More funding for our frontline pharmacies

Additional funding of £5.5 million will be provided to community pharmacies to help them cope with increased pressures from coronavirus.

Pharmacy workloads almost doubled during March – with increased prescriptions, staff overtime and a higher level of consultations all resulting in additional costs for the service.

The additional funding will be added to the network’s March payments.

Health Secretary Jeane Freeman said: “I want to thank all community pharmacy teams for their incredible hard work throughout this pandemic. They are doing an invaluable job to ensure people continue to receive vital medicines and care through this period of unprecedented challenge for the NHS.

“Given the exceptional situation we are in, I have taken the unusual step of asking community pharmacies to remain open on Good Friday and Easter Monday – where it is possible to do so. This will help to alleviate some pressure from out-of-hours services.

“Working with the Community Pharmacy Scotland we have agreed this initial package of additional funding for community pharmacies to help them meet some of the costs of responding to COVID-19 and to allow them to continue to meet the increased demand on their crucial services.”

The additional funding is intended to help with costs including:

• additional staff hours and locum costs
• the increased amount of medicine prescriptions
• modifications to premises such as installation of protective screens
• additional cleaning costs
• increased phone consultations

Last month it was announced that community pharmacists would perform an enhanced role during the COVID-19 outbreak.

NHS Lothian sets up staff testing centre at Chalmers Centre

NHS Lothian has transformed one of its health centres into a mass drive-through staff COVID-19 testing centre.

Every day, scores of NHS Lothian staff are being tested in their cars at the Chalmers Sexual Health Centre in Edinburgh, in a bid to reduce unnecessary absence and bolster frontline services.

To date, 670 staff, including doctors and nurses and their household contacts, have attended appointments at the testing station to be swabbed for the virus.

If they have symptoms and are tested within the first 72 hours, a negative result, can end family or self-isolation and allow a return to work if they are well. This is even more valuable to staff who are self-isolating for 14 days because of household contacts who may have symptoms.

Dr Tracey Gillies, Medical Director, NHS Lothian, said up to 160 staff have been tested in a day and of those around 86 per cent had already tested negative for COVID-19.

She added: “Providing access to staff testing is critical. It not only gives our colleagues reassurance, but enables staff, if they feel well enough, to return to work.

“Across NHS Lothian, we have seen fantastic cooperation, flexibility and willingness from all our teams, and this staff testing facility really does encapsulate that. Every single member of staff is doing their bit and for that, I would like to say a huge thank you.”

Regular services at Chalmers have been greatly reduced over recent days and weeks, and as a result, has meant that the centre had quiet areas, with many members of staff who could be re-deployed into different roles.

A massive operation swung into force and the area was quickly transformed into a mass testing centre, with a team of dedicated and expert staff, capable of carrying out hundreds of tests every week and returning results by text message within 48 hours.

Dr Alastair Leckie, Director of Occupational Health Services, NHS Lothian, said the teams drew on the experience and expertise gained from drive-through patient testing which was created out of the Regional Infectious Diseases Unit at the Western General Hospital during the early days of the pandemic.

He said: “The experience we gained from our drive-through patient testing has been invaluable. It helped us to know what was needed to run the service, but crucially how we could make it bigger.

“Our staff have told us time and time again that they want to be at work, helping patients and supporting colleagues. Testing provides reassurance for staff, helping to get them back to work quicker, and reducing unnecessary periods of self-isolation.

“A monumental amount of work has taken place in a very short period of time to provide this service and we are incredibly pleased and proud to see it working. Already we are looking at how we can roll this model out to other locations.”

Staff are told to report symptoms as soon as they first appear and are given an appointment at the testing centre within 72 hours.

They drive to the testing centre in the city centre and follow the signs into the facility, which is based in the car park. They are called forward in turn and a member of the team, in protective clothing, approaches their car. A mouth swab is taken and the staff member is told to drive home.

Dr Dan Clutterbuck, Consultant in Sexual Health Medicine, NHS Lothian, said: “The Sexual Health team are well used to carrying out high volume testing, and I am delighted that we could use these skills, experience and expertise to scale up our staff testing service.

“The model we have developed here is easily replicated, and our team are working with others across the organisation to enable this to happen.”

NHS Lothian ‘under significant strain’

The latest NHS Lothian board papers warn its “total capacity will be under significant strain throughout April and probably beyond” (link).

