Health and wellbeing – Page 209 – The NEN

Movember: GP reveals five things you should know about prostate cancer

One in eight UK men will be diagnosed with prostate cancer in their lifetime
Dr Rhianna McCylmont explains the main symptoms and treatment options

Movember aims to raise awareness of the key health issues impacting men, helping them to identify symptoms and get diagnosed whilst their conditions are still treatable.

One of the main focuses is prostate cancer, which is the most diagnosed form of cancer amongst men in the UK. One in eight men will be diagnosed with prostate cancer in their lifetime¹.

Below, Dr Rhianna McClymont, lead GP at the digital healthcare provider, Livi, reveals some of the key facts about the disease, including the main warning signs and what to do about them:

Who’s at risk?

The prostate is an organ that only men have, and its main function is to produce the white fluid which mixes with sperm to create semen.

Dr Rhianna said: “Although prostate cancer can affect men of any age, it’s most commonly diagnosed in older age groups, particularly over 50s.

“Research has also found that men of an African, or African-Caribbean descent are also more at risk from the cancer compared to men from other ethnicities.”

What can increase the risk of prostate cancer?

Dr Rhianna said: “There are various factors that can increase the risk of developing prostate cancer, including family history. The risk increases if a male member of your family developed prostate cancer before the age of 60.

“Another factor which can increase the risk is obesity, with NHS information suggesting that obesity may be linked to an increased likelihood of the development of prostate cancer.”

What are the symptoms?

Dr Rhianna said: “Unfortunately, prostate cancer can often be symptomless, which is why it’s so important to have your prostate checked regularly as you get older.”

When symptoms do appear, particularly as the illness becomes more advanced, they can include:

Increased frequency in needing to urinate
Difficulty when starting to pee, or a weak flow
Feeling like your bladder hasn’t fully emptied
Feeling an urgent need to urinate

How is it tested?

Dr Rhianna said: “If you notice you have any symptoms related to prostate cancer, you might be offered a PSA, or Prostate Specific Antigen test. This is taken as a blood test and can indicate the presence of prostate cancer.

“Your GP will also suggest an examination of your prostate, which is undertaken through a rectal exam.

“If either or both of these tests indicate the possible presence of prostate cancer, then you will undertake an MRI scan to assess the prostate, and a biopsy will be used to officially diagnose the condition.”

What are the treatment options?

Dr Rhianna said: “Treatment of prostate cancer depends largely on the severity of the condition, and how far advanced it is, as well as other factors including whether it has spread to other areas of your body, and your general health.

“Treatment options are varied and include surgery to remove the prostate (a prostatectomy), radiotherapy, hormone therapy, or ‘watchful waiting’, where the cancer is considered to be relatively minor, and poses little threat of spreading, or developing further within the patient’s lifetime, so is left untreated but closely monitored.”

Dr Rhianna adds: “Movember has done a fantastic job of raising awareness of male-specific health conditions such as prostate cancer, and thankfully so, as it’s incredibly common, but often treatable if caught early enough.

“The good news is that whilst the condition is common amongst men and potentially very serious, most patients diagnosed with it do survive. This is why it’s so important for men to be aware of the signs and symptoms and understand the need to be checked as they get older.”

For more information about prostate cancer, visit:

https://www.livi.co.uk/your-health/prostate-cancer-a-doctors-guide/

Scottish Government steps up vaccination programme

Military to support national Autumn/Winter vaccination programme

More than 100 members of the Armed Forces will this week join the national Autumn/Winter vaccination programme.

Some 100 vaccinators and 15 nurses will work across all 11 territorial health boards on the mainland to support the rollout of flu vaccines and coronavirus (COVID-19) injections and boosters.

Vaccinations are being offered to as many people as possible as winter approaches.

Health Secretary Humza Yousaf said: “We are incredibly grateful to everyone who has been involved in the COVID -19 vaccine rollout in Scotland, including the military, which has ensured more than 8 million first and second doses have been delivered.

“We are now in the midst of an extremely busy period for the national Autumn/Winter vaccination programme with flu and COVID-19 booster injections being offered to the most vulnerable groups, alongside first COVID-19 jabs to 12-15 year olds.

