Health and wellbeing – Page 57 – The NEN

Audit Scotland: Integration Joint Boards ‘face significant workforce pressures and financial challenges’

Scotland’s Integration Joint Boards (IJBs) face considerable financial challenges and immense pressures on their workforce, says public spending watchdog Audit Scotland.

IJBs have reached the point where significant transformation will be needed to ensure the long-term capacity, financial sustainability and quality of services individuals receive.

IJBs plan and commission many community-based health and care services. Demand for these services is increasing, in part due to demographic change and support for people with increasingly complex care needs.

The number of care hours for those aged over 65 reached nearly 25 million in 2021/22. The proportion of care services reporting vacancies increased by 11 per cent to 47 per cent, with a 30 per cent turnover of staff each year.

Most IJBs underspent on providing services in 2021/22. This was largely because of difficulties in recruiting staff, which led to unplanned vacancies, and pandemic-related reductions in service provision. The reductions in service provision were likely to have contributed to an increase in unmet health and social care needs.

In 2021/22 IJBs returned significant surpluses, with reserves doubling to over £1.3 billion. This was mainly due to additional funding received late in the year for specific policy commitments, including Covid-19. The Scottish Government are currently exploring options to recover around two-thirds of the unspent Covid-19 money held in reserves.

Across Scotland, IJBs have a combined projected funding gap of £124 million for 2022/23.

To be financially sustainable in the longer-term, IJBs must reduce their reliance on reserves. All IJBs must put in place detailed plans that clearly show how they will achieve the needed ongoing savings on a recurring basis and support urgently needed service transformation.

William Moyes, Chair of the Accounts Commission said: “Change is needed now – it cannot wait for a National Care Service. Action is needed to tackle funding pressures, which are under increasing stress from rising demand and cost pressures.

“The workforce challenges are considerable, with mounting unmet need.

“We need to see services focus on prevention, with appropriate funding in place to transform the way services are delivered and to improve lives. “

Local government organisation COSLA agrees.

COSLA Health & Social Care Spokesperson, Councillor Paul Kelly, said: “Today’s report from Audit Scotland is concerning and highlights the enormous pressure our health and social care infrastructure is under.

“People across Scotland rely on vital health & social care services every day, and it is critical that there is meaningful investment in the system which ensures their long-term capacity.

“We must ensure focus remains on front-line service improvement and sustainability, rather than the bureaucratic structural change presented through the National Care Service Bill.”

nr_230406_financial_analysis_ijbs Download

Virtual reality brings fantasy garden to life for thousands of children

Global immersive technology company collaborates with Teapot Trust to create cutting edge VR experience

An exciting collaboration between Edify and Teapot Trust will bring to life the transformative power of art therapy through virtual reality and a fantasy garden.

The partnership between the East Lothian charity and the immersive technology company, with headquarters in both Glasgow and Abu Dhabi, comes as Teapot Trust prepares to host a show garden at this year’s RHS Chelsea Flower Show.

Teapot Trust is a charity at the forefront of transformative mental health support that provides art therapy to children, young people and their families living with chronic conditions.

The Elsewhere Garden, designed by Scottish Swiss partnership SempleBegg, will showcase at the prestigious gardening event in May this year. The garden represents a child’s imagination as it blossoms in response to the freedom gifted by art therapy and is inspired by Willy Wonka’s factory, Oz and Wonderland.

Edify, a leading-edge tech company that builds innovative immersive technology platforms for learning and teaching is donating its time to the charity to create a virtual reality experience of the garden.

This ground-breaking technology will provide a completely new context for art therapy where children and art therapists can connect, create, and explore in a digital realm. The impact will be far reaching, enabling increased access by overcoming geographical and physical barriers.

By bringing the garden to children (like those in a ward) who cannot physically leave hospital to explore outdoors, it will help them experience the world around them in a new way while introducing vital art therapy themes like increased communication, relaxation techniques, and mental coping mechanisms.

Fergus Bruce, Senior Director at Edify said: “Central to Edify’s mission is making the ‘go anywhere, do anything’ superpowers of immersive technology accessible as widely as possible.

