Tag: Health and wellbeing

Royal College of Emergency Medicine: Winter crisis looming?

16,000 additional beds may be needed for the NHS to cope this winter

The NHS urgently needs a rapid increase in bed numbers if it is to meet potential demand this winter according to new analysis from the Royal College of Emergency Medicine.

The College’s new briefing document ‘RCEM Explains: Hospital Beds’ looks at how bed numbers have declined in the past decade, the impact of covid, and the potential number of beds needed this winter, based on previous levels of demand.

The briefing uses the ratio of emergency admissions to beds to model the numbers of beds that will likely be needed, based on the levels of demand seen each winter prior to the pandemic.

In the last five years in England this figure has fluctuated between 11.07 admissions per bed (winter 2015/16) and 12.50 (winter 2018/19). Excluding the most recent winters (both of which saw demand and capacity fall due to the pandemic), there was an average of 11.77 admissions per bed.

If the NHS is to achieve a similar ratio this winter, and there are a similar number of admissions as in the winter of 2017/18, the NHS will need just over 7,500 additional beds. If demand is similar to 2018/19, then this figure rises to 15,788 extra beds.

President of the Royal College of Emergency Medicine, Dr Katherine Henderson said: “We are currently seeing record levels of attendances at Emergency Departments and if this continues into winter – an extremely likely situation – the NHS will have too few beds to be able to cope.

“The consequences of having too few beds could be dire. If we do not have the capacity to admit patients into hospitals, then A&E waiting times will go up, patients will end up being treated in corridors – a very real threat to their safety before the pandemic, but now with the added risk of hospital acquired infection – and the elective backlog will grow further as beds earmarked for surgeries will be used for emergency patients.”

The briefing also makes clear the relationship between high bed occupancy and an increased rate of cancelled elective operations.

Dr Henderson said: “Too few beds means higher rates of occupancy, which in itself puts patient safety at risk, but it is clear that this has a huge knock-on effect on elective care. Lack of beds is one of the top reasons for cancellation of surgeries and if we do not address the shortage now, before winter, the elective recovery will fail.

“We know that access to services is an issue throughout the NHS at the moment with resources short all-round, but Emergency Departments act as the safety net for the NHS – if they cannot function properly the entire system stalls – so it is vital that the new Secretary of State does all he can to enable the NHS to expand hospital capacity. 

“The safe restoration of bed capacity to pre-pandemic levels is no easy fix though – as we’ve seen with the Nightingale initiative, capacity cannot be expanded if we do not have enough doctors, nurses, and clinicians.

“The capacity and staffing issues we face now have been over a decade in the making. Social care is still unfixed. Waiting lists are growing. Structural reconfiguration is in progress. Covid is less of an immediate threat but is unlikely to disappear. The Secretary of State has much to do, but he must start by making the beds.”

Yousaf: Get Jagged in July

All mainland health boards will offer drop-in coronavirus (COVID-19) vaccination clinics from Monday as the programme nears completion of first doses for all adults in Scotland.

Everyone aged 18 and over can attend for their first dose or – if eight weeks have passed – their second dose. Separate queues will be in operation for those with a scheduled appointment.

From Monday, mobile vaccination units run by the Scottish Ambulance Service will visit local communities and busy city centre spots in Edinburgh and Glasgow for a two week period.  

Anyone who has not yet received an invitation or would like to rearrange an existing appointment can continue to self-register on the NHS Inform site.

Health Secretary Humza Yousaf said: “Our route out of this pandemic is getting as many people vaccinated as quickly as possible, that is why I am urging people to get jagged in July.

“The vaccination programme continues to progress at pace and, as always, I want to thank everyone involved and all those who have taken up the offer of vaccine.

“As we approach the final stages of the first COVID-19 vaccination programme we are increasing the options available for how and when you choose to be inoculated.

“You can attend one of the drop-in clinics being run in all mainland health boards or pop into a mobile unit. You can also rearrange the location of your appointment online if, for example, it is more convenient for you to be vaccinated closer to your work than home.

“You can find out where your nearest drop-in clinics are by visiting NHS Inform which will direct you to the latest information from your local health board.

“All those aged 18 and over can also self-register to receive their appointment by text or email which will be convenient for anyone who has recently moved house or is new to Scotland.

“All of the evidence says that the vaccines are working as we continue to battle the faster-transmitting Delta variant which is now dominant so I urge everyone to take advantage of the vaccination programme which is open to every adult in Scotland.”

Mr Yousaf’s appeal follows the announcement of 4234 new cases in Scotland yesterday – a new record.

Edinburgh Leisure’s Summer Pass: Everything you need for a sport filled summer

Don’t let the delay to the easing of Covid-19 restrictions stop you getting active this summer. If the Euros and Wimbledon are inspiring you to get moving, Edinburgh Leisure’s Summer Pass has everything you need for a sport filled summer and to stop you from being a couch-potato.

