Health and wellbeing – Page 244 – The NEN

New treatment standards for drug users announced

New standards for treatment for drug users will ensure everyone has access to the support which works best for them.

The 10 new standards, published today by the Drug Deaths Taskforce, will reinforce a rights-based approach for people who use drugs and the treatment they should expect, regardless of where they live.

Funding from the additional £50 million for drugs services announced by the First Minister in January will ensure that all Alcohol and Drug Partnerships (ADPs) are supported by the Scottish Government to embed the standards by April 2022. They make clear that people must be able to start receiving support on the day that they ask for it and emphasise the importance of allowing people to make informed choices about the type of medication and help available to them.

These 10 standards apply to Medication-Assisted Treatment (MAT) which is the term used to refer to the use of medication, such as opioids, together with any psychological and social support, in the treatment and care of people who experience problems with drug use.

Minister for Drug Policy Angela Constance said: “I want to thank the Drug Deaths Taskforce for their work on developing these standards and all those who gave their views following the interim report.

“We now have a set of standards which are safe, accessible and person-centred. These will help ensure consistency of treatment across the country. Making help available and giving people an informed choice is an essential part of respecting a person’s rights and dignity. It is also an approach which is more likely to be effective and provide people with the support and treatment they need.

“We have said a national mission is needed to tackle the drug deaths emergency and that is why we allocated an additional £250 million over the next five years to improve and increase services for people affected by drug addiction.

“These MAT standards will mean everyone with problematic drug use can access the right support for them regardless of their situation or location.”

Chair of the Drug Deaths Taskforce Professor Catriona Matheson said: “The publication of the MAT Standards and the start of their implementation represents a major achievement for the Taskforce and the beginning of a new phase of our work.

The Standards constitute the most significant intervention in the strategy to reduce the unacceptable level of drug related deaths. The Standards will form a critical element of the longer term, sustainable actions that will save lives, complimenting the emergency actions taken to date.

“The evidence is clear that using street drugs and not being in treatment is dangerous and life-threatening. The Taskforce wants more people at risk to be in treatment programmes.

“I would like to thank everyone who contributed to the rapid development of the Standards and who are now involved in their roll-out and adoption. Commitment like this will help save lives.”

Scottish Drugs Forum CEO David Liddell said: “Scotland’s MAT Standards are the most significant landmark in improving Scotland’s response to problem drug use in over a decade. Implementing the standards will be the most significant development in addressing the on-going public health emergency of drug-related deaths.

“People who enter treatment are amongst the most vulnerable people in our society and often find engaging with services difficult. Services need to be more attractive, more approachable and more accessible; and reach out to people who have been in treatment but no longer are.

“These standards are the basis for making services truly person-centred. Implementing them will help services develop empowering relationships with people in treatment. Full implementation of the standards will save lives, reduce harm and transform people’s quality of life.”

Medication-Assisted Treatment (MAT) standards:

all people accessing services have the option to start MAT from the same day of presentation
all people are supported to make an informed choice on what medication to use for MAT, and the appropriate dose
all people at high risk of drug-related harm are proactively identified and offered support to commence, re-commence or continue MAT
all people are offered evidence based harm reduction at the point of MAT delivery
all people will receive support to remain in treatment for as long as requested
the system that provides MAT is psychologically and trauma informed (Tier 1); routinely delivers evidence based low intensity psychosocial interventions (Tier 2); and supports the development of social networks
all people have the option of MAT shared with Primary Care
all people have access to advocacy and support for housing, welfare and income needs
all people with co-occurring drug use and mental health difficulties can receive mental health care at the point of MAT delivery
all people receive trauma informed care.

Scottish Government launches lung cancer detection campaign

A new Detect Cancer Early (DCE) campaign is encouraging people to contact their GP if they have a new or different persistent cough or unusual breathlessness for three weeks or more in an effort to return to pre-pandemic cancer detection levels.

These could be the early signs of lung cancer – and it’s important to get checked, especially if you’re over 40. While lung cancer is the most common cancer in Scotland, with around 5,500 new cases diagnosed every year, more people than ever are surviving the disease. This is down to improved treatments and more people being diagnosed earlier.

The campaign has been developed in response to Public Health Scotland’s data that show around 25% fewer lung cancers are being diagnosed now compared to pre-COVID-19. This, coupled with the fear of a potential cancer diagnosis continues to stop people acting early, when there are more treatment options available and the chance of survival is higher. The campaign, entitled ‘Settling In’, aims to empower people to take responsibility for getting any potential symptoms checked.

