73.7% of attendances were seen and resulted in subsequent admission, transfer or discharge within four hours
There were 96,338 attendances, a 1.4% decrease when compared to the previous month, December 2021
More than one in four patients were delayed by four hours or more
6,682 patients were delayed by eight hours or more, a 23% increase when compared to the previous month, December 2021
This is equal to 6.2% of all attendances
2,155 patients were delayed by 12 hours or more, a 30% increase when compared to the previous month, December 2021
This is equal to 2.1% of all attendances
Dr John Thomson, Vice President of the Royal College of Emergency Medicine Scotland, said:“The health service in Scotland continues to face severe system pressures.
“Emergency Departments remain dangerously crowded with many patients facing extremely long waiting times as ambulances still face delays in offloading patients. These long waits are leading directly to harm for our patients.
“Despite the challenges of widespread bed shortages and staff shortages, Emergency Medicine staff continue to do all they can to keep patients safe. It is the hard work and dedication of EM staff who are preventing urgent and emergency care from tipping over the edge and falling deeper into crisis.
“Frontline workers continue to be pushed to their limit and are experiencing significant moral injury as a result of inadequate bed capacity and patient flow. It is clear that without significant, immediate change, both patients presenting to our Emergency Departments, and the staff working in them, face ongoing harm.
“Emergency Medicine staff will continue to be pushed to their limit unless an adequate urgent and emergency recovery plan is set out by the Scottish Government – this would prevent any threat of derailing elective care recovery.
“In the longer term, the Royal College continues to call for a fully funded long-term workforce plan and for 1,000 additional beds to be opened in the system. The current status quo is not sustainable for patients or staff, it is time to see meaningful action.”
BURNING MONEY: How much you could be saving per year by giving up smoking
Giving up a pack of cigarettes a day could save you up to £4,197 a year – the price of a family holiday abroad.
Cutting out that weekly pack of cigarettes could save you £598 a year, or £2,991 over five years.
Quitting for good could save you up to £41,975 over ten years – equivalent to a 20% deposit on a new home.
You could be saving up to £4,197 a year by giving up a pack of cigarettes a day according to new research, with savings of £598 a year for less frequent smokers.
Vaping experts over at IndeJuice calculated how much money you could be saving based on the average UK cost for a pack of 20 cigarettes over various timespans. They broke down how much you would save throughout your lifetime if you kicked the habit for good, as well as comparing what you could be spending the money on instead.
The research reveals that if you are smoking one pack of cigarettes per day at the average UK cost of £11.50 per pack, you would save £334.58 per month or £4,197 over the course of a year by quitting – the cost of a family holiday abroad for four people, the cost of running your car for ten years or paying for 11 years’ worth of gym memberships.
Someone who regularly smokes a full pack of cigarettes a day can expect to see staggering savings in the long run – banking up to £41,975 over ten years from quitting smoking. This is the equivalent of a 20% deposit on a £200,000 property, the price of a Porsche Cayman or nearly a kilogram of 24 carat gold.
For people who are only smoking a couple of cigarettes a day, the cost can still quickly add up. If you are smoking just one pack of cigarettes a week at the same average cost, you could still make savings of £598 a year, or £2,991 in your pocket over the next five years.
The money saved by quitting for one year, could cover the cost of a three-course meal for you and your significant other 11 times a year, the cost of nine weekly food shops or seven annual Netflix subscriptions.
A spokesperson from IndeJuice added: “Many smokers are already aware of the harm imposed on their body by regularly smoking, but it is easy to overlook the financial savings that could be made by choosing to quit for good.
“When looking at Google Trends data over the past five years, there has been a significant increase in people searching the term ‘quit smoking’ year on year, with the exception of 2021 where there was a 2.3% decrease in searches from the previous year.
“As we emerge out of the pandemic, it is important that we continue to reflect on the health benefits of quitting for good, and the long-term savings offer an additional incentive to do so.”
Mental Health Foundation calls for Scottish Government commitment to cost-effective prevention of poor mental health
Cost to UK economy is at least £117.9 billion, around 5 per cent of GDP
Mental health problems cost the Scottish economy at least £8.8 billion annually according to a new report published today by the Mental Health Foundation and London School of Economics and Political Science with support from the University of Strathclyde.
Almost three-quarters of the cost (72%) is due to the lost productivity of people living with mental health conditions and costs incurred by unpaid informal carers who take on a great deal of responsibility in providing mental health support in our communities.
