Health and wellbeing – Page 213 – The NEN

RECKLESS: Scottish Government plans ‘set to decimate NHS dentistry’

“To signal the return of a ‘business as usual’ model when the country is still in the grip of a pandemic is utterly reckless”

The British Dental Association Scotland has warned that plans to return NHS practices to pre-COVID models of work will devastate dental services across the country.

Cabinet Secretary Humza Yousaf yesterday wrote to every NHS dental team in Scotland, indicating that all emergency support will be withdrawn by 1 April 2022. Since the first lockdown NHS practices have operated under a COVID support package, reflecting pandemic pressures and tight restrictions that continue to limit capacity across the service.

A return to delivering a low margin/high volume model of care is, BDA Scotland contends, simply unsustainable under current conditions. While some restrictions may ease in the coming months, there are no indications the service is likely to return to anything resembling ‘business as usual’.

With a growing number of staff facing abuse from frustrated patients unable to secure appointments, the BDA has warned the move will only raise patient expectations, while pushing NHS colleagues into the private sector or out of dentistry altogether.

Yousaf has signalled minor changes to the payment system for dentists that will take effect from 1 February 2022, largely covering the treatment of children. While welcome, these reforms will have a negligible impact on capacity within the service and will not ease the pressure on practice finances once the COVID support payments are withdrawn.

The SNP committed to delivering free NHS care for all in Scotland in the recent election. The BDA has stressed this approach runs counter to that vision, and that real focus and energy must be applied to developing a new, sustainable model for delivering care.

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “The Scottish Government seems set to pull the rug out from under every dedicated NHS dentist.

“If Ministers had an objective to decimate NHS dentistry, this approach would offer a great starting point. To signal the return of a ‘business as usual’ model when the country is still in the grip of a pandemic is utterly reckless. The net result will be to push colleagues out of the NHS and to leave this profession altogether.

“Ministers put NHS dentistry front and centre in their pitch for government. To deliver on their promises we need real commitment to find a new and better way for delivering for the patients that need us.”

NHS Inform: Help and information for long COVID patients

People in Scotland suffering from ongoing COVID symptoms can find useful information and guidance from NHS 24 at www.nhsinform.scot/longer-term-effects-of-covid-19-long-covid

Most people recover from coronavirus within 4 weeks, but for some people symptoms can last longer, or new ones can develop. Symptoms can also change over time and can affect anywhere in the body. This is often referred to as long COVID and can include breathlessness, a cough, aches and pains, insomnia and low mood or anxiety.

The information on NHSinform.scot includes the most common symptoms, how a patient is assessed and how to manage ongoing symptoms.

NHS 24’s Medical Director, Dr Laura Ryan, says: “Coronavirus can vary from person to person, and sometimes recovery can take longer than we would like. The important thing is not to compare with others and to take the time to look after ourselves.

“The information on NHS inform can really help with managing ongoing symptoms until they do naturally fade away. Of course, you should contact your GP practice if you’re worried about the severity or persistence of your symptoms or they’re getting worse.”

Health Secretary Humza Yousaf said: “It is important that people with long COVID symptoms get the right advice and having all the information in one place will hopefully make it easier for them. The information and support available at NHS inform has been designed to help people with their recovery.

“The Long COVID Support Fund was established with £10m last month and was designed to maximise and improve the co-ordination of a broad range of existing services across the health and social care system and Third Sector in response to the condition.”

More than half of Scots say their attitudes towards mental health have improved in the last 10 years

Programme to tackle mental health stigma and discrimination calls on the public to ‘See Us’ and build on progress

Scots are being encouraged to join forces and build on improved public perceptions of mental health as part of a new nationwide campaign.

A survey of over 2000 Scots, including 1000 who have experienced mental health problems, found that more than half (58 per cent) say that their own perceptions of people with mental health problems have improved in the last 10 years.

The research, from See Me, Scotland’s programme to end mental health stigma and discrimination, also found 63 per cent think that perceptions of mental health had improved since the start of the pandemic.

The findings have been published today (20 October), at the launch of a new campaign – See Us – asking Scotland to keep the momentum going.

See Us encourages people from all walks of life – whether they have experience of a mental health problem or not – to join the movement to end stigma, by getting involved in events, activities and speaking up to challenge outdated stereotypes.