Since the launch of our £43m Detect Cancer Early Programme the proportion of lung cancer diagnoses at the earliest stage have increased by 43%, and by 57% in the most deprived areas of Scotland.

Launching the campaign, Health Secretary Humza Yousaf said: “More people are surviving cancer than ever before, but we know that fear of cancer is putting people off getting checked or attending screening, when invited.

“Don’t ignore early cancer signs and symptoms, and certainly don’t delay getting checked. NHS Scotland remains open during COVID-19 and your GP practice is still there for you – getting checked early is a hugely important step in finding out if you, or your loved one, needs urgent medical help.

“While it’s probably nothing to worry about, a quicker diagnosis can mean less worry. If cancer is confirmed, more treatment options are available if it’s found early.”

Co-chair of Scottish Primary Care Cancer Group Lorna Porteous said: “If you have a sign or symptom that might be due to lung cancer, please don’t delay contacting your GP practice.

“During the pandemic appointments may be done by either telephone or video so when you do get in touch, please give as much information as you can. You will be asked to come in for a face-to-face appointment if we need to examine you or do some tests – measures are in place to ensure your safety.”

Top professional snooker referee, Leo Scullion, today backed the call for people worried about potential lung cancer symptoms to get checked without delay, as someone who survived the disease after seeing his GP about a persistent cough.

Leo, 63, originally from Glasgow but treated in Ayrshire, was diagnosed in July 2014 and started treatment in September 2014 which involved chemotherapy and radiotherapy. Following a period of recovery, Leo returned to the snooker circuit in 2017.

He was told his cancer was in remission in December 2019, five years after diagnosis – the same year he reached the pinnacle of his career, officiating his first World Championship final.

Leo said: “I was aware I was coughing, but it became noticeable to those around me. I was in China for a tournament and put it down to the smog at that time, and the fact I was a smoker.

“I did have other symptoms which I now know were warning signs. I was waking up in the middle of the night with terrible sweats, and by the time I came back home, I was feeling pretty horrible. Looking back, I think I knew there was something more going on, your body just tells you.

“As soon as the results came back, I just remember saying ‘is it terminal?’ At that point my GP reassured me that there was plenty they could do.

“When I was at the sharp end and I needed help, the NHS was there for me. If you’re worried about any unusual changes to your health, or worried about someone close to you, go and get checked. It really is that simple. The sooner they can find out what is wrong, the better. I’m very grateful I went when I did. There were times when I wondered whether I’d be back refereeing. To be back working at a professional level, and to have my health, is tremendous.

“There is life after a diagnosis, and I intend to cause havoc for the rest of it!”

Heart Research UK Healthy Tips: Healthier Takeaways

Takeaway food is often cheap, convenient and tasty, but it also tends to be high in fat, salt and sugar. Regularly consuming takeaways can have a negative impact on your heart health and your waistline. Swapping your usual takeaway for a healthier option may be a good way to cut down on fat, salt and sugar.

Heart Research UK has some tips for choosing healthier takeaways:

Find a food outlet with healthy options

Choose a food outlet that provides healthy options on their menu. Some food outlets list calories on their menus to help you to make healthier choices.

Choose wisely from the menu

Avoid deep fried foods, such fried chicken and chips. Swap large deep-pan pizzas for smaller pizzas with low fat toppings and avoid stuffed crust pizzas.

Avoid ordering too much food

Instead of ordering starters, mains, sides and desserts, why not just order a main course and finish off with some fruit and yoghurt. If you order too much, why not share it or freeze a portion.

Make a healthy ‘Fakeaway’ at home

Cook healthier versions of your favourite takeaway dishes at home using online recipes. Try swapping side dishes, such as chips, naan bread or fried rice for home-cooked brown rice or wholemeal pitta bread.

Think about what you drink

Rather than drinking sugary or alcoholic drinks with your takeaway, try drinking low calorie drinks, such as sugar-free squash or water instead. This can reduce your calorie intake as well as the cost.

‘Far from Over’: Cole-Hamilton presses Health Secretary over Davidsons Mains Covid outbreak

Liberal Democrats Health Spokesperson Alex Cole-Hamilton has used a Scottish Parliament debate on Covid-19 to highlight the need for caution as Scotland begins to move out of the Covid-19 pandemic.