To put the economic cost of mental ill-health in Scotland into context, the NHS Scotland operating budget for 2020/21 was around £15.3 billion.
The UK cost is at least £117.9 billion – equivalent to around 5 per cent of the GDP. Across the UK there were 10.3 million recorded instances of mental ill-health over a one-year period, and the third most common cause of disability was depression.
The report, ‘The economic case for investing in the prevention of mental health conditions in the UK’, makes the case for a prevention-based approach to mental health which would both improve mental wellbeing while reducing the economic costs of poor mental health.
Lee Knifton, Director of Mental Health Foundation in Scotland,said: “Our report reveals the opportunity we have to revolutionise our approach to mental health in Scotland.
“It’s time to increase investment in population-level prevention of mental health problems. We can’t only treat our way out of the mental health crisis, which is worsening due to the pandemic, and we cannot afford the spiralling costs to both people’s wellbeing and our economy.
“We urge the Scottish Government to pay attention to what the evidence is telling us and commit to prioritising prevention in mental health. A prevention-first approach will not only help break down the barriers to good mental health but empower people to thrive at every stage of their lives and boost our economy in the long run.”
Research gathered from the UK and internationally shows the potential public health and economic benefit of programmes that target and prevent mental health problems and empower more people to live well, for example, by addressing issues such as perinatal depression, bullying, and social isolation in older people.
Other well-evidenced initiatives include promoting positive parenting, rapid access to psychological and psychosocial supports for people with identified needs and building supportive and inclusive workplaces.
A growing number of studies report on the significant return on investment from parenting programmes. Methods and costs vary, but those assessed in this way cover a long-time frame and report positive returns of up to £15.80 in long-term savings for every £1 spent on delivering the programme.
Similarly, a review of workplace interventions found savings of £5 for every £1 invested in supporting mental health.
Lead author of the report, David McDaid, Associate Professional Research Fellow in Health Policy and Health Economics at London School of Economics, said: “Our estimate of the economic impacts of mental health conditions, much of which is felt well beyond the health and social care sector, is a conservative estimate.
“What is clear is that there is a sound economic case for investing in effective preventive measures, particularly at a time when population mental health may be especially vulnerable because of the COVID-19 pandemic.
“This requires further sustained and coordinated actions not only within the health and social care sector, but across the whole of government.”
The £8.8 billion costs to the Scottish economy is likely to be a significant underestimate of the true costs – based on the lack of data available around some key areas.
For example, health service costs are based on the number of people receiving treatment and do not consider the many people who would benefit from treatment but either does not receive it because of pressure on services or do not seek help.
Additionally, no costs are included for reduced performance at work due to mental health problems, costs to criminal justice and housing systems linked to poor mental health, costs associated with addiction issues, or the costs associated with self-harm and suicide.
New research from World Cancer Research Fund (WCRF) reveals that 97% of Brits already own the foods that could help to prevent cancer
Brits who spend the least on their weekly food shop own the most cancer preventative staple foods
Nation’s favourite staples revealed as tinned tuna and pasta
Nation’s least favourite voted as dried pulses, seeds and tinned carrots
World Cancer Research Fund, the leading authority on cancer prevention, is urging people to look in the back of their cupboards and make heroes of their forgotten basics.
While 40% of cancers could be prevented by lifestyle changes including diet, only 10% of Brits realise this, and 7% of people think that no cancers can be prevented.*
However, you don’t need to eat goji berries or other ‘superfoods’ every day to help prevent cancer. The basic foods that often languish in our cupboards can hold the key to improving our health. Even better, most of us already own them.
Respondents were asked to select from a long list of common, nutrient rich staple foods including tinned tomatoes, rice and pulses, that all aligned with one of the charity’s key cancer prevention recommendations: ‘Eat a better diet’. 97% of people owned at least one of these items.
The nation’s most loved staples were revealed as tinned tuna and pasta (both 27%), while the nation’s least loved foods included dried pulses (4%), seeds and tinned carrots (both 6%).
To help people make the most of these ingredients, the charity has developed a Cupboard Heroes recipe generator where people can type in their cupboard (or fridge, or freezer) basics and discover an array of delicious and healthy recipes that can also help reduce the risk of cancer.
Interestingly, the research shows that the majority (42%) of people spend £20-30 per person on their weekly shop. And it’s those who spend under £30pp who were shown to own the most cancer preventative foods, proving that eating a healthy diet doesn’t have to break the bank.
