Health and wellbeing – Page 276 – The NEN

Determined Edinburgh supporters join new Race For Life weekend to beat cancer

DETERMINED fundraisers across Scotland’s capital are set to unite against cancer by taking part in a special Race for Life weekend this September.

Organisers Cancer Research UK cancelled all 400 mass participation events in 2020 to protect the country’s health during the COVID-19 outbreak. This included the Race for Life 5K and 10K at Holyrood Park, Edinburgh on June 21 and the Pretty Muddy obstacle race scheduled for September 12 at the Royal Highland Centre, Ingliston, as well as earlier May events at Hopetoun House, South Queensferry.

The charity is expecting a staggering £160 million drop in income in the year ahead with a £44 million cut to life-saving research funding already in 2020.

Now to help tackle the devastating loss, undeterred women and men are vowing to raise funds by completing their own Race for Life 5K in their nearest green space on Saturday September 26th. They plan to take part outdoors either alone or in small, socially distanced groups – but all on the same day – to help people with cancer.

Supporters can visit raceforlife.org and sign up free for a “Very 2020 Race for Life”.

Lisa Adams, Cancer Research UK’s spokeswoman in Scotland, said: “COVID-19 has made the fight against cancer even harder.

“With around 32,200 people diagnosed with the disease every year in Scotland,* we will never stop striving to create better treatments and to ensure people affected by cancer get the support they need. But we can’t do it alone. That’s why we need people to join us for a Very 2020 Race for Life.

“Vital cancer research has been delayed this year. Even though we have to Race for Life differently in 2020, nothing’s going to stop us running, walking and jogging to raise money and help beat cancer.

“Whatever the hurdle, we’ll keep going and we’d urge as many people as possible across Edinburgh to join in on September 26th. People can set off from their home to complete 5k their way that day. Things haven’t gone to plan for any of us in 2020. This is going to be a very 2020 Race for Life but together we will still beat cancer.”

Cancer Research UK’s Race for Life, in partnership with Tesco, is an inspiring series of 5K, 10K, Pretty Muddy and Pretty Muddy Kids events which raise millions of pounds every year to help beat cancer by funding crucial research.

Thanks to the generosity of people across the city, participants in Edinburgh last year raised £339,694 to support vital research to develop gentler and more effective treatments for cancer – a disease that will affect one in two people in the UK at some stage in their lives.

A live broadcast on the Cancer Research UK Race for Life Facebook page at 9.30am on Saturday September 26^th will include an energiser from a fitness expert as well as inspirational messages of support from people who have been through cancer.

Participants are then invited to set off on their own Race for Life. Organisers are also inviting participants to share photos and videos on social media using the hashtag, #Very2020RaceForLife.

Cancer Research UK’s work in the prevention, diagnosis and treatment of cancer has been at the heart of progress that has seen survival in the UK double in the last 40 years. The charity currently funds around 50 per cent of all publicly funded cancer research in the UK. However, as a direct result of the coronavirus pandemic, promising projects which could have the big answers to cancer are being held up.

Lisa Adams said: “Cancer is still happening right now and we won’t let 2020 stop us. Whether people are taking part in Race for Life this September in their local park or even in their back garden, they’ll be united by a determination to beat cancer together.

“At a time when we’re having to keep apart from each other, there is still a way to unite. We’re urging everyone who has got behind Race for Life in the past to please continue supporting us. Sadly, cancer touches almost every family at some time and we want to do everything we can to help give people more tomorrows with their loved ones.”

Cancer Research UK’s life-saving work relies entirely on the public’s generous support. The charity was able to spend over £8 million in Edinburgh and over £42 million in Scotland last year on some of the UK’s leading scientific and clinical research.

Visit raceforlife.org or call 0300 123 0770. Join in and share with #Very2020RaceForLife

Mind, Body & Soul: SHE school programme

SHE new high school programme Mind, Body & Soul has launched.

SHE providing a blended learning approach with our educational partners.

Our groupwork programme supports young women (S1-S4) to manage stress and anxiety, develop techniques to improve confidence and self esteem and silence their inner critic.

Promoting self healing and improving skills to move forward and embrace life.

For more information please contact shescotland@outlook.com

Heart Research UK Healthy tip – Healthy cholesterol

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

Keeping a check on Cholesterol

Cholesterol travels around the body in our blood and it is present in our cells. We all need some cholesterol to stay healthy, but high levels of cholesterol can increase our risk of heart disease.

Nearly half of all adults in the UK are estimated to have high levels of cholesterol in their blood. Many people are unaware that their cholesterol is high because there are usually no symptoms.