The papers reveal the estimated cost of dealing with coronavirus for the board and local social care alliances is £80m, but that figure was of 17 March.

Officers from the Royal Marines and British Army are supporting the health board’s executive team as well, it is revealed.

The papers also show that urgent cardiac surgery is now being carried out at the Golden Jubilee National Hospital in Clydebank.

Lothian MSP, Miles Briggs, said: “It is very concerning that NHS Lothian is going to be under such significant strain over the next few months.

“NHS Lothian were already facing significant challenges in delivering service before the Coronavirus outbreak and are now facing even greater challenges.

“It’s welcome during these difficult times that our NHS can call on the help of our UK armed forces.

“The Scottish Government and NHS Lothian must work together during this crisis to support NHS staff to provide the best possible patient care at this extremely challenging time.”

Boris Johnson admitted to hospital

Prime Minister Boris Johnson has been admitted to hospital for tests, ten days after testing positive for coronavirus.

While the Queen was addressing the nation in a television broadcast last night, Boris Johnson (55) was on his way to hospital, where he remains this morning.

Foreign Secretary Dominic Raab will chair this morning’s Coronavirus update cabinet meeting in Downing Street.

A statement issued by 10 Downing Street last night said: “On the advice of his doctor, the Prime Minister has tonight been admitted to hospital for tests.

“This is a precautionary step, as the Prime Minister continues to have persistent symptoms of coronavirus ten days after testing positive for the virus.

“The Prime Minister thanks NHS staff for all of their incredible hard work and urges the public to continue to follow the Government’s advice to stay at home, protect the NHS and save lives.”

Smokers at greater risk of severe respiratory disease from COVID-19

Emerging evidence from China shows smokers with COVID-19 are 14 times more likely to develop severe respiratory disease.

If you smoke, you are not only putting yourself at greater risk of developing severe disease from the COVID-19 virus, but those around you exposed to second hand smoke, including children, are also put at increased risk.

Smoking tobacco is known to damage the lungs and airways causing a range of severe respiratory problems. The evidence clearly shows COVID-19 virus attacks the respiratory system, which explains why smokers are at greater risk. A small but highly impactful survey from China finds that smokers with COVID-19 are 14 times more likely to develop severe disease.

In addition, the repetitive hand to mouth movement provides an easy route of entry for the virus, putting smokers at greater risk of contracting COVID-19.

Professor John Newton, Director of Health Improvement at Public Health England said: “In light of this unprecedented COVID-19 pandemic, there has never been a more important time to stop smoking. Not only for your own health but to protect those around you.

“It will also help alleviate the huge pressures on the NHS.

“It is never too late to quit, no matter your age.”

Once smokefree, there are very real health benefits with the body continuing to repair the longer you stay smokefree.

The more immediate benefits include:

  • after 48 hours carbon monoxide is eliminated from the body. Lungs start to clear out mucus and other smoking debris
  • after 72 hours breathing becomes easier as bronchial tubes begin to relax
  • after 2 to 12 weeks blood circulation improves, making physical activity like walking and running easier

To help reduce your risk of contracting the virus and developing severe disease from coronavirus, you can use the smokefree app to access advice and support on how you can best stop smoking. Search ‘Smokefree’.

Follow the Smokefree Action Coalition #quitforcovid campaign on Twitter.

People with tinnitus urged to protect their mental health as coronavirus takes its toll

With 57,000+ people in Edinburgh thought to experience tinnitus, a leading charity has urged anyone experiencing heightened or new symptoms as a result of the stress and anxiety of the coronavirus situation to seek online or virtual support to protect their mental health.

The call comes from the British Tinnitus Association charity (BTA) which, earlier this year, revealed the huge mental health impact that tinnitus can have on some individuals – with one in seven people with the condition having had suicidal thoughts at some point.

Studies have found that stress often makes tinnitus worse and, for many people, loneliness can also be a factor. With mental health charities reporting an increase in anxiety, the UK lockdown causing a natural increase in social isolation and common support services such as GPs less available in locally and across the country, the BTA says that now is a challenging time for people with tinnitus, as it is for many others too.

They are urging individuals who are struggling with tinnitus and people who are experiencing symptoms for the first time to seek support and for health services to signpost appropriately so that people know how to access free support.

While there is no cure for tinnitus – and 110,000 people recently signed a petition calling for more funding to be made available for research to find one – there are several strategies that can be helpful in learning to manage the condition.

