Number of people facing extreme waits in Scotland’s A&E ‘unacceptable and dangerous’

Unacceptable numbers of people are still being exposed to extreme long waits in Scotland’s Accident &Emergency departments, new analysis by the Royal College of Emergency Medicine shows.

The latest Emergency Department performance figures – released yesterday 4 August 2025 by Public Health Scotland – which cover June 2025 reveal that despite fewer people attending, performance is still worsening, and the number of patients waiting 12 hours increasing.

The data reveals for major EDs in Scotland in June 2025:

  • There were 119,383 attendances at major EDs, a 5% decrease from the previous month of May 2025.
  • 69.7% of patients were seen within four hours (78,857) which is a decrease of 1.1 percentage points on May 2025 but up 1.6 percentage points on June 2024.
  • Those experiencing long waits also increased with more than one in every 10 patients (10.8%) attending waiting more than eight hours.
  • And almost one in every 20 patients (4.35%) had to endure a stay of 12 hours or more before they were treated, admitted or discharged.

Responding to the latest data RCEM Vice President for Scotland Dr Fiona Hunter said: “These figures clearly evidence that the issues in our Emergency Departments are not caused by too many people attending.

“In June the number of people coming to our departments fell, but yet performance across every measure worsened when compared to the previous month.

“Most worrying is, that despite fewer attendances, thousands of our patients are still enduing extremely long waits. And we know that those who do are more likely to be the most unwell, often with multiple and complex needs. A fact that is unacceptable, and dangerous.

“The crisis in A&E is something our communities are deeply worried about. Politicians should respond to those concerns now and address these issues. Otherwise in a few short months we will be staring down the barrel of another awful winter where patient safety will again be put a risk.”

Graphic representations of today’s data, as well as the long-term trends, are available on the RCEM Website.

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Keeping children safe online: Changes to the Online Safety Act explained

How new laws that keep children safe on the internet work

Keeping children safe

The way children experience the internet has fundamentally changed, as new laws under the Online Safety Act have come into force to protect under-18s from harmful online content they shouldn’t ever be seeing. This includes content relating to:

  • pornography
  • self-harm
  • suicide
  • eating disorder content

Ofcom figures show that children as young as 8 have accessed pornography online, while 16% of teenagers have seen material that stigmatises body types or promotes disordered eating in the last 4 weeks.   

To protect the next generation from the devastating impact of this content, people now have to prove their age to access pornography or this other harmful material on social media and other sites.    

Platforms are required to use secure methods like facial scans, photo ID and credit cards checks to verify the age of their users. This means it will be much harder for under-18s to accidentally or intentionally access harmful content. 

It’s clear in Ofcom’s codes that we expect platforms to ensure that strangers have no way of messaging children. This includes preventing children from receiving DMs from strangers and children should not be recommended any accounts to connect with.  

Data privacy

While people might see more steps to prove their age when signing up or browsing age-restricted content, they won’t be compromising their privacy.    

The measures platforms have to put in place must confirm your age without collecting or storing personal data, unless absolutely necessary. For example, facial estimation tools can estimate your age from an image without saving that image or identifying who you are. Many third-party solutions have the ability to provide platforms with an answer to the question of whether a user is over 18, without sharing any additional data relating to the user’s identity. 

 The government and the regulator, Ofcom, are clear that platforms must use safe, proportionate and secure methods, and any company that misuses personal data or doesn’t protect users could face heavy penalties.

Services must also comply with the UK’s data protection laws. The Information Commissioner’s Office (ICO) has set out the main data protection principles that services must take into account in the context of age assurance, including minimising personal data which is collected for these purposes.  

Virtual Private Networks

While Virtual Private Networks (VPNs) are legal in the UK, according to this law, platforms have a clear responsibility to prevent children from bypassing safety protections. This includes blocking content that promotes VPNs or other workarounds specifically aimed at young users.   

This means that where platforms deliberately target UK children and promote VPN use, they could face enforcement action, including significant financial penalties.  

The Age Verification Providers Association (AVPA) reports that there has been an additional 5 million age checks on a daily basis as UK-based internet users seek to access sites that are age-restricted.

Online Safety laws do not ban any legal adult content. Instead, the laws protect children from viewing material that causes real harm in the offline world, devastating young lives and families.    

