Tag: Health and wellbeing

More support for people with neurological conditions

Eight projects supporting people with neurological conditions are receiving a total of almost £440,000 to enable them to enhance and expand the services they provide.

NHS Lothian is one of the recipients. They have been awarded £58,763 to fund a Functional Neurological Disorder (FND) clinical network for NHS Lothian.

The project will establish an FND network which will: create an integrated clinical network for people with FND; provide education, training and support to health professionals involved in FND; and to provide a relapse service for people with to ensure a consistent point of contact for patients.

The Scottish Government funding is the fourth round of awards made as part of a five-year action plan to improve support for people living with neurological conditions.

A joint initiative by the Care Inspectorate and NHS Ayrshire & Arran is one of the successful bids – £35,000 will be used to develop a national care network for care at home staff who would use it to share their experiences of looking after people with different neurological conditions and how best to meet their needs.

Minister for Public Health and Women’s Health Jenni Minto said: “One million people in Scotland live with a neurological condition which is why we are committed to the neurological action plan as it supports various organisations to help these people to live well and on their own terms regardless of where they stay.

“The Framework contains £4.5 million investment over five years, and this latest allocation of funding will benefit a wide range of projects helping those living with a number of conditions including cerebral palsy, spina bifida, multiple sclerosis, and Functional Neurological Disorder. 

“All of these innovative projects seek to ensure seamless access to high-quality and co-ordinated health, social care and third sector support in the right place at the right time.”

Care Inspectorate Allied Health Professional Consultant Heather Edwards said: “We are delighted to have been awarded funding to establish a neurological care network for people experiencing care at home.

“This collaboration in Ayrshire and Arran will provide a co-ordinated approach to enable opportunities for shared discussions and learning for staff across health and social care and importantly with people and their families”

Funding recipients

British Psychological Society: Access to mental health and wellbeing support for NHS and social care staff has become a national lottery

Access to staff mental health and wellbeing services has become a postcode lottery for NHS and social care workers, after funding was cut for the NHS Staff Mental Health and Wellbeing Hubs in March this year.

This World Mental Health Day, the British Psychological Society (BPS) is calling for all NHS and social care staff to have equal access to dedicated evidence-based mental health and wellbeing support at work, wherever they live in the country. 

With 17 hubs already closed or closing across England*, struggling staff in those areas are unable to access the dedicated support that’s still provided in localities that have retained a hub.

And, despite a limited injection of short term funding from NHS England to provide one hub per NHS region, which would offer a drastically reduced service for vast catchment areas, this arrangement is yet to be operational.

Some hubs report not having received this vital funding.

With less than six months of this financial year remaining, time is running out for staff who need to access help now. Yet, the need for dedicated mental health support for health and care staff could not be more stark.

The latest NHS statistics show anxiety, stress, depression, or other psychiatric illnesses was the most reported reason for sickness absence in May 2023, accounting for over 502,570 full time equivalent days lost and 26.4 per cent of all sickness absence.

Last year, more than 6 million full time equivalent days were lost in the NHS for mental health reasons. 

The BPS’s own research found mental health, stress, and work-related stress was behind nearly one-third(30 per cent or 500,021 FTE days)* of social care staff sickness absence in 114 councils in England last year.

With the NHS Workforce Plan placing responsibility for investment in staff mental health and wellbeing provision with integrated care systems from April 2024, local health and care leaders will make crucial decisions about their staff mental health and wellbeing services, including the hubs, in the next few months.

To date, just one integrated care board has confirmed continued long term funding for its dedicated staff mental health and wellbeing service, and 41 boards are yet to make a decision about the future of their provision from April 2024.

The BPS is urging health and care leaders to make funding for staff mental health and wellbeing support a key long-term priority in their budgets.

Dr Roman Raczka, BPS President-Elect and chair of the Division of Clinical Psychology, said: “NHS and social care staff have the right to be cared for by their employer, as they care for us.

“If and when they need help with their mental health, they have a right to parity of access to the same support services as their colleagues in a neighbouring area.

“The NHS and local authorities have a duty of care to their employees, and it simply isn’t good enough that where you live and work should have a bearing on the level of mental health support on offer if you’re struggling.”

This year’s theme for World Mental Health Day is ‘Mental health is a universal human right’.