“With that in mind, we’re delighted to support the Teapot Trust and the vital work they do by ensuring that the ‘Elsewhere Garden’ can be experienced far beyond RHS Chelsea. We’ll do this by utilising both the Edify platform and the skill of our team to create a virtual experience of the actual garden which keeps its magic accessible and growing long after the event itself.”

Edify and Teapot Trust were introduced through the Scottish Tech Army, a unique volunteer community bringing together tech experts and the third sector for the benefit of people and communities.

Kirsty McIntosh of Scottish Tech Army added: “We are delighted to bring the Teapot Trust and Edify together.

“This is a great example of the tech for good ecosystem in action and we are excited to see how this collaboration will support the aims of the charity.”

Sarah Randall, CEO of Teapot Trust said: “The Elsewhere Garden has been created with the most incredible amount of passion, love and nurture so the ability to bring this to life in a virtual reality world to benefit thousands of children and young people who won’t experience the garden in real life is a wonderful opportunity.

“The Edify platform will enable art therapists to join and guide children in a virtual experience while also giving the potential for children within an art therapy group to interact with each other within the digital garden. This is a tremendous asset to have, which is down to the overwhelming generosity and creativity which Edify has brought to the project.”

Art therapy techniques will be incorporated into the experience, with specific plants, views, and sensations being central to art therapy exercises and themes. This safe and controlled experience will help children grow confidence to navigate tech and tech-enabled learning in a fun, playful, and imaginative immersive experience, boosting their confidence and helping them understand that they can overcome barriers in their own lives.

One in four children and young people in the UK live with the pain and stigma of chronic health conditions that cause anxiety and depression. Almost a third of those aged under 21 who take their own lives have a long-term chronic illness.

The charity’s art therapy gives children and young people a release from the burdens of chronic illness allowing them to take some control, to express and process their feelings about their diagnosis, their treatment regime, and the impact of their condition on daily life.

New First Minister must open his eyes to challenges facing vision impaired

EDINBURGH, UK – 14th February 2022: Sight Scotland community service users meet with staff for a social event at Robertson Avenue. (Photograph: MAVERICK PHOTO AGENCY)

Sight Scotland, and its sister charity Sight Scotland Veterans, are calling on the new Frist Minister, Humza Yousaf MSP, to improve inclusivity and accessibility for the vision impaired.

An estimated 180,000 people are currently living in Scotland who are blind or partially sighted, with this number expected to double by 2031 to almost 400,000. People living with vision impairment face a multitude of challenges on a daily basis, including loneliness, isolation, and social exclusion.

If we add in spiralling waiting times, the cost-of-living crisis, and growing problems with accessibility in our towns and cities, it is clear to see that more needs to be done to support people living with sight loss across the country.

Craig Spalding, Chief Executive of Sight Scotland and Sight Scotland Veterans, comments: “As a former Health Secretary, our new First Minister knows the challenges that are facing healthcare and public health in Scotland.

“You just have to look at the latest ophthalmology waiting times statistics released by Public Health Scotland to realise that the Scottish Government must do better.

“On average 36% of new outpatients had to wait over 16 weeks for eye appointments, a rise of almost 10% in just three months. This number then grows to over 50% in some health boards such as Fife and Lanarkshire.

“People with deteriorating eye conditions just don’t have the time to wait, if ophthalmology waiting times are not improved, many face the very real prospect of permanent damage.

“The cost of living crisis is also hitting the vision impaired community hard. The majority of people living with sight loss already face additional expenses, such as transportation costs, technology assistance costs and support in the home.

“They are also forced to spend a lot more time in their home due to vision loss, which makes fuel poverty a very real threat due to soaring energy bills. This is forcing many to cut back on essentials such as food, heating and electricity, which is having a terrible impact on both their physical and mental health.

“The Scottish Government must address the growing problems of accessibility in Scotland. More streets in Scotland are being transformed to give priority to active travel, but unfortunately there are many instances where these new layouts are dangerous for visually impaired people.

“Issues centring around cycle paths with no kerbs, floating bus stops and staggered zebra crossings, are causing real safety concerns. Meaningful engagement with communities is key to this so that their lived experience can inform plans that meet the needs of everyone.”

Spalding adds: “We are looking forward to working alongside the new Scottish Government to help address many of these issues and to develop further the new See Hear strategy and the National Low Vision service.

