health – Page 20 – The NEN – North Edinburgh News

Extra £2m for ambulance service

The Scottish Government is to invest an additional £2 million in the Scottish Ambulance (SAS) next financial year. The cash has been earmarked to progress service developments that will improve patient care.

The extra funding will be used to help the ambulance service deliver their refreshed strategy, Towards 2020: Taking Care to the Patient, that will support the overall vision for the health service to provide more care to patients at home or in the community and help to avoid unnecessary hospital admissions.

To achieve this, more investment will be targeted at developing the clinical skills of the current ambulance service workforce to operate to the full scope of their practice, as well creating new roles with enhanced skill sets.

Health Secretary Shona Robison said: “The Scottish Ambulance Service play a vital role in the delivery of NHS care for patients, often being the first to attend to a patient who is unwell. They have a key part to play in this Government’s vision for a health service that works around the needs of a patient and delivers the right care, in the right place, at the right time.

“That is why we are supporting the vision set out in this strategy with this additional funding which will help accelerate the pace of change and mean patients will start to benefit sooner. I know how committed and dedicated ambulance staff are to delivering high quality patient care day in and day out, and it is important we ensure they are equipped with the appropriate skills, training and clinical support to be able to deliver more care in the community.

“Our vision for a health service that meets the changing needs of our population, also needs our local services to evolve. With this vision, and investment, the ambulance service will be better prepared to meet the needs and the challenges of the future, working with local services.”

Over the course of the five-year strategy, the SAS aims to decrease A&E attendances by around 12 per cent by taking high quality care to people in the community and bringing those who need it directly to specialist care, rather than having to be admitted through emergency departments.

It also outlines plans to take forward investment in new technology to enhance diagnostic capacity and clinical decision support to frontline staff, as well as making further improvements to pre-hospital cardiac care by leading a national programme of improvement for out of hospital cardiac arrest.

Pauline Howie, Chief Executive, Scottish Ambulance Service said: “Our strategy recognises the principle that care should be appropriate to need, so we will continue to respond rapidly to serious emergencies while developing care pathways that are integrated with other health and social services in local communities to enable patients to be treated safely at home or in their community when appropriate.

“Last year over 77,000 patients avoided attendance at A&E after being treating safely at home by our teams and we continued to improve cardiac arrest survival rates.

“Our strategy is supported by a programme to develop our staff to meet the changing needs of patients within the new landscape of integrated health and social care in Scotland.”

Towards 2020: Taking Care to the Patient, A Strategic Framework for 2015-2020, is available at:

http://www.scottishambulance.com/UserFiles/file/TheService/Publications/Strategic%20Plan_Online%

Contracts signed for new Sick Kids hospital

Construction of a major new healthcare facility is set to start after the financial contracts were agreed yesterday. The new £150 million building will see services from the Royal Hospital for Sick Children, Department of Clinical Neurosciences and Child and Adolescent Mental Health Service brought together in a modern and high-quality setting at Little France.

Construction works will start over the next few weeks and the new building, which will adjoin the Royal Infirmary of Edinburgh, is expected to open in autumn 2017.

The six storey building (including basement) will have a large atrium with a shop and café, a stunning skylight linking both hospital entrances, a helipad on the roof and a link building adjoining adult and paediatric emergency departments.

It will also bring with it an increase in single rooms with ensuite facilities and a range of new technology.

Health Secretary Shona Robison said: “This is a momentous date for this project and I’m personally very pleased that work will soon be about to begin on the new co-located Royal Hospital for Sick Children and Department of Clinical Neurosciences.

“The new development brings paediatric care, specialist neonatal care, neurosciences and adult and children’s emergency departments all together in one place, making access to services much easier for patients and health professionals alike.

“The Scottish Government is investing over £2 billion in Scotland’s health infrastructure over the spending review period, with this development being one of many that demonstrate the Scottish Government’s commitment to continually improving health services. The investment in this development will ensure the hospital campus at Little France can continue to develop as a modern hub of research and medical practice.”

Susan Goldsmith, Finance Director, NHS Lothian said: “We are delighted to have reached this point and now look forward with anticipation to seeing the new facility taking shape over the coming years.

“This is an extremely exciting time in the proud history of the Royal Hospital for Sick Children, along with the Child and Adolescent Mental Health Service and Department of Clinical Neurosciences, which will find a high-quality new home at Little France from 2017.

“The building designs have been heavily influenced by staff, patients and families and, in addition to offering a modern, light and spacious environment, will also enhance the clinical services we deliver.”

