Taking time out for National Breathing Space Day

National Breathing Space Day (1st February) takes place annually to raise awareness of the confidential support the mental health phone service provides for anyone feeling low or stressed.

The theme for the day is ‘You Matter, We Care’ and Breathing Space is delighted that an increasing number of organisations are actively promoting that message through the Breathing Space Bench Project

Over the last year, a range of organisations have teamed up with Breathing Space to encourage Scots to take some time out for their mental health with a moment to sit and reflect or share their feelings, by installing the special benches.

Breathing Space Benches are now sited in locations as varied as Inchinnan Church, Musselburgh Golf Club, Lanarkshire parks, colleges across Borders, Fife, Dundee and Angus and at Strathclyde University.

The Breathing Space Bench Project is aimed at creating welcoming spaces – encouraging people to sit and take some breathing space, to share a bit of time for listening and talking, or by reaching out and showing kindness and compassion.

This has been especially important at a time when the usual ways of meeting up for a chat have been limited.

Tony McLaren, Breathing Space National Coordinator, said: “It’s certainly been a challenging for year everyone, including our own staff who have continued to offer a compassionate listening service while working in new ways and in new office environments to safeguard against the pandemic.

It’s inspiring to see how many organisations are committed to supporting people to stay mentally healthy through taking time to listen and share. They are doing a doing a tremendous job in taking forward this mental wellbeing agenda, offering a place to connect and reflect, and showing that we shouldn’t be afraid to talk about how we are feeling.

 “If anyone who is struggling and needs a listening ear, and wants to take a chat beyond the bench, our advisors at Breathing Space are available in the evenings and at the weekends on 0800 83 85 87 or through web chat, to listen and offer information and advice. If you’re worried or feeling down, please get in touch for some ‘breathing space’”

Minister for Mental Wellbeing and Social Care, Kevin Stewart MSP said: “Looking after our mental health and wellbeing is just as important as looking after our physical health.

“That message is especially relevant at the moment, given the continuing challenges which we all face in relation to the COVID-19 pandemic.

“Breathing Space is a free service providing vital out-of-hours support to people across Scotland who are feeling low, stressed or anxious. I’m delighted to highlight the help available and to support Breathing Space Day.

“I would urge anyone who is experiencing low mood, anxiety or distress in their lives to get in touch with the service through the helpline; through NHS24 on 111; or by looking at the range of helpful advice on the Breathing Space website.”

Boosters provide high level of protection against death with Omicron

The latest data from the UK Health Security Agency (UKHSA) shows that boosters significantly reduce the risk of death with Omicron

The findings show that around 6 months after a second dose of any of the coronavirus (COVID-19) vaccines, protection against death with Omicron was around 60% in those aged 50 and over. However, this increased to around 95% 2 weeks after receiving a booster vaccine dose.

The data continue to show high levels of protection against hospitalisation from the booster. After a Pfizer booster (after either primary vaccination course), vaccine effectiveness against hospitalisation started at around 90%, dropping to around 75% after 10 to 14 weeks.

After a Moderna booster (mRNA-1273) (after either primary vaccination course), vaccine effectiveness against hospitalisation was 90% to 95% up to 9 weeks after vaccination. Longer follow-up data is not yet available and these figures may change with time.

An initial analysis of vaccine effectiveness against the Omicron variant sub-lineage known as BA.2 (designated VUI-22JAN-01 on 19 January), reveals a similar level of protection for symptomatic infection compared to Omicron (BA.1).

After 2 doses, effectiveness was 9% and 13% respectively for BA.1 and BA.2, after 25+ weeks. This increased to 63% for BA.1 and 70% for BA.2 from 2 weeks following a booster vaccine.

Dr Mary Ramsay, Head of Immunisation at UKHSA, said: “The evidence is clear – the vaccine helps to protect us all against the effects of COVID-19 and the booster is offering high levels of protection from hospitalisation and death in the most vulnerable members of our society.

“The pandemic is not over yet and the vaccine is the best way to increase your protection against the serious consequences of this virus – please book your appointment for your first, second or third vaccine without delay.”

Vaccines minister Maggie Throup said: “A booster vaccine is absolutely crucial to topping up your immunity against the Omicron variant.

