Action Meso Day

Action Mesothelioma Day (Action Meso Day), an annual event to raise awareness of mesothelioma and the dangers of asbestos, will this year be a virtual event hosted by broadcaster, academic, and mesothelioma patient, Kate Williams.

The UK has the world’s highest incidence of mesothelioma, a type of cancer caused by exposure to asbestos, with more than 2,700 people diagnosed each year. Over 1600 schools in Scotland contain asbestos.

Hosted by the UK Mesothelioma Alliance (UKMA) as part of its ActionMeso campaign, the event will be held from 12.30pm to 1.30pm on Friday 2 July.

It will include panel discussions, clinical trials updates, expert insights and patient stories for anyone affected by mesothelioma. ActionMeso supporters, including support groups and charities in Scotland, will be hosting their own activities before or after the main event.

Patients, family members, friends, carers, local dignitaries, healthcare professionals, asbestos removal companies, law firms and anyone interested in mesothelioma and the dangers of asbestos are invited to join the event.

Registration is free at www.actionmeso.org/amd21 and the hashtag #ActionMeso will be used on social media platforms.

Kate Williams, broadcaster, academic, mesothelioma patient and host for the national event, said: “I was honoured to be asked to host Action Meso Day 2021. As a peritoneal mesothelioma patient myself, I am all too aware of the importance of raising awareness of the disease and the dangers of asbestos.

“This is a chance to hear from people directly affected by this cancer and along with other patients, I will be sharing my story. We’ll also be learning about the latest in treatment and care from healthcare professionals.

“Events like this and the #ActionMeso campaign are vital if we are to see companies and the government take action and prevent other families being affected by this disease.”

Phyllis Craig MBE, Director of Action on Asbestos said, “Our charity is proud to be part of an initiative that brings people together to raise awareness that mesothelioma is a preventable condition.

“Being a charity that covers the whole of Scotland we know only too well the devastation that is caused to those diagnosed with mesothelioma and their families, especially when this condition is caused through no fault of their own.

“The fact that asbestos remains in over 1600 schools in Scotland is terrifying, because this means that we may continue to see more people being diagnosed with mesothelioma in another 20 to 30 years. If we stand united, we can eradicate asbestos from all public buildings and safeguard our future – our children.”

Statistics show that 94 per cent of mesothelioma cases in the UK are caused by workplace exposures and are preventable.

ActionMeso is campaigning to promote the Mesothelioma Patient Charter to employers, healthcare providers and politicians in all the nations of the United Kingdom, which sets out the action needed to prevent this disease and ensure more families do not suffer.

One in 12 key workers do not qualify for statutory sick pay

  • A third of key workers (33%) say they do not get full sick pay
  • A quarter of key workers (24%) say they get only £96pw statutory sick pay
  • Extending sick pay protection to all workers would cost the same as just 1% of the test and trace budget

New analysis published by the TUC shows that one in 12 key workers (788,000 people) do not qualify for statutory sick pay (SSP) – despite many of them being at greater risk from Covid-19 due to the frontline nature of their job.

The analysis uses the same definition of key worker as government. It finds that those excluded from SSP include more than a quarter of cleaners (27%) and retail workers (26%); nearly one in 10 teaching assistants (9%); and over one in 20 care workers (6%).

Additional figures from polling for the TUC by BritainThinks show that, for those who self-identify as key workers in the context of the Covid pandemic, a third (33%) report getting less than full sick pay (below their usual rate of pay); and a quarter (24%) report getting only the minimal protection of SSP at just £96 per week.

The TUC is calling for sick pay to be reformed so that:

  • The lower earnings limit rule is removed, allowing the lowest paid workers to qualify for statutory sick pay for the first time
  • The rate of SSP is raised to at least the level of the real living wage (£330 per week).

Research commissioned by the TUC from the Fabian Society shows that the cost of raising SSP to the equivalent of the real Living Wage for employers without an occupational sick pay scheme would be around £110 per employee per year – or just over £2 a week.