“We welcomed the launch of the new eyes.scot website, and the reestablishment of the Graduate Diploma in Low Vision Rehabilitation course at Strathclyde University which is a step in the right direction to ensuring more people with visual impairment have access to specialist support to lead independent day to day lives.

“A new First Minister and Cabinet present a real opportunity to address these challenges. We welcome the chance to work even closer together to ensure the needs of people living with sight loss are at the top of the agenda.”

For more information about the activity groups please visit:

https://sightscotland.org.uk

Humzah Yousaf announces another £1 million to tackle health inequalities

First Minister Humzah Yousaf has announced additional support for general practices in most deprived areas. People living in some of Scotland’s most deprived communities will benefit from an additional £1 million of funding to help tackle health inequalities.

The Inclusion Health Action in General Practice programme provides targeted funding for support to patients whose social circumstances have a negative impact on their health.

The funding is allocated directly to practices which are in the NHS Greater Glasgow and Clyde Health Board area and feature on the list of 100 most deprived practices in Scotland.

First Minister Humza Yousaf made the announcement as he visited the New Gorbals Health Centre in Glasgow.

The First Minister said: “General practice is at the heart of our communities and is uniquely placed to deliver the care and support needed by patients who experience health inequalities.

“Of the one hundred poorest practices in the whole of Scotland, shockingly 81 currently sit within the Greater Glasgow and Clyde Health Board area – a statistic I am determined to change.

“This additional funding of £1 million will build on the foundations of previous funding. At a time when the cost of living crisis is widening health inequalities, this is an important step that supports our commitments to prevention and early intervention with patients at highest risk of poor health.”

Lorna Kelly, Chair of the Primary Care Health Inequalities Development Group said: “The NHS needs to be at its best where it is needed the most, or health inequalities will continue to worsen.

“This additional resource to general practices serving the most deprived communities in Scotland is therefore very welcome.”

NHS 24: Easter Opening Times

Important, please share

It’s important to know the opening times of your GP, pharmacy and dental surgeries over the Easter weekend in case you need medical assistance.

A lot of these services will have reduced hours or be closed, so it’s best to check in advance to ensure you have access to the care you need.

Find out more at NHS inform

https://nhs24.info/servicedirectory

RCEM welcomes new Health Secretary

‘We must eliminate dangerous and unacceptable delays to patient care’

Responding to the latest Emergency Department performance figures for Scotland for February 2023 (see below) Dr John-Paul Loughrey, Vice President of the Royal College of Emergency Medicine Scotland, said: “As the data show, the start of this year has continued to be difficult in Emergency Care.

“Patients continue to face long and dangerous waits as staff continue to be stretched to their limit. Ambulance queues, poor patient flow throughout our hospitals, exit block – where patients are stuck in the system in a ‘traffic jam’ – these remain prevalent across Emergency Departments in Scotland.

“We congratulate the First Minister for Scotland, Humza Yousaf MSP, on his appointment to his new role, and we welcome Michael Matheson MSP (above) to the role of Cabinet Secretary for Health and Social Care.

“We hope to continue and increase our engagement with the Scottish Government to improve patient care and staff conditions in Emergency Medicine and the wider health service.

“We urge the new Cabinet Secretary to build on the constructive engagement of his predecessor and increase focus on investing in adequate and sufficient social care to discharge patients in a timely way to free up beds.

£Alongside this, we ask him to prioritise expanding acute bed capacity across Scotland and retaining existing staff. These are the short-term priorities for Emergency Care. It would be wrong to take measures to manage demand and reduce attendances on the front door – such measures do nothing to tackle the root causes of long-term problems.

“In the long-term, we urge the new Cabinet Secretary to look at workforce planning and sustained and continued funding and investment in health and social care to ensure we do not reach the troughs of performance and patient care that we saw in 2022.

“We must reduce and eliminate dangerous and unacceptable delays to patient care that we know are associated with patient harm and patient deaths. We would welcome an opportunity to meet with the new Cabinet Secretary to discuss our Five Priorities for UK Governments for #ResuscitatingEmergencyCare.”

