Health and wellbeing – Page 29 – The NEN

Hip operation waiting list triples in six Scottish NHS boards

New Reform Scotland research on orthopaedic waiting lists and times
BMA Chair says workforce “running on empty”
Reform Scotland announces major debate on improvements needed to NHS ahead of 2048 centenary

Reform Scotland today releases research that reveals sharply rising waiting lists and times for orthopaedic procedures in Scotland’s hospitals. Freedom of Information requests to health boards obtained comparable figures on waiting lists and times in orthopaedics, and the specific data for hip operations.

The paper also marks the launch of a major Reform Scotland research programme that will explore the changes required if the struggling NHS is to reach its 2048 centenary in better health.

Dr Iain Kennedy, chair of BMA Scotland, said: “It is a system bursting at the seams, with a workforce running on empty – there are not enough of us to give our patients the time and care they need and deserve.

“The time for platitudes has long passed – we need action, and we need it now.”

The full paper – NHS 2048: Future-proofing Scotland’s health and social care – can be read here. It reveals that:

11 health boards have seen at least a doubling in the wait time for a hip operation from point of decision. This includes an increase from 163 days to 386 in Greater Glasgow & Clyde, and an increase from 114 days to 360 in Lothian.
The waiting list for a hip operation has more than tripled since 2019 in Ayrshire & Arran, Dumfries & Galloway, Fife, Grampian, Lothian and Tayside
Well over 10,000 people are on the waiting list for a hip operation, up from just over 3,000 in 2019.

While the increase in waiting times is deeply worrying, waiting times data only covers the point from when a decision to treat was made. As a result, patients will in reality be waiting far longer. There is further data on orthopaedic operations in general, showing around 45,000 on a waiting list.

Reform Scotland, a non-partisan think tank, is calling for an open, constructive and mature conversation about improving the NHS in time for its centenary, and has been joined in that call by Dr Iain Kennedy.

Dr Iain Kennedy said: “The figures in this report from Reform Scotland are shocking, yet not surprising. BMA Scotland has been warning for some time that the NHS in Scotland simply cannot deliver what is expected of it under its current limitation.

“It is a system bursting at the seams, with a workforce running on empty – there are not enough of us to give our patients the time and care they need and deserve.

“The time for platitudes has long passed – we need action, and we need it now. We are in a year-round crisis with our NHS and workforce planning is abysmal.

“The Scottish Government must move forward with their commitment to have a cross-party national conversation on the future of our health service – an open and honest discussion that also involves the profession and the public.

“Enough is enough, we cannot continue on this path if we want to futureproof our NHS for generations to come.”

Jacqui McMillan, a consultant surgeon in the West of Scotland, said: “Reform Scotland’s report is a stark warning of how bad things have become.

“As an orthopaedic surgeon I am working as hard as ever, and yet my waiting list seems to be growing longer. Seeing my patients in pain and knowing how long they are likely going to have to wait for their operation breaks my heart.

“Having to tell patients they could be waiting for more than a year for an operation they need in order to get through a day without pain is really difficult.”

Chris Deerin, Director of Reform Scotland, said: “We need a mature, constructive debate to identify and build consensus around specific measures that will help our health and care services in both the short and long term.

“The electorate can cope with this discussion. They know that the health service is ill – they live with the consequences every day. Are the politicians up to it, though? Can they set aside petty party differences and work together to save this vital public service?

“If we are to maintain a taxpayer-funded, free-at-the-point-of-need system up to the NHS’s centenary in 2048, reform is required in order to make the best use of the resources we have.

“Reform Scotland will provide a platform for that discussion to take place.”

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Edinburgh urged to celebrate safely ahead of Bonfire Night

Campaign offers advice as new research gives insight to safety behaviours

The Scottish Government and Scottish Fire and Rescue Service are urging people in Edinburgh to plan ahead and stay safe this Bonfire Night (5th November).

While new research highlights that 86 per cent of respondents¹in Edinburgh are concerned about the impact of fireworks on others, it also shows that 43 per cent² stated they would give sparklers to children under five. Sparklers can get five times hotter than cooking oil and are the most common type of firework to injure children³.

David McGill, Lead Clinician for the Care of Burns in Scotland (COBIS) network and Consultant Plastic Surgeon at Scotland’s Burn Hub said: “Children are frequently burned with sparklers.