The research also shows that removing the lower earnings limit, which prevents those on low earnings from accessing statutory sick pay, would cost employers a maximum of £150m a year. And it would cost the government less than one per cent of the test and trace scheme to support employers with this cost.

TUC General Secretary Frances O’Grady said: “Nobody should have to choose between going into work if they’re sick or should be self-isolating, or doing the right thing by staying home, but facing hardship as a result. But that’s the choice facing many key workers who kept the country going during the pandemic.

“Our key workers deserve the dignity, security and safety of proper sick pay and a decent pay rise too. They have earned it, often in frontline jobs with much greater risk of infection than those who could work from home.

“The cost of fixing the UK’s broken sick pay system is small compared to other public health measures like test and trace. Ministers must urgently make every worker eligible for statutory sick pay. And it should be worth at least as much as the real Living Wage.”

The Fabian Society report Statutory Sick Pay: Options for reform is available here:

 https://www.tuc.org.uk/sites/default/files/SSPreport.pdf

Scottish Munro record holder, Donnie Campbell, joins Venture Trust as new ambassador

Venture Trust is delighted to announce Donnie Campbell as our latest ambassador. 

Donnie is the record holder for a complete round of all 282 Scottish Munro’s in 31 days and is one of Scotland’s top running coaches. His main sport is ultra mountain running and has won races all over the world, representing team GB at the world trail running championships and also running across the Namib desert in 9 days. 

Donnie has an incredible amount of motivation, stamina and self-belief and he wants to push others to be the best they can be. 

Mike Strang, Interm CEO at Venture Trust, said: “Donnie is a shining example of what hard work, motivation and self-belief can achieve. As an ex-marine turned ultra-mountain runner, Donnie is well placed to inspire the people we work with who may not have had the best start in life. We are delighted to have Donnie on board. 

“Donnie’s appointment is particularly timely as we recently launched an Outdoor Therapy service which specifically provides mental health support to veterans struggling with their transitioning to civilian life and looking for new goals and aspirations.” 

At Venture Trust, we work with people to gain the life skills, stability and confidence needed to reach their potential.

Through person-centred support in communities and experiential learning in the Scottish outdoors we challenge individuals to reflect on beliefs, attitudes and behaviours so they can unlock skills and learn new, more positive, ways of approaching situations. 

By adapting to environments like the outdoors, people we work with increase resilience, develop understanding of how to interact others, and improve impulse control in challenging situations. We have personal development programmes for young people, those involved in criminal justice and ex-service personnel struggling with civilian life.  

Donnie is an inspiration to those facing and overcoming challenging circumstances and shares the belief that we can build skills through new experiences in the outdoors and getting out of our comfort zone. 

Donnie says: “My achievements are about building mental stamina as much as physical stamina; once you reach difficult circumstances, you know you have been through it before, and you can get through it again. 

“The circumstances I’ve faced in life might be different, but by offering the right support and opportunities to learn out in the wild, I believe everyone working with Venture Trust has the chance to rise from their challenges and become the best version of themselves”.   

Growing up in the Isle of Skye, Donnie is used to being in the countryside and surrounded by nature. He joined the Royal Marine Commando at age 17 and went to Iraq at age 18, facing many challenges at a young age. Donnie left the marines to study Sports Coaching and Development and wanted to use his enthusiasm and coaching skills to encourage other people to reach their goals.  

Mike concludes: “We are really excited about working with Donnie and hope that together we can really inspire people to try new experiences, especially in the outdoors, and push themselves to achieve their goals and reach their potential”.  

Greg cycles length of Britain for Scotland’s mental health

Greg McAllister, an employee at leading industrial software provider Asset Guardian Solutions Limited (AGSL), recently embarked on a 1,000 mile cycle from John o’Groats to Land’s End, helping the company raise over £3,000 for its corporate charity partner, SAMH (the Scottish Association  for Mental Health).