More than half of all Childline counselling sessions focus on children struggling with mental health issues

  • Mental and emotional health and wellbeing is the top reason for children contacting the NSPCC service
  • Over the past year, more than 4.600 Childline counselling sessions were delivered on the issue to children in Scotland, with over 1,300 of these being related to stress and anxiety
  • This World Mental Health Day (October 10), Childline encourages children to speak out about any mental health concerns

More than half of all counselling sessions delivered by Childline in Scotland last year focused on young people struggling with mental health issues.

In 2022/23 the NSPCC service delivered at least 4,627 counselling sessions to children living in Scotland on mental and emotional health and wellbeing. Of these, 1,310 were specifically related to stress and anxiety. 

This World Mental Health Day (October 10), the charity is raising awareness of the mental and emotional health issues children and young people are facing, and to let them know they are never alone.

NSPCC Scotland says it is vital that children are able to access early intervention support, such as through school, which can prevent young people’s mental health problems from getting worse and potentially reaching crisis point.

The charity believes that a top priority for Scottish Government investment should be in better support for families during pregnancy and in the early years, which can lay the foundations for positive mental health and wellbeing in a person’s life. 

Childline continues to be a safe space for anyone under the age of 19 who is seeking help and support, with the option for them to speak to a counsellor either over the phone or online. Last year the service delivered more than 8,500 counselling sessions to children and young people in Scotland. 

The top five issues raised by children and young people when speaking to Childline about their emotional and mental wellbeing were:

  • Anxiety and stress – 1,310 counselling sessions
  • Low mood and unhappiness – 634 counselling sessions
  • Depression – 292 counselling sessions
  • Accessing support and services for mental health – 287 counselling sessions
  • Loneliness – 210 counselling sessions

A 15-year-old girl from Scotland told Childline*: “I’ve been struggling with even basic tasks lately because of anxiety. I get filled with panic, can’t function and then I get angry with myself, so it gets even worse.

“It’s really frustrating. I want to tell someone but I’m not sure if my problems are important to anyone.”

A 14-year-old boy from Scotland told Childline*: “School and my friends are really stressing me out. I want to focus in class but I can’t do it.

“I don’t want to tell my friends they’re making me feel stressed, I don’t want them to feel like I don’t want to hear their problems, but it is affecting me. Thanks for letting me offload to Childline.”

SUPPORT

It can be hard for parents to accept that their child may be struggling with mental health issues, such as depression or anxiety. However, it is crucial that young people feel supported, reassured and not judged by the adults in their lives.

World Mental Health Day has a focus on driving a positive change for everyone’s mental health. Adults can support young people’s wellbeing in a range of ways, including:

  • letting them know you’re there for them and are on their side
  • being patient and staying calm and approachable, even if their behaviour upsets you
  • recognising that their feelings are valid and letting them know it is okay for them to be open and honest about their emotions
  • thinking of healthy ways to cope together, like yoga, breathing exercises or mindfulness
  • encouraging them to talk to their GP, someone at their school or Childline. Especially if they’re finding it hard to talk at home.
  • taking care of yourself and getting support if you need to. Try not to blame yourself for what’s happening and stay hopeful for them.

Shaun Friel, director of Childline, said: “Young people may struggle with a range of mental health issues throughout their childhood and adolescence. This can be a time of turbulence, and so it’s important that children feel supported and uplifted.

“Ensuring that young people have a network of support, whether that’s in school, with their peers, at home or through organisations such as Childline, helps young people take the first step to tackling these struggles. Childline is here for any child that may be struggling with their mental and emotional wellbeing.”

All children can speak to a trained counsellor over the phone on 0800 1111, via email or on a 121 chat on the Childline website.

Children can also visit the website to find more advice on any concerns or questions they may have about mental health struggles.

Tonic Arts marks World Mental Health Day with Our Common Humanity at the Royal Edinburgh Hospital

Our Common Humanity by artist Juli Bolaños-Durman goes on permanent display at The Royal Edinburgh Hospital this week to mark World Mental Health Day today (Tuesday 10 October).

Our Common Humanity was commissioned by Tonic Arts, NHS Lothian Charity’s award-winning Arts in Health programme. It is one of over 60 major pieces of art and design commissioned by the charity for health care settings, across Edinburgh and Lothians, since the programme was first established in 2015.

These health care settings are often clinical environments, and Tonic Arts works with artists of all mediums, to create work that will soften these spaces and make them more welcoming and calming for visitors, staff and patients.

