Health and wellbeing – Page 7 – The NEN

NHS Lothian: Building a modern travel health service

International travel has changed significantly over the past decade, increasing the need for accessible, high-quality travel health advice and vaccination services. In NHS Lothian, we have worked to develop a modern service that provides safe, comprehensive care before people travel abroad.

As part of Scotland’s Vaccination Transformation Programme, which came into effect in 2022, responsibility for travel vaccinations moved from GP practices to health boards. In Lothian, we used this opportunity not simply to replace the previous system, but to create a more comprehensive service.

Our model brings together NHS travel vaccinations, expert travel health advice, private vaccinations, antimalarial prescriptions and an individual travel health assessment in one place. Previously, many patients received NHS vaccines from their GP but then had to attend other providers for additional vaccines or malaria prevention. By offering a more holistic service, we can reduce the number of places patients need to visit and help them prepare more effectively for their travels.

A travel clinic has existed within the Regional Infectious Diseases Unit for more than three decades, but the service has expanded significantly in recent years. Activity has risen from around 1,600 new appointments each year to around 12,000 annually, reflecting both growing demand and the value patients place on a comprehensive service.

With such high demand on the service, we know that access to appointments has sometimes been challenging. We have listened carefully to feedback and introduced an online booking system to improve accessibility, although we recognise there have been some issues as the new system is being embedded. As an NHS service, our digital systems meet strict standards for IT governance and patient data protection.

Feedback from patients who attend the clinic has been extremely positive. Our team works incredibly hard to deliver high-quality care and expert advice, and we are proud of the service that has been built.

We also want people to know there are other travel health providers across Lothian. Most travel vaccines and antimalarial medicines are not funded by the NHS and can also be accessed privately through pharmacies and travel clinics. Travellers can also check in advance what they may need by visiting TravelHealthPro: https://travelhealthpro.org.uk

We want the NHS Lothian Travel Health Service to continue evolving so that we can provide accessible, high-quality and comprehensive care. We are grateful for the patience, support and feedback of the public as we continue to improve the service.

If you need to arrange an appointment with our Travel Clinic go to:

https://services.nhslothian.scot/travelclinics/find-an-nhs-lothian-travel-clinic/ and select ‘Book Online’

BST clock change: Lost sleep costs average worker over £2,000 a year

New studies have revealed that Brits are getting just six hours and 27 minutes of shut–eye per night on average, with sleep remaining a clear issue for many in the UK.

Now, new research from Hillarys reveals Britain is spending an estimated £48 billion a year just to function while tired, as millions of workers pay daily to push through poor sleep. With 64% spending money each week to cope, and the average employee shelling out £6.23 a day (£2,274 a year), experts warn the nation’s chronic “sleep deficit” is now hitting wallets as hard as wellbeing.

As Sleep Awareness Month takes place in March, the survey highlights a growing reliance on caffeine, convenience food and other quick fixes – masking fatigue rather than fixing it, and with the clocks about to go forward one hour on March 29th, many could struggle with lack of sleep.

Key findings

64% of UK workers spend money weekly to manage tiredness caused by poor sleep
Annual spend on coping with fatigue (£2,274) can account for up to 43% of a renter’s disposable income, showing the real financial impact of Britain’s sleep deficit
The average worker spends £6.23 per day, equivalent to £2,274 per year
Coffee and energy drinks are the most common coping methods, used by 32% of workers
Workers aged 35-44 spend the most, averaging £7.13 per day to stay alert

New research from Hillarys shows that Britain’s chronic sleep deficit is creating a major consumer burden, with the workforce spending an estimated £48 billion a year just to cope with tiredness. The survey of 2,001 UK employees found that nearly two-thirds of workers spend money each week on coffee, snacks, alcohol, supplements, or convenience food to function after insufficient sleep.

The average daily spend of £6.23 translates into £2,274 per worker annually. When compared with typical disposable income, the impact is striking: research from YBS* shows UK renters have just £440 per month left after bills and essentials, while homeowners have £872 per month.

Put another way, the typical worker’s annual spend on coping with tiredness represents around 43% of a renter’s disposable income and 22% of a homeowner’s, highlighting how chronic fatigue is hitting wallets as hard as wellbeing.

Who is paying the most?

