Scottish organ donation law changes to an opt out system today (26 March 2021). This means that if you die in circumstances where you can donate, you will be considered to be a donor when you die, unless you have chosen to opt out or are in an excluded group.
Your loved ones will still be consulted about your views to ensure that donation does not proceed if you would not have wanted it to. Organ and tissue donation remains a personal decision and you have a choice.
NHS 24 is reminding people who take regular medication to make sure their repeat prescriptions are ordered in plenty of time for the Easter Weekend.
The reminder is part of the ongoing health campaign ‘Show you care. Prepare’ which encourages people to take care of themselves, their loved ones and the NHS by being prepared for minor ailments.
The Easter Weekend impacts on many local GP and pharmacy opening times, so it’s important that people check their prescription, order only what they need and in plenty of time.
NHS 24’s Head of Pharmacy, John McAnaw said: “This can be a really busy time of the year but it’s important that we all take time to think about our health, do what we can to stay well and be prepared for illness. That way we’ll also be doing our bit to support the NHS through the busy Easter period.
“Things like paracetamol, ibuprofen and indigestion remedies are useful to have and you can ask your pharmacist for advice about helpful medicines for your household. It’s also a good idea to keep a few child friendly remedies if you have any wee ones.
“We’re all looking forward to spending time in the spring sunshine (should it appear!), so it’s a good idea to think ahead to what you might need to support you and your family’s health.
“Check what you have, and order only what you need and collect it in plenty of time – you should order by Friday the 26th March at the latest to be sure of having your medicines ready before Easter weekend.”
General advice and information on how to stay healthy can be found at www.nhsinform.scot/easter
Mental Health Minister Clare Haughey has written to health boards setting out priority areas of investment from the Scottish Government’s recently announced £120 million Recovery and Renewal Fund.
Ms Haughey said: “The lockdown has been difficult for us all, not least young people – affecting their work, social and family lives and job and learning opportunities. That is why we intend to make around £40 million available to take forward dedicated work to improve Child and Adolescent Mental Health Services (CAMHS).
“This will include capacity building to meet expected increases in demand, specialist neurodevelopmental assessments, and ensuring young people have access to intensive psychiatric inpatient care when they need it.
“An essential part of this investment will be funding for a clinical director for each CAMH service to drive forward change.
“Further to this, we will invest up to £15 million to help clear backlogs in CAMHS and Psychological Therapies waiting lists.
“However we recognise that not all children and young people need specialist services like CAMHS, and so we will also continue to support the expansion of community services at a local level.
“Our £120 million Mental Health Recovery and Renewal Fund is the single largest investment in mental health in the history of devolution, and shows the priority we are placing on mental health. The Fund will be used to deliver our full agenda for mental health and wellbeing, as set out in our Transition and Recovery Plan.
“This will help to improve access to services across Scotland as well as ensuring good mental wellbeing at a population level, a comprehensive distress response, and the right help and support in our communities. We are carefully considering the potential for other investments over the course of 2021-22, and we will make further announcements in due course.”
Joanna Barrett, Associate head of Policy for the Devolved Nations, NSPCC Scotland, said: “The events of the last year have profoundly impacted the lives of children and young people in Scotland, with some suffering traumatic experiences including bereavement and abuse.
“Following the start of the pandemic last year, we saw a rise in referrals from our adult helpline about child abuse and an increase in contacts to Childline about emotional and mental health. Our counsellors heard from children struggling with loneliness and isolation, worries about education, increased parental stress and abusive home environments. Some young people talked about feeling suicidal.
“So this investment by the Scottish Government to address children and young people’s mental health is crucial for the recovery of our younger generation. But it is important we also remember and support our very youngest and most vulnerable members of society, those under five, whose wellbeing is closely attuned to that of their carers, and who cannot voice the harm they have experienced.”
Many of us are spending more time at home due to COVID-19 and this can mean reaching for the comfort foods when we feel bored, stressed or need cheering up.
On busy days, it is easy to pop to the kitchen and grab a quick lunch without thinking too much about whether it is good for you.