Our Common Humanity, which will be installed in the Reception Area of the Royal Edinburgh Hospital represents the community of the mental health hospital; tells a story and reflects a gathering of unique individuals; all with their own challenges and joyful quirks.

The piece will not only soften the environment around it, but it is hoped that it will also be a thought-provoking point of interest that will make people’s time in hospital better.

Juli Bolaños-Durman working on ‘Our Common Humanity’ , now on permanent display in the Royal Edinburgh Building reception area at the Royal Edinburgh Hospital – Photo Laura Meek

Our Common Humanity was developed from a series of art workshops run by Juli Bolaños-Durman and Tonic Arts’ partner organisation Artlink with psychiatric patients at The Royal Edinburgh Hospital. Here the patients’ need for connection in the everyday, and the importance of being held, supported, embraced and given a second chance were highlighted.

Juli Bolaños-Durman is an award-winning Costa Rican glass artist and designer based in Scotland. She is known for revitalising waste material by applying various heritage cold-working processes, and her practice is driven by her concern for sustainability and her desire to give both people and objects second chances through her work.

She was commissioned by Tonic Arts to create work for The Royal Edinburgh Hospital because her work is high quality and she places patient and staff involvement and representation at the very heart of the work.

Each element of Our Common Humanity is made from discarded glass which was collected and donated by The Royal Edinburgh Hospital community.

Using local heritage hand-cutting techniques, Juli has carefully deconstructed, embellished, and reused each piece in the making of this intricate work, breathing new life into these discarded objects. With the final display playfully lit to create magnificent shadows that bring the glass back to life.

Artist Juli Bolaños-Durman said: “I want the work to be testimony to our ever-changing journey: powered by trials and errors, vulnerability, and imperfection. Our daily interactions matter and each one of us has the power to make life better; with the support of the people around us and the community we foster.

“We are part of a great community that supports one another – no matter where we come from, no matter what we have been through, which is why engaging with psychiatric patients at The Royal Edinburgh Hospital to make this piece was such an important part of my process.”

Susan Grant, Manager of Tonic Arts said: “There is a wealth of evidence and research surrounding the benefits of arts in healthcare settings and how the arts makes people’s time in hospital better including; a reduction in the need for medication and length of stay, lessening anxiety and stress, and increasing patient and staff wellbeing.

“To have such a key piece installed in the reception at The Royal Edinburgh Hospital not only mirrors the quality of healthcare that you will receive in this building, but also provides a stunning focal point that speaks of our human need for connection and our willingness to give people a second chance.”

Our Common Humanity was commissioned by NHS Lothian Charity for The Royal Edinburgh Hospital. The work has been on temporary loan to the Scottish Parliament whilst The Royal Edinburgh Hospital underwent refurbishment.

It is now on permanent display in the Royal Edinburgh Building reception area at the Royal Edinburgh Hospital.

The lightboxes were designed by Scottish design studio GRAS Architects.

Funding for Motor Neurone Disease research

The Scottish Government is teaming up with MND Scotland to fund research to investigate potential causes of and therapies for motor neurone disease (MND).

Each partner is contributing £125,000 to provide the opportunity for a clinical professional to undertake a PhD to both enhance MND research and MND clinical capacity in NHS Scotland. The three-year Clinical Academic Fellowship will start in 2024.

According to MND Scotland, in the UK, there is a 1 in 300 lifetime risk of getting MND and there is currently no cure or effective disease modifying treatment available. Average life expectancy following diagnosis is just 18 months.

Deputy First Minister Shona Robison announced the funding in Paris where she welcomed charity cyclists who had travelled from Edinburgh to raise funds for the MND charity My Name’5 Doddie Foundation.

Ms Robison said: “MND is a devastating condition, and we are committed to ensuring that all people living with MND in Scotland are able to access the best possible care and support.

“MND is incredibly distressing for the person with the condition and their family. The research funding in collaboration with MND Scotland will allow vital work to study the progression of the condition and help inform the development of future treatments.”

Dr Jane Haley, Director of Research at MND Scotland, said: “We are proud of our ongoing partnership with the Scottish Government. This is our third joint funded fellowship and will further build MND research capacity within the NHS in Scotland.

“MND is a brutal disease that affects too many lives. With this joint funding, we are taking a further step towards understanding the causes of MND and the search for effective treatments.

“We look forward to future collaborations with the Scottish Government, including ensuring that Scotland is equipped to roll out any emerging treatments for MND which may arise from the clinical trials currently underway.” 