Midlife adults aged 35-44 bear the highest cost of poor sleep, averaging £7.13 per day (~£2,603 per year) on coping mechanisms such as caffeine, snacks and convenience food. Younger workers aged 18-24 spend £6.35 per day (~£2,317 per year), while those aged 25-34 average £6.23 per day (~£2,274 per year). Workers aged 55 and over spend the least at £4.47 per day (~£1,631 per year).

High-pressure sectors such as finance and IT report even greater expenditure, with some workers spending up to £3,100 per year just to stay alert during the working day.

Britain’s top coping behaviours

Coffee and energy drinks – 32%
Sugary snacks – 18%
Takeaway or convenience food – 17%
Alcohol – 16%
Supplements or sleep aids – 14%

Sleep deprivation is no longer just a health issue – it has become a consumer economy. Workers routinely spend money on short-term stimulants rather than addressing the root cause, creating a cycle of fatigue and expenditure that compounds across generations and sectors. Younger workers rely heavily on caffeine to get through the day, while older workers invest more in supplements or aids.

Tom Coleman, sleep expert at Hillarys, comments: “Paying to stay awake is only masking a much bigger problem.

“Chronic sleep deficit changes how our bodies regulate energy, stress and focus, and over time it can make fatigue feel normal – which is why midlife workers are spending thousands just to keep going.

“Fatigue also impairs decision-making, so people are more likely to reach for quick fixes like coffee, snacks, energy drinks or takeaways, even when they’re costly or not the healthiest choice.

“The solution isn’t more stimulants – it’s reshaping daily habits to reduce sleep debt: scheduling regular bedtimes, building natural tiredness through daytime activity, and managing stress early in the day rather than in the evening.

“Organisations can help by recognising the hidden costs of fatigue and supporting healthier work-life patterns. Addressing sleep now is an investment that pays back in alertness, better decisions, and real money saved on coping mechanisms.”

Source:

*https://www.ybs.co.uk/w/renters-have-half-the-disposable-income-of-homeowners

Please find the full survey responses here.

A third of workplace sickness absence is due to stress, anxiety, depression or other mental health problems

Almost a third (32%) of bosses report stress, anxiety, depression or other mental health problems as a reason staff give for sickness absence.

A YouGov survey, commissioned by workplace expert Acas, asked employers what the top three reasons employees give for being off sick from work.

Almost two-thirds (62%) said that workers report their absences as being due to minor illnesses, such as coughs, colds and the flu, while nearly a quarter (23%) said that the absences are due to headaches and migraines.

The poll was commissioned ahead of new changes to statutory sick pay that will take effect in a few weeks’ time due to new rules introduced by the Employment Rights Act 2025.

From 6 April, workers will be eligible for statutory sick pay for their first day of illness rather than the fourth day and workers will no longer need to earn a minimum amount to be eligible

Acas Head of Inclusivity, Julie Dennis, said: “Our findings reveal that 1 in 3 bosses report mental health problems as a key reason for staff absence. It’s a surprising result alongside the top reason for sickness being coughs, colds, flu and other minor illnesses.

“Bosses need to ensure that their work environments are healthy places to work as well as prepare for the new rules on sick pay that will coming in a few weeks’ time.

“Workers should also look after their own health and wellbeing too. If they are experiencing stress, they should talk to their manager as soon as they can. Acas has good practice advice and training in this area.”

Acas has good practice advice to help bosses manage sickness absence at work:

 Providing training for managers on how to support employees through periods of illness can help with absence rates.

 Employers that offer flexible working can also help promote a healthy work environment and prevent high levels of sickness absence.

 Good mediation services at work can help resolve any issues that is sparking sickness absence among staff.

 Easily accessible illness and absence policies will make it clear what’s expected of both employers and workers if someone needs time off work.

Acas has updated its advice on sick pay to reflect the new changes in the law from the Employment Right Act 2025 that will apply from 6 April and how they compare to the current rules: Statutory sick pay – Sick pay – Acas.

Acas also has training courses for employers on managing absence.

£5.07m community path fund leaves lasting legacy across Scotland

Ian Findlay Path Fund supports projects in Edinburgh

COMMUNITIES across Scotland are celebrating the impact of a £5.07 million investment in local path networks. Between 2022 and 2026, the Ian Findlay Path Fund, funded by the Scottish Government and administered by Walking Scotland, helped 62 projects across 17 council areas.

