Autistic people struggling to get vital support, says new report

– 72% of people responding to a survey about their experiences of the Scottish Government and COSLA’s 10 year Strategy for Autism reported that they did not have enough support to meet their needs – 

The findings are published in today’s ‘The Accountability Gap’, a report from the Cross-Party Group (CPG) on Autism’s review of the Scottish Government and COSLA’s 10-year Strategy for Autism

Supported by charities National Autistic Society Scotland and Scottish Autism, who provide Joint-Secretariat to the CPG, a survey carried out as part of the review also found that: 

  • 72% of respondents said they did not have enough support to meet their needs 
  • 78% of respondents said that it was not easy accessing support locally 
  • 50% felt that autism awareness among the general public had not improved 
  • 69% said that with more support they would feel less isolated 
  • 36% said they received no support within 12 months of receiving a diagnosis. 

The CPG on Autism is Co-Convened by Annie Wells MSP and Alexander Burnett MSP, and has a large membership that comprises of MSPs, autistic people, families, organisations and professionals from across Scotland. The group meets regularly looking at issues faced by autistic people and families.  

In 2011, the Scottish Government together with COSLA published a 10-year Scottish Strategy for Autism that set out priorities and aimed to deliver strategic action for autistic people and their families in Scotland.  

The CPG on Autism undertook its review from May 2019 to January 2020 and heard first-hand the difficulties faced by autistic people and their families in Scotland. It found widespread recognition that the Government’s strategy set out a welcome vision and was well-intentioned however the majority of people who participated said there had been limited impact for many people in a number of areas including autism diagnosis and post-diagnostic support, as well as support in education, care and employment. 

It also highlighted how a lack of accountability at local level, is leaving autistic people and families fighting, often with little success, to get the support they need. 

The review makes 10 recommendations that aim to help improve the lives of autistic people that the Scottish Government and COSLA should consider when the Strategy comes to the end of its lifespan in 2021. These include: 

  • Solving the accountability gap by establishing a new Commissioner role, whose remit includes ensuing that autistic people and families get the support they need. 
  • Developing a new Scottish Strategy for Autism that is co-created between autistic people, families, charities, COSLA and the Government, is appropriately funded and delivers real sustainable change. 

Co-Convener of the Cross-Party Group on Autism, Alexander Burnett MSP, said: “The majority view of the hundreds of people who have been involved in our review is that the ambition and aspiration set out in the Scottish Government’s strategy has not been realised in practice and that many autistic people and their families lack the appropriate levels of support in order to thrive in our society. 

“We found that there are concerns surrounding a lack of training for professionals, as well as a lack of pre and post diagnosis support across a number of areas 2including social care, education, transition into adulthood, housing and employment. 

“In the context of the pandemic we believe the report’s recommendations are more important than ever for Scottish Government, COSLA and partners to consider when planning for what comes next when the strategy is due to come to an end next year. 

“Over the years, we have seen numerous reports and reviews on autism, however there seems to be little evidence to suggest any real change is being delivered at a local level.

“This is a system that is repeatedly failing to meet the rights and needs of autistic people. We must therefore focus on systemic sustainable change to enable better access to education, health, social and community services for autistic people and their families.” 

Kirsteen, a mother from Aberdeen said: “I have an autistic son called Toby who is now a young adult. When Toby was younger he received support from the school, college and the local authority but virtually stopped overnight when he became 16.

“Toby needs a lot of support and without it we struggled to cope as a family. Ultimately, we reached crisis point and things escalated even to the extent the police got involved as he became very frustrated and lashed out.

“Toby is now living in his own flat which initially I had to pay for as the local authority did not provide anything that met his needs. They had offered a place in a hostel for people with drug issues which is completely inappropriate. 

“I’m now selling my place so I can move closer to Toby as I desperately want to make sure he is supported. I do this because my son and daughters mean the world to me but it’s hugely stressful to hold down a full-time career in nursing and provide support for someone with such complex needs. 

“I don’t feel things have got better over the last few years and I don’t think they will change unless Scotland implements legislation – committees and reviews on autism make no difference.” 

