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 

Coronavirus appeal: Don’t order unnecessary prescriptions

GPs and Pharmacists across Greater Glasgow and Clyde have faced a high demand for prescriptions since the COVID-19 outbreak began and the country’s biggest health board is urging patients to not request or fill unnecessary repeat prescriptions.

It’s an appeal that will be echoed across the country.

GP practices and community pharmacies continue to operate. Patients are asked to phone in the first instance for any queries that are not coronavirus-related. For any patients with coronavirus symptoms, they are urged to consult NHS Inform or call NHS24 on 111.

Alan Harrison, NHS Greater Glasgow and Clyde, said:  “A huge thank you to all GP practice and community pharmacy teams who continue to care for patients in extremely challenging circumstances.  

“But they are facing an unnecessary strain because individuals are requesting and filling prescriptions when they do not need to.

“That’s why we’re asking the public to please help us and not order unnecessary prescriptions. We’re all in this together.”

One in five midwife roles are currently unstaffed

The Royal College of Midwives has today made a plea to NHS leaders to protect the safety of pregnant women by ringfencing maternity services in the current crisis.

There is concern that vital staff, including midwives and maternity support workers, will be redeployed to other areas, at a time when a survey of senior midwives found that the shortage of midwives on NHS maternity units has doubled since the start of the coronavirus outbreak.

The survey of heads and directors of midwifery from across the UK, carried out by the Royal College of Midwives (RCM), found that, even before the outbreak, services were struggling to get by with almost one in 10 midwifery posts vacant.

Survey respondents now report that this shortage has doubled to 20 per cent. The coronavirus itself as well as self-isolation has combined with existing staff vacancies to mean one in five midwife roles are currently unstaffed today.

Commenting on the survey results Gill Walton, Chief Executive of the RCM, said: “While other areas of the health service can postpone and cancel procedures, there is still an ongoing need for maternity services.

“Women are still pregnant, still having babies, and they need the care and support of properly resourced maternity services. We have to ensure that midwives and maternity support workers are ringfenced from any redeployment to ensure that women continue to receive safe care.

“What this survey shows is that coronavirus is exposing the gaps that already exist in maternity services. The shortage of midwives has doubled since the start of the outbreak, a situation which is only likely to worsen as the pandemic spreads further.”

Over a fifth (22 per cent) of survey respondents also reported that local midwife-led maternity units had been closed, with more than a third (36 per cent) of areas also either stopping (32 per cent) or restricting (four per cent) homebirths.

In 11 cases the midwife-led unit has been closed to provide facilities to assess or care for coronavirus patients.

Nearly eight out of 10 midwifery leaders (78 per cent) reported ending routine face-to-face antenatal and postnatal visits, with a further nine per cent restricting just face-to-face postnatal visits.

Heads and directors of midwifery reported confusion about what should happen to midwives with long-term health conditions or who live with someone with conditions that put them at greater risk, and the impact their self-isolation would have on staff shortages. 

Gill Walton continued: “We have to protect the maternity front door and continue to provide the levels of care and support pregnant women need.

“We need to do all we can to make sure the maternity workforce is kept well and healthy as much as possible. The testing of NHS staff is an urgent priority.”

Extra funding for mental health services

Extra funding to develop mental health services to cope with further demand as a result of the coronavirus (COVID-19) pandemic has been confirmed by the Scottish Government.

Minister for Mental Health Clare Haughey has announced a further £3.8 million to begin to increase the capacity of NHS 24’s telephone and online services.

This includes £2.6 million to expand the NHS 24 Mental Health Hub and Breathing Space telephone helpline and web support service and £1.2 million to provide extra capacity for Computerised Cognitive Behavioural Therapy (CCBT). Information about these expanded services will come on line as they become active.

Ms Haughey said: “Dedicated mental health professionals provide high quality care across Scotland – but in these trying times they are needed more than ever.

“The current situation around COVID-19, including concerns around social distancing, is an understandable cause of anxiety for many people. NHS 24 has already begun to see an increase in calls, including to Breathing Space, in recent weeks and anticipate this will continue to grow.

“It is vital that during this period of uncertainty anyone who requires support for their mental health can receive it.”

The additional £3.8 million will support a two-strand approach to the health response to COVID-19, both increasing the capacity of existing services while aiming to reduce demand. 

Funding of £2.6 million will provide additional capacity to the NHS Mental Health Hub of 27 full time equivalent (FTE) Psychological Wellbeing Practitioners, five FTE Mental Health Nurse Practitioners, and two FTE Senior Charge Nurses to provide 24-hour cover. This service is currently only available out of hours during the week and over the weekend.

This will take the total staffing for the hub to 69 PWPs, 20 MHNPs and six SCNs (all FTE).

The number of Breathing Space advisors will increase by 10 FTE workers and two FTE supervisors to expand both the telephone and webchat facilities. NHS 24 will also adapt a number of self-help guides and online resources through the NHS Inform website.