In this healthy heart tip, we explain what cholesterol is and we provide some tips for keeping your cholesterol levels healthy.

What is cholesterol?

Cholesterol is a fatty substance made in the liver and it is present in foods, such as eggs, liver and prawns. Cholesterol is needed in the cells of our body. It helps to make vitamin D and some hormones which keep our bones, teeth and muscles healthy. Cholesterol also helps our digestive system process the fats we eat. Having too much cholesterol in your blood can lead to a build-up in your arteries, which puts you at a higher risk of having a heart attack.

There are two main types of cholesterol.

Low density lipoprotein (LDL) more commonly known as “bad cholesterol” and high-density lipoprotein (HDL) more commonly known as “good cholesterol”. Too much “bad” LDL cholesterol can increase your risk of heart disease. The role of “good” HDL cholesterol is to transport excess cholesterol back to the liver. Therefore, it is important that you have enough “good” HDL cholesterol and not too much “bad” LDL cholesterol in your blood.

What can I do to maintain a healthy cholesterol level?

The cholesterol we eat in food has little impact on the level of cholesterol in our blood. Making some simple changes to your lifestyle can help reduce your cholesterol.

Reduce the amount of fatty foods you eat

Saturated fat increases the amount of “bad” LDL cholesterol in your blood. Saturated fat is found in foods, such as meat pies, sausages, cakes, biscuits, butter, lard, hard cheeses (e.g. cheddar), and foods containing palm or coconut oils. Replace foods that are high in saturated fat with foods containing unsaturated fats such as, olive oil, rapeseed oil, nuts, seeds and oily fish (e.g. salmon and mackerel). Aim for at least one portion of oily fish each week.

Eat more fibre

High fibre foods can reduce your risk of heart disease and help lower the amount of “bad” LDL cholesterol in your blood. Good sources of fibre include fruit and vegetables (eat at least five portions every day), brown rice, wholemeal bread, oats, beans and pulses.

Get active

Aim to do 150 minutes of moderate exercise (e.g. brisk walking, swimming or cycling) or any activity which gets your heart beating faster. Active people have increased levels of “good” HDL cholesterol meaning their bodies are good at removing the “bad” LDL cholesterol away from the arteries.

Stop smoking

Smoking reduces the levels of “good” HDL cholesterol in your blood and this can result in higher levels of “bad” LDL cholesterol. If you would like to stop smoking, you can get help from your GP or the NHS Stop Smoking Service.

Reduce your alcohol intake

It is recommended that men and women avoid drinking more than 14 units of alcohol each week. Information on alcohol units can be found on the OneYou website: www.nhs.uk/oneyou/for-your-body/drink-less/know-your-alcohol-units/

Take a test

It is recommended that adults over the age of 40, or anyone at high risk of heart disease should get their cholesterol levels checked. If you want a cholesterol check, you should speak to your GP. Anyone can have high cholesterol and it is very common. There are usually no symptoms so, unless you get a test, you may be unaware of your risk of developing heart disease.

2019 Mental Health Officers’ Report published

A new report published by the Scottish Social Services Council (SSSC) today, reveals that 94 staff left the mental health officer (MHO) workforce between December 2018 and 2019.

The report also shows that although the number of local authorities reporting an MHO shortfall increased to 27, the number of full time MHOs needed to address the shortfall decreased to 49.

MHOs carry out statutory duties in relation to mental health legislation and shortfalls in staffing could result in delays to people accessing services, appropriate treatment and care and hospital discharges.

Phillip Gillespie, SSSC Director of Innovation and Development said: ‘It’s encouraging to see the shortfall of MHOs decrease in 2019, with the equivalent of 49 full time MHOs needed to meet that shortfall.

“With 56 social workers starting their MHO training in 2019 and funding announced by the Scottish Government in 2019 to support additional MHO capacity in local authorities there are positive moves to help in future.

‘The report also shows the proportion of under 45s has increased from 24.1% in 2015 to 29.9% in 2019 which will help with succession planning in the workforce.

‘Our MHO report contains key data about the workforce in Scotland to help local authorities, Scottish Government and others plan the future workforce. I’m pleased that data from our workforce intelligence team makes a considerable contribution to this work.’

Key points from this year’s MHO report

There were 703 filled MHO posts in 2019.

There were 27 fewer filled MHO posts in 2019 than in 2018, which is equivalent to a drop of 3.7%.

The percentage drop in estimated MHO hours worked was 2.3%.

