Radical changes needed to deliver primary care fit for the 21st century, says Holyrood Committee

A radical revision of primary care is essential to ensure the next generation of citizens receive the care they need, according to the Scottish Parliament’s Health and Sport Committee.

In a report published today, the Committee say the traditional 9-5, 5 days a week service must become a thing of the past, replaced with a new model shaped around users’ needs. They urge the health service to fully embrace technology, enabling better data sharing and monitoring, to deliver a 21st century system fit for patients.

The Committee’s report is the culmination of a two-year inquiry into the future of primary care. The innovative inquiry was centred around members of the public with their views shaping the inquiry. The first phase of the inquiry, published in July 2019, revealed the public’s desire and support for a transformation in how services are accessed and delivered.

The inquiry has highlighted the growing costs and demands on the health service due to an ageing population and their more complex health needs, as well as an obesity epidemic and stark health inequalities in Scotland’s most deprived areas.

The Committee’s report questions the Government’s commitment to recruit at least 800 more GPs by 2030. They say the emphasis should instead be placed on committing to appropriate recruitment of professional staff across multi-disciplinary teams (MDTs), including both GPs and other professions, which can deliver the intended benefits to primary care as a whole.

Speaking as the report was published, Committee Convener Lewis Macdonald MSP said: “It is clear that when it comes to primary care the status quo is no longer an option. Existing ways of delivering care are not only financially unsustainable but have failed to keep pace with modern life.

“We need to radically rethink primary care so that we can ensure our citizens receive the best possible care for generations to come.

“We must move away from the automatic provision of prescriptions and towards social prescribing. There must be widespread adoption of a preventative model of delivering care and the health service must fully embrace new technology.

“A fundamental shift is also required in how the public and health professionals view General Practice. Instead of GPs being seen as the provider of all services, a new approach should be adopted where other health professionals, who are often better placed and equipped to help and support people can do so.

“Our inquiry has been driven by hearing directly from the public about the primary care services they want, need and require and the Committee wants to thank all who took part in our public forums and shared their views.”

The Committee say a focus on prevention needs to be prioritised and mainstreamed, but for this to be a success it goes beyond just the health service.

They identify the importance of local communities in delivering good health outcomes and say there is a clear desire amongst the public for connected communities, with spaces that give people opportunities to become active and socialise, and to connect to the local natural environment.

Widespread adoption of video consulting service ‘Near Me’ during the Covid-19 pandemic has been commended although the Committee has expressed reservations that default use could deepen health inequalities.

The report can be found here.

Covid lockdown could be causing more people with sight loss to experience hallucinations

The Royal National Institute of Blind People (RNIB) is warning that ongoing lockdown and coronavirus restrictions could be causing a spike in hallucinations due to sight loss.

Hallucinations due to sight loss are known as Charles Bonnet Syndrome (CBS), which is caused when the brain attempts to fill in gaps in visual information with invented images or patterns. The hallucinations vary from person to person and range from simple lights or patterns to complex images. They are often distressing.

The condition has now sparked interest from Britain’s longest running television soap, ‘Coronation Street’, with a storyline showing Weatherfield resident Johnny Connor, played by actor Richard Hawley, beginning to hallucinate cockroaches, cats and people. Although his symptoms are caused by sight loss, they are initially misidentified as a psychiatric issue.

Although there is little research into the condition, it is widely believed that at least third of all people with significant sight loss experience these symptoms, but it is often under-reported.

Over the last 12 months, the number of people calling RNIB’s Sight Loss Advice Service to report CBS has increased – with sharp peaks in calls corresponding with coronavirus restrictions. Last month, the number of calls about hallucinations increased by more than two-thirds (67 per cent) compared to January 2020, and accounted for more calls than any other condition.

Thelma Good, aged 70, from Biggar in South Lanarkshire, has experienced Charles Bonnet Syndrome for years after losing a large proportion of her sight due to glaucoma and cataracts.

She said: “I studied psychology at university, and we learned about Charles Bonnet Syndrome in my course. Because of this, although it would be years until I was officially diagnosed with the syndrome, I was able to understand why I was having hallucinations, I knew that it was related to my sight.

