Wes Streeting hails use of private sector in England’s NHS

STREETING: “WEALTH SHOUDN’T DETERMINE HEALTH”

FASTER CARE FOR THOUSANDS THROUGH NHS USE OF INDEPENDENT SECTOR

  • A total of 6.15 million appointments, tests and operations were delivered by independent providers for NHS patients this year.
  • The almost 500,000 increase on last year is helping to cut waiting times, free up NHS capacity and deliver national renewal through the government’s Plan for Change
  • Patients able to cut waiting times by up to five months by switching to nearby hospital with shorter queues.

Hundreds of thousands of people are receiving faster care thanks to the Labour government’s partnership with the private sector, which is helping provide the treatment they need to get back on their feet – free at the point of use.

More than 6 million tests and operations for NHS patients were delivered by independent healthcare providers over the past year – almost 500,000 more than last year.

Independent healthcare providers delivered an average of 19,000 surgical procedures and 100,000 outpatient appointments every week this financial year – helping to treat more than 1.1 million people

This is all part of the drive to use every resource available to stop patients suffering on the unacceptably long waiting lists this government inherited – which have now fallen by 206,000 over the past year.

Using spare capacity in the private sector is central to the government’s goal that 92% of patients in England should wait no longer than 18 weeks from referral to treatment – which is fundamental to delivering the renewal this country needs.

Health and Social Care Secretary Wes Streeting said: “I’ll do everything I can to get NHS patients treated faster, free at the point of use.

“This is a principled, progressive position, not just a pragmatic one. We’re not prepared to continue two-tier healthcare, when those who can afford it get treated on time, and those who can’t are left behind. Wealth shouldn’t determine health.

“This is just one reform which has helped deliver 5 million more appointments, grown NHS productivity, and cut waiting lists by 200,000.

“We are also investing in growing the NHS capacity, opening up CDCs and operating theatres at evenings and weekends, and bringing in modern technology like robotic surgery. Through investment and relentless reform, we will make sure every patient is treated on time, not just those who can afford to pay.”

The partnership with the private sector comes alongside the other UK government measures to cut waiting times and expand NHS capacity in England, including:

  • Opening more Community Diagnostic Centres seven days a week, 12 hours a day. They have delivered over 8.7 million diagnostic tests since July 2024, closer to where people live, freeing up hospitals.
  • Opening new 22 new surgical hubs and expanding a further 12.
  • Introducing a national programme of weekend High-Intensity Theatre (HIT) lists once a month in 50 hospitals to get through a week’s worth of planned operations in a day
  • Setting up NHS Online, which will deliver up to 8.5 million appointments in its first three years and allow patients to digitally connect to expert clinicians anywhere in England.

The partnership with the independent sector strengthens the commitment set out in the 10 Year Health Plan to boost patients right to choose where they are treated, with new research showing patients are cutting their wait for an NHS operation by up to five months by switching to a nearby hospital with shorter queues.

Sir Jim Mackey, NHS Chief Executive, said: “The independent sector is playing a vital role in supporting our efforts to bring down waiting lists and ensure patients can get the NHS care they need faster.

“Thanks to the ambition and hard work of NHS teams, we are seeing early signs of progress with waiting lists falling for the first time in years – but we are determined to go further and faster to improve patients’ experiences and this data shows clearly that maximising use of this capacity is an approach that is working for patients.”

Research from the Independent Healthcare Providers Network (IHPN), alongside the Patients Association and Arthritis UK, found patients need to travel on average just under 13 miles – typically under 30 minutes by car – to cut over two and a half months off their waiting time for treatment.

For particular treatments, patients can cut their wait even further. For example, in the South East, patients requiring general surgery such as a hernia operation could cut their wait from an average of 27 weeks to just 6 weeks – a reduction of almost five months – by travelling from the areas with the longest waiting times to shortest.

David Hare, Chief Executive of the Independent Healthcare Providers Network, said: “These latest figures demonstrate just how important the independent sector is in providing much-needed NHS treatment – delivering around 10% of all NHS elective activity, and a record amount of appointments, tests and scans – all free at the point of use to patients.  