“More than 80% of eligible adults in England have already received their booster and this has allowed us to ease COVID-19 restrictions.

“You can book online, visit a walk-in or one of our many pop-up vaccination clinics – please get boosted now.”

Stroke Association responds to latest Public Health Scotland figures

Responding to Public Health Scotland’s latest stroke statistics, John Watson, Associate Director Scotland of the Stroke Association, said: “The latest stroke figures reinforce what the Stroke Association has repeatedly said – that stroke has a huge impact on the health and social care landscape in Scotland, and those who live in the poorest parts of our country are the most adveresly affected.  

“The health and social burden of stroke falls most heavily on certain groups. The death rate for cerebrovascular disease in the most deprived areas in 2020 was 43% higher than in our least deprived areas.  

“Stroke remains Scotland’s fourth biggest killer. More than 128 000 Scots are living with the effects of their stroke. The need for improvements in stroke prevention, treatment and care is urgent and recognised by the Scottish Government. 

“We await the imminent publication of the Scottish Government’s vision report outlining a new progressive stroke service for Scotland.

“We then expect a Stroke Action Plan to follow that quickly – outlining how the vision is to be delivered in Health Boards and communities across Scotland.”

Doddie Weir Foundation donates £150k to MND charities

The My Name’5 Doddie Foundation, founded by rugby legend Doddie Weir, has donated £50,000 to charity MND Scotland and £100,000 to the MND Association, to support people living with motor neurone disease (MND). 

Doddie, who first shared his MND diagnosis in June 2017, has pledged to help others with the rapidly progressing terminal illness, as well as funding for research into finding a cure. 

Since 2018, the Foundation has committed annual funding to MND Scotland and the MND Association, to help the charities provide vital support to people who are currently affected by MND. 

This new cash boost takes the Foundation’s total donations to MND Scotland and the MND Association to £430,000 and £770,000, respectively. The funds will be used by both organisations to help ease some the financial burden that comes with a diagnosis of MND, through their grant programmes. 

These programmes aim to help reduce some of the extra costs that come with living with MND. The grants can be used in various ways, for instance; to help with costs towards home adaptations, such as ramps and stairlifts, for specialist equipment to live life more independently, and for respite activities for carers and families. 

Jill Douglas, CEO of the My Name’5 Doddie Foundation, said: “We recognise the challenges faced by people who are given this terrible diagnosis and the impact it has on them and their families.

“We speak to people every day who need support and we are committed to doing all we can to help. We are delighted to work with the two MND charities, MND Association and MND Scotland who have the experience and expertise to make sure our grants reach the people who need them most.” 

Rachel Maitland, MND Scotland’s Chief Executive, said: “A diagnosis of MND can put an enormous financial strain on people living with the disease, and our grants programme can be life-changing for those affected in Scotland. 

“We thank the My Name’5 Doddie Foundation for this very generous donation and for the Foundation’s continued support over the years.

“These funds help MND Scotland provide essential financial support when people need it the most, and by continuing to work together we can make life a little easier for people living with MND right now.” 

Sally Light, Chief Executive of the MND Association for England, Wales and Northern Ireland, said: “MND will only be defeated through collaboration and partnership, and so we are delighted our care grants partnership with the My Name’5 Doddie Foundation will be entering its fifth year.

“While we are working hard to find a cure for this devastating disease, it is vital we can provide tangible support right now to those living with and affected by MND.

“Our comprehensive grant programme is there to help people living with MND and their families in a number of ways, which can make a real difference when they are desperately in need of support.

“We are incredibly grateful to the My Name’5 Doddie Foundation and know that this generous donation will help so many people in the MND community.” 

For more information visit www.mndscotland.org.uk.

Urgent action needed to address critical issues in delivery of social care

Action is needed now to change how Scotland’s social care services are delivered so that it meets the needs, and improves the experience of, people relying on care and support, say Scotland’s spending watchdogs.    

The joint briefing by the Accounts Commission and the Auditor General for Scotland says fundamental issues and threats to the future sustainability of Scotland’s social care system need to be addressed. The pandemic has exacerbated long-standing challenges, highlighting the precarious situation of many vulnerable people who rely on social care or support.  

