Health and wellbeing – Page 260 – The NEN

Heart Research UK Health Tip: Understanding alcohol units

Heart Research UK Healthy Heart Tip, written by Dr Helen Flaherty, Head of Health Promotion and Education at Heart Research UK

Understanding Alcohol Units

For many people in the UK, alcohol plays a big part in their social lives. As Christmas approaches, it can be easy to get carried away with the celebrations. Drinking too much alcohol can increase your risk of heart disease.

But how much is too much and how do you know how many units of alcohol you are consuming? We provide guidance on understanding alcohol units and keeping track of how much you are drinking this Christmas.

What are alcohol units and ABV?

Alcohol units represent the quantity of pure alcohol contained within an alcoholic drink (1 unit is 10ml of pure alcohol). The number of units of alcohol in your drink depends on the size and the strength of your drink. ABV means ‘alcohol by volume’ and this is a measure of the amount of alcohol as a percentage of the total volume of a drink.

Calculating your units

You can find the ABV on the labels of cans and bottles. To calculate the number of units in a drink, multiply the ABV by the volume (in ml) and divide by 1000.

- ABV x volume (ml) ÷ 1000 = units

1 BOTTLE OF WINE	1 PINT BEER / LAGER / CIDER	1 SINGLE SPIRIT
750ml (ABV 13.5%) = 10 units	1 pint (568ml) (ABV 5.2%) = 3 units	25ml (ABV 40%) = 1 unit

The drinks you pour at home may be larger than the amount measured out in pubs. You could try using a measuring cup when pouring drinks at home so you can keep track of what you are drinking.

How much is too much?

For men and women, the maximum recommended alcohol units each week is 14, spread over 3 or more days. If you are pregnant it is recommended that you do not drink alcohol at all.

Try recording how much you are drinking over a week using a diary or alcohol tracker. Drinkaware provide assessment tools that you can use to track the amount you are drinking: https://www.drinkaware.co.uk/tools

Support for your drinking

If you are worried about how much you, or someone you know, are drinking you can get support by visiting: https://www.nhs.uk/live-well/alcohol-support/

UK hit with South African variant of coronavirus

UK Health Minister Matt Hancock has released details of another mutation of the coronavirus. Two cases of the variant, which is linked to South Africa, have now been reported in the UK.

Scotland has introduced further controls on travellers to and from South Africa with immediate effect.

Mr Hancock told yesterday’s Downing Street press conference: “I want to tell you about developments on another new strain of this virus.

“Of course, the fight against this virus is a global effort. And we are constantly vigilant and looking around the world.

As part of our surveillance, and thanks to the impressive genomic capability of the South Africans, we have detected 2 cases of another new variant of coronavirus here in the UK.

“Both are contacts of cases who have travelled from South Africa over the past few weeks.

“The Chief Scientific Advisor and Chief Medical Officer and others met their South African counterparts over the last day.

“We are incredibly grateful to the South African Government for the rigour of their science, and the openness and the transparency with which they have rightly acted, as we did when we discovered the new variant here.

“This new variant is highly concerning, because it is yet more transmissible and it appeared to have mutated further than the new variant that has been discovered here.

“We have taken the following action.

“First, we are quarantining cases, and close contacts of cases, found here in the UK.

“Second, we are placing immediate restrictions on travel from South Africa.

“Finally, and most importantly, anyone in the UK who has been in South Africa in the past fortnight, and anyone who has been in close contact with anyone who has been in South Africa in the last fortnight, must quarantine immediately.

“By quarantine, I mean they must restrict all contact with any other person whatsoever.

“We will be changing the law to give this legal effect imminently.

“These measures are temporary, while we investigate this further new strain, which is currently being analysed at Porton Down.

“And I want to thank everyone involved for the seriousness with which I know they will take these instructions.”

Scottish Ministers have agreed on the basis of advice from senior clinical advisers to introduce further controls on travellers who have been in South Africa in the previous 10 days.

Regulations will require all UK nationals or residents returning to Scotland from South Africa to isolate for 10 days. This will apply to both the individual traveller and their household. Unlike travel into Scotland from other countries, there will be no exemptions to this quarantine policy.

All measures relating to South Africa will be reviewed in light of emerging evidence on the public health risks.

Cabinet Secretary for Transport, Infrastructure and Connectivity Michael Matheson said: “These steps are a precautionary measure to prevent the spread of a variant strain of coronavirus which has been detected in South Africa, which we are still in the early stages of learning about, to Scotland.