“There’s a misunderstanding of how hot they can get, causing severe burns to fingers and hands, or catching clothing alight. Sparklers should never be given to children under the age of five.

“Unfortunately we see a rise in burn injuries around Bonfire Night, in both adults and children, with 41 injuries recorded over the four-week period around Guy Fawkes night last year.

“The majority of these occurred at private properties, ranging from minor, such as burns to the fingers, to severe, including loss of fingers and complex eye injuries with loss of vision.”

As part of the new drive, people are also being encouraged to consider attending an organised public display, something almost half of those surveyed (48 per cent⁴) plan to do.

This remains the safest way to enjoy fireworks and helps minimise their impact on other members of the community, with 42 per cent of respondents⁵ in Edinburgh stating they have a family member or pet who is negatively affected.

For those still planning on using their own fireworks, the Scottish Government and Scottish Fire and Rescue Service is asking people to consider others, ensure they know how to keep themselves and loved ones safe, and to follow regulations.

It is illegal to set off fireworks in public places, including streets and parks, and to buy or give fireworks to someone under the age of 18, other than category F1 fireworks⁶.

It is also illegal to set off fireworks before 6pm and after 11pm, extending to midnight on 5th November and 1am on Hogmanay, Chinese New Year and Diwali.

Deputy Assistant Chief Officer (DACO) Iain Macleod is the Scottish Fire and Rescue Service’s Head of Prevention and Protection. He said: “Every year people are injured by bonfires and fireworks and admitted to hospital, with children particularly affected.

“We encourage the public to follow the safety guidance in the lead up to Bonfire Night and we always recommend attending an organised event if possible.

“People should also be aware of the laws around the use of fireworks, consider the risks and always follow the Firework Code to keep everyone safe.

“Please respect our staff who are working hard to ensure the wider community is safe on one of the busiest nights of the year for our service.”

Fireworks can be particularly distressing for those who experience sensory impairment, and can also cause stress in animals.

Scottish SPCA Director of Innovation and Strategic Relations Gilly Mendes Ferreira said: ‘‘Every year thousands of animals suffer stress and anxiety caused by the use of fireworks.

“Animals can panic and flee at the sound of a bang and this can lead them towards danger such as being the cause of a road traffic accident, also putting human lives at risk.

“Our advice for those with animals includes not walking your dog at night when fireworks are being set off, bringing all pets indoors and stabling horses. Make sure doors, windows and cat flaps are kept closed so your pet doesn’t become distressed and try to escape. If you’re setting a bonfire, always check for cats or wildlife before setting it alight.

“We’d always encourage the public to attend organised displays. If you are going to hold a private display, let your neighbours know so they can safeguard against any distress pets and farm animals may face.”

The Firework Code, details of legislation in Scotland and a list of organised events can be found on firescotland.gov.uk.

To report the misuse of fireworks anonymously call Crimestoppers on 0800 555 111.

Healthy Heart Tip: Keeping stress in check

Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK

Healthy Heart Tip: Keeping Stress in check

We’re coming up to a busy time of year, and if you find the lead-up to Christmas a little overwhelming, you are not alone. Stress is very personal and experienced differently by everyone.

The key is to recognise when you are feeling stressed and put things in place to reduce it before it gets too much.

There are many things you can do to manage stress and build resilience, so you cope better next time you find yourself feeling overburdened or in a stressful situation. Stress is linked to heart health because when we are feeling stressed, we can adopt unhealthy lifestyle habits which contribute to the development of heart diseases.

Here are three things to consider building into your routine to help keep stress at bay:

Prioritise your physical health

Getting enough sleep, eating a balanced diet, and ensuring we are physically active can help us deal with stress better and increase our resilience.

Research has shown that when we are sleep deprived, we report higher levels of stress, so ensuring you get seven to nine hours of sleep a night is essential.

These things can seem out of reach in the midst of stress, however, they can make a big impact so start small, making little, sustainable changes.

Spend time in nature

There is a growing body of evidence to suggest that spending time in nature can reduce our perceived stress levels and increase our overall wellbeing.

Similarly, bringing nature indoors can help you feel less stressed, so think about getting some houseplants to take care of.

You can tick two things off your stress-buster list by taking part in some movement in a green space, such as going for a jog or brisk walk in your local park.