The fund has supported eight path projects in Edinburgh over four years, including the Dalmeny Path Development, the Coalie Park Improvement Project and the Gyle Park Path Network Upgrade 2023.

These initiatives have supported upgrades to path surfaces, improved accessibility and strengthened connections between local communities and green spaces, making it easier for residents to walk and wheel throughout the city.

Across Scotland, communities have upgraded more than 69 kilometres of path surfaces, created over 16 kilometres of new link paths and improved almost 29 kilometres of routes connecting neighbourhoods with local services and green spaces.

Projects have also removed 28 accessibility barriers, installed 92 seats along community paths and improved lighting, drainage and signage, helping to make routes safer and easier to use throughout the year.

Kevin Lafferty, Chief Executive Officer at Walking Scotland, said: “The Ian Findlay Path Fund has left a lasting legacy that people in Edinburgh will benefit from for years to come. These practical improvements make a real difference to people’s daily lives.

“When paths are safe, well-maintained and easy to use, people walk and wheel more. That benefits their health and their communities.

“It also helps the environment, as more people choosing to walk and wheel reduces the number of car journeys and carbon emissions.”

The fund was established in memory of Ian Findlay CBE, former Chief Executive Officer of Walking Scotland, whose work championed the importance of accessible paths and everyday walking and wheeling in building healthier, more connected communities across Scotland.

Kevin added, “The Ian Findlay Path Fund was the perfect way for all of us to pay tribute to Ian. I’m delighted that we can now look back and celebrate its many achievements.”

Cabinet Secretary for Transport Fiona Hyslop said, “The Ian Findlay Path Fund has been an important part of our commitment to supporting communities across Scotland to create safe, accessible and attractive places to walk, wheel and enjoy their local environments.

“Since its inception, this fund has empowered local groups, who understand the needs and character of their own areas, to lead improvements that make every day active travel easier and more appealing.

“As the fund comes to a close this month, I want to pay tribute to the volunteers, community organisations and partners who have turned small scale, grassroots ideas into meaningful local change.

“Their work embodies the spirit of community led development and complements our wider national ambition to make walking, wheeling and cycling the natural choice for shorter journeys.

“While this chapter concludes this year, the legacy of the Ian Findlay Path Fund will continue in the strengthened connections, safer routes and more vibrant places it has helped deliver across Scotland.”

To find out more about the work of Walking Scotland, please visit:

https://walkingscotland.org.uk/

Dedicated specialist support for families affected by childhood dementia

Scotland has taken an ‘important step forward’ in recognising childhood dementia by funding specialist support for families affected by it, Health Secretary Neil Gray has said.

The Scottish Government is providing £118,873 to Alzheimer Scotland to support the employment of two childhood dementia development officers – the first country in the United Kingdom to fund this kind of dedicated support.

The development officers will be responsible to raising awareness of childhood dementia, developing understanding amongst professionals, and ensuring a support network is in place for families affected by it.

Childhood dementia is a term used to describe a range of rare, inherited conditions that affect children and young people. Often life-limiting, it can lead to symptoms more commonly associated with adult dementia – including loss of speech, memory, mobility and the ability to carry out everyday tasks.

Mr Gray said: “My sympathies go out to any young people and families affected by childhood dementia.

“Childhood dementia may still be considered rare but for many it can be life-limiting. That’s why we’re doing all we can to maximise life expectancy and to ensure families have access to the support and care they need.

“The First Minister and I recently met with campaigners and families living with childhood dementia. I thank them for sharing their experiences and that meeting had a profound impact on us.

“That’s why I’m pleased we have become the first country in the United Kingdom to provide specialised support, through Alzheimer Scotland, for childhood dementia. It’s an important step forward in recognising the impact of childhood dementia in Scotland and providing the care and advice to those who need it.”

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20th anniversary of Scotland’s leading smoke-free law celebrated

Public health charities, trade union representatives and people whose health or business improved following the ban of smoking in indoor public spaces are celebrating the 20^th anniversary of Scotland’s UK-leading smoke-free legislation coming into force on 26 March.