We have some tips for planning and preparing healthier lunches at home:
Include plenty of fruit and veg
Fruit and vegetables are packed with nutrients and fibre to help keep your heart healthy. Find healthy salad or vegetable soup recipes online or in recipe books to include in your lunch plan. Finish off your lunches with a portion of fruit and a low-calorie yoghurt.
Increase your fibre intake
A diet that is high in fibre can reduce your risk of heart disease. Good sources of fibre include fruit and vegetables, beans and pulses and wholegrain foods. Try to regularly include a portion of wholegrain food in your lunches, such as brown bread, wholemeal pita, wholemeal pasta or brown rice.
Include lean sources of protein in your lunches
Foods that are high in protein can help you to feel full for longer and this can prevent you from snacking on less healthy foods during the day. Lean sources of protein include grilled skinless chicken or turkey, canned tuna, soybeans, tofu and low-fat dairy products.
Plan your lunches in advance
Planning your lunches in advance will allow you to put a little more thought into what you are eating as well as saving you time and money. Try creating a weekly lunch plan before the start of the week and shop for ingredients in advance.
Prepare your lunches the night before to save time during busy days or try cooking large quantities of home-made soups and store single portions in the freezer.
You can find more healthy tips, recipes and advice at heartresearch.org.uk.
Half of all adults in the UK have received their first dose of the (coronavirus) COVID-19 vaccine, the latest figures show.
The UK health services vaccinated a total of 26.8 million people between 8 December and 19 March with first doses, while 2.1 million people have had their second dose so far.
The rollout is continuing at pace and the UK is on track to achieve the Prime Minister’s target of offering the vaccine to all over-50s by 15 April, as well as all adults by the end of July.
Health Secretary Matt Hancock said: “Vaccinating over half of all adults is a phenomenal achievement and is testament to the mammoth efforts of the NHS, GPs, volunteers, local authorities and civil servants in every corner of the UK.
“It shows the strength of the Union and what can be achieved when we work together as one United Kingdom to protect those most at risk. But the job is not done yet.
“During April, we will continue to vaccinate those most at risk and around 12 million people will receive their second doses as well. It is absolutely crucial people come forward as soon as they are eligible. When you get the call, get the jab, because the more people who are vaccinated the safer we will all be.”
The pace of the rollout means even more people will soon develop strong protection from serious illness from COVID-19 infection, saving lives and significantly reducing pressure on the NHS, which supports the Prime Minister’s roadmap to ease lockdown restrictions.
Around 4% of the adult population have had their second doses so far and there will be a strong drive over the coming weeks to vaccinate people with the second jabs within 12 weeks, as well as continuing to vaccinate those in the priority groups with first doses.
The UK government’s Vaccine Taskforce secured early access to 457 million doses of the most promising vaccines on behalf of the whole of the UK, Crown Dependencies and Overseas Territories. This allowed a co-ordinated and rapid deployment of vaccines to those most at risk.
Vaccines Minister Nadhim Zahawi (above) said: “I would like to thank everybody involved in this incredible vaccination programme across the whole of the UK for their tireless dedication to protecting the most vulnerable and saving lives.
“This is a momentous occasion and while the vaccines are the best way out of this terrible pandemic, the battle is not yet over.
“We continue to do everything we can to expand the vaccination programme even further and encourage people of all backgrounds and religions to get their jabs when eligible.”
All vaccines being used in the UK have undergone robust clinical trials and have met the Medicines and Healthcare products Regulatory Agency’s (MHRA) strict standards of safety, effectiveness and quality.
The Moderna vaccine has also been approved by the MHRA and will be deployed from the spring. Rolling reviews are also underway by the MHRA to assess the Janssen and Novavax vaccines.
Data from Public Health England’s real-world study shows that both the Pfizer and Oxford-AstraZeneca vaccines are highly effective in reducing COVID-19 among older people aged 70 years and over. We are already seeing a significant impact of the vaccination programme on reducing hospitalisations and deaths, and it is vital people come forward for their vaccine when invited.
The vaccines are available for free from thousands of vaccine centres, GP practices and pharmacies. Around 98% of people live within 10 miles of a vaccination centre in England, which includes mosques, Westminster Abbey and football stadiums.