Under the Act, platforms should not arbitrarily block or remove content and instead must take a risk-based, proportionate approach to child safety duties.

Protecting freedom of speech?

As well as legal duties to keep children safe, the very same law places clear and unequivocal duties on platforms to protect freedom of expression. Failure to meet either obligation can lead to severe penalties, including fines of up to 10% of global revenue or £18 million, whichever is greater.

The Act is not designed to censor political debate and does not require platforms to age gate any content other than those which present the most serious risks to children such as pornography or suicide and self-harm content.

Technology Secretary Peter Kyle said: This marks the most significant step forward in child safety since the internet was created.

“The reality is that most children aren’t actively seeking out harmful, dangerous, or pornographic content – unfortunately it finds them. That’s why we’ve taken decisive action.

“Age verification keeps children safe. Rather than looking for ways around it, let’s help make the internet a safer, more positive space for children – and a better experience for everyone. That’s something we should all aspire to.”

Support for the Online Safety Act

NSPCC Chief Executive, Chris Sherwood: “We regularly hear from children who have suffered sexual and emotional abuse online, or who have been exposed to harmful and dangerous content.

“These experiences can have devastating impacts both immediately and long into the future. While the Online Safety Act can’t erase this pain and anger, it can be a vehicle for significant and lasting change.

“Thanks to this piece of ground-breaking regulation, algorithms are now being redesigned. Age checks are now in place. Harmful material that promotes eating disorders and suicide should no longer proliferate on social media platforms.

“This will – without a doubt – create safer, more age-appropriate online experiences for young users across the UK.”

Barnardo’s CEO, Lynne Perry: “These new protections are an important stepping stone towards making sure that children are safer online.

“They must be robustly enforced.”

Internet Matters: “Today marks an important milestone for children’s online safety […] towards ensuring that online services are designed with children’s safety in mind – from limiting children’s exposure to harmful content to creating age-appropriate experiences. 

“This milestone matters because the risks children face online remain high. Our latest Internet Matters Pulse shows that 3 in 4 children aged 9-17 experience harm online, from exposure to violent content to unwanted contact from strangers.

“With the Codes now enforceable, Ofcom must hold platforms accountable for meeting their obligations under the law.”

Emotional Eating EXPOSED

What Your Cravings Are Really Telling You

Summer holidays are in full swing, and as people unwind and enjoy the break, unhealthy eating habits often creep in, with studies showing that over a third admit to ditching their healthy meals when the sun comes out.

While occasional indulgence is completely normal, when does it become a serious health concern?

With 90% of people experiencing food cravings at some point, ZAVA, with the expert advice of Doctor Crystal Wyllie, breaks down the most common causes of cravings beyond hunger, the smartest strategies to overcome them, and the red flags that could mean it’s time to seek support.

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Why is junk food so irresistible? Here’s the truth: junk food is designed to be addictive. High-sugar, high-fat, and full of flavour and texture, these foods light up the pleasure centre in our brain, triggering feel-good chemicals like dopamine and serotonin. It’s no wonder we reach for them when we are stressed or tired.

While occasional indulgence is perfectly normal, frequent junk food cravings can come with real health consequences. That overwhelming urge for chocolate, crisps, or a midnight snack often has little to do with true hunger. In fact, most cravings are your body, or your brain, trying to tell you something. But what exactly?

The most common causes of food cravings:

Emotions and stress

Cravings often start in the brain, not the stomach. Studies show nearly 1 in 3 people engage in emotional eating. Comfort foods, especially those high in sugar and refined carbs, offer a temporary serotonin lift, helping you feel better in the moment. But when stress hits, cortisol spikes, increasing appetite and impulsive eating.

Hormones and menstrual cycles

Hormonal changes during menstruation, pregnancy or menopause can trigger intense cravings, especially for sweet or salty foods. In particular, the drop in estrogen and rise in progesterone during the luteal phase (the week before your period) are known to increase appetite.

Lifestyle factors

Lack of sleep, stress, skipping meals or falling into habitual eating patterns –such as always grabbing a treat with your tea– can all fuel cravings. Ultra-processed foods are literally engineered to keep you coming back for more.

Deficiencies and dehydration

Cravings can also be clues. Your body may be low on magnesium, zinc, sodium, or might just need water. Dehydration can mimic hunger signals. Skipping meals or blood sugar dips can also spark intense cravings, especially for carbs and sugar.

