Health and wellbeing – Page 221 – The NEN

Record number of us will fight flu with jags this Autumn

New data predicts a record number of Brits will sign up for their flu vaccination this Autumn. The UK’s largest online pharmacy, Pharmacy2U, reveals that two thirds of people surveyed intend to get a flu jab this year, with over one in ten (14 per cent) signing up to have one for the first time.

Research commissioned by Pharmacy2U found that attitudes towards getting the flu jab may have changed among Brits because of the nationwide Covid-19 vaccine drive, with 35 per cent of those surveyed saying that having their coronavirus vaccine made them more determined to get their flu vaccine this year.

Over half (58 per cent) said having the Covid-19 vaccine showed them how easy and accessible it was, over half (52 per cent) said they feel more knowledgeable about vaccines now, and over a quarter (27 per cent) said having had the vaccine, it made them less afraid of needles. Over half (53 per cent) said they now see the importance of the flu vaccine in protecting themselves and others.

Since the start of this year, Pharmacy2U has helped the NHS to vaccinate the nation against Covid-19, giving over 700,000 vaccines to people all across England. It continues to vaccinate people daily at its clinics across its 25 sites, in venues such as Odeon Cinemas, Morrisons, Village Hotels and The Jockey Club racecourses.

Pharmacy2U will continue working with the NHS, who recently announced that the free flu jab will be made available to 35 million people this year*, by vaccinating people in England against the common flu from 13^th September onwards, for the second year in a row.

As the nation slowly returns to normal life, over two thirds (68 per cent) of Brits surveyed said they have concerns about their health this winter. Also, 43 per cent expressed concerns that their immune system may be weaker, with potential reasons including working from home (27 per cent) and limiting contact with many people (55 per cent) and the increased use of sanitisers (32 per cent).

In addition, 47 per cent expressed concerns about catching Covid-19 and flu at the same time and the health implications of this, and 68 per cent said they didn’t want flu to impact their newfound freedoms now lockdown rules have lifted.

Phil Day, superintendent pharmacist at Pharmacy2U, comments: “As we enter what could be a very challenging winter for many, this is a much-needed service for people up and down the country. Influenza can be potentially fatal, so having your flu jab is a vital way to play your part in protecting yourself and others.

“It is best to get your flu vaccination in the Autumn before flu starts circulating, so you should take a look at our website, where you find out more information and easily book your flu vaccine.”

Flu vaccinations will be available for free for patients in England that meet the NHS eligibility requirements, and additionally offered at an affordable rate for anyone else. For the full list of eligibility requirements, visit: www.pharmacy2u.co.uk/flu

Phil’s top tips for staying safe this flu season include:

Get a flu vaccination; flu vaccines help protect against the main types of flu viruses. It will also help to reduce pressure on the NHS and social care staff who may be dealing with coronavirus-related illnesses.
Wash your hands often for 20 seconds. Washing your hands properly removes dirt, viruses and bacteria to stop them spreading to other people and objects.
Use tissues to trap germs when you cough or sneeze, or alternatively sneeze or cough into your elbow. Dispose of your tissue immediately.
Eat a balanced diet and exercise regularly to maintain good health.
Sleep well: adults need seven to eight hours of sleep each night, consistently, to stay healthy.

For more information and to book your flu vaccination in a few clicks, visit:

www.pharmacy2u.co.uk/flu

New fund to help keep Scotland’s families together

Fewer children and young people should end up in care, thanks to a £500 million fund to help support families to stay together. Announced as part of the latest Programme for Government, the Whole Family Wellbeing Fund will help families to overcome challenges before they reach crisis point.

The fund aims to significantly reduce the number of children and young people in care by 2030 and will provide support on a range of issues, including:

child and adolescent mental health
child poverty
alcohol and drugs misuse
educational attainment

In 2020 the Scottish Government made a commitment to thousands of care experienced children and adults to Keep The Promise. This included ‘where children are safe in their families and feel loved they must stay – and families must be given support together to nurture that love and overcome the difficulties which get in the way’.