Bestselling author, chef and ambassador for Cancer Prevention Action Week 2022, Phil Vickery, said, “I’m thrilled to be partnered with World Cancer Research Fund to raise awareness of these important findings.
“Eating fuss-free staple foods has so many benefits, particularly in the current context. It’s never too late to change your diet and improve your health and you really can make showstopper meals which are full of flavour using unexpected ingredients.”
Rachael Gormley, CEO of World Cancer Research Fund said, “We have seen the power of prevention first-hand. Healthy eating can often feel unattainable, but our evidence shows we don’t need to rely on heavily marketed, expensive ‘superfoods’.
“Whilst canned, dried and frozen items often get a bad rap, the good news is they are also packed full of vital nutrients and can help to reduce your risk of cancer. This Cancer Prevention Action Week, we wanted to provide people with the tools and information that can help them reduce their cancer risk.
“Our latest research shows that people already have the right ingredients they just need some inspiration to turn them into delicious dishes.”
World Cancer Research Fund’s recipe generator enables people to input up to two basic ingredients and discover an array of nutritious meal ideas at the click of a button.
Recipes include lentil & tuna salad – mixing the nation’s least favourite store cupboard staple with one of its favourites, vegetable pasta bake – a simple and budget conscious option from the charity’s Family Flavours cookbook, and a chickpea & bean casserole.
For all recipes fresh ingredients can also be swapped for tinned.
An additional £6m has been provided to the Communities Mental Health and Wellbeing Fund to meet the demand for local mental health and wellbeing projects.
The fund was launched in October last year with £15 million to support grass roots community groups and organisations to deliver activities and programmes for adults which tackle the social isolation, loneliness and mental health inequalities made worse by the pandemic.
The funding provides an opportunity to re-connect and revitalise communities building on examples of good practice which emerged throughout the pandemic. Projects supporting sport, outdoor and nature initiatives as well as arts and crafts were successful in the initial funding.
Mental Wellbeing Minister Kevin Stewart said: “This additional £6 million is being provided in light of the positive demand for the original £15 million announced in October last year. We have seen lots of high quality bids for projects that will undoubtedly make a real difference to local communities and we want to support as much of this as possible.
“The importance of community interventions in supporting people’s mental wellbeing cannot be underestimated and prevention and early intervention is a priority for the Scottish Government.”
The Good Morning Service in Glasgow is one organisation which has received funding. Around 400 older people have benefitted from the service which builds meaningful relationships through regular telephone befriending sessions.
The service directly monitors mental and physical well-being, reducing social isolation, and flags potential health problems whenever a Good Morning Call remains unanswered.
Good Night Calls are also provided from November to February alleviating the heightened sense of loneliness that the dark winter nights can bring.
Nicky Thomson, Chief Executive Officer of the Good Morning Service, said; “Simply put, without the support from the Scottish Government we wouldn’t be able to run our 365 day life-enhancing and life-saving service providing practical and emotional support.
“The Community Mental Health and Wellbeing Fund has enabled us to reach more people in need. Notably, it is the light-touch, non-intrusive nature of our support which is very attractive to older people. We don’t diminish their sense of ability to live independently, we enhance it.
“Operationally, on Good Morning Calls we take whatever time is needed to help people to implement their coping strategies and build resilience. Resilient people build resilient communities, which is what we need at this challenging time.”
The positive role that art and creativity plays in enhancing our mental health and well-being is at the heart of activity taking place in communities across Scotland and backed by £800,000 of National Lottery and Scottish Government support in the latest round of Creative Scotland’s Open Fund awards.
Forging connection through music making and storytelling is central to Acorn Shed Music’s approach. In their latest project with partners Ceartas Advocacy and The Village Storytelling Centre, Songs from Here will bring together people living with dementia in East Dunbartonshire to create songs and stories based on lived experience.
Set up in 2017 with the aim of finding ways to use group songwriting to explore difficult conversations, Acord Shed Music’s Co-Founder, Carol Beckwith said: “Writing songs that emerge from individual and shared stories provides opportunities to take a more creative approach to exploring the experience of dementia and dementia care.
“We anticipate that as people begin to reveal their creative identities in this way they begin to understand that ‘voice’ is more than just the words that we say.”
In Edinburgh, Artlink is about to roll out a new programme of workshops, discussions, performances, installations, exhibitions and artist placements for people with complex disabilities.
Jan-Bert van den Berg, Director at Artlink, said: “Over the last two years amazing new creative relationships have formed between people with complex disabilities, their supports, and artists.