Dalkeith Country Park invites visitors to Make 2nds Count

Dalkeith Country Park raises funds for Edinburgh-based charity

Secondary breast cancer charity Make 2nds Count is set for a bumper Breast Cancer Awareness Month boost courtesy of the stunning Dalkeith Country Park.

The Edinburgh-based charity, which supports patients with secondary breast cancer, is Dalkeith Country Park’s chosen charity partner for 2023. They continue to benefit from a range of fundraising initiatives through The Park’s activities and the generosity of their visitors.

October, which is Breast Cancer Awareness Month, provides the latest chance to support the work of Make 2nds Count, which raises awareness of, and funds research into, the little-known form of incurable cancer which claims 1,000 lives each month in the UK and is currently affecting 61,000 people.

On Secondary Breast Cancer Awareness Day (October 13), the iconic Orangerie at Dalkeith Country Park will also be lit up purple as part of the Make 2nds Count Shine a Light campaign, joining over 50 other UK venues that will be lighting up in the charity’s colours on this day.

The Parks’ popular Yellow Trail is turning Purple this October with special prompts designed to shine a light on the incredible work and support provided by Make 2nds Count – giving hope to those affected by secondary breast cancer.

The Yellow Trail Info:

Also known as The Wilderness Walk, the Yellow Trail is a relatively flat 2km route with a surface suitable for bikes and buggies. A series of easy loops that take in impressive views of St Mary’s Church and Dalkeith Palace, as well as a little wonder along River Esk. Approximately 20 minutes in length, the path takes visitors through the Restoration Yard where they can also pick up a range of refreshments.

Walkers will be encouraged to capture and share their time on the Make 2nds Count Trail on social media, to be in with a chance of winning a wellness hamper from Restoration Yard, The Park’s converted 18th-century stable yard.

Catriona Tanner, Marketing Manager for Dalkeith Country Park: “Make 2nds Count was chosen as our charity partner in recognition of the connection between Dalkeith Country Park and Karen Henderson, who was a dearly loved visitor.

“The tireless work that the charity does to support patients and families living with secondary breast cancer is outstanding, and we have been thrilled to be part of their efforts, particularly during this key moment of Breast Cancer Awareness Month.”

Emma Hall, Head of Operations for Make 2nds Count: “We rely heavily on fundraising and donations to help our community and we are thrilled that Dalkeith Country Park is supporting us.

“Breast Cancer Awareness Month is a time when we particularly focus on raising awareness and on education, so the fact that The Park is working with us to fulfil this mission as well as via fundraising is amazing. We are really grateful for their continued support.”

For more information on Make 2nds Count and their work, please visit: 

https://make2ndscount.co.uk

To see more of their Shine a Light Campaign, please visit: 

https://bcam.make2ndscount.co.uk

“Putting” their rivalry aside, Hibs and Hearts legends sign up for inaugural Auld Reekie Cup

All “fore” a good cause – Don’t miss your chance to play in Edinburgh’s exclusive charity golf tournament

It’s a rivalry that has kept football fans on the edge of their stadium seats for almost 150 years – that between Edinburgh’s Hibernian F.C and Heart of Midlothian F.C.

And now that competition is set to hit the golf course as footballing legends from Hibs and Hearts prepare to tee off in an exclusive charity golf tournament. What’s more, local supporters are being offered a unique opportunity to play alongside these football icons as entries into the inaugural Auld Reekie Cup teams officially open to the public.

Taking place on Thursday 26th October at the historic Royal Burgess Golfing Society, the Auld Reekie Cup is set to be a memorable golf day with a difference, featuring friendly competition and banter, with great prizes and bragging rights up for grabs. 

Switching the pitch for the fairway will be fitba stars Scott Brown, Mixu Paatelainen, Steven Whittaker, Derek Riordan, Gordon Hunter, Steven Tweed, Ally McLeod, John Blackley and John Brownlie playing for Hibernian, and Jim Brown, Scott Crabbe, Eammon Bannon and Graeme Shaw playing for Hearts. More big names will be confirmed in the coming days.

And it’s all in aid of a great cause. Thanks to the Hanlon Stevenson Foundation and the Big Hearts Community Trust, all money raised will be used to support projects promoting young people’s mental health.

Speaking ahead of the event, Hanlon Stevenson Foundation Ambassador Paul Demarco said; “Uniting old rivals for a common cause, this charity golf day will bring Hibs and Hearts together on the green to tee up support for young people’s mental health.

