Health and wellbeing – Page 302 – The NEN

Coalition urges government to up it’s game

The Scottish Children’s Services Coalition (SCSC), an alliance of leading independent and third sector providers of children’s services, is urging the Scottish Government to ‘up its game’ in response to a new report from the Mental Welfare Commission.

The report indicates that the number of young people under the age of 18 admitted to non-specialist hospital wards – mainly adult wards – for treatment of their mental illness in Scotland in 2018-19 rose for the second year running. There were 118 admissions involving 101 young people.

This is an increase on the 2017-18 figures which were 103 admissions involving 90 young people and a further increase from 2016/17 when there were 71 admissions involving 66 young people.

Admission of a young person to an adult ward should only be acceptable in rare situations.

However, despite a greatly increased demand on mental health services, there are currently only 48 specialist hospital beds provided by the NHS in Scotland for adolescents with mental health problems.

These are located in three child and adolescent mental health services (CAMHS) inpatient units (Dundee, Edinburgh and Glasgow) and there is a further six place unit for five to 12-year olds in the Royal Hospital for Sick Children in Glasgow. There is no inpatient provision north of Dundee.

Given the lack of provision, many children and young people with severe mental health problems are therefore being admitted to non-specialist adult and paediatric hospital wards, settings which are in many cases inappropriate to their needs.

The coalition has urged the Scottish Government to ensure that there are adequate specialist bed numbers that can deal with the requirements and to refocus its efforts on prevention and early intervention, ensuring that issues do not escalate so that they require the provision of these specialist services. It has also called for secure impatient facilities for young people with mental health illnesses, of which there are currently none in Scotland.

Under the Mental Health (Care and Treatment (Scotland) Act 2003 Health Boards are required to provide appropriate services and accommodation for young people admitted to hospital for treatment of their mental disorder.

Given admissions to non-specialist mental health wards, it is clearly arguable whether appropriate services are being provided.

There are a number of differences between specialist units and wards designed to treat the needs of adults with serious mental illness, both in terms of staff training and the overall ward environment. Given this, there is a clear concern that the needs of a young person may not be met in comparable way when admitted to an adult mental health ward as opposed to a specialist child and adolescent unit.

A spokesperson for the Scottish Children’s Services Coalition commented: “We are clearly concerned about the increasing number of those being admitted to adult mental health wards, often inappropriate to their needs, both in terms of staff training and the ward environment.

“The Scottish Government needs to up its game on this and provide adequate facilities, ensuring that there are sufficient specialist bed numbers for those requiring them. There is also currently no provision north of Dundee and this requires to be urgently addressed.

“For children and young people who require inpatient mental health care, a lack of such services means that they frequently remain at home, often until the family reaches crisis point, leaving them feeling isolated and delaying recovery.

“These are among the most vulnerable members of our society and we owe it to them to give them the adequate care and support that they need.”

Tackling loneliness during COVID-19 outbreak

Age Scotland is encouraging people to look out for older friends, neighbours and relatives who may be staying home due to concerns over coronavirus.

Older people are more likely to be affected by the virus, especially if they have underlying health conditions. Some members of vulnerable groups are choosing to limit their social contacts, while many regular events and meetings have been cancelled across Scotland.

Age Scotland is recommending that everyone follow NHS guidelines, but has warned that older people could be at increased risk of loneliness and isolation if they choose to stay at home, missing out on regular social occasions.

Many older people may also need help with practical tasks, such as ordering groceries or caring for pets.

The charity is sharing tips on how to help people stay connected while minimising the risk of infection.

Brian Sloan, Chief Executive of Age Scotland, said: “We know that older people and those with underlying health conditions may feel more vulnerable during the coronavirus outbreak and as a result they might choose not to go out and socialise as much as they would normally.

“At this stage the NHS and Scottish Government advice is to stay at home only if you have the symptoms of coronavirus, including a fever and a cough.

“We would urge people who are well and have had no contact with others from high risk parts of the world to think about older people in their community who might be feeling anxious and alone.