“This decision has been taken on clinical advice to help further safeguard public health and keep communities safe.”

Scotland’s Chief Medical Officer Dr Gregor Smith said: “A mutated strain of the virus has been detected in South Africa with greater transmissibility between humans and it is appropriate that we err on the side of caution.

“We do not want to see transmission of this strain in this country and it is imperative that anybody who has recently travelled from South Africa, and their household, should self-isolate for 10 days and follow the guidance laid out by the Scottish Government. If needed, they should contact NHS 24.”

Work will also be undertaken to contact individuals who have recently arrived in the country from South Africa in the last 10 days who may have had a sectoral exemption to encourage them and their households of the need to isolate.

COVID: Community testing to be introduced next month

Targeted approach planned for high prevalence areas

Community testing in areas with high coronavirus (COVID-19) prevalence will begin in January, Health Secretary Jeane Freeman has announced.

In a statement to Parliament on Scotland’s testing and vaccination programmes, Ms Freeman confirmed that community testing resources will be targeted at communities with high transmission rates, following successful trials in early December.

Local authorities will be asked to submit proposals for the programme in early January, which will be delivered in partnership with NHS Boards and supported with additional funding and resources, including mobile testing units and asymptomatic test sites, to provide PCR and lateral flow testing respectively.

In order to better target community testing, waste water sampling undertaken by SEPA and Scottish Water to track COVID prevalence will be expanded from 60 to around 200 tests per week throughout Scotland by the end of January, supported by £1.1 million in additional funding.

Discussions with local authorities are also underway regarding two models of school testing to be trialled in January. The first model will involve in-school testing using lateral flow devices, while the second will involve at-home sampling for PCR testing.

Ms Freeman also confirmed that a total of 56,676 people have received their first dose in the first two weeks of the COVID-19 vaccination programme, which aims to vaccinate all those on the JCVI prioritisation list by the end of Spring 2021. Once this group is complete, vaccination will start for the wider population, subject to available supplies.

The use of larger centres in heavily populated areas such as Glasgow, Edinburgh, Dundee, Aberdeen, and Lanarkshire is being investigated to supplement local and mobile solutions for those in remote and rural areas.

NHS Boards have also been asked to continue recruitment and redeployment, with the aim of securing around 1400 vaccinators and 800 support staff by the end of January.

Ms Freeman said: “I want to acknowledge the sheer effort that has been put in to enable what has been delivered already through our testing and vaccination programmes, and what we will deliver, as I have set out in Parliament today.

“Each of these programmes presents a major logistical challenges in and of themselves. Many people from different organisations and communities have come together to make them possible and I want to put on record my sincere thanks to everyone involved.

“These are incredibly tough times for everyone, at the end of what has already been an incredibly tough year, but this continued expansion of our testing and vaccination programmes will help us meet the challenge we face to drive down COVID rates in Scotland to the lowest possible level.

“Both are vital tools in our work to suppress the virus to the lowest possible level in Scotland, but they are only as important as the other measures we have including the Levels approach, enhanced support for our NHS and care sectors and critically, individuals doing the right thing by following FACTS – all of which are crucial to prevent the spread of this harmful virus through our communities.”

COVID Vaccines and Testing Programmes: Health Secretary’s statement Wednesday 23 December – gov.scot

Remember FACTS for a safer Scotland:

F – Face coverings
A – Avoid crowded places
C – Clean your hands regularly
T – Two metres distance
S – Self isolate and book a test if you have symptoms

Hospital delivery service gets more than it bargained for!

The volunteers at NHS Greater Glasgow and Clyde’s Give and Go service have been some of the pandemic’s unsung heroes but together with the bags of laundry and Lucozade they’ve been given to deliver, they have also had some unexpected items in the bagging area!

The delivery service has been a godsend for patients and loved ones alike at a time when visiting’s been restricted. Friends and family simply drop off items for patients and can also collect their dirty laundry.

Dr Margaret McGuire, NHSGGC’s Director of Nursing said: “I simply cannot put into words just what an invaluable part the Give and Go service has played in our Covid response. Sadly for many, many months our patients have not been able to have visitors, due to the risk of transmitting the virus.

“Not only is this lonely for patients but at the beginning it also meant they couldn’t get essentials like fresh pyjamas and their own drinks and toiletries. And then came the amazing response from our volunteers! We’ve had such positive feedback from patients and families about what a difference this has made for everyone. Well done and thank you.”

