Health and wellbeing – Page 247 – The NEN

North Edinburgh initiative to be rolled out across Scotland

Over £3 million for money advice services in GP surgeries

GP practices in some of the most deprived communities will receive £3.17 million to fund dedicated welfare rights advisors to address growing mental health concerns caused by money and housing insecurity.

The national roll out has been a long time coming: Granton Information Centre led the very first partnership when they introduced a pioneering new service at Muirhouse Medical Group over ten years ago!

Dr John Budd of The Access Practice, a member of The Deep End network of GP surgeries in Scotland which cover the 100 most deprived patient populations, explained the benefits of the service when he addressed a Holyrood event held to celebrate Granton Information Centre’s pioneering work in 2018.

Dr. Budd told guests: “Around six years ago we became increasingly aware of the crippling nature of the welfare changes being introduced by the Westminster government. We produced a report about people’s experience of welfare change which received national media attention.

“What came out if that was a real sense of hopelessness – we felt our patients, often vulnerable, were increasingly being defeated by a system that was supposed to be there to help them. GPs felt helpless: patients were coming to see them with issues they couldn’t address. Poverty, increasing levels of homelessness, complex benefits issues – they couldn’t do the job they were trained to do.

“However the embedding of welfare rights workers into this bleak landscape has been such a bright spot. As members of our primary care team they have made such a fantastic difference, enabling people to navigate through the incredibly complex benefits system.

“Michelle (GIC’s Michelle Lee – Ed.) was with us at the Access Practice for four years, and she generated around £800,000 a year extra in due benefits – around £1000 per patient, which can make a huge difference to people who are often destitute.

“It’s been a fantastic development: it’s tragic that we still need this service, but it’s been a great benefit to our patients and we are so fortunate to have it. It’s a hugely effective way of enabling people to gain greater control of their lives through addressing poverty.”

Launching in September 2021, 150 GP Practices will be able to refer patients directly to an in-house welfare rights officer for advice on increasing income, social security eligibility, debt resolution, housing, and employability issues as well as helping with representation at tribunals.

The Welfare Advice and Health Partnerships will reduce pressure on GPs and primary care services – allowing them to focus on clinical care and treatment for patients while a dedicated advisor supports them to address their social and economic needs.

Since the start of the coronavirus (COVID-19) pandemic GP practices have reported an increase in the number of patients citing money and housing worries for mental health issues. This funding will enable Welfare Advice and Health Partnerships to be formed as part of COVID-19 Recovery and Resilience plans.

The work will be delivered in collaboration with Public Health Scotland, The Scottish Public Health Network and the Improvement Service.

Social Security Secretary Shirley-Anne Somerville said: “The COVID-19 pandemic has impacted everyone differently and further highlighted how vital it is to ensure support is in place for those who need it, including access to advice to help people overcome issues which are having a negative impact their mental health.

“Evidence has shown that money and welfare advisors in health centres reach people who do not engage with traditional advice services. This is the first time this approach will be delivered at a national scale, and I am sure it will make a difference to households as we focus on our recovery from this crisis.”

Deep End GP and former chair of the Royal College of Practitioners Scotland Dr Carey Lunan said: “This pandemic has shone a spotlight on health and social inequalities for some of our most vulnerable citizens, with the economic impacts being felt most by disadvantaged groups, who already live in precarious financial circumstances.

“Poverty is a fundamental cause of persisting health inequality and as we plan our recovery from COVID-19 we must ensure an appropriate focus on those with the greatest health and social needs, or these inequalities will simply worsen further. More financial security offers more choice, more control – and more hope.”

Scottish children can look forward to a ‘Summer of Play’

Funding of £20 million will deliver a range of activities for children and young people and their families over the summer, ensuring they are provided with opportunities to socialise, play and reconnect within their local communities and environments.

In particular this will provide support for those children and young people who may otherwise struggle to access such experiences during the holidays.

Working with local authorities and partner organisations including sportscotland, Creative Scotland, Play Scotland, Education Scotland and others, the funding will support existing provision of community-based services while also widening access to other local facilities, such as school estates and local sports facilities.

Speaking before Holyrood broke up for May’s elections, Deputy First Minister John Swinney said: “We do not underestimate the physical and mental health impacts which children and young people have experienced throughout the pandemic, and that the impacts have fallen unequally across society.

“This enhanced range of summer experiences for children and young people will help address the impacts associated with extended periods of isolation and reduced participation in normal activities. This offer will have children’s rights and needs at its heart, and will provide opportunities to socialise across a range of activities, combined with broader support where needed.

“This will build on local summer offers, recognising the need for flexibility to deliver using local assets and connecting with wider offers from partners.

“Over the next few months we will continue to develop further all aspects of our education recovery strategy with our partners and stakeholders. Following periods of disruption to in-school learning, this will include how we can intensify and deepen support for children and young people’s progress in learning, including in key areas such as literacy, numeracy and health and wellbeing.”

Scottish shedders launch election manifesto

The Scottish Men’s Sheds Association (SMSA) has launched its first-ever manifesto, ahead of the Scottish Parliament Elections 2021, calling on politicians to support men’s health and wellbeing through Scottish Men’s Sheds.

The Association, which is trailblazing the Men’s Sheds Movement in Scotland, recommends five key actions for politicians, invested groups and the general public as a whole to support Men’s Sheds and fully recognise the wealth of health and wellbeing benefits for men over the age of 18.

