral injury, going above and beyond, running on goodwill and adrenaline is not reasonable or acceptable.

This can no longer be the sole answer to the biggest patient safety crisis in Emergency Care for a generation. This must not continue.”

Healthy Tip – Keep Mum’s Heart Healthy this Mother’s Day

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

Healthy Heart Tip: Keep Mum’s Heart Healthy this Mother’s Day

This Sunday, 27th of March, treat your mum to a luxurious, heart healthy day. It’s important for all mums to remember to take care of their own health and wellbeing, as well as that of their families. Here’s a few ways to make the day healthy and special:

Breakfast in Bed

  • Your mum will love being served breakfast, so pop by the shops early or make arrangements the day before.  Why not serve up a tray of muesli with juicy berries, scrambled eggs with smoked salmon on wholemeal toast and freshly squeezed fruit juice. Dish up yoghurt with a medley of exotic fruits such as mango, kiwi, lychees and star fruit to make the tray more colourful.

Activities Galore

  • An active day out is a great way to spend Mother’s Day. This could be anything from a few rounds of tennis/badminton, a walk in the countryside or a cycle in the park. Spending time together as a family is always a treat. Take a healthy picnic and make sure you do the washing up when you get home. 

Stress-free Day

  • Why not pamper her with a home spa? Light a fragranced candle and treat her to a manicure, pedicure, a relaxing facial or a back/neck massage. Running errands, doing the cooking and the washing up is a good way for mum to have a well-earned and stress free day.

Reverse the roles this Mother’s Day by looking after your mum and treating her to a luscious, heart healthy day!

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/

Disabled Livingston support worker ‘feels alive again’ thanks to dog walking mobility scooter

The joy of owning dogs has remained for Lorraine, 61 from Livingston, thanks to a disability beating off-road TGA Breeze mobility scooter nicknamed ‘Daisy’.

Living near Edinburgh, Lorraine is a former support worker for those with additional needs, who owns two characterful Goldendoodles Katie and Sophie. Walking her dogs is a massive part of her life so when she started to have mobility difficulties following cancer treatment side effects, Lorraine worried how Katie and Sophie would get the exercise they needed.

The answer appeared to be a mobility scooter however Lorraine needed one that could cope with going off road in the countryside, especially in the winter. The Murieston Trail right next to her home was a favourite walk that was now not possible especially as severe fatigue was a problem. She was having to conserve energy and couldn’t risk not being able to get home. The search for a scooter with high ground clearance and good suspension led to the TGA Breeze.

Lorraine spent months shielding at home. She lost her freedom which was hard to cope with as she explains: “In 2020 my back garden becomes my world. Not anymore, I have my freedom back and I don’t feel disabled. Why should I? Cancer was a setback, but I’d say not being able to go out is a bigger set back.

“A scooter gives you your life back. With Daisy I can go anywhere, she often comes back covered in mud when we’ve been out. The Scottish term is bogging. It is so important to be able to escape from whatever is in your head. Going out and seeing things around you takes your mind off worrying.

“Being outside, hearing the birds singing, breathing fresh air, it all takes you to a positive place. My scooter makes me feel alive again.

“Before I had to choose whether I went for short walks with my husband around the shops or to take the dogs out. I didn’t have the energy to do both. Now I can save energy on my scooter and still do other things.

“I have more energy reserves. I can go out in the car knowing the dogs have had a good walk. Katie and Sophie got used to walking next to me on my Breeze really quickly, they weren’t bothered at all as it is quiet.

“What does it feel like to drive a Breeze? Well, it’s stress-free independence, accessibility and not getting tired. I can get home without worrying I won’t make it. I couldn’t do this without my scooter. If you also look at it from a safety point of view, I can get back home quickly if needed.”

The TGA Breeze is an 8mph scooter that has been involved with world record attempts and appeared on BBC Top Gear.

It is popular with ramblers who need power and stability to tackle mud, puddles and uneven ground.

This performance gives Lorraine confidence around the shops or in the countryside and tends to surprise most people as she adds: “I see people’s reaction when I’m coming along a woodland trail and they think they’ll need to get out of the way but no, no, no, I can drive around them on the grass no bother.

“Time and again they have been so surprised thinking that I’m going to get stuck, no chance with my Breeze. I love seeing their faces when I do a sharp turn into the undergrowth. They have no idea what this baby can do!

“I think the design of the Breeze is spot on, it ticks so many boxes that other scooters do not. I would add Harry from TGA who supplied the scooter was so good, no hard sell at all. He just left me to make my own decisions, there was never any chasing on the phone.