Mr Cole- Hamilton, who represents the Edinburgh Western constituency, raised concerns over the temporary closure of Davidsons Main Primary School within his constituency. He said that events at the school were a stark reminder that the pandemic was far from over.

The School has been forced to temporarily close on Tuesday, after over half of the after 12 classes were forced to self-isolate.

Mr Cole-Hamilton seized an opportunity to ask the Cabinet Secretary for Health Humza Yousaf, for reassurance that the Scottish Government will work to tackle the appearance of Covid hotspots across the Lothians.

Although unable to give a specific answer, Mr Yousaf assured Mr Cole-Hamilton that he will look at the data in the community of Davidsons Mains to ensure that accurate and appropriate testing measures were in place to keep the covid-19 virus under control.

Mr Cole-Hamilton said: “I am pleased that the Cabinet Secretary has appreciated the seriousness of the outbreak at Davidsons Mains Primary, and I am grateful that he plans to take action to ensure our community is kept safe and faces as little disruption as possible.

“The situation in Davidsons Mains is a stark reminder that our communities are by no means rid of this virus. But I hope that the willingness of the Cabinet Secretary to treat this outbreak seriously will be of some comfort to worried pupils and members of the school community.

“Tributes must be paid to the school staff, who have worked quickly and efficiently to respond to this challenging set of circumstances. They’ve applied every infection control protocol to the letter since this first started but community transmission of this very virulent strain has seen cases increase.

“I look forward to seeing the school gates reopen at the start of next month.”

Royal tennis at Craiglockhart!

Duke and Duchess of Cambridge experience LTA Youth – the LTA’s new and innovative junior tennis programme

The Duke and Duchess of Cambridge were today given a first-hand introduction to LTA Youth, the new LTA programme that will help more children enjoy the benefits of playing and staying in tennis – whatever their age, gender, ability, disability or background.

The Duke and Duchess were visiting Edinburgh Leisure’s Craiglockhart Tennis Centre to learn more about the new programme and take part in a series of LTA Youth drills with local children.

After an explanation of the principles behind the programme by Scott Lloyd (Chief Executive, LTA) and Olly Scadgell (Participation Director, LTA) the Duke and Duchess went on court to join children from Canal View Primary School, Edinburgh, and try their hand at three fun games that help teach progressive skills for tennis as well as for other sports.

Firstly they did a hopscotch warm up, before picking up racket and ball to play floor tennis against a partner. The Royal couple competed with the children to see who could keep rallies going the longest.

Finally Their Royal Highnesses each captained a team of children in an epic game of ‘team cones’ with each child playing a mini match against the others to secure a point for their team.

Graham Watson (Chair, Tennis Scotland) and Blane Dodds (Chief Executive, Tennis Scotland) explained about the implementation of the programme in Scotland and the opportunity for parents to book courses locally.

Before leaving all the children present were given LTA Youth rackets to inspire them on their journey to becoming young tennis players.

Scott Lloyd, LTA Chief Executive, said: “It was great to be able to show Their Royal Highnesses our new junior tennis programme first hand.

“LTA Youth is designed to be fun, inclusive and competitive and help children enjoy tennis whatever their age. Courses across the country can be booked via the LTA website.”

LTA Youth courses are available to book now across Britain at:

https://www.lta.org.uk/play-compete/lta-youth/youth-programme/

Great feedback: Praise for Leith police Beat Hunger campaign

The ‘Beat Hunger’ Campaign is aimed at tackling food inequality and poverty in the North East of Edinburgh and has continued its drive to improve community wellbeing.

Over the last month, the North East Community Policing Team have distributed 112 ‘Beat Boxes’ to 28 identified vulnerable families and young adults referred to us by partners including Community Renewal Edinburgh, Dr Bell’s Family Centre, Castleview Primary School and Children 1st.

We’ve completed 23 recipient evaluation questionnaires and the feedback has been overwhelmingly positive.

Here’s a sample of the feedback sent to us:

‘Great way of police being involved in community projects’ – Taylor.

‘This really got me back into cooking after losing the enjoyment for a while. My kids loved it and the recipes took me out my comfort zone’ – Rebecca.

‘It has been good for breaking the barrier between police and a young guy like me in a good way’ – James.