The latest performance figures for February 2023 for Emergency Departments across Scotland show:

There were 95,110 attendances at major Emergency Departments
66.4% of patients were seen within four-hours at major (Type 1) Emergency Departments
- This is an increase of 1.2 percentage points from the previous month, but a decrease of 5.3 percentage points when compared with February 2022
- 31,964 patients waited over four-hours in major Emergency Departments
In February 2023, 10,709 patients waited eight-hours or more in an Emergency Department
- This is a decrease of 18% from the previous month, January 2023
- This is the worst February on record
- This is equal to more than one in 10 patients waiting eight-hours or more in a major Emergency Department
4,751 patients waited more than 12-hours before being seen, admitted, discharged, or transferred
- This figure has fallen by 25% from the previous month
- This is the worst February on record

Healthy Heart Tip: Meal Planning

Heart Research UK Healthy Heart Tip, written by the Health Promotion and Education Team at Heart Research UK

Healthy Heart Tip: Meal Planning

It’s 6pm, you’ve just got home from work and are about to make your evening meal, you look in the fridge and find some mince and a pepper and decide to make a chilli. You open the cupboard, grab the kidney beans, and then realise you’ve run out of chopped tomatoes.

The chilli you planned on making is no more, you don’t have the energy to go shopping so you reach for your phone and order a takeaway. If this sounds familiar, you’re not alone. Effective meal planning can make eating healthier easier, save money, time and reduce food waste.

Read on for some meal planning tips.

Plan in advance

Planning your meals in advance is one of the most effective things you can do to make sure you eat a healthy, nutritionally balanced diet.

Seeing your week’s food together in one place can help you identify anything you might be missing. For example, you may notice you haven’t included your two portions of oily fish and can re-design your meals to incorporate them.

A shopping list is key

Once you have your meal plan, you can get to work creating your shopping list. It’s wise to do this in your kitchen so you can check what staples you have in as you go.

If you find this task boring and time consuming, try creating a list of weekly staples that you can reuse each week. You can always cross things off you don’t need that week but it can save time to have a master list and then add things to it based on what meals you’ve planned.

Utilise your freezer

Plans can change and using the freezer wisely can help. Take stock of your fridge every few days and freeze anything you’ve not ended up using. You can always cook meals you haven’t used and freeze them for a convenient meal another day.

It’s a good idea to have some basics in the freezer like frozen vegetables and cook-from-frozen fish. With basics like rice and pasta in the cupboard you can make unplanned meals easily.

For more tips on how to stay healthy, sign up for our weekly healthy tips at www.heartresearch.org.uk/healthy-tips.

The Edinburgh Practice launches a city-wide art competition in partnership with Alzheimer Scotland

Mental healthcare specialists, The Edinburgh Practice, has announced a city-wide art competition, entitled ‘Memory: Your Perspective’ in collaboration with its 2023 charity partner, Alzheimer Scotland, which will be officially unveiled at the opening of its new 6,500sq ft multi-purpose, custom built 26 room clinic in Waverley Square this summer.

The company, founded by Dr Fiona Wilson in 2017, has outgrown three sites in the city due to exponential growth over the last two years and is counting down to opening its new clinic which will include new specialist services for older adults including the provision of dementia assessments through the practice’s new Memory Clinic.

The competition, which has five categories; primary school pupils, secondary school pupils, adults aged 18-65, adults aged 65 plus, and people living with dementia, (or caring for someone with dementia) ties in with the range of new services for older adults and will also help raise awareness of the support offered by Alzheimer Scotland.

The theme for the competition is about encapsulating people’s interpretation of memory, which can range from a fond memory of quality time with grandparents or memorable past experiences of places, people and moments. Entries can be submitted in A0, A1, A2 or A3 format and be submitted digitally by emailing ella@edinburghpractice.com by 5pm on Friday 19^th May 2023.

The winning artist in each category will receive a £100 voucher for the St James’ Centre, and their artwork will be displayed for one year in the new practice at Waverley Square.

Dr Fiona Wilson said: “Supporting the wider community is very important to us at The Edinburgh Practice and I am thrilled to announce that our 2023 charity partner is Alzheimer Scotland.

“The charity is doing tremendous work in supporting people with dementia and carers, as well as creating awareness about brain health across the life span.