“With increasing levels of social mixing and close social contact in the colder months, it is expected that COVID-19 will add to the winter pressures usually faced by the NHS. That is why we have again requested military support to complement our existing resources and to ensure we can get even more vaccinations into arms as quickly as possible.

“It remains clear that getting vaccinated is the single most effective step that anyone can take to protect themselves from the most severe disease caused by COVID-19. Anyone who has not yet received their first or second COVID-19 vaccination can check their nearest open access centre on NHS Inform or phone the national vaccination helpline on 0800 030 8013.”

NHS Inform – Information on open access centres

Further £10 million winter funding for NHS

An additional £10 million is going to health boards across Scotland to bring in a range of measures to get A&E patients to the right care as quickly as possible.

This includes deploying physiotherapists and occupational therapists at A&E units to help triage and treat patients who would otherwise wait to see nursing staff. This will prevent people being admitted to hospital unnecessarily.

The new funding will provide more specialists such as social care workers and Allied Health Professionals on hospital rotas, and extended opening hours for pharmacy and diagnostic services such as scanning and ultrasound to speed up referrals. It will also support extra staff for peak public holidays.

This is on top of the £300 million package of funding announced as part of the Winter Plan to support the NHS.

Health Secretary Humza Yousaf said: “As part of the NHS Recovery Plan we have invested £27 million towards the Redesign of Urgent Care to ensure people receive the right care, at the right place. This will add to that work so our hospitals and A&E departments are not overstretched, if some patients can be safely and effectively treated elsewhere.

“Alongside the additional £10 million investment recently announced to prevent delayed discharge and avoid hospital stays, this extra winter funding aims to ease pressures in A&E departments and minimise delays that patients are currently experiencing when they need urgent care.

“Placing physiotherapists and occupational therapists in A&E will stop unnecessary hospital admissions so that, for example, patients with musculoskeletal conditions, chest infections, or those who have suffered a fall, can receive the right care quickly and advice on exercises to support recovery at home and in the community.

“This is not only good news for our NHS, but also better for the public in giving treatment in the right place, so emergency care is available when it’s really needed.”

Earlier this month the Scottish Government announced a record winter funding package of £300 million to increase NHS and social care capacity.

Since then, a further £482 million has been allocated to NHS Boards and Integrated Authorities to deal with the costs of responding to the pandemic

The Scottish Government will be working with health boards over next few weeks to identify what they might need most from this latest £10 million funding.

Scottish charity redevelops paediatric Operating Rooms in Zambia

Thousands of children in Zambia now have better access to safe surgery with the opening of six new paediatric Operating Rooms courtesy of global health charity Kids Operating Room (KidsOR).

KidsOR, a Scottish global charity with bases in Edinburgh, Dundee and Nairobi, works to ensure that all children around the world have access to safe surgery. The charity also funds training of paediatric surgeons and anaesthesia providers, and estimates that more than 43,000 children have accessed life-changing or life-saving care via one of the 35 Operating Rooms they have installed since 2018.

The six new Operating Rooms in Zambia are located at University Teaching Hospital (UTH), in Lusaka, and in Arthur Davison Children’s Hospital (ADCH), in Ndola, with each hospital hosting three separate Operating Rooms.

The Scottish Government provided £45,000 of funding to assist with the refurbishment, re-equipping and retraining of staff at the paediatric surgical facilities at UTH.

David Cunningham, CEO of KidsOR, said: “I am proud that KidsOR has installed and equipped six Operating Rooms across the two hospitals. This is our largest project in a single country at the one time, and will ensure that surgeons have the right equipment to save thousands of children’s lives for years to come.

“With around 45 per cent of Zambia’s population being children, this is a country that will particularly benefit from these facilities.”

KidsOR collated data on surgical cases in the past 24 months at UTH so that it could track the difference made once the Operating Room was installed.

The charity identified that in the past two years, almost one in five of the operations that went ahead did so without the necessary surgical equipment and 40 per cent went ahead missing the necessary anaesthetic equipment.

These issues will be rectified as soon as surgeons start using the newly installed Operating Rooms to treat children.

Mr Cunningham added: “This latest project forms an important part of the KidsOR ‘Africa to 2030’ plan which will see us create 120 centres of excellence across Sub-Sahara Africa, each with world-class, state-of-the-art dedicated Operating Rooms for children.