Greg, an enthusiastic cyclist, decided to combine his passion with the company’s annual fundraising campaign to support SAMH and raise awareness of Scotland’s mental health and wellbeing challenge.

Greg explained: “Mental health is something that has always been there and during the last two lockdowns I have noticed how important it is to talk about it and not to shy away from it.

“With AGSL partnering with SAMH, I felt that it was a good time to set myself a goal. I have wanted to try some sort of endurance challenge for a while and during lockdown I was able to increase my running and cycling to a level that I felt I would be able to complete a multi-day challenge.

“Each day was tough, with poor weather conditions and minor injuries and so I took it slow and steady, but the fundraising campaign helped me keep focused. Luckily arriving at Lands’s End was nice and sunny to finish off! I’d like to thank Asset Guardian for the support they gave me before and during the cycle.”

Greg, who is a reigning world champion bagpiper, was backed by sponsors AGSL, McCallum Bagpipes, MG Reeds and The Rollin Drones, who helped support Greg in raising awareness of the charity and its national mental health programme.

Iain Rennie, Operations Director at AGSL said: “Everyone at AGSL is very proud of Greg and his dedication in completing this challenge.  His achievement in cycling the full length of the country should not be underestimated, especially doing it solo without other riders to take some of the load. 

“And of course the fundraising effort for our partner SAMH, where Greg’s contribution should help us break through our target for this year.”

Fiona Lewis, Corporate Partnerships Manager at SAMH, said: “All of us at SAMH are delighted to be Asset Guardian’s charity partner. It’s fantastic that the staff have decided to make mental health their cause.

“Greg’s achievement is incredible and we cannot thank him enough for showing SAMH and the mental health cause such tremendous support and dedication. The funds raised by Greg, and by colleagues throughout our partnership, will fund crucial mental health support for people across Scotland – a huge thank you from everyone at SAMH.”

SAMH and Scotland’s Mental Health Challenge

SAMH is Scotland’s mental health charity and provides local mental health support and accessible information. SAMH listens to what matters in each local community, and campaign nationally for the changes that make the big and little differences in life. Now more than ever, SAMH need to make change happen.

SAMH are standing up for Scotland’s mental health. It costs just £20 to run one support session with SAMH, where the charity can spend time with someone to help them in their recovery from mental ill health. 

SAMH is committed to supporting Scotland’s mental health, especially during this difficult time. and have created a dedicated online information hub, providing for advice and information on protecting your mental health during these developments.

Visit www.samh.org.uk/coronavirus

For more information on SAMH, please visit www.samh.org.uk.

Asset Guardian Solutions Limited specialises in protecting and securing industrial process software and is an official corporate partner for SAMH. 

All year round, employees strive to raise awareness of mental health by supporting the charity through fundraising campaigns. With positive mental health being part of the company’s corporate culture, it hopes to raise awareness of mental health challenges together with SAMH.

For more information on AGSL, please visit www.assetguardian.com.

NHS Lothian: Stick with safety precautions to stay COVID-19 safe

NHS Lothian has urged people not to give up on vital COVID-19 safety precautions as Scotland enters a new phase of the pandemic.

Dona Milne, Director of Public Health and Health Policy, NHS Lothian, said that while fewer people were becoming seriously ill from the disease, the number of new cases in Lothian have reached levels last seen during the last lockdown.

And she warned that the stringent use of safety precautions – face masks, handwashing and social distancing – with vaccination and increased community testing – was still vital to get a grip on the virus.

Dona said: “The last time our numbers of infections were so high was in January when we were all living under stay at home restrictions as part of the national lockdown.  Covid hasn’t gone away and can still cause serious illness. It is critical we remember that.

“Thankfully fewer people are becoming seriously unwell – but that is only down to the success of the vaccination programme. It is not because of a reduction in the threat that COVID-19 poses to us all.