“Hanlon Stevenson Foundation are delighted to be working with Big Hearts Community Trust, proving that when it comes to making a positive difference, our shared purpose is stronger than any rivalry.”

Big Hearts Community Trust Chief Executive Craig Wilson added; “We are thrilled to have been asked to be part of this exciting new event alongside The Hanlon Stevenson Foundation which will allow us to support even more young people across Edinburgh.

“We already do a host of work in this area and know the challenges that exist. We hope to have a full team of golfers joining us and our playing legends on what will be a great day at such a historic venue, all for a great cause.”

The Auld Reekie Cup will take place at The Royal Burgess Golfing Society on Thursday 26th October.

Entries into both teams are now open. Teams of 3 plus a playing legend are priced at £900 +VAT. To purchase a ticket for the Hibernian team please email graeme@hanlonstevensonfoundation.co.uk

To purchase a ticket for the Hearts team please email kirsty.coutts@bighearts.org.uk.

How Edinburgh’s Family and Household Support Service works to ‘get it right for everyone’

Edinburgh’s Family and Household Support Service has prevented at least 350 households from becoming homeless, a council report has revealed.

At a meeting of the Housing, Homelessness and Fair Work Committee this week, councillors heard how the service is providing a citywide approach to ‘getting it right for everyone’ – with the aim of helping vulnerable residents before it’s too late.

Through referrals from sources such as teachers, housing officers and social workers to police officers and politicians, it has been possible to intervene early in many cases to help households in Edinburgh access the right advice and support.

Around £300,000 in welfare has been sourced to support families referred to the service, alongside advice on issues as varied as parenting, addiction, employment and health and wellbeing, according to the council report.

Working directly with teams which handle antisocial behaviour complaints and neighbourly disputes, the service is also working to prevent repeat instances of antisocial behaviour by working holistically with those involved to assess any support needs.

The Committee also heard how the service is successfully helping tenants sustain their tenancy once they move into a new home. Edinburgh’s ‘Keys and a Kit’ programme as it has been dubbed features sessions on finances, health and local community resources and activities to help new tenants settle in, which can be particularly important following a long period of homelessness.

By making the best use of limited resources by working collaboratively with charities and others, it is also estimated that this preventative approach has provided a saving to the council of close to £6m since 1 April 2022.

Councillor Jane Meagher, Housing, Homelessness and Fair Work Convener, said: “Every day, our tenants are interacting with council services – be it for health care, school, or welfare. These services need to be joined up so that we can better support the whole life of a tenant and it’s great to see the difference this ‘getting it right for everyone’ approach is making.

“Thanks to early intervention from council workers and from our partners, we’ve prevented homelessness for hundreds of households. Families entitled to benefits have been helped and tenants moving into new homes have been supported.

“Plus an extra advantage of this has been £4.5m of costs associated with homelessness avoided in the last year alone, at a time when our finances are under immense pressure.

“I hope to see us build on this even further now that the Family and Household Support Service reports into the Housing, Homelessness and Fair Work Committee.

“I’m confident that we’ll be able to draw this work together even more and build in other measures, such as noticing when a tenant’s home may be suffering from damp or is in need of an essential repair.”

Healthy Heart Tip: Smoking & Heart Health

Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK

Healthy Heart Tip: Smoking & Heart Health

Smoking isn’t good for you, we’ve all heard this by now. We know that smoking is responsible for 76,000 deaths a year in the UK, but what impact does smoking actually have on your heart? If you’re a smoker, why is stopping smoking most likely the most impactful thing you can do to improve your health and reduce your risk of heart diseases?

As we kick off October (commonly known as Stoptober), this week’s healthy tip focusses on the physical impact smoking has on your heart health in an attempt to motivate you to finally ditch the habit that could cost you your life.

Cigarettes contain 4,000 chemicals

Many of these chemicals are extremely harmful to your body and include carbon monoxide, tar, and nicotine. Carbon monoxide is a poisonous gas which reduces the amount of oxygen in your blood.

Tar is a toxic chemical which accumulates in your lungs, forming a sticky residue. Nicotine is the addictive substance and when consumed it increases your heart rate and blood pressure.

Cigarettes increase your risk of heart diseases

Consuming the above-mentioned chemicals make the walls of your arteries ‘sticky’ which encourages fatty deposits circulating in your blood to stick to the artery walls.