Over £5 billion a year is spent on delivering social care services, yet some services are at near crisis point. There needs to be a shift in how this money is used, with a far greater emphasis needed on preventative care that meets the needs of individual people. Service users do not always have a choice or say about what support works best for them. Nor are carers getting all the support and advice they need, despite existing legislation.  

Now the Scottish Government, together with its partners, must listen and bring together the views and experiences of service users and carers. This will support the delivery of their long-held ambitions for social care. 

The 200,000-strong workforce is under immense pressure and feels undervalued. There is a high vacancy rate and a continuing problem of recruiting and retaining this workforce into roles which often have low pay and poor conditions of employment. At the same time demand for social care services continues to increase. 

Commissioning social care services tends to focus on cost, rather than quality or outcomes. Worrying limitations in social care data has created major gaps in the information needed to inform improvements.  

William Moyes, Chair of the Accounts Commission, said: “There are significant problems with the delivery of social care services. These services are vital, yet we have a workforce that’s not adequately valued or regarded.

“Staffing shortages are a major issue across the sector and not all people’s needs are being met. Too often a focus on costs comes at the expense of delivering high quality services that aren’t at the heart of the needs of individuals. The additional funding to achieve this will be significant. Not taking action now presents a serious risk to the delivery of care services for the people who depend on them.

Stephen Boyle, Auditor General for Scotland, said: “We cannot wait another five years until the planned National Care Service is in place. Action must happen now, and at speed, by the Scottish Government.

“There must be clear timescales for delivery, demonstrating that lessons have been learnt from previous reforms of health and social care services. This will create a strong foundation for the government’s vision to create a National Care Service.”

COSLA’s Health and Social Care Spokesperson, Councillor Stuart Currie, responded to the Audit Scotland report on social care: ‘The Audit Scotland report sets out many of the challenges that Local Government has consistently highlighted for many years now.

“There is an urgent need to address these challenges – many of which have been exacerbated by the pandemic – by working with our partners across Scottish Government, in the third and independent sector, and most importantly, people with lived experience.  

“We agree with Audit Scotland  that Social Care reform cannot wait for a National Care Service to be implemented. Local authorities are central to delivering the right care at the right time in the right place.

“Local Government recognises that we cannot stand still if we want to create meaningful change for our communities. We continue to work with Scottish Government to progress our shared commitments outlined in our Joint Statement of Intent so that we can now begin to implement much of the reform that was called for in the Independent Review of Adult Social Care.

“Fundamental to these shared commitments is a recognition that through empowering people, valuing our workforce and embedding a human rights-based approach in social care, we can begin to deliver real solutions for our local communities, unpaid carers, and our workforce.”

The Leith Collective tackles hidden poverty with ‘no questions asked’ coat exchange

Locals urged to donate as cost of living soars

It has been a relatively mild winter so far, but those familiar with Edinburgh weather know that could all change in a heartbeat. Sadly for many locals, a cold spell could prove to be their breaking point.

With fuel bills soaring and the cost of essentials massively increasing, many city residents are feeling the pressure of the rapidly rising cost of living. And so, The Leith Collective has introduced a ‘no questions asked’ coat exchange to give a helping hand to those who might need it.

Situated outside The Leith Collective shop at Ocean Terminal, rails of good quality coats are available for collection now – at no cost and with no questions asked.

And locals are being urged to donate. Coats of any size can be dropped off at The Leith Collective at Edinburgh’s Ocean Terminal where they will be quarantined for 72 hours, in-line with covid safety guidance. They will then be displayed outside the store for anyone to collect.

The idea behind the coat exchange is two-fold, as The Leith Collective founder, Sara Thomson explains: ‘The nation is currently facing a poverty crisis, with the cost of living rising faster than ever, and job insecurity resulting from the pandemic still affecting many.

“Edinburgh is not immune to this and we’re witnessing the damaging effects here in Leith and beyond. Coupled with the climate crisis, we felt we had to take action and try to help. And so the coat exchange was born. Not only is it a sustainable solution that keeps quality clothes out of landfill and in use, it also provides a valuable opportunity to kit out families in genuine need.”