“We know that 1 in 3 people who have Covid do not show symptoms of the virus but can still transmit it, so we should all be testing ourselves twice a week to keep ourselves, family and communities safe. 

“Those test results help us to target an area before the virus really takes hold, causing a surge in cases. The earlier a trend is identified, the more effective the measures, such as increased vaccination, will be. In turn, this will then help to reduce the chances of more region-wide or national restrictions.”

At the moment, around 203 per 100,000 people in Lothian are testing positive for the virus, with around 200 new cases every day of mostly younger adults and school aged children. 

Dona added: “As the restrictions begin to ease and the list of things we can do begins to increase, it’s tempting to think that it’s safe. The virus is still around us and it doesn’t mean that these things can be done without face masks, handwashing and social distancing. We cannot afford to return to normal just because we want it so badly. Lives may depend on it.

“We know that the weather is better and people want to get together and mix with friends, especially outdoors. As our worlds open up these things are allowed, and as we know outside is always safer, but we still need to think about maintaining our distance and wearing face masks when we can’t. 

“The problem is that people are dropping their guard when they are inside and out and especially if alcohol is involved. If you are indoors, you must keep numbers to a minimum and ensure good ventilation.”

Over the last three weeks, the specialist health protection team in Lothian has dealt with scores of separate situations in a number of settings such as hospitality events, weddings, workplaces, a beach party and schools.

There were more than 5549 positive cases, which generated more than 20,861 contacts.Fortunately, the number of people testing positive are not having such a serious impact on the NHS because so many people over the age of 40 are either fully vaccinated or about to undergo their second dose.

However, Dona urged people not to give in and to stick with the restrictions for a bit longer to give the vaccination programme more time to vaccinate more people and provide vital protection for younger adults.

So far, a total of 974,843 doses of the vaccine have been administered in clinics across NHS Lothian and the vaccination programme is working as fast as the vaccine supply allows. Drop-in clinics for the over 40s have also been launched at all the of the mass vaccination sites, except Lowland, to provide a first or second jab and more protection to as many people as possible.

Dona added: “It would be unthinkable to have come this far and to throw away all of our good work now. We must continue to live within the restrictions for a bit longer to give us a little more time to vaccinate more people and give them the protection they need. 

“Everyone living and working in Lothian has done really well so far and I would thank them for all of their efforts so far. I would ask everyone just to stick with it for a bit longer. Please continue to follow the safety precautions, keep your vaccination appointment, maintain regular testing and self-isolate if required.”

2,999 new cases of COVID-19 were reported in Scotand yesterday – the highest ever daily figure.

People with lived experience have their say on stroke research

The Stroke Association, the UK’s leading stroke charity, is announcing the top 10 priorities for stroke research, uncovered by a study involving stroke survivors, carers and health and social care professionals in stroke.

The charity’s new report – the first UK-wide project to map research priorities across the entire stroke care and treatment pathway – reveals where research can address the issues holding Stroke Association survivors back from rebuilding their lives after a devastating stroke.    

John Watson, Director Scotland of the Stroke Association said: “One in five people will have a stroke in their lifetime. Stroke happens in the brain, the control centre for who we are and what we can do. 

“Every stroke is unique because the brain is so complex and stroke can happen in any part of it. This means there are as many different impacts of stroke as there are stroke survivors, posing a huge challenge for research. 

“According to the most recent figures from the UK Medical Research Council, only £30m of public and charity health research spending goes on stroke. This equates to less than £25 per stroke survivor per year compared to £161 per person living with cancer. 

“Despite major breakthroughs over the last 10 years, we now know where there are significant blind spots in treatment and care. These are holding people back from rebuilding their lives. With the number of people having strokes set to rise – it’s estimated that the number of stroke survivors in Scotland could rise to almost 175,000 by 2035, [3].  We must act now and invest in the research that will make the biggest difference to the lives of people affected by stroke.”  