These build up over time and reduces the amount of oxygen-rich blood travelling through your arteries which can result in a heart attack or stroke.

It is time to stop

It is never too late to quit smoking. Even if you have smoked all your life, health benefits can be seen within only a few hours of quitting. After one year of not smoking, you reduce your risk of having a heart attack by 50%.

There is a wealth of support available to help you quit, speak to your GP to discuss your options. It won’t be easy, but it will be worth it – good luck!

For more tips on how to stay healthy, sign up for weekly healthy tips at www.heartresearch.org.uk/health-tips.

Briggs: Reduction in people receiving alcohol treatment ‘deeply troubling’

  • Reduction in people receiving alcohol treatment in Lothian
  • A 1,000 fewer people receiving treatment compared to eight years ago
  • Scottish Conservative and Unionist MSP for Lothian Miles Briggs says the fall in the number of people starting alcohol treatment in NHS Lothian over the last decade is “deeply troubling.”

Figures obtained by Scottish Conservative MSP Miles Briggs, from SNP Drugs and Alcohol Minister Elena Whitham, show that across Scotland the number receiving treatment has fallen by a staggering 40 per cent.

In 2013/14, 32,556 accessed alcohol treatment programmes, but by 2021/22 that figure had dropped to 19,617.

In Lothian there has been a 30% percentage drop in those accessing programme.

In 2013/14 in Lothian 3303 accessed programmes, but in 2021/22 that figure stood at only 2303 – a drop of 1000 people.

These figures follow news that the highest number of Scots since 2008 have lost their lives to alcohol in the last year at 1,276.

In the light of these figures, Mr. Briggs has now demanded that SNP ministers back the Right to Recovery Bill in Parliament.

That would enshrine in law a right to access treatment for anyone in Scotland who needs it most.

Scottish Conservative and Unionist MSP Miles Briggs said: “The drop in the number of people accessing alcohol treatment programme in Lothian is something I find deeply troubling.

“It is a shameful reflection of how the SNP have mishandled Scotland’s problems with alcohol that there has been a 30% decrease in the numbers accessing treatment programmes since 2013/14.

“This fall is replicated right across the country, and it is astounding that SNP ministers would allow treatment places to be so dramatically reduced at a time when alcohol deaths across the country are at their highest level since 2008.

“This latest example of incompetence will come as no surprise to anyone witness to the SNP’s failure to tackle Scotland’s drug death emergency, and once again it is the most deprived people in Lothian that these cuts are harming the most.

“These concerning findings only reaffirm the need for SNP ministers to finally back the Right to Recovery Bill.

“This legislation would enshrine in law the right for those suffering from addiction in Lothian to receive potentially life-saving treatment and has been backed by frontline experts and charities.

“I will continue to put pressure on the SNP-Green government to give this bill their backing, so it becomes law as quickly as possible.”

Ayrshire and Arran: 2013/14 (4777 patients received treatment) 2021/22 (1546 patients received treatment)- decrease of 13%

Borders: 2013/14 (431 patients received treatment) 2021/22 (310 patients received treatment) Down 28%

Dumfries and Galloway 2013/14 (922 patients received treatment) 2021/22 (918 patients received treatment) Down 0.4%

Fife 2013/14 (1635 patients received treatment) 2021/22 (1092 patients received treatment) Down 38%

Forth Valley 2013/14 (1491 patients received treatment) 2021/22 (773 patients received treatment) Down 48%

Grampian 2013/14 (1761 patients received treatment) 2021/22 (1214 patients received treatment) Down 31%

Greater Glasgow and Clyde 2013/14 (11895 patients received treatment) 2021/22 (4901 patients received treatment) Down 59%

Highland 2013/14 (1531 patients received treatment) 2021/22 (735 patients received treatment) Down 52%

Lanarkshire 2013/14 (5727 patients received treatment) 2021/22 (4789 patients received treatment) Down 16%

Lothian 2013/14 (3303 patients received treatment) 2021/22 (2303 patients received treatment) Down 30%

Orkney 2013/14 (54 patients received treatment) 2021/22 (23 patients received treatment) Down 57%

Shetland 2013/14 (73 patients received treatment) 2021/22 (54 patients received treatment) Down 26%

Tayside 2013/14 (1651 patients received treatment) 2021/22 (912 patients received treatment) Down 44%

Western Isles 2013/14 (305 patients received treatment) 2021/22 (47 patients received treatment) Down 84%