Get creative

Spending time doing activities you enjoy can give you a much-needed break from daily life, and doing something creative that requires your concentration can give your mind some quiet time.

Think about starting a new hobby such as pottery, knitting or even block printing. We have recently partnered with the Indian Block Printing Co. to create a block printing tea towel kit which would be a great first crafty project to start with.

NSPCC staff join vital discussion at Scottish Games Week on how to keep children safe in gaming

NSPCC staff will join a panel of experts for a crucial conversation today in a Roundtable discussion at the start of Scottish Games Week.

Patrick Weaver, NSPCC Assistant Director of Fundraising and Engagement (Communities), and NSPCC Scotland Local Campaigns Officer Euan Graham will join Simon Monkman, the Lead for Gaming and Extremism at Ofcom, and lawyer Kirk Dailly to talk about child protection in the gaming industry.

The discussion will cover the legal frameworks now in place following the Online Safety Act receiving Royal Assent last week and ethical considerations for ensuring the safety and wellbeing of young players.

They will also discuss potential opportunities to collaborate with some of the key players within the gaming industry to fundraise for the charity.

Patrick Weaver, Assistant Director of Fundraising and Engagement (Communities) at NSPCC, said: “We’re delighted to be joining this very important discussion about how we can help to keep young players safe in the gaming industry.

“We are also very excited about potential collaboration with some of the key players in the industry to help raise funds for the charity in the future.

“The NSPCC has a wealth of insight, knowledge and expertise on safeguarding children and suggestions for ways to keep young people safe online, and we are excited to get the opportunity to share this with the gaming world.

“In the long run we’d love to support companies to incorporate safeguarding when they design games and help to build a safer industry for children and young people.”

Using voluntary donations, which make up around 90 per cent of its funding, the NSPCC works tirelessly to protect children and prevent abuse from happening and to help children who have been abused, including online, to rebuild their lives.

The NSPCC’s free Childline counselling service provides a safe, confidential place for children when they have nowhere else to turn, whatever their worry, 24 hours a day, 365 days a year.

The charity also has a helpline open every day of the year for any adult who is worried about a child. The helpline has trained practitioners who provide advice and support, listen to concerns about a child, and offer general information about child protection.

Our Helpline responded to over 59,000 contacts last year from adults who were concerned about a child, with the most common reasons concerns about neglect, physical, emotional and/or sexual abuse and/or exploitation. *

Since 2018 the NSPCC has also campaigned for a robust Online Safety Bill to be introduced, working closely with four different prime ministers, ministers, MPs and members of the House of Lords to make the Bill stronger for children. The charity also continues to call on tech companies to take the necessary action to ensure children are safe on their platforms.

NSPCC Scotland Local Campaigns Officer Euan Graham, who leads a campaign called ‘Let’s Chat Online Safety’ in Moray, said: “Childline hears from many young people who have been bullied or experienced abuse online. For example, more than 3,500 online grooming crimes have been reported in Scotland since 2017, with under-13s representing over half of those affected.*.

“Our ‘Let’s Chat Online Safety’ campaign helps keep children safe by providing useful tips and resources to parents, carers and teachers to make it easier for them to talk about this topic with young people.

“Many parents and carers worry about their child’s safety online, whether they are playing games, browsing the internet or on social media. And it can be quite daunting for those who aren’t particularly tech savvy, because they may not know how to put parental controls in place or how to talk about it without causing hostility, especially with teenagers who don’t want their privacy to be invaded.

“We encourage families to have regular, positive conversations about their children’s experience being online and make sure children know they can talk to them, another trusted adult or Childline if anything is worrying them.”

Patrick Weaver and Euan Graham will join the Roundtable discussion on Monday, October 30 at 2.30pm in the Salisbury Suite at Dynamic Earth, Edinburgh.

Scottish Games Week, which runs from Monday, October 30, to Friday, November 3, is a Scotland-wide series of events creating a global platform for Scotland’s rapidly evolving games ecosystem.

MSP welcomes new payment for care leavers

Gordon Macdonald MSP has welcomed the announcement that a one-off £2,000 payment from the SNP Scottish Government will be made available to young people who are leaving the care system across Edinburgh.