Keen endurance athlete, Andrew (Andy) aged 48 from Perthshire had a stroke in 2019 – he knows only too well the burden of stroke and gaps in stroke research that matter to people affected by stroke.

Andy said: “Stroke research is important to me.  There are many effects of stroke including fatigue and the psychological consequences of stroke that we should know more about. 

“We need to involve people with lived experience of stroke in decisions around stroke priorities to inform researchers and funders about what really matters to us. We know what our difficulties are, and I believe further understanding of those difficulties is a good step towards finding treatments and solutions to enable people to live the best possible life they can.”

Over 1,400 people affected by stroke and professionals in stroke took part in the project, which was carried out in partnership with the James Lind Alliance (JLA), as well as individuals and organisations representing stroke patients, carers and professionals in stroke. 

The Stroke Association is sharing the findings as part of its new reportShaping Stroke Research to Rebuild Lives: The Stroke Priority Setting Partnership results for investment.” 

The report sets the agenda for stroke research and identifies the areas that most urgently need investment.  There are two lists of 10 priority areas: the first in stroke prevention and acute care, and the second in rehabilitation and long-term care, ranked in order of importance.  

The top priorities in each list are: 

  • Interventions to stop stroke. Stroke strikes every 5 minutes in the UK, but we know that most (80-90%) strokes are preventable [4]. We need increased investment in research so people can avoid the devastating effects of stroke in the first place. 
  • Understanding of, and treatment for mental and emotional problems. Three quarters of stroke survivors experience a change in their mental health [5], we need research so that people can overcome significant effects such as anxiety and depression after stroke.  

Dr Rubina Ahmed, Director of Research and Policy at the Stroke Association, said: “Charities like ours need to look for new ways to help stroke survivors with emotional, mental and communication problems. 

“Establishing what research will make the biggest difference to stroke survivors and those caring for them is just the first step. Stroke research is severely underfunded.  Just £1 in every £100 of public and charity spend in health research is on stroke and this just isn’t enough to solve the big and complex issues caused by stroke. 

“The stroke funding crisis has been worsened by the coronavirus (Covid 19) pandemic, which has had a devastating impact on our income, halving the charity’s research budget.  Stroke research is at risk, which means recoveries of people like Andy are at risk too. Your support can fund the research that will lead to breakthroughs in treatment and care. If you can, please donate so that we can make sure more stroke survivors can rebuild their lives after stroke.  

“We would like to thank everyone who took part in this project: stroke survivors, their carers, professionals in stroke, the James Lind Alliance, the Steering Group members and our partners. By having your say for stroke, you have helped to shape stroke research to rebuild lives.” 

Over the past 30 years the Stroke Association has played a crucial role in supporting stroke research in the UK. By establishing these priorities our charity can support the research that can make the biggest difference to the lives of people affected by stroke.  

Find out how stroke research helps rebuild lives at stroke.org.uk/rebuildinglives or to donate, please visit: stroke.org.uk/saveresearch 

To read the full list of priorities and the report visit: www.stroke.org.uk/psp  

Major upgrade boosts local community health services

Lindsay & Gilmour’s popular pharmacy in Blackhall will unveil the completion of a major upgrade to its facilities this month, following a substantial refurbishment over the past nine months.  

The new look community pharmacy, which has been operated by Lindsay & Gilmour since 2000, will offer patients and local residents an enhanced environment in which to access medical advice, support and prescriptions at a convenient location and time. 

As a result of the refurbishment, which followed a flooding incident in the building last year, the pharmacy has benefited from brand new fittings throughout, increased public space, more IT stations and a larger consultation room allowing for more services in the future. The pharmacy shop area has also been made more customer friendly with wheelchair access and a new staff room area has been created.  

Pharmacy Manager Stephen Deazley and his team of highly experienced and knowledgeable health care professionals are looking forward to welcoming customers back into the pharmacy soon.  