Dr Nikki Kanani, NHS England’s primary care director and a GP, said: “Thanks to careful planning and the huge efforts of NHS vaccinators, volunteers and everyone working behind the scenes, the roll-out of the NHS vaccination programme – the biggest in health service history – continues to be a huge success.
“Their efforts meant the NHS had vaccinated half of all adults in England by Thursday, and as a GP and a vaccinator, it is source of great pride that we have now reached that major milestone across the whole of the UK.
“I would encourage anyone who is invited to come forward and book their vaccine. It is safe, quick and effective, and by having your vaccine you will join nearly 23 million people across England who’ve now been protected.”
Royal Pharmaceutical Society President Sandra Gidley said: “Vaccinating half of the UK population in such a short period of time is a huge achievement and I’m immensely proud of the role pharmacy teams have played.
“Pharmacists have been at the forefront of COVID-19 vaccinations, developing new treatments, ensuring a safe supply chain, and supporting vaccination clinics across the health service.
“I want to thank pharmacists working up and down the country in every setting, from large hospitals to those providing vaccinations in village halls, for their amazing efforts and for rising to the challenge during a time of national crisis.
“As we look to build on this success, pharmacists will continue to play a vital role in encouraging uptake of vaccines, particularly in communities where there are significant health challenges.
Professor Martin Marshall, Chair of the Royal College of GPs, said: “The hard work of GPs and our teams, along with colleagues across the NHS, to deliver the COVID-19 vaccination programme has been outstanding and ensured that vulnerable patients across the UK are protected from this terrible virus.
“It is excellent news that half the UK adult population – 26.8m people – have now received the first dose of the vaccine, with around 75% of these vaccinations taking place in primary care.
“This is an incredible milestone and the efforts of GPs and our teams have been pivotal to achieving it in such a short space of time, and despite the complexities and challenges of delivering a new vaccination programme on such a large scale.
“However, the hard work is far from over, and as long as there is supply, GPs and our teams will continue to vaccinate. Getting vaccinated is the best protection we have against this virus, and our best hope of getting back to a more normal life.
“We encourage patients to come forward for a vaccination when invited to do so.”
Background information
The UK government is committed to supporting equitable access to vaccines worldwide. The UK is the largest donor to the COVAX facility, the global mechanism to help developing countries access a coronavirus vaccine, and has committed £548 million in UK aid to help distribute 1.3 billion doses of coronavirus vaccines to 92 developing countries this year.
The British Dental Association Scotland has urged immediate clarity from the Scottish Government, following comments from Health and Sport Secretary Jeane Freeman implying that NHS dentistry should be available at pre-pandemic levels.
Jeane Freeman stated today that “NHS services … should be as available now as they were before the pandemic started.”
While all treatments are now available from NHS practices, the service is operating at a fraction of its former capacity to keep to strict infection control protocols to limit the spread of the virus. The BDA understands practices across Scotland have been overwhelmed with calls following this statement.
The Scottish Government is currently only providing enough PPE to treat 10 patients per day (or 5 for Aerosol Generating Procedures involving high-speed instruments) covering just 20-30% of pre-Covid patient numbers.
The BDA has called for real commitment to restore pre-pandemic levels of dentistry. Unlike the Northern Irish and Welsh administrations, the Scottish Government has so far made no commitments to help practices invest in ventilation equipment, that can radically reduce or element the ‘fallow time’ gaps between appointments, designed to reduce the spread of the virus.
It is also seeking urgent interim funding to keep the service sustainable and help practices deal with the unprecedented backlog of patients.
Recent official data indicated that between September and November 2020 the number of adults seen by NHS dentists was around a third of the 2018-19 average, before falling to 28% of the 2018-19 average in December 2020.
In 2020, children and adults from the most deprived areas were less likely to have seen their dentist within the last two years than those from the least deprived areas (73.5% compared to 85.7% of children and 55.9% compared to 67.1% of adults). These inequalities in access between the most and least deprived areas have grown since 2019, particularly in children.
David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “Ministers seem to have forgotten that all dentists are operating at a fraction of their former capacity, to keep to strict infection protocols set by their government.
“With severe limits on access emergency and urgent cases need to be at the front of the queue. Sadly, this slip of the tongue has left phones ringing off the hook in practices across Scotland.