“In committing to better commissioning, patient choice and clear incentives, the recent NHS & Independent Sector Partnership is having real benefits to patients and by sticking to these principles, the Government and the independent sector can continue to drive down NHS waiting lists long into the future.”

Deborah Alsina MBE, Chief Executive of Arthritis UK said: “Thousands of people with arthritis in need of life changing hip and knee replacements are waiting in unnecessary pain.

“We know that the longer people wait, the more impact this has on their lives and causes a further deterioration in their joints which results in more complicated and expensive surgery and too often worse health outcomes.

“Promoting patient choice, including being able to be treated by independent providers, is therefore an important tool which may ensure that people can get faster access to the treatment they so desperately need.”

Sarah Tilsed, Head of Partnerships and Involvement, The Patients Association: “It’s encouraging to see more patients receiving the care they need sooner, with over six million NHS appointments, tests, and operations delivered through the independent sector in the past year.

£Every patient who has their treatment brought forward no longer has their life on pause and is able to take the next step in their care journey.

“As the NHS continues working to reduce the backlog, it’s vital that patients are supported with clear information and real choice about their options. Using all available capacity to deliver care sooner is essential, as long as patients are well informed of their right to choose and feel in control of their care journey.”

  • All figures above relate to the period September 2024 to August 2025
  • Independent healthcare providers deliver NHS care free at the point of use under contract to the NHS
  • 7.6 MILLION people were on NHS England waiting lists last month

Report on Melville Unit highlights need to strengthen safety and wellbeing of young people

The first in a series of visits to Child and Adolescent Mental Health Services (CAMHS) Inpatient units has found a mix of concerns for the safety and wellbeing of young people, alongside committed staff and positive initiatives at the Melville Unit in Edinburgh.

The joint unannounced visit was carried out in May 2025 by the Mental Welfare Commission for Scotland together with Healthcare Improvement Scotland, following a commitment from the Minister for Social Care, Mental Wellbeing and Sport to address national concerns about the care of young people in mental health units.

The Commission listened to the experiences of the young people in the unit during the visit. While young people reported feeling listened to by staff and staff were praised for their clear commitment and passion, the visit identified several critical areas requiring immediate action.

Key findings on safety and wellbeing of young people

The report presents a mixed picture of the care provided at Melville. On one hand, the Commission observed positive interactions between staff and young people, who reported feeling listened to by dedicated and passionate staff.

However, there were concerns for the safety and wellbeing of young people. A significant issue was the use of restraint. The report calls for urgent improvement when this highly restrictive response is used, noting a lack of detailed care plans and incomplete records.

Of particular concern is the practice of nasogastric tube feeding under restraint, which requires immediate review to ensure it follows best practice and respects young people’s involvement in decisions about their care.

The unit has also yet to ensure all care is lawful under the Mental Health Act, as our previous recommendations have yet to be fully acted on and embedded. The quality of care planning and communication with parents also requires improvement.

Young people and their families reported a lack of activities, especially in the evenings and on weekends. Some young people said this meant they spent “too much time thinking their own thoughts,” which directly impacts their recovery.

The physical environment was also noted as requiring attention to ensure the safety of both staff and patients.

Julie Paterson, Chief Executive of the Mental Welfare Commission and Robbie Pearson, Chief Executive of Healthcare Improvement Scotland said: “Inpatient care provides intensive support for children and young people experiencing acute mental health crises and it is crucial such care meets both legal requirements and standards for the safe delivery of care.

“This report has identified areas for improvement as well as good practice.  It is important the NHS Lothian addresses the recommendations and requirements with appropriate urgency.”

Claire Lamza, Executive Director (Nursing) of the Mental Welfare Commission for Scotland, said: ““The safety and wellbeing of vulnerable young people in specialist inpatient mental health units is a key priority for the Mental Welfare Commission. Several findings from our visit to Melville were concerning as they did not provide the quality of lawful care and treatment every young person has a right to.

“We recognize the dedication of staff at Melville who genuinely advocate for young people. However, decisive action from NHS Lothian is needed to address the issues identified in this joint report and in previous Commission visit reports. This must include honest reflection on why previous action plans and intentions have yet to deliver meaningful change for young people and their families.”

Nicola Killean, Children and Young People’s Commissioner Scotland, said: “I’m deeply concerned about the findings from the Mental Welfare Commission into the care of children at Melville Unit, which highlight potential rights breaches including the safe and lawful use of restraint.