“Some older people will be having fewer visits from family who live further afield, because they are unable to travel, so a friendly call or knock on the door could make a huge difference to their day.

“Being a good neighbour by checking in with vulnerable older people to offer to pop to the shops for them or pick up medication will go a long way to reducing loneliness and isolation. It will also help bring communities together at a challenging time for everyone.

“This is an opportunity to see the best of Scotland, to help and look out for another. Let’s start by supporting older family, friends and neighbours.”

Age Scotland’s 10 top tips:

• Stay in regular touch with older friends, relatives and neighbours by phone, email or video calls

• Don’t forget snail mail – everyone loves getting letters and postcards, or just a note through the door

• Check if someone needs repeat medication picking up

• If someone is self-isolating, offer to pick up groceries or other essentials and leave them on the doorstep

• Find out if someone would like help to set up an online delivery, or do it on their behalf

• Make sure the person has plenty of entertainment such as books, magazines or puzzles

• Consider if you can offer help with pets

• Try agreeing to watch the same TV programme and calling for a chat about it afterwards

• Encourage people to stay active if they are self-isolating – whether that’s moving around the house or a walk away from crowded areas

• Find out the services available in your area from local councils, charities and other organisations.

People can also call the Age Scotland helpline for advice or a friendly chat on 0800 12 44 222.

The most recent NHS advice on coronavirus can be found here.

GIVE BLOOD: Advice for donors

At the Scottish National Blood Transfusion Service, we take great care to minimise any risk of harm to donors or patients. This is why we place a number of restrictions on who can donate at any given time – and why these constraints can and do change over time.

Statements 11/03/2020 – Update on Coronavirus (COVID-19)

Giving blood is an essential activity. We must ensure hospitals are well stocked with blood and blood products at this time.
We are open, and our sessions are going ahead as normal.
If this changes, we will let you know.

Please make an extra special effort to give blood over the coming days, weeks and months. If you are fit and well and have not been impacted by COVID-19, it’s important you come forward to donate.

Am I eligible to donate?

Currently, you must not donate if you fall into one of the following categories:

You have COVID-19
You are in self-isolation with symptoms of possible COVID-19
You are well but are in self-isolation because other household members have symptoms of possible COVID-19

If you have shown symptoms of COVID-19, you must not donate until at least 14 days after final symptoms ceased.

If you were self-isolating because other household members were sick, but you remained symptom free yourself, you must not donate until 14 days after your first day of self-isolation.

Edinburgh Leisure to close venues

Edinburgh Leisure will be closing all its venues and golf courses from close of play today (Thursday, 19 March). Community access to the 22 high schools that it manages on behalf of the City of Edinburgh Council have also been suspended.

The news follows the announcement from First Minister, Nicola Sturgeon that schools will close from Friday, 20 March.

June Peebles, CEO of Edinburgh Leisure said: “These are unprecedented and challenging times for everyone and we are communicating this news to all our stakeholders which includes staff, customers, service providers, tenants, partners, suppliers and volunteers as soon as possible.

“Like so many others affected by this pandemic, it is worrying times for everyone including our staff. Edinburgh Leisure is a charity; and every penny we receive from memberships, lets, events and funding is reinvested back into our venues and funds the services that we provide – therefore shutting our venues and therefore freezing customers’ memberships has huge consequences for us and also the health of Edinburgh.

“Whilst our customers won’t be able to keep active with Edinburgh Leisure for the time being, we will be looking at offering advice to our customers on tips for keeping moving remotely and access to classes via ‘Les Mills on demand’ so that customers can workout at home. And providing advice from Public Health Scotland allows people to not require to totally self-isolate, there is also the option of going for a walk or run outside.

“We really hope that once the situation passes that customers will return to Edinburgh Leisure venues to keep active and stay active once again and to continue supporting us as they have done for the last 22 years.”

There is currently no indication as to how long the venues will remain closed – reopening will be guided by advice from the Government and Public Health Scotland.

Like every customer facing business, Edinburgh Leisure has been receiving a high volume of calls to their Customer Accounts and Customer Enquiries team, which has meant a delayed response.