Deputy First Minister John Swinney said: “We want to create a Scotland where more children will only know care, compassion and love, and not a ‘care system’.

“The Whole Family Wellbeing Fund, backed by at least £500 million over this Parliamentary term, will help us to make this a reality and prevent families reaching crisis point.

“Our ambition is that, from 2030, we will be investing at least 5% of all community-based health and social care spend in preventative whole family support measures that will enable us to continue to Keep The Promise.

“This fund, focused on prevention, will enable the building of universal, holistic support services, available in communities across Scotland, giving families access to the help they need, where and when they need it.”

Chair of The Promise Scotland Fiona Duncan said: “The Whole Family Wellbeing Fund is welcome and The Promise Scotland looks forward to working with the Scottish Government and others to ensure it leads to more children and young people staying together with their families, wherever it is safe for them to do so, to feel loved, and to receive the help and support they need, when they need it.

“The Promise Scotland continues to work to ensure Scotland Keeps the Promise and work is on track to deliver the first part of the transformative route map by 2024. This funding is a step in the right direction towards ensuring we all Keep the Promise.”

It was also announced in Programme for Government that as part of the work to Keep The Promise, young people who leave care will be able to access a new Care Experience Grant.

The £200 a year grant for 16 to 26 year olds, backed by annual investment of up to £10 million, recognises the financial disadvantages often experienced by those in care.

RCEM Scotland: Performance deteriorates further as four-hour target falls to record low

The latest Emergency Department performance figures for Scotland published by the Scottish Government yesterday for July 2021 show that performance has deteriorated once again with four-hour performance reaching its lowest since records began, and the number of patients delayed in major Emergency Departments continues to rise steeply.

In July 2021 there were 114,392 attendances to major Emergency Departments across Scotland. This is a three per cent decrease compared to June 2021, an 18% increase when compared to July 2020.

Four-hour performance reached its lowest since records began, having deteriorated for the third consecutive month. 79.5% of attendances to major Emergency Departments in Scotland were seen within four hours. 23,493 patients were delayed by four-hours or more in a major Emergency Department, this is the highest figure since records began.

This is equal to more than one in five patients delayed by four hours or more in a major Emergency Department. The number of patients delayed by four-hours or more reached its highest ever figure having increased for the fifth consecutive month.

In July 2021, 755 patients spent 12-hours or more in a major Emergency Department, this is the highest figure since February 2020. This is nearly a 50% increase on the previous month, June 2021. It is a 3,000% increase compared to July 2020 and it is a 200% increase compared to July 2019. The number of patients delayed by 12-hours or more increased for its third consecutive month.

Data also show that 3,477 patients spent eight hours or more in a major Emergency Department. This is the second highest figure since records began. It is an increase of 50% compared to the previous month, June 2021.

It is an increase of over 1,000% compared to July 2020, and it is an increase of 200% compared to July 2019. The number of patients delayed by eight-hours or more increased for its third consecutive month.

Dr John Thomson, Vice President of the Royal College of Emergency Medicine, said: “These figures show an ongoing deterioration in performance. Current pressures are equal to or worse than normal winter pressures – but these figures are for July.

“Among staff there is serious concern and low morale, winter is fast approaching and quite simply there is low confidence that our hospitals and staff are going to be able to cope.

“The number of patients delayed in Emergency Departments has risen steeply for three consecutive months, the pressures on this trajectory could lead the health service into a crisis.

“It is unacceptable that patients are delayed for so long, in one Emergency Department a patient was delayed by 48 hours – these are dangerously long waits that are likely to adversely affect patient outcomes.

“We have a duty to keep patients safe and treat them quickly and effectively. The current challenges are hindering our ability to achieve that, and for both patients and staff alike it is incredibly difficult.

“The entire health service is under severe strain. Our primary care colleagues are facing record demand, the elective care waiting lists continue to grow, all departments and specialties are facing these unprecedented challenges.

