A new approach to mental health is tackling NHS backlog

Innovative pricing model to boost access to support

A GROWING number of people in Scotland struggling with mental health are being offered access to support thanks to a fairer pricing structure introduced by an innovative community interest company.

Connections Counselling, founded earlier this year by trained counsellor Ian Nicholson-Kapasi, is using a tiered-fee model designed to remove financial barriers and offer accessible counselling to those most in need.

Based in Edinburgh’s Drill Hall, the service has quickly drawn attention for its bold stance on affordability. The tiered system sees clients on lower incomes paying what they can afford, sometimes as little as £1 per session, while clients with greater means may contribute more, helping to subsidise access for others who may not be able to afford the same help.

Ian said: “I set up Connections Counselling to challenge the systemic inequality that exists within mental health services.

“We know the most vulnerable in our society are often least able to afford counselling. People in distress face enough challenges as it is. Lifting financial barriers helps create the space for those seeking change, to take meaningful steps toward helping themselves.”

Ian has drawn from personal experiences and years of training to launch the practice. Every £600 raised through the service guarantees 15 sessions of counselling at £40 per session, which will be offered to those otherwise unable to afford it.  

While the core cost is covered, clients are still encouraged to contribute a nominal amount, helping preserve the value of the therapeutic relationship.

He added: “Our tiered system is designed to create fairer access, not just for those who can afford therapy, but for everyone. A higher fee doesn’t necessarily reflect the quality of the service, but often how a counsellor values their own time or circumstances. That’s not the same as the quality of the relationship.

“For many clients, especially those working through issues of self-worth, this can unintentionally reinforce a power imbalance. Our Tier 1 ‘pay-what-you-can’ model offers an alternative, one that honours client agency and sees the therapeutic relationship as a shared space of respect and care.”

The initiative comes at a time when the NHS is under unprecedented pressure, with wait times for mental health support in some areas stretching over a year.

While CBT (cognitive behavioural therapy) remains the standard modality offered through the NHS, Connections Counselling adopts a more holistic approach, incorporating person-centred and psychodynamic therapies to better serve clients working with challenges such as trauma or understanding neurodivergent needs.

Ian explains: “There are incredible people working within the NHS, but the system is under strain, narrowly focused with CBT as a singular modality approach and doesn’t help enough with limited sessions.

“We want to help by offering longer-term, trauma-informed care that allows people to build meaningful therapeutic relationships. That flexibility can be vital in helping someone properly recover.”

Since launching, Connections has seen a growing waiting list for its tier one services. However, limited access to early-stage funding means growth is being restricted at a time when demand is surging.

“We are actively looking to partner with funders and businesses who share our vision of sustainable, accessible mental health care. Even modest donations can make a lasting impact.”

In addition to eliminating upfront cost barriers, the practice has also scrapped the widely used 24-hour cancellation fee, recognising it as a punitive measure that disproportionately impacts clients already in distress.

“Let’s say someone cannot leave the house due to anxiety, crisis, childcare issue or other common life happenings – charging them for a missed appointment reinforces not just a power imbalance but a financial barrier too – one that might be enough to stop someone who really needs access to support, from seeking it altogether. That is not how healing works,” he said.

“Unless a counsellor also offers money back, or a free next session if they (the counsellor) missed one, then they are actually saying to a client that their time is more valuable than the clients. This is not an ethical approach to counselling.”

While still in its preliminary stages, the practice already has ambitions for growth, including peer-support groups for practitioners and potential longer-term expansions into new locations across Edinburgh, Scotland and the UK.

Ian added: “The goal is to build a community of counsellors and clients who support each other. If the model proves successful in Edinburgh, there is no reason we cannot replicate it elsewhere.”

The service is open to referrals and currently accepts clients both online and in-person around the UK. Individuals or organisations interested in supporting the initiative can find more details via the Connections Counselling website.

Supporting Scotland’s Autistic Adults

£2.5m. fund allocated to third sector organisations

Nine organisations working with autistic adults are to benefit from a £2.5 million multi-year fund.

The Autistic Adult Support Fund, launched in 2023, supports third sector organisations to help autistic adults reach their full potential – supporting them, their families and their carers to understand what neurodivergence means for them and improve their wellbeing.

Among the latest recipients of the fund is The Anchor charity in Greenock, which is being awarded £247,450 to help autistic adults at risk of suicide or self-harm.

Mental Wellbeing Minister Tom Arthur said: “I am pleased to announce the recipients of this funding to provide support to autistic adults and their families and carers.

“All successful projects will meaningfully involve autistic people in the development, design, and delivery of the support. Autistic adults will be helped to thrive – the projects will support them to access services and improve their general wellbeing so they can get involved in and truly feel part of their community.