The coat exchange is the latest in a series of initiatives launched by The Leith Collective to simultaneously support locals and promote a circular economy, following their hugely successful Christmas tree exchange in December 2021. 

As a Community Interest Company, all profits from the shop go towards supporting the community and promoting sustainability through the arts.

The Leith Collective actively supports individuals with mental health or support needs to grow in confidence and gain experience in the workplace, and offers business mentorship to any members of the Collective.

It is hoped that by hosting the coat exchange in an accessible location such as Ocean Terminal, those currently experiencing difficulties will be able to receive a helping hand.

Donations to the coat exchange can be dropped off at The Leith Collective during opening hours, Monday – Saturday 11am – 6pm, and Sunday 11am – 5pm. Coats should be clean and in good condition.

MSPs launch inquiry into how Scots access healthcare services

An inquiry into the different ways patients access healthcare services in Scotland has been launched by the Health, Social Care and Sport Committee.

Traditionally, when a person seeks healthcare their first point of contact is usually with a general practitioner (a GP or family doctor) but the inquiry is focused on other routes to accessing healthcare that exist in the community, referred to as ‘alternative pathways’.

The aim of the inquiry is to explore how and to what extent these alternative pathways are being used to access primary care, and to identify key issues and opportunities for improvement. 

Alternative pathways to healthcare in the community include:

  • Seeing a different health practitioner, such as a physiotherapist, nurse, pharmacist, speech therapist, or podiatrist who works in the GP practice or in the local community.
  • Being directed to other types of support to improve health and wellbeing – such as walking groups, community groups, advice, or volunteering (referred to as ‘social prescribing’).
  • Using telephone helplines websites to access additional information, advice and online therapies.

The Committee is seeking to find out the current level of awareness amongst health practitioners and patients of alternative pathways to healthcare other than seeing a GP and how this might be improved in the future.

They are keen to find out what capacity other primary healthcare professionals have to take on more patients, the role of social prescribing in alternative pathways and how technology can improve services.

Speaking as the inquiry launched, Gillian Martin MSP, Convener of the Health, Social Care and Sport Committee, said: “The traditional model of primary care where you went to see a GP for any and all health issues is placing ever increasing pressure on GP services.

“This isn’t a sustainable situation for general practices – but it’s also not good for patients struggling to get a GP appointment when there may be alternative and better routes they could go down to get the healthcare they need.

“Through our detailed work on this inquiry, the Committee is keen to explore what opportunities exist to make more and better use of these alternative routes to healthcare.

“We want to find out what role they have to play in creating a modern, flexible, community-based healthcare system which allows patients to access the right professional, at the right time.”

If you are a medical professional or organisation who would like to respond to the inquiry you can do so here: https://yourviews.parliament.scot/health/alternativepathways 

Members of the public can give us their views here: https://yourviews.parliament.scot/health/alternativepathways-survey 

The call for views will close on 22 February 2022.

Scots to become Distance Aware

Voluntary scheme to encourage people to give space

Free badges and lanyards will be available to people who wish to show others they would welcome additional space and extra care while out in public.

The Distance Aware scheme is a voluntary initiative to help those on the Highest Risk List or anyone who feels worried about mixing with others as we adapt to living with COVID-19.

The Scottish Government has joined the scheme set up by the Bevan Commission and adapted it following research which showed that almost three quarters (73%) of people on the Highest Risk List said they would like to signal to others to give them extra space.

From 26 January, the badges and lanyards with the easily-recognisable shield symbol will be available free from all community and mobile libraries in Scotland. Badges will also be free from Asda stores. They can be ordered from the Scottish Government website for a small postal fee.

Health Secretary Humza Yousaf said: “We are beginning to adapt to living with COVID-19 but we know that, for some people who have been at higher risk or feel anxious about going out in public, this is a big step.

“This scheme not only provides vital reassurance to anyone who chooses to wear a badge or lanyard, but also encourages us all to be more aware and considerate of those around us – as we simply don’t know their circumstances or concerns.

“I hope this will help people feel more confident and comfortable to go about their daily lives. The shield symbol can be worn by anyone.”