SMSA’s vision is that every man in Scotland will, one day, have access to—and the opportunity to attend—their local Men’s Shed if they choose to do so.

Jason Schroeder, SMSA Executive Officer, said: “SMSA is launching this manifesto at just the right time. Sheds will be needed more than ever in post-COVID-19 recovery and it is vital to expand the SMSA and its support mechanism in line with the growth of the Movement to support Sheds across Scotland now and in the years to come.

“Investment and support to lead change is required to underpin the ongoing creation of this health by stealth and voluntary social wellbeing pathway for men. SMSA is also recommending that localised support across the Shed network is embedded; a start-up and development fund for Sheds is implemented; a focused national awareness campaign is delivered; and the reach to the Armed Forces and Veterans community and Blue Light services is improved on.”

SMSA pledges to continue making a real difference by empowering thousands of men (our sons, brothers, fathers, uncles and grandfathers) and their communities – over the coming years – to play their part in a system change towards a wellbeing economy.

The manifesto is available on the SMSA website.

‘Stark disconnect’: Charity’s call for better understanding of the far-reaching impacts of epilepsy

42% of people with epilepsy in Scotland want you to know this one thing … (Purple Day, 26 March)

New research shows that public understanding of epilepsy doesn’t always match with the reality faced by those living with the condition. Friday 26 March is Purple Day, the global day for epilepsy, and a chance to redress the balance. There are over 55,000 people living with epilepsy in Scotland.

In Epilepsy Action’s new poll, nearly 1,000 people affected by epilepsy were asked for the one thing they wished the public knew about the condition.

42% of those surveyed in Scotland said they wished people knew that the impact of living with epilepsy goes far beyond seizures. Side-effects of medication, memory problems and impacted mental health are just some of the things that can affect people.

A quarter (24%) of people said their biggest wish was for better awareness of the many different seizure types. Other hopes included more understanding that not all seizures are triggered by flashing lights and that epilepsy is a fluctuating condition.

However, new figures suggest much of the general public remains unaware of the ripple effect of the condition and are dismissive of how it affects people long-term.

One in four people (23%) thought that epilepsy has no impact on a person’s life, aside from having seizures. A third said that the condition does not impact on a person’s mental health.

In one revealing statement, two thirds agreed with the suggestion that people ‘just need to be more positive when living with health conditions’.

Yet, with a similar number of people (68%) saying they would be afraid to even witness someone having a seizure, the charity says this exposes a stark disconnect in understanding and compassion towards people with the condition.

Louise Cousins, director of external affairs at Epilepsy Action, said: “These new insights are stark but not surprising. The impact of living with epilepsy can take a huge toll on people’s lives, their happiness and wellbeing.

“Everyone’s experience of epilepsy is different, but it can’t be overcome just by ‘being more positive’. This attitude needs to change. Lack of knowledge and empathy feeds into fearful, harmful assumptions and people with epilepsy feeling further misunderstood and dismissed.

“By giving them a voice and encouraging conversations on Purple Day, we can really improve society’s knowledge and compassion and close the gap on this chasm of understanding.”

Yorkshire comedian Maisie Adam was diagnosed with epilepsy when she was 14. She is backing the campaign: “It’s totally normal for people to have those misconceptions about epilepsy, because of the information that’s out there at the moment. So much is frustratingly simplified, Hollywood-ified, it’s very bite-sized.

“It’s just the understanding that’s important and I think that comes from both sides. It’s about us being understanding of why people have those misconceptions but just hoping that people don’t assume – that they can hold back on any assumptions until the facts have been given. Epilepsy is so different for every single person.

“Be open to that huge variation. You’ll have your misconceptions, but don’t assume.”

Epilepsy Action has released a new awareness video on YouTube to coincide with Purple Day and to promote understanding of the condition. The charity is also urging supporters to take part in virtual fundraisers and to celebrate #purpleday on social media.

Support and information for anyone affected by epilepsy are available at epilepsy.org.uk or by calling the Epilepsy Action helpline on 0808 800 5050.

To support Epilepsy Action’s Purple Day appeal and help people affected by epilepsy, visit epilepsy.org.uk/purple

Organ donation law change comes into effect today

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.

Easter Weekend: Remember your repeat prescriptions, says NHS 24

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 26^th 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

£40 million to improve children and young people’s mental health services

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.”

Heart Research UK: Healthy tips

Eating healthy lunches at home

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 UK receive first dose of COVID-19 vaccine

Almost 95% of people aged 60 and over have been vaccinated

Health Secretary hails strength of the Union as UK passes major vaccine milestone
Matt Hancock calls on everyone to accept the jab when it’s offered

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

There are a total of 52.7 million adults in the UK based on ONS data.
PHE’s real-world data shows the efficacy of COVID-19 vaccines.
Through the government’s Vaccines Taskforce, the UK has secured early access to 457 million doses of 8 of the most promising vaccine candidates, including:
- BioNTech/Pfizer for 40 million doses
- Oxford/AstraZeneca for 100 million doses
- Moderna for 17 million doses
- GlaxoSmithKline and Sanofi Pasteur for 60 million doses
- Novavax for 60 million doses
- Janssen for 30 million doses
- Valneva for 100 million doses
- CureVac for 50 million doses
To date, the government has invested over £300 million into manufacturing a successful vaccine to enable a rapid roll out.

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.

Dentists: Scottish Government must correct slip of the tongue on access crisis

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.”