Despite tobacco industry’s misinformation and campaigns to prevent the legislation which cleared the air in hospitality venues across the country, there was a recorded 99.4% compliance rate in pubs within eight weeks of the ban.

Longer term benefits of the ban included a 17% reduction in adult heart attack admissions to Scottish hospitals, reversing a previous rising trend, and an 18% decline in child asthma admissions. Second-hand smoke exposure among bar workers also reduced by 86%.

Sheila Duffy, Chief Executive of ASH Scotland, said: “Scotland’s UK-leading smoke-free public spaces legislation was a major public health success in encouraging many people to give up smoking and driving down the dangerous exposure of toxic second-hand smoke for staff and customers, including children, in indoor settings.

“We are delighted to celebrate what is considered one of the most important public health measures in the first quarter of the 21^st century and a landmark achievement of the devolved Scottish Parliament.

“We hope its success encourages the next generation of MSPs to further extend smoke-free protections especially to areas most used by children such as in playgrounds, around schools and in sporting facilities.”

Roz Foyer, General Secretary of the Scottish Trade Unions Congress (STUC), said: “The indoor smoking ban has been an unparalleled success and it was entirely right – thanks to the campaigning of organisations and unions across the country – that the then Scottish Executive showed leadership in introducing UK-leading smoke-free legislation.

“Protecting workers in their workplace is a core principle of our movement. We’re proud to have helped deliver improved health outcomes and a safer working environment for bar workers and hospitality staff across Scotland and will continue to build on that work as this leading legislation marks its 20th anniversary”

Lilian Macer, UNISON Scottish secretary,said: “The smoking ban marked a fundamental shift in public health in Scotland. UNISON is Scotland’s biggest health union, and this decision had a significant impact on our health services and improved workplaces.

“It seemed like radical legislation at the time, but it quickly became the new normal and it would now be unthinkable to return to smoke filled rooms.

“I remember feeling pride as people in Scotland just got on with it. The lack of resistance was because civic Scotland built a consensus around the legislation.

“It was a catalyst for a big reduction in smoking, particularly amongst young people and we’ll reap the benefits for generations to come – particularly in the NHS. Of course we’ve much more to do, but it’s important to mark the significant progress we’ve made.”

Gareth Brown, Policy and Public Affairs Officer for Asthma + Lung UK Scotland, said: “As we welcome the 20-year anniversary of the smoking ban in Scotland, we can reflect that something that seemed controversial at the time is now commonplace across much of Europe and indeed the world with widespread and popular support.

“The ban ensured that smoking inside public places has thankfully ceased, with the link between socialising and smoking broken. Since then, generations of young people have never started smoking and have largely avoided the harms caused by passive tobacco smoke.

“This has helped to bring down smoking rates, but there is much still to be done, particularly in more disadvantaged area. Scotland needed this ban to improve the nation’s lung health, and our fight continues to help everyone breathe better.”

Funding boost for Outdoor Play across Scotland

Children and families across Scotland will soon benefit from expanded outdoor play opportunities, as 41 organisations receive funding to develop local initiatives.

Three Edinburgh projects are set to receive funding:

Bridgend Farmhouse £15,625.00
Smart Play Network £15,972.00
Wester Hailes Growing Communities £19,751.00

The Outdoor Community Play Fund, managed by Inspiring Scotland on behalf of the Scottish Government, supports free, child‑led outdoor play in communities where it can have the greatest impact.

Outdoor play is essential for healthy childhoods, stronger families, and thriving communities. Access to this funding ensures that children living in Scotland’s most deprived areas, as well as those in rural and remote communities, can access safe, high-quality and inclusive play opportunities.

Minister for Children, Young People, and The Promise Natalie Don-Innes said: “We want Scotland to be the best place in the world to grow up. Playing outside is great for children’s health and happiness.

“For the first time, local grassroots groups in rural areas will receive funding to create opportunities for children to play outside in rural parts of Scotland, and the fund will also continue to support play charities to create opportunities for children in the most deprived areas to play outside.

“While the funding supports opportunities for outdoor play all-year-round, with the warmer months approaching it’s a great time to find out what outdoor play is on near you. I’m really pleased the Scottish Government can help make this happen.”

Twenty-two Scottish charities working in the most deprived communities will receive funding support to deliver free, child‑led outdoor play.