Exclusive MHOs fell by 2.2 %, non-exclusive MHOs fell by 2.1% and cover MHOs by 18.3%.

The number of exclusive MHOs unavailable for work increased from 18 to 30.

The fall from 2016 in the estimated amount of time spent by MHOs on MHO work in Scotland is more than 9%.

The estimated amount of MHO hours worked per 10,000 head of population in Scotland has decreased from 22.9 in 2016 to 20.5 in 2019.

Between December 2018 and December 2019 staff left 94 MHO posts, this is more than the 87 in 2018. Over the last two years there has been the highest number of leavers since we started recording leavers in 2012. The next highest was 62 in 2014.

Our role supporting MHOs

We approve and quality assure the three university MHO programmes in Scotland, which includes feedback from people who use mental health services to inform improvements in the delivery of MHO education and practice.

We also work in partnership with the national MHO forum, Social Work Scotland and the Scottish Association of Social Workers to develop resources to support practice including learning in relation to new mental health legislation and the annual MHO study day.

You can download the 2019 Mental Health Officers Report here.

Better information recording for care homes

A new web-based tool, commissioned by the Scottish Government, will allow care homes to monitor coronavirus (COVID-19) trends and identify risks quicker.

The Turas Care Management tool will launch today and will allow all private and public sector care homes across the country to record in one place information including COVID-19 infection rates, demand on services and staff testing.

This will mean care home managers, health and social care organisations and the Scottish Government can monitor trends, identify risks and take early action both during the current pandemic and in the future.

The care management tool, developed by the Scottish Government in collaboration with the Care Inspectorate, Scottish Care and NHS Education Scotland (NES), will provide:

*a clearer national picture of conditions in care homes

*earlier warning of emerging trends and issues, allowing earlier interventions

*easier reporting to free up care home resources

The tool is for care home management use and only identified staff will be able to access the information.

Health Secretary Jeane Freeman said: “The health, safety and wellbeing of care home residents both during the current pandemic and in the future is critically important.

“This new web-based tool allows care homes to store information in one central place, whereas before they were required to report in different formats and through many channels, which tied up resources and made trend-spotting more difficult.

“Importantly, this means care home managers, health and social care organisations and the government will now be able to identify risks earlier and quickly take action during the current pandemic and in the future.”

Care Inspectorate Chief Executive Peter Macleod said: “The care sector has worked tirelessly under the most challenging circumstances to care for some of the most vulnerable people in Scotland during the pandemic.

“This new approach to gathering data and information will help us to better understand what support the sector needs to ensure that people experiencing care are supported in the best possible way in the future.”

The Turas Care Management tool was commissioned by Scottish Government and has been developed in partnership with the care home sector for the care home sector.

The tool will support care homes to review their data over time, demonstrate the safety and quality of the services they provide and facilitate escalation of key concerns to the Health and Social Care Partnership and Care Inspectorate when issues arise and support is required.

Key national partners who have worked in collaboration with Scottish Government to develop this tool include: members of the Clinical and Professional Advisory Group for Care Homes, the Care Inspectorate, Scottish Care and NHS Education for Scotland (NES) who developed the interactive web based tool.

NHS Education for Scotland Chief Executive Stewart Irvine said: “As we all know, care homes have been among the hardest-hit areas of this pandemic. Our digital team has produced this resource to help reduce the burden on care homes and help residents and staff.

“We hope it’s a useful contribution to the ongoing support of this important area.”

Scottish Care’s Transforming Workforce Lead Jacqui Neil said: “This will provide a long awaited national strategic approach to recording and responding to the pressures on our care homes in real time.

“It also offers a real opportunity to achieve quality improvements and safe practice through collaborative working moving forward.”

Researchers warn of impact of ‘lost decade’ in adult social care

Urgent reform of the funding of UK adult social care is needed to save a desperately overstretched system which has now reached breaking point, warn policy experts at the University of Birmingham.

The crisis is partly the result of a ‘lost decade’ in which policymakers systematically failed to act on alarms raised back in 2010, say the researchers in a hard-hitting report published in the Journal of Social Policy.

In what is described as “the first analysis of its kind to present policy makers with different scenarios for adult social care funding and reform, to view these in practice (by comparing them to nearly a decade of policy) and to set out the relationship between future economic growth and the provision of sustainable adult social care”, the team, led by Professor Jon Glasby in the School of Social Policy, asserts that without swift Government intervention, the adult social care system could quickly become unsustainable.