The ‘Summer Pass’, which goes on sale today, offers unlimited access to the city’s 12 state of the art gyms, 9 swimming pools, and 800+ fitness classes, and climbing at the EICA for £60 only.  The pass lasts six weeks from the date of purchase, with the last day a customer can purchase a pass being 31 August 2021.

James Stockton, Sales Manager at Edinburgh Leisure, said: “With so many people having staycations this year, why not use this opportunity to get fit at the same time. Our Summer Pass is less than £10 per week to stay active, without committing to a membership.

“Classes like Zumba or Sh’bam are brilliant fun and a great way to get you in the mood to party, while a workout at the gym will boost your energy for the night ahead.

“We’ve also got some quick hit X-press gym classes, which use high intensity interval training (HIIT) methods with explosive bursts of speed and activity to achieve a total workout in a short period of time, as 30 minutes. And our digital boditrax machine, available at the Royal Commonwealth Pool gym, which gives you a full-body composition analysis, could help you track your progress.”

Edinburgh Leisure’s Summer Pass is available to buy online on the Edinburgh Leisure website – www.edinburghleisure.co.uk

Support Service details at your fingertips with NHSinform

As pandemic restrictions begin to ease people in Scotland are encouraged to join over 30,000 others who have already turned to Scotland’s Service Directory in 2021 as a convenient way to find support services for health and wellbeing at their fingertips.

Scotland’s Services Directory has been developed by NHS 24 in association with Macmillan Cancer Support and health and care charity The Alliance.  The online directory offers contact details for local, quality-assured, health and care services across all regions in Scotland. Every Health and Social Care Partnership has a number of services listed.

Scotland’s Service Directory is available on NHSinform.scot providing  easy access on a wide range of health and wellbeing groups and services, including how to stay active, cancer services, dementia support, social activities for mental health, and money advice. NHS services are also listed.

A national campaign promoting the Directory will run over summer.

Adopted children facing mental health emergency, charity warns

Adoption UK in Scotland is warning of a mental health emergency amongst some of the country’s most vulnerable children, caused by failings in a system that is not set up to meet their needs.  

This year’s Adoption Barometer report reveals that two-thirds (64%) of people in the UK aged 16+ have sought help with their mental health, and the numbers are rising. In Scotland, more than half (51%) of adopted people aged 16-25 were involved with mental health services in 2020. Yet most say they have been unable to access the support they need.   

Most adopted young people suffered abuse, neglect or violence in their early years, with lasting impacts on relationships, learning and health, leaving their adoptive families to pick up the pieces when professional support is not provided.  

Fiona Aitken, Adoption UK Director of Scotland, said: “For the third year running, over two-thirds of Scottish Barometer respondents said they face an ongoing struggle for support. 

“Scottish children and families are being failed by a system that does not provide the ongoing help and support children need to overcome early experiences, and the lifelong impact that adoption has then fades into the background. 

“We owe it to these children and their families to provide ongoing support throughout their lives, to help them to achieve the best possible outcomes that they deserve.”

The survey results highlight the consequences of failure to provide early and consistent support for adopted young people. 

More than a third (38%) of adopted 16-25-year-olds in Scotland were not in positive destinations (education, employment or training) at the end of 2020. Involvement in high-risk and criminal activities has steadily increased since the first Adoption Barometer in 2019. 

Problems are often compounded by children falling through the cracks between child and adult services. Almost three-quarters of parents in the UK said their child’s support reduced or ceased when they aged out of services for adolescents. 

Julian Thomson, aged 29, said: “When I was 13 I was diagnosed with mild depression, but my GP was unwilling to prescribe antidepressants due to my age.

“There were a very narrow range of options available at that time, and it didn’t help that my medical records weren’t passed on after I was adopted. Because of that, a whole host of things were missed – it was like I didn’t have a life before adoption.

“Neither I nor my adoptive family were offered any real mental health support after that. I did have some sessions with an NHS counsellor, but that didn’t get to the root of the problem and I feel the sessions were not focused on trauma. It was only when I was 27 that I was diagnosed with complex post-traumatic stress disorder (PTSD) stemming from historical abuse.

“I am currently going through the process of being diagnosed with an autistic spectrum disorder. Had this been picked up when I was in care it may not have impacted upon my life the way it did. I believe there is a real need for psychological assessment for all adopted children.”

The Barometer survey also shows that contact with birth family often looms large during adolescence and early adulthood. 

In Scotland, 28% of 13-18-year-olds had direct contact with a birth family member outside of any formal agreement. For some, this has devastating consequences for mental health and family stability.  

When families do get support, their assessments of its quality and the impact on their family have increased on all indicators since last year - a considerable achievement considering the pandemic. 