“Our commitment to multi-year funding will ensure that funded projects have the security and space to develop and grow high quality support, making the most of the skills and experiences of autistic people they support.”

Chris Paul, Chief Executive of The Anchor said: “We are delighted to have secured this funding, bringing the opportunity to support autistic adults in our community at new levels.

“As a local grassroots organisation with big ambition, we are looking forward to taking this project forward.”

Celia Tennant, Chief Executive Officer at Inspiring Scotland said: “Everyone in Scotland should have the same opportunity to lead happy and healthy lives and ensuring there is support to understand an autistic diagnosis or identity is important in making that possible.

“The volume of applications received to this fund further demonstrates not just the need for investment in this area but also the vital role that the third sector is providing in supporting autistic adults to understand their autism to improve wellbeing.

“In managing the application process for this new fund, we were pleased to be supported by a panel of autistic people and professionals from relevant areas, ensuring the fund decisions were informed by lived experience.” 

Autistic Adult Support Fund – Inspiring Scotland

Full list of funded organisations:

ApplicantType of SupportArea of DeliveryRequested Amount
HOPE for AutismGroup support, coaching, workshopsNorth Lanarkshire£101,639.52
Autism InitiativesPost diagnostic course, peer groups, one to oneScotland£486,756.00
SWAN Autism (Scotland)Post diagnostic course, one to one, group support, counselling, workshopsScotland£305,989.00
Home-Start OrkneyPeer led support groups and resource developmentOrkney£72,342.05
Into WorkAutistic wellbeing and work programmeEast Lothian; Edinburgh City;
Midlothian
£186,043.39
The National Autistic SocietyPost-diagnostic course and one t one supportNational£453,417.33
The Salvesen Mindroom CentreOne to one supportScotland£389,433.25
The Anchor SCIOOne to one supportArgyll & Bute; Inverclyde£247,450.00
Lucy Faithfull FoundationGroup work, one to one support, training for professionalsScotland£205,577.00
Total  £2,448,647.54

‘Up to 80 percent of children leave school without a diagnosis’

Dyslexia assessment service now available in Edinburgh

Psychological therapy and neurodevelopmental assessment provider, HealthCare In Mind, has launched its new dyslexia assessment service in Edinburgh to provide access to official diagnoses for those who believe they are dyslexic. The private assessments are available for all children up to the age of 16 years old and don’t require a referral from a GP.

The British Dyslexia Association estimates that around 10 percent of the UK population is affected by dyslexia, with approximately 4% experiencing severe dyslexia. Furthermore, up to 80 percent of children leave school either without a diagnosis or the proper support required to reach their full potential.

To address this, HealthCare In Mind has launched its new service in Edinburgh to allow parents to secure a recognised diagnosis that will enable their children to access the support they require.

As well as dyslexia assessments, HealthCare in Mind offers a range of other diagnostic assessments and mental health services. These include fully comprehensive diagnostic assessments for ADHD and autism for both children and adults, and therapy treatments to manage mental health conditions such as depression, obsessive compulsive disorder, anxiety, post-traumatic stress disorder, and mood disorders.

HealthCare In Mind is led by Dr Simon Le Clerc MStJ, and Dr Kate Higham, alongside an expert team of psychiatrists, psychologists and therapists. It exists to provide instant access to the highest quality care to those in need.

Dr Simon Le Clerc commented: “A significant number of students with dyslexia are not receiving a proper diagnosis and, subsequently, are not being provided with the proper support that they require in order to achieve their academic potential.

“It’s important to remember that dyslexia does not affect intelligence, and has nothing to do with how bright or able a child is. But the condition does affect reading, writing and processing abilities, and without a diagnosis, children aren’t able to access vital arrangements and adjustments to improve their ability to engage with the school curriculum.

“Our private assessments are carried out by certified assessors that can provide a formal diagnosis in a timely and stress-free manner.”

To book a consultation, visit www.healthcareinmind.com.

Healthy Heart Tip: Guide to children’s nutrition

Amie Leckie, Health and Wellbeing Specialist at Heart Research UK, explores how good nutrition is one of the most important building blocks for a child’s health and offers advice on how to support your child’s heart health.

In today’s world, where convenience foods are often within arm’s reach, it can be challenging for parents to ensure their children are eating nutritious, balanced meals.

Amie Leckie, Health and Wellbeing Specialist at Heart Research UK, says: “Children can be quite picky, and dealing with a stubborn child who refuses to eat any vegetables can be a real challenge.

However, making small, consistent changes in how we approach children’s diets can have lasting positive effects on their health, energy levels, and even behaviour.

At the core of a healthy diet are three main principles: eating foods as close to their natural state as possible, limiting processed foods and eating balanced meals.”