Mark Bradshaw, IHS Lothian and Macquarie Capital said: “We are excited that construction will soon start on The Royal Hospital for Sick Children and Department of Clinical Neurosciences. This state-of-the-art facility will allow the delivery of quality healthcare services to the people of the Lothian region and beyond for decades to come.

“It has been a pleasure to partner with the Lothian NHS Board and the Scottish Futures Trust to develop an innovative and competitive financing structure that will ensure value for money over the next 25 years.”

Peter Reekie, Scottish Futures Trust, deputy chief executive and director of investments said: “This is a fantastic deal for NHS Lothian and its partners, bringing investment into the Lothians and allowing construction to start on a great new building which will support many hundreds of jobs as it is built.”

Some key features of the new facility include:

233 beds and 10 theatres. 154 beds in the Royal Hospital for Sick Children, 67 beds in the Department of Clinical Neurosciences and 12 beds in the Child and Adolescent Mental Health Service.
11 beds will be added to the critical care department within the Royal Infirmary of Edinburgh.
The specifically designed family hotel will mean that the experience for families whose child has to spend time in hospital is more homely.
Conjoined children’s and adult Emergency Departments will mean that the most appropriate services are available to teenagers who currently do not always fit well into either service.
Patients in the Child and Adolescent Mental Health Service suffering from physical illness and mental health problems will benefit from the immediate availability of both specialities.
The Department of Clinical Neurosciences will make neurology and neurosurgery available to all age groups on a single site, meaning potentially quicker treatment is available. One advantage will be that patients who present to the Emergency Department at Royal Infirmary of Edinburgh and who subsequently turn out to need neurosurgery will no longer need to be transferred to the Western General Hospital.
The most modern imaging equipment within the Department of Clinical Neurosciences along with its adjacency to the Anne Rowling Regenerative Neurology Clinic and the Clinical Research Imaging Centre will allow the Department of Clinical Neurosciences to further enhance its position as a leading clinical and academic neurosciences centre.

Romance? Give a card or a kiss – not a cold sore!

PEOPLE in Scotland are being reminded to take some time to think of their health this Valentine’s Day …

As people’s thoughts turn to celebrating love and romance (Eh? – Ed), Scotland’s national telehealth and telecare service is urging people to take some simple steps to avoid passing on any unwanted gifts on February 14th.

Professor George Crooks, NHS 24 Medical Director, said: “Many people mark Valentine’s Day by exchanging cards with their loved ones. Make sure the only thing you share with your partner this Valentine’s Day are these type of romantic moments and not a cold sore or other infection.

“If you have a cold sore, it is important to avoid kissing until they have completely healed and always wash your hands before or after touching the affected area. The online health library at NHS inform also includes helpful advice and tips about preventing halitosis or bad breath. Practising good hand hygiene will also ensure that you don’t pass on any unwanted germs to your loved one.

“You could also give your partner the gift of stopping smoking this Valentine’s Day. As well as preventing bad breath, there are many benefits to quitting, from lowering the risk of cardiovascular and respiratory diseases to saving money which you could use to buy flowers or chocolates for that someone special in your life.

“Take some time to think about your health this Valentine’s Day and remember there is a wealth of health advice and information available at your fingertips at www.nhsinform.co.uk”

Find us at www.twitter.com/nhs24 and www.facebook.com/nhs24

Let’s talk about Dementia

STARTING this month, Alzheimer Scotland – Action on Dementia is launching a Let’s Talk about Dementia campaign. The campaign aims to open up more discussion on the subject of dementia and to raise awareness of the importance of early diagnosis.

Stigma, negative perceptions of people with dementia and perceptions that there is little or no help available are some of the reasons which prevent people from seeking help sooner rather than later. The negative perceptions also create fear and worry meaning that many families avoid talking about dementia.

The worry that you or someone close to you may have dementia is one of the most difficult conversations we may have. The Let’s Talk about Dementia campaign hopes to raise awareness and get families talking to each other and medical professionals so that more people living with dementia can get the help and support they need in place to ensure they have the best quality of life possible.

Alzheimer Scotland’s Let’s Talk about Dementia campaign will offer detailed information, support on the organisation’s website (www.alzscot.org/conversation) and via the Dementia Helpline (0808 808 3000) which is free to call and available 24 hours a day, 365 days a year.