“One of the scary aspects for me is that when I cross the road my brain fills in the gaps in my vision with a clear road, which means that I can’t see approaching cars or cyclists. That can be really challenging and frightening, so it takes me a long time to cross roads.”

Dr Louise Gow, specialist lead for eye health at RNIB, said: “The increase in calls and emails we have received about CBS since lockdown has been dramatic. And the visions that are being reported are much more vivid than usual, which has left many people feeling particularly distressed – describing their hallucinations as ‘out of control’.

“It’s as though the stress and anxiety of coronavirus, and the resulting restrictions, has had an impact on people’s symptoms. Although there is currently no research to confirm such a link, it would seem stress and lack of stimulation can increase symptoms.”

To help people with the condition, RNIB has launched a new Talk and Support service specifically for people experiencing CBS. Created with CBS specialists Esme’s Umbrella.

Judith Potts, founder of Esme’s Umbrella said: “We launched Esme’s Friends, a telephone chat service, which has now joined RNIB’s Talk and Support Groups. The calls provide peer-support and new contacts, all of whom understand what it is like to live in a world of vivid, silent, visual hallucinations.

“The calls can be joined by carers and family members who are too often forgotten, but who also need support. Through Esme’s Friends, people living with CBS find they are part of a community which is developing its own voice.”

Dr Louise Gow added: “It is very worrying that awareness of CBS remains low, even among health and care professionals. We have heard of several instances where GPs have mistakenly referred patients to mental health services, rather than directing them to information about how to cope with CBS and ensuring that they see an eye health professional.

“If this happens, it is possible that the underlying vision issue causing the CBS is not treated and could worsen, resulting in further avoidable sight loss.

“While there is still a lot to learn about the condition, it’s more important than ever that health and care professionals are made aware of CBS. There is a range of support and advice available to help people living with the condition. But patients must first be diagnosed appropriately.”

Professor Mariya Moosajee, consultant ophthalmologist at Moorfields Eye Hospital, said: “We are working hard to better understand CBS and how it can be managed.

“This includes a study to learn how common CBS is in children across the UK. We are hoping to start a study into deciphering the overall time period affected by visual hallucinations, as this will help us to provide a more accurate prognosis for patients to guide them on how long to expect them to occur.

“We would welcome further research on CBS to increase our understanding and would also encourage clinicians to ask their patients about CBS symptoms regularly.”

Anyone with sight loss who is experiencing visions or hallucinations – or any sudden change in their sight – should seek immediate help from an eye health professional or contact RNIB’s Helpline on 0303 123 9999.

For more information, visit www.rnib.org.uk.

Call Centre Workers Still Putting Their Lives On The Line

Covid-19 still a major threat to call centre workers’ health

Workers call for more action to protect staff

Covid-19 still presents a major threat to contact centre workers and action needs to be taken to protect them, according to a letter from the STUC to the Scottish Government.

The letter is a response to the work of the Scottish Government’s Working Group for Contact Centres and urges them to audit Scottish call centres and ensure employers are following guidelines and revising risk assessments.

The letter comes after new variants of the disease have been confirmed and a major outbreak in DVLA Swansea confirms the danger presented in large workplaces. The letter argues that the conditions in sealed buildings with mechanical heating and ventilation systems magnify the problem.

The letter has the backing of Call Centre Collective- a trade union-backed grassroots organisation formed in response to the pandemic- who have organised a petition in support.

Craig Anderson from Call Centre Collective said: “The Scottish Government needs to listen and take active steps to protect workers. We know there are some employers cutting corners and taking unnecessary risks with the safety of their staff.

“It would be unforgivable, after seeing what happened in Swansea, if no lessons are learned from it. We urge anyone who with an interest in protecting workers to sign our petition supporting the STUC’s letter and keep up the pressure.”

Roz Foyer, STUC General Secretary, added, “Throughout this pandemic one of the largest sources of complaints to unions and MSPs has been from call centre workers.

“The new evidence on transmission and the risks inherent with new variants makes it absolutely essential that we see action now.”