Prioritising whole foods

When we talk about whole foods, we mean foods that are as close to their natural state as possible. For example, a banana is a whole food and banana chips are a processed food; a potato is a whole food, but crisps, which are made from potatoes, are a processed food.

Whole foods should be the foundation of children’s diets as they are full of essential nutrients, which are crucial for a child’s growth and development.

“Whole foods include fruits, vegetables, wholegrains, lean proteins, and healthy fats,” Amie explains. “Fruits and vegetables, for example, are full of antioxidants and vitamins like C and A, which support immune function and eye health.

“Wholegrains like oats, brown rice, and quinoa provide steady energy throughout the day and help maintain healthy digestion.

“Lean proteins, such as chicken, fish, eggs, and beans, contain vital building blocks for muscle and support cognitive function. Including healthy fats from avocados, nuts, seeds, yoghurt and olive oil is important as these fats support brain development and hormone production.”

Childhood is a stage of rapid growth, and it is vitally important that we give their bodies what they need to grow properly. When children regularly eat whole foods, they get the nutrients they need to grow strong and stay healthy, while also developing their taste buds for healthy foods.

Limiting processed foods

Processed foods are foods that were once whole foods or a group of whole foods that have been modified somehow. When this happens, essential nutrients are lost and often, especially with pre-packed foods, ingredients have been added such as salt, sugar, sweeteners, flavourings and unhealthy fats.

Processed foods are everywhere, and they often appeal to children due to their convenience, added flavours and eye-catching packaging. For parents, it can be hard to avoid these, especially as children get older and start noticing food products in the wider world, rather than just what is in their house.

Processed foods include sugary cereals, crisps, fizzy drinks, fast food, ready meals, packet noodles and packaged snacks.

The added ingredients in these products can lead to overeating, energy crashes, and may increase the risk of childhood obesity, diabetes, and other long-term health issues, affecting children’s behaviour.

Amie explains: “The key to limiting processed foods lies in focusing on balance and moderation rather than completely banning them. It’s okay for kids to occasionally enjoy these foods, but parents should be mindful of how often these foods are part of daily meals. Try to cook as many meals as possible from scratch and limit your reliance on convenience foods.

“A helpful tip is to make healthier swaps where possible, such as offering water or milk instead of sugary drinks or opting for wholegrain crackers and natural peanut butter as a snack, rather than crisps and chocolate. Start with small swaps and layer them as the weeks go by, so it doesn’t upset your little one too much.”

Creating balanced meals

Thinking about offering balanced meals can help parents ensure they are providing nutrient-dense plates that will keep children nourished and full. A balanced plate typically consists of a variety of food groups such as vegetables and/or fruits, wholegrains, proteins and healthy fats.

“A good example of a balanced meal for a child could be baked homemade chicken goujons using whole wheat breadcrumbs, homemade sweet potato chips, steamed broccoli drizzled with a little olive oil, and a side of fresh fruit such as apple slices or melon wedges. This combination offers a range of nutrients, including protein, fibre, carbohydrates and healthy fats, which are essential for growth and energy. The combination of these foods will help keep children feeling fuller for longer and keep their blood sugar stable, which means steady energy and fewer sugar cravings,” Amie says.

Encouraging kids to eat a variety of colours on their plate is a fun and effective way to ensure they are getting a variety of different vitamins and minerals. Different coloured fruits and vegetables contain different antioxidants and nutrients, so diversity is key. Fruits and vegetables are a great source of fibre, which helps keep the digestive system healthy. Heart Research UK has created a Rainbow Food Challenge to help encourage your children and yourself to try some new foods, so download your copy now.

Amie advises: “Parents can often feel a sense of failure if their children don’t eat what they make or try tactics to encourage children to eat by offering rewards and treats, which in the long-term don’t help establish healthy eating patterns. Parents cannot control what children will decide to eat on any given day, but they can, to some extent and at least in the home environment, control what foods are on offer, and lead by example and nourish ourselves with healthy food.”

Building healthy eating habits from a young age sets children up for a lifetime of good health, which includes heart health. By focusing on whole foods, limiting processed foods, and creating balanced meals, parents can provide the essential nutrients their children need to grow, thrive, and feel their best. It may take time and patience, but with consistent effort, the benefits of a nutritious diet will soon become clear in a child’s energy, mood, behaviour and overall wellbeing.

From Heartbreak to Hope: – New national charity for seriously ill children’s mental health

 Imagine This, the only UK charity solely dedicated to children’s mental health, today unveils its new name as part of a bold new chapter in its mission to support the mental wellbeing of seriously ill children and their families across the UK. Formerly known as The Murray Parish Trust, the rebrand marks a renewed focus on this urgent and underserved area.