An Edinburgh Leisure spokesperson said: “We have been receiving a really high level of enquiries over the last week from customers. We would urge customers to bear with us and we will be back in touch with customers directly about their memberships in the coming days.”

Coronavirus: Morrisons introduces new measures

Morrisons has set out a number of measures to support colleagues and customers during the Coronavirus outbreak.

As a British family business, Morrisons will do its bit during the emergency and today sets out a plan to protect and help colleagues and expand home delivery to many more households at a time of national need. In doing so, Morrisons will create an extra 3,500 jobs.

These measures follow on from Morrisons announcement last week that it would be implementing immediate payments for its smaller suppliers, supporting their cashflow during this very difficult time for the British economy.

The key elements of the plan announced yesterday are:

Colleague hardship fund – to support colleagues who are in financial difficulty as a result of the Coronavirus outbreak we will create a colleague hardship fund. Colleagues will be able to apply for funds if they experience a financial setback and are struggling to make ends meet.
Helping colleagues – Morrisons colleagues are very highly valued and the company is introducing the following measures if they are affected:
* Those who are sick with the Coronavirus will receive sick pay whether or not they would normally be eligible.
* Colleagues who are affected either because of self isolation, or by playing their part in looking after close family members or the vulnerable in their local community, will also be eligible for sick pay, alternative shifts or holiday.
Protecting colleagues – Morrisons will protect highly valued colleagues by:
* Asking customers at the checkout to pay, if possible, by card or smartphone to reduce cash handling.
* Issuing hand sanitiser to checkouts at all stores and significantly increasing cleaning on places that colleagues and customers touch.
* Redeploying colleagues who are vulnerable to the virus, where possible.
Expanding home delivery – Morrisons is to introduce new ways of delivering groceries and more slots for customers, which will also help vulnerable people and those affected by the virus. New measures include:
* Launching a new range of simple-to-order food parcels, including options for vegetarians, from March 23rd.
* Making more delivery slots available to customers both through Morrisons.com and the Morrisons Store on Amazon Prime Now. Morrisons will use 100 further stores to pick customers’ shopping over the coming weeks.
* Launching a customer call centre for orders to be taken over the phone so that people who do not shop online can still order food.
* To support the roll-out of these expanded home delivery methods, Morrisons will be recruiting around 2,500 pickers and drivers.
New Jobs – The outbreak of coronavirus will affect businesses across the UK and Morrisons will be offering jobs to people that are impacted. In addition to around 2,500 pickers and drivers to expand home delivery, Morrisons will be recruiting around 1,000 people to work in the company’s distribution centres. The vacancies will be advertised through a campaign on radio and social media and the Morrisons jobs website morrisons.jobs

David Potts, Chief Executive of Morrisons, said: “We expect the days, weeks and months ahead to be very testing and we are determined to do our bit.

“These measures will support our very hard-working colleagues, enable us to provide more food to more people in their homes and create opportunities for people whose jobs are affected by the coronavirus.”

NHS Scotland placed on emergency footing

Non-urgent elective care will be postponed in Scotland as part of NHS Scotland’s ongoing preparations for coronavirus (COVID-19).

Speaking in Parliament yesterday, Health Secretary Freeman said that NHS Scotland would be moving to an emergency footing for at least the next three months, in order to be ready to face a substantial and sustained increase in coronavirus cases.

Ms Freeman said the decision to postpone all non-urgent elective care had been made to free up capacity in hospitals, while work to double Scotland’s intensive care capacity continues as NHS Boards retrain staff and repurpose existing facilities.

Ms Freeman said: “We have been clear from the outset about the challenges our health service will face in the weeks and months to come from coronavirus.

“While our NHS is prepared and has a proven track record of dealing with these types of outbreak, we want to free up capacity in our hospital settings, and ensure access to beds for those who need them.

“That’s why we have asked boards to start scaling down non-urgent elective operations from now until further notice.