“So many companies harangue you these days and won’t leave you alone. This always makes me think they know their product is not good. It’s clear TGA have confidence in their products. When buying a scooter, it can be an emotional time for people. Often, they are vulnerable and the last thing they want is a salesman on their back with a high-pressure pitch. I had no phone calls chasing me, TGA have been brilliant.”

The future for Lorraine is looking bright as she is keen to ‘extend her horizons’. She is hoping to get a trailer for her Breeze so she can tow it to their caravan on the coast at Dunbar.

Lorraine is also pro-actively getting barriers and gates adjusted by her local council so fellow scooter owners can access the many picturesque walks around Livingston. This reflects many other initiatives across the UK including Miles with Stiles and Access the Dales – both supported by TGA.

Lorraine concludes: “Getting fresh air is so important. You can do it on a car boot scooter and that’s ok, but with dogs and wanting to go off road you need something more substantial. 

“People should never look at having a scooter as a negative, there is no loss of dignity, not at all. Exactly the opposite. It’s all about finding new capabilities and opportunities.”

Rates of Crohn’s and Colitis have been vastly underestimated for decades

  • New data released today shows over half a million people are living with Crohn’s Disease and Ulcerative Colitis in the UK, including 1 in 67 people in their 70s.
  • Largest study of its kind worldwide shows rates are far higher than previously thought. 
  • Research shows the UK is second only to the US in prevalence of the conditions and the impacts are huge.
  • Experts believe it is yet to reach its peak and voiced concerns of NHS capacity to manage treatment.

New research released by Crohn’s & Colitis UK today shows that the number of people in the UK living with Inflammatory Bowel Disease (IBD) – the two main forms of which are Crohn’s Disease and Ulcerative Colitis – has been vastly underestimated for years and the rates are growing.

Crohn’s Disease and Ulcerative Colitis are both serious, life-long conditions that involve inflammation of the gut. They can cause debilitating pain and can have a huge impact on people’s mental wellbeing due to the impact of their symptoms.

Patients can also be at higher risk of bowel cancer and up to 80% of people with Crohn’s Disease and 15% of those with Ulcerative Colitis will need to have surgery at some point in their lives. There is no known cure for either condition.

The research, which was carried out by scientists at the University of Nottingham and funded by Crohn’s & Colitis UK and Coeliac UK, shows that the prevalence of Crohn’s and Colitis in the UK population is far higher than previously thought.

The study shows there are over half a million people (1 in every 123) in the country living with inflammatory bowel disease, nearly double that of the 300,000 previously estimated, raising concerns about the capacity of the health service to provide the required care for thousands of people.

The research is the largest of its kind worldwide and measured the incidence (the diagnosis of new cases) and prevalence (the number of cases in the population in 2020) of Crohn’s and Colitis over the last 20 years. It gives the best picture so far of the scale of the problem across the country.

The study involved researchers analysing the health care records of 38.3 million people registered with GPs as part of a UK-wide study. It found that 0.81% of the population or one in every 123 people are living with Crohn’s or Colitis, increasing to 1 in every 67 for people in their 70s. Globally, this research puts the UK as second only to the US in terms of percentage of the population living with the condition and the problem is set to grow.

Symptoms of Crohn’s and Colitis include urgent and frequent diarrhoea (often with blood), abdominal pain, fatigue, and associated anxiety and depression.

The causes of the conditions are unknown and some patients wait years to receive a diagnosis, meaning their symptoms could worsen and they potentially miss out on important treatment and care.

People receiving treatment for Crohn’s or Colitis need specialist care and support from nurse specialists, dietitians and psychologists to help them manage the impact of their condition. Currently, and in part due to the underestimated prevalence, the health service is not equipped to manage this care adequately in any of the four nations. 

Sarah Sleet, CEO at Crohn’s & Colitis UK and Chair of IBD UK said“This study shows that there are nearly twice as many people living with Crohn’s Disease and Ulcerative Colitis in the UK than previously thought, yet outdated figures mean the scale of the issue has been overlooked for too long.

“Lifetime costs for the NHS for treating these conditions are comparable to heart disease and cancer. They can have a profound impact on a person’s life and patients need expert care from doctors, specialist nurses, dietitians, pharmacists and psychologists.

“It’s crucial that the NHS recognises the scale of the growing numbers with Crohn’s and Colitis and does more to prevent lives being blighted for decades by these debilitating illnesses.”

Evelyn, 66 from Dorset said: “I had symptoms for over 3 years before I received my diagnosis. I was suffering pain, weight loss, sickness, and had been admitted to hospital several times.