Funding of £1.2 million in the financial year 2020-21 will provide additional capacity to meet the immediate COVID-19 challenge on digital therapies supporting the rise in demand  and addressing the pressure on core  NHS mental health services. This will give support to the public and also to the Health and Social Care workforce and their families.

Mental health advice from Anxiety UK

The constant barrage of new developments regarding the current outbreak of COVID-19 (also known as coronavirus) can cause particular challenges for people living with anxiety, stress and/or anxiety-based depression especially those that have health anxiety and/or Obsessive Compulsive Disorder – OCD.

Whilst there’s plenty of advice on how to protect yourself and limit the risk of exposing yourself to the virus, little has been said about the effect a problem of this nature- can have on our mental health and specifically those who have pre-existing mental health issues such as anxiety disorders.

It is well established that for many that live with anxiety, a common characteristic is that of having an ability to tolerate uncertainty.  The current situation with coronavirus has clearly created a lot of uncertainty which might be difficult for those with pre-existing anxiety conditions such as health anxiety to manage.

For such individuals the whole situation may feel extra daunting and worrying and with the extensive media coverage that the subject has attracted, it’s understandable that some people may feel overwhelmed and begin to catastrophise – imagining the worst case scenario.

One thing that might be helpful for those experiencing anxiety to remember is that whilst no-one knows exactly what might happen, the good news is that most services and businesses will already have a contingency plan in place to ensure that they are able to continue operating as close to normal as possible.

Anxiety UK also has a robust business continuity plan in place which will allow us to keep supporting those that need our help.

Our services will not be disrupted and anyone who needs further assistance around any aspect of anxiety can contact us via our support email support@anxietyuk.org.uk or by calling the helpline on 03444 775 774 between the usual opening hours of 9.30am – 5.30pm.

Health anxiety can make any kind of symptom feel like the worst case scenario, however taking on board the below tips should help those experiencing health anxiety to feel in control and manage their anxiety:

Firstly, try to limit your exposure to news sources which are covering the coronavirus issue as this only serves to feed fear.

Ensure that you have some mental ‘downtime’ woven into your daily schedule.   Mindfulness practice can be incredibly helpful with apps such as the Headspace app (available to all Anxiety UK members at no additional cost) assist with keeping us in the here and now as opposed to allowing our minds to think about future scenarios which might never happen.

If you are feeling concerned or overly worried about it there are some techniques you can use to help manage your anxiety such as simple breathing or (short-term) distraction exercises and mindfulness.

A free guide is available to download here https://www.anxietyuk.org.uk/products/booklet/breathing-and-relaxation-guide/

Try practising the APPLE technique which encourages you to Acknowledge, Pause, Pull back, Let go and Explore: 

Acknowledge – Notice and acknowledge the uncertainty as it comes to mind.

Pause – Don’t react as you normally do. Don’t react at all. Just pause and breath.

Pull back – Tell yourself this is just the worry talking, and this apparent need for certainty is not helpful and not necessary. It is only a thought or feeling. Don’t believe everything you think. Thoughts are not statements or facts.

Let go – Let go of the thought or feeling. It will pass. You don’t have to respond to them. You might imagine them floating away in a bubble or cloud.

Explore – Explore the present moment, because right now, in this moment, all is well. Notice your breathing and the sensations of your breathing. Notice the ground beneath you. Look around and notice what you see, what you hear, what you can touch, what you can smell. Right now. Then shift your focus of attention to something else – on what you need to do, on what you were doing before you noticed the worry, or do something else – mindfully with your full attention.

If you feel that you need more targeted and 1:1 support for your anxiety, here at Anxiety UK we have a range of services which you might find helpful including talking therapy support services: Cognitive Behavioural Therapy (CBT), counselling and clinical hypnotherapy – all accessible at reduced rates.

For more information on health anxiety in general, you can download our fact sheet here – https://www.anxietyuk.org.uk/products/anxiety-condition/health-anxiety/health-anxiety-fact-sheet-instant-download/

Lord Provost: We’ll get through this together

Edinburgh’s Lord Provost FRANK ROSS shares a message of thanks to Council staff, NHS workers and people of Edinburgh:

“This is an extremely unsettling time for everyone. Unprecedented is often the word on all of our lips as we find ourselves facing a global health and economic crisis. I send my deepest condolences to those who have lost loved ones, and my best wishes to all who have been affected. 

I’m sure I speak on behalf of everyone in the city when I express our enormous gratitude to the staff of NHS and health workers, who are doing an incredible job in the most challenging of circumstances. Last night, Edinburgh joined communities across the country in a nationwide round of applause, paying tribute to the NHS staff working hard to treat coronavirus patients. It was a truly moving moment.

Edinburgh is now feeling the effects of the pandemic, but I believe if we take the right actions now, we will slow the spread, reduce the impact and save lives. I’d like to thank everyone who has followed the rules and stayed at home.

I’m aware that we all have serious concerns about the impacts of coronavirus and what it will mean for your family, your health, your job and your family finances.