“Vital cancer treatments, emergency, maternity, and urgent care will continue, and patients have our assurance that all appointments will be rescheduled as quickly as possible as we get through the challenge to our NHS that COVID-19 presents.

“While these are undoubtedly difficult times, we fully expect our NHS to ensure patients are treated in line with their clinical priority, and the impact of COVID-19 on cancer patients has been a priority in all of our planning.”

The Health Secretary’s statement followed news that a second person who tested positive for coronavirus, an elderly patient with underlying health conditions, has died.

This follows the first death of a patient in Scotland with coronavirus, which was announced on Friday 13 March 2020.

This afternoon, First Minister @NicolaSturgeon gave a statement to the Scottish Parliament on the latest measures around coronavirus.

Find out the latest guidance ➡️ https://t.co/l7rqArB6Qu pic.twitter.com/9RTtms1dLr

— Scottish Government (@scotgov) March 17, 2020

Chief Medical Officer Catherine Calderwood said: “I am very saddened to report that an elderly patient with underlying health conditions, who has tested positive for coronavirus, has died. The patient was being treated by the NHS Greater Glasgow and Clyde Health Board.

“I offer my deepest condolences to their friends and family at this difficult time. No further information will be available to protect patient confidentiality.”

Parliamentary Statement: Coronavirus (COVID-19) Update to Scottish Parliament

Non-urgent elective activity includes procedures that are non-life threatening and can be postponed without a negative clinical impact, such as elective gallbladder and hernia surgery, non-trauma orthopaedic surgery such as hip and knee operations, and elective gynaecological operations.

Contingency planning for the supply of oxygen both in hospital and in the community is in place, and a further 450 new standard concentrators for use in the community have been ordered.

The Scottish Government is working closely with COSLA, Health and Social Care Partnerships and Chief Officers to see a reduction of delayed discharges of 400 by the end of March.
A national cancer treatment response group has been established to provide ongoing advice and support around cancer treatments, and ensure all appropriate measures are undertaken in the present situation to protect those living with cancer.
The NHS will directly contact people who are immunosuppressed next week and work closely with other social services to ensure they are supported.
Surveillance testing is being scaled up to monitor the spread of the virus in the community.
Monitoring will also continue through our laboratories and will be targeted on the following further groups:
1. admissions to hospital;
2. admissions to intensive care;
3. community testing dependent on circumstances, for example specific situations such as a nursing home outbreak.

Key workers such as frontline NHS staff will be tested to ensure they do not self-isolate unnecessarily.
In order to cope with rapid increase in numbers of people presenting with respiratory symptoms, patients will now be asked to contact via NHS 24 on the 111 number, rather than through their GPs.

Meeting to discuss community response to Coronavirus pandemic

North Edinburgh activists are to meet tomorrow to formulate a community response to tackling problems caused by the coronavirus pandemic. The meeting will take place in West Pilton Neighbourhood Centre at 2.30pm.

Meeting organiser Willie Black said: “We have already seen communities coming together to do what they can to help their neighbours and our more vulnerable residents, and the purpose of tomorrow’s meeting is to co-ordinate this community response to make sure no person is being missed or left out.

“By working together and pooling our resources we can better respond to the challenges posed to our community by this pandemic.”

Local voluntary sector organisations, food banks, community centre representatives, council officers, community councils and local elected politicians have all been invited to attended.

What can you do to help? Why not attend the meeting and find out!

Dare you do the DARED Challenge?

A unique fundraising challenge event designed by school staff to support vulnerable children across Edinburgh and the Lothians is back for 2020.

A fundraising event that inspires school staff and individuals from across Edinburgh and the Lothians to lace up their running shoes in support of a leading children’s charity is back for 2020.

The DARED Challenge – Do A Run Every Day – encourages participants to complete either a 1 mile or 5km run every day throughout the month of June in support of West Pilton-based charity, Circle.

Devised in 2018 by Broughton High maths teacher, and keen runner, Mark Fletcher, the DARED Challenge has continued to grow and last year saw more than 150 school staff from across Edinburgh and further afield raise more than £14,000 for the charity.