“Yet doctors told me that it was psychosomatic and I wasn’t believed. I’ve now been living with Crohn’s for over 40 years, having tried years of different medications and had two bowel resections.

“It’s something you learn to live with, but even on good days I have near constant fatigue, frequent pain, and always have to think about where the nearest toilet is. The impact it has on your life is huge”.

Dr Laila Tata, Associate Professor of Epidemiology at the University of Nottingham and lead researcher said: “IBD is unlikely to have reached its peak in the UK. This research estimates that the number of people living with the condition has grown to approximately half a million.

“It is a lifelong condition so it’s highly likely that the prevalence will continue to increase as the population ages. The associated complications, burden on individuals, capabilities of the healthcare system and other societal impacts of this all require serious consideration.

 “We need continued research to understand why we’re seeing inequalities in diagnosis.”

The research found that the prevalence of Crohn’s Disease and Ulcerative Colitis was lower in London compared to the rest of the UK and highest in Scotland. This could be due to a younger, urban population in London.

The prevalence was also lower in more socioeconomically deprived areas and higher in people who declared their ethnicity as white compared with all other ethnicity groups.

Researchers say this may have been due to lifestyle factors, although barriers to diagnosis likely account for most differences between groups, such as differences in awareness of the condition, suggesting a need for increased understanding of these barriers and public awareness of the conditions.

Dr Christian Selinger, Chair of the IBD Committee at the British Society of Gastroenterology, said: “We have seen our workload in IBD increase over the years. The service is under strain as we have more patients and not enough staff.

“In terms of going forwards, we need to make a clear plea for investment in IBD services and the NHS, in order to deliver a high quality of care to patients and provide a better service.”

New Sick Kids celebrates 1st Birthday

NHS Lothian’s Royal Hospital for Children and Young People is ready to celebrate a very special birthday today – Wednesday 23 March – marking one year since the world-class facilities fully opened.

The services moved to the new site from the old ‘Sick Kids’ gradually, with outpatients arriving in July 2020, CAMHS in January 2021 and finally the remaining services including inpatients and A&E in March that same year.

The building and facilities provide a world-class centre for child healthcare, enabling NHS Lothian to continue to build on the excellent reputation for trusted, quality care delivered by dedicated and expert teams.

To commemorate the birthday, activities have been arranged with both patients and staff in mind, and with generous support from a range of partners including Edinburgh and Lothians Health Foundation, Edinburgh Children’s Hospital Charity and Ronald McDonald House.

This includes the distribution of birthday-themed craft boxes with decorations for all wards; a birthday-themed projection on to the building; a drop-in photo booth; a birthday party with stalls, activities and live performances; complementary therapy & pampering sessions for families staying at Ronald McDonald House and treats for all staff which will distributed across each ward. 

Allister Short, Service Director, Women’s and Children’s Services, NHS Lothian said, “The Royal Hospital for Children and Young people offers one of the most modern and best-designed children’s healthcare facilities in the world.

“I hope over the last twelve months, both patients and their families have been able to see what this means and the positive impact it has both for patient care and wellbeing.”

For the Simpson family from Torphichen near Bathgate, the facilities on offer not only help to provide a degree or normality but make a huge difference to the happiness of daughter Robyn.

Mum Michelle explained that the family have been in and out of hospital with Robyn ever since she was born, with the longest stay being four months.

She said, “It is really hard to have a child that is unwell. It places a real strain on you both physically, mentally and emotionally. Coming to the Royal Hospital for Children and Young People makes things just that bit easier – it’s bright, spacious and airy – feeling more like a hotel than a hospital.

“There are so many spaces especially for children and so many activities that they can get involved in – from art and craft to music. Seeing Robyn happy, even though she is in hospital, is incredible. It enables her to be a child rather than just a patient.”

Allister said, “The facilities on offer across the Royal Hospital for Children and Young People are truly incredible, however the services wouldn’t be anything without our talented and dedicated staff.

“Day-in-day-out they deliver so much to ensure the children and young people attending the hospital receive the very best care and support.”

Michelle added, “I can’t thank the staff enough. They offer so much support and reassurance as well as incredible care. It really does help to make it feel like a home from home whenever we’re here.”

For more information on The Royal Hospital for Children and Young People and the facilities that are available visit – children.nhslothian.scot

To keep up to date with the latest news from across Lothian’s Children’s Services, follow them on social media – LothianChildHealth on Facebook and @LothianChildren on Twitter. 

Meanwhile, demolition of the old Sick Kids continues …

Edinburgh Leisure launches Movement for Good challenge

As part of their commitment to keeping people active and well, Edinburgh’s leading sport and physical activity charity, Edinburgh Leisure, is launching a new month-long physical activity challenge that aims to inspire people to get active every day this May.