The 2020 update was funded by the Economic and Social Research Council part of UK Research and Innovation, as part of the research titled “Sustainable Care: connecting people and systems, 2017-21”, led by the University of Sheffield’s Professor Sue Yeandle.

The article draws on and updates a 2010 review of the reform and costs of adult social care – commissioned by Downing Street and the UK Department of Health – which concluded the system was widely recognised as “broken” and that, with no action, the costs of adult social care could double within two decades.

Moreover, this would be the case for current services and approaches (which had already been strongly criticised for failing to fully and appropriately meet need), leading to significantly higher costs with no improvement.

Jon Glasby, lead author of the report and Professor of Health and Social Care at the University of Birmingham, said: “Our research has explored the future reform and costs of adult social care, and the high cost of inaction.

“In 2010, we were adamant that doing nothing was not an option. Our 2020 update shows that, without swift Government intervention, the adult social care system could quickly become unsustainable. Even though this research was carried out before the start of the COVID-19 pandemic, urgent action is likely to be even more pressing in the current context.”

Not only were these warnings not heeded – but the situation has since got worse.

Adult social care has always been organised differently and funded less generously than health care, and has faced a combination of pressures caused by demographic change, increased costs, and rising need, compounded by cuts to public expenditure.

Ambitious plans for a ‘National Care Service’ were not implemented, while the austerity agenda led to a decade of spending cuts, service pressures, and a growing sense of crisis.

Predictably, the result has been greater unmet/under-met need, more self-funding, lower quality care, a crisis among care providers, and much greater pressure on staff, families and partner agencies.

Cuts have also fallen heaviest on older people, with services for working age people less affected. Despite the legitimate needs of other groups, it is hard to interpret this other than as (at least in part) the product of ageist attitudes and assumptions about the role and needs of older people.

While the situation is urgent, the human misery caused by this ‘lost decade’ is not as visible as financial pressures on more prominent, popular and better understood services, such as hospitals or schools:

“When social care for older people is cut to the bone, lives are blighted, distress and pressure increase, and the resilience of individuals and their families is ground down”, says the paper. “Yet this happens slowly – day by day, week by week, and month by month. It is not sudden, dramatic or hi-tech in the way a crisis in an A&E department may be, and tends to attract less media, political and popular attention… With yet more urgency than in 2010 we warn: Doing nothing is NOT an option.”

The article is published by the Journal of Social Policy, and is entitled ‘A lost decade? A renewed case for adult social care reform in England’, by Jon Glasby, Yanan Zhang, Matthew Bennett and Patrick Hall (all at the University of Birmingham.)

Mental health ‘perfect storm’ for young people

As schools reopen, the Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, has warned of a mental health “perfect storm” for children and young people.

The warning comes on the back of figures obtained by BBC Scotland via an FOI request which indicate that the number of referrals for child and adolescent mental health services (CAMHS) has dropped by a staggering 57 per cent* between April and June 2019 and April and June 2020.

These range from a 28 per cent fall in requests for NHS Orkney to 80 per cent in NHS Dumfries and Galloway. NHS Lothian reported a drop of 48%.

The SCSC has warned that mental health services will face an overwhelming and unprecedented pressure due to pent-up demand created by the COVID-19 lockdown, coupled with a cut in youth support services. This could potentially lead to a “lost generation” of vulnerable children and young people who are missing out on the support they vitally need.

It has urged the Scottish Government to work with authorities and invest significantly in mental health services as children return to school and to ensure that teachers and other staff are aware of the services on offer for young people needing support.

The SCSC has warned that self-isolation and social distancing have had an impact on young people struggling with issues such as anxiety and depression. It has noted that even the most resilient children are going to need additional support as they navigate this transition back into whatever is the new normal, and some will need a lot of extra support.

A report commissioned by Young Scot, YouthLink Scotland and the Scottish Youth Parliament, called Lockdown Lowdown, found almost two-fifths of young people felt moderately or extremely concerned about their own mental wellbeing.

A spokesperson for the SCSC commented: “These latest figures are deeply troubling and point to a ‘perfect storm’ for our young people, with increased demand coupled with cuts in services.

“While referrals have dropped during lockdown and children are not accessing support, we are storing up immense problems for the future as mental health services face being overwhelmed due to greatly increased demand.

“The Government needs to work urgently with the relevant authorities to ensure that not only is there sufficient provision available at the local level, but that this is clearly communicated and easily accessible for young people and their parents or carers.

“Mental health services must be given funding and resources equal to that of physical health provision and this pandemic has ushered in an urgency and necessity that cannot be ignored.