While attitudes have improved, See Me says big changes are still needed in people’s behaviours. The same research, which was carried out by Censuswide, found that more than two-thirds of people (71 per cent) with mental health problems surveyed have still experienced stigma or discrimination – most commonly from someone they know, including friends, people online, immediate family and work colleagues.

Stigma and discrimination often prevent people from asking for help when they need it most – and can be the difference between life and death.

See Me volunteer Osama Nadeem, from Paisley, has struggled with his mental health since primary school as a result of racist bullying.

The 22-year-old says that stigma was one of the biggest barriers he faced when it came to asking for help – but that acts of kindness, and showing support, can make a huge difference for those who are struggling.

He said: “When I was in primary seven, I remember standing in the corner of the playground, and I started to cry as it all just got to me. Two girls who were in my year came over to me, and asked what was wrong. I didn’t want to say, but they wouldn’t leave me until I told them. Them coming to me helped – and that memory sticks with me.

“No one needs to be an expert to talk about mental health. If you’re struggling, just talking about it – talking about stigma, talking about how you’re feeling – can help a lot. That’s why this campaign is so important.”

Fellow volunteer Jenn Barnes, 34, from Glasgow, joined the call for support. Jenn, who has struggled with her own mental health since her teenage years, lost her brother to suicide in 2017, and has spent the time since campaigning and raising awareness of the impact of mental health stigma and the power of speaking up.

Jenn said: “While there is more awareness of mental health now, stigma still exists – and I think a lot of people don’t even realise it. It’s really important that we get as many people as possible to back the campaign to end mental health stigma and discrimination. You can’t do it on your own. It’s like mental health in itself – you need someone there to help you. If everybody comes together, it will make things a lot easier.”

To help the people of Scotland get involved and tackle mental health stigma and discrimination, See Me has launched a new home for the social movement on their website at seemescotland.org/SeeUs, where you can access resources to help you make change.

See Me director Wendy Halliday said: “For too long tackling mental health stigma has been seen as the responsibility of those who have experienced it.

“It’s time to move past Seeing Me, the person struggling, and for everyone to stand up and say: ‘See Us, we’re making a difference together.’

“Wherever you want to make a change, and however you want to do it, there is something for you in this movement.”

Join in the conversation on social media using #SeeMeSeeUs and help others to find out about the movement.

NHS Scotland Academy launched

Health Secretary Humza Yousaf has officially launched the new NHS Scotland Academy, backed by £9 million of investment to accelerate training and build the country’s health workforce.

As a collaboration between NHS Golden Jubilee and NHS Education for Scotland, the Academy will contribute to improving staffing levels to meet growing patient needs.

It will feature a mix of residential, distance and virtual reality learning, with a range of training programmes linked to recruitment, career progression and redesign of roles.

Mr Yousaf said: “The NHS Scotland Academy is part of our wider £1 billion commitment to health through the NHS Recovery Plan which will increase capacity, deliver reforms, and get everyone the treatment they need as quickly as is possible.

“Our workforce is at the heart of everything we do, and I want to express my sincere thanks for the continued courage, commitment and professionalism of all staff during this time.

“We have been clear that as a result of the pandemic our NHS will face challenges in the years ahead and the Academy will play a key role in supporting it to be well-equipped and prepared as we look to recover. We will publish a National Workforce Strategy later this year in which the Academy will be a key feature of designing, developing and delivering training programmes.

“This will also broaden opportunities for young people – in support of our Young Person’s Guarantee, alongside those who may be seeking a career change. This will enable them to receive on-the-job clinical training and a route to future career progression.”

The Academy has already started providing vital support and training to meet high demand health programmes. This includes a pilot perioperative nurse training programme which qualifies graduates to work in a theatre environment in just six months – when previously it would take a year.

Community pharmacists are being trained to support primary care services, by issuing prescriptions for specific conditions without the need for patients to see a GP.

NHS Golden Jubilee’s first nurse endoscopy graduates have taken up post this week, ensuring rapid diagnosis and treatment for a number of conditions, including cancer.

The Academy is also playing a vital role in supporting National Treatment Centres, to ensure NHS Scotland can meet the needs of Scotland’s ageing population through our overall commitment to recruit at least 1500 additional staff.