Farming’s Mental Health Epidemic

  • 133 suicides were registered in Scotland, England and Wales in 2019 for those working in farming and agricultural related trades according to the Office of National Statistics.
  • 88% of farmers under the age of 40 rank poor mental health as biggest hidden problem facing farmers today, a recent study reveals.
  • 89% of young farmers believe that talking about mental health in farming will remove any stigma attached to it.
  • This year the Farm Safety Foundation’s Mind Your Head campaign will focus on prevention and early identification of risk factors associated with those living and working in the UK farming industry.
  • A total of 31 suicides were registered in 2019 in the agricultural industry in Scotland.

From 15th – 19th February 2021, the Farm Safety Foundation (also known as Yellow Wellies) will launch their fourth annual Mind Your Head campaign to illustrate actions being taken to break down mental health barriers in farming.

A recent study by the Foundation, found that mental health issues among farmers and agricultural workers are of growing concern and having a direct impact of safety on farms. With 88% of farmers under the age of 40 now ranking poor mental health as the biggest hidden problem facing farmers today (increased from 82% in 2018).

In an industry where 20 farm workers lost their lives in fatal farm accidents in 2019/2020, there were a total of 102 suicides registered in England and Wales in those working in farming and agricultural related trades, according to the Office of National Statistics.  Scotland saw another 31 suicides in the agricultural sector. These include farmers, managers, and proprietors of ag related services and those working in agricultural related trades and elementary ag occupations.

The farming industry faces many stress factors, which are placing increased pressure on workers and putting them at greater risk of mental ill health. During the last year, the coronavirus pandemic will have only increased the mental health effects on farmers and could continue long after the virus has gone.

In the study, it was also revealed that 89% of young farmers believe that talking about mental health in farming will remove any stigma attached to it (increased from 80% in 2018).

Stephanie Berkeley, Manager of the Farm Safety Foundation said: “Humans are social animals. We not only enjoy each other’s company, but we also thrive on it.

“Digital solutions have tremendous value, however we must not underestimate the value of talking through our problems. It sounds non-technical, and therefore old-fashioned, but getting farmers to open up is the very first step to building a holistic approach to mental health in the industry.

“It is so important to encourage a habit within agriculture that explicitly recognises how the job can, and does, impact on the wellbeing of everyone living and working in it and how poor mental health can have a direct and deadly impact on the job. Given the year we have just experienced, making sure we are all looking after our physical and mental wellbeing has never been more relevant.

The Mind Your Head campaign will focus on prevention and early identification of risk factors associated with those living and working in the UK farming industry and also aims to highlight the wealth of support available.

During the week long campaign, the Farm Safety Foundation will be sharing the stories of some incredible people who have lost loved ones to suicide, made difficult career and life choices, and hear stories of hope, resilience, and the light at the end of that dark tunnel.

Stephanie added: “This is a huge concern and one that we need to keep talking about. In the last 12 months, calls to farming charities have increased so we need to be concerned about the numbers of people in our industry feeling high levels of distress and to keep pushing to ensure people know that help is available and encourage them to ask for it.

“This is your industry, your future, and your responsibility to it’s time to speak up, speak out and mind your head.”

For more information on the campaign or to learn more about how the Farm Safety Foundation and partners are tackling the issue of poor mental health in the industry please visit  www.yellowwellies.org or follow them on social media – @yellowwelliesUK on Twitter, Facebook, Instagram and YouTube.

Many Scots unaware of incurable condition as common as hay fever

  • Raynaud’s symptoms despite it affecting 1 in 6 people in the UK.
  • The charity also found that many Scots are likely to dismiss common symptoms rather than visit their GP.
  • Raynaud’s is a painful and incurable condition. For some, it can be also be a sign of other serious health problems, including the potentially life-threatening condition, Scleroderma.
  • SRUK is calling on people across Scotland to visit its website to find out the signs and take its online diagnosis test.

More than 24 million people in the UK – nearly one in two adults – cannot name any of the symptoms of Raynaud’s, an incurable and painful condition that affects as many people as hay fever, according to new figures released this week.

The charity Scleroderma and Raynaud’s UK (SRUK), which commissioned the research, says the data highlights a ‘shocking’ lack of awareness across the UK with millions more likely to dismiss symptoms and avoid their GP.

In Scotland, 49 percent of those surveyed said they could not name any of the signs of Raynaud’s.