Founded in 2014 by actors Sarah Parish MBE and Jim Murray MBE, following the tragic loss of their daughter Ella-Jayne at just 8 months old, the charity has spent over a decade delivering life-changing projects in paediatric care in Hampshire, where the couple live. In 2024, the charity expanded its mission nationally in response to the growing need for mental health support in children’s healthcare. 

MBE

Awarded in the 2025 New Year’s Honours List, their MBEs will be formally presented by HRH The Prince of Wales at Windsor Castle tomorrow. The Honours celebrate a decade of extraordinary dedication to improving the lives of seriously ill children and their families across the UK.

Their leadership has driven vital progress in paediatric care, from funding life-saving medical equipment to championing imaginative, mental health-focused projects that offer children and families hope, connection, and support during the hardest times.

Rebrand

Today, The Murray Parish Trust is rebranding as Imagine This: an inspiring new name designed to capture hearts, inspire hope, and raise the profile of the urgent mental health crisis facing seriously ill children and their families. This fresh identity reflects the charity’s renewed commitment to being more imaginative, accessible, and far-reaching in its mission.

The need for mental health support for these children is immense and growing, and to meet this, Imagine This is positioning itself to scale its projects and extend its reach across the entire UK. With a clear focus on ensuring no seriously ill child or family faces the mental health challenges of serious illness alone, the charity’s mission is to reach every seriously ill child by 2035.

Key Statistics

There are more than one million seriously ill children in the UK. These children, and their families, are significantly more likely to experience poor mental health, facing trauma, anxiety, and isolation, often with little or no emotional support.

Recent research shows that nearly one in five seriously ill children suffer from anxiety, and around one in seven live with depression, rates far higher than those in the general child population.

The emotional toll extends to parents, who are often expected to cope alone. Mothers of seriously ill children are particularly vulnerable, with one in four experiencing anxiety or depression . Fathers, too, frequently report suffering in silence.

Behind these statistics are children missing school, withdrawing from their friends, and struggling to cope with overwhelming diagnoses and medical trauma, without access to the broad, holistic support they urgently need.

From creative therapies to peer connection, tailored emotional care, and safe spaces just to be children, these forms of support can be life-changing, but far too many go without.

“Imagine being told your child has a serious illness, and trying to hold your family together while navigating a world focused almost entirely on their medical care”, says co-founder Sarah Parish MBE

“We know that trauma firsthand, and we know how much more support families need. Without early, meaningful support, the impact on children and their families’ mental health can last a lifetime.

“That’s why Imagine This exists:to help ensure no child or family faces the emotional toll of serious illness alone.

Our vision is for every seriously ill child and their family to have access to the kind of imaginative, empowering support that helps them navigate their journey with connection, resilience, and hope. This new identity marks our commitment to every one of these children and their families.”

The name Imagine This captures both empathy and possibility, a reflection of the daily challenges faced by seriously ill children and their families, and a call to reimagine what meaningful support can look like.

The charity delivers imaginative, diverse and impactful projects, helping families cope with the emotional and psychological toll of serious illness.

These innovative projects include groundbreaking Positivity in Motion – dance, music and yoga therapy delivered in partnership with Synergy Dance Outreach, to children at Great Ormond Street Hospital and Evelina London Children’s Hospital.

“This isn’t just a name change,” co-founder Jim Murray MBE adds. “It’s the beginning of a bold, nationwide movement to transform how we support the mental wellbeing of seriously ill children and their families living through the unimaginable.

“Our ambition is clear: by 2035, we aim to reach every seriously ill child in the UK, bringing imaginative and innovative projects to children in hospitals, hospices, and communities across the UK. Imagine This is the only UK charity solely dedicated to this urgent need, and we’re just getting started.”

Professor Lorna Fraser of Palliative Care and Child Health at King’s College London says, “When a child becomes seriously ill, this can impact the entire family.

“Our research shows the impact of serious physical illness on the mental health of the children and their parents, and how difficult it can be to access timely and appropriate support.

“We need to prioritise mental health support – it is an essential component of care for children with serious illness and their families. Imagine this is helping to shift that thinking, and it’s long overdue.”

This milestone also marks the start of an exciting new chapter, with the appointment of Ellie Main as Head of Fundraising and Operations.

Formerly Senior Fundraising Manager at BBC Children in Need, Ellie brings a wealth of experience in strategic growth and nationwide programme delivery, putting Imagine This in a strong position to scale its impact and reach every seriously ill child in the UK by 2035.