Outdoor play will be delivered using the Play Ranger model, helping children build confidence, develop social skills, and enjoy nature in a way that supports their wellbeing and development.

A further 19 grassroots groups in rural and remote areas will receive funding to develop sustainable outdoor play provision that reflects the needs, geography, and character of local communities.

The aim of this funding is to help smaller community organisations overcome barriers, build capacity, and commence delivery of outdoor play for children and families.

OutLET: Play Resource, one of the organisations to receive funding, said: “We are delighted to have received Outdoor Community Play funding this year.

“This valuable funding ensures we can continue delivering our Wellwoods programme, providing inclusive, high-quality outdoor play experiences for children and their caregivers.

“Families tell us these opportunities are a lifeline – providing a welcoming space where they can support their wellbeing, and feel confident enjoying their local woodlands and greenspaces for play, connection and growth.”

In addition to managing the fund, Inspiring Scotland plays a central role in strengthening the sector by offering funded organisations a wide range of support to build capacity and share best practice nationally.

Through hands-on guidance, practical tools, and strategic advice, Inspiring Scotland helps enhance the quality and effectiveness of third sector delivery across the country.

Funded organisations also benefit from support to secure match funding, increasing investment in communities experiencing high levels of deprivation as well as those in rural and remote areas.

Julia Abel, Director of Funds at Inspiring Scotland, said: “This welcomed investment recognises what the evidence has long shown: outdoor play is essential for children’s wellbeing, development, and long-term outcomes.

“Inspiring Scotland is proud to continue to collaborate with community organisations nationwide to create high quality, inclusive outdoor play opportunities that build resilience, strengthen families, and improve life chances.”

Funding will support the delivery of outdoor play opportunities and contribute directly to the ambitions set out in the Scottish Government’s Play: Vision Statement and Action Plan.

By investing in locally‑led outdoor play, the fund aims to strengthen community resilience, support parents and families, improve wellbeing, and enable more children to enjoy everyday play in nature.

Outdoor Community Play Awards by LA Download

£314,000 to support community-led dementia projects across Scotland

Over a quarter of a million pounds has been given to 25 dementia projects across Scotland to support the growth of community-led support for people living with dementia, their carers and family members.

Age Scotland’s dementia ‘Encouraging and Supporting Grassroots Activity’ (ESGA) fund is providing a total of £314,662 in community grants to groups across Scotland.

These grants have been supported by Scottish Government funding, allocated via a National Dementia Resilient Communities Programme Board made up of lived experience voices, local and national partners.

This funding, and the work of the Board, supports the aims of the new National Dementia Strategy, particularly in building resilience and sustainability in community support for people living with dementia and unpaid carers.

Funding decisions were made in collaboration with a lived experience panel of people living with dementia and unpaid carers, ensuring that those with first-hand insight played a key role in shaping the allocation of grants.

The 25 successfully funded projects are:

Beith Community Development Trust (North Ayrshire)

Big Hearts Community Trust (Edinburgh)

Feniks (Edinburgh)

Networking Key Services (Edinburgh)

Boots and Beards (Glasgow)

Wing Hong Chinese Elderly Centre (Glasgow)

Central Wellbeing (Falkirk)

Cobhair Bharraigh (Western Isles)

Community Connectors (Moray)

Connecting Carers (Highland)

Raddery House / Inverness Openarts (Highland)

Craignish Community Company (Argyll and Bute)

Dementia Friendly Aberfeldy (Perth and Kinross)

Dementia Friendly Prestwick (South Ayrshire)

Friends of Dundonald Castle (South Ayrshire)

DG Voice (Dumfries and Galloway)

Forget Me Not Club (Aberdeenshire)

Inchgarth Community Centre (Aberdeen city)

Friends of Kilsyth (North Lanarkshire)

North Lanarkshire Muslim Women & Family Alliance (NLMWFA) (North Lanarkshire)

Inspiring Communities (Stirling)

Lyle Gateway (Inverclyde)

Montrose Connections (Angus)

Past Times (South Lanarkshire)

Peebles Old Parish Church (Scottish Borders)

Grants of between £5,000 and £20,000 will be distributed by April 2026 and will allow communities to deliver projects and realise the benefits and impact of their work as soon as possible.