I want to reassure you that the Council is completely focussed on preparing for what lies ahead over the next days, weeks and months. We’re doing everything we can to keep vital services running and keep residents informed and supported.

I would like to thank all local authority workers for their ongoing commitment and hard work at this difficult time. The attitude and willingness to adapt to make sure key services are delivered for the people of Edinburgh is humbling and won’t be forgotten.

As key workers and service providers across the city work to keep Edinburgh moving and help those who need it most – there are some important things that we can all do to make a big difference in our communities.

I implore you to listen to and act on the advice to stay at home, as far as possible. We must follow the advice from the experts. It helps us to protect those most vulnerable to the virus and those essential workers who continue to support the city. We must do everything possible to reduce the amount of people becoming ill and dying, or we risk our NHS being overwhelmed and unable to cope.

If you do go outside please practice social distancing, go on your own or with one or two others in a small family group. Parks and beaches should not be busy. And of course, if you believe you have any of the symptoms (high temperature or fever, cough, shortness of breath) please abide by the isolation guidance and stay indoors. I’m not exaggerating when I say, lives depend on it.

It’s important that we look out for our family, friends and neighbours, in particular, the elderly and the isolated. These are troubling times and a friendly word or help with a chore can go a long way. It has been fantastic to see some the great work of local people and projects rallying together in communities.

Misinformation is also a concern of mine – we often receive and share pieces of advice that we’ve heard from a friend of a friend who is in the know and I urge you to practice good information hygiene as well as personal hygiene.

Before sharing what you’ve heard, ask for a source of the information as this could easily be false or taken out of context. Get your information from recognised sources and the updates provided by NHS and Scottish Government.

This is undoubtedly the biggest challenge we’ve faced in a very long time as a nation, but we will get through this together.

There is a lot of information and support available to help you. Please visit our information pages and follow @Edinburgh_CC for up to date information.

Stay safe and stay connected.”

Marie Curie in Scotland caring on the frontline

The charity Marie Curie is geared up to care for hundreds of additional dying patients requiring end of life care, in order to relieve the unprecedented pressure on the NHS during the Coronavirus crisis.

Marie Curie in Scotland needs to raise over a quarter of a million pounds a week (£2.5 million UK-wide) to continue to run its essential frontline services, at a time when its ability to generate this money has been seriously compromised.

Given the choice, people overwhelmingly say they would prefer to die in their own home, or in a hospice, rather than a hospital. 

People who are dying are able to leave hospital quickly, if the right package of care is in place and it is safe to do so. Marie Curie are experts in providing that care.

Now more than ever, dying people who do not want to be in hospital need to be moved to a more appropriate setting, as precious beds in critical care units are urgently required for patients who need lifesaving treatment for Coronavirus.

Marie Curie can help, but only if it continues to raise the donations it needs to fund its vital work. 

Marie Curie Head of Community Fundraising in Scotland Debbie Mooney said, “This is a stark warning that Marie Curie desperately needs more donations if it is to continue caring for dying people and help the NHS cope with the Coronavirus crisis.  

“The people of Scotland are known for our generosity and kindness, which we’ve seen in abundance over the last few difficult weeks. We need the public to rally around our hospices and nurses now and give whatever they can. It has never been more critical.”

Marie Curie’s Chief Executive Matthew Reed said: “At this time of national emergency, Marie Curie Nurses and frontline staff are needed more than ever as the NHS is put under ever greater strain. We’re ready and geared up to help, with hospice beds and nurses on standby.    

“Sadly, some people’s lives will be shortened by Coronavirus, so the need for end of life care will be greater. Marie Curie can meet this need, and in doing so will help free up intensive care beds needed for Coronavirus patients.

“But just as we want to help, our income has been decimated.  We need donations urgently to keep our Nurses and Hospice staff on the frontline.

“Unlike other healthcare providers, Marie Curie is reliant on donations from the public to survive. Every week the charity needs to raise £2.5million to care for the tens of thousands of people who require nursing and hospice care.  

“At the moment, our ability to fundraise is seriously compromised. Events are being cancelled, and we’ve had to close our Shops.  That is why we have launched an emergency appeal to make up the shortfall, and ensure the charity can care for more dying patients, support the NHS and ultimately save lives in the weeks and months ahead.”

Matthew added: “We are all in this crisis together and already we are seeing how the public in this country is rising to support each other and the most vulnerable.  Please donate now.”

  • Text NURSE to 70633 to help us reach the families who need us. Texts cost £5 plus 1 standard rate message. 98% is received by Marie Curie. To unsub text OUT to 78866. Thank you.

If you, or someone you know, is affected by a terminal illness and concerned about Coronavirus, our Support Line team are ready to help with the information you need when you need it. Call free 0800 090 2309*.

Due to increased demand, Marie Curie has extended its service to 7 days a week: Monday to Friday 8am to 6pm, Saturday and Sunday 11am to 5pm. Your calls may be recorded for training and monitoring purposes.

You can also find more information on our website: mariecurie.org.uk/coronavirus