To find out more, visit imaginethis.org.uk 

Joe Wicks and UK Government join forces to get children moving

New animated series for kids, known as Activate, will get more children across the country moving more and encouraging a healthier lifestyle

  • Children to be inspired to get physically active over summer as Joe Wicks, MBE, launches Activate, a new animated series for kids
  • Created by Joe and produced by Studio AKA, Activate aims to tackle inactivity among children through fun, five-minute workouts – led by Joe as an animated character
  • Programme backed by government funding as part of Plan for Change to give children the best start in life

Children are being inspired to move more this summer following the launch of a new series from fitness coach, Joe Wicks MBE, backed by the UK government as part of a new partnership to reach schools and families across the country.

The innovative animated Activate series features five-minute episodes which combine animation with upbeat music, courtesy of Universal Music UK, encouraging children to enjoy short bursts of movement that easily fit into their day and can be transformational for their physical and mental health. The government will be backing the programme to fund a further ten episodes.

The series has been co-created by Joe and BAFTA award-winning Studio AKA (creators of Hey Duggee), bringing the nation’s favourite fitness coach to life through animation for the first time.

Activate is backed by the government’s 10 Year Health Plan, which is already hitting the ground running with its pledge to work with influencers and changemakers across society to shift the NHS from treating illness to preventing it.

The new animated series was unveiled at Ripple Primary School in Barking, east London, where Joe Wicks and Secretary of State for Health and Social Care, Wes Streeting, met teachers and parents to discuss keeping kids moving over the summer holidays and beyond.

Health and Social Care Secretary Wes Streeting said: “Childhood obesity robs our young people of their future, and inactivity is one of the biggest culprits. That’s why it’s crucial to start building healthy habits from a young age.

“Our 10 Year Health Plan sets out how we would tackle obesity through prevention and today demonstrates how we’re taking action. In the spirit of mission-driven government, we’re building a coalition of the willing to tackle the obesity epidemic head-on. 

“This initiative directly supports our focus on giving children the best start in life—a cornerstone of our Plan for Change. By investing in prevention today, we’re building a healthier generation for tomorrow.” 

Being physically active is good for physical and mental health and helps relieve pressure on the NHS, preventing an additional £10.5 billion worth of treatment a year. Despite that, inactivity levels remain stubbornly high for adults and children, with huge inequalities across the country. The Activate programme represents a collaborative approach to tackling this growing health challenge. 

The first episode is now available on Joe Wicks’ The Body Coach YouTube channel, with further episodes set to be released weekly over the summer holidays. 

The series is released five years after Wicks united the nation with PE With Joe, which received over 100 million views online. Now, Joe is on a renewed mission to get children moving through this series.

Joe Wicks said: “Activate is the natural next step in everything I’ve worked towards over the past decade. From my early YouTube workouts, to ‘PE with Joe’ during the pandemic, my goal has always been to get children moving and feeling good – physically and mentally.

“This project brings together everything I am most passionate about, and everything I’ve learned on my journey – going back to my own childhood where I discovered movement as a way to cope with the challenges of living with parents with drug addiction and mental health issues.

“Activate is designed to make movement fun and inclusive for every child, with short, high-energy workouts that fit into everyday life – these can be enjoyed in the living room, the garden, in the classroom, or anywhere else!

“As a dad, I know how important it is to make movement something kids enjoy, not something they have to do. That’s exactly what Activate is all about so I hope it can be a real support for busy families, this summer and beyond.”

Earlier this month, the UK government launched its 10 Year Health Plan, which outlined how a shift from sickness to prevention will safeguard the nation’s health and put forward a range of measures to tackle growing rates of childhood obesity. 

Obesity rates have doubled since the 1990s, including among children. A forthcoming report by the Chief Medical Officer will show that more than 1 in 5 children are living with obesity by the time they leave primary school, rising to almost 1 in 3 in areas with higher levels of poverty and deprivation. 

Measures included in the 10 Year Health Plan include:

  • Launching a world-first partnership with food retailers and manufacturers to help families make healthier choices
  • Restricting junk food advertising targeted at children
  • Reforming the soft drinks industry levy to drive reformulation 

This two-pronged approach of encouraging active lifestyles and healthy diets aims to tackle the UK’s most preventable chronic illnesses, such as diabetes and cardiovascular disease, whilst tackling the £11.4 billion bill that obesity costs the NHS a year.     

Secretary of State for Culture, Media and Sport, Lisa Nandy, said: “I know what a difference sport and physical activity make in shaping a young person’s life. It’s why we’re investing £400 million in grassroots facilities for all, joining up schools with sports clubs across the country and backing major events that inspire.

“For too long, it has felt as if we have hit a ceiling on participation in this country, and for too long the dial on inactivity has gone unmoved. Together, through initiatives like this, we will put that right and deliver on our Plan for Change.”