Alzheimer Scotland will be promoting the campaign on radio, in print and through social media (Facebook and Twitter). Social media is particularly important, as these difficult conversations are often intergenerational; involving partners, adult children, grandchildren, other family members and beyond. We want people to share their own experiences of these often difficult conversations and if, in hindsight, they would have handled things differently. Alzheimer Scotland will also be sharing real life case studies, information and advice via its Facebook page and Twitter feed.

www.facebook.com/AlzheimerScotland

www.twitter.com/alzscot

“I wish I’d trusted my instincts about dad earlier. Got us to sit down as a family and discuss it. If I had the chance again, that’s what I’d do.” Ian

“I knew there was something wrong with me and I kept asking questions until I found out what it was. My family and friends have been wonderful – they support me in so many ways and I’m glad I can talk openly to them. Nobody should have to face dementia alone. Never be afraid to ask: ask people, ask questions and ask for help.” Anne

“Nobody’s happy to get a diagnosis of dementia, but it was so much better than the not-knowing. It gave mum, and me, a way of dealing with the changes that were happening in her life.” Donna

‘Simply unacceptable’: Western’s cleanliness standards slammed

Standards of cleanliness at The Western General Hospital have been severely criticized in a report (see below) by official watchdog The Healthcare Environment Inspectorate (HEI). NHS Lothian chiefs have said they have already acted to respond to concerns.

Chief Inspector Susan Brimelow said: “We carried out an unannounced inspection to the Western General Hospital on Tuesday 18 and Wednesday 19 November 2014. Due to significant concerns about the cleanliness of patient equipment and the environment, we escalated our findings to senior management in the hospital.

“We requested that NHS Lothian take immediate action to address these issues and produce an improvement action plan. We returned unannounced on Thursday 27 November 2014 to assess progress against the improvement action plan and found that significant improvements had been made. NHS Lothian must address the requirements and make the necessary improvements as a matter of priority.”

In a full statement issued earlier today the HEI said:

We previously inspected the Western General Hospital in February 2013. That inspection resulted in four requirements and five recommendations. The inspection report is available on the Healthcare Improvement Scotland website.

We carried out an unannounced inspection to the Western General Hospital on Tuesday 18 and Wednesday 19 November 2014. Due to significant concerns about the cleanliness of patient equipment and environmental cleanliness within the Western General Hospital, we escalated our concerns to senior management in NHS Lothian on 18 November and then again on 19 November 2014. On ward 52/53, we also raised concerns about the lack of working macerators and the procedures in place to reduce the risk of cross-infection to patients, staff and visitors. Macerators break human waste down into slurry so it can be sluiced effectively. We requested that immediate action be taken on these issues and an improvement action plan produced to show how these issues would be rectified.

We returned unannounced on Thursday 27 November 2014 to assess progress against the improvement action plan at ward and departmental level. Significant improvements had been made although we still noted some issues with the cleanliness of patient equipment and the environment.

We assessed the hospital against the NHS Quality Improvement Scotland (NHS QIS) healthcare associated infection (HAI) standards and inspected the following areas:

ward 2 (oncology)
ward 4 (oncology)
ward 15 (winter ward)
ward 20 (ICU)
ward 26 (general medicine)
ward 27 (colorectal)
ward 43 (regional infectious diseases unit)
ward 50 (stroke unit), and
ward 52/53 (gastroenterology).

Overall, we found evidence that NHS Lothian is not complying with the NHS QIS HAI standards to protect patients, staff and visitors from the risk of acquiring and infection.

In particular we found:

the standard of cleanliness of the patient environment was poor
the standard of cleanliness of patient equipment was poor, and
a lack of appropriate risk assessments, for example for out-of-order macerators.

The report highlights areas of strength and weakness as well as areas for further improvement, including requirements and recommendations.

This inspection resulted in eight requirements and one recommendation.
NHS Lothian must address the requirements and make the necessary improvements within the stated timescales.

Responding to the report, Melanie Johnson, executive nurse director at NHS Lothian, said staff had acted on the inspectors’ findings as ‘a matter of urgency’.

Ms Johnson said: “We recognise that some standards were below those we would expect and I apologise to any patients who may have been affected. I would also like to reassure them that those areas have been rectified – since the first of the visits in November, immediate changes were put in place to address all areas that were singled out for improvement.

“A detailed action plan was drawn up and all points have been completed. Many of these significant improvements were proven during the subsequent unannounced visit by inspectors as is detailed in the report.”

