Tag: health boards

‘Intense engagement’ shaping Scotland’s public sector reform

IMPROVING SERVICES?

A period of intense engagement is underway to ensure streamlined public services are delivered for Scotland, Public Service Reform Secretary Ivan McKee has said.

This week’s Programme for Government set out how the Scottish Government plans to deliver stronger and efficient public services that are sustainable for generations to come.

Plans include replacing the current 14 territorial health boards with two strategic health boards, removing unnecessary duplication and overlap in public services and seeking a clear shared direction on substantial reform to local governance, including social care.

Mr McKee said: “Public service reform is at the heart of this Government’s priorities for the next five years and this work will help to ensure that every pound of investment is focused on frontline delivery, with the right staff in the right roles to deliver real improvements in public services.

“I will meet public sector leaders and other key partners at the Public Service Reform Summit later this month to discuss the challenges and opportunities posed by public service reform and the agenda set-out in the Programme for Government.

“My colleagues and I are also engaged in intensive dialogue with public bodies, NHS Boards, local government, trade unions, the third sector, businesses and communities to strengthen the work that is already taking place and to ensure that proactive leadership and collaboration are central to our approach.

“Our focus over the coming months is to build a shared understanding of how we will deliver the changes necessary to support the needs of diverse communities across Scotland.”

COSLA President, Councillor Shona Morrison, has responded to Scottish Government’s Programme for Government plans: “The Programme for Government is a significant statement of the Scottish Government’s priorities, and we will take time to consider its detail carefully.

“There are important implications for local government and council services, particularly the proposed NHS reforms and what they will mean for the future delivery of social care.

“Over the coming days, COSLA will engage closely with our member councils and with Scottish Ministers to ensure these proposals are focused on what is best for communities across Scotland and respect the democratic legitimacy of local government.

“Public services work best when decisions are taken as close to communities as possible. We look forward to meaningful engagement with the Scottish Government and believe that the dialogue on the future of local governance must be carried forward with councils and COSLA as the collective voice of local government.”

STUC: Programme for Government ‘reckless rather than revolutionary’

Commenting on the Programme for Government, STUC General Secretary Roz Foyer said: “Presenting the public with a misleading choice of cuts packaged as public service reform was disingenuous at best and a falsehood at worst from the Scottish Government.

“Crushing down Scotland’s health boards into two may seem bold on paper but further centralising power when local communities are crying out for health and social care services tailored to their needs seems more reckless than revolutionary.

“This is not the way to do public sector reform. Before the axe is swung on any public service, whether health, council or social care, Scottish Government ministers would do well to engage meaningfully and purposefully with the workers who deliver on the ground.  This cannot be done in the timescales outlined. 

“Measures on food cap prices, childcare, breakfast clubs and bus fare caps are welcome. However, by avoiding the big decisions on wealth redistribution – on council tax reform, wealth taxes and taking national stakes in our energy infrastructure – cost of living measures will always fall short of the radical transformation both our economy and communities require.

“We will be engaging actively with Government on its promise to bring forward a responsible strategy for data centres in Scotland. We need to take stock of how such projects can benefit decent jobs, workers and the communities in which they will reside. We need to move away from industrial strategy that allows our heavy industry, manufacturing and renewables sectors to be sold off to the highest bidders with little public benefit in return.

“Finally, it’s deeply welcome the First Minister has pledged further support for survivors of gender-based violence. It’s time that all organisations, employers and society as a whole adopts a zero-tolerance approach to violence against women and girls and it’s correct that this is a strategic priority for the Scottish Government in which the First Minister will find support from Scotland’s trade unions.”

Programme for Government 2026 to 2031 – gov.scot

New collaboration to tackle health inequalities launched

The Collaboration for Health Equity in Scotland launches plans this week to bring about significant change to reduce health inequalities in three of Scotland’s local authority areas.

This collaboration brings together Public Health Scotland (PHS) and Professor Sir Michael Marmot, Director of University College London’s Institute of Health Equity (IHE) with councils and health boards in Aberdeen City, North Ayrshire and South Lanarkshire. 

Over the next two years, this partnership will help local areas and Community Planning Partners to strengthen their local plans to reduce health inequalities and improve wellbeing in their communities. It will support local partners to understand the actions which will have the greatest impact on health inequalities locally and help to overcome the barriers to implementing these.

The ultimate goal is to enable people to live longer, healthier lives by addressing the root causes of health inequalities and preventing illness before it starts. By creating conditions where communities can thrive, the initiative aims to create lasting positive change.

A key element of the collaboration is its role in bridging the gap between national policies and local implementation. The insights and learning from the collaboration will be shared across Scotland through a dedicated learning system, ensuring that communities nationwide can benefit from the knowledge gained.