Nick Ward, Director of National Autistic Society Scotland, said“Today’s ‘Accountability Gap’ report from the Cross-Party Group paints a stark picture of the struggles that Scotland’s 56,000 autistic people and their families face in order to get the services they are entitled to – a struggle which sadly they often lose leaving them frustrated, distraught and often in crisis.

“The Government must now look to build on the 10-year strategy by building accountability into the system so people get the services and support they so desperately need.” 

Charlene Tait, Deputy Chief Executive Officer at Scottish Autism, said: “We recognise the Scottish Government’s commitment through its 10-year strategy to set out a landscape where autistic people and their families have access to the services and support they need. 

“However, there is an evident ‘accountability gap’ between service provision and what is available.  The reality is that many autistic people and their families often have to fight to get the vital services and support to which they are entitled. 

“Over the years, we have seen numerous reports and reviews on autism, however there seems to be little evidence to suggest any real change is being delivered at a local level. This is a system that is repeatedly failing to meet the rights and needs of autistic people. 

“We must therefore focus on systemic sustainable change to enable better access to education, health, social and community services for autistic people and their families.”

World Mental Health Day: Lockdown spurs 61% increase in mental health prescriptions

– Number rises to 92 per cent for people aged 20-29 –

– Highest level of medication for mental health dispensed in June –

The UK’s biggest online pharmacy has revealed a 61 per cent rise in the number of NHS prescriptions it has dispensed for medication intended to treat mental health conditions since lockdown began. This number is produced when comparing repeat prescriptions dispensed from March to July 2020 with the same period last year.

The data comes as Pharmacy2U reveals the latest trends in its dispensing data, focusing on prescriptions for mental health conditions.

It also reveals that the highest level of items dispensed came three months into lockdown, with week commencing 1st June seeing over 185,000 medicines delivered to people’s homes as lockdown measures began to ease.

There was a 92 per cent increase in mental health medication dispensed to 20-29 year-olds between March – July this year compared with 2019, followed by a 70 per cent increase to those aged 70-79.

In its role as a national provider of vital NHS services, Pharmacy2U monitors trends and works with the NHS and Department of Health and Social Care (DHSC) in the interests of improving NHS provision, reducing medicines waste, and supporting the appropriate prescribing and dispensing of medications across the country.

Since the beginning of March, the South West saw the highest percentage increase (90 per cent) for items intended for mental health issues compared with last year, followed by the South East (67 per cent increase) and the East of England (59 per cent increase). Greater London saw orders up 54 per cent on the same period in 2019.

Data from Pharmacy2U revealed that it has dispensed over 4.6 million items of medication and saved over 2 Million trips outside for potentially vulnerable people since March, helping hundreds of thousands of people get vital medicines and helping to ease the strain on the NHS and frontline services.

Phil Day, Superintendent Pharmacist at Pharmacy2U comments: “The last few months have been unlike anything we’ve ever experienced in our lifetime, and it has been particularly challenging and worrying for the most vulnerable who still need access to their repeat medicines to manage ongoing conditions. 

“With the prescribing of mental health medications under the microscope at a national level, our responsibility to patients and the NHS is at the heart of all we do. All medication we dispense is requested by the patient and approved by the patients’ GP, who we work with closely to identify any over or under prescribing.

“This helps our patients keep the right amount of medication for their needs, and improves their adherence to their courses of treatment, whilst also preventing over-prescribing and the associated increased costs to the NHS.

“Our state-of-the-art dispensing facility uses the latest technology and industry leading clinical accuracy measures, to help hundreds of thousands of people in need get their medicines safely and, in some part, ease the strain on our partners and friends in the NHS and frontline services.”

For more information please contact the Pharmacy2U press office at pharmacy2u@theacademypr.com.

World Mental Health Day: a message from The President

Dear Friends

Ingrid Daniels

World Mental Health Day, a programme of the World Federation for Mental Health, was observed for the first time on 10 October 1992.

The world is experiencing the unprecedented impact of the current global health emergency due to COVID-19 that has also impacted on the mental health of millions of people. We know that the levels of anxiety, fear, isolation, social distancing and restrictions, uncertainty and emotional distress experienced have become widespread as the world struggles to bring the virus under control and to find solutions.