Commenting on the ‘extremely disappointing’ findings, Health Secretary Shona Robison said: “The report shows that standards have fallen well short of what the public and patients expect. The inspectors have uncovered simply unacceptable levels of cleanliness and infection control in certain wards, and I will be meeting the chair of NHS Lothian to reiterate my desire to see standards immediately improve. The improvement plan in place must be delivered urgently.”

HEI_LAP_LOTH_WGH_NOV14

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Lazarowicz: Fast-track benefits for terminally ill

‘long delays risk leaving terminally ill people destitute in the last months of their life’ – Mark Lazarowicz MP

Mark Lazarowicz MP is backing Gordon Aikman’s MND campaign and has called on the Government to fast track benefits for people like Gordon with terminal conditions.

Speaking in a debate in Parliament yesterday, the Labour MP for Edinburgh North and Leith called on the Government to fast track benefit claims from people with terminal conditions like Motor Neurone Disease and intervened to tell the Minister that the prolonged delays, in some cases of up to 18 months, could mean the outcome comes too late for some people with limited life expectancy.

He said later: “I strongly support Gordon Aikman’s campaign to fast track benefit claims from people with terminal conditions like MND: people are waiting 6 months and in some cases 3 times that just to have an assessment.

“Claims can be fast tracked where someone is not expected to live longer than 6 months but where does that leave someone with MND where the average life expectancy after diagnosis is 14 months?

“The Government should offer financial support to people suffering as a result of the delays caused by its own incompetence but first and foremost it should make sure that their claims are fast tracked.

“The Minister’s response in the debate was not acceptable: it’s shameful that people who are so ill should spend the last months or year of their life in financial hardship having to fight so hard for the benefits they are entitled to.”

He was speaking in a debate on the introduction of the new Personal Independence Payment (PIP), the disability benefit that is replacing Disability Living Allowance (DLA) which is designed to help seriously ill or disabled people with the extra costs their condition entails.

It was announced on Thursday that responsibility for PIP is to be devolved in future and Mark has called for the roll-out of the new benefit to existing DLA claimants to be stopped until it is because of the huge backlog of assessments.

That was also the conclusion of the House of Commons Work and Pensions Select Committee: it reported last March that even where someone did have their claim fast tracked because they were not expected to live more than 6 months, the time taken to process their claim had increased from typically 8 days with DLA to 8 weeks with PIP.

Mark Lazarowicz says the Government has moved the goalposts: its original target was for the whole process from claim to decision to be completed within 16 weeks, now it is that all assessments should be completed within that time and it is even failing that target.

Gordon Aikman’s story

I’m dying. And fast.

That – in short – was what my doctor told me just a few weeks ago when I was diagnosed with Motor Neurone Disease.

It’s not the news you expect when you are 29 years old.

MND is a rare, progressive and debilitating disease that attacks the brain and spinal cord. It leads to weakness and muscle wasting and will affect how I walk, talk, eat, drink and breathe.

There is no cure.

That’s why I am doing all I can to raise money for MND Scotland – a great charity that funds and promotes research into the disease and provides support to people affected by Motor Neurone Disease.

It’ll be too late for me, but we must find a cure for the next generation.

With your help I can turn a negative into a positive. Please dig deep and donate what you can today.

100% of the money you donate will be spent on trying to find a cure.

Thank you

Gordon

P.S. Please visit www.gordonsfightback.com to tell your your MP and MSPs to back my campaign to double MND research funding.

To date Gordon has raised £216,683.88 of his £250,000.00 target. 3,690 individual donations have been made.

https://www.justgiving.com/gordonaikman/

Balancing Act

Council strategy aims to balance safe drinking with economic development

A report that highlights the need to reduce alcohol-related harm in Edinburgh while supporting economic development will be presented to councillors next week.

The report to the City of Edinburgh Council’s Health, Social Care and Housing Committee on January 27 2015 will state that in the capital:

• the cost of alcohol-related harm to the Council’s social care services is £29 million;
• the impact on economic productivity is an estimated £85m;
• alcohol-related deaths doubled between 1991 and 2004;
• 47% of adults drink more than recommended guidelines;
• 26% of serious assaults committed in public places are aggravated by alcohol;
• Edinburgh’s alcohol-related hospital admission rate is higher than the Scottish average.

The report highlights a proposal to develop a local strategy on alcohol that reduces related harmful impacts while, at the same time, supports the capital’s aspiration for continued economic development. If approved, it will be developed through the Edinburgh Partnership.

It will also highlight ongoing work to deal with these issues by officers from the public and third sectors within planning, economic development, social work, licensing, public health, the police and the fire service.