First Minister Humza Yousaf announced the payment following the Independent Care Review’s findings that those with care experience have an increased risk of poor mental health, addiction, homelessness, and exploitation.

The payment is co-designed with care experienced people to ensure that it meets their needs and helps to reduce some of the financial impediments in their way as they seek to live independently.

Commenting, Gordon Macdonald, SNP MSP for Edinburgh Pentlands said: “The SNP Scottish Government is committed to Keeping the Promise by 2030 to all children and young people leaving care, and part of that is ensuring that they are supported on their journey into adulthood.

“Living independently can be a huge adjustment and comes at a pivotal time for young people leaving care across Edinburgh, especially if they don’t have family support.

“The SNP Scottish Government is therefore providing support to care experienced young people across Scotland through the Care Leaver Payment, and this will make a real difference to the lives of young people across the city.”

Charity urges investment in support to help stroke survivors struggling with hidden effects of stroke

Ahead of World Stroke Day (29 October) the Stroke Association is calling on Scotland’s 14 Health Boards to take immediate action on implementing the Stroke Improvement Plan¹to address the emotional and psychological needs of stroke survivors.

The charity’s concerns comes after they made a Freedom of Information (FOI) request and found:

Only 7.8 WTE Clinical/Neuropsychologists with protected time for stroke for the whole country.

In addition, the Scottish Stroke Care Audit² revealed in June this year that:

Not one health board is delivering specialised psychological care.

This information has come to light, following the publication of our “Keeping Stroke Recoveries in Mind” report in October last year³, which highlighted the unacceptable level of support for people struggling with the psychological consequences of stroke.

From our survey last year, we know that 94% of stroke survivors experienced a mild impact on their psychological wellbeing. For 39% of stroke survivors, the impact on their psychological impact was severe.

Over two thirds of those (68%) did not believe they were receiving the support they needed. There are over 128,000 stroke survivors in Scotland and 10,000 strokes per year.

Jen Paton, 39, from Paisley, had her stroke last April. Despite recovering well physically, her emotions were unbearable at times. She said: “I felt scared that I might have another stroke. I was worried about my children, then seven and eight years old. I lay in my bed alone, crying and crying.”

Even when Jen returned home, she couldn’t get out of bed, wouldn’t socialise, and felt panic-stricken even to visit her dad in hospital: “I felt hopeless, and life felt pointless.”

Jen’s stroke physician noticed the crushing psychological impact of her stroke and referred her to a psychologist.

Jen continued: “My psychologist was a god send. To have a name assigned to the way I had been feeling was such a relief. I was taught strategies to help with my panic attacks, and the information and advice I was given has helped me to accept the stroke and its effects.

“I got on well with my psychologist. She listened to me, and I felt like I could talk about all my emotions to her without hiding anything. She was a safe person to be with.”

Anxiety, depression, memory and thinking problems can all be part of the psychological consequences of stroke. It can rob someone of their ability to go back to work, socialise and stay in a relationship – never mind stripping someone of their confidence. Some people describe the psychological effects of stroke as worse than the physical effects.

Last year we called on the Scottish Government to include in its Stroke Improvement Plan a commitment to treat the psychological effects of stroke and physical effects of stroke with parity.

The charity also called for the Stroke Improvement Plan to include the implementation of the National Model of Psychological Services (NMPCS)⁴ for stroke in Scotland.

The National Model highlights the need to involve all staff working with people affected by stroke across the pathway to support patients dealing with the psychological consequences of stroke.

John Watson, Associate Director Scotland at the Stroke Association said: “The progress Health Boards are making to improve psychological services is too slow.

“And there is no escaping the fact that delivering the necessary emotional support for people affected by stroke will involve more investment in the workforce, both in recruitment and training.

“The inclusion of psychological support the new Stroke Plan, is an important step, but that aspiration is still a long way from becoming reality.”

The Stroke Association is calling for:

Health Boards to deliver the National Model with dedicated support from the Scottish Government.
Health Boards to ensure there is an appropriately trained workforce to enable Clinical Psychologists to lead on the implementation of psychological care.
The development of an education and training programme for all staff involved in delivering stroke care.

John continued: “Stroke is a clinical priority in Scotland, and it needs to be treated as such. We will continue to champion the need for improvements in the way stroke psychological care is delivered in Scotland.