With Universal Music UK as the exclusive music partner, each episode features upbeat tunes from UK artists, including Becky Hill and Bastille. Each track has been chosen for its appeal to parents and children alike.

Sue Goffe, Chief Executive at Studio AKA, said: “We’re thrilled to bring the world of Activate to life through animation.

“Collaborating with Joe Wicks has been a joy, and we’re proud to be part of this creative project to inspire movement and wellbeing in children.”

Sarah Boorman, General Manager, Youth Strategies at Universal Music UK, said: “Our shared goal with Joe was to make being active feel like something children genuinely want to do, powered by great music which is appropriate for them and loved by families too.

Alison Lomax, Managing Director for YouTube UK & Ireland, said: “We’re so excited that Joe Wicks is bringing his new kids’ fitness show Activate to YouTube just in time for the (English – Ed.) holidays.

“Joe’s fun, energetic approach to getting kids moving has already made a huge impact on our platform, and Activate is set to become a go-to for families looking to keep active over the summer. It’s great to see YouTube being used in such a positive way – bringing free, accessible, and family-friendly fitness to homes everywhere.”

Created by Studio AKA, the BAFTA-winning creators of Hey Duggee, the Activate series sees Joe Wicks brought to life through animation alongside six loveable new characters, ‘The Activators’, accompanied by upbeat music from top UK artists. Together, they make movement feel personal, playful, and inclusive – so every child can find a character to connect with.

Joe and the Activators lead children through fun, five-minute bursts of movement, that can be easily integrated into their day – whether at home, at summer clubs or on the go.

With Wicks appearing as an animated character (a first for the family fitness coach), each short episode offers a burst of movement, fun, and energy to get kids’ hearts pumping and minds engaged. These include easy-to-follow exercises like jogging, squats, and burpees, wrapped up in a playful, gamified format that can keep kids active over the summer holidays and beyond.

But Activate isn’t just for the summer holidays. It will also be available to schools during term time, to help build confidence, support mental wellbeing, and help children develop healthy habits for life.

Joe added: “Being turned into an animated character has been a surreal and wonderful experience, and my dream is that it connects with millions of kids and families across the UK and beyond.”

Update on measles in Scotland – ensure everyone in your family is fully protected

Cases of Measles are on the rise across the world, so we encourage everyone to make sure you have received two doses of the measles, mumps and rubella (MMR) vaccine. Dr Sam Ghebrehewet, Head of Vaccination and Immunisation at PHS, explains more:

As measles cases continue to increase across the world, including in England where outbreaks continue, Public Health Scotland (PHS) is continuing to encourage the public to take up the offer of the Measles, Mumps and Rubella (MMR) vaccine. Having two doses of the MMR vaccine is the best way to be fully protected against measles.

As of 9 July, there have been 27 cases of laboratory confirmed measles in Scotland in 2025.

Measles can be a very serious condition, causing pneumonia and encephalitis (inflammation of the brain) and can affect people of any age if they have not been vaccinated. 

The MMR vaccine protects against measles with the first dose offered to children between 12-13 months, and the second dose offered at 3 years 4 months. If it’s missed at these times, it can be given at any age.  

Uptake of MMR has declined across all UK nations in recent years and there remains a risk of infection in those who are not vaccinated or not fully vaccinated for their age.

Health care workers should also have two doses of MMR and are advised to speak to with their employer or occupational health department if they haven’t been fully vaccinated.  

Dr Sam Ghebrehewet, Head of Vaccination and Immunisation at PHS said: “Measles is highly infectious and can lead to serious and potentially life-threatening complications for some people. 

“We’ve seen a modest decline in vaccination rates in Scotland over the last decade which is a concern as measles can spread quickly in communities where vaccination rates are low.

“That’s why we’re encouraging anyone who hasn’t had two doses of the free MMR vaccine, as well as parents and carers of children who have missed a dose, to visit the NHS Inform website and find out how to arrange an appointment in their local health board area.

“We would also encourage those who are planning to travel anytime soon to ensure that you and your children are up to date with all your vaccinations before leaving the country.”

For more information on the history of measles, read our blog Measles – a clear and continuing threat.

More information on measles, including what to do if you think someone in your family has symptoms, can be found on Measles | NHS inform.

Further information on how to check you / your child is fully protected can be found on MMR against measles | NHS inform.

Health protection teams and other health professionals can find the latest measles public health guidance here: Guidance for professionals – Measles and find the latest campaign assets here.

Updates on case numbers are published on our data and surveillance page every Thursday.

https://publichealthscotland.scot/news/2025/july/update-on-measles-in-scotland-ensure-everyone-in-your-family-is-fully-protected

Unheard voices reshape health and care in pioneering arts research project

Clubs, schools, day centres and other community settings could help to make health and care more accessible, new research suggests.