Chief Executive of NHS Golden Jubilee Jann Gardner said: “The pandemic has made it clearer than ever the need to offer fast, efficient and effective access to training and education for health and social care staff.

“Drawing on the strengths of the Golden Jubilee’s state of the art facilities, and the educational expertise and technology offered by NHS Education for Scotland, the NHS Scotland Academy will support the workforce, and benefit the people of Scotland for years to come.”

Chief Executive of NHS Education for Scotland Karen Reid said: “Having the right staff with the right skills in the right place is fundamental to delivering the best health and social care outcomes. The pandemic has made us think about working in new ways and about making better use of technology.

“Our partnership in the new NHS Scotland Academy allows us to join up educational expertise and technology – enabling faster learning, and a more skilled workforce, for the people of Scotland.”

Dragged Down By Debt

JRF Study reveals scale of debt crisis among low-income households

Number of low-income households in arrears has tripled since pandemic hit
4 in 10 working-age low-income households fell behind on bills during pandemic
Millions are behind on rent and bills and have had to take on new borrowing
JRF calls for urgent action to support low-income families through cost-of-living crisis and prevent worsening wealth inequality

A large-scale study of households on low incomes has revealed the extent of the debt crisis hanging over the UK’s poorest families as the country braces to weather a cost-of-living crisis.

The analysis by the Joseph Rowntree Foundation (JRF) looks at households in the bottom 40% of incomes in the UK – those with a household income of £24,752 or less. This represents around 11.6 million households.

It estimates that 3.8 million such households are in arrears with household bills, totaling £5.2bn. 950,000 are in rent arrears; 1.4 million are behind on council tax bills; and 1.4 million are behind on electricity and gas bills. 33% of low-income households are now in arrears, which is triple the 11% estimated by a similar study prior to the pandemic.

Working-age households on low incomes (those aged 18-64) have been particularly hard hit: 44% are in arrears. For households aged 18-24 this rises to almost three-quarters (71%) of people being in arrears.

The survey shows clear signs that the profound financial impact of the pandemic has dragged families who were previously just about managing into arrears on essential bills. A large majority of households who are now behind on their household bills (87%) said that they were always or often able to pay all their bills in full and on time before the pandemic hit.

This is not surprising given people on low incomes were more likely to lose income during the pandemic due to job loss, reduced hours or being furloughed. Even before recent energy price rises began to bite, six in ten households on low incomes (62%) reported that their costs increased during the pandemic.

The other clear trend in the survey is the increased borrowing taken on by households on low incomes. Around 4.4million such households have taken on new or increased borrowing, and their total amount of borrowing comes to an estimated £9.5bn. 69% of households with new or increased borrowing are also in arrears.

The study highlights groups that have been hit particularly hard. Over half of the households in the following groups have been pulled into arrears:

Families with children (55%),
Households in London (55%),
Households with a person under 45 answering the survey (56%),
Black, Asian and minority ethnic households (58%)

Many families on low incomes are still reeling from the huge £20 per week cut to Universal Credit and Working Tax Credit earlier in the month. It is worrying that the survey was conducted in September when many of the households surveyed received the uplift which has now been removed.

Energy bills and other costs are continuing to rise, with the price of energy projected to soar further in the coming months. An increase in National Insurance contributions next April is another extra cost many working people will face.

Of the households surveyed who receive Universal Credit, 40% are not confident they will be able to pay their bills in full and on time, while 35% don’t think they will be able to avoid taking on more debt. Half (50%) of these households say they do not feel confident they can find a job or work more hours, calling into question the Government’s insistence on jobs as the only solution.

The comparison between how poorer and wealthier households have fared during the pandemic is striking. The Bank of England found that wealthier households have tended to accumulate savings during the pandemic.

These households were more likely to stay in work and to be able to work from home, reducing daily costs, and to save money during lockdown due to enforced saving. Homeowners also benefited from rising house prices.

JRF is urging the Government to put in place a package of support at the Budget to ease pressure on low-income households and prevent further debt.

As well as urging the Government to reinstate the £20 in Universal Credit, the report also recommends that the Government provide at least £500m additional grant funding via the Household Support Fund for targeted debt relief.