The Movement for Good challenge is aimed at everyone, not just their members. It’s well-evidenced that moving and being physically active benefits our overall health and wellbeing, but putting it into practice can be hard, with family life, work commitments and household chores often taking precedence over exercise.

Helen Macfarlane, in the newly created role as Edinburgh Leisure’s Director of Wellbeing explains: “Whether people are new to physical activity or need a helping hand to get back into the swing of things, then our new Movement for Good challenge is for them.

“It’s designed to give participants a period of focus when they start to make small consistent changes by being active every day. This is the start of forming healthy habits so that regular activity becomes part of their daily routine, and they build the motivation to stay active because they feel good.

“Being active doesn’t have to mean running a marathon or joining a bootcamp. Even small changes can make a huge difference. Participants are encouraged to find an activity or activities they love, enabling them to create healthy habits and providing them with the motivation they need to stay active. So, for example, someone might wish to step it out, boogie on the dancefloor, or dip their toes into the pool or pump some iron throughout May.

“Participants can also use their challenge to do some good by raising sponsorship money to support local people who need a bit more help through Edinburgh Leisure’s Active Communities programme, so they too can experience the benefits of an active life.”

Each year, Edinburgh Leisure’s Active Communities programme supports over 10,000 people affected by health conditions, disabilities, and poverty – empowering them to improve their health, wellbeing, and quality of life. 

This includes enabling care experienced children to enjoy the active childhood they deserve, to helping people with cancer and other long term health conditions to manage their symptoms and have a better quality of life, to ensuring older adults can stay active and connected for longer.

Participants signing up to the month-long Movement for Good Challenge, will receive a pack full of useful resources, along with hints and tips on how to get the most out of your challenge.  This will help ensure participants have fun, keep motivated and experience the health and wellbeing benefits of becoming more physically active.

Sign up today to join the May Movement for Good Challenge and reap the benefits of an active life – www.edinburghleisure.co.uk/movement-for-good

Learn meningitis signs and look out for your friends

CHARITY MENINGITIS NOW are urging university students across the UK to take a few minutes to learn the signs and symptoms of the disease – as cases rise to pre-Covid pandemic levels.

Every university in the UK could experience at least one case of meningitis amongst its students this term, the charity is warning.

If students fall ill, the temptation might be for them to think they have Covid-19 or a hangover, but it could be something else, including meningitis.

Meningitis is a medical emergency, so it’s vital to recognise the signs and symptoms, act fast and seek medical assistance.

Charity chief executive Dr Tom Nutt said: “We know there are cases happening across the country – we heard of another one at a UK university just last week – and every case is one case too many.

“So today, we’re asking university students to keep meningitis in mind, learn the signs and symptoms and to look out for themselves and their friends.

“The early signs and symptoms of meningitis can be similar to flu and include fever, headache, nausea, vomiting and muscle pain.

“More specific signs and symptoms include fever with cold hands and feet, drowsiness, confusion, pale blotchy skin, stiff neck, dislike of bright lights and a rash which doesn’t fade under pressure.

“The rash can be a late sign though and may not appear, so our advice is not to wait for a rash.”

If meningitis is suspected seek urgent medical help by contacting your GP or calling 111. 

During the pandemic, lockdowns used to curb the spread of Covid-19 also led to a decline in other infectious diseases. Meningitis rates were at a historic low until September last year.

Since then, however, there has been an increase in MenB cases among adolescents and young adults in England, ‘particularly in university students’.

Of the Invasive Meningococcal Disease (IMD) cases confirmed among the 15 to 19 and 20 to 24-year-old age groups in September to November 2021, 84.6% (22/26) were students registered at a further or higher education institution. 

Dr Nutt added: “We always feared there might be a rebound against the historically low figures for meningococcal infection we have been seeing during the pandemic, whilst hoping there would not be.

“We are already working hard to spread awareness messages within universities.

Vaccination is the best way to protect yourself against meningitis. But, with teenagers and young people being far more likely to carry the bacteria that can cause meningococcal disease and as most students will not have been vaccinated against MenB, it is vital they remain extra vigilant, know what to look for and seek urgent medical advice if they or one of their friends becomes ill.”

Meningitis Now has free information for parents and young people and lifesaving Signs and Symptoms cards. Find out more at www.MeningitisNow.org

Anyone affected or with any questions and concerns can contact the Meningitis Now Helpline on 0808 80 10 388 or email helpline@meningitisnow.org.