“Yet, while demand is high, the numbers of patients are not the challenge – the challenges stem from capacity issues, across-the-board workforce shortages, and the limitations and deterioration of hospitals and equipment – resourcing has not met demand for some time.

“It would be irresponsible to look on these consistently decreasing monthly performance figures and not recognise the potentially looming crisis fast approaching this winter. Now is the time for an appropriate response.

“We need the Scottish Government to take action, to develop and communicate a joined-up plan on how the health service is going to manage ongoing demand and prepare the workforce, hospitals and Emergency Departments for the upcoming winter.”

Young People’s Mental Health: Peer support for parents

A new Peer Support group for parents caring for a young person (11-25years) experiencing mental health issues is available.

The group will be run as part of the new Parents Carewell Partnership meeting online, fortnightly on a Friday from 10-11am.

The group aims to –
• Provide parents/carers with a safe space to share their experiences and hear from other carers in similar situations
• Help improve wellbeing
• Support parents/carers with ways they can help their child
• Navigate complex systems such as social work assessments and welfare benefits
• Help parents/carers find out more about their rights as a carer

If you’d like to find out more or to wish to attend a session, email Megan, VOCAL’s Parent Carer Support Practitioner at mcopley@vocal.org.uk

The Carewell Partnerships are Edinburgh-wide initiatives which support carers

Police events to mark World Suicide Prevention Day

Yesterday saw the first of Police Scotland’s events to mark World Suicide Prevention Day which is on Friday (10th September).

We are grateful to Veterans First Point Lothian and Ithrive Edinburgh who joined us at Whitefoord House and also at the Gyle Shopping Centre to raise awareness of the support available to people affected by suicide.

Police are holding two events today, both of which run from 11am until 2pm:

They will be at Ocean Terminal along with Projekt 42 Penumbra Chris’s House and The Edinburgh Crisis Centre.

A team will also be at the Veteran’s Cafe in The Stafford Centre with Veterans First Point Lothian and Ithrive Edinburgh

Leading with Kindness: Carnegie UK urges organisations to put kindness at their heart

Nearly two years ago, Carnegie UK first convened a Kindness Leadership Network (KiLN), made up of members from different sectors spread across England, Scotland and Wales, with the stated aim of supporting and challenging organisations to move kindness ‘off the page’ and into practice.

As with many things, COVID-19 changed the nature and timetable of this programme of work, but it also presented opportunities for embedding kindness in organisational responses to the pandemic.

Today, we are delighted to launch a set of materials that tells the story of KiLN which we hope will inspire and support other organisations to join this growing movement in seeking to put kindness at the heart of their practice.

1. Our main report, Leading with kindness, narrates the journey we’ve been on since 2019: how KiLN members adapted to COVID-19, and what we learnt about what is possible when kindness becomes an operating principle.

2. The report culminates with a Commitment to Kindness, which distils the collective experience of KiLN members into six goals designed to enable organisations of all kinds and in all places to sustain and deepen their focus on kindness.

3. Alongside this, we worked with Simon Anderson and Julie Brownlie to produce Getting the measure of kindness – a guide that aims to support organisations to develop their approach to the persistent challenge of measurement.

4. Finally, over the next week we’ll be releasing a number of digital stories that aim to communicate the value and importance of kindness in a new way for people within organisations, and people interacting with organisations (look out for these on social media).

However, we don’t just want to share this learning; we want it to lead to action that improves wellbeing.

Therefore, if these reports resonate with the journey that you and your organisation are on, we invite you to endorse the Commitment to Kindness, to use it as a framework to enhance your organisation’s approach to implementing kindness, and to join a growing movement of ‘kind organisations’.

Finally, we would love to hear your thoughts and reactions, which you can share with the team via ben.thurman@carnegieuk.org and with others at @CarnegieUKTrust

#CommitmentToKindness.

With best wishes

SARAH DAVIDSON

Chief Executive, Carnegie UK

Twitter: @CarnegieUKTrust

www.carnegieuk.org

Scottish Children’s Services Coalition: More than 1,600 children have been waiting over a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of children’s services, has called for significantly increased investment in mental health services and warned of a mental health pandemic as the impacts of Covid-19 on the young become clearer.