To mark the beginning of the partnerships, each of the three local areas host launch events this week. These events will serve as a platform to engage with the community, share the vision of the collaboration, and kickstart this ambitious project to build a healthier, more equitable Scotland.

Paul Johnston, Chief Executive of PHS, said: “Our mission in Public Health Scotland is to see life expectancy increase and health inequalities reduced. The circumstances in which we are born, live and work have a huge impact on the length and quality of our lives.  People born in the most deprived areas are dying, on average, a decade earlier than their wealthier neighbours.

“It’s possible to change this by taking action across the range of factors that impact on health and wellbeing. That is what this new partnership is all about. We’re determined to see an improvement in Scotland’s long-term health outcomes, and we can do this by uniting partners from across the system including the NHS, local government, community and voluntary sectors, and businesses.

“The Collaboration for Health Equity in Scotland will bring together national expertise, informed by the success of ‘Marmot Places’ across England and Wales, with local knowledge to agree priority actions and support meaningful change.

“We’re looking forward to working and learning together with a determined focus to see improvement in health, wellbeing and life expectancy across Scotland.” 

Professor Sir Michael Marmot, Director of the IHE said: “Research in Scotland has demonstrated dramatic differences in health and life expectancy within and between areas in Scotland. Progress in improving health stalled after 2010, in Scotland as in other parts of the UK, and health inequalities increased.

“We have been working with places in England and Wales to implement change at local level to improve health and reduce health inequalities. We are inspired by the commitment of communities and local leaders to improve the conditions in which people are born, grow, live, work and age.

“We are now delighted to launch programmes of work in three places in Scotland. Each place has vital contributions to make in improving the conditions of people’s lives thereby tackling health inequalities within their area.

“This local action will also inform national system leaders about the most effective ways to develop national approaches to tackling health inequalities in Scotland. Put simply, we aim to show that poverty is not destiny.”

Find out more about the Collaboration for Health Equity in Scotland

Find out more about the UCL Institute for Health Equity

Pre-eclampsia: Scottish Government to provide funding for blood testing

Health Secretary @NeilCGray has announced @Scotgov funding for all health boards to provide a blood test for pregnant women who need it, to help identify pre-eclampsia.

More information about pre-eclampsia here:

https://bit.ly/pre-eclampsiainpregnancy

Preventing childhood obesity

Scottish Government funding to help families

Projects that work with children and families to prevent childhood obesity and reduce health inequalities are benefitting from more than half a million pounds of investment.

Ten projects across Scotland will share £538,141. The funding is allocated to initiatives such as Little n Lively – run by NHS Lanarkshire – which provides families and young children in the area with practical skills and information on nutrition and cooking and increased opportunities for physical activity and expanding social networks.

This year a number of health boards, including NHS Orkney and NHS Shetland, are continuing or implementing the ‘HENRY – Healthy Families Right from the Start’ programme which helps parents and carers with children up to five years old to provide a healthier, happier start in life.

The internationally adopted, evidence-based package provides support with family emotional wellbeing and information about nutrition, physical activity and oral health.

The funding is part of the Scottish Government’s commitment to ensure all children have the best start in life and the projects support the ambition to halve childhood obesity in Scotland by 2030.

Speaking on World Obesity Day (Monday), Public Health Minister Jenni Minto said: “Preventing the causes of ill health is an important part of our efforts to make the health service sustainable in the years to come. That includes addressing obesity, particularly as we know good nutrition and physical activity is crucial for children’s health and development.

“We want Scotland to be the best place in the world for a child to grow up, and these early years projects are crucial to our bold ambition of halving childhood obesity by 2030.

“These ambitious and effective projects will also help tackle inequalities by working with families and communities to encourage healthy eating and offering support for those experiencing food insecurity.”

Health Improvement Adviser for NHS Shetland, Fern Jamieson said: “The continued early years funding from Scottish Government has enabled NHS Shetland and partners to continue delivery of the HENRY ‘Healthy Families Right from the Start’ programme to more families across Shetland.

“Healthy Families Right from the Start is an 8-week programme to support parents and carers with children between 0-5 years to provide a healthier, happier start in life. Parents and carers have the opportunity to join online or face-to-face groups, providing improved access across Shetland.

“We have had reports that the programme is very interesting, enjoyable and a good opportunity to share ideas with others which has helped in making healthy changes across the whole family.

“With over 20 groups across Shetland, we are engaging with communities to deliver our standalone HENRY workshops. Feedback has been very positive and parents and carers feel more confident at mealtimes, understanding behaviours and cooking cost effectively.”