Familiar places like these could remove barriers to care, like not being sure if there is a health or care issue, where to go, how to get there, who to see or what to tell the health or care practitioner.

This is one of more than 20 recommendations made by people across the UK who researchers say are rarely consulted about the design of health and social care services.

A new report coins the term ‘seldom-listened-to’ to describe these people and communities. The researchers also coin the term ‘health labour’ to describe the effort needed by seldom-listened-to people to access health and care.

The report, titled Designing the future of care with seldom-listened-to people, encompassed ten projects across the UK, from Kent in south east England to the Highlands and Islands in Scotland.

Participants in the research included siblings of children with life-limiting conditions; women, trans men, non-binary, and gender nonconforming people with energy limiting chronic illness, such as Long Covid and autoimmune conditions; older autistic people with learning disabilities; people living with chronic inflammatory disease, endometriosis; rural communities in the Highlands and Islands of Scotland; diverse communities in Greater Manchester; children living in areas of high deprivation in the South Tees region; African-Caribbean communities in London;  mental health service users in Kent and both patients and staff who are staying or working in care units in hospitals.

“The people in our study are from communities which aren’t often listened to or included in discussions about the design of health and care services,” explained Professor Mary Stewart, academic lead for the project and Director of Social Interaction, Mental Health and Wellbeing at Heriot-Watt University.

“And yet these communities can experience profound health and care inequalities that can impact on their physical and mental health, quality of life, and the ability to live well – not only for the individual – but also their families and the wider community.

“Our research sets out the specific ways in which staff, organisations, stakeholders, and policymakers can place seldom-listened-to individuals and communities at the heart of the design of the future of health and care.

“We show not only that this is possible – but that it’s vital to co-design the future of health and care with these people and communities to improve health and care for everyone.”

The report is part of research funded by the UKRI Arts and Humanities Research Council (AHRC) – which supports arts and humanities research and study in the UK – and uses creative methods to explore how seldom-listened-to people and groups would like the future of health and social care to look.

Instead of using traditional research methods like surveys and interviews – which aren’t always accessible to seldom-listened-to people – the researchers worked with artists and creative methods to capture the views and experiences of participants. These creative methods included film, music, poetry, podcasts, comics, creative writing and folk stories.

Through a series of activities and workshops, the seldom-listened-to participants ‘reimagined’ health and social care services which could give them more say in decision-making, help them to access and engage with care – and use safer spaces to build trust and rapport.

Research co-author Bryony Nisbet, a Psychology Research Assistant at Heriot-Watt University, explained: “By safer spaces, we mean community places that are already familiar to people, and where they may already have support from trusted others.

“For example, if you’re an autistic adult with learning disabilities, accessing health and care in a day centre you already attend potentially removes the huge physical and sensory overload of trying to get to and navigate around a new place you’ve never been to before.

“For the NHS and social care, the practical change we’re proposing is moving the point of care from GP surgeries into the community. This in turn can help to tackle the growing burden on primary care in the UK.”

Other recommendations in the report include providing multidisciplinary services that span sectors including housing, employment and education – alongside health and care.

Care should also anticipate future needs, for example by developing ‘future-ready homes’ that are already adapted to meet the needs of vulnerable groups as they get older.

The report also recommends that professionals are trained to work with people with varying communication, cognitive, sensory and cultural needs.

The research aligns with the UK government’s 10-year plan to bring the NHS closer to home, including neighbourhood health centres which will house services under one roof and will be open at evenings and weekends.

The researchers have written a policy brief detailing their recommendations for policymakers. This will be shared with politicians across the UK, including Members of the Scottish Parliament and Members of Parliament at Westminster.

The ten projects in the research were all partnerships between communities, community organisations and universities. The other university partners were University of Liverpool, University of Greenwich, University of Strathclyde, Edge Hill University in Lancashire, University of Manchester, Manchester Metropolitan University, Teeside University, University of Kent and University of the Highlands and Islands Inverness.

The organisations and charities involved in the research included disability group Chronic Illness Inclusion, Manchester public arts project We Live Here; charity Endometriosis UK; Scottish Autism; educational institution Tees Valley Education Trust and arts community outreach project, Inverness Openarts.

Participants in the research included Oliver Waite, who took part in University of Manchester’s research project, called NHS 75/150 Looking Back, Looking Forwards. This engaged diverse communities in Greater Manchester in discussions around the future of health and care. Oliver’s story is captured in a comic-book style artwork that highlights the importance of seeing people as individuals.

Oliver explained: “I have schizoaffective disorder, I’m autistic and I’ve transitioned from female to male. But I’m more than just a list of medical issues.