“We aim to ensure that every child can access safe surgery when they need it.”

Dr Bruce Bvulani, Consultant Paediatric Surgeon at University Teaching Hospital, said: “The renovations and re-equipping of the theatre suite is not only timely but also momentous.

“These new Operating Rooms will put a smile not only on the faces of the children but the surgeons as they use their new wares in a refurbished centre. On behalf of the children of Zambia, we are truly grateful to KidsOR, and we promise to make full use of the equipment for the betterment of the children.”

Senior Medical Superintendent and Consultant Paediatrician at Arthur Davison Children’s Hospital, Dr Mwansa J Kaunda, also extended his gratitude. He added: “There will be an increased capacity and ability to care for more paediatric patients considering the hospital serves the northern part of the country. This means expanded services and more treatment options at the hospital, hence improved quality of health for children.

“What’s more, the new equipment and set up of theatre will improve efficiency in procedures, reduce the risk of post-operative wound infections. I am so excited as I never imagined that our Operating Room could look so nice. The last time it got a touch up was in 1978 and we have recently had to carry out operations using a phone torch light rather than proper operating lamp.”

International Development Minister Jenny Gilruth said: “The Scottish Government’s investment in this project will help benefit thousands of children who require life-changing and life-saving care.

“As well as contributing to the new paediatric Operating Rooms, our support will also enhance the skills and knowledge of the surgical teams that carry out these vital procedures. We are proud to work with KidsOR on a project that will change the lives of children and their families and strengthen the capacity and resilience of the health care system in Zambia.”

Africa has the greatest unmet surgical need in the world. Half of Africa’s population (1.3 billion) are children. It is also estimated that 85 per cent of children in Africa will require some kind of surgical care by the age of 15.

Two of the six Operating Rooms in Zambia have been achieved courtesy of KidsOR’s partnership with cleft-focused organisation Smile Train.

Pumpkin Potential this Halloween

Halloween happens every year on 31st October and is a day filled with various traditions around the theme of scary stuff! One key ingredient of a great Halloween celebration is a carved pumpkin (it used tae be a turnip! – Ed.).

Yet in-fact, pumpkins not only look great in your window, but are a versatile veg, full of fibre and vitamins.

Here are some ways you can use your left-over pumpkin this Halloween:

Make a Soup
Find our Pumpkin Soup recipe at the bottom of the page. This recipe contains plenty of heart-healthy fats, is low in salt to improve blood pressure and contains two of your 5-a-day!

Roast It
Roasting is a quick, healthy, and easy way to cook pumpkin. Simply peel, deseed, and slice into 1cm slices, then add a little olive or rapeseed oil and place in a heated oven at 200oC for approximately 40 minutes.

Swap it Out
A great way to use up left-over pumpkin from Halloween is to make some swaps. You can use roasted pumpkin as a great side-dish or substitute it for potato, pasta or rice for a more vegetable-filled plate with a flavour twist

Use the Seeds
Pumpkin seeds are a great source of protein and fibre and are low in saturated fat. To cook, run water over the seeds to remove any excess pulp, boil for 5-10 minutes, drain and spread over a baking tray, adding a little oil, then roast at 180oC for 8-10 minutes.

Hearty Pumpkin Soup

Ingredients:

Light spray + 1 tsp of heart healthy rapeseed oil
2 white onions, finely chopped
2 garlic cloves, finely chopped
Finely chopped parsley
100g chopped tomatoes
800g chopped pumpkin
100g split red lentils
½ tbsp dried thyme
1 litre hot vegetable stock (go heart healthy with a low salt variety)
50g half fat or reduced fat crème fraiche
4 slices of wholemeal bread (toasted)
Optional black pepper for seasoning

Method:

Step 1: Heat the oil in a large casserole dish and fry the onions over a medium heat until translucent and turning golden brown. Add the garlic (keep the pumpkins to one side), lentils and dried thyme. Fry together for a minute.

Step 2: Add the vegetable stock then season with pepper and then cover. Let this simmer for 20- 25 minutes until the vegetables are cooked.