In Scotland, parents who had accessed Adoption UK services said the support they received had been crucial to their wellbeing. Adopter experiences in Wales have improved at both approvals and matching stage, and among families with older children, due to investment in adoption services in 2019. 

The emergency Covid adoption support fund in England has been widely praised by families.

Fiona Aitken added: “This year presents real opportunities to re-set support for adoptive families. 

“The Promise to Scotland’s Care Experienced children as a result of the Independent Care Review and the debate about Covid recovery are real opportunities to improve our systems and services for families to ensure our more vulnerable children receive an equal chance in life.” 

Adoption UK is setting out a six-point plan to improve the life chances of adopted  young people. It includes multi-disciplinary assessments and support plans for every child placed for adoption and the extension of adoption services to at least age 26. 

Heart Research UK Healthy Heart Tips: Gardening for Good Health

Heart Research UK Healthy Heart Tip, written by Dr Helen Flaherty, Head of Health Promotion at Heart Research UK

Gardening for Good Health

Gardens and greenspaces have been hugely important to many people during the challenges of the Covid-19 pandemic, with many people finding their refuge through gardening.

Here we explore some of the health and mental wellbeing benefits of gardening:

Stress relief

Gardening is a fantastic stress reliever and can cultivate feelings of empowerment, connection, and calm. Being in touch with nature and the great outdoors can help you feel more removed from the daily stressors of life. 

Work out

Gardening is exercise and working in a garden can use every major muscle group in the body. While activities such as raking and cutting the grass may be light exercise, shovelling and digging can be counted as vigorous exercise.

Grow your own

There is nothing quite like eating your own fresh home grown produce! Not only are many fruits and vegetables very easy to grow, but they are also more nutrient-dense, free of pesticides and tasty. By growing your own, you are also helping to preserve the environment.

Get the kids involved

It can sometimes be a challenge to get children to eat healthy foods and enjoy them. Growing vegetables not only teaches children valuable lessons about the work that it takes to grow them, but it can also help them to gain a keen interest in eating them too.

Work with what you have

Whether your patch is large or small, a raised bed, a community garden or window box – make the most of it by researching the best plants for your space and sunlight exposure. You can grow a range of things with very little space and maintenance, whilst still reaping the benefits.

Happy gardening! You can find lots more tips, recipes and health advice at https://heartresearch.org.uk/

£8 million package for health and social care workforce wellbeing

An £8 million package to support the wellbeing  of  health and social care staff across Scotland has been announced.

The increased support will help fund a number of immediate recovery actions and lead to the development of a National Wellbeing programme.

The priority areas for action will include the ongoing development of the National Wellbeing Hub, National Wellbeing Helpline, and psychological interventions and therapies for staff.

Coaching for Wellbeing, digital apps and the Workforce Specialist Service for regulated staff will also be provided, along with time and training for  staff to support each other as teams. More practical support for staff like rest spaces will also be provided.

Social care and primary care will be targeted with £2 million of support in recognition of the specific needs of staff working in those services in responding to the Coronavirus (COVID-19) pandemic.

Health Secretary Humza Yousaf said: “Health and social care staff have responded to the pandemic with extraordinary fortitude, often working in unfamiliar settings, learning new skills and undertaking new roles.  We owe them a great debt of gratitude for their continued hard work, commitment and professionalism.

“We are committed to supporting our NHS and social care staff now and into the future.  The wellbeing of staff remains a critical priority that will influence the way that our health and social services recover.

“We know that the pandemic has affected staff in a range of ways and this £8 million package of support will help us meet the basic practical and emotional needs which workers tell us are right for them, alongside more specialised mental health support where this is needed.

“The crucial frontline role of social work and social care going forward is underlined by the targeted support it will receive as part of this package.”

The package will support staff wherever they work in the system, from acute hospital wards to community settings, supplementing the resources that are in place locally.

British Medical Association (BMA) Scotland chair Lewis Morrison said: “Scotland’s doctors and indeed all NHS staff have been through an incredibly tough time over the course of the pandemic, so extra investment in support for their wellbeing is welcome.

“The BMA have been absolutely clear that NHS recovery won’t be possible unless it goes hand in hand with staff recovery – and this funding is a step towards making that a reality.

“Practical measures like peer support, enabling reflective practice and improved availability and quality of rest spaces are all things the BMA have pushed for and will help staff working incredibly hard on the front line to care for patients. It is vital this is now built on so doctors and their colleagues feel truly valued and get the help they need to do their job effectively and in a caring and supportive environment.”

Scottish Social Services Council (SSSC) Chief Executive, Lorraine Gray said:  “Over the last 18 months social care workers have been at the heart of our response to the COVID-19 pandemic, providing a vital lifeline for the people they support when normal routines, services and contact with family and friends were severely disrupted. 