The call comes as new figures published today (7^th September 2021) from Public Health Scotland indicate that at the end of June 2021, 1,686 children and young people had been waiting over a year for treatment from specialist child and adolescent mental health services (CAMHS) provided by the NHS. This figure represents a doubling from June 2020 (787).They also represent 14.4 per cent of those waiting for specialist treatment.

With already under-resourced and overstretched services facing overwhelming pressure due to increased demand, the SCSC has raised concerns over a potential “lost generation” of vulnerable children and young people whose mental health is being impacted by Covid-19.

Even prior to the pandemic cases of poor mental health were at unprecedented levels and there are a growing number of vulnerable children who cannot access adequate support. This was further reinforced by a recent blog post from Antony Clark, a director for public health watchdog, Audit Scotland, who noted that “serious concerns have existed for years”, and that action was now more urgent given the impact of the pandemic on young people.

Figures issued last month showed that self-harm among the young in Scotland was at its the highest level for 14 years and this is undoubtedly only the tip of the iceberg.³

While 4,552 children and young people were treated over the period April to June 2021 by CAMHS, only 72.6 per cent were seen within the Scottish Government’s waiting time target for the NHS of 18 weeks from referral to treatment (met for at least 90 per cent of patients).⁴ Nine out of 14 health boards failed to meet this target (full table in Notes to Editors).

In addition to increased investment in mental health services, the SCSC has called for a renewed focus on expanded prevention and early intervention services, reducing the need for referral to costly specialist CAMHS. It has also called for greater partnership working between the public, private and third sectors as well as greater awareness of the services on offer, especially those at a community level.

A spokesperson for the SCSC commented: “These frightening statistics highlight the challenges ahead and while we welcome a commitment by the Scottish Government to increase investment in mental health services to 1 per cent of NHS spending over the next five years, we need this investment now.

“This increased investment should not however just apply to the NHS and one of the key problems is that early intervention support has not been available due to funding restrictions. Investing in early intervention limits the need for highly costly CAMHS and increasing resourcing in support services and intervention strategies must be a priority for this government.

“We have for some time raised concerns over a potential lost generation of vulnerable children and young people, whose mental health is being impacted even further by the Covid-19 pandemic. It is more important then ever that children can access the support they need, when they need it, irrespective of where they live.

“This is a crisis we can overcome, but it will require a similar energy and commitment to that demonstrated for Covid-19 if we are to achieve this and prevent many young people giving up on their futures.”

Delayed Discharge in NHS Lothian returns to pre Covid-19 levels

The number of days that patients who have been delayed from leaving hospital because of no appropriate place to go to has risen to 7,829 for July 2021, the latest month statistics are available for.

This is an increase of 2,004 from 5,825 delays throughout June and triple the number of bed days occupied from delayed discharge at the start of the Covid-19 pandemic when 2,531 delays occurred.

At the start of the Covid-19 pandemic SNP Ministers made the decision to move hospital patients into care homes, to free up hospital space for dealing with the Covid-19 pandemic. It later emerged that patients being moved from hospitals to care homes where not tested for Covid-19 leading to higher rates of Covid-19 deaths in care homes than anywhere else in Scotland.

The level of delayed discharge in NHS Lothian has now returned to pre- pandemic levels with the number of bed days in hospital for delayed discharge being 11 higher than March 2020, 7,278, when hospital patients where moved to care homes.

Edinburgh and the Lothians were in the process of recovering from a Social Care crisis before the pandemic hit, with the peak of delayed discharge in hospitals being in October 2018, when 11,855 combined days when patients were not able to leave hospital, despite being back to health.

Lothian MSP, Miles Briggs, said: “These figures are very concerning, with the number of patients being stuck in hospital without a suitable destination, returning to pre pandemic levels.

“In Edinburgh and the Lothians there has been a long standing challenge to provide social care, which started to shift towards care in the community.