‘You made my family and I so happy, I don’t know how to thank you’ – Nora.

‘Thank you so much for the Beat the Hunger boxes for our families. The feedback has been amazing, all of these initiatives really do make a difference’ – Castleview Primary School.

Local community Sergeant Elaine McArthur-Kerr of Leith Police Station said: “This initiative is directly aligned to our purpose to improve the wellbeing of our people, places and communities and acknowledges the increasing shift within Police Scotland to adopt a public health, whole system approach to tackling many of the complex issues faced by a significant proportion of the people our officers & staff come into contact with.

“This fantastic and innovative opportunity to encourage positive lifestyle choices has generated considerable public support and has been recognised by Local Policing East ACC Tim Mairs.

“Plans to develop the initiative alongside local priorities are ongoing and we hope to circulate the community cook book to all in the city in the near future.”

Lib Dems Celebrate Eye Pavilion Victory

Edinburgh Western MSP Alex Cole-Hamilton has welcomed an announcement from the First Minister that the Scottish Government will save Edinburgh’s historic Princess Alexandra Eye Pavilion.

This U-turn comes after a hard fought community and cross party campaign and after the Lib Dems secured a vital commitment towards a replacement facility from the Scottish Government, as part exchange for Liberal Democrat votes for the Scottish budget, earlier this year.

In those negotiations, the Lib Dems persuaded the Government to protect specialist eye services within the City of Edinburgh as well as securing a massive boost to mental health funding. In this afternoon’s announcement, the First Minister made good on that commitment and promised “the renewal and replacement of health facilities across Scotland – including the Edinburgh Eye Pavilion.”

Commenting, Mr Cole-Hamilton said: “This is a huge victory today, not just for the cross party MSPs who worked to save the Eye Pavilion, but also for everyone across Edinburgh and the Lothians who fought to see the promise of a replacement facility in the capital made real.

“The First Minister’s announcement is welcome, but it should have come much sooner. Even after securing the protection of specialist eye services, the Scottish Government was attempting to rail road a more casual set up, with different treatments and services dispersed across the Lothian region.”

“I know from both constituency correspondence, and conversations on the doorsteps throughout the recent election campaign that this was a major issue for local communities. The thought of losing the Princess Alexandra Eye Pavilion was genuinely upsetting for people, especially those who are affected by full or partial sight loss.”

“I am delighted that Edinburgh no longer risks being the only capital city in Europe without a dedicated eye care centre. This demonstrates what can be achieved when politicians seek to work productively, on a cross party basis, for meaningful change.”

Covid: 705 care home deaths in Lothian, official figures reveal

COVID-19 related deaths in care homes, 2020/21

Lothian MSP, Miles Briggs, said: “These figures show the devastating affect that Covid-19 has had on Care Homes in Scotland.

“My thoughts are with all the families whose loved ones have died from Covid-19 throughout the last year.

“SNP Ministers were completely unprepared for Covid-19, with a lack of PPE and unclear guidance for care homes.

“The decision by SNP Ministers to move Covid-19 positive hospital patients to care homes, without being tested, is the single biggest failure throughout the pandemic.

“The Scottish Conservatives have called for a full public inquiry into care home deaths in Scotland and these figures reinforce the need for that inquiry.”

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Edinburgh homeless charity appeals for local volunteers

Homeless charity Rowan Alba is appealing for local volunteers to support its CARDS befriending service which works with people across the city, providing vital support and social contact to reduce isolation.

The Community Alcohol Related Damages Service (CARDS) was set up by Rowan Alba in 2010. Those who are referred to CARDS by health care specialists, GPs, hospitals and mental health services have, for various reasons, become isolated and developed a problematic relationship with alcohol. CARDS volunteers are there to provide vital social contact and to listen without judgment.

A team of 60 volunteers deliver 1-1 befriending support to 80 clients across the city, usually meeting once a week to provide emotional support, helping clients build their social skills and confidence to engage with their local community.

Since getting support from CARDS, 69% of clients have reported improved mental health, 77% have reduced their alcohol intake and 80% said life was less chaotic. 69% said they have spent less time in hospital.

Paul McCay, a CARDS volunteer for seven years said; “The people we work with are socially isolated, many have anxiety and are disconnected from their communities.

“Just having someone who consistently shows up, without judgment, to listen, have a chat, listen to music, go for a walk or a coffee can’t be underestimated. The regular contact that volunteers provide can be both life-changing and life-saving.”