“I heartily welcome this new funding for our valued social care workers to make sure they have the resources and practical support they need to take care of themselves and their own wellbeing.”

Celebrating our Care Homes: Strong support for Open Week

  • Social Care Minister and MPs of all parties are supporting Care Home Open Week, celebrating care home workers, residents, and their role in local communities
  • With support from the Department of Health & Social Care & partnerships with National Citizen Service, Silver Sunday and Intergenerational Music Making, organiser Championing Social Care hopes to connect communities to their care homes

To find a participating care home in your area, please see the participation map at:
https://championingsocialcare.org.uk/care-home-open-day/what-is-happening-in-your-area/

Care Home Open Week, taking place this week from June 28th – July 4th, will encourage communities to celebrate and thank care workers for their work during the pandemic and showcase the positive role care homes have in their communities.

Events at over 500 participating care homes around the UK will include virtual tours, fundraising dance-a-thons, karaoke, fashion shows, art projects, community service days and much more.

Some 40 MPs from across all political parties are taking part in Care Home Open Week, including Helen Whately MP, Minister of State for Social Care, Sir Ed Davey MP, Leader of the Liberal Democrats and Dr. Rosena Allin-Khan MP, Shadow Secretary of State for Mental Health.

The Department of Health & Social Care (DHSC) will be participating in the Week with staff across the Department’s Adult Social Care team joining in a number of virtual events, including virtual tours of Majesticare and CareTech plc care services throughout the Week.

DHSC civil servants will also participate in opportunities to discuss the experience of key roles in care homes, including home managers, activity coordinators and care workers from across the sector. Care teams will have the opportunity to ask questions and learn more of DHSC’s role in the sector.

Additionally, Championing Social Care has partnered with the National Citizen Service – the flagship programme for young people, Silver Sunday – the national day for older people, and Intergenerational Music Making to hold virtual events throughout the week.

See our Care Home Open Week video below:

Hallmark Care Homes will support Care Home Open Week and Championing Social Care with a live virtual event on Thursday, 1 July.

Event organisers have planned this year’s Care Home Open Week to be virtual, recognising that safety must be a top priority and have asked participating care homes to adapt their events to ensure they are COVID – safe and in line with government guidance.

Mitesh Dhanak (above), Founder of Precious Homes and part of the organising committee for the event, said: “We want to further enrich the lives of the UK’s care home residents by reminding the community that those individuals who live in care homes are unique individuals supported by dedicated, caring and professional teams.

“As we move ahead in the planning of Care Home Open Week, our top priority is, of course, to keep everyone safe. Our aim is still the same though: to showcase the incredibly valuable services that care homes provide at the heart of every local community.”

Many events held during the week will work to connect communities further to their local care homes.

Championing Social Care partnered with the National Citizen Service and consulted the organisation’s Youth Voice Forum for advice on how Care Home Open Week programmes can be successful and more engaging for young people.

The National Citizen Service has also encouraged the many thousands of young people it supports to get involved in volunteer opportunities for Care Home Open Week.

Examples of community engaging events include Precious Homes in Milton Keynes which will be holding their “Precious Festival” on July 1st and 2nd and will be providing outside, COVID-safe educational discussion opportunities between community members, support workers and people the home supports to speak about their experiences with Autism, sensory disorders and mental health.

Ashleigh Calder, Operations Manager – Central Region of Precious Homes, said: “We are extremely excited to be involved in Care Home Open Week. It has been a tough year and this will be a wonderful opportunity for everyone to get together and share awareness of the great work we do with the local community.

“We are hopeful our event will enable the people we support to share their experiences and for our staff to be acknowledged for their continuous hard work and dedication – and have fun of course!”

Carl Roberts, Sales and Marketing Director of TLC Care, which is providing free breakfasts on Tuesday the 29th to emergency and healthcare workers at their locations in North London, Cambridge, Hertfordshire and Surrey, said: ““Here at TLC Care we are so proud to be able to launch this group wide event series to acknowledge and reward the amazing work of the emergency services and health care workers across our communities.

“This is our little way of sharing some Truth, Love and Compassion with the health care heroes.”

Jonathan Freeman, CEO of the CareTech Foundation, Founding Patron of Championing Social Care, said: “Social care is provided in so many settings up and down the country, playing a key role in the fabric of local communities.

“Care Home Open Week is a fantastic opportunity to showcase the contribution of care homes and connect local people with them.”

This year’s Care Home Open Week is organised by Championing Social Care, a volunteer-led organisation that aims to ensure a wider and deeper public understanding, appreciation and respect for social care.

The week is sponsored by Civitas Investment Management (https://www.civitasim.com/) and Virgin Money (https://uk.virginmoney.com/).