“We are now seeing increasing numbers of patients not able to leave hospital and the Edinburgh Integrated Joint Board are planning on closing more care homes.

“Patients leaving hospital must have a suitable destination to go once recovered, so that we are not in a position where people are waiting days on end in hospital, when they don’t need to be there.”

“Shocking”: Ambulance handover delays are threatening patient safety, experts warn

A new snapshot survey by the Royal College of Emergency Medicine has found that in August 2021 half of respondents stated that their Emergency Department had been forced to hold patients outside in ambulances every day, compared to just over a quarter in October 2020 and less than one-fifth in March 2020.

The survey, sent out to Emergency Department Clinical Leads across the UK, also found that half of respondents described how their Emergency Department had been forced to provide care for patients in corridors every day, while nearly three-quarters said their department was unable to maintain social distancing every day.

One-third said that the longest patient stay they had had in their Emergency Department was between 24 and 48 hours, with seven per cent reporting the longest stay to be more than 48 hours.

Dr Ian Higginson, Vice President of the Royal College of Emergency Medicine, said: “It is shocking to see the extent of the challenges faced by Emergency Departments across the UK.

“Holding ambulances, corridor care, long stays – these are all unconscionable practices that cause harm to patients. But the scale of the pressures right now leaves doctors and nurses no options.

“We are doing all we can to maintain flow, maximise infection prevention control measures, and maintain social distancing. Our priority is to keep patients safe, and ensure we deliver effective care quickly and efficiently, but it is extremely difficult right now.

“The data is stark, and this is August. Our members are really worried about what may come in autumn and winter. We have a duty to our patients and staff. Currently there is extremely high demand – for a number of reasons – but demand is not the whole picture.

“Demand presents a challenge because of the limitations of hospital space, workforce shortages, difficulties arranging quick ambulance handovers, smooth care and safe discharge of patients from wards, and a lack of services and alternatives to admission, particularly in the evenings and at weekends.

“The health service entered the pandemic short of staff, with less beds, and underprepared. Throughout the pandemic these shortages have been felt, but with demand higher than ever before, and with a workforce that is burned out, these shortages are felt more acutely than ever.”

Commenting on the increase in ambulance handover delays, Tracy Nicholls, Chief Executive of the College of Paramedics, said: “The College of Paramedics’ members also speak passionately about the potential for harm to those patients who, as a consequence of these lengthy ambulance handover delays, can wait an unacceptably long time for help. It is deeply concerning.

“Like the Royal College of Emergency Medicine, we recognise that all partners are working exceptionally hard to manage this situation and current demand. The reality is, however, that unless effective actions are taken now to ease the system pressures, more and more patients will face these delays as we head into another difficult winter, and both paramedics and ambulance clinicians across the UK will face the brunt of any further increase in demand.

“We urge NHS leadership to take action now to mitigate this risk wherever possible and protect both patients and our collective workforce from the inevitable pressure that we face if nothing is done.”

The survey also found that over 80% of respondents had little or no confidence in their organisation’s ability to safely and effectively manage the current or predicted combination of pressures as we head into winter.

Dr Higginson continued: “The final response that found an overwhelming lack of confidence signals something deeply troubling.

“The College has consistently warned of the upcoming winter and ongoing pressures. It is time we saw leadership and an equivalent response. There must be a comprehensive plan for the current demand and upcoming winter that include short- and long-term solutions to tackle these serious challenges.

“If ambulance services and Emergency Departments cannot cope with ongoing pressures, then it is patients and the workforce looking after them who will suffer. The winter could lead the health service into a serious crisis. Patients and staff must have assurance that they, their Emergency Department and their hospital will get what they need to manage.”

Tonight: The M Club

Are you menopausal? Do you have trouble sleeping due to night sweats? Do you feel anxious? Do you leak when you laugh, sneeze or cough?

Share your experiences, gain more knowledge or just know YOU are not alone.

Tonight 8-9pm via Zoom.

Contact Shescotland@outlook.com for details