“We are facing an unprecedented backlog, and the Scottish Government needs to provide funding and support to restore routine services. As it stands if check-ups recommenced today, we wouldn’t be able to offer appointments for six months.
“Even before the pandemic Scotland’s oral health inequalities were a national scandal. Now that gap looks set to widen, with public health programmes suspended and millions unable to access care.
“Dentists are losing the chance to act on the early signs of decay, gum disease and oral cancers. If we’re ever going to turn the page we need to see real commitment from Government.”
Scottish charity Venture Trust is launching the Scotland’s first dedicated outdoor therapy programme. The mental health service will see trained therapists harness the power of the outdoors to support some of Scotland’s most vulnerable young people, adults and veterans.
The Outdoor Therapy programme will involve a ‘walk and talk’ approach to therapy delivered by qualified staff and delivered in parks, community gardens, local woodland or accessible hills and beaches instead of the traditional clinic or office-based support.
The launch of the service comes at a time when Scotland’s mental health services are over-stretched, under-resourced, and unable to support some of the country’s most vulnerable young people and adults.
Recent statistics from Public Health Scotland continue to highlight young people are still not receiving mental health services when they need them:
· 25% of young people referred to Child and Adolescent Mental Health Services (CAMHS) are currently not seen within the target time of 18 weeks
· 25% of children and young people were turned away from specialist mental health services during October to December 2020
The Princes Trust’s annual Youth Index published in January noted:
· 25% of young people feel “unable to cope with life” since the start of the pandemic, increasing to 40% for those not in work education or training
Research from the Scottish Association for Mental Health SAMH highlights almost half of people with mental health problems in Scotland felt they did not get care or treatment because of the pandemic.
The Outdoor Therapy programme will also look to support vulnerable adults including veterans who already faced mental health inequalities before the pandemic and lockdown.
Public Health Scotland statistics also show:
· 20% of the 17,023 adults who started psychological therapies during October to December 2020 waited longer than the official target of 18 weeks
· None of the 14 regional NHS Boards met the 18-week target for adult psychological therapies services in Scotland
Veteran specific funding towards the service will be used to work with Scottish veterans struggling with their mental health. Venture Trust’s existing veteran support programme highlights a trend in veterans presenting with mental health issues from 50% in 2016/17 growing to 79% in 2019/20.
Venture Trust’s clinical manager Andy Hardie said the charity’s new outdoor therapy service can play a crucial role in supporting and coomplementing existing services to tackle the looming mental health crisis predicted in Scotland.
“The system seemed close to breaking point before Covid-19 and the pandemic has only increased the pressure on it”, he said.
“The benefits of the outdoors for mental health have been long understood but little utilised in a clinical sense and the value of the outdoors to improve mental health and wellbeing has been increasingly highlighted during the Covid-19 pandemic and lockdown.
“Whilst we value traditional approaches to therapy, we recognise that for some individuals the usual offer of support in clinical settings can seem daunting.
“As we move out of lockdown, Venture Trust’s offer of support within an outdoor setting can benefit individuals who may have sought support through traditional statutory therapeutic services such as GP’s, CAMHS, and other therapy services but have not been able to make the changes they were hoping for or were unable to gain access to services.”
The launch of the new service also brings into sharp focus the desperate need for further investment to increase and diversify mental health support for the most vulnerable young people, adults and veterans in Scotland.
Venture Trust Director of External Affairs Tejesh Mistry said the outdoor therapy service would rollout in the Edinburgh and Lothians area of Scotland but the aim was to increase the reach and offer when further funding secured:
“As a charity organisation we have seen first-hand the impact of the pandemic on the mental and emotional wellbeing of Scotland’s most vulnerable people. Venture Trust will continue to explore funding avenues to increase the reach of this valuable and essential service.”
Empowering people to change the world’s relationship with alcohol, Edinburgh-based One Year No Beer saw its biggest intake in 2020, following an unprecedented year that drove many out of their comfort zones and into the arms of unwanted habits.
Scooping Spectators Economic Innovator of the Year Award, and Great British Entrepreneur for Scotland and Northern Island, the behaviour change programme and online toolkit for surviving modern society alcohol free, is working tirelessly to support people towards making positive lifestyle choices.