David Stockdale, Chief Executive of the British Tinnitus Association, said: “There is naturally a huge amount of news and online discussion about coronavirus right now and we know that this is presenting our society with a significant mental health challenge.

“For people with tinnitus, the increased stress of this can worsen their condition which, in turn, increases anxiety further – creating a vicious cycle.

“With coronavirus also forcing a huge reduction in the level of support available through our community health infrastructure, it’s so important that we work together across the voluntary, independent and professional sector to signpost people to appropriate support.”

To improve support for people with tinnitus at this challenging time, the BTA is introducing new online resources to support those missing out on appointments, available via www.tinnitus.org.uk.

It will also continue to offer its free helpline service on 0800 018 0527, web chat on its website and further support through email at helpline@tinnitus.org.uk.

For more information on managing tinnitus at this difficult time, see the British Tinnitus Association’s article: Covid-19 guidance for people with tinnitus.

More important than ever to look after ourselves, says walking charity

Scotland’s walking charity is urging the public to stay active and take a walk everyday amidst the Coronavirus outbreak.

Paths for All says it’s more important than ever that people who feel well should walk alone or with those they live with to protect their physical and mental health.

Exercising once a day is one of only four reasons why people are allowed to leave their home. The charity believes that those not experiencing symptoms and not in the high-risk groups should go out for short, local walks as long as they minimise social contact.

Paths for All has also launched new online guidance and links to resources which can help people stay active indoors, connect with nature outside and encourage those working from home to move more.

Ian Findlay CBE, Chief Officer at Paths for All, said: “Now more than ever it’s important for people to look after their physical and mental health.

“Fresh air, being outdoors and connecting with nature is not only positive for your physical health, but it can help your mental health by improving your mood and reducing stress and anxiety. We believe it’s important for people to continue to enjoy short, local walks provided you are well and where it’s safe and appropriate to do so.

“The official advice is to stay local. Choose routes right from your own front door if you can, to avoid non-essential travel. You should try to visit places you know will be quiet, away from hotspots, and remember to keep a distance of at least two metres from other people.

“If you are unable to go outside for a walk, then there are many ways you can keep moving at home. Browse online for demonstration videos and resources and remember to take regular breaks from sitting down to get up and move around.”

Walking provides many benefits, including increased fitness and enhanced mood on top of reducing the risk of depression, anxiety, cardiovascular diseases, cancer, dementia and diabetes.

The charity’s campaigns and events showcase how walking can bring significant benefits to the nation’s health and environment, aiming to encourage everyone in Scotland to walk every day and everywhere.

Paths for All works with Scottish Government and 30 partners to support and deliver national policies, such as the National Walking Strategy and other ‘active travel’ initiatives.

For more information on Paths for All, visit: pathsforall.org.uk

Heart Research UK Healthy tip: Easy ways to get your 5-a-day!

Eating five portions of fruit and veg every day can help keep your heart healthy and reduce the risk of heart disease. As supermarket shelves are emptier than usual, Heart Research UK have some tips to help you achieve your 5-a-day during this challenging time.

What counts as a portion?

Eighty grams of fresh, frozen or tinned fruit and veg or 30g dried fruit count as one portion. For example, one fresh pear or banana, two small plums, or three heaped tablespoons of peas. Beans and pulses also count, but you should only count these once as they contain fewer nutrients compared to other fruit and veg. 150ml of fruit/vegetable juice or smoothie also counts, but you should limit these drinks to no more than one a day due to the sugars they contain.

Top up with lentils

Lentils are a versatile ingredient and a great source of fibre, which is good for heart health. Try replacing some of the meat in your bolognese sauce with a handful of lentils or try adding lentils to homemade soups.

Include tinned, frozen and dried fruit and veg in your meals

As the population is being encouraged to make fewer trips to the supermarket, you may find that you need to rely on the food in your store cupboard and freezer more than usual. Try adding dried or frozen fruit to your bowl of breakfast cereal in the morning and include a variety of frozen or tinned veg with your evening meals. Tinned fruit with yoghurt can also provide you with a healthy dessert.

Enjoy homemade soups for lunch

Homemade soups are an easy way to increase your veg intake. You can include a variety of tinned, fresh and frozen veg in soups. There are lots of healthy vegetable soup recipes available online, but here is one to get you started.

Easy-peasy pea soup.