“This is further worrying evidence about the use of restraint on children living in some of the most vulnerable situations. Alongside partners I have been raising my concerns with the Scottish Government about the use of restraint on children in mental health provision for over two years.  

“Following my recent letter before action, I am pleased that the Scottish Government has now confirmed that it will revise the statutory code of practice to include human rights-based guidance and put in place mandatory recording and reporting of restraint and seclusion.

“I have also been given assurances that it will designate the Mental Welfare Commission as the appropriate monitoring body. These steps must be taken urgently to protect children from harm.”

NHS Lothian says it is working to improve services for young people at the Melville Inpatient Unit after it accepted a joint report published today (Thursday 23 October) by Healthcare Improvement Scotland (HIS) and the Mental Welfare Commission (MWC).

A robust action plan is already well underway to address the report recommendations and improve care in the specialist Child and Adolescent Mental Health Service (CAMHS) unit which supports up to 12 young people with complex needs.

CAMHS has made significant progress in recruiting and retaining more skilled staff and developing new care pathways, with the report also highlighting positive staff interactions and their commitment and passion for working with young people.

However, Jim Crombie, Deputy Chief Executive for NHS Lothian, said that wider improvements were continuing across the unit. He added: “We want to reassure young people and families that we are committed to delivering safe, high-quality and effective care and we take the findings of the report extremely seriously.

“The safety and care of young people and staff is always our top priority.  Restraint is only ever used in the unit as a last resort to prevent harm for young people or to staff or other patients.

“We introduced an initiative to reduce the use of restraint further, which was observed by HIS during the inspection, and has shown positive results. Systems are also in place to improve the recording, monitoring and auditing of restraints.

“We continue to prioritise this work by training and educating staff in safe restraint, wider care planning, managing distress, responding to violence and aggression and supporting young people in their future care, including those who require essential nasogastric tube feeding.

“We want to thank staff for their ongoing dedication and HIS and MWC for their expertise and guidance in shaping improvements to the mental health care of young people. We will welcome any forthcoming national guidance or best practice from these essential reviews.”

The action plan also includes work underway to improve multidisciplinary team dynamics through enhanced meeting structures, communication, collaboration and decision making to work more effectively with young people.

Since May 2025, a system has been in place to monitor legal authority for treating young people under the Mental Health Act, with enhanced managerial oversight and daily checks by registered nurses to ensure documentation is in place before administrating care.

Work also continues to expand meaningful evening and weekend activities for young people with regular reviews planned. Nurses will also receive refresher training to strengthen their therapeutic skills in individual and group settings.

A review of the physical environment of the Melville Unit, including looking at options for how best to provide care safely while meeting the needs of young people, is also well underway.

A copy of the report is available from Healthcare Improvement Scotland.

NHS Lothian: Look out for your breast screening letter

Routine screening doesn’t stop you getting breast cancer, but it’s the best way to spot cancers at an early stage when they’re easier to treat.

That’s why it’s important you attend your appointment when invited.

Find out more at http://nhsinform.scot/breastscreening

#BreastScreeningScot

Glasgow woman’s mission to tell others: ‘Never miss your breast screening appointment

A retired member of NHS Greater Glasgow and Clyde staff, Liz Thomas (71) from Pollock, has been photographed as part of an exhibition to celebrate the resilience, beauty, and strength of women affected by breast cancer.

Liz and three other women chosen for the photoshoot have recently had or are undergoing treatment for breast cancer. They were chosen to be part of Pink Ribbon Foundation’s BOLD Scotland Exhibition.

This extraordinary project, captured by award-winning photographer Caroline Sikkenk, is currently displayed in Glasgow’s Princes Square by M as part of Breast Cancer Awareness Month.

In addition to taking part in this project, Liz is also using this month to share an important message. She said: “Go for your breast screening when you’re invited.”

In November 2024, Liz attended her routine breast screening appointment at NHSGGC’s Breast Clinic in Nelson Mandela Place. Within a week, she was recalled and asked to bring someone with her.

“I wasn’t expecting good news,” Liz said. “They told me two lumps had been found. I had a biopsy and scans there and then. It turned out I had two Stage 3 tumours.”