As a crucial befriending service for older people with long term alcohol issues and at risk of crisis, CARDSis just one of a number of services delivered by Rowan Alba in supporting some of Edinburgh’s most vulnerable, isolated and homeless people. The charity aims to break the cycle of homelessness for people deemed ‘un-houseable’ by other services.

Rowan Alba pioneered the home for life concept with Thorntree Street in Leith, providing permanent homes for older men with a long-term history of rough sleeping and street drinking. The charity’s second home for life property will open in Peffermill in 2022.

Rowan Alba also provides temporary supported accommodation at Stramullion in Pilton, supporting women with complex needs to move out of homelessness and into their own home.

The charity has years of expertise working with older people with alcohol issues; these issues may stem from years of health inequality, trauma, homelessness, family breakdown, mental health issues time spent in prison or abuse. Many have developed Alcohol Related Brain Damage (ARBD), which has left them physically and emotionally damaged and socially isolated.

Tracey Stewart, Volunteer Service Manager at Rowan Alba said; “We have all faced periods of isolation during the Covid-19 pandemic but for those who are referred to CARDS, social isolation is something many have lived with for years.

“The 1-1 befriending service provided by our volunteers provides vital emotional support, helping clients to re-learn how to manage a trusting relationship with another person.

“CARDS urgently needs more volunteers to support our clients across Edinburgh, so we are looking for people who can provide compassionate support for individuals who have had a difficult relationship with alcohol now or in the past.

“Ideally you will have had experience in a role where managing relationships is key. Being able to listen without judgment and understand the benefit of human contact is vital.

“Our best volunteers are the kind of people whom you end up chatting to at a bus stop and go away being moved by the interaction. It’s as simple as that. We provide all the support, training and guidance that you need.

“Half of our staff started as volunteers and 85% of people who were looking to get in to social care as a career find themselves within employment within the first year after volunteering Those who come for the experience hang around for much longer. It’s a community in itself.”

Comprehensive training and support are provided and volunteers are asked to make a time commitment of at least 1 year.

Full details of the application process are available at:

https://rowanalba.org/volunteering-for-cards/.

How to manage post-viral fatigue after COVID-19

Practical advice for people who have recovered at home

Post-viral fatigue is when you have an extended period of feeling unwell and fatigued after a viral infection.

Fatigue is a normal part of the body’s response to fighting a viral infection such as COVID-19. Fatigue is likely to continue for some time after the infection has cleared. It can make you sleep more, feel unsteady on your feet, make standing for long periods difficult, as well as affecting your ability to concentrate and your memory.

Self-isolate
Please follow government guidelines. Remember, this includes isolating from your family/ household wherever possible, even if they have symptoms or are also self-isolating. If you deteriorate, seek immediate medical help following government guidelines.

Rest
Rest is very important for your body as it fights off infection. You need to rest both your body and mind. Keep television, phones and social media to a minimum. Relaxation, breathing and meditation can all support quality rest – the NHS Apps Library has free tools you can try. Sensory relaxation tools such as fragrances, blankets, and relaxing music can also help. If a strategy doesn’t work for you, try another one until you find one that does.

Sleep
You may find that you need to sleep more. Make sure you follow healthy sleep habits: ensure your room is as dark as possible, have a bedtime routine, and avoid caffeine, eating late and using electrical items before bed.

Nourishment
Try to keep your normal routine for eating and drinking. Being ill with a temperature can make you dehydrated so make sure you drink fluid when you’re thirsty and enough so that you pass urine with normal frequency and volume.

Move
Get up and move around slowly and gently a few times each day. This will keep your body mobile and help with circulation.

Keep activity levels low
Both physical and cognitive (thinking) activities use energy. Try to do only a small number of these activities each day, including basic activities of daily living, such as washing and dressing.

Allow time

COVID-19 affects people differently, so give yourself time to recover. Its impact afterwards doesn’t always reflect the severity of the virus and you don’t have to have been hospitalised to experience fatigue. You may feel pressure to resume your usual activities quickly, but don’t rush.

Have fun
Do some low energy activities that you enjoy, such as reading or watching TV, for short periods with regular rests.

Stop
Please follow government guidelines. Unless you feel fully recovered after self-isolation, you shouldn’t work. Your body still needs to focus on fighting the infection.