With over 80,000 members in 90 countries, last year the platform witnessed an increase of 287% in searches for coaching and quadruple the number of courses purchased.
Ruari Fairbairns, Co-Founder and CEO of One Year No Beer, explained: “We help people change their relationship with alcohol which, leads to most of them fundamentally transforming their lives – for the better.
“We are developing technology that will enable members to connect over the common goal of changing behaviour, be that caffeine, sugar, gambling, social media and ultimately empowering our members to help the world, live life better.”
Currently One Year No Beer is a content and digital publishing business with the backing of a powerful global following. The intention now is to pivot into a technology business scaling the proven model to become a global wellbeing brand that will help people reduce unnecessary anxiety they have in life enabling them to be the best version of themselves.
Ruari Fairbairns explains what they have done to keep up with demand: “We have stripped out cost, optimised customer journeys and done an enormous amount of foundational work in preparation for scaling even further.
“Due to the pandemic, we are all having to work remotely, but this has only strengthened our offering, allowing us to focus more money into the platform and its abilities. On top of everything we did to prepare for another year like last, we will also soon be launching our long-awaited Web App and, we also have a few secrets up our sleeve that are going to make 2021 one to remember, for all the right reasons!”
OYNB is not an abstinence programme; it is not about eliminating alcohol entirely. It’s about empowering people to break down old habits and build new ones, creating a positive mindset that lets the individual take back control and make clear-sighted decisions.
For more information visit https://www.oneyearnobeer.com
Report raises concerns as services supporting women and babies come under strain
During and after pregnancy, women have faced greater likelihood of poor mental health during the pandemic, including anxiety, depression, loneliness and suicidal thoughts, according to a new report commissioned by a coalition of leading maternal mental health organisations.
Women of colour and women from poorer economic backgrounds are more likely to experience mental health problems during and after pregnancy, according to the research.
The rapid review of evidence commissioned by the Maternal Mental Health Alliance (MMHA), and conducted by Centre for Mental Health, for the first time compiles all available evidence into one place.
This shows that access to crucial services reduced for pregnant women, new mums and babies across the UK, especially during the early stages of the pandemic. While health and care staff worked hard to deliver safe care, significant gaps emerged. Women also experienced a reduction in informal support from friends, relatives and networks of other women sharing their experiences.
Extra pressures include anxiety about giving birth during lockdown without partners present, fears of losing jobs, heightened levels of domestic violence, bereavement, worries about catching Covid-19, and concern about new infants catching the disease.
The MMHA, a network of over 100 national organisations, together with lived experience champions and clinicians, is calling on Ministers to fill the pre-Covid gaps in specialist perinatal mental health.
In addition, the wider system surrounding these services, including health visiting and maternity, needs to be protected and enhanced. Furthermore, up-to-date monitoring and research of maternal mental healthcare should be commissioned.
It also says that without sustained funding, many Voluntary and Community Services will not survive, despite the increased demand from women for their services.
Luciana Berger, chair of the Maternal Mental Health Alliance (MMHA) said: ‘Today’s report should serve as an ear-splitting warning siren about the dangers to women’s maternal mental health and potential risks to the wellbeing of their babies.
The pandemic has placed additional challenges on new and expectant mums getting the care and support they need, taking many already-stretched services to the point of breaking. Women of colour and women from disadvantaged backgrounds have been particularly impacted, and Ministers must address this injustice with urgency.’
Sarah Hughes, chief executive of Centre for Mental Health, which carried out the research, said: ‘The Covid-19 pandemic has been a mental health challenge across society, but it has not affected everyone equally. It has placed especial pressure on women during pregnancy and after they’ve given birth.
“And it has made inequalities that were always there in plain sight even more pronounced. We need to take this opportunity to review and reframe what support women should expect for their mental health during the perinatal period, and to make sure that we prepare for any future crisis to avoid another loss of support at a crucial time in people’s lives.’
Aleema Shivji, Comic Relief Executive Director for Impact and Investment said: ‘The pandemic has put an unprecedented strain on the nation’s mental health and it is sadly no surprise that, as this report proves, pregnant women and new mums who face enormous challenges, have sadly been worst affected.