Over at Glasgow Royal Infirmary there are 83 volunteers helping to keep patients in touch with their families by delivering what they need most. However, there have been a few raised eyebrows at some of the more unusual items they have been asked to transport.

Louise Colquhoun is the Volunteer Manager who runs the service. She said: “We did expect to get the odd cigarette and lighter being smuggled in, but even we were surprised at what we got through the door!

“We have had a 55 inch telly, a microwave, and lots and lots of alcohol, some even ‘cleverly’ disguised. But we rumbled them all and returned them to their rightful owners.

“It’s been a long year for all my volunteers – we deliver around 1,000 items a week to patients. Our unusual drop-offs have kept us all on our toes and given us all a wee laugh.”

The volunteer army will continue to work across hospitals and sites through Christmas and New Year, with many of the deliveries already including festive treats and a few gifts before Santa makes his own appearance on the big day.

If you want to join the volunteers as part of the Give and Go service, please email voluntary.services@ggc.scot.nhs.uk

Pictured is volunteer Aimee Macphail who is a cabin crew member at British Airways.

New app to support Covid vaccine rollout

A new app for health and care home staff carrying out coronavirus (COVID-19) vaccinations will provide rapid access to relevant patient information and collect data on how many people have received the vaccination.

The ‘Vaccination Management Tool’ was developed in response to the pandemic and, because it functions on PCs, tablets and iphones, can be used in any setting where the vaccine is being administered.

The tool means vaccinators can immediately see whether it is an individual’s first or second dose and which vaccine has been administered – which will be crucial as more become available.

It also means data can be sent to GP systems and, in time the information collected on the app will help demonstrate how effective each vaccine is by linking with testing data.

Health Secretary Jeane Freeman said: “The development of this tool has been a significant collaborative effort involving both clinicians and technical staff and I would like to thank all those involved.

“Clearly we welcome anything which simplifies the process for vaccinators and having this app which can be used wherever they are working will be invaluable, allowing them to quickly access all relevant information on site.”

NHS Education for Scotland Chief Executive Stewart Irvine said: “Delivering a national vaccine programme is a huge undertaking.

“We are trying to make things as easy to use as possible for the staff who have to manage these large numbers of people. That’s in terms of planning their workflows, being able to work flexibly in all kinds of locations, and in providing a steady stream of data to help national planners.

“With tools like these, we are building integrated systems which remove additional burdens from hard-pressed health and care staff – allowing them to do what they do best.”

NHS Greater Glasgow and Clyde trialled the app for the winter flu programme. Immunisation Programme Manager Scott Hanley said: “We’re pleased to have helped test and feed-back on the app. Having all the individual’s information in one place and not having to use paper saved so much time for our staff.

“The fact that it is web-based also gives much more flexibility in who can use it – which gives us greater flexibility. And using a mobile tablet will help ensure patients are processed quicker on arrival at sites and will reduce the possibility of queues building up.”

The Vaccine Management Tool was developed by NHS Education for Scotland in partnership with NHS Greater Glasgow and Clyde, NHS Lothian and NHS Fife, NHS National Services Scotland and Public Health Scotland.

It was piloted in NHS Greater Glasgow and Clyde and NHS Lothian to assist with the winter flu vaccination programme and is now being used across Scotland to assist with the COVID-19 vaccination programme.

If you’re feeling a little low this winter, catching up with a pal outdoors can help to lift your spirits.

Get tips to #ClearYourHead ➡ https://t.co/JGW6nS7Zeo pic.twitter.com/Wvz6kryJCJ
— Scottish Government (@scotgov) December 13, 2020

New Chief Exec for NHS 24

NHS 24 has welcomed the appointment of new Chief Executive Jim Miller, who will join Scotland’s digital health and care service in the spring of 2021.

Mr Miller, is currently Director of Procurement, Commissioning and Facilities at NHS National Services Scotland. He will take up his appointment with NHS 24 on 5^th April 2021 and over the coming months will work closely with current CEO Angiolina Foster to ensure an effective transition.

NHS 24 Chairman, Dr Martin Cheyne said: “We are delighted to be welcoming Jim Miller as our new Chief Executive to NHS 24. His appointment follows a detailed interview process which was carried out with a selection of highly experienced candidates for this senior position.

“Jim has worked in management and leadership for over 20 years and prior to joining the NHS, he led technology, data and resilience programmes in the construction and aviation sectors. He leads national organisations delivering a range of services across acute, primary and community based health and social care.