Within four weeks, Liz underwent a mastectomy at Gartnavel Hospital, followed by chemotherapy and radiotherapy in early 2025.

“The treatment was tough, physically and mentally, but I met wonderful people along the way. The staff were incredible. We even managed to laugh during chemo. One time, the nurses joked they had to separate me from the other ladies because we were giggling so much. Laughter got us through.”

Liz credits her daughter Jourdana, also an NHSGGC staff member, as her rock throughout the journey. “I have a good life and a great life ahead. Who knows if I’d have that if I hadn’t gone for screening?”

Now, Liz is on a mission. She said: “I tell everyone, my daughter, my friends, even the girl who does my nails, never miss your breast screening appointment. And if you’re over 70, you won’t automatically get a letter. You need to contact the breast screening centre yourself.”

Women aged between 50 and 70 will be invited for breast screening every three years. Those eligible, will be invited by NHSGGC via letter to the address registered with their GP, and people are advised to ensure this is up to date.

Anyone over the age of 70, can make an appointment for breast screening directly via the breast screening service.

For more information visit:
Breast cancer | Get Checked Early
Breast screening in Scotland | NHS inform

Exhibition Details

The BOLD Scotland exhibition is on display at Princes Square by M. Entry is free, giving everyone the opportunity to witness this inspiring and empowering project.

Half of adults now have at least one long-term condition, the Scottish Health Survey shows

The Scottish Health Survey 2024 results, published yesterday, provide information on the health, and factors relating to health, of adults and children in Scotland.

Half of all adults now have at least one long-term condition, continuing the upward trend.  Almost two in five adults (39%) reporting having a long-term condition that limits their activities.

Eight percent of adults report having doctor-diagnosed diabetes, the highest level recorded.

There has been a decrease in the proportion of adults eating five or more portions of fruit or vegetables per day, with only 11% meeting this guideline compared to 20% in 2021 when the questions were last included.

Food insecurity reduced with 8% of adults reporting being worried about running out of food due to a lack of money or other resources in the last 12 months, a decrease from 14% in 2023 which was the highest level recorded.

New questions on menopause and perimenopause showed that 76% of those who had experienced symptoms had utilised one or more ways of managing them. The largest proportions had utilised physical activity (40%), Hormone Replacement Therapy (HRT) (38%) and/or vitamins, minerals or supplements (35%).

New questions indicated that prevalence of possible eating disorders among adults, based on self-reported eating behaviours and feelings towards food, was 13%. This was highest among those aged 16-24 (26%).

Other key findings show that in 2024:

  • The proportion of adults who reported having felt lonely ‘most’ or ‘all of the time’ decreased from 10% in 2023 to 7% in 2024, similar to the proportion recorded in 2021 (8%).
  • Prevalence of doctor-diagnosed asthma amongst adults reached 18%, the highest proportion recorded.
  • Prevalence of any CVD (excluding diabetes or high blood pressure) remained in line with recent years at 16% of adults. 
  • In 2023/2024 combined, 15% of adults reported being unpaid carers.
  • The proportion of adults with a GHQ-12 score of 4 or more, indicative of a possible psychiatric disorder, was 22%, similar to levels in 2021 and 2023 (22% and 21%) and lower than the peak in 2022 (27%). 
  • In 2023/2024 combined, the prevalence of adults with two or more symptoms of depression was 10%, a decrease from 13% in 2021/2022 combined.
  • Seven per cent of adults reported currently having long COVID, consistent with 2023 (8%) and remaining higher than in 2021 (5%).
  • Around six in ten adults met the guidelines for moderate or vigorous physical activity (MVPA) (62%), a similar proportion as recorded in 2023 (63%).
  • The prevalence of hazardous or harmful alcohol consumption remained at 20% of adults, the same proportion as in 2023 and a decrease from 34% in 2003.
  • Almost a third of adults (31%) were living with obesity, a similar proportion to 2023 (32%), with a significantly higher proportion of females (35%) living with obesity compared with males (27%).
  • Fourteen per cent of adults were current smokers the same level as in 2023, maintaining the overall downward trend in prevalence recorded since 2003 (28%).
  • Current use of e-cigarettes or vaping devices (10%) remained in the range seen since 2022 (10%-12%).
  • Thirteen per cent of adults met the Scottish Dietary Goal for saturated fat of no more than 10% of energy excluding ethanol.
  • Less than a quarter (22%) of adults met the Scottish Dietary Goal of free sugars accounting for no more than 5% of energy excluding ethanol.