Raynaud’s is a chronic condition that affects around 10 million people in the UK – around one in six – and has no cure. Cold temperatures and stress can trigger ‘attacks’, which causes blood vessels to constrict and temporarily stop blood flow, most commonly to the hands and feet. During an attack, affected areas turn white and blue, and become numb. As the blood begins to return, limbs turn red and become painful.

For around 300,000 people it could also be a sign of a serious underlying condition, including the potentially life-threatening autoimmune condition, Scleroderma. The charity says early detection is vital to manage Raynaud’s symptoms effectively, minimise attacks and diagnose any underlying illnesses.

Common signs of Raynaud’s are extremely cold hands and feet, chilblain-like inflammation and colour changes to the skin. However, SRUK has found that many people do not think these would warrant a GP visit. 

In Scotland, around one in four of those surveyed (24 percent) reported experiencing extremely cold fingers and/or toes more than once, but 47 percent said they would not see their doctor if they experienced this regularly.

Likewise, more than four in 10 (43 percent) said they would not visit their GP over frequent colour changes in the skin, despite nearly one in five (19 percent) reporting this as something they have experienced more than once. Meanwhile, one in two people (50 percent) said they would not book a GP appointment for frequent chilblains on their hands and feet.

Sue Farrington, SRUK Chief Executive, said: “Raynaud’s is as common as hay fever or arthritis and can have just as big an impact on daily life if not more so, but these figures highlight just how woefully unaware most of us are.

“Raynaud’s itself is not life-threatening, but it can be very painful and have a huge impact on everyday life – during an attack, simple things like buttoning a coat, turning a key in a front door or handling bank cards can become virtually impossible.

“Around 3 million people with the condition have to live with this all year round and attacks can be difficult to manage, particularly without any expert health advice. It may also be a sign of something more serious, so it’s not something to be swept under the carpet and ignored – it’s vital people know the signs and visit their GP.”

In Scotland, around one in four people surveyed (24 percent) reported that they would be less likely to visit their GP if they were to experience extremely cold hands and feet or chilblain-like inflammation because of the Covid-19 pandemic.

Claire, 46, who lives near Glasgow in Scotland, has been living with Raynaud’s since her twenties. Initially dismissing the symptoms, she was formally diagnosed at the age of 40.

Claire said: “Even just opening the fridge and taking something out like the milk carton can affect my fingers. When I’m making dinner, if I take a plate out of the cupboard, the coldness of the plate – or even the cutlery – can start a Raynaud’s attack. It’s horrendous. It takes about half an hour to get the feeling back into my fingers.”

Claire says she regrets not seeing her GP earlier: “I do wonder if I had been diagnosed earlier whether my Raynaud’s have become this severe, but I didn’t want to bother them with what I thought was a little nerve damage.

This February, Raynaud’s Awareness Month, SRUK is calling on adults to make time to understand the signs of Raynaud’s and for those who may be experiencing symptoms to take the charity’s simple online test.

The test, which has been developed in conjunction with clinical experts and delivers results in around 60 seconds, will allow people to find out more about Raynaud’s, how to manage it and advise if a GP visit is required.

For more information about Raynaud’s, the signs to look out for and how to manage symptoms, or take SRUK’s online test, visit www.sruk.co.uk/testme

Support confirmed for dental students

The British Dental Association Scotland has welcomed action from the Scottish Government in response to its call to support dental undergraduates who face having to repeat a year owing to COVID disruption.  

A bursary of up to £6,750 will now be offered to students at Aberdeen, Dundee and Glasgow Dental Schools that all moved to defer graduation given the limitations on clinical contact in the last year.  

The BDA issued an open letter to Cabinet Secretary for Health and Sport Jeane Freeman, and Deputy First Minister and Cabinet Secretary for Education and Skills John Swinney on 2 February, calling for necessary action to prevent the next generation of dentists being saddled with unmanageable debt.  

Scottish dental students can already expect to graduate with debts of over £34,000. An additional year of study without a bursary would have pushed levels to over £40,000.

The Scottish Government has also confirmed it will continue to support trainers and trainees, based in NHS practices across Scotland. The BDA has renewed its call on the Scottish Government to provide additional funding to dental schools to mitigate the financial losses associated with today’s announcement.

