Mum puts her voice at the heart of work to raise standards of care

The mother of a baby, born with a hole in his heart, has shared her experiences as part of an initiative to raise standards of care for congenital heart disease across Scotland.

Helen Zollinger has welcomed the country’s first ever standards for congenital heart disease (CHD), produced by Healthcare Improvement Scotland. The standards aim to ensure that consistently high levels of care and services are offered to all patients diagnosed with CHD and their carers.

Helen’s son Woody was diagnosed with a hole in his heart at her 20 week scan while she was pregnant.

Helen said: “It was a complete and utter shock. All of a sudden my husband Stewart and I had to come to terms with the fact that when our baby was born he was going to need major heart surgery.

“As parents, finding out your child has a heart problem is traumatic enough without then feeling you have nowhere to go to for support. I just found that baffling.”

Helen and Stewart, who live in Musselburgh, East Lothian, have spent a lot of time at the cardiac ward of the Royal Hospital for Children in Glasgow, the specialist unit for the type of heart defect Woody suffers from, since he was born five years ago.

It was during that period she felt there was a difference in the availability of services and support in Glasgow and other parts of the country.

She said: “I had a meeting with some key members of the cardiac team in Glasgow and they explained that the structure for cardiology care was different across the country.

“I found this really problematic as I felt the support we were able to access in Glasgow fell away when we were discharged and returned home and this seemed wrong to me.” 

At that point Helen was invited on to a group set up by Healthcare Improvement Scotland to develop national standards for adult and paediatric CHD care in Scotland.

Helen has been able to share her experiences along with other patients, carers and healthcare professionals which have been used as the basis of what the standard for services should be in future.

She has also highlighted more accessible mental health support throughout the country as being a need, following her own experiences after the birth of Woody.

Among the recommendations in the standards, are also to improve detection rates of CHD in unborn babies.

CHD is the most common congenital abnormality, affecting approximately 1% of babies. A quarter of babies with congenital heart disease require medical intervention in the first year of life. Around 20,000 people with CHD currently live in Scotland.

Helen, who has since given birth to a daughter Bobbie (3), said: “The standards have shone a light on how beneficial it will be to have consistent levels of care across the country and the same level of support available to all patients and families.

“There’s a huge community of parents of children with CHDs in Scotland and I was able to connect a lot of them to Healthcare Improvement Scotland during the consultation period to add their own thoughts and experiences.

“I’m proud to have been able to add the voices of people from outside of the healthcare system and I’m hopeful that the new standards will make a big difference in helping families access a consistent level of care and support across the country.”

Fiona Wardell, Head of Standards at Healthcare Improvement Scotland, said: “I’m delighted to see the publication of the CHD standards – they set out clearly what people can expect to experience.

“Crucially, you can hear the voices of people and their families throughout the standards. They reflect what matters to patients and carers and their passion, commitment and enthusiasm in the development group has been a key part of this process.”

The standards have also been welcomed by the British Heart Foundation (BHF).

David McColgan, Head of BHF Scotland, said: “The parents and families of babies born with congenital heart disease are already facing terrific stress, so it is wrong that levels of care and support differ across Scotland.

“Everyone who has a congenital heart condition deserves the best start in life, irrespective of their postcode.

“We are delighted that Healthcare Improvement Scotland has shone a light on the inequalities and developed national standards to reinforce best practice across our health services.”

Latest private healthcare inspection reports published

Healthcare Improvement Scotland, the national healthcare improvement body and regulator of private healthcare services for Scotland, has published the latest inspection reports for private healthcare services.

In Scotland, private hospitals and private clinics provided by doctors, nurses, dental care professionals or midwifes are required to be registered with our organisation. We currently have over 500 private healthcare services across Scotland that are registered or completing registration.

It is only by choosing a private healthcare service registered with Healthcare Improvement Scotland that patients can be assured that the services they use meet the high standards of quality expected of registered services.

Our organisation published the inspection reports for a total of six private clinics and hospitals across Scotland.

The focus of the inspection to the Spire Hospital, Murrayfield, was on the safe delivery of the service’s provision of systemic anti-cancer therapy (SACT).

We used the Healthcare Improvement Scotland SACT Governance Framework as the basis for the inspection.

The inspection reports can be seen below:

Glasgow:

Grampian:

Ayrshire:

Lothian:

Western Isles:

As the healthcare improvement body for Scotland, Healthcare Improvement Scotland is also the regulator for private healthcare services, including private hospitals, hospices, private psychiatric hospitals and clinics, which provide a wide range of services from cosmetic procedures to wholly private dentistry, health screening, travel clinics and others.

Inspections of services are carried out to ensure that the providers comply with standards and regulations.  

Lynsey Cleland, Director of Quality Assurance at Healthcare Improvement Scotland, comments: “It is vital that the people of Scotland who opt to use private healthcare services receive the best quality and standard of care, which is why these clinics must be registered with us and must submit to regular inspection.

“The majority of the private clinics we regulate provide cosmetic interventions. It is crucial that we provide assurances for the public that these procedures are carried out in safe and regulated environments.