The current worldwide pandemic arose against an already dire mental health landscape that saw mental health conditions on the rise across the globe. About 450 million people live with mental disorders that are among the leading causes of ill-health and disability worldwide (WHO’s World Health Report, 2001).

One person in every four will be affected by a mental disorder at some stage of their lives while mental, neurological and substance use disorders exact a high toll on health outcomes, accounting for 13% of the total global burden of disease (WHO, 2012).

The World Health Organization (2018) states that every 40 seconds someone dies by suicide. Annually, this represents over 800 000 people that die by suicide, which is more than people dying by war and homicide put together.

For every suicide, there are many more people who attempt suicide every year. A prior suicide attempt is the single most important risk factor for suicide in the general population. Suicide is the second leading cause of death among 15 to

29-year-olds while 79% of global suicides occur in low- and middle-income countries (LMIC). Every suicide is a tragedy that affects families, communities and entire countries and has long-lasting and devastating effects on the people left behind.

This bleak picture necessitates that we ensure that mental health is prioritised now more than ever before.

The World Economic Forum (2018) noted that mental health disorders are on the rise in every country in the world and could cost the global economy up to $16 trillion between 2010 and 2030 if a collective failure to respond is not addressed.

We are faced with an international mental health crisis and have been forewarned over the past two decades of this imminent catastrophe. This has been compounded by the need for psychosocial support and mental health interventions during this time.

Thus, the drive for universal health coverage (UHC), articulated as a key target in the sustainable development goal for good health and wellbeing, is motivated by the desire for health equity across the globe (United Nations. Sustainable development goals: 17 goals to transform our world. New York: United Nations; 2015).

Universal health coverage means that all people have access to the quality mental health services they need, when and where they need them, without financial hardship.

We believe this is possible and it starts with strong primary health care that adopts a whole-of-society approach to health and wellbeing that is centred on the needs and preferences of individuals, families and communities. To make health for all a reality, governments need to invest in mental health.

Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization stated: “The world is accepting the concept of universal health coverage. Mental health must be an integral part of UHC. Nobody should be denied access to mental health care because she or he is poor or lives in a remote place.”

This statement necessitates that under the current global health emergency no-one should be denied mental health care. Psychosocial support and mental health national plans need to address the mental health consequences of the COVID-19 pandemic and its impact on citizens.

It is therefore of great significance and importance that the theme for World Mental Health Day 2020 will be:

Mental Health for All
Greater Investment – Greater Access

Mental health is a human right – it’s time that mental health is available for all. Quality, accessible primary health care is the foundation for universal health coverage and is urgently required as the world grapples with the current health emergency.

We therefore need to make mental health a reality for all – for everyone, everywhere.

The time for actions is now.

I believe this call to action will be strengthened through our alliances, collaborations and partnerships to ensure that investment in mental health is prioritised, particularly during this time within the content of COVID-19.

It is also a time in which we can capitalise on the resilience displayed by individuals and communities who relaunched, regenerated and rediscovered themselves and their communities to be responsive during a time of crisis, as well as a time of great reflection and finding creative solutions and interventions to facilitate a mental health response in an emergency context despite social distancing or “lockdown”.

We invite you to join our call to action in highlighting the need for greater investment in mental health particularly during this global health emergency and thereafter. World Mental Health Day isn’t simply a one-day event.

We need to start now and continue our call to ensure that no-one is left behind. A great opportunity is provided to focus on the call for greater investment in mental health for all as we lead up to 10 October.

Together we are stronger and together we can make a big difference all over the world.

World Mental Health Day aims to raise awareness in the global community about the critical mental health agendas – with a unifying voice through collaboration with various partners – to take action and to create lasting change through the messages we promote.

We are all in this together and together we can bring about mental health for all.

Best regards

Dr INGRID DANIELS

President, World Federation for Mental Health

Scottish Government updates homelessness action plan

Night shelters will be replaced with rapid rehousing ‘welcome centres’ for people who would otherwise be sleeping rough this winter, in updated plans for tackling homelessness.