“We hope that our ‘Memory: Your Perspective’ art competition will stimulate awareness and discussions among all age groups in the community as to how important brain health is to preserve our memory for as long as possible.

“We are very much looking forward to unveiling the winning artworks in each category at our launch event in the summer.”

Josh Munns, Stakeholder Engagement Leader at Alzheimer Scotland, commented: “We are delighted to be the charity partner for The Edinburgh Practice who are helping to raise crucial funds and vital awareness for Alzheimer Scotland.

“People living with dementia and those who love them continue to be disproportionately affected by the legacy of the pandemic and the effects of the cost-of-living crisis so it’s essential that we continue to be there to make sure no one faces dementia alone.

“Without the support of organisations like The Edinburgh Practice we wouldn’t be able to support the 90,000 people living dementia, their families and carers”.

New partnership will see Scots encouraged to move more

Movement for Health coalition advocates physical activity resource to improve nation’s health

A COALITION of 19 leading health charities have endorsed a resource that will help healthcare professionals integrate physical activity conversations into routine clinical care.

Movement for Health (MFH) – a group of charities including SAMH, Age Scotland, and Paths for All – is working with the Faculty of Sport and Exercise Medicine UK (FSEM) to advocate for use of its Moving Medicine resource which provides health care professionals with the knowledge, skills and confidence to talk to patients about physical activity.

The web resource draws on both clinical and patient experience to create behaviour change for people living with long term conditions. It is free to access and already widely used across England.

MFH has endorsed the resource in the hope it can help improve the resilience of Scotland’s people, communities and NHS while directly aligning to its key aim of making it easier for people with a long term health condition to be more active.

Dr Emma Lunan, Chair of Movement for Health, said: “It’s quite simple – Scotland needs to move more to boost the nation’s health and happiness.

“As a coalition of charities, we are always eager to engage with initiatives supporting and promoting life changing physical activity. It can be transformative for many with long-term conditions.

“Receiving further expertise and resource from Moving Medicine is extremely welcomed and will prove a vital tool post-pandemic to improve the physical, social and mental health of the country.

“MFH exists to promote physical activity for the prevention and management of long term conditions and has been at the forefront championing a way forward for the past four years.

“The Moving Medicine web tool has already had success in paving the way for healthcare professionals to feel confident and have better conversations around physical activity and ultimately make referrals for exercise.

“We encourage those who work within a healthcare setting to seek out and use this resource as it can play such an important role in supporting those with Long Term Conditions to become more active.

“This has never been more important so we are delighted to be working together.”

The CMOs’* Physical Activity Guidelines state that for good physical and mental health, adults should aim to be physically active every day. This can be anything from a short walk to the shop or a 30-minute session in the gym – any activity is better than none alongside reducing sedentary behaviour.

Moving Medicine is led by the Faculty of Sport and Exercise Medicine UK (FSEM), delivered in partnership with the Office for Health Improvement and Disparities, Sport England and the National Lottery – with the aim of improving physical activity conversations across healthcare and support the routine delivery of physical activity for all.

The resource was developed in Scotland through a partnership between FSEM, Sportscotland and Public Health Scotland. This partnership also included the development of the resources for children and young people.

Dr Natasha Jones, FSEM President and Clinical Director of Moving Medicine, said: “The Movement for Health coalition brings together charities and organisations that share FSEM’s vision of improving the health of the nation through physical activity.

“We are delighted to be working with the coalition to help us spread the word and encourage everyone in healthcare to have better conversations about physical activity”

Moving Medicine has worked with more than 2,000 clinicians, academics and patient experts to design the resource for a wide range of conditions and life stages, such as cancer, diabetes, pregnancy, and menopause.

In total, Moving Medicine offers resources covering 21 adult conditions and life stages, 6 childhood conditions and 6 conditions affecting young people. These paediatric resources were jointly co-funded Public Health Scotland and sportscotland.

Flora Jackson, Health Improvement Manager at Public Health Scotland, said: “We’re pleased to continue to work with Paths for All to support the Movement for Health Coalition and welcome their voice, providing leadership and advocacy for physical activity and long-term conditions.

“Moving Medicine provides a simple guide on how to raise the issue of physical activity in as little as 30 seconds and we echo the call for more health professionals to do so.”