The official re-opening, taking place at Lindsay & Gilmour, 22 Hillhouse Road, Blackhall, Edinburgh, EH4 2AG will take place between 11am and 12pm tomorrow (Thursday 24th June).

Customers are encouraged to come and visit our new look pharmacy during our relaunch week and receive 10% off purchases, a goody bag and a free health check.  This will include blood pressure testing, health advice, glucose testing, stop smoking, diet and lifestyle advice. 

Lindsay & Gilmour Superintendent Pharmacist and Managing Director Philip Galt said: “I am so proud of the resilience of the whole pharmacy team at Blackhall who have remained dedicated to serving their local community throughout a challenging time in the last year.

“As well as rising to the challenges of the COVID-19 pandemic, the team have had to work in a very limited space as the pharmacy underwent a considerable refurbishment following a bad flood.  The pharmacy refit is now complete, and we are delighted with the results.  

“Our patients can look forward to being welcomed and served in a state-of-the art environment by the same dedicated team of pharmacy professionals that make Lindsay & Gilmour so special.” 

TUC calls for long Covid to be recognised as a disability to prevent “massive” discrimination

The TUC has called for long Covid to be urgently recognised as a disability and Covid-19 as an occupational disease, to give workers access to legal protections and compensation.

The call comes as the TUC publishes an in-depth report on workers’ experiences of long Covid during the pandemic.

More than 3,500 workers responded to a TUC survey on the impact of long Covid on people’s daily working lives.

The survey reveals that, of those surveyed:

  • Nearly 3 in 10 (29 per cent) have experienced symptoms lasting longer than a year.
  • More than 9 in 10 (95 per cent) have been left with ongoing symptoms.
  • A clear majority had experienced side effects including brain fog (72 per cent), shortness of breath (70 per cent), difficulty concentrating (62 per cent) and memory problems (54 per cent).
  • Over half (52 per cent) had experienced some form of discrimination or disadvantage due to their condition.

The report highlights how frontline workers have been disproportionately affected by long Covid.

Over three-quarters (79 per cent) of those who responded to the TUC’s survey identify themselves as key workers, with the majority working in either education or health and social care.

More than two-thirds (68 per cent) of respondents were women. 

Long Covid in the workplace

The report reveals the extent of discrimination in the workplace towards those with long Covid.

Over half (52 per cent) of respondents said they had experienced some form of discrimination or disadvantage due to their condition.

Workers told the TUC how they were faced with disbelief and suspicion when they disclosed their symptoms:

  • Around a fifth (19 per cent) said their employer had questioned the impact of their symptoms.
  • One in eight (13 per cent) faced questions from their employer about whether they had long Covid at all.
  • One in 20 respondents (5 per cent) said they had been forced out of their jobs altogether because they had long Covid. 

Respondents described the difficulties that they faced trying to work while experiencing a range of long Covid symptoms.

One person – who contracted Covid-19 at work – said that when their employer went ahead with an international event in the first wave of the pandemic: “I was still expected to work long hours, handle stressful situations in impossible timeframes, find and fill in forms (which I struggled to do because of cognitive issues), and spend hours on Zoom calls when I struggled to talk and breathe, resulting in extreme chest pain, shortness of breath, exhaustion and severe symptom relapses.”

Respondents were also concerned about what the future might hold for them at work given the amount of sick leave they had been forced to take due to their long Covid symptoms.

Around one in six respondents (18 per cent) said the amount of sick leave they had taken had triggered absence management or HR processes.

New rights and protections for those with long Covid

The TUC is calling for the government to urgently recognise long Covid as a disability under the Equality Act.

The Equality Act 2010 defines disability as a “physical or mental impairment…[that] has a substantial and long-term adverse effect on [their] ability to carry out normal day-to-day activities”. Government guidance makes clear that ‘long-term’ means 12 months or more.

The TUC says that many who have long Covid already meet this criteria and should therefore be protected under the law rather than forced to go through the stress of employment tribunals.