The 6 smartest strategies to manage food cravings:

ZAVA’s new Cravings Calculator helps uncover the reasons behind your eating habits. But regardless of what’s driving your cravings, Doctor Crystal WyllieZAVA Online Doctor, shares the most effective ways to manage them and take back control:

  1. Find the root cause

Cravings can be physical, emotional or habitual, or a combination of all three. Identifying your triggers is the key to changing your behaviour. 

“Noticing when and why cravings strike can help you respond more intentionally. Is it boredom? Hormones? A stressful day? Awareness is the first step to change. Once you’ve identified the underlying reason, be it emotional eating or a lack of self care, you can then tackle your cravings head on and make some long-term changes”

  1. Crave smarter, not harder

Going cold turkey often backfires. Instead, satisfy cravings with smarter swaps such as fruit, yoghurt, nuts, or protein-based snacks. Choose foods you actually enjoy so you don’t feel deprived.

“It’s better to satisfy a craving in a controlled way than ignore it and end up bingeing later”

  1. Eat balanced meals

Skipping meals or relying on snacks throughout the day can trigger cravings. Aim for meals rich in protein, fibre and healthy fats to help regulate blood sugar, keeping you full and focused.

“A well-balanced plate helps reduce cravings by keeping you full and energised throughout the day. Eating a colourful, nutrient-rich diet can also help correct underlying deficiencies that may be driving those cravings”

  1.  Support mental wellbeing

Stress and poor sleep affect appetite hormones. Mindfulness techniques, meditation or even a brisk walk or, simply talking to a friend, can help curb emotional eating. 

“Taking a moment to pause and ask whether a craving is emotional or physical can benefit both your body and your mental health”

  1. Stay hydrated

Your body can mistake thirst for hunger. Try drinking a glass of waterwaiting 10-15 minutes and reassessing the craving. 

“Hydration is often overlooked, but it’s essential, especially when it comes to managing sugar cravings”

  1. Recognise the right time to seek support

If your cravings feel constant, overwhelming, or difficult to control, don’t hesitate to seek support. While only 1 in 4 people with binge eating disorders currently receive treatment, speaking to a GP, nutritionist, or therapist can make a meaningful difference. If you’re unsure whether it’s time to ask for help, here are some signs your cravings might be more than just the occasional urge:

🚨 Weight fluctuations: Frequent overeating in response to cravings can lead to weight gain and make weight loss more difficult.

💬 Low mood: Indulging too often can lead to guilt or shame. In ZAVA’s recent study, 48% of people reported low self-esteem linked to their weight.

🩺 Health problems: Craving-driven diets high in sugar or refined carbs can weaken immunity, cause mood swings, and leave your body undernourished.

Campaign aimed at tackling youth drinking praised by Minister

The “It’ll Cost You” campaign was praised by Scottish Community Safety Minister Siobhian Brown MSP when she visited the latest roll-out in Edinburgh.

The “It’ll Cost You” campaign now in its tenth year and run nationally across Scotland raises awareness of the consequences of proxy alcohol purchases to help protect children, reduce crime and antisocial behaviour, and make communities safer.

The event at the Scotmid store on Gorgie Road demonstrated the value of partnership working between the alcohol industry, retailers, Community Alcohol Partnerships and the police in tackling underage drinking and youth disorder. 

Asking an adult to buy alcohol for under 18s is one of the most common tactics used by young people to access alcohol. It’s an offence in Scotland for an adult to buy or attempt to buy alcohol for someone who is under the age of 18.

This is known as proxy purchase. Adults who buy alcohol for children may face a fine of up to £5,000. The campaign raises awareness of the damaging effects and criminal nature of buying alcohol for under 18s.

Victims and Community Safety Minister Siobhian Brown, said:“To have run this campaign for ten years is a strong example of partnership working to help reduce crime and make our communities safer.

“‘It’ll Cost You’ reinforces the message that buying alcohol for someone under the age of 18, regardless of your relationship to them, is illegal.

“It can put them at risk of becoming vulnerable or involved in antisocial behaviour and if you buy drink for them, you could be fined, imprisoned, or both. This campaign highlights the dangers of underage drinking and sends a strong message that this is not acceptable.”