Anna Clements, Head of Dementia at Age Scotland, said: “We were blown away by the number of applications and are proud to announce the recipients of one of our largest allocations of ESGA funding to date.

“From towns and cities to islands and remote areas in different corners of Scotland, it’s inspiring to see such a diverse range of projects receiving funding to help people living with dementia, their carers, and families stay connected and supported in their communities.

“This year we made a conscious effort to ensure a broad spread of grant holders across Scotland, particularly in rural areas and projects supporting people from ethnic minority communities, where access to dementia services can be especially limited and underrepresented.

“We look forward to seeing the funding in action across the country and are confident the projects will play a vital role in empowering people to live well with dementia.”

Funded grassroots dementia projects thriving:

The Forget Me Notes Project is a singing group which aims to create inclusive choirs for everyone, including people living with dementia.

The organisation is based in Edinburgh and hosts weekly sessions alternating between Saughton Park and The Salvation Army on Gorgie Road.

It also runs an online Zoom choir which attracts participants from across the UK.

While these choirs had already been running for two years, it was only when funding from About Dementia was secured last year that the choirs became weekly offerings, enabling them to recruit new volunteers to provide assistance to members.

Alan Midwinter, chief executive of The Forget Me Notes Project, said: “The grant was used to consolidate our work and make it consistent, we wouldn’t be able to keep it going as much without it.”

On a warm sunny day Alan says between 70 to 80 people usually turn up at the outdoor Choir In The Park, including many people living with dementia and unpaid carers.

On colder or wet days, the group move into the park’s glasshouse to sing.

Alan added: “People with dementia who attend our choirs get a sense of achievement, community involvement, its inclusive for people who might be genuinely isolated.”

The smoking ban has shown that meaningful change is possible

Smoking rates in Scotland have halved, and thousands of lives have been saved since smokefree legislation came into force twenty years ago. As the anniversary approaches, Public Health Scotland (PHS) is highlighting the profound impact of the ban — a public health success story that continues to shape the nation’s wellbeing.

A new report, published today by PHS, shows the positive impact this decisive measure has had on non-smokers too. The legislation protected most people in Scotland from breathing in cigarette smoke during their daily lives and the public health gains are clear.

The reduction in second-hand smoke exposure resulted in fewer deaths and hospitalisations from heart attacks and strokes, as well as having a positive impact on the health of pregnant women and their babies.

What’s more, today’s report highlights that we have made significant shifts in how we view tobacco in Scotland, with smoking having become less socially acceptable.

Commenting on the 20^th anniversary of the implementation of Scotland’s smoke free legislation, Dr Garth Reid, Consultant in Public Health at Public Health Scotland, said: “Smoking is one of the biggest causes of ill health and premature death in Scotland.

“Thanks to the smoking ban we have historically low smoking rates in Scotland, and we’re keen to encourage more people to give up smoking as we progress to becoming smoke-free in 2034.

“Giving up smoking is one of the best things you can do for your health, and the benefits start to happen quickly – even for people who have smoked for a long time. 

“Whether you’re ready to stop, or just beginning to think about it, the NHS Scotland stop smoking service, Quit Your Way, and your local pharmacy are here to help you stop smoking and stay stopped in a way that is right for you.”

Dr Rishma Maini, Consultant in Public Health at PHS said: “Scotland’s smoking ban shows that bold, preventative action works. We now have an opportunity to apply that same ambition to other major drivers of ill health, including overweight and obesity.

“For example, legislation and regulation to improve the food environment could make it easier and more affordable to access a healthy diet. If we get this right, we can deliver the same scale of change again, improving health and wellbeing for people across Scotland.”

Public Health Scotland is the lead national agency for improving and protecting the health and wellbeing of all of Scotland’s people. We lead and support work across Scotland to prevent disease, prolong healthy life, reduce health inequalities and promote health and wellbeing.

*Scottish Health Survey (2024) Scottish Health Survey – gov.scot

Impact of the smoke-free public spaces legislation 20 years on: Evidence briefing.

More information about creating a tobacco-free generation by 2034 is available on the Scottish Government website: Tobacco Control Policy in Scotland – Background – Tobacco and vaping framework: roadmap to 2034 – gov.scot