It is also essential to address the systemic drivers of debt including through writing off Tax Credit debts when people move onto Universal Credit and addressing Universal Credit advance repayments that many households have no option but to take on during the five-week wait for the first payment.

This flaw in the design of the benefit has long been criticised by food banks and anti-poverty groups for causing ‘destitution by design.’

Katie Schmuecker, Deputy Director for Policy & Partnerships at JRF said: “There is a debt crisis hanging over millions of families on low incomes. Behind these figures are parents gripped by anxiety, wondering how they will put food on their children’s plates and pay the gas bill; young people forced to rely on friends to help cover their rent and avoid eviction.

“While many households on higher incomes have enjoyed increased savings and rising house prices during the pandemic, people on low incomes are under serious financial pressure that shows no sign of abating. As a society, we believe in protecting one another from harm. As costs pile up and incomes have been cut, we urgently need to rethink the support in place for people at the sharp end of the cost of living crisis.

“The Budget is about priorities. We know the Chancellor is capable of taking bold action to protect people from harm when it is required. Reinstating the £20 per week increase to Universal Credit and boosting funding for councils to tackle debt must be priorities in next week’s Budget. We must give families the firm foundations they need to flourish and take part in our economic recovery.”

Dragged-down-by-debt Download

Free community meal in Granton Community Garden on Wednesday

SCRAN VAN in the GARDEN

Wednesday 20th October 4 – 5.30pm

Come and join Granton Community Gardeners for a hot takeaway meal – you can either take it home, or sit and eat at tables in the garden.

FOOD IS ALL FREE and served until it runs out.

The Community Meal is run in partnership with Scran Academy and Pilton Community Health Project.

New PHP Community Impact Fund is open for grant applications

A new Scotland-wide fund supports charitable organisations providing social, emotional and practical help within their communities with grants up to £10,000.

Scotland is one of two pilot regions in the UK to offer the new PHP Community Impact Fund thanks to Primary Health Properties PLC (PHP). PHP is a Real Estate Investment Trust supporting the NHS in the delivery of primary care buildings, which positively impact the health and wellbeing of the communities they are located in.

Grants are available to charities and community groups that deliver social prescribing and community wellbeing initiatives to the communities served by the primary care centres owned by PHP.

Social prescribing enables a holistic approach to people’s health and wellbeing. It allows GPs and other frontline healthcare professionals to refer patients to a link worker to explore ‘social prescription’ options. Many services provided by the voluntary and community sector can offer solutions to improve patients health and wellbeing.

Examples of services activities that can be included in social prescribing schemes include healthy eating advice and cooking classes, mindfulness activities, music classes, sports and exercise groups, gardening, therapeutic art activities, book clubs, and Men’s Sheds.

Social prescribing is an innovative and growing movement with the potential to reduce the financial burden on the NHS and particularly on primary care. Social prescribing also plays a vital role in helping communities recover and rebuild after the coronavirus pandemic, particularly given the increased demand for services to support mental health and combat loneliness.

Grants are available for social and charitable activities and services that aim to improve the health and wellbeing of patients and communities surrounding the 38 different PHP locations across Scotland. The fund also looks to support the education, promotion and protection of good health within these communities.

Helen Wray, Head of Programmes at Foundation Scotland, said: “We’re delighted to partner with PHP to establish this new fund in Scotland. The new Community Impact Fund has launched at a critical time following the height of the pandemic.

“As our NHS continues to be under immense pressure, this is a fantastic initiative from PHP to help improve patient wellbeing outcomes, quality of life and emotional wellbeing.”

The fund is open until 25th October, offering grants up to £10,000 to charitable organisations within a 10-mile radius of PHP’s 38 locations across Scotland.

Their locations range from Dingwall in the Highlands down to Gretna Green in Dumfriesshire.

To find out more and make an application, visit:

https://www.foundationscotland.org.uk/community-impact-fund

NHS 24 launches new resources on the menopause

To mark World Menopause Day tomorrow (18^th October), NHS 24 has launched new resources on the menopause on NHS Inform, Scotland’s trusted health information site.

Working in partnership with Scottish Government, the resources support the ambitions laid out in the Women’s Health Plan and include information about what to expect whether you’re going through the menopause or want to support someone with symptoms.

https://youtu.be/ddzdgEUOGlk

Women’s Health Minister Maree Todd said: “Women have told us, and evidence shows, that when they are well informed about the menopause, and know what to expect, their experience can be more positive. Knowledge, information and myth busting is powerful.