Step 3: Wash and dry the pumpkin seeds before heating up the teaspoon of oil. Add the seeds and fry them until they start to pop and jump. Cover and stir frequently. When the seeds look toasted, remove them from the heat.

Step 4: Blend the cooked lentils and pumpkin mixture with a hand blender until smooth. Add the crème fraiche and give it one last blend. Taste the soup and season with pepper if needed.

Step 5: Toast the bread and slice into croutons.

Step 6: Serve the soup in a jar or a mug with toasted seeds, parsley, and croutons on top.

Recipe by Simon Taylor

To help keep your heart healthy, why not try out some of our other 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/

Roll-out of new diabetes test

World-leading test to improve diagnosis

A simple blood test for people with Type 1 diabetes enabling some patients to stop taking insulin is to be rolled out.

Scotland is the first country in the world to introduce this test which will be available from hospital diabetes centres from Monday (1 November).

Aimed to improve the accuracy of diagnosis of Type 1 diabetes, the routine testing of C-peptide allows doctors to work out how much insulin someone with diabetes is making themselves.

If C-peptide is present in significant amounts, then it may indicate that the person does not have Type 1 diabetes and that it may be possible to stop or reduce insulin treatment.

The roll-out follows a two year pilot study in NHS Lothian led by Diabetes and Endocrinology Consultant Professor Mark Strachan.

Public Health Minister Maree Todd said: “Diabetes is a clinical priority for this Government and we want to ensure that everyone living with diabetes in Scotland can access safe, effective and person-centred healthcare, treatment and support.

“Type 1 diabetes is a significant health challenge right across the world. I am proud that Scotland will be the first country to introduce this blood test which has the potential to have a significant positive impact on the lives of those people living with diabetes.”

Professor Mark Strachan said: “C-peptide helps diabetes specialists make a more accurate diagnosis of the cause of diabetes, and that means we can get people on the most appropriate treatment. In some instances, C-peptide testing allowed people to stop very long-standing insulin therapy; this can be life-transforming.

“If anyone has any concerns regarding their diabetes or wishes to know more about the new blood test, they should contact their diabetes clinical team who are best placed to provide specific advice and support based on their individual circumstances.”

There are approximately 315,000 people living with diabetes in Scotland.

The programme will be offered to people with a diagnosis of Type 1 diabetes of at least three years duration. C-peptide testing will be offered by hospital diabetes centres.

‘Catastrophic failure’: Lothian MSP comments on A & E crisis

NHS Lothian has warned patients not to attend A&E unless their condition was life-threatening.

It comes after statistics published this week have revealed the worst weekly A&E statistics on record.

Chief executive of NHS Lothian, Calum Campbell, said a request has been submitted for mutual aid from other health boards after services became caught in the grip of a “perfect storm” caused by staffing and bed pressures, combined with high volumes of patients presenting with complex and serious cases.

Lothian list Labour MSP Foysol Choudhury said: “Patients in the Lothians are being put in danger due to the SNP’s catastrophic failure to support A&E services.’’

‘’Lives are on the line and the Health Secretary’s current strategy is clearly not dealing whatsoever with this crisis.’’

‘’ The NHS is under-resourced, under-staffed and under pressure, and the Scottish Government must fund the NHS properly so that people can access care and treatment at A&E when they need it.’’

“If action is not taken now, we risk a winter of chaos in A&E departments across the Lothians.

Local patients can access new cancer treatment

New prostate cancer treatment available at Edinburgh Cancer Centre is first in Scotland

Men in the South East of Scotland may now be able to access a new treatment for prostate cancer, which is available at the Edinburgh Cancer Centre, Western General Hospital.

The Edinburgh Cancer Centre (ECC) is the first in Scotland to offer High–dose-rate brachytherapy (HDR-BT) for treatment of prostate cancer.

It was successfully introduced by NHS Lothian earlier this year and is now being made available to suitable patients across the South East of Scotland.

Prostate cancer is the most common cancer among Scottish males affecting 1 in 10 men. With more than 3,000 men diagnosed every year this figure is only expected to increase.

But, with early detection and improved treatments, survival rates are also increasing. Radiotherapy is commonly used to cure prostate cancers and increasing the radiation dose in treatments has shown to improve long-term cancer control.

