Health and wellbeing – Page 292 – The NEN

Stroke: Act FAST!

A stroke survivor is appealing to people to call 999 if they think they’re having a stroke.

The call comes following interim Chief Medical Officer, Dr Gregor Smith’s statement that some hospital wards are “eerily quiet” amid the coronavirus outbreak. Charity Chest Heart & Stroke Scotland are concerned that people are putting off going to hospital because of the virus and don’t want to be a burden on the NHS.

Debbie, 44 from Comrie, has joined forces with the charity to remind people that stroke is a medical emergency and that people still need to seek medical attention if they think they’re having a stroke.

Chest Heart & Stroke Scotland is urging people to act FAST and call 999 as soon as you experience symptoms.

FAST is a simple acronym to remind people of the key signs of stroke:

FACE – Can the person smile, does one side of their face droop?

ARM – Can they lift both arms? Is one weak?

SPEECH – Is their speech slurred or muddled?

TIME – If these symptoms are present, call 999

Debbie Matthew, stroke survivor from Comrie, said: “If my husband hadn’t called 999 so quickly and I hadn’t gone to hospital straight away, I can’t bear to think about what position I would find myself in today.

“It’s been 4 years since I had my stroke and I can’t believe how far I’ve come. I’m just so thankful that my family were able to get me the help I so desperately needed.

“FAST has become really important to my family. My son, Finlay, got such a fright seeing me after my stroke that he decided spread the FAST message to local school children.

“Finlay feels that it’s especially important for children to learn the message so that that they know what to do if they find themselves alone with a parent or grandparent who might be experiencing a stroke.

“Hearing that people might not be seeking emergency help is terrifying, it’s more important now than ever to make sure people know to Think FAST and call 999 if you think you’re having a stroke.”

Jane-Claire Judson, Chief Executive at Chest Heart & Stroke Scotland, said: “Stroke doesn’t stop because of coronavirus; it can happen at any time and anywhere.

“By the end of today, 25 people across Scotland will have suffered a stroke. The same will happen tomorrow.

“Coronavirus is at the forefront of our minds right now, but it’s vital that people don’t forget that a stroke is a medical emergency. NHS stroke staff are on-hand to help you and save people’s lives.

“It is important that people are aware of the signs and symptoms of stroke and phone 999 immediately if someone needs urgent medical attention.

“These symptoms aren’t something for deliberation, if you see these signs, act FAST and save a life.”

Scottish Conservative health spokesman Lothian MSP Miles Briggs said: “NHS Scotland have rightly shifted their focus to fighting to Covid-19, but people are still going to get ill and emergency services are continuing as normal.

“It is vital that if you, or someone you are with, is showing symptoms of having a stroke, that you call 999 immediately, to be taken to hospital. The FAST acronym is an easy way to remember the signs of a stroke – Face, Arms, Speech and Time.

“This is an important message, not just for people who are showing signs of a stroke, but for anyone who is having a medical emergency during the Coronavirus outbreak, call 999 immediately.”

Voiceover artists say: Keep Talking

Over 70 male, female and child voiceover artists have donated their voices to a specially-made radio commercial to encourage listeners to ‘keep talking’ whilst the UK is in lockdown.

“Voiceovers United” is a project created, written and produced by Voiceover Artist and award-winning Radio Commercial Producer, John Calvert. The message encourages listeners to ‘stay at home, protect the NHS, stay safe… And Keep Talking.”

John Calvert said: “Voiceovers often spend hours and hours cooped up in a small booth or room. Most of us in the trade are perfectly used to that. But for those who aren’t so used to isolation, the long lonely lockdown could have adverse effects on mental health. We all know talking is a great way to get things off your chest and who better to promote this than voiceovers?”

Some of the UK’s leading voiceover artists have joined the project. These include X Factor voice Peter Dickson; ‘Voice of the Balls’ Alan Dedicoat; film trailer voice Redd Pepper; Big Brother Voiceover Marcus Bentley; Flash Gordon, Blackadder and Star Wars character actor Brian Blessed and many more familiar voices from the world of TV, radio, film, advertising, gaming, animation and automation. Everyone who participated, including voiceover agents, animation companies and music publishers gave their services for free.

The voiceovers were sent a script and recorded the lines in their own studios. The audio was then sent back to the studio at Airforce Radio Commercial Production in Wiltshire and seamlessly mixed together.

John Calvert added: “So many leading voices uniting for something like this has never been done before, and the response to the initiative was far beyond anything I expected.

“What we have ended up with is a very powerful, yet entertaining message. I hope everyone will feel reassurance from hearing the message, share it with others and … Keep Talking.”

Voiceover Artist Emma Clarke (voice of ‘mind the gap’ and ‘Avalon’ in the Hollywood blockbuster feature film ‘Passengers’) said: “During this unprecedented period, we’re all alone together.

“I love the idea of lone voices coming together to create a whole in this gorgeous piece of audio. It reflects what’s happening in the world – that we all have to play our part as individuals to help the whole world.

“Everyone I speak to is feeling the same – tired, scared, overwhelmed, angry, powerless… and also joyful, connected, needed, loved, hopeful. We’re all feeling the same vulnerabilities. There’s something very powerful in that shared experience and for me, that’s what this piece of audio is about.”

The Voiceovers United project is inviting radio stations across the UK to broadcast the commercial at any time they see fit. It is available to download for free on Soundcloud.