The centres will provide emergency accommodation for people who have no other options, encouraging them to move on to other services. People using the centres will be offered targeted support, including for wellbeing, health and social care issues, legal rights, employment and welfare.

Announced yesterday in an updated action plan for tackling homelessness, the centres are part of plans to phase out night shelters entirely by expanding rapid rehousing approaches such as Housing First that provide settled accommodation as quickly as possible.  

The Ending Homelessness Together updated plan also contains actions that will:

  • minimise the risk of evictions
  • strengthen protections for people experiencing domestic abuse
  • give people with lived experience of homelessness or rough sleeping a greater say in the development of policy
  • explore alternative routes to reducing migrant homelessness.

Housing Minister Kevin Stewart, who co-chairs the Homelessness Prevention and Strategy Group, said: “Our vision is of a Scotland with no need for night shelters – where everyone has a home that meets their needs.

“Since our plan for tackling homelessness was first published in 2018 we have delivered on many of the urgent issues facing homeless people. The Scottish Government’s swift response to coronavirus (COVID-19) has led to a dramatic reduction in the numbers of people sleeping rough and we must not let the problem return.

“This updated action plan renews our commitment to ending homelessness and rough sleeping once and for all, particularly by expanding services such as Housing First that provide longer-term accommodation and give homeless people the time and space to establish new lives for themselves.

“We are also placing even greater emphasis on preventing homelessness in the first place, and our new rapid rehousing welcome centres and are a first step to ending the use of night shelters altogether.

“I want to thank everyone who has contributed to this updated plan.”

Cllr Elena Whitham, CoSLA’s Community Wellbeing Spokesperson and the strategy group’s other co-chair, said: “The pandemic has reminded us all of the importance of having a safe and comfortable home that meets our needs. However, we know that the impacts of the crisis have not been felt equally.

“People facing poverty, inequality and other social harms have felt the impact far more greatly. Local Government has shared the ambition to end homelessness and our resolve to do this is now stronger than ever.

“The updated action plan sets out an inclusive and human rights-based approach focused on preventing homelessness, responding quickly, working together with our partners across sectors, taking a person-centred approach which is tailored to reflect individual needs and circumstances.

“I am grateful to the partners who have contributed to this plan, in particular to those with lived experience of homelessness. We must not allow the deepening of inequalities in our response and recovery to the pandemic, and ending homelessness is vital in preventing this.”

Crisis chief executive Jon Sparkes, chair of the Homelessness and Rough Sleeping Action Group, said: “The ambition shown by the Scottish Government in publishing a revised Action Plan is brilliant to see.

“It builds on unprecedented action throughout the pandemic to protect people experiencing homelessness, and shows renewed ambition – including a commitment to move away from night shelters. The outbreak has shown that we can tackle homelessness and end rough sleeping when the will is there.

“As the economic impact of the outbreak continues to be felt, it is more important than ever to prevent people from losing their homes in the first place, and ensuring that if they do, they are helped to find somewhere safe and settled straight away. These actions must be a priority to ensure that Scotland continues towards ending homelessness for good.”

Make A Splash! Edinburgh Leisure offers Family Swim

As leisure venues start to adapt to the new norm, Edinburgh Leisure has introduced new Family Swim sessions at their five pools that are open, in a bid to offer activities for all ages and stages.

The Family Swim sessions will be available to book at Ainslie Park Leisure Centre, Drumbrae Leisure Centre, The Royal Commonwealth Pool, Gracemount Leisure Centre and Leith Victoria Swim Centre.

To enable customers to safely enjoy the benefits of family swimming, the pool will be sectioned off into ‘pods’, with each family having their own private area. Each pod will cost from £9.60 – £12, depending on type of membership held.

Members can book eight days in advance or seven days for non-members, with sessions starting from Saturday, 17 October 2020.  Booking is now live to members and non-members can book from 9pm tonight (Friday, 9th October).

Customers will be able to book a 40-minute session with a maximum of five people, from the same household bubble. However, customers will need to stick to the existing adult: child ratios*.

This will allow flexibility for how customers use the space – e.g. children from 9-12 years who do not need to socially distance, can book to attend with their friends if they wish. During any one sessions, there will be between three to eight pods to book.