“He has also recently led strategic responses to the COVID 19 pandemic, including the building and equipping of the Louisa Jordan and establishing PPE routes across the system. I am delighted that he will be bringing this experience and talent to NHS 24.”

Health Secretary Jeane Freeman said: ”I want to congratulate Jim Miller on his appointment as the new Chief Executive of NHS 24. As the current Director of Procurement, Commissioning and Facilities at NHS National Services Scotland, Mr Miller is respected for his collaborative leadership and professionalism.

“I look forward to welcoming him into post and am confident NHS 24 will continue to deliver a high quality service under his leadership, working in partnership across the health and care system to ensure NHS 24 is fully prepared for future challenges.

“I am pleased Mr Miller will be working closely with current CEO Angiolina Foster in the coming months as he familiarises himself in his new role. I would like to thank Angiolina for the leadership she has provided and the many achievements and improvements delivered during her tenure as Chief Executive over the past four years. I wish her the very best for her retirement.”

Jim Miller said: “Joining NHS 24 is an exciting move and one which I am greatly looking forward to. NHS 24 has delivered exceptional services to the public and to the wider health and care system with its range of telephone and digital services during 2020.

“It has provided critical support to the public and the health system during the COVID pandemic and is helping to transform services through the delivery of 24/7 urgent care.

“I am delighted to have been given the opportunity to work with colleagues across NHS 24, and am looking forward to continuing to build on this success and to further develop the role of NHS 24 with colleagues and partners across Scotland.”

Research finds female employees hardest hit by pandemic and working from home

A review of research in organizational and workplace psychology conducted by an international team of academics has revealed the implications of working-from-home for women has been more disruptive.

The review paper, entitled COVID-19 and the Workplace: Implications, Issues, and Insights for Future Research and Action and originally published in American Psychologist, features urgent insight from UCL School of Management Professor, Sunny Lee into the sex- and gender-related implications of changes in work practices that have taken place over the course of 2020.

The review of research indicates the impact of the pandemic differs by demographic characteristics, such as gender. The paper reveals two key implications on the workplace; the first that work-from- home models will increase and continue post-pandemic and the second that although men are more likely to face direct health threats from COVID-19, women are more likely to be affected by the adverse social and economic costs.

Working from home is here to stay

The authors of the paper believe that face-to-face working will reemerge post-pandemic but will most likely return in a hybrid form which mixes face-to-face work with virtual work. Prior research has suggested that hybrid forms of working such as this are effective in increasing employees’ productivity, satisfaction, and psychological wellbeing.[1] And even with the option to work on an entirely remote basis, employees may choose to come to office regularly given humans’ strong social motives to connect with others.

Although working-from-home has turned out to increase productivity for some workers, it does also come with downsides. For example, research shows some workers are being burned out as they have to juggle caring for their children or other family members while working from home, whilst some employees feel distress and loneliness as they struggle with blurring work/non-work boundaries and miss out on social opportunities.

Given that working-from-home is likely to increase in the years which follow the COVID-19 pandemic, the negative consequences of such models will continue unless addressed. The review paper found gender and sex to be an influential moderating factor.

WFH more disruptive for women than men

Prior research has shown that in households where two partners are employed, women typically engage in household tasks more than men. And during national lockdowns and the closure of schools, the burden of household tasks tends to increase for couples with children as they become compelled to assist with children’s virtual learning.

Therefore, although working-from-home may increase overall productivity among employees, work may be substantially more disrupted for women, particularly those who have children. Indeed, a recent research (Feng & Savani, 2020) study showed that during the pandemic, among couples who are both employed, women’s productivity was more disrupted and women felt more dissatisfied with their job.

Additionally, the research showed due to their empathy and communal orientation, women, compared to men, may feel more isolated and stressed by working from home. A recent survey on 996 U.K. healthcare workers found that more females are experiencing emotional distress amid the pandemic (IPPR, 2020).

Sunny Lee, one of the paper’s authors and an Associate Professor of Organizational Behaviour at the UCL School of Management, said: “The research has shown that the work-from-home model has been a success for many companies forced to close their offices during the pandemic.

“However, we can see on a day to day basis the pressure this is putting on women to find a balance in their productivity and home life and this something organisations need to be sensitive to if this model is here to stay.

“Interestingly, one of the emerging trends we observed was the success of female leaders in handling this crisis, with leaders such as Jacinda Arden, Angela Merkel and Tsa Ing-Wen able to flourish in these uncertain environments.