The HDR-BT service at the ECC offers an additional treatment approach to deal with aggressive but localised prostate cancer. It allows a higher dose of radiation to be targeted directly into the prostate gland in a safe and controlled way. This minimises radiation exposure to surrounding normal tissue and thereby reduces potential side effects.

The new treatment is being offered alongside existing radiotherapy treatments at the Edinburgh Cancer Centre, expanding the range of treatment options on offer.

Dr Aravindhan Sundaramurthy, Consultant Clinical Oncologist at the Edinburgh Cancer Centre explains: “We have been successfully delivering low-dose-rate brachytherapy (LDR-BT) for prostate cancer with over 1000 men throughout Scotland benefitting from the service. However, men with more advanced or aggressive disease would not be eligible for LDR-BT on its own.”

“The start of the new HDR-BT service opens a very important therapeutic option for men with high-risk prostate cancer features. It brings together the skills and expertise of staff across our radiotherapy, oncology and anaesthetic teams to deliver another treatment option.”

Roderick Sanderson (62) from Dumfries & Galloway was the first patient to receive this new treatment at the Edinburgh Cancer Centre.

He said: “I would strongly encourage anyone who is offered this treatment to go for it. It was a very smooth process and the care I received from the NHS was absolutely first class. I was looked after every step of the way and I knew that I was in the best possible hands for my treatment.”

This HDR-BT service is a collaborative effort involving radiotherapy nursing, prostate clinical oncologists, anaesthetics, therapeutic radiographers and oncology physicists. It is currently being offered at the Edinburgh Cancer Centre for suitable patients within the South-east Scotland Cancer Network with an aim to expand the service to other patients across Scotland.

Anyone looking for more information about prostate cancer including details of common symptoms and testing can visit NHS Inform: www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-adults/prostate-cancer

Care Experienced Week 2021: Police Scotland commitments

We’d like to support Care Experienced Week by reaffirming our commitment and sharing our Care Experienced Pledge which was developed following discussions with the Edinburgh Champions Board on what we can do to better support those with care experience.

The Edinburgh City Division Care Experienced Pledge will guarantee the following:

Where it is identified to police that a care experienced young person has concern for their personal safety at home, we will guarantee a meeting to discuss a safety plan and offer advice should they wish to accept such an offer.
Where a care experienced young person is identified as wanting to join the police (as a constable, special constable or member of police staff) and meets the minimum criteria for application, we will:
• facilitate a meeting with a serving probationer constable or member of police staff to discuss the practicalities and demands of the role, and
• offer support with the recruitment process via the Divisional Training Sergeant or police staff equivalent, and
• guarantee them a meeting with a member of the Local Area Command team should they wish support in the application process
Where it is identified that a care experienced young person has been successful in the recruitment process and wishes additional support, we will identify a mentor for them for the length of their probationary period.
We will actively promote the Police Scotland Youth Volunteers programme to care experienced young people.

#CEW21

Scottish Government commits extra funding to tackle delayed discharge from hospitals

Humza Yousaf: “This winter is likely to be the most challenging in the history of the NHS”

The Scottish Government is investing an additional £10 million to help patients avoid a hospital stay wherever possible – and to prevent delayed discharge for inpatients.

This is part of a range of actions included in the £300 million winter package of funding to health and social care services, and outlined in the health and social care winter plan, to take the pressure off hospitals and frontline staff.

Two new programmes – Interface Care and Discharge without Delay – will support NHS Boards to explore alternatives to hospital inpatient care where appropriate, and improve the discharge process for those who do need to be admitted to hospital.

Interface Care, backed by an additional £6 million this financial year, will deliver safe, high-quality care as an alternative to hospital admission, or will support early hospital discharge. The programme will be implemented by early winter.

Discharge without Delay, supported with a further £4 million, will improve pathways through hospital settings, reducing inpatient length of stay and building bed capacity. Working with patients, families and/or carers, it will ensure patients are treated in their home where appropriate.

Health Secretary Humza Yousaf said: “This winter is likely to be the most challenging in the history of the NHS, and it’s important we take urgent action to ensure our hospitals and emergency frontline staff are not overwhelmed. That’s why these actions to improve the discharge process, and redirect patients who don’t need to be in hospital, are so important.