Projects receiving funding in 2023/24 are:

NHS Ayrshire & Arran: JumpStart Tots – £76,828

NHS Dumfries & Galloway: A whole systems approach with a focus on Early Years – £11,400

NHS Grampian: Training and support for a group of multi-agency professionals across Aberdeenshire to deliver the HENRY approach – £15,000

NHS Grampian: Upskill relevant teaching staff to deliver the Grow Well Choices Early Years programme – £15,000

NHS Greater Glasgow & Clyde: ‘Thrive Under Five’ programme – £66,000

NHS Lanarkshire: ‘Little n Lively’ programme in partnership with Healthy Valleys – £141,492

NHS Lothian and NHS Fife:  Continued delivery of HENRY core training to early years workforce  – £115,700 (£96,400 for Lothian, £19,300 for Fife)

NHS Orkney: Training and support for practitioners to deliver the HENRY approach – £24,058

NHS Shetland: Training and support for practitioners to deliver the HENRY approach – £23,400

NHS Tayside: Refreshing the Eat Well Play Well programme – £49,263

The Scottish Government published the Diet and Healthy Weight Delivery Plan in July 2018.

£759,000 for projects to address childhood obesity

Eight projects working with young families to encourage good nutrition are being allocated funding by the Scottish Government as early intervention to reduce childhood obesity.

Among the initiatives is the Greater Glasgow and Clyde project ‘Thrive Under 5’ which will receive £269,344 towards a community food nurturing programme to help families of pre-school children in Glasgow’s most deprived areas with food insecurity, healthy eating and physical activity.

The funding is part of the Scottish Government’s aim to halve childhood obesity by 2030 and significantly reduce diet-related health inequalities.

Public Health Minister Maree Todd said: “Addressing obesity remains a public health priority and we want children and families to have access to appropriate support to give everyone the best start in life no matter where they live.

“We know that diet impacts on children’s health and development and will therefore continue to support local partners to develop these ambitious and effective plans to help prevent and reduce childhood obesity. Our 2021-22 Programme for Government sets out our focus on improving the health of young people by taking forward the actions in our Diet and Healthy Weight Delivery Plan.

“These projects, alongside our Best Start Foods payment and Scottish Milk and Healthy Snack Scheme Milk are central to our commitment to ensure everyone in Scotland has access to healthy, nutritious food. We have also introduced the Good Food Nation Bill to help ensure good quality, locally sourced and produced food is a practical everyday reality for everyone.”

Health Improvement Lead at Glasgow City Health & Social Care Partnership Siobhan Boyle said: “We are delighted to receive year two Scottish Government funding for the Thrive Under 5 Project.  This project is an exciting pre-5 early intervention project that aims to enable a healthy weight in the early years through a child poverty lens. 

“This programme will directly benefit families in the Thrive Under 5 neighbourhoods by combining a suite of healthy lifestyle supports in relation to financial inclusion, food insecurity, healthy eating and physical activity.

“A local Thrive Under 5 network in each area will drive the project forward in partnership with local people.  We are looking forward to seeing the positive difference that this project will make.”

As well as Thrive Under Five in Glasgow, other projects to receive funding are: Jump Start Tots in NHS Ayrshire and Arran, the HENRY Train the Trainer model in NHS Fife, NHS Lothian and NHS Grampian, an extension to the HENRY programme in NHS Shetland and NHS Western Isles, and Little n Lively in NHS Lanarkshire.

Scottish Government commits extra funding to tackle delayed discharge from hospitals

Humza Yousaf: “This winter is likely to be the most challenging in the history of the NHS”

The Scottish Government is investing an additional £10 million to help patients avoid a hospital stay wherever possible – and to prevent delayed discharge for inpatients.

This is part of a range of actions included in the £300 million winter package of funding to health and social care services, and outlined in the health and social care winter plan, to take the pressure off hospitals and frontline staff.

Two new programmes – Interface Care and Discharge without Delay – will support NHS Boards to explore alternatives to hospital inpatient care where appropriate, and improve the discharge process for those who do need to be admitted to hospital.

Interface Care, backed by an additional £6 million this financial year, will deliver safe, high-quality care as an alternative to hospital admission, or will support early hospital discharge. The programme will be implemented by early winter.

Discharge without Delay, supported with a further £4 million, will improve pathways through hospital settings, reducing inpatient length of stay and building bed capacity. Working with patients, families and/or carers, it will ensure patients are treated in their home where appropriate.

Health Secretary Humza Yousaf said: “This winter is likely to be the most challenging in the history of the NHS, and it’s important we take urgent action to ensure our hospitals and emergency frontline staff are not overwhelmed. That’s why these actions to improve the discharge process, and redirect patients who don’t need to be in hospital, are so important.