ASH Scotland calls for smoking cessation service funding transparency as survey shows stagnation of adult smoking rates

ASH Scotland is calling for the Scottish Government and NHS regional health boards to demonstrate increased transparency regarding funding being invested in smoking cessation services, which can help people to give up tobacco and reduce their risks of non-communicable diseases such as cancers, heart disease, type 2 diabetes, dementia and respiratory conditions including chronic obstructive pulmonary disease (COPD).

ASH Scotland’s call comes as the Scottish Health Survey 2024 findings published today (Tuesday 21 October 2025) by the Scottish Governent show that fourteen per cent of adults were current smokers, which is the same level as in 2023.

The charity is raising concern that the Scottish Government has not provided details of its annual funding to health boards specifically for smoking cessation services in 2025/26. The last publicly available figure regarding government annual funding to NHS health boards to deliver specifically smoking cessation services was £7,852,085 invested in 2021/22, a significant reduction from the £9,110,000 allocated in 2016/17.

Sheila Duffy, Chief Executive of ASH Scotland, said: “With tobacco continuing to be the biggest preventable killer in Scotland causing nearly 9,000 premature deaths each year, it is concerning that there is stagnation in the nation’s overall smoking rate, although we welcome the decrease from 26% down to 23% in our most deprived communities.

“The vast majority of people in Scotland who successfully give up smoking don’t use anything to aid their quit attempts, but it is vital that those who need behavioural support can benefit from NHS Scotland’s free person-centred specialist Quit Your Way services delivered by qualified health professionals which improves the chances of success by three to four times to reach a tobacco-free life and reduce the risk of cancers, heart disease, type 2 diabetes, dementia and chronic obstructive pulmonary disease (COPD).

“As the Scottish Government’s funding for smoking cessation services showed a downward trend between 2016/17 and 2021/22, and no details have been provided for 2025/26, ASH Scotland is calling for increased transparency by the government and regional health boards regarding funding for Quit Your Way services, which are needed to drive progress towards Scotland becoming a tobacco-free nation in 2034.”

The Scottish Health Survey 2024 main report, including a summary of key results, is available on the Scottish Health Survey website

NHS 24: Online Mental Health Courses

Visit NHS inform to find out more about the free online resources available to improve your mental wellbeing:

☁️SilverCloud – a website with courses that help you learn new ways to deal with the challenges you’re facing.

☀️Daylight – a digital programme to improve anxiety based on Cognitive Behavioural Therapy (CBT).

💤Sleepio – a digital sleep improvement programme based on Cognitive Behavioural Therapy (CBT).

Find out more: https://nhs24.info/mental_wellbeing

Drug-checking pilot announced

Dundee lab agreement as Glasgow licence approved

The University of Dundee has agreed to host Scotland’s first national testing and research laboratory for drug-checking, boosting efforts to cut drug-related harm and save lives. 

Part of a national pilot and backed by increased Scottish Government funding of more than £1.5 million, the site will analyse samples to help respond to emerging trends such as highly dangerous synthetic substances.

In addition, a proposal for a drug-checking service in Glasgow has been approved by the Home Office. Applications for similar services in Aberdeen and Dundee have been submitted to the Home Office, while a fourth facility in Edinburgh is working on its application. People will be able to submit drugs for testing and receive harm-reduction advice alongside the results.

The Leverhulme Research Centre for Forensic Science (LRCFS) at the University of Dundee will provide more complete analysis of samples from the local sites, giving vital information for the national early warning system.

Drugs and Alcohol Policy Minister Maree Todd said: “The University of Dundee has a strong reputation for forensic science and reaching this agreement, along with the licence approval for the first drug-checking site, are vital steps in our National Mission on drugs.

“It is particularly important in light of the current dangers posed by new synthetic opioids like nitazenes which raise the risk of overdose and death. Often people who use drugs are not aware of exactly what they contain.