“I am confident that through our collective investment in people, capacity and systems to deliver the right care in the right setting, we can improve outcomes for those of us who need to use our health and social care services.”

The Scottish Government has invested more than £80 million this year to support the reduction in waiting times for people having elective procedures, which has been impacted by the pandemic. To minimise delays for those patients waiting on urgent hospital treatment within four weeks, including cancer patients, extra capacity is being provided through private hospitals over the winter period.

Discharge without Delay launches this month, with four early adopter sites to test the approach, with the aim of rolling the programme out nationally across all sites over the next 10 weeks.

The Interface Care Programme launched this month in two pathfinder sites – NHS Greater Glasgow and Clyde and NHS Tayside. Roll out across all boards is planned over the winter.

Flu and COVID-19 vaccine roll-out is on track, insists Health Minister

People aged 60 to 69 and adults aged 16 and over with underlying health conditions have begun to receive invitations for their flu and COVID-19 booster vaccinations through the post.

Appointments for this group will take place at a local community clinic and will run from late October and throughout November.

Currently, as per JCVI advice, we are vaccinating people in the highest risk groups for both flu and COVID-19 including those who are aged 70 years and over, people in older adult care homes, those who are on the Highest Risk List and frontline health and social care workers.

In addition we are delivering flu vaccinations to children under 2 years old who have underlying health conditions, preschool children aged 2-5, all school pupils, pregnant women and all NHS healthcare workers.

The winter flu and COVID-19 vaccination programme is working together to reduce the risks for both types of illness. Wherever possible, those eligible for the booster jab will receive both the flu vaccine and COVID-19 boosters on the same day. This is safe and effective to do.

More than 1.5 million COVID-19 and flu vaccinations have been administered since September 6.

For those in the underlying health conditions group, the type of health condition will guide whether they will be given a flu jab, the COVID-19 booster, or both vaccines.

Details on who is eligible for these vaccinations and when they can expect an invitation are available on NHS Inform.

Health Secretary Humza Yousaf said: “For those eligible for the COVID-19 boosters, appointments can only take place six months (24 weeks) after your second dose. As such, it may take several weeks before you receive your invitation letter. We remain on track with Scotland’s booster programme prioritising those at the highest risk for both COVID-19 and flu.

“We started this as soon as possible following the JCVI advice – that the booster dose should be offered no earlier than six months after completion of the primary vaccine course. It is important to note that many people in the original early priority cohorts of the initial vaccination programme had already had a 6 month gap prior to this JCVI advice.

“In addition to delivering the COVID-19 vaccine boosters, this year we are offering a record number of free flu vaccines to help protect the people of Scotland. It is the biggest ever flu vaccination programme in Scotland reaching over 4 million people.

“Appointments for both vaccines are being scheduled based on clinical need and age and it will take until the middle of January for everyone to be offered their vaccines. Boosters will be offered to many of the groups who routinely have the flu vaccine to protect people from both illnesses. To support this, we are ensuring those most vulnerable are vaccinated first.

“But I would like to stress: everyone who is eligible will be offered a vaccination. If you haven’t received your appointment letter yet, please be patient. You do not have to do anything now – you will be contacted, notifying you of your appointment.

“The flu virus changes every year, so you need to get the vaccine every year to stay protected. The vaccine cannot give you flu, but it can help stop you catching it, or suffering severe symptoms. The COVID-19 vaccine does not offer any protection from flu, you need to get the separate flu vaccine.

“Flu can be extremely serious and is very infectious. With COVID-19 still circulating in the community we can best protect those most at risk as well as ease pressure on our National Health Service and social care services by encouraging everyone eligible to get vaccinated against flu.”

Scottish Labour said: “This is more proof that the SNP are failing to protect the most vulnerable this winter: They’ve shifted goalposts for booster jabs.

“Many will now have to wait at least another month for a third jag. Cases are spiralling and we need faster action from the Government.”

To find out more about vaccine eligibility and when you will be invited visit:

nhsinform.scot/fluandcovid19vaccsguide

For more information about the flu vaccine, visit:

nhsinform.scot/fluvaccine

For more information about the COVID-19 booster visit:

nhsinform.scot/covid19/vaccinebooster