“I am confident that through our collective investment in people, capacity and systems to deliver the right care in the right setting, we can improve outcomes for those of us who need to use our health and social care services.”

The Scottish Government has invested more than £80 million this year to support the reduction in waiting times for people having elective procedures, which has been impacted by the pandemic. To minimise delays for those patients waiting on urgent hospital treatment within four weeks, including cancer patients, extra capacity is being provided through private hospitals over the winter period.

Discharge without Delay launches this month, with four early adopter sites to test the approach, with the aim of rolling the programme out nationally across all sites over the next 10 weeks.

The Interface Care Programme launched this month in two pathfinder sites – NHS Greater Glasgow and Clyde and NHS Tayside. Roll out across all boards is planned over the winter.

Liver disease diagnosis in Scotland ‘is a postcode lottery’

New research published today in a leading GP journal shows that large parts of Scotland do not have an effective way of identifying people with liver disease, resulting in late diagnosis.

The research, produced from a survey undertaken by the British Liver Trust, used a Freedom of Information request, and shows for the first time how many areas across the country have little or no formal structures in place for detecting and managing liver disease and liver cancer.

The mapped survey results (see below) also show huge swathes of the UK (marked in red) do not have any effective patient pathway in place. This is in sharp contrast to other chronic conditions such as diabetes and heart disease, where patients receive standardised care.

Figure 1 Areas in red have no pathway in place. Amber denotes areas with a partial pathway or pathway in development. Green areas have a full pathway in place. Areas in black did not respond.

Three quarters of people in the UK are currently diagnosed when it is too late for effective intervention or treatment and one in four people diagnosed late in hospital sadly die within a couple of months.

The charity is now calling for earlier detection of liver disease and better patient care across all regions of the UK to be prioritized, and is working to influence healthcare commissioners.

Dr Helen Jarvis, Clinical Advisor for the British Liver Trust and lead author of the research, says: “Anyone who has liver disease, or is at risk of getting it, should get the medical care and advice they need no matter where in the country they live. 

“The publication of this new data shows that, unfortunately, in the UK this is not yet the case. There are pockets of good practice, but there are also many areas that do not have a consistent approach to testing for and diagnosing liver disease. It shouldn’t be a postcode lottery.

“GPs and other healthcare professionals in primary care are doing a fantastic job under a lot of pressure, but in many areas, they’re working within a system that doesn’t allow them to detect and treat liver disease effectively. 

“Unfortunately, many GPs also report a lack confidence and knowledge when it comes to managing the condition. Sadly, this means that in many cases, people with liver disease are diagnosed far too late when treatment options are limited. This had led to thousands of avoidable deaths.

“The liver is an incredibly resilient organ, but only up to a point. Symptoms of liver disease often only appear once damage has progressed and the liver is starting to fail. However, 90% of liver disease is preventable and, in many cases, it’s reversable if caught in time. That’s why early detection and prevention are key.”

Pamela Healy OBE, Chief Executive of the British Liver Trust, said: “Shockingly, deaths due to liver disease have more than doubled in the last 20 years and the condition is expected to overtake heart disease as the biggest cause of premature death in the UK in the next few years.

“Obesity, alcohol and viral hepatitis are the three main risk factors for preventable liver disease.

“We need to take urgent action to stop this silent killer in its tracks. Although the results of our research are very concerning, we do know that there are areas of good practice and that the changes we’re calling for are entirely possible and will save many lives. 

“We now need to take what’s working well in those areas with good liver patient care and apply them in others so that every person with liver disease gets the best possible care, no matter where in the UK they live.”

NHS Covid-19 funding increased

An additional £380 million is being allocated to Health Boards to help with costs arising from the pandemic.

This comes on top of the £1.7 billion already provided to Health Boards and Health and Social Care Partnerships last year. Further financial support will be made available as necessary over the course of this year.

This additional funding includes ongoing support for the vaccination programme, the Test and Protect system, and personal protective equipment (PPE) for health and care workers.

Health Secretary Humza Yousaf said: “Although we are hopefully emerging from this pandemic, coronavirus continues to add significant pressures to our health and care services.

“We will continue to assess the impact of COVID-19 and provide Health and Care services with the support they require. The remobilisation of the NHS is among our top priorities. We will publish a national recovery plan within the first 100 days of this government.

“The £380 million includes £90.3 million for Test and Protect, a further £76.8 million for the COVID and extended flu vaccination programmes, and £85.5 million allocated to National Services Scotland for PPE costs. The rest of the funding will cover costs including additional staffing to support hospital scale-up, equipment, maintenance and IT.”

The 2021-22 Scottish Budget takes total health portfolio funding in excess of £16 billion – an increase of over £800 million (5.3%) – with a further £1.08 billion of funding to address pressures related to COVID-19.