Policing Together Superintendent Joanne McEwan, Police Scotland, said: It’ll Cost You” is a really important campaign that looks to address the various risks to young people associated with them gaining access to alcohol.

“Please remember, that buying alcohol for those who are underage is a criminal offence and could result in a fine, a prison sentence, or both.”

Luke McGarty, Scottish Grocers’ Federation, added: “This campaign ties in with SGF’s position of promoting responsible community retailing.

“Retailers are committed to reducing underage drinking and anti-social behaviour linked to alcohol.”

Tam Cassidy, Community Alcohol Partnership Advisor for Scotland, said: “Proxy purchase continues to be a challenge across Scotland.

“This campaign highlights the dangers and penalties that can result from adults buying alcohol for young people.”

Ian Lovie, Licensing & Compliance Manager, Scotmid, said:“Scotmid has been long term supporters of the campaign.

“We understand the importance of preventing proxy purchasing in our stores to help reduce underage drinking and anti-social behaviour in our communities.”

Reel Memories: Muirhouse Housing Association supports dementia-friendly film screenings

Muirhouse Housing Association has thrown its support behind a new “dementia friendly” film club which involves the magic of the silver screen!

It is being led by “Community Link” based at North Edinburgh Arts Centre who approached the Association  for funding from its “Community Chest Fund” to help the film project and promote the Club locally. 

The first screening takes place today (Thursday) following a consultation led by Community Link. It found a clear need emerged for a dementia-friendly film club which creates a welcoming, inclusive space where people with dementia and their carers or family members can enjoy a film screening together and connect with others.  

The project is launching at the North Edinburgh Arts Centre in a purpose-built 96-seater theatre with the showing of the 1969 classic movie Butch Cassidy and the Sundance Kid.

The free screening is further evidence of Muirhouse’s deep-rooted engagement with the community it serves in north Edinburgh.

Muirhouse’s Community Chest Fund is available for community groups to apply for a grant to carry out projects which benefit tenants and the local community.

Special measures will be taken during the film to meet the needs of people with dementia such as dimmed – but not entirely dark – lighting to reduce anxiety and prevent confusion. 

The cinema will not be entirely filled to avoid the presence of a large crowd. There will also be a short interval with light refreshments served.

Based loosely on fact, the film tells the story of two wild west outlaws who are on the run from a crack US law enforcement posse after a string of train robberies.

The film, starring two Hollywood idols – played by the late Paul Newman and sidekick Robert Redford – was an instant hit when it was released and remains a screen classic.

Susan Bell, Chief Executive of Muirhouse Housing Association, said: “Everyone likes a trip to the cinema. So we were delighted to link up with North Edinburgh Arts Centre to deliver this dementia-friendly screening in what is  first from Muirhouse

“Dementia friendly screenings are now expected to take place every month. We are thrilled to be supporting such an innovative way to engage members of the community.

“Apart from these dementia-friendly screenings the advent of a cinema in our community, when previously the nearest one is 3.5 miles away, is to be greatly welcomed.”

Earlier this summer, Muirhouse’s community engagement was recognised when it excelled in the Tenant Participation Service (TPAS) Scotland National Good Practice Awards scoring a win in the keenly-contested category for Community Involvement – tenant/community group.

Its triumph centred on the inclusive “Come Dine With Us” initiative – a recurring Muirhouse event offering a free meal and companionship to local residents aimed at tackling isolation and loneliness.

Improving access to healthcare in Scotland … and Africa

Initiative to tackle health inequality in Malawi, Rwanda and Zambia

A Scottish Government-backed initiative to improve access to healthcare for people in Malawi, Rwanda and Zambia has been launched.

The new health partnership programme will help the three countries and Scotland strengthen their health systems by creating networks through which healthcare professionals can share skills, experience and knowledge.

Grant funding will subsequently be made available to organisations working to improve healthcare.

The launch marks the 20th anniversary of Scotland’s international development programme and builds on the success of the NHS Scotland Global Citizenship programme, which supports NHS staff to engage in health work around the world.

Previous work in Malawi funded through the Scottish Government’s International Development Fund includes knowledge exchange on between Malawi and Scotland, the development of an Adult Emergency and Trauma Centre and a disability hearing initiative in Zambia.