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “This is the leadership we’ve needed from the Scottish Government.  

“No one wanted graduations to be deferred, but now the next generation of dentists have real certainty, support, and protection from what would have been eye-watering levels of debt.

“It’s inevitable that COVID will widen oral health inequalities that have long blighted Scotland. We can draw some comfort that Ministers have helped secure the pipeline of new talent we’ll need to meet these challenges.”

Public Health Minister Mairi Gougeon said: “This difficult but necessary decision by Scotland’s Dental Schools will be extremely disappointing news for dental students across the country. This is not their fault and that is why the Scottish Government is doing all we can to support them and ensure they do not suffer financially.

“Due to the potential risk of spreading COVID from aerosol generating procedures, dental training has had to be restricted and many students have not gained the necessary clinical experience this year which has resulted in the difficult decision to defer graduation.

“To ensure dental students who have to repeat a year are supported, we are giving each student an extra year’s bursary to the value to of their normal student loan of up to £6,750.

“Aerosol procedures are common in dentistry placements and unusual in other student placements. Therefore we are assured that despite the wider impact on clinical placements for other controlled entry university subjects, such as medicine, nursing and midwifery, students on those courses will not be required to repeat a year and any extensions to their programmes will be covered by other arrangements.

“The quality and calibre of dental treatment in Scotland is outstanding and it needs to be protected by taking the appropriate measures in education to ensure future dental professionals have reached the General Dental Council’s standard of clinical competence and can enter the workforce with confidence.”

COSLA: Unanimous ‘No’ to National Care Service

There is much in the Feeley Report on Adult Social Care that Local Government and Scotland’s Council Leaders have been calling for, COSLA said yesterday.

Leaders have long advocated that that the lived experience of those who rely on social care should be embedded within the system and that social care should move to a more person centred approach, recognising the value of not for profit provision, and carried out by a workforce that is valued.

However Leaders unanimously expressed ‘grave concern’ at the recommendations around the future governance and accountability arrangements contained within the Report.

Whilst they agreed with a lot of the content within the Feeley Report, Council Leaders together voiced their opposition to the recommendation which proposes the removal of local democratic accountability from Adult Social Care and the centralising of the service under a National Care Service with accountability falling to Ministers, a move that they described as being detrimental to the local delivery of social care and its integration with other key community services.  

They also felt that given the level of funding set out in the Review, Local Government would be well placed to continue to deliver this vital service.

Speaking following a special meeting of Council Leaders Councillor Stuart Currie, COSLA’s Health and Social Care Spokesperson, said:  “Council Leaders noted the publication of the Independent Review of Adult Social Care and endorsed many of the principles set out in the report particularly in relation to  empowering people, valuing the workforce and embedding a human rights approach to social care.

“Leaders were also clear that the lived experience of those who rely on social care should be embedded within the system and that social care should move to a more person-centred approach.

“However, there was real and unanimous opposition to the recommendations on governance and accountability which would see the removal of local democratic accountability and a degree of centralisation, which Leaders rightly felt would be detrimental to the local delivery of social care and its integration with other key community services.

“They also felt that given the level of funding set out in the Review, Local Government would be well placed to deliver the human-rights based approach outlined at pace, whilst ensuring local democratic accountability remains front and centre of social care.”

A further detailed report on the proposals will be considered by Council Leaders at the end of February.

Children’s charity survey reveals emotional wellbeing is the priority when children return to school

  • Responding to a national survey by charity Children 1st, parents and carers say there should be a focus on children’s emotional wellbeing when they return to the classroom
  • Parents and carers also call for more support for children on returning to routines, catching up on lost learning and on rebuilding friendships
  • Chief Executive Mary Glasgow says the voices of parents, carers and children should be at the centre of plans on how best to support children when they return to school

Scottish parents and carers believe their child’s emotional wellbeing should be at the top of the curriculum when the schools re-open, according to a national survey run by charity Children 1st. Parents and carers said they wanted their children to have time to reconnect with their friends, to play and have fun.

The national survey, conducted over social media, found that most parents and carers think a carefully managed transition and emotional support will be key to helping their children cope with a return to the classroom. This is in line with what the charity is hearing from Children 1st Parentline and the parents and carers it works with through its community services.