  • 1 tbsp rapeseed oil or vegetable oil
  • 1 onion, chopped
  • 400g frozen peas, defrosted
  • 500ml vegetable stock
  • Salt and pepper
  • Fresh mint, finely chopped (optional)

Heat the oil over a medium heat and stir in the chopped onion. Gently fry the onion until soft, but not browned. Add the peas and stock, bring to the boil and simmer for 5 minutes. Puree the soup using a blender and add salt and pepper to taste. If you have fresh mint available, you can add this at the end.

Support for GP Practices

Additional funding of £15 million will be provided to GP practices to help them cope with extra pressures arising from coronavirus (COVID-19).

Around a third of the funding is intended to allow practices to remain open on Good Friday and Easter Monday if it is safe to do so – helping to alleviate pressures on out-of-hours services.

The remainder will help to cover costs of equipment, additional non-clinical staff, GP partners and locum cover for sickness leave.

Health Secretary Jeane Freeman said: “I want to thank all GP practice staff for their incredible hard work throughout this pandemic. They are doing an invaluable job to keep crucial primary care services going in very challenging circumstances.

“Given the unprecedented situation we are in, I have taken the unusual step of asking GP practices to remain open on Good Friday and Easter Monday – but only if it is safe to do so. This will help to alleviate some pressure from out-of-hours services.

“Working with the Scottish GP Committee of BMA Scotland we have agreed a package of additional funding for GP practices to help them meet some of the costs of responding to COVID-19.  Part of this will help to cover the cost of remaining open on Good Friday and Easter Monday and the remainder will help to meet other costs being faced by practices during this difficult time.”

Chair of the BMA’s Scottish GP Committee Dr Andrew Buist said: “This is an unprecedented time for all of us, and asking GPs to keep their practices open over public holidays is not a request we have taken lightly.

“Practices and out of hours services are working under more pressure than ever during this pandemic and I know GPs across Scotland are willing to put in the extra work required to help the NHS fight this virus.

“Our NHS is changing, and at the forefront of that change is the primary care response. General practice is part of that protective ring around the hospital system that will help us all cope with the surge in demand we are expecting.

“I am extremely proud of how quickly GPs have responded to this challenge with flexibility and ingenuity. There is a huge amount of work being put in from the Scottish Government and across the system and now is the time for us to pull together, for clear thinking and strong leadership.”

All of Us: still here to help in Edinburgh

Help is available for any families struggling in Edinburgh despite the ongoing health crisis, say the city’s Child Protection Committee and NSPCC Scotland.

All of Us was launched earlier this year to help people find out where to get support and advice with parenting or other worries about family life and where to turn if they have concerns about a child.

The campaign is also raising awareness among communities and professionals about the early signs of child neglect and how to help families who are struggling.

It has never been more important that both children and adults have somewhere safe they can turn to if they are worried. That is why Edinburgh’s Child Protection Committee and NSPCC Scotland are doing everything they can to ensure that vital services such as the NSPCC run Childline and various helplines for adults worried about a child can stay open, while also ensuring staff and volunteers have a safe environment in line with government advice.

The partnership wants to help parents and carers, who may be struggling, and signpost them to where they can get advice and support before reaching crisis point.

Carla Malseed, NSPCC Scotland local campaigns manager, said: “We know that looking after a child can be challenging for all parents, and now even more so as we all have to be responsible and stay at home to reduce the risk of spreading coronavirus.

“It is so important that people know there is still support out there and that they know where to turn for help.”

Joanna Barrett, Policy and Public Affairs Manager for NSPCC Scotland added: “The entire way we think about child protection has changed in a matter of days and it is encouraging how the Scottish Government has recognised the effects this crisis could have on children at risk of abuse and neglect.

“We all need to play our part by checking in with families however we can and reaching out for support and advice if we have any concerns.”

Jackie Irvine, Chair of the Edinburgh Child Protection Committee, said: “We appreciate these are extremely challenging times for everyone, but protecting young people and supporting families remains a priority for us.

“The need for people to support each other is greater than ever, which we are seeing as communities pull together and show great strength.”

For parenting advice and support visit NSPCC helpline or call 0808 800 5000, weekdays 8am to 10pm and weekends 9am to 6pm. People can also contact Social Care Direct on 0131 200 2324.

To find out more about the campaign visit www.edinburgh.gov.uk/allofus