Extending Equality Act 2010 protections so they cover workers with long Covid would ensure employers cannot legally discriminate against them. It would also put a duty on employers to make reasonable adjustments that remove, reduce or prevent any disadvantages workers with long Covid face, as for any other enduring condition or disability.  

In addition, the union body is calling on ministers to recognise Covid-19 as an occupational disease – entitling employees and their dependents to protection and compensation if they contracted the virus while working.

TUC General Secretary Frances O’Grady said: “Many of the workers who have carried us through the pandemic are now living with debilitating symptoms of long Covid. And we’re beginning to hear troubling stories of a massive wave of discrimination against people with long Covid.  

“It’s time to recognise this condition properly – and make sure workers who are living with long Covid get the support they need to do their jobs.

“Long Covid must be recognised as a disability. That would mean workers are protected by the Equality Act, and would have a right to get reasonable adjustments at work.

“And Covid-19 should be designated as an occupational disease. That would allow workers who contracted Covid-19 at work and are living with the consequences to claim the compensation they are due.  

“Employers must also act. They should make sure they make reasonable adjustments for workers with long Covid, and complete specific risk assessments to make sure workers with long Covid are safe at work.” 

Lesley Macniven, Chair of the Long Covid Support Group, who worked with the TUC on its report, said: “Even those with ‘mild’ Covid can suffer daily with fluctuating symptoms, exhausted and alone. Promises we’ll ‘just get better’ have been proved otherwise.

“A year on we need legally enforceable guidance for employers and government – informed by unions, occupational health and patient groups with significant lived experience managing long Covid.

“Patients need time to convalesce, then recuperate through a very gradual, flexible phased return to work, over months, to achieve a sustainable return.

“Long Covid is disabling young, previously healthy workers. This key step is needed to take the effects of long Covid seriously, enable rehabilitation and protect dedicated workers from discrimination due to poor understanding of the condition.”

NHS Trusts grappling with challenges on ‘multiple fronts’

Survey by NHS Providers reveals fears over waiting lists, COVID-19 and winter pressures

survey by NHS Providers sets out in stark detail how NHS leaders are grappling with challenges on multiple fronts as they seek to meet rising demand for health services alongside a rapidly growing waiting list and a worrying surge of COVID-19.

The health service is coming under concerted pressure with recent figures revealing a record 5.1 million people on waiting lists, over 2 million A&E attendances in the last month and a steep increase in demand for mental health services.

Trusts and frontline staff are working at full pelt to clear the backlog of care that has built up during the pandemic, with 90% of pre-pandemic levels of operations now being carried out and a small, but welcome fall in the number of people now waiting over 52 weeks for treatment to begin.

But our survey reveals widespread concerns amongst trust leaders that winter pressures and further surges of COVID-19 will derail plans to deal with the backlog of care and undermine hard-won progress.

These findings come just days after the chief medical officer warned of a further wave of COVID-19 this winter and the prime minister was forced to delay plans to further ease restrictions following a sharp rise in infections and hospital admissions because of the Delta variant.

The survey responses reveal:

  • A large majority of leaders (88%) said it was likely that another surge in COVID-19 cases would place additional pressures on their services.
  • 89% said they were worried these additional pressures would come during the challenging winter months.
  • Almost three quarters (73%) of respondents raised concerns that plans to clear the backlog of care over winter risked being disrupted because of the need to prioritise demand for urgent and emergency care.
  • Almost half (48%) of respondents said they have seen evidence of staff leaving their organisation due to early retirement, COVID-19 burnout, or other effects from working in the pandemic. Respondents are concerned that juggling winter, flu, COVID-19 and ambitious recovery plans will once again put pressure on the workforce.


Commenting on the survey results, the deputy chief executive of NHS Providers, Saffron Cordery said: “Our survey reveals the sheer scale of the challenge facing trusts right now. They are battling on multiple fronts as they try to recover care backlogs, deal with increased demand for emergency care and treat patients with COVID-19.