This year, as well as again looking to school staff from across the region to support the event, Mark and his organising team are appealing for members of the public to get involved. Circle’s patrons, David Tennant and Arabella Weir, will be joining the campaign to recruit participants in the coming months.

David Tennant’s previous video statement can be seen here.

Alongside the fundraising element, the aim of the challenge is to encourage as many people as possible to enjoy the physical and mental benefits of daily exercise, as well as spending time with colleagues away from the desk and work. The choice of different distances enables both experienced and beginner runners to feel included and challenged.

Although the premise of the event was built on getting school staff and teachers exercising regularly, organiser Mark hopes that the health benefits that arise as a result of this type of challenge will inspire anyone – not just teachers – to get involved.

He said: “Incorporating exercise into our daily lives has countless benefits to our physical and mental health. If we can do this while raising money for an extremely deserving cause, everyone’s a winner.”

Funds raised through the DARED Challenge will go directly to supporting Circle in its aim of improving the lives of children by strengthening families. The charity works at the heart of deprived communities across central Scotland, supporting the most disadvantaged children and families to improve their lives, promote their healthy development and reach their potential.

Participation in the DARED Challenge will help strengthen the charity’s family outreach work, help children and their families communicate, repair relationships and develop skills that enable them to lead more fulfilling lives.

Social inequality and poverty lead to some of the many reasons that a family may need the support of Circle including alcohol and substance misuse, imprisonment and young or lone parenting.

Many of the pupils in participating schools from previous DARED Challenges are supported by Circle.

Mark Kennedy, Chief Executive of Circle, said: “We are incredibly grateful to everyone who is taking part in The DARED Challenge as their dedication, passion and enthusiasm will directly enable Circle to continue our vital work supporting vulnerable children and families in Edinburgh and beyond.”

Early bird entry for the DARED Challenge is now open with participants able to choose to run one mile or 5km a day in June. Participation costs £10 per person. Participants are asked to fundraise a minimum of £50. Participants who do not wish to fundraise can pay an additional £20 to secure their position on the challenge.

Full details can be found here.

Coronavirus: keep kids informed

The British Psychological Society says it is vital to talk openly to children and reassure them about the changes they are seeing around them due to Coronavirus.

Some of the changes, like people wearing face masks or empty supermarket shelves, can be scary for children and they are likely to need to talk to someone they trust about some of the imaginative misinformation they might have heard from friends at school.

The advice stresses that it is important to be truthful, but remember your child’s age. An honest and accurate approach is best, giving them factual information, but adjusting the amount and detail to fit their age.

For example, you might say ‘we don’t yet have a vaccination for Coronavirus, but doctors are working very hard on it’ or ‘a lot of people might get sick, but for most people it is like a cold or flu and they get better’.

Other advice from the BPS’s Division of Educational and Child Psychology includes:

Younger children might understand a cartoon or picture better than an explanation. We also recommend that adults watch news programmes and then filter this information to their child in a way that’s right for their development.
Allow children to ask questions: It is natural that children will have questions and worries about Coronavirus. Giving them the space to ask these questions and have answers is a good way to alleviate anxiety. It is ok to say you don’t know – at the moment, there are questions we don’t have answers to about Coronavirus. You can explain this to your child and add in information about what people are doing to try to answer these questions. Maybe your child has an idea too – let them tell you or draw them.
Try to manage your own worries: Uncertainty can make all of us feel anxious or worried. Identify other adults you can talk to about your own worries and questions. What things usually help to make you feel a bit calmer? If you are at home, music, breathing and relaxation techniques, distraction (such as watching something funny), and time with family members or pets can all help. Talk to your children when you feel calm to reassure them.
Give practical guidance: Remind your child of the most important things they can do to stay healthy – washing their hands and the ‘catch it, bin it, kill it’ advice for coughs and sneezes. Help your child practise and increase their motivation for keeping going (maybe thinking of a song they want to sing while washing their hands).

The BPS will continue to post advice on its website on ways to cope with the Coronavirus pandemic in the coming days and weeks.