“We owe it to everyone affected by stroke to ensure they get the right support to rebuild their life after stroke.”

Western General’s Cancer Navigation Hub is one year old

The Cancer Navigation Hub, based in Edinburgh Cancer Centre at the Western General Hospital, recently celebrated one year of the service launching.

The team helps patients and healthcare professionals to navigate cancer pathways, ensuring enquiries are directed to the appropriate care team in a timely and efficient way.

The team is made up of Cancer Pathway Coordinators and acts as a single point of contact for patients who’ve received a cancer diagnosis. Coordinators are also trained to assist healthcare professionals and helps to alleviate the pressure on clinical teams.

Katie Seville, Assistant Service Manager in Cancer Performance, said: “In just one year we’ve seen the hub make such a difference to the ease with which patients and staff can access the information and support they need.

“The team is in high demand and we’re looking to further expand and grow the service into new areas, providing more personalised and holistic support for patients throughout their diagnosis and treatment.”

The Cancer Navigation Hub initially served five tumour groups – lung, melanoma, head and neck, gynaecology, and urology. In April 2023, the hub expanded to cover the neuroendocrine tumour group followed by breast in August 2023.

During the first five months of the service (October 2022 to February 2023) the team handled on average over 1,100 calls per month, 38% of which were administrative queries or issues that could be resolved by the Cancer Pathway Coordinators.

In the month after incorporating the breast service, the team handled just over 1,900 calls across all tumour groups, with 44% of all calls being dealt with by the coordinators.

Since January 2023, the Cancer Navigation Hub has also been proactively calling newly diagnosed patients to introduce the hub and direct patients to support services.

In June 2023, during the launch of the new Cancer Strategy, the team was among those to meet Michael Matheson, Cabinet Secretary for NHS Recovery, Health and Social Care.

Congratulations to the team for a brilliant first year.

Hearts celebrate victory over Hibs at the inaugural Auld Reekie Cup

Edinburgh’s exclusive charity golf tournament will return in 2024 after the success of this year’s event

For local football fans, seeing Hibs and Hearts go head-to-head is always a highlight in the sporting calendar and their latest game was no exception – even if it did have one significant twist.

Instead of meeting on the pitch, former players from Edinburgh’s Hibernian F.C and Heart of Midlothian F.C. battled it out on the GOLF COURSE in a brand new charity tournament, the Auld Reekie Cup.

Taking place on Thursday 26th October at the historic Royal Burgess Golfing Society, the Auld Reekie Cup proved to be a big success, with Hearts clinching the cup.

Their winning team included former football legends Gary Locke, Eamonn Bannon, Scott Crabbe, Jim Brown and Graeme Shaw as well as fans, who took on former Hibs footie stars John Brownlie, John Hazel, Derek Riordan, Scott Brown, Steven Tweed, John Blackley, Gordon Hunter and Graeme Harvey plus fans.

Thanks to the Hanlon Stevenson Foundation and the Big Hearts Community Trust, all money raised on the day will be used to support projects promoting the mental health of young people here in Edinburgh.

Speaking after the event, Hanlon Stevenson Foundation Ambassador Paul Demarco said; “The day was an outstanding success for all involved and the Auld Reekie Cup looks to be a fantastic addition to the years must attend derby fixtures in the capital.

“It was a pleasure to work alongside our city rivals and raise much needed funds for the work we do, especially at this time of the year. Well done to Big Hearts Community Trust on lifting the trophy, the result might not have gone our way, but there is always next year!”

Big Hearts Community Trust Chief Executive Craig Wilson added; “Big Hearts were delighted to be invited to take part in the Auld Reekie Cup alongside the Hanlon Stevenson Foundation.

“It was a brilliant day of golf with brilliant support from a wide range of new and old partners for both charities. Big Hearts, like the Hanlon Stevenson Foundation, recognise the challenges our communities face, and days like yesterday raising funds help us provide vital support. We look forward to trying to retain the cup next year!”

Following the resounding success of the first ever Auld Reekie Cup, the event will return next year and local supporters will once again be offered a unique opportunity to play alongside their footballing icons.

Extra support for NHS this winter

£50 million to build Scottish Ambulance Service capacity

A £50 million funding boost for Scottish Ambulance Service (SAS) recruitment and up to £12 million to expand Hospital at Home are among measures to support the health and care system this winter.