“This is difficult at the best of times but as we saw last year, could become even more challenging during the hard winter months, particularly with the expectation that flu will return and there will be increased respiratory viruses among children.

“Trusts are committed to clearing the backlog of care that built up during the pandemic. We are confident vaccines are breaking the chain between infections and hospital admissions, but the reality on the frontline is that even a small increase in COVID-19 admissions or emergency care pressures could affect our ability to deliver non-COVID services.

“Trust leaders are doing all they can, but there are three steps the government can take immediately to ease the current pressure trusts are facing.

The government must provide much needed short-term capital funding so trusts can direct it to the services that need it most. Saffron Cordery    DEPUTY CHIEF EXECUTIVE

“First, the government must provide much needed short-term capital funding so trusts can direct it to the services that need it most. Trusts tell us they need capital quickly to expand intensive care units, to invest in digital to transform pathways to see patients more quickly, and to adapt estates to create more capacity.

“Second, trusts need to maintain patient flow and maximise their capacity. We’re urging the government to commit to permanent, dedicated funding for the discharge to assess programme, which ensures patients who are ready to leave hospital are placed in a more appropriate setting freeing up hospital beds.

“Third, we need national bodies to work with NHS leaders to get the planning for winter pressures right to help manage the risk ahead. We know the NHS faces a perfect storm of COVID-19, flu and other respiratory illnesses as well as a growing backlog of care. We must act now.”

‘The threat of winter is tangible’

RCEM supports NHS Providers call for action

Responding to the latest survey from NHS Providers about the challenges facing Trusts, Dr Adrian Boyle, Vice President of the Royal College of Emergency Medicine, said:

“The health service is facing serious pressures: with the backlog of elective care reaching 5.1 million patients; and the urgent and emergency care system facing record breaking attendances.

“It is an incredibly challenging time, but we support our Trust Leaders and recognise that they are doing what they can to manage the current situation.

“We support NHS Providers and their three steps the government can take to ease pressures currently facing Trusts. We particularly welcome NHS Providers call for action ahead of winter and the likely increase of pressures that covid, flu and respiratory illnesses will bring, in tandem with the urgent tackling of elective care.

Since April 2021, the College has warned of the threat of winter and the need to prepare the health service and ready Emergency Departments. It is absolutely essential that we ensure there is adequate capacity, adequate access to alternative care, departments have the right resources, and that staff are prepared.

“Our Summer to Recover: Winter-proofing Urgent and Emergency Care for 2021 outlines the steps the government, NHS Trusts and Boards, and ED Leadership Teams can take to prepare ahead of winter.

“We welcome the recognition from NHS Providers of this threat ahead, now we wait for the urgent action and leadership from government that is desperately needed.”

New learning resource to support young people’s mental health

The Scottish Government has unveiled a new online learning resource to help school staff support young people’s mental health.

Staff can learn more about factors influencing mental health and wellbeing; prevention-based approaches in schools and tips on how to end mental health stigma and discrimination.

The Mental Health Foundation, Children in Scotland and training provider Digital Bricks developed the resource that is open to all school staff in primary, secondary and special schools.

Education Secretary Shirley-Anne Somerville said: “Children and young people’s mental health and wellbeing is of vital importance and this resource is a significant addition to the suite of resources that school staff can access. It will provide essential learning and knowledge on mental health and wellbeing that schools can adopt and embed across all aspects of the school environment.

“Although aimed primarily at school staff, it can also be accessed and used by anyone who wants to learn more about mental health and how to support children and young people.”

Councillor Stephen McCabe, COSLA spokesperson for Children and Young People, said: “The mental health and wellbeing of our children and young people must be a priority as we recover from the Covid-19 pandemic and beyond.

“Ensuring those working with young people, in all capacities, have access to resources that develop their understanding of, and equip them to appropriately support mental health would be crucial; I welcome this comprehensive resource providing training and information for all school staff.”