Over half of parents and carers (57.3%) said they would like schools to reopen with a focus on considering children’s emotional needs as well as their academic ones. Parents and carers believe that supporting the emotional wellbeing of their children is as important as learning, according to the 1515 parents and carers from across Scotland who responded.

Those responding to the charity’s survey also said that the biggest challenges they have faced during lockdown are around balancing their work and children’s needs, and helping their children maintain relationships with friends and family. Returning to routines was the biggest concern about schools reopening, with over 60% of parents and carers citing it as a worry (see tables below for more details).

It comes after calls were made this week for Scottish school days to be extended and school holidays to reduce.

But Mary Glasgow, the charity’s Chief Executive, is calling on the Scottish Government and the Scottish education sector to listen to families by putting children and young people’s emotional and social wellbeing at the heart of Covid recovery, warning that children can’t learn effectively if they don’t feel emotionally safe and secure. 

Children 1st Chief Executive, Mary Glasgow.

She said: “With all the discussion of longer school days, less holidays and general focus on formal learning as opposed to the wider social and emotional needs of children, it felt like the voices of families and children were being lost in the debate.

“That’s why we directly asked families what they would need to recover from the pandemic so they can cope with a return to school – and they have told us that many children will need support with their emotional wellbeing when they return to school.

“As we move closer to schools fully reopening, I urge the Scottish Government and the Scottish Education sector to listen to the voices of these families who are telling us that children’s wellbeing and self-confidence must be at the heart of the school’s response to Covid recovery.”

“We know that this year has been hard for all of us, but with the right support in place parents and carers are telling us that children can overcome any negative effects of lockdown.”

One respondent to the survey said: “I want my children to feel safe and wellbeing has to be priority. One whole academic year has been lost from education, but I feel a slow approach to learning should be made, not a rush to catch up.”

Another told us “Let them have time to play, forge friendships and space to emotionally recover from the pandemic.”

Another parent / carer told Children 1st “We need to focus on wellbeing. The impact all of this uncertainty has had on children is immense, even if they aren’t necessarily outwardly upset.

“Catching up on missed education is so important but we need to recognise the level of disruption they have all been through and support them positively to transition back into yet another change of routine.”

Children’s 1st Parentline offers families free emotional, practical and financial support on 08000 28 22 33 or online at www.children1st.org.uk/help-for-families/parentline-scotland/

Mental health charity SAMH launches Holyrood manifesto

Ahead of this year’s Scottish Parliament elections, we’ve launched our manifesto, Standing Up for Scotland’s Mental Health, calling for radical action in order to combat a growing mental health crisis in Scotland.  

Informed by over 2,500 people across Scotland, many of whom have lived experience of mental health problems, our new manifesto sets out 38 actions to make mental health a national priority.  

We want to see real change, as part of this we want to see redoubled efforts on suicide prevention, action now to support children and young people and rapid access to psychological wellbeing support for adults. 

In the last twelve months, Scotland has seen its population’s mental health and the mental health systems designed to support it challenged like never before. With these pressures likely to continue well into the next parliamentary term, it makes the current picture on mental health even more concerning:

  • One in five children referred to specialist mental health services are still being turned away
  • A quarter of those referred for psychological therapies wait at least four months to be seen
  • Deaths by suicide have risen over the last two years.

It’s clear that mental health must become a real national priority following the May elections. 

Billy Watson, Chief Executive at SAMH said: “Scotland’s mental health deserves better. A growing number of people across the country are facing mental health problems and are struggling to access help. There have been too many promises on mental health and not enough action. With the added pressure brought about by the pandemic, we need a radical new plan.

“We must now, more than ever, see political and government commitment to make mental health a priority. That’s why today SAMH is launching our manifesto, urging the next Scottish Government to put the mental health of the nation first. It’s time to listen to the hopes, fears and needs of people with mental health problems.

“The next Scottish Parliament will see many new MSPs, as well as experienced members returning for a further term. We hope we can rely on each and every one of them to Stand up for Scotland’s Mental Health.”

The Standing Up to Scotland’s Mental Health manifesto reflects the real life experiences of people across Scotland. Stephanie, 19, struggled to access the support she needed through CAMHS.