The Scottish Government and COSLA’s joint Winter Plan, published today, identifies new funding for SAS to support work already underway to recruit a further 317 frontline staff to help increase capacity to emergency response. It will also see 18 additional clinicians working in the call centre hub who, through additional triage, can offer patients alternative treatment routes in cases which are not time-critical, reducing the number of hospital admissions.

The expansion of Hospital at Home, which enables people to be treated at home rather than on a ward, is intended to deliver at least 380 additional beds this winter – significantly increasing the total service capacity.

The Scottish Government has been working closely with COSLA, Health and Social Care Partnerships, and NHS Boards on a number of further measures to ensure they are prepared for the winter period. This includes a Delayed Discharge Action Plan and improvements to the reporting of data to better identify specific areas for further support or escalation.

Health Secretary Michael Matheson said: “Our highly skilled and committed workforce are the cornerstone of our response every winter, both in health and social care. I am extremely grateful for their continued hard work and dedication in the face of sustained pressure. As we approach the Winter period their efforts will be vital in ensuring we deliver high quality care for the public.

“We are in no doubt that this winter will be extremely challenging for our health and social care system. Our Winter plan builds on the lessons we have learned from previous years and preparations have been on-going since spring. Our whole system approach is based on ensuring people can access the care that is right for them – at the right time and in the right place.

“Our additional investment of up to £12 million to expand the Hospital at Home service will allow people, especially elderly patients, patients with respiratory conditions and children, to receive treatments in the comfort of their own home and will crucially help reduce pressure on our A&E departments this winter.

“As a result our significant investment of over £15 million, an additional 1,000 nurses, midwives and Allied Health Professional from overseas have joined NHS Scotland in the last two years to bolster our existing workforce this winter.

“Our £50 million funding boost for the Scottish Ambulance Service will also help tackle increased demand and support on-going recruitment to drive up capacity for emergency response. This investment will also help reduce the need for people to go to hospital which is a key part of our approach this winter.”

Cllr Paul Kelly, COSLA’s Health and Social Care Spokesperson said: “As key partners in ensuring people and communities are safe and cared for over the winter period, and indeed throughout the year, local authorities have a vital role in enabling people to continue to safely access the care and support they need when they need it.

“We expect the winter to be a very challenging period across the whole health and social care system at a time when the system is already experiencing significant demand pressures and challenges with recruitment and retention.

“That is why COSLA have worked closely with Scottish Government in producing this plan, recognising the importance of the integration of health and social care, and the clear leadership role of Local Government in doing everything we can to maximise capacity across health, social care, and social work, and ensure people get safe and timely access to services during peak winter pressures.”

The Scottish Ambulance Service has welcomed the announcement of £50 million funding by Michael Matheson, Cabinet Secretary for NHS Recovery, Health and Social Care.

Michael Dickson OBE, Chief Executive of the Scottish Ambulance Service said: “This funding will allow us to invest in frontline staff, ambulances, vehicles and our 999 call centre operations. We know that winter will be challenging but the Service, and our committed staff, are working hard to meet those challenges.

“We have a whole range of initiatives which will come into place over winter to help us meet the increased demands on our services, including work to ensure we provide the quickest possible response to our most critically ill patients and we continue to support, where appropriate, less seriously ill patients to be managed at home or in the community, avoiding unnecessary A&E visits.

“Our patients and our staff are our most important priorities, and this investment will ensure we can continue to deliver the very best to our patients whilst supporting our staff who play such a critical role in their care.”

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Four Square’s Springboard Project

The Springboard programme is for young adults aged 16-25 who are currently either at risk of homelessness or accessing homelessness services across Edinburgh.

Participants will be able to gain qualifications in Emergency First Aid at Work as well as Elementary Food Hygiene.

We will support the group with employability skills such as CV writing, Job Interview Skills and Job Applications. We also run workshops focused on mental health and wellbeing as well as weekly social outings to encourage participants to form lasting friendships.

The programme also includes a 3-day Residential trip with the Scottish Outdoor Education Centre to allow the participants to try their hand at some adventurous outdoor activities like rock climbing, abseiling, archery and much more!

Bus fare can be covered by Four Square and lunch will be provided on each day of the course.

Self-referrals can be made by emailing springboard@foursquare.org.uk