British Red Cross Scotland Director of Independent Living and Crisis Response Marie Hayes said: “We fully support the aims of the Distance Aware campaign and will be proud to highlight the scheme to callers contacting our Connecting With You service. Many people are experiencing loneliness, and are fearful of going out of their own homes as a result of the pandemic.

“We believe Distance Aware can help overcome this and help them to re-engage with social activities. This could be invaluable in helping to tackle loneliness.”

Asda Senior Director for Scotland Brian Boyle said: “We are delighted to work with the Scottish Government to implement this scheme in Scotland. There has been interest in the free Distance Aware badges, particularly from our more vulnerable customers.

“As people become aware of the badge and its meaning, the more effective it will be in helping people to feel safer and less worried when they are out and about.”

From 26 January, find details of the Distance Aware scheme here. 

Social care crisis must be addressed, says Royal College of Emergency Medicine

Commenting on the latest Urgent and Emergency Care Daily Situation Report 2021-22 that shows nearly one third of patients who were in hospital for 21 days or more were fit for discharge, Dr Katherine Henderson, President of the Royal College of Emergency Medicine, said: “These data reflect the deepening social care crisis.

“We currently have the highest number of long stay patients (21 days or more) since winter 2017-18. Last week, on average, 6,500 beds were occupied by patients who are fit for discharge, and only one in 10 of these patients were able to be discharged daily (on average). All these patients will want to return home and to their communities, but they are unable to because there isn’t the support to aid them upon their discharge.

“There must be a system-wide effort and focus on discharging patients, but such effort will only translate to meaningful action if the government address and take urgent steps to resource social care. Freeing up these beds would help alleviate system pressures, particularly those on Emergency Departments, and promote vital flow throughout the hospital.”

The latest Urgent and Emergency Care Daily Situation Report 2021-22 for the week 10 – 16 January 2022 show:

  • As a daily average 17,541 patients stayed in hospital for 21 days or more
  • As a daily average 6,495 of these long-stay patients were fit for discharge, this is equal to nearly one in three
  • On average only 656 patients were discharged daily, equal to just one in 10

Secondary breast cancer charity Make 2nds Count appoint new CEO

Chief Executive Officer Anne Gibson to elevate reputation and leverage growth

Secondary breast cancer charity Makes 2nds Count is off to a flying start in 2022 with the appointment of a dynamic Chief Executive Officer.

Accomplished in leadership roles across a range of sectors, Anne Gibson brings a wealth of Third Sector experience and will support further growth as Make 2nds Count continues to champion research and education in the field of what is often regarded as the forgotten cancer.

The disease – also known as metastatic, advanced or stage IV breast cancer – is an incurable cancer that has spread beyond the breast to other parts of the body. It can be treated but, on average, there are around 35,000 patients in the UK living with secondary breast cancer and the death toll here is a shocking 1000 women a month.

Anne Gibson will lead development of a three-year strategic plan to elevate the charity’s reputation as a key player in improving quality of life for patients through its research activities, supporting patients and families and enhancing awareness of the disease.

She has worked in leadership roles across local and national government, the Third Sector and the independent care and education sectors. She was an HM Inspector of Education and has worked in partnership with the Care Inspectorate and with Audit Scotland.

Her skills and expertise include organisational development, continuous improvement, quality assurance, building leadership, community engagement and participation and developing partnership. Anne currently sits on a number of Boards including a non-executive Director role with NHS 24.

Anne said: “The most important thing we can give to patients and their loved ones is hope.

“Make 2nds Count is already making a tangible difference to those living with the disease, and their families, through its inspiring support and research initiatives. However, more education, support and research is still needed and I’m delighted to be part of such a passionate team with huge aspirations to deliver that this year.”

Make 2nds Count founder Lisa Fleming, 38, of Edinburgh, says: “Having Anne on board will be transformational for us as we drive the charity forward and evolve.

“Her appointment is just the most exciting start to what we predict will be a very constructive year for us. We’ve already come so far but we look forward to achieving so much more in 2022.”

Lisa set up Make 2nds Count after discovering she had both primary and secondary breast cancer. She had had no previous breast cancer diagnosis, warning signs or lump when she was told the disease had already spread to the majority of her bones. It swiftly spread to her brain and she continues to live with the disease – knowing it is also a death sentence.