Stephanie said: “After being put on the waiting list for CAMHS, it was many months before I was contacted and learnt that I’d have to go through a whole process to actually be seen.

“Eventually I ended up being rejected as I was on holiday when the letter came in about arranging my first appointment. There was a deadline that you had to get in contact by to arrange this but because I was away I ended up missing it. I got in touch but the only support and advice they could give was for me to go through the full ordeal again.

“I felt helpless and had no idea what I was supposed to do. I was reaching out which is what they said to do, but I was still being shut down. I was terrified and I didn’t know what was going on. I was thinking, ‘What if I don’t get the help, what will happen to me? Will things get worse?’ – It felt like a really big ball of emotions. The whole referral process just felt exhausting. It took a further toll on my mental health and how I dealt with it in the future, and I became closed off once again.” 

The research and experiences which lie at the heart of our new manifesto shows that when people are given the support they need quickly, they can flourish. 

After a suicide attempt, Robert, 39, reached out for support. This led him to ‘The Changing Room’, a SAMH project which uses the power of football to get men in their middle years talking about mental health. 

Robert said: “Early on I remember thinking I’m worth my place in this group, not only is it helping me feel better but I’m going to be part of making other people in this group feel better. I felt like I was worth a lot, and for a long time I didn’t feel like I was worth much. 

“Local community support is so important because shared experiences help, having someone you can relate to from a similar background makes it much more organic.”

“Many people feel isolated when they are having suicidal thoughts, I had family all around me, but I still felt isolated, because no one knew what was going on, so then being around people who understand what you’re going through can really make a big difference.”

To find out more about Standing Up for Scotland’s Mental Health, to read our full manifesto and find out how you can help drive real change for mental health, visit samh.org.uk/standup

Live Life Better

Breaking big life changes into small, manageable steps

One Year No Beer launches empowering programme of online courses and events targeting mindfulness and wellbeing:

Motivating people to change the world’s relationship with alcohol, One Year No Beer has launched the Live Life Better wellbeing platform, an empowering programme of online courses and events to help people break big life changes into small, manageable steps.

From reducing your sugar intake to surviving modern society alcohol-free and even embracing the benefits of meditation, each individual challenge has the aim of helping you make positive life changes.

Launched from 1st February, each course offers members the opportunity to start living life better, taking control of their personal wellbeing and working towards a healthier version of themselves. Hosted by industry professionals, academics, doctors and OYNB coaches, the easily digestible programmes have everything you need to make changes that stick.

Responding to member requests for support in other areas, topics include a Sugar Challenge, to help quiet cravings and satisfy a sweet tooth; Alcohol and Men’s Health, to help build resilience and self-worth without the need of a pint, and Mindfulness and Meditation, for those looking to restore some inner balance.

Available in 28 and 10-day challenges, each offers a tailored approach, allowing members to choose the one that will best suit their goals, current situation and stage in life.    

“Looking at the role alcohol plays in our lives was just the start of the journey for us”, says Ruari Fairbairns, founder and CEO of One Year No Beer. “It naturally opened up the door for so many of our members to ask for more support with other aspects of their life and wellbeing.

“People wanted help changing their relationship with sugar, food, mindfulness and more and from that, the idea of Live Life Better was born.”

Besides OYNB founder Ruari, coaches include Carey Davis-Munro, a food and wellbeing specialist with a passion for healing yourself through nutrition; menopause and alcohol specialist, Kate Sansum who testifies to the 62 symptoms of menopause being worsened by alcohol and Dr Gail Davies, who advocates 10 minutes of mindfulness a day in order to completely overhaul your emotional and cognitive response.

Dr Gail Davies, academic, scientist and Live Life Well coach, said: “Mindfulness is a life skill that everyone can benefit from; practicing every day, for even a few minutes, can change your brain and the way we experience situations.

“Conquering our emotional response and making ourselves less likely to be highjacked by our own emotions, leads naturally to a feeling of being more engaged, present and subsequently, happier.” .

Prices range from £10 to £45 and subscribers will be notified when new courses launch, with Plant Based Living, Tiny Habits for Parenting and a 28-day Yoga Challenge poised to begin in the coming weeks.