External Affairs Secretary Angus Robertson said: “At a time when healthcare systems around the world are under great pressure from the lasting impact of pandemics and accelerating impact of climate change, the power of partnership has never been more important.

“These are not isolated issues. Illness and diseases do not stop when they meet a border. So we cannot think of Scotland’s NHS simply as a national institution, it is a global partner in the fight for health equality.

“This new programme launches at a critical moment for global health as major donors cut aid and builds on Scotland’s proud record of international development. By deepening our partnerships with Malawi, Rwanda and Zambia and combining the expertise of Scottish health professionals with the insights and leadership of partners overseas, we can learn through sharing together and deliver real improvements in health for people in Scotland and abroad.”

Global Health Partnerships CEO Ben Simms said: “We are thrilled to have been invited to partner with the Scottish Government on the Scottish Global Health Partnership programme.

“In its international development programme and through its Global Citizenship programme, Scotland has set a standard as a progressive, globally engaged country over many years, and this programme will celebrate and build on this track record in ways that deliver benefits both overseas and across the Scottish health system.”

The Scottish Government will invest £3 million over the next three years from its International Development Fund in the programme, which will be delivered by health charity Global Health Partnerships.

The initiative will support and align with the existing NHS Scotland Global Citizenship programme, which recognises the benefits global citizenship and international volunteering bring to Scotland’s health service and communities such as fostering leadership and driving innovation.

Health was identified as a priority in 2021 following the COVID-19 pandemic and through discussions with African partner countries and confirmed in the Scottish Government’s International Strategy.

International Day of Friendship 2025: Supporting a friend with their mental health

MENTAL HEALTH FOUNDATION

We all need a little help from our friends sometimes.💜

Friendship is a crucial element in protecting our mental health. Our friends can help to keep us grounded, put things in perspective, and manage/navigate life’s challenges. 🫂

Talking to friends about your mental health, and supporting a friend with a mental health problem, can be difficult to do.

We have tips on how to start a conversation, offer support, and look after yourself – check them out here: http://bit.ly/3GVqjps 🫶

#Besties

#InternationalDayOfFriendship

#FriendshipDay2025

Committee concerns that new UC health claimants could face poverty

A new report from the Work and Pensions Committee has raised concerns that planned cuts to the health component of Universal Credit (UC health) will push disabled people into poverty despite the above inflation rise in the UC standard allowance. 

In its Pathways to Work report, the Committee repeated calls to delay planned cuts in UC health reform until the full impact of the changes are better understood.

The Committee wrote to the Secretary of State in May calling for a pause of the planned reforms to UC health and Personal Independence Payments (PIP) and called for PIP policy to be co-produced with disabled people. 

The Government subsequently dropped all the PIP proposals and agreed to co-produce a new PIP assessment process with disabled people and their organisations in a review led by Sir Stephen Timms.

However, under the planned reforms to UC health, from April 2026 although all existing claimants and new claimants with severe or terminal conditions will be protected, other claimants assessed as having limited capability for work and work-related activity will see their awards halved from £423.27 to £217.26. 

This is part of the Government’s drive to get more people off welfare and into work, as described in their Pathways to Work Green Paper.

Although the intent to safeguard these people was welcomed, MPs on the Committee raised concerns that some conditions, particularly serious mental health conditions, might not be included under the severe condition criteria; this also applies to people with fluctuating conditions.

The Committee also asked the Secretary of State why an assessment of safeguarding risks had not been conducted before the Green Paper was published. 

Committee Chair Debbie Abrahams said: “We welcome the concessions that the Government made to the UC and PIP Bill (now the UC Bill); but there are still issues with these welfare reforms not least with the cut in financial support that newly sick and disabled people will receive.

“The Government’s own analysis published in March indicates that from next April approximately 50,000 people who develop a health condition or become disabled – and those who live with them – will enter poverty by 2030 as a result of the reduction in support of the UC health premium.

“We recommend delaying the cuts to the UC-health premium, especially given that other policies that such as additional NHS capacity, or employment support, or changes in the labour market to support people to stay in work, have yet to materialise.

“We agree in a reformed and sustainable welfare system, but we must ensure that the wellbeing of those who come into contact with it is protected.

“The lesson learned from last month should be that the impact of policy changes to health-related benefits must be assessed prior to policy changes being implemented to avoid potential risks to claimants.”