“I’m a part-time history student with the Open University, I build models, such as Lego, and I play wheelchair rugby league.”

Dr Myrtle Emmanuel, Associate Professor in Human Resource Management & Organisational Behaviour at the University of Greenwich, led a research project called Re-igniting Windrush folk stories and songs to improve African-Caribbean mental health disparities in the London Boroughs of Lewisham and Greenwich.

She said: “African-Caribbean communities are 40% more likely than white British people to come into contact with mental health services and to be detained under the Mental Health Act.

Our project looked at a different approach, one that builds on the cultural traditions and community support that have always helped people stay mentally well. Through storytelling and folk song workshops, we created a practical toolkit to help promote good mental health in local communities”

Dr Rachel Carroll, an Associate Professor in English at Teeside University, led a research project called, Empowering children to shape the future of research on social inequality, health and wellbeing.

She said: “The children and young people in our project were able to explore and express their lived experiences and perspectives on social inequality and health and wellbeing through a series of interactive and inclusive workshops, including comic-making, creative writing, dance and performance.

“We hope the artworks, creative writing and films that captured their voices will help health professionals, policy makers, researchers and the wider public to learn from the experience and insights of children and young people.”

Emma celebrates graduation after overcoming shock seizure ordeal

The Business Management student has graduated from Edinburgh Napier with first class honours

A new Edinburgh Napier University (ENU) graduate feels as though she has achieved the impossible by graduating with first class honours – after a series of frightening seizures left her studies in doubt.

Business Management student Emma Sullivan suddenly began experiencing convulsive episodes in the summer of 2022, which became increasingly intense and unpredictable. Months of tests and appointments revealed a diagnosis of Functional Neurological Disorder.

After carefully balancing the condition with her studies, Emma has now been formally presented with her degree at the Usher Hall – where she paid tribute to her family for their support.

The 22-year-old from Edinburgh said: “The weekend before starting second year I experienced two out of control ‘episodes’, which I didn’t know were seizures at the time. Me and my parents went to A&E as we could tell something was wrong.

“After undergoing a couple of tests they were unable to detect any abnormalities, and it was put down to stress. I left the hospital feeling more confused than when I went in, as though I had wasted their time.

“I continued to have these ‘episodes’ every few weeks. They were becoming more intense, and I would be very disoriented before and after them.

“It took around seven months to finally have an explanation of what I was going through. I was referred to a neurologist who diagnosed me with Functional Neurological Disorder (FND) and explained that I was having functional seizures.”

FND affects how the brain processes signals, with symptoms including seizures, fatigue and pain. Treatments focus on managing and improving the condition through rehabilitation therapy.

For Emma, this meant carefully balancing her everyday life. She left her part-time job to focus on her health and her studies.

She added: “Once I had the diagnosis it helped to give some clarity, but I still had to learn how to adapt to this new reality. Other things in my life needed to take a back seat.

“During flare ups I was having multiple seizures a day, which was both physically and mentally exhausting. Through neuropsychology appointments I learned that pacing myself was extremely important, and this has really helped me to continue my studies.

“It was a constant concern whenever I was out of the house that I might have a seizure, which added an extra layer of stress to everyday activities.

“Alongside the seizures I would also experience limb and muscle weakness, muscle spasms, chronic pain, fatigue and dissociation.

“Two months before the first seizures I was also diagnosed with autism. So alongside navigating this new, massive health change, I was also coming to terms with what the autism diagnosis meant for me.

“It has been a lot to process during the past few years.”

Now that she has achieved her degree, Emma hopes to raise awareness of conditions like hers, while championing disability advocacy and support.

Her dissertation focused on the impact working from home can have on autistic employees – and she shared her findings at the Edinburgh Napier’s ENclusion conference in May.

She said: “There were many times during the past couple years that the thought of graduating and finishing my studies seemed absolutely impossible.

“I am extremely proud of myself for getting to the stage, but I absolutely could not have done it without the love of my family. My mum and dad have been an incredible support and have been with me every step of this journey.

“Although it has been incredibly difficult and challenging at times, these experiences have also helped me to grow in resilience, determination and strength.

“Planning for the future can be very difficult due to the unpredictability of my health, but I remain passionate about raising awareness about both chronic illnesses and autism.

“I would love to be part of a movement that drives positive change and supports others facing similar challenges, and helps to build a more inclusive, understanding society.”

Mental Health Foundation: Grounding Techniques

Grounding techniques can help us when we’re feeling out of touch with our body and surroundings. They can help us reconnect to the present moment.

This might be because we’re experiencing difficult emotions, like fear, anxiety or anger. You can also use grounding techniques if you’re experiencing a panic attack.

This technique uses all 5 senses, and can be used any time.

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