Committee members will be asked to note the harm caused across the city, note that effective interventions need to focus on reducing harm across the population, and support further talks between Council services, Police Scotland, NHS Lothian and the third sector to develop the strategy.

A presentation on alcohol-related harm within the city will be made to Committee members by the Edinburgh Alcohol and Drugs Partnership, the NHS and the police.

Councillor Ricky Henderson, Health, Social Care and Housing Convener, said: “The negative effects of the misuse of alcohol, on the city as well as on individuals is laid bare in this report. It is clear that these issues have a far-reaching effect on people of all ages and social backgrounds.

“The Council has a duty to promote citizens’ health and well-being, but at the same time, a desire to encourage business development and to support financial growth of the city as a whole.

“Talks are at the early stages between services within the Council about how we reduce alcohol-related harm and support the economic development of our city at the same time.”

Western General patient’s Ebola test clear

Tests for Ebola on a Fife woman who recently returned from west Africa have proved NEGATIVE.

The woman was admitted to the Western General Hospital yesterday after developing a fever and she is now being treated in an isolation unit at the hospital’s Regional Infectious Diseases Unit (RIDU).

Melanie Johnson, Director of Unscheduled Care at NHS Lothian, said last night: “A patient who recently returned to Scotland from west Africa has been admitted to our at the Western General Hospital after they reported a raised temperature.

“As a precautionary measure, and in line with agreed procedures, the patient will be screened for possible infections and will be kept in isolation. We have robust systems in place to manage patients with suspected infectious diseases and follow agreed and tested national guidelines.”

It has since been confirmed that the patient, who lives in Fife, does NOT have the Ebola virus.

Charity appeals for daffodil volunteers

Marie Curie is appealing for people in Edinburgh and Lothians to donate their time to collect for the charity’s annual Great Daffodil Appeal this March.

The appeal is Marie Curie’s biggest fundraiser and the charity needs volunteers to encourage people in the local community to give a donation and wear a daffodil pin. The money raised from the Great Daffodil Appeal will help Marie Curie Nurses care for people with a terminal illness in their own home or at the Marie Curie Hospice in Edinburgh so they can spend more time with the people they love.

Fiona Beaton, Marie Curie Community Fundraiser for Edinburgh and Lothians, said: “We need over 500 people from Edinburgh and Lothians to help with our collections this February and March. Donating just one or two hours of your time to the appeal will allow Marie Curie Nurses to provide more free care to terminally ill people and their families at the time when they most need support, both through care in their own homes and in the Marie Curie Hospice Edinburgh.”

Di Shakspeare, Volunteer Collector from East Lothian said: “I was previously a Marie Curie Registered Nurse for twenty nine years so I know the difference that Marie Curie can make to local families, allowing them to rest knowing that their loved ones are in safe hands. On my retirement, I decided I wanted to help with the charity as a volunteer. In my experience, being a collector is a lot of fun and a great way to meet new folk, some with their stories to tell, while also raising funds and awareness for this wonderful cause.”

To volunteer to collect for Marie Curie and support the Great Daffodil Appeal call Fiona on 0131 470 2291, email fiona.beaton@mariecurie.org.uk or visit www.mariecurie.org.uk/daffodil.

More money for Scotland’s health boards

NHS in Scotland to receive additional £65 million

The Scottish Government has today announced that an extra £65m will be made available to NHS in the next financial year. The funding boost for 2015/16 will ensure that all health boards will receive uplifts next year which are at least 1% above the rate of inflation.

This will bring all health boards to within one per cent of parity under the NHS funding formula, NRAC, a year earlier than planned.

Health Secretary Shona Robison (pictured above) said the funding increase demonstrates the Scottish Government’s commitment to protecting the NHS. She said: “This Government has not only protected the NHS budget, but increased it.

“Our NHS services faces challenges as a result of the increase in patients, with more complex illnesses, and the rising costs of expensive new drugs.

“This £65m additional investment increases the resources available to health boards will help alleviate these pressures and ensure our NHS can continue to deliver effective and sustainable care to all patients across Scotland.”

“We’re clear that all patients in Scotland should be treated as quickly and as effectively as possible, with the right care, in the right place, at the right time. With this increase in funding, health boards are being given more support to achieve this.

“Despite Scotland’s fiscal resource budget being slashed in real terms by 10 per cent by Westminster since 2010, we’ve increased the health resource budget by 4.6 per cent in real terms.”