“Not just the NHS but also third sector and other independent organisations who play such a key role in addressing mental health services must receive the funding they vitally need or we face having a ‘lost generation’ of vulnerable children and young people.”

Support needed for children as they return to school,says NSPCC

An NSPCC Scotland spokesperson said: “We know that many children in Scotland have suffered difficult and traumatic experiences over the past few months.

“During lockdown, we saw a rise in contacts to Childline about mental and emotional health and our NSPCC helpline made 40% more referrals to Police Scotland and local authorities.

“Now, as children across the country return to school, it is crucial they are given the support they need to help them recover from any mental and physical harm. The Scottish Government, local authorities and health boards need to ensure that they have sufficient resources in place to respond to a likely increased need for therapeutic services.”

Make Water Bottles Part of the Back to School Regime

Parents in Edinburgh are being urged to give their kids an early lesson on the importance of keeping healthy and hydrated as part of their planning on the long-awaited return to school.

Scots health and nutrition expert Amanda Hamilton is supporting a drive by Scottish Water to ensure that every child’s back to school regime includes a reusable water bottle along with the standard new blazer, gym kit and pencil case.

As part of a family’s daily school regime, it is recommended to fill a pupil’s water bottle at home before getting to classes.

Amanda, a mother-of-two and best-selling author, said although parents should be encouraged at all times to educate their children about the benefits of water – but the start of the new school term, especially after the enforced lengthy shutdown of schools, is the perfect platform.

Amanda said: “Ensuring children to have a regular water intake throughout the school day is a vital aspect to maintain good health and a healthy learning environment.

“It has been proven that through drinking water and staying hydrated children are more attentive and focused during lessons for longer periods of time.

“We are lucky to have safe and delicious water from the tap, we should all be making the most of it. For parents trying to wean kids off sugary drinks, it can help to add a slice or orange, lemon or even a sprig of mint to tap water for extra flavour.

“Like many families, in my home we do all we can do reduce the use of plastic. We’ve made it part of the daily routine to re-fill water bottles from the tap.

“By highlighting the benefits of a reusable water bottle and filling up from the tap, we are helping to instil in children the small daily habits that can make a big difference. The reality is that this is a message for all ages – so using a reusable water bottle is just as applicable for staff returning to workplaces too.”

The advice comes as Scottish Water continues to expand its ‘Your Water Your Life’ campaign which aims to encourage people to top up from the tap to benefit the environment, their health and their pocket.

Brian Lironi, Director of Corporate Affairs at Scottish Water, said: ‘Your Water Your Life’ aims to highlight the importance water plays in the lives of people across Scotland.

“Every child needs to be aware of the benefits of a reusable water bottle – and of just how easy it is to use one to top up with tap water and so continue to enjoy the benefits of our nation’s greatest natural asset.

“We’d always encourage parents and children to make sure they have a water bottle included as a key part of their back-to-school planning, in the same way as sorting out new trainers or a school bag.”

To encourage people to stay hydrated on the go, a network of Top up Taps is being installed by Scottish Water throughout the country. Nearly 30 taps are already sited – the first one being outside the Scottish Parliament – and the aim is to have 70 taps installed at public spaces by March 2021.

Find out more at: https://www.yourwateryourlife.co.uk/

Test and Protect vital to containing spread of COVID-19

Following the ongoing coronavirus (COVID-19) outbreak in Aberdeen, people are reminded of the importance of self-isolation to control the spread of the virus.

Once a positive case is identified, contact tracers will call all of their close contacts and advise them to self-isolate for 14 days.

Calls from contact tracers will come from one number – 0800 0308 012 – and the identity of the positive case will not be disclosed.

Interim Chief Medical Officer Gregor Smith said: “Test and Protect is vital to help us suppress the virus and identify any local outbreaks like the one in Aberdeen.

“It is crucial that people who are identified as close contacts of a positive index case follow the advice given by the contact tracer and self-isolate for 14 days.

“If you are a contact of a positive case you must still self-isolate even if you get a negative test result. A negative result is not a substitute for self-isolating as people can be asymptomatic and test positive at a later date.

“Self-isolation, as part of the Test and Protect system, will help us contain the spread of the virus and help us move out of lockdown.”

Test and Protect was rolled out across Scotland on 28 May 2020.

People with any of the following symptoms should self-isolate and book a test at nhsinform.scot/test-and-protect or call 0800 028 2816 if they are unable to access the online service:

a high temperature or fever
a new continuous cough
a loss of, or change in sense of smell or taste

An update from HEALTH IN MIND