“That is why we have consistently impressed upon the UK Government the importance of giving drug-checking facilities the go-ahead.

“We will now work at pace with local partners in Glasgow and all the pilot cities to get these services up and running as soon as possible.”

LRCFS Director Professor Niamh Nic Daeid said: “We are very pleased to be able to support the Scottish Government’s National Mission to reduce drug-related deaths.

“The National Research and Testing Laboratory will provide information and research about the types of drugs circulating in Scotland that will inform colleagues and communities working to reduce drug deaths across the country.”

Glasgow City Convener for Workforce, Homelessness and Addiction Services Councillor Allan Casey said: “We are delighted to have received notification of the Home Office licence approval, having worked on the application and alongside national partners for some time.

“The service will complement other harm-reduction services in operation across the city and provide an opportunity to engage people in conversations about their health and wellbeing, as well as treatment, care and recovery.”

The Leverhulme Research Centre for Forensic Science at the University of Dundee

LEGO MRI Scanner Set Helps Reduce Anxiety and Sedation for Children at NHS Lothian

Young patients in NHS Lothian are preparing for MRI scans by playing with specially designed LEGO sets to help settle their nerves.

The innovative model, developed by the LEGO Group and the LEGO Foundation, has already supported over one million children globally. Designed to help young patients understand the MRI process through play, the set includes a scanner, patient bed, waiting room, scanning room, staff figures and medical accessories.

Positive results have already been seen at the Royal Hospital for Children and Young People in Edinburgh and St John’s Hospital in Livingston, where staff have reported calmer, more confident patients.

Ivy, a five-year-old patient from Edinburgh, was introduced to the LEGO MRI Scanner model ahead of her second scan.

Her mum, Rachel, shared how the experience transformed Ivy’s hospital visit: “On the day of her second scan Ivy did really well and was even a bit excited!

“If we hadn’t played with the LEGO MRI model beforehand, I think she would have had a full meltdown and would no doubt have needed general anesthetic. Nobody wants their child to be put to sleep if you can avoid it.

“Ivy is a visual learner and loves LEGO bricks, so seeing and explaining the procedure through play was a game changer. It really helped her to understand what to expect, took away any nerves and made things go plain sailing.

“Coming into hospital can be a stressful experience, but playing with this model made our whole family feel more relaxed, calm and prepared.”

The LEGO MRI Scanner set is part of a global initiative to make hospital experiences less intimidating for children. Research from the LEGO Group shows that 96% of healthcare professionals using the set report reduced anxiety in children, and 46% say it has helped lower the need for sedation or general anesthesia.

Aris Tyrothoulakis, Service Director Women’s and Children’s, NHS Lothian said: “We are always looking for ways to improve the experience of children in our care.

“The LEGO MRI Scanner set has been a fantastic tool for helping young patients feel more comfortable and confident ahead of their scans. It’s a simple but powerful way to support children and families during what can be a challenging time.”

The sets are donated to hospitals and are not available for sale. NHS Lothian received its model through the LEGO Group’s Social Responsibility programme, which partners with organisations such as Fairy Bricks and Starlight Children’s Foundation to distribute the sets worldwide.

For more information about the LEGO MRI Scanner initiative, visit:

https://www.lego.com/en-gb/sustainability/children/lego-mri-scanner

Queen Margaret University marks World Osteoporosis Day

World Osteoporosis Day demands end to global neglect of osteoporosis care and treatment

Today, 20th October 2025, QMU proudly marks World Osteoporosis Day, reaffirming its commitment to addressing one of the most pressing yet under-recognised public health challenges of our time – osteoporosis.

In a bold call, the International Osteoporosis Foundation (IOF) has deemed the response to osteoporosis as unacceptable, asking to end the global neglect in osteoporosis care and treatment.

Osteoporosis means “porous bone”. It is a condition where bones become thinner, less dense, and weaker, leading to an increased risk of fractures. It affects more than 500 million people worldwide, including approximately 250,00 people in Scotland.