Angela McCowan, Swim Development Officer at Edinburgh Leisure said:  “We are delighted to be welcoming families back to our pools. We know how popular previous family swim sessions have been so opening up our pools to families in time for the October holidays, will mean that more people, of all ages and stages, can continue to get active with Edinburgh Leisure.

”Things may be a little different than before but we have everything in place to keep families safe and most importantly, enjoy making a splash with us.”

Following guidance from Scottish Swimming and from Edinburgh Leisure’s Health and Compliance Manager, Edinburgh Leisure has introduced the following guidelines to keep everyone safe:

  • All Family Swim Sessions must be pre-booked online or via the Edinburgh Leisure app.  To book a session, an Edinburgh Leisure account is required. (This will be in place if a person is an Edinburgh Leisure customer of hold a discount or loyalty card).  For customers who do not have an account, one can easily be created by visiting the Edinburgh Leisure website.
  • Customers are encouraged to arrive ‘beach-ready’, wearing their swimwear underneath their clothes to minimise time spent in changing areas. Lockers will be available for customer use but customers should bring their own token.  (These are also available to buy at reception with cashless payment.)
  • Customers will be asked to follow the COVID-19 guidance, and maintain physical distancing, sanitising hands before and after each session, and following any signage guidance around the venue. Masks are mandatory when moving around public places, unless exempt due to age or health conditions.
  • Customers are asked to arrive only 5 minutes before their swim time.  Any earlier, they will be asked to wait outside the venue, physically distanced in their groups.
  • No toys or equipment will be provided or loaned by Edinburgh Leisure.  However, customers will be allowed to bring their own toys with them to the session, including floats, sinkers, armbands – but they must be washed before entering the pool. Large inflatables are not allowed. There will also be items available to purchase, using cashless payment only.
  • Once a family session has finished, customers will be asked to exit the pool safely and ensure they maintain distancing from other family groups.  Although showers will be available to rinse off after the session, the use of soaps, shampoos and conditioners is discouraged.  This is to maintain physical distancing.  Hairdryers and costumer drying will not be available.
  • Customers or any family group/household displaying symptoms of COVID-19 are asked not to book or to cancel any pre-booked sessions.

For more information:   https://www.edinburghleisure.co.uk/activities/swim/types-of-swimming

Building for the future: £20m investment in Western General Hospital

A £20.6 million investment from the Scottish Government has been granted to improve cancer care services for patients at the Western General Hospital.

It will fund a range of construction and refurbishment projects to Oncology wards, services and facilities at the hospital. This includes building two new Linear Accelerator (LINAC) bunkers to house specialist cancer treatment machines, improvements to patient accommodation increasing the number of ensuite single rooms and relocating the Cancer Assessment Unit.

The project forms part of a wider masterplan for the Western General Hospital to transform services, create more space, comfort and privacy and provide access to modern facilities and cutting-edge equipment. 

Jim Crombie, Deputy Chief Executive of NHS Lothian, said: “This Scottish Government funding marks a key milestone in an ambitious programme of investment to ensure the Western General hospital continues to provide high quality treatment and services into the future.

“It will greatly enhance the hospital as a centre of excellence and help us work towards our longer-term vision of opening a new Regional Specialist Cancer Centre.”

Additional projects currently being funded by other capital investments at the Western General include the modernisation of Haematology inpatient services and construction of a new outpatient facility, funded by an exceptional and incredibly generous charitable donation of circa £12 million.

A £1 million investment will create new facilities to expand the Clinical Trials footprint and a £6.2 million Renal Dialysis facility is also being constructed which will offer improved clinical areas and better clinical team facilities.

These projects are supported by a programme of ongoing infrastructure improvements and upgrades in and around the hospital to enable the construction and refurbishment works.

Chris Stirling, Site Director at the Western General Hospital added: “This work will greatly enhance the care, services and environment at the Western General. We are committed to the long-term future of the Western General and ensuring we provide staff and patients with the clinical space and services they deserve. 

“We are grateful to everyone who has supported the projects so far and to our neighbours and the community for their patience and understanding whilst work progresses.”