80 second version: https://soundcloud.com/airforce-co-uk/voiceovers-united-keep-talking-final-80

60 second version: https://soundcloud.com/airforce-co-uk/voiceovers-united-keep-talking-final-60

30 second version: https://soundcloud.com/airforce-co-uk/voiceovers-united-keep-talking-30

Charity provides Emergency Supply Packs to Sick Kids’ Hospital

An Edinburgh children’s charity is providing emergency supply packs to support children and families in hospital through the COVID-19 pandemic.

Edinburgh Children’s Hospital Charity (ECHC) – which supports the Royal Hospital for Sick Children – has launched an emergency appeal to help families having to cope with the impact of the outbreak on top of the distress of having a sick or injured child.

The free emergency packs contain non-perishable food products and essential items including nappies, toilet roll, tinned soup, beans and tea bags so parents and carers do not have the additional stress of shopping for their families while their child is in hospital.

As well as emergency parcels, ECHC is working hard to continue to provide its services to the RHSC during the pandemic. The charity’s hospital shop is staying open to fuel NHS staff over the coming weeks; it has launched a telephone support service to give advice and assurance to families; play specialists continue to provide smiles and distraction while the ward playrooms are closed; and it is continuing to provide parent accommodation so families can stay close to their children during lockdown.

Roslyn Neely, CEO of ECHC, said: “The safety of children, families and NHS staff is our immediate priority. These are unprecedented times for all of us and, just like at home, things are different at the ‘Sick Kids’. Children and families are anxious as the pandemic progresses.

“Right now, people may be feeling scared, stressed, isolated from family and friends or worrying how they will keep themselves and their family fed and occupied. Now imagine if you also had a child in hospital.

“The incredible NHS staff are working round the clock to make sure every child gets exceptional care throughout the crisis and we at ECHC are doing everything we can to help to reduce fear and isolation and to comfort and support families when they need it most.

“This is why we have launched our COVID-19 Emergency Appeal as we urgently need donations to continue to do this. Times are difficult for all of us, but if anyone would still like to give, donations could provide a family with a much-needed food pack, fund a special play session at a child’s bedside or pay for a mum and dad to stay in our parent accommodation and be close to their child at the toughest of times.”

A donation of £10 could fund an emergency supply pack for one family, £15 could fund a special bedside play or creative session and £50 could pay for parents and carers to stay in ECHC’s parent accommodation for one week.

Donations can be made online at https://echcharity.org/support-us/covid-19-appeal

One Year No Beer steps up to support frontline workers

Local Edinburgh start up, One Year No Beer, has sacrificed salaries to ensure a free service to support NHS staff, frontline support workers, all key workers, the unemployed and anyone who needs additional help in taking a break from alcohol during this challenging time.

The bold decision follows reports that confirm alcohol sales in the UK are up 22% in March.

Ruari Fairbairns, founder and CEO of One Year No Beer, said: “We are currently experiencing the worst global pandemic of our lifetime, which has caused two-thirds, if not more, of adults across the UK to experience anxiety.

“The major problem here is that people are using alcohol as a coping mechanism and this is probably the worst thing that they could do because it is a depressant. We want to help people to look after their mental health and live a better life.”

The brand’s plea follows a recent statement from a World Health Organisation (WHO) expert who warned that alcohol is an “unhelpful coping strategy” for the possible stress and isolation of coronavirus lockdown.

Fairbairns continued: “The NHS is under increased pressure and this is only set to worsen in the next few weeks as we hit the peak, so in addition to this, the last thing we want people to do is incur any other alcohol-related health issues resulting in an urgent trip to hospital.

“Reducing your alcohol intake and making positive decisions about your health are both great ways to help keep the NHS safe and protect others, all from the safety of your home.”

Recent research has also revealed that there has been a huge rise in mental health calls, as well asGP’s highlighting an increase in domestic violence and according to step counters, steps are down 50-100% inEurope, suggesting that as a result of COVID-19, people are exercising less and drinking more.

Professor Kevin Moore, one of London’s leading liver specialists with more than 35 years of experience comments: “There is so much positive research and work going on right now in the fight against COVID-19, but it’s vital that people don’t overlook the hugely negative impact that alcohol could have during these challenging times.

“It is well known that excessive alcohol consumption can lead to liver disease and various cancers. What is less well known is that people who drink excess alcohol are more likely to develop pneumonia, respiratory syncytial virus (RSV) infection, and acute respiratory distress syndrome (ARDS).

“That makes it almost certain that if you drink too much alcohol, you are more likely to develop COVID-19 and complications. Further since, alcohol impairs your immune system, if you develop COVID-19 infection, the chronic use of alcohol will impair your ability to recover from infection.”

Passionate about transforming the world’s relationship with alcohol, One Year No Beer will offer its 28-day intervention programme free for all support staff, all key workers, all unemployed and anyone else who needs additional help during these challenging times.

The digital network, which has been designed to transform behaviour and support mental health, will also include full access to the Challenge Group community, offering daily support as well as online meetings.

Fairbairns concludes: “We are giving away our 28-day challenge for free over the coming weeks because we genuinely believe that this is the right thing to do.

“We strongly believe that NOW, during this pandemic, is more important than ever to look after ourselves and one of the ways we can do this is by reducing our alcohol intake.

“Like most businesses right now, we are having to adjust to the current situation. Our team is working tirelessly to deliver this offering and I feel so grateful that all of our staff have agreed to take a salary sacrifice so that together, we can continue to support everyone in this time of need.”

For more information visit and to get your 28-day challenge for free, visit https://www.oneyearnobeer.com/

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.