Often dubbed the “silent disease,” osteoporosis develops gradually and is frequently diagnosed only after someone has had a bone fracture. Globally, 1 in 3 women and 1 in 5 men over the age of 50 will experience an osteoporotic fracture in their lifetime. In Scotland, the rate is even higher, with 1 in 2 women over the age of 50 affected. With the UK’s ageing population, the prevalence of osteoporosis is expected to rise dramatically, leading to a growing concern amongst health professionals warning of an impending osteoporosis epidemic.

Alarmingly, according to the IOF, awareness of the condition remains low, even among healthcare professionals, and osteoporosis continues to be under prioritised within healthcare systems. As a result, up to 80% of individuals who experience a fracture caused by osteoporosis are never diagnosed with the condition or receive treatment for the underlying disease.

Health professionals and researchers at QMU have been working to change this narrative by promoting bone health and osteoporosis awareness through education, research and community engagement.

The Lydia Osteoporosis Plus Project (LOP) at QMU, launched in 2011, continues to lead the way in person-centred research and education. The project aims to transform how osteoporosis is understood and managed in health and social care settings.

Vicki Waqa, Nurse Lecturer with the Lydia Osteoporosis Plus Project at QMU, said: “In Scotland and across the world, osteoporosis in not treated as a priority.

“The neglect surrounding the condition can lead to devastating consequences, which include:

  • chronic pain;
  • disability;
  • loss of independence;
  • increased risk of future fractures;
  • premature death; and
  • the burden extends beyond individuals to families, healthcare systems, and economies.

“It is important that Scotland fosters a culture of proactive and preventative care that prioritises bone health and reduces the risk of fractures. It is imperative that clinicians do not neglect patients’ bone health, and that young people and adults understand how they can use diet, exercise and good lifestyle choices to create healthy bones and reduce their chances of developing osteoporosis in the future.”

More recently, the Lydia Osteoporosis Plus Project has expanded its outreach across the central belt introducing Osteoporosis Community Cafés at QMUthat warmlywelcome people living with osteoporosis and those who care for them.

Vicki explained: “We were overwhelmed by the demand to attend our first Osteoporosis Community Café this autumn, with most participants confirming that they had experienced a lack of understanding, specialist information and support from health professionals and services.

“The Lydia Osteoporosis Community Café offers a friendly, supportive environment where people can share their lived experiences, learn from one another, build connections and collaborate with the Lydia team to enhance research and education initiatives focused on bone health and wellbeing. 

“It was very evident there was a very strong demand for information, connection, and person-centred support from everyone who took part.”

Dr Karen Matthews, Lead for Lydia Plus Osteoporosis Project, confirmed: “The current situation is no longer acceptable. World Osteoporosis Day 2025 is not just about awareness – it’s a real demand for change.

“We are calling on the Scottish Government, GPs and other healthcare providers to recognise osteoporosis as a serious public health issue and to act accordingly. QMU will play an important part in educating future healthcare professionals and existing healthcare staff, but the powers that be must do more to tackle the impending epidemic of osteoporosis.”

During World Osteoporosis Week 2025, the Lydia Osteoporosis Plus Project team has been equipping its nursing students with knowledge and skills needed to effectively prevent, identify, and manage osteoporosis.

This initiative empowers the nurses of the future to play a leading role in reducing fracture risk and improving quality of life across all age groups. They will also share osteoporosis education provision with QMU’s paramedic science, physiotherapy and other allied health professional students.

By embedding bone health education into QMU’s undergraduate and postgraduate courses, the University is helping shape a healthcare workforce that’s equipped to address the growing global burden of osteoporosis.

Dr Matthews concluded: “On World Osteoporosis Day, we support the International Osteoporosis Foundation call for:

  • early diagnosis through bone density testing, especially for adults over 50 who experience fractures from minor incidents;
  • appropriate treatment and follow-up care to prevent future fractures; and
  • public and healthcare professional education to close the treatment gap.

“QMU is developing the next generation of researchers, nurses, and paramedics who are committed to delivering impactful, person-centred care and innovative solutions that make a real difference to the lives of people affected by osteoporosis.

“However, tackling this preventable crisis requires collective action — all health, research, and policy agencies must work together to prioritise bone health and improve outcomes for future generations.”

On World Osteoporosis Day 2025, we invite you to learn more about the work of the Lydia Osteoporosis Plus Project by viewing the latest initiatives on the website:

www.lydiaosteoporosis.org.