Regular physical activity provides a range of physical and mental health and social benefits, including: reducing the risk of many long-term conditions, helping manage existing conditions, ensuring good musculoskeletal health, developing and maintaining physical and mental function and independence, supporting social inclusion, helping maintain a healthy weight and reducing inequalities for people with long-term condition.

For more information on Movement for Health, visit:

https://www.movementforhealth.scot/

Further information on Moving Medicine can be found here:

www.scotland.movingmedicine.ac.uk

All of Us: New film launched by Edinburgh campaign set up to support struggling families

A new film encouraging families in Edinburgh to access support and advice has been launched today (Wednesday, March 29) as part of a campaign run by NSPCC Scotland and the city’s Child Protection Committee.

The All of Us campaign, set up over two years ago, has involved organisations across the city working in partnership, including Edinburgh Voluntary Organisations Council, Stepping Stones North Edinburgh and Dads Rock, to highlight the different kinds of support available for families through events and workshops.

The film features two first-time mums who talk about the support they have received from Stepping Stones North Edinburgh and a father who says Dads Rock has helped him become ‘a more confident father’.

As well as helping parents and carers get support and advice, the campaign lets people know where to turn if they have concerns about a child. It also raises awareness among communities and professionals about the early signs of child neglect and how to help families who are struggling.

About one third of calls made to the NSPCC Helpline are from people concerned a child might be experiencing neglect, which is when a young person’s basic needs are not being met. This includes the child not having warm, clean clothing; enough to eat or drink; receiving love and care; access to healthcare; and support with education.

Neglect can happen due to a variety of issues, including parents not having support, funds or skills, and having poor mental health.

Carla Malseed, NSPCC Scotland local campaigns manager, said: “We know that taking care of children isn’t always easy and we all need help from time to time.

“Parents might be struggling due to money, health issues or a whole range of factors outside their control and there’s help available across the city.

“The NSPCC Helpline is also there for anyone who wants advice or knows a family that needs support. It takes All of Us to raise happy, healthy children.”

A 25-year-old first-time mum, Shannon Borthwick, who attends Stepping Stones North Edinburgh – a charity that supports young parent families, said: “I don’t have the words to describe how much Stepping Stones has helped me, it’s just changed me as a person, it’s been so good for me.

“They’ve offered me such amazing opportunities. I’m incredibly grateful for all their help and support and I’m definitely finding parenting is easier since I reached out to them.”

24-year-old Marcia Cruz, who is also supported by the charity, added: “I’m also a first-time mum and I experience anxiety sometimes. There are times when it’s very difficult to know why your child behaves in a certain way.

“Having other people to talk with about things really helps and makes me feel much better. You realise you’re not the only person who feels a certain way and other mums are having similar experiences.”

Thomas Lynch, service manager at Dads Rock, said: “Parents really just appreciate having someone else to speak to and knowing they’re not alone and that other people are going through similar stuff.

“Nobody knows everything and it’s good to get a bit of information and support when you need it. I think people need to ask for help as soon as possible.”

Mark Cooper, a dad who has been supported by Dads Rock, said: “In the midst of a baby screaming that can be highly stressful.

“The support has helped me to become a more confident father because I know I’m not alone.”

Amanda Hatton, Chair of the Edinburgh Child Protection Committee, said:“The All of Us campaign has been successful in highlighting the very real issues around child neglect and the Edinburgh Child Protection Committee has been working with NSPCC Scotland to raise awareness.

“The holiday period can be a challenging time for families so it’s important that everyone is aware of the wide range of support available here in Edinburgh. The ongoing cost of living crisis has put even more pressures on families, and I would urge people to continue to seek support.”

The film was launched at 10am this morning: Wednesday, March 29.

For parenting advice and support visit NSPCC helpline or call 0808 800 5000, weekdays 8am to 10pm and weekends 9am to 6pm. People can also contact Social Care Direct on 0131 200 2324, their health visitor, GP or child’s school. If you’re concerned that a child is in immediate danger phone 999.

To find out more about the campaign visit: www.edinburgh.gov.uk/allofus

For further support and advice visit: www.edinburgh.gov.uk/support-families

To watch the video visit: NSPCC All of Us – YouTube

It takes ‘ALL OF US’ to raise happy, healthy children.