“As we emerge into a post lockdown world, we want to make sure that those people who have been hardest hit are included in influencing and shaping the new cultural landscape.
“Being Human supports a programme of creative work that harnesses the strengths and passions of all involved to make the most of what has been learnt.”
Becoming a dynamic hub of creative activity, Glasgow’s Good Vibrations supports people through communal music making, with a focus on the gamelan and Indian tuned percussion orchestra.
Hekate Papadaki, Executive Director of Good Vibrations explains: “Through communal music-making and other creative activities we support people who may have more limited access to participating in arts and culture – those from deprived areas and those with disabilities and mental health needs – to develop personal, social and music skills, self-confidence and positive self-identities.”
Paul Burns, Interim Director, Arts and Engagement Creative Scotland said: “The arts and creativity make an invaluable contribution to our health and wellbeing – both physically and mentally.
“Thanks to the generosity of National Lottery players, who raise over £30 million for good causes across the UK every week, and funding from the Scottish Government, these awards continue to address issues of mental and emotional wellbeing while also enriching the lives of people of all ages and backgrounds.”
A full list of Open Fund recipient awards is available on the Creative Scotland website.
The British Dental Association Scotland has greeted the unanimous support of opposition parties, while accusing the Scottish Government of failing to take needed action to halt an exodus from NHS dentistry and restore access to millions.
In a debate in Holyrood today Scottish Government MSPs voted against a motion on support for NHS dentistry tabled by the Scottish Conservatives and backed by both Scottish Labour and Liberal Democrats.
Ministers have been planning to cut pandemic support from April. While the Government has recently indicated that there will be no “cliff edge”, the BDA has consistently warned that the plans to end Covid support payments and return to a low margin/high volume model of care would devastate dental services across the country.
Morale in the profession is at an all-time low, with more than a third of dentists saying they intend to leave the profession in the next 12 months, and 80% planning to reduce their NHS commitment if the Government reverts to pre-pandemic arrangements. Failure to act risks sparking an exodus from the workforce which would mean families across Scotland losing access to NHS dentistry for good.
Over 3.5 million NHS dental appointments were lost in Scotland as a result of the pandemic. As infection prevention and control measures continue to limit the number of patients dentists can see, this unprecedented backlog continues to grow and will likely take years to clear.
The BDA has warned the SNP’s 2021 election pledge of free NHS dentistry for all will be unrealisable without meaningful support and real reform. It is pressing for a workable interim funding model, and long-term change to a system that prioritises prevention, is patient-centred and reflects modern dentistry.
David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said:“NHS dentistry in Scotland is facing crisis, but sadly Ministers seem asleep at the wheel.
“Opposition parties are all seeing the plain facts that Scottish Government plans could devastate services millions depend on and widen already unacceptable health inequalities.
“Promises have been made to the voting public that simply that can’t be kept unless we see meaningful support and real reform as we head out of the pandemic.”
The Scottish Government must focus on transforming health and social care services to address the growing cost of the NHS and its recovery from Covid-19.
Improving the NHS will be very difficult against the competing demands of the pandemic and an increasing number of other policy initiatives, including plans for a National Care Service.
The health service in Scotland is on an emergency footing and remains under severe pressure. There is a growing backlog of patients waiting much longer for treatment because of the response needed to Covid-19. That has made workforce planning and delivering on ambitious recruitment plans all the more important. But the Scottish Government has historically struggled to recruit enough people with the right skills.
The NHS’s ability to plan remains hindered by a lack of robust and reliable data, including workforce, primary care, community, social care, and health inequalities data.
Meanwhile the pandemic has increased the fiscal pressures on the NHS, which remains financially unsustainable. This is despite the Scottish Government allocating £2.9 billion for pandemic-related costs in 2020/21 and committing more funding in 2021/22 and beyond.
Stephen Boyle, Auditor General for Scotland, said: “Reforming the NHS is key to the Scottish Government’s pandemic recovery plan and needs to remain a priority. Putting Covid costs to one side, health spending is rising every year, meaning less money for other public services.
“There’s now a clear opportunity to do things differently by building on the innovation and collaboration we’ve seen across the NHS in the last few years.
“For that to happen, our leaders must take the public with them and involve them in the shift from care being delivered in hospitals to much closer to people’s homes. But better-informed policy decisions and services won’t be possible without better collection and use of data.”