“Going into 2021 organisations need to be aware of creating the right environment, one which is sensitive to the needs of both men and women, so that everyone’s skills are able to flourish during times of uncertainty.”

Organ Donation: It’s good to talk!

Telling family is the top way Scots make organ decision known

Ahead of Scotland’s move to an opt out system of organ and tissue donation, new research has revealed telling family is the top way people have made their donation decision known.

Almost three quarters (72 per cent) of people who have made their decision have told family what they’d like to happen, followed by over half (54 per cent) recording it on the NHS Organ Donor Register, and 27 per cent sharing it with friends.

The research also reveals one in ten (11 per cent) haven’t yet made their decision known to others – and today (17 December 2020) Public Health Minister Joe FitzPatrick outlined the importance of people recording their decision on the NHS Organ Donor Register and making family aware of their latest views on donation.

The law changes to an opt out system from 26 March 2021, which means that if people aged 16 and over have not recorded a decision about donation, they will be considered as a possible donor when they die.

Under the new law, people can choose to be a donor, or opt out of donation, however sharing that decision with family remains vital, as family members will still be consulted to check what a loved ones latest views on donation were. This is to ensure donation doesn’t proceed where it is against a person’s wishes.

Of those surveyed who hadn’t shared their decision with family – over a third (38 per cent) said it was because they hadn’t got round to it yet, and almost a quarter (22 per cent) said they didn’t feel the need to raise it as it was a personal matter.

The Scottish Government is set to launch a national advertising campaign early next year to highlight what the change of law means, and the options people have, ahead of the March law change date.

Public Health Minister Joe FitzPatrick said: “With the introduction of Scotland’s opt out legislation on the horizon, we’re encouraging people to make time to record their donation decision on the NHS Organ Donor Register, and share it with family.

“Under the new law, family will always be asked about a loved one’s latest views on donation. We know organ donation isn’t something that comes up in everyday conversation but making a point of speaking about what you’d want to happen, means your family will be able to honour it.

“Everyone has a choice and regardless of whether you decide to be a donor, or opt out of donation, making that decision known is vital.”

For more about the law change, or to opt out, visit organdonationscotland.org or call 0300 123 123.

Heart Research UK Healthy tip – Healthy Christmas

Heart Research UK Healthy Heart Tip, written by Dr Helen Flaherty, Head of Health Promotion and Education at Heart Research UK

TIPS FOR A HEALTHIER CHRISTMAS

Christmas is a time when we can be tempted to overindulge, but it is possible to enjoy the festive period without it impacting on our health and waistline. Wherever you are spending Christmas this year, we can help you make it a healthy and happy one.

Don’t let food become the main focus this Christmas. Instead of spending days in the kitchen baking cakes, biscuits and puddings, why not invest your time in preparing fun games to play on Christmas day, decorating the house, getting in touch with people who are spending Christmas alone or planning a Christmas Day walk.

Instead of buying gifts that are high in calories, such as chocolates, jams, sweets, biscuits and alcohol, choose non-edible gifts instead. How about buying the kids things that will get them active, such as a football, skipping rope, skateboard, bike, hula hoop or trampoline.

It can be difficult to avoid the consumerism that has taken over Christmas and you can easily buy too much food and drink for the festive season. Having too much can encourage overindulgence and lead to unnecessary waste. Try to be realistic about how much people will eat and drink and avoid overdoing it when you are shopping and cooking. This will also help you to save on your shopping bill!

Watch your alcohol consumption at Christmas. It is fine to enjoy a drink, but try not to have too much. Alcoholic drinks can be high in calories, which can lead to weight-gain. During the Christmas period, it can be tempting to start drinking earlier in the day, which can result in you drinking more. Try to plan in advance how much you will drink and try to stay off the alcohol until later in the day. You can get support with your drinking by visiting the Drinkaware website: https://www.drinkaware.co.uk/tools/self-assessment

Try not to spend too long sitting in front of the TV this Christmas. Wrap up warm and head out for a brisk walk to burn off some calories and get your heart rate up. Why not get out in the fresh air with any new outdoor gifts, such as a football, frisbee or bike.

Look after your mental health this Christmas. Christmas can be a time of stress, anxiety and loneliness for many people. This year, people may struggle more with mental health problems due to the pandemic. Mind provides information and support for people experiencing mental health issues https://www.mind.org.uk/