Health Secretary Jeane Freeman said: “The Scottish Government is pleased to be supporting improved cancer facilities at the Western General Hospital in Edinburgh. It is a mark of improved population health that more of us are living longer overall, however this also means the incidence of cancer is rising.

“Improved treatments also mean more of us live longer with cancer as a chronic condition. It is therefore vital our NHS facilities keep pace with demand and offer the best environment possible for people with cancer and those who treat and care for them.”

Work across the projects is expected to be completed over the next three years, finishing in 2022.

Lothian MSP, Miles Briggs said: “This much needed investment at the Western General Hospital is welcome news and the improvement of cancer care service is crucial for the South East of Scotland.

“Cancer care has been significantly impacted by the Covid-19 pandemic and getting services fully resumed is critical for patients who are diagnosed with cancer.

“Ultimately a new Cancer centre, based at the Western General, will be needed going forward. This funding, which I have previously called for, will significantly improve cancer services until the new centre is built.

“I have called on SNP Ministers to update Parliament on plans for a new build Edinburgh Cancer Centre.”

Together Let’s Care for your Mental Health

You’re not alone with your mental health. We’re here to help you.

This is the clear message coming from NHS 24, Police Scotland and the Scottish Ambulance service as they launch a new campaign to support mental health and wellbeing for people across Scotland in time for World Mental Health Day on 10 October 2020.

The Together Let’s Care for your Mental Health campaign aims to raise awareness of a range of mental health information and services that support mental health.

It’s been developed to support wider partnership working between NHS 24, Police Scotland and the Scottish Ambulance service as part of a joint response to the Scottish Government Mental Health Strategy 2017-2027.

Over the past 18 months, the three organisations have been working together to develop new ways to support people in mental health distress when they contact their services.

NHS 24 has created a new 24/7 Mental Health Hub that provides support for those contacting the 111 service. In addition, people calling Police Scotland in mental health distress are also now offered access to the 111 Mental Health Hub service. Collaboration work with Scottish Ambulance Service is also underway to develop a similar pathway.

Under the banner ‘Together Let’s Care for your Mental Health’ the partners are able to signpost to a range of self-help guides and options for further support at www.nhsinform.scot/youmatterwecare.

This campaign page also offers additional information for a range of day to day concerns such as anxiety, depression, young people’s mental health needs, alcohol, gambling and drug use.

NHS 24 offers a range of mental health services in addition to the 111 Mental Health Hub, including Breathing Space’s telephony and web chat services, NHS inform self-help guides, and Living Life’s CBT service.

Stephanie Philips, Director of Service Delivery at NHS 24, said: “We are pleased to be working together with Police Scotland and the Scottish Ambulance Service to provide the best possible outcomes for people in mental health distress.

“We are able to support many of those who come into contact with our services to find support and self-care options in their own communities but we are also absolutely reinforcing the message that if you need help now there are a range of services available to you.

“We really want people in mental health distress to know that they are not alone. Our team are here to help those getting in touch with our services with a compassionate response.”

Mental Health Minister Clare Haughey said: “I doubt there is a single one of us who has not thought about our own mental health and wellbeing at some point over the past few months.

“In many ways, the pandemic has helped to destigmatise mental health, and reminded us that it is okay not to feel okay. More people have been asking each other how they are doing and the importance of good mental health is clear.

“Since the beginning of the pandemic, we have invested £6 million of additional funding to support the population’s mental health, including £2.1 million to expand the NHS 24 Mental Health Hub so that it is now available to the public 24 hours a day, seven days a week.

“Round the clock, trained practitioners at NHS 24 will offer callers a compassionate and empathic listening service based on the principles of psychological first aid, as well as advice, signposting and onward referral to local services if required.”

Police Scotland Assistant Chief Constable Gary Ritchie (Partnerships, Prevention and Community Wellbeing) said: “Protecting vulnerable people is a priority for Police Scotland as part of our statutory requirement to improve the safety and wellbeing of people, places and communities.