“I am pleased to see this comprehensive menopause platform on NHS Inform, a key deliverable from our recently published Women’s Health Plan.

“We want to ensure that anyone experiencing menopause has the care and support that they need, and this platform is an important step in achieving that aim.”

Dr Laura Ryan, Medical Director at NHS 24, said: “Menopause can affect everyone differently, and many of us are still unfamiliar with the common symptoms, how these might present, and what to expect if you or someone you know is going through ‘the change’.

“World Menopause Day aims to raise awareness of these and the support options available for improving health and wellbeing. Our new resources on NHS Inform are clinically assured and contain lots of information on signs of menopause, potential treatments, managing your wellbeing, and supporting others through their own symptoms.

“The resources also include ways to manage symptoms with some self-care, and what to do if you feel concerned that your experiences are unusual.

“Sometimes the menopause can have impacts on lots of aspects of life including self-esteem and mental health. These resources are a great way to feel knowledgeable about the experience and empowered in taking any next steps.”

Visit NHSinform.scot for updated information, including a range of videos aimed at dispelling common myths about the menopause.

£15 million to help improve mental wellbeing in communities

A new fund has been established to help tackle the impact of social isolation, loneliness and the mental health inequalities made worse by the pandemic. The £15 million Communities Mental Health and Wellbeing Fund aims to support adult community-based initiatives across Scotland.

Grass roots community groups and organisations will be able to benefit from the funds to deliver activities and programmes to people to re-connect and revitalise communities building on examples of good practice which have emerged throughout the pandemic.

Mental Wellbeing Minister Kevin Stewart launched the fund at Saheliya in Edinburgh, a specialist mental health and well-being support organisation for black and minority ethnic women and girls.

Mr Stewart said: “This funding reflects the importance we place on promoting good mental health and early intervention for those in distress and will help develop a culture of mental wellbeing and prevention within local communities.

“It is vital now, more than ever as we start to re-open society that we support the mental health and wellbeing of individuals. I am very keen that this benefits communities across all of Scotland.

“I was pleased to be able to visit Saheliya this morning and meet some of the people involved with running and the project, and some of the people they help.”

A range of charity-support bodies and social enterprises, known as third sector interfaces, will manage the fund in partnership with local integrated health authorities and other partners including Community Planning Partnerships and local authority mental health leads.

The Communities Mental Health and Wellbeing Fund is part of the wider £120 million Recovery and Renewal Fund announced in February 2021 to ensure delivery of the commitments set out in the Mental Health Transition and Recovery Plan in response to the mental health need arising from the pandemic.

Penumbra: Lived and living experience should be at the heart of self-harm strategy for Scotland

Pioneering mental health charity, Penumbra, has welcomed the announcement from the Scottish Government to introduce a national strategy on self-harm.

Penumbra is a leading mental health charity which supports 2500 adults and young people each week across Scotland through a range of compassionate, recovery focussed support services including in the areas of self-harm, distress support and suicide prevention.

The charity’s pioneering non-medical approach to mental health recovery support has seen it become the leading employer of peer support colleagues within the mental health field: 20% of the charity’s colleagues are employed in peer support roles.

Penumbra has dedicated self-harm support services across Scotland: Aberdeen; Edinburgh; Dundee; South Ayrshire; North Ayrshire; Fife, and operates the Edinburgh Crisis Centre.

Stephen Finlayson is the Head of Innovation and Improvement for Penumbra and has welcomed the news: “This is a welcome announcement from the Scottish Government on plans for Scotland to become the first country in the world with a dedicated strategy to supporting people who experience self-harm.

“Currently the national picture remains fragmented and many people continue to experience stigmatised attitudes. In addition to support, there’s an urgent need for more research to really understand the factors that lead people to feel the only way to manage their emotional distress is by causing harm to themselves.

“A coherent national approach will take this a long way forward. Key to this process will be listening to and working alongside people with lived and living experience of self-harm.

“At Penumbra, we support many people who self-harm in locations across Scotland each year and we know that with good, compassionate support, there is real hope for people who self-harm. Accessing the right support at the right time is critical.”