“Registered clinics are required to demonstrate that they take the safety of their clients seriously, that they operate to the highest standards and are committed to continually improving the service they provide for clients.

“People should always check that a clinic is registered with Healthcare Improvement Scotland before undertaking treatments.”

You can find out more about the regulation of private clinics in Scotland by listening to our podcast episode: 

https://healthcareimprovement.podbean.com/e/private-healthcare-regulation-patient-safety-and-the-future/

Majority of Scots will take COVID-19 vaccines in the future

A report published yesterday by Healthcare Improvement Scotland finds that the majority of Scots will take COVID-19 vaccines in the future, based on their experiences with COVID-19.

The survey, commissioned by the Scottish Government, asked questions about people’s motivations around vaccination as we move away from the pandemic.

Uptake of the COVID-19 vaccine has been high and the survey asked people if they would take up new offers of COVID-19 vaccination, or, if not, to understand their reasons why.

The Citizens’ Panel survey, which ran between November 2022 and February 2023, found that of the 667 people who responded to the survey, the majority of respondents (72%) said they would take up the offer of the COVID-19 vaccine in the future. The survey also found that of those who will take up the offer of the COVID-19 vaccine in future, their main reasons were to protect themselves (88%) and to protect others (82%).

One respondent said: “If I can do this to help myself and others, and know the vigorous testing the vaccines have gone through, then why wouldn’t I accept the vaccine?”

Some 12% said they would decline the offer and 17% were not sure. Where respondents did not want it, the most common reason given was concern over possible long-term side effects of the vaccine.

In addition, all respondents were asked if their decision about getting the COVID-19 vaccine has changed over time. The majority said that their decision has not changed (82%). Some 16% said they wanted it at first, but now they don’t, and just 2% said that they didn’t want it at first but now they do.

The survey asks if people are more or less likely to take up the offer of other vaccines, such as flu or childhood vaccines, based on their COVID-19 vaccine experiences, with 36% saying  more likely, 56% saying it’s made no difference, and just 7% saying they are less likely.

Simon Watson, Medical Director at Healthcare Improvement Scotland, said: “Vaccination is an absolutely essential element of our response to COVID-19 including future variants. It is vital to protect individuals, their families and the wider population of Scotland.”

Clare Morrison, Director of Community Engagement at Healthcare Improvement Scotland, said: “The findings around vaccination motivations highlight the positive public attitudes towards vaccination, as well as potential areas for improvement, mainly around the need to develop clear and accessible information about vaccine side effects and the benefits of vaccination including their effectiveness against serious illness.”

The report recommends the Scottish Government should continue to consider how to ensure positive and accessible vaccination experiences for all.

It also notes the Government should consider exploring people’s concerns further and their experiences around side effects. Developing further clear and accessible messaging around side effects, and the benefits and effectiveness of vaccination against serious illness may help address this.

Visit our Community Engagement website to access the full report.

Progress Review reports improvement to older people’s services in Edinburgh

Delivery of older people’s services in Edinburgh has shown good progress since 2017, according to a joint report published by the Care Inspectorate and Health Improvement Scotland.

Following an initial inspection in May 2017, the Edinburgh Health and Social Care Partnership has received acknowledgement from the Joint Inspection team across the Care Inspectorate and Health Improvement Scotland, that the review has now closed.

The latest report cites the partnerships efforts in driving forward – with pace – a clear vision and structured approach, that is now seeing positive progress in a number of areas.   

It follows a challenging progress review in 2018 and contains a number of recommendations but, based on progress, the Joint Inspection team has noted that no further review activity is now planned.  

Chair of the Edinburgh Integration Joint Board, Cllr Ricky Henderson, said: “We very much welcome this latest and final review, and the deserved recognition it gives all who work for, and with the partnership.

“The publication of the report in 2017, was a difficult read for all who were working in the Partnership at the time but the strategic vision, practices, and structures that have since been developed and implemented, are the backbone to the significant and good progress being made.

“Whilst there remain challenges – particularly with the current system pressures faced – the strengthened relationships built, strategic aims, and the cohesive approach to the work of the partnership, deserve this positive recognition.

“These are significant strengths for how the partnership will continue to push forward over the challenging winter period and beyond, and I would like to take the opportunity to thank every single person who directly or indirectly provides care in Edinburgh, for their incredible hard work and commitment to all in our care.”

Read the report:

Health and social care inspection report ‘pulls no punches’

A report following a joint inspection of health and social work services for older people in Edinburgh has been published. Of nine ‘quality indicators’ five were found to be weak or unsatisfactory and the report makes 17 recommendations for improvement. Continue reading Health and social care inspection report ‘pulls no punches’

Get involved in improving healthcare

Scotland’s national healthcare improvement organisation is recruiting volunteers

healthcare improvement scotland

Do you want to help to improve the quality of care in Scotland? If so, Scotland’s national healthcare improvement organisation would like to hear from you! Continue reading Get involved in improving healthcare