“Much of the demand on the organisation now comes from incidents which no longer result in a crime report being raised, such as people in distress or experiencing a mental health crisis. Calls of this nature can come to the police from concerned family and friends, passers-by, and other agencies, as well as individuals themselves.

“Police Scotland has recently completed the national roll-out of a new way of assessing calls to its 101 and 999 service to improve the way we respond to contact from the public.

“Where appropriate, we engage in partnerships with colleagues around the country in health, social care and third sector organisations to help people to access the most suitable support at the appropriate time.”

Frances Dodd, Director for Care Quality and Professional Development for the Scottish Ambulance Service said: “We are delighted to be working with our partners in NHS 24 and Police Scotland on ‘Together Let’s Care’.

“Integrated working across services on issues like mental health means we can deliver a joined up approach to supporting patients and working together to deliver improved care for those suffering mental health across Scotland.

“The ‘Together Let’s Care’ campaign is designed to assist patients to access the right mental health services first time, and allow health professionals, Police and community-based staff to further enhance the support and services currently in place. 

“This campaign increases signposting to a wide variety of self-help guides with the aim to support clinicians improve mental health outcomes by increasing access to specialists and services within local communities.

“It’s so important for all of us to be mindful of our mental health and wellbeing, address mental health issues early and seek help if needed. This service is one part of the system that will ensure we as a community can help identify and address mental health issues early, enabling people to find pathways to healthy, productive and fulfilling lives.”

Debt, dole, worry: Student midwives facing triple whammy threat

Many student midwives are struggling under the weight of financial concerns, poor mental health and an unpredictable job market, according to new findings by the Royal College of Midwives (RCM).    

Student midwives in England, who must pay tuition fees and take out maintenance loans to cover living costs, will have, on average, a debt of £41,000 when they qualify. Even for those who receive a training bursary, the financial future is bleak.

A staggering 91 per cent of student midwives in Scotland, Wales and Northern Ireland said their training bursaries were not enough to live on.   

Gill Walton, Chief Executive of the RCM, said: “Our student midwives should not be facing a triple threat of debt, worry and an unpredictable job market  Unlike other students, the demanding nature of their course mean they have little opportunity to seek part-time work to supplement their income.

“They have a longer academic year, they work nights, weekends and bank holidays, and are often on-call to go in a at a minute’s notice.  They show incredible dedication to their chosen career and there is an overwhelming case to give them better financial support, and to ensure they get jobs in our NHS when they qualify.”   

The pandemic’s impact on student midwives cannot be underestimated. The RCM found that 96 per cent of student midwives reported having mild or moderate mental health problems since the pandemic began.

Our survey shows that by the end of July just 36 per cent of students in their final year of midwifery training had been offered a job in the NHS. At the same time, midwifery educator numbers are not keeping pace with the rise in student midwife numbers, potentially leaving students less supported throughout their training.   

Gill Walton added: “Throughout the pandemic student midwives have made enormous efforts, working in our maternity services while also continuing their studies. At the same time the pandemic has disrupted midwifery education heavily.

“Some UK governments and institutions are doing better than others, but most are selling our student midwives short. They need to step up and ensure we continue to have the best educated, best prepared new midwives in the world. They are the future carers of mothers, babies, and families and we must invest in them.”   

Picturing Health exhibition is live

Picturing Health is a photovoice project by Media Education and Edinburgh Health and Social Care Partnership.

The purpose of Picturing Health is to start a conversation with everyone in Edinburgh about how we see the future of health and social care. Health is a social issue which affects us all and the communities in which we live our daily lives.

People across Edinburgh were asked to take a photograph about what health means to them. These photographs tell a story about what health means to people in Edinburgh – what needs to change, what we cherish and what we want to celebrate and protect.

The Picturing Health exhibition launched last month and is now on the wall at Waverley Station. Orgainsers hope the pictures will generate conversation and inform health and social care services in Edinburgh moving forwards.

You can view these images at our exhibition at Waverley Station and in our online gallery at the updated picturing-health.com.

We would like to express our special thanks to everyone in Edinburgh who took photographs for this project. Your willingness to share your experiences creatively has brought this exhibition to life.

It’s also not too late to submit your own photograph and have your voice heard!