Public Health Scotland (PHS) has published an analysis of the latest available data on alcohol sales and harms in Scotland during the COVID-19 pandemic. This provides a picture of how the pandemic and its related restrictions may have impacted on alcohol sales, alcohol-related hospital stays and alcohol-specific deaths.
Presenting data on alcohol sales up to 8 May 2021, and previously published data on hospital stays up to 31 March 2021 and deaths up to 31 December 2020, the report shows that while rates of hospital stay related to alcohol fell, rates of alcohol-specific death increased. This was driven by an increase in deaths in men and those aged 45 to 64 years, groups that experienced the highest rates of deaths caused by alcohol prior to the pandemic.
This is despite total alcohol sales (litres of pure alcohol per adult) being 9% lower in 2020 than the 2017-19 annual average, and 16% lower in 2021 (January–May) than the average for January–May 2017-19. While sales of alcohol through supermarkets and shops (off-trade) increased during the pandemic, sales through pubs, clubs and restaurants (on-trade) decreased substantially due to the restrictions imposed because of the pandemic.
This, combined with other evidence of how alcohol consumption may have changed during the pandemic, suggests that drinking at hazardous and harmful levels may have increased for some groups who potentially experienced higher rates of mortality as a consequence.
Lucie Giles, Public Health Intelligence Principal at Public Health Scotland said:“The data show that the number of people accessing hospital with an alcohol-related diagnosis fell during the pandemic, particularly at times when restrictions were at their most stringent.
“We saw the greatest reductions amongst men and those aged 45 years and over and it was in these same groups that we saw increases in deaths caused by alcohol. This was despite average alcohol consumption for the population falling, a change driven by a reduction in sales of alcohol through pubs and clubs.
“Despite the reduction in sales overall the data indicate that population level consumption of alcohol was still above recommended levels. Between March 2020 and May 2021, 17 units (171 ml) of pure alcohol have been sold per adult each week on average, 16 (162 ml) of which have been from off-trade premises. This represents enough alcohol to put every adult in Scotland over the Chief Medical Officer’s low-risk weekly drinking guideline of 14 units.
“Taken together, the evidence points to increased drinking amongst some groups, coupled with a reduction in the number of people accessing hospital treatment and greater rates of death caused by alcohol. Tackling alcohol consumption and harms, particularly among high-risk groups, should be a critical objective of any COVID-19 recovery plans.”
Matt Lambert, CEO of the Portman Group– the alcohol social responsibility body and marketing regulator – said: “Public Health Scotland’s latest data reaffirms a body of research that shows overall alcohol consumption fell during 2020.
“Yet in contrast alcohol-related deaths tragically increased which may in part be due to the heaviest drinkers finding it harder to access support. There is a duty of care to now focus on targeted measures for the minority, those who were already drinking at the heaviest and most harmful rates, who then increased their drinking as the impact of the pandemic compounded existing problems.
“Finally, we would be interested to understand why this report focuses on alcohol sales while downplaying the Scottish Government’s own studies on actual alcohol consumption that shows a persistent fall in drinking rates for over a decade.
“With the majority of people in Scotland drinking an average of 12.1 units a week, below the CMO low risk guidelines of 14 units per week, it is important to view drinking rates accurately and address this within policy making.”
Alcohol sales and harm in Scotland during the COVID-19 pandemic
Regular physical activity is strongly associated with a reduced risk of chronic conditions, such as cardiovascular disease, obesity and type 2 diabetes as well as improving mental health. Even small increases in physical activity can positively impact on health. Heart Research UK have some tips to help you keep active.
Avoid long periods of inactivity Set a timer to go off at specific times throughout the day to prompt you to do ten (or more) minutes of physical activity. Any activity is better than none. You can include a variety of light, moderate and vigorous activities. E.g. a brisk walk, sit-ups, weight-lifting, gardening or housework.
Reduce screen time for kids It is common for children and young people to spend too much time sitting in front of a screen. Why not talk to your children about the importance of staying active and agree on a set amount of screen time each day/week and schedule in some time for getting active.
Don’t be a couch potato Rather than spending your evenings sitting on the sofa without moving much, why not try a few gentle exercises, such as leg raises, while watching your favourite TV show. Try opening YouTube and searching for a quick 10- or 20-minute workout video.
Change your daily commute Now that many of us are heading back to the workplace, try not to jump straight for the car as the main choice of travel. If you do need to drive to work, then why not park a little further away once you arrive in order to get some valuable steps in.