“It’s clear that more work is needed urgently to help tackle the shame and stigma attached to maternal mental health for mums to feel recognised, supported and able to ask for help. At Comic Relief we have prioritised funding mental health services for over 25 years, but it is clear this is still needed now more than ever.’
Today’s report Maternal mental health during a pandemic was commissioned by the Maternal Mental Health Alliance and conducted by Centre for Mental Health, and covers all four parts of the UK.
Joanna Barrett, Associate Head of Policy (Nations) at NSPCC Scotland, said: “This report highlights the profound impact the pandemic has had on the mental health of parents during and following pregnancy, particularly in the most deprived communities of the country.
“We have long warned that without the right support at the right time, adult mental health problems during pregnancy and the first year can have serious immediate and long-term consequences for both young children and their families.
“That’s why our Fight for a Fair Start campaign is calling on the Scottish Government to invest in universal early years support, to give professionals the ‘time to care’ to develop positive and trusting relationships with infants and their families.
“This will give babies the best possible start in life, the support to recover from the pandemic, and the opportunity to thrive not just survive.”
· 71% of young carers and 85% of young adult carers are more worried about the future since Coronavirus.
· 45% of young carers and 68% of young adult carers say their mental health is worse since Coronavirus.
· 40% of young carers and 56% of young adult carers feel overwhelmed by the pressures they are now facing
Today, on Young Carers Action Day (March 16 2021), Carers Trust Scotland is calling on Scottish Government to commit to developing a new cross-cutting National Action Plan to protect the futures of children and young people with caring responsibilities.
These plans are urgently needed to address a downward spiral in the mental health of young carers across Scotland, and the adverse impact this is having on their hopes for the future.
A recent Carers Trust Scotland survey revealed high levels of anxiety and stress among young carers. The survey found over two thirds (71%) of young carers aged 12 to 17, and 85% of young adult carers aged 18 to 25 were experiencing increased concern for their futures since Coronavirus.
To address these challenges, Scottish Government’s National Action Plan should include clear actions that can be delivered at pace. They should address education, employability and health and wellbeing prospects among young people with caring responsibilities.
Louise Morgan, Director of Carers Trust Scotland comments: “It is important on Young Carer Action Day to highlight the additional challenges young carers have experienced as result of the pandemic and think about their futures.
“It is vital that Scottish Government introduces a new National Action Plan which is ambitious and ensures young carers in Scotland have the support that they need and are given a fair chance to reach their full potential in all aspects of their lives.”
To Protect Young Carers’ Futures and help make a National Action Plan for young carers a reality, Carers Trust Scotland is working with young carers across Scotland to ask statutory bodies to make meaningful commitments to deliver young carers’ rights across health, social care, education and employment.
Speaking about her hopes for Young Carers Action Day, Ilse Cuthbertson a young carer and Member of the Scottish Youth Parliament for Carers Trust Scotland, (above, right) said: “The Young Carers Action Day Steering Group chose to focus on protecting young carers futures.
“This theme fits in perfectly with this year, as due to the pandemic it is now more important than ever that we protect the futures of young people with caring responsibilities.”
Welcoming the call for a National Action Plan to protect young carers’ futures, world-leading researcher on young carers’ rights and Carers Trust Ambassador, Dr Saul Becker, said: “During the pandemic, we have seen millions of people, rightly, furloughed to stay at home, paid by the government and told they must NOT work.
“On the other hand, carers of all ages, and especially carers under the age of 25, have been forced to stay at home because schools have closed, health and social care services have been cancelled, and young carers have taken on many of the responsibilities of statutory and other service providers, often on a full-time basis.
“It’s young carers’ turn for recognition and support. We desperately need national and local action plans to make sure that young carers are not left behind; that they are no longer ignored and invisible. We must safeguard their futures – and see this as a sound investment not a cost.”
Employers called on to protect young carers’ futures
Carers Trust is also urging employers to protect young carers’ futures by acknowledging the unique skills and attributes young carers develop from an early age, such as time-management skills, resilience, empathy and a sense of responsibility for others.
We are already working with our corporate supporters to develop resources and provide experience to facilitate young carers’ pathways into employment:
