Letter: Protecting our Parents – who cares?

care

Dear Editor

Part two of the BBC programme Protecting our Parents, shown on 24 April, revealed the inadequacy of all-round care provision for the elderly.

All staff shown were indeed caring but handicapped by having to work within existing rules and funding constraints.

A disturbing feature was the ‘test’ by a psychologist to determine the patients’ capacity to make decisions (in other words removing decision-making from them) with questions such as: ‘what day is it?’; I would imagine most people after being in hospital for weeks would hesitate before answering. There were  of course other similar questions, and on their answers a decision is made on the patients capacity of doing so, with all that it implies.

The ‘test’ came across as inadequate and faulty, needing radical appraisal.

The second part of of the programme reinforced the first – that provision of care in all forms, from rapidly building NHS Hospitals for the elderly run by fully qualified staff, that care at home visiting time should be greatly expanded – if necessary to 24 hour caring operated by fully qualified staff.

This can be at least a start in showing we do care about protecting our parents.

A. Delahoy

Silverknowes Gardens

hayfever advice

Did you know that next week is Allergy UK’s Awareness Week? Me neither, but what better time for some seasonal advice from NHS Inform …?

hayfever

Scots are being urged to visit www.nhsinform.co.uk for tips and advice on managing the symptoms of hay fever and other allergies.

With Allergy UK’s Awareness Week running from 28th April to 4th May and the arrival of spring, this also means for many people the onset of the hay fever season. According to Allergy UK, one-in-four people in the UK suffers from an allergy at some time in their lives and 20% of the population is affected by hayfever in particular.

Professor George Crooks, NHS 24’s Medical Director, advises people that by following a few simple tips they can help minimise the effects of the condition.

He said: “Hay fever is an allergic reaction to pollen from trees and grass, and can cause irritations of the eyes, nose and throat. In an ideal world, the most effective way to control hay fever would be to avoid exposure to pollen. However, it’s very difficult to avoid pollen, particularly during the summer months when you want to spend more time outdoors.

“Avoiding cutting grass, walking in grassy areas, and camping may reduce your exposure to grass pollens. When you are outside, wear wraparound sunglasses to stop pollen getting in your eyes and change your clothes and take a shower when you come back inside.

“If you get hay fever symptoms even when taking care, there are a number of over the counter medicines available from your local pharmacy. I would also remind people that NHS inform provides a wide range of information on the symptoms of the condition, as well as advice on minimising their effects. The site also helpful and quality assured information about other allergies, their prevention and treatment.”

The specific allergies section at NHS inform can be accessed at: www.nhsinform.co.uk/allergies

Pollen

Are you ready for Easter?

BeReadyforEaster25

PEOPLE across Scotland are being offered a final reminder to plan ahead as part of this year’s Be Ready for Easter campaign.

With coughs and colds still common during Easter, NHS Scotland wants Scots to take a few simple steps to look after their health this month.

By knowing when their GP surgery is open, re-stocking their medicine cabinet and making sure they order any repeat prescriptions they need for themselves and those they look after ahead of Easter, people can ensure they make the most of the holiday weekend.

NHS 24 Medical Director Professor George Crooks, said: “With many GP surgeries across Scotland closed for up to four days over the Easter holiday weekend, it’s vital to plan ahead and ensure you and your family stay well this spring.

“We are advising people to keep remedies for common ailments available, to make sure they have enough medication to see them through the holidays and to know when they can get an appointment at their GP surgery.”

The four key steps that Be Ready for Easter recommends this spring are:

Restock your medicine cabinet if needed

Common ailments such as colds can often be effectively treated at home with readily available medicine such as pain relief, cough mixture and cold remedies. Parents are also reminded to restock their medicine cabinet with child-friendly remedies.

Use your local pharmacy

Your pharmacist can offer advice or help if you need over-the-counter remedies or have run out of any prescribed medication. First aid treatments for minor accidents such as plasters and antiseptic creams can also be obtained from the pharmacy.

Make sure you have enough repeat prescription

If you or someone you care for requires medicines regularly, make sure you order and collect repeat prescriptions in good time to ensure you have enough medicine to last over the holiday period.

Know when your GP surgery will be open

Your local doctor’s surgery may be closed for four days during the Easter weekend, from 18th April to 21st April.

BeReadyforEaster8

General advice and information on how to stay healthy this Easter can be found at www.nhsinform.co.uk or contact NHS inform on 0800 22 44 88.

Be ready for Easter, says NHS 24

DSC00989

STAFF at Scotland’s national telehealth and telecare services are reminding people to help themselves look after their health this Easter.

The dedicated staff at NHS 24’s contact centre in South Queensferry – like many other people within the health and emergency services throughout Scotland – will be working for the national telehealth service over Easter to ensure that out-of-hours care is available to those who need it when their doctors’ surgeries are closed.

The comprehensive health advice line – which includes nurse advisors, dental health, pharmacy and mental health advisors among its specialist staff –is preparing to receive thousands of calls from patients across Scotland this Easter.

Julie Hunter will be one of the nurses working at NHS 24’s South Queensferry contact centre over the Easter holiday weekend. The mother-of-two from Grangemouth combines her job at NHS 24 with bank shifts on a Cardiology ward at the Forth Valley Royal Hospital. She said: “As a nurse, I always make sure I have over-the-counter medicines at home to treat the children when they are unwell. In fact, I am always the one my neighbours call on because I am a nurse and because they know my medicine cabinet has been re-stocked for the Easter period.”

NHS 24 is working closely with all Scottish Health Boards as part of a national NHS Scotland campaign encouraging Scots, particularly parents and older people, to be prepared for Easter and advises how they can look after themselves if they catch a cough or cold.

Professor George Crooks, Medical Director at NHS 24, adds: “Easter is one of the busiest times of the year for the NHS in Scotland and we expect to be busy taking calls from patients in need at our centre in South Queensferry during the holiday break,” he said.

“For many of our callers over Easter, we will be offering self-care advice – so making sure you are prepared in advance should help many people enjoy the break.

“By taking just a few minutes to ensure that you have enough regular or repeat medication to see you through, it may prevent you and your family from becoming ill and ruining your holiday.

“We would also remind people that they have a huge range of health information available at their fingertips at www.nhsinform.co.uk “

Careful now!

DIY stands for Don’t Injure Yourself this Easter!

Be Ready for Easter toolbox 2

AS MANY people in Scotland prepare to make the most of the Easter holidays and the onset of spring by reaching for the tools or lawnmower, a major health campaign is urging DIY and gardening enthusiasts to be prepared.

As part of the NHS Scotland Be Ready for Easter campaign, DIY and gardening enthusiasts are being urged to take care and be prepared to deal with any minor accidents before tackling those all-important home and garden improvements.

By taking a few simple steps and knowing when their GP surgery is open, re-stocking their medicine cabinet and first aid box if needed, and using local pharmacies to seek advice and to treat any minor cuts, bumps, bruises and scrapes, any enthusiastic painters, builders and gardeners can help ensure they stay healthy this spring.

Sheena Wright, Executive Director of Nursing and Care at NHS 24, said: “Every Easter we see an increase in calls resulting from DIY accidents and we would encourage Scots to be prepared before they open the toolbox or garden shed.

“We are encouraging DIY enthusiasts to keep treatments for minor injuries, such as plasters and antiseptic, in the first aid box, visit their pharmacist for health advice and know when they can get an appointment at their GP surgery.”

“With many GP surgeries closed for four days over the Easter weekend, these are a few simple steps people can take to stay healthy.”

Although many GP surgeries will be closed at Easter, many GPs will be working throughout this period supporting out of hours services across Scotland.

The key steps that Be Ready for Easter recommends this spring are:

Restock your medicine cabinet if needed

Minor injuries such as small-scale burns, scratches, knocks and cuts can often be effectively treated at home with readily available treatment such as pain relief, plasters, iodine, antiseptic cream and wipes, gauze and tape. Parents are also reminded to restock their medicine cabinet with child-friendly remedies.

Use your local pharmacy

Your pharmacist can offer advice or help if you need over-the-counter remedies or have run out of any prescribed medication.

Know when your GP surgery will be open

Your local doctor’s surgery may be closed for four days during the Easter weekend from Friday April 18 to Monday April 21.

General advice and information on how to stay healthy this Easter can be found at www.nhsinform.co.uk or contact NHS inform on 0800 22 44 88.

Autism services in Scotland: ‘great strides being made’

autism1

Progress is being made in improving Scottish autism services, according to Public Health Minister Michael Mathieson. Today is World Autism Day, and Mr Matheson said said ‘great strides’ had been made in improving access to autism services.

Mr Matheson highlighted in particular the establishment of six new one-stop shops since the Scottish Strategy for Autism’s launch in November 2011, where people with autism and their families can get support and information. These centres, in Dunfermline, Inverness, Motherwell, Aberdeen, Kilmarnock and Perth, are added to those already in operation in Glasgow and Edinburgh. Services are provided by Scottish Autism, National Autistic Society Scotland and Autism Initiatives.

The new centres are funded as part of the Strategy which sets out 26 recommendations for improving the quality of life for people with autism and their carers.

Mr Matheson said: “The new one-stop shops really demonstrates what we are trying to achieve in our Autism Strategy. They bring local services closer to those who need them most, helping people to get support and build up networks. We are now into year three of a ten year plan. Some great strides have already been made, but we’re under no illusion that there’s more work to be done before we get to where we want to be.”

Many initiatives have been funded under the Strategy since November 2011, and some of the key ones include:

  • Working with the British Institute for Learning Disability – a Scottish edition of the Institute’s Good Autism Practice Journal has been produced, showcasing examples of innovative autism good practice work in Scotland. This was launched at a successful event in November 2013 and is available for free online
  • A ‘Menu of interventions’ has also been developed in collaboration with autism professionals , people with autism and their parents and carers. The Menu gives an overview of different interventions and techniques, and sets out the referral and assessment process that can be applied across the country. This will be launched at a special event in May and disseminated via a series of road shows across Scotland throughout the summer
  • A mapping project has also been carried out to establish what autism services are available in each locality. A Service Map was provided to each local authority to help them plan services and identify priority areas for action. Strategy funding was also given to each local authority to develop a local Autism Action Plan and the Service Maps have been helpful in informing the development of these

Mr Matheson added: “Our vision when setting out our strategy was that people with autism should be respected, accepted and valued in their communities, and that they should have services that enable them to have meaningful lives. There is no room for complacency, but I think we are well on the way to achieving that goal.”

World Autism Awareness Day has been a designated United Nations day since 2007 and is celebrated every year on 2 April.

The Scottish Government has been working with Autism Network Scotland to pull together a schedule of various activities and special events happening locally across Scotland to celebrate World Autism Awareness Day. Event information will be posted on the Network’s website and a link to this provided on the Strategy website at

www.autismstrategyscotland.org.uk.

There’s lots going on in Edinburgh to mark World Autism Day – see our 23 March post (City set to mark Autism Awareness Day) for details.

autism

 

You couldn’t make it up: No makeup selfies raise £8m for Cancer Research!

Salmond selfie

It’s been a social media phenomenon that’s swept the country – even the Scottish government has joined in the fun. The ‘no makeup selfie’ is one of those daft ideas that just takes off – and it’s raised over £8m for a cancer charity in just six days!

Cancer Research UK did not start the campaign – but they’re sure glad someone did!

Last Tuesday, after people began tweeting their #nomakeupselfie pictures and asking how they could use them to make a difference to Cancer Research UK’s work, the charity posted a message on its Facebook and Twitter pages with information about how to support its work to beat cancer sooner.

Since then, Cancer Research UK has received an unprecedented increase in the volume of donations and visits to the website.

The money raised will enable Cancer Research UK to carry out more research sooner, including ten clinical trials which last Tuesday it did not have money to fully fund!

Cancer Research UK supports over 200 clinical trials looking for better and kinder treatments for all types of cancer, and Chief Executive Dr Harpal Kumar said: “We’ve been overwhelmed by the support people have been showing us through the #nomakeupselfie trend.

“We don’t receive any government funding for our research and so it’s phenomenal to think that the generosity of the public is enabling us to fund critical research that we didn’t have the money for six days ago. Being able to fund more trials will bring forward the day when all cancers are cured.

“It’s been an exciting week, and we’d just like to thank everyone again for their support. If people would like to support our work to beat cancer sooner, they can visit www.cruk.org.”

harpal_2_web_version

 

 

Smokers urged to ‘take it right outside’

Scottish Government sets new target to spare 50,000 children from exposure to second-hand smoke

kids sake

Scots who think they are doing enough to protect their children from their second-hand smoke are being targeted as part of a new campaign.

With new research showing the harmful chemicals in second-hand smoke linger and travel for up to five hours after the visible smoke has disappeared, the campaign is urging people to take smoking right outside of the home or car for the sake of their children.

Unveiling the campaign today, Public Health Minister Michael Matheson announced a new target to reduce the proportion of children in Scotland exposed to second-hand smoke in the home from 12 per cent to six per cent by 2020.

Scotland is the first country in the UK to set such a target and achieving this has the potential to save approximately 50,000 Scottish children from exposure to second-hand smoke.

The target is part of the Government’s comprehensive Tobacco Control Strategy for Scotland which sets out a five-year plan to put Scotland on the path to becoming a tobacco-free generation.

The campaign gives people who smoke the facts, helping them understand how smoking indoors pollutes the air their family breathes and how they can take simple steps to make their home and car smoke-free.

With 85 per cent of second-hand smoke being invisible and odourless, many are unaware that smoking indoors, even at an open window or standing at the back door, isn’t enough to protect children, as the harmful chemicals linger and easily drift around the home.

Effects of second-hand smoke can have serious consequences for a child’s health and it is estimated that second-hand smoke exposure in UK children each year causes over 20,000 cases of lower respiratory tract infection, 120,000 cases of middle ear disease, at least 22,000 new cases of wheeze and asthma, 200 cases of bacterial meningitis, and 40 sudden infant deaths – one in five of all cot deaths.

smokers

Minister for Public Health Michael Matheson (pictured with children from Royal Mile Primary School, above) said: “As we move towards creating a tobacco-free generation, we want to give every child in Scotland the chance to grow-up in a smoke-free environment.

“This campaign isn’t about a person’s choice to smoke, it’s about people who smoke having the facts so they can smoke in a way that doesn’t harm their children.

“The reality is that many think they’re already doing enough, without realising that the harmful chemicals from second-hand smoke linger, even when there is no smell and it can’t be seen. Because children’s immune systems aren’t fully developed and they breathe quicker than adults, the simple fact is that smoking in the home or car puts children of all ages at risk.

“We are absolutely clear on our commitment to prevent people taking up smoking and helping those who do smoke to quit. We have led the way with the ban on smoking in public places, the display ban and our commitment to a tobacco free generation. But where people do smoke, it is crucial they know the full facts about the harmful impact it has not just on them, but those around them such as their children.”

Dr Sean Semple, University of Aberdeen, the leading academic on second-hand smoke whose research has informed the campaign said: “Eight years ago, Scotland led the way on measures to protect people from second-hand smoke with legislation banning smoking in many public spaces. The benefits of this to health have been substantial and sustained, but we know that second-hand smoke still causes considerable ill-health and that this is mainly from smoking within the home.

“In the past five years our research group has measured pollution levels in over 100 homes across Scotland. Smoking homes have very high concentrations of fine particles that tend to be much higher than the worst pollution on even the busiest roads in Scotland.

Second-hand smoke also lingers for a long time. In more than a fifth of cases it took over 5 hours for the second-hand smoke to clear and during this time the harmful chemicals will move around the house.

“Despite the high second-hand smoke levels measured the outlook is good; many of the smokers we worked with were already starting to make their home smoke-free. By taking their smoking right outside people can improve the air quality in their home and protect the health of their families.”

James Cant, Head of British Lung Foundation Scotland, said: “Everyone knows that cigarette smoke is harmful. What we don’t all know is that more than 85 per cent of smoke is invisible and has no smell. That hidden danger can linger and kids who are exposed are at greater risk of diseases from glue ear to asthma, meningitis and cot death.

“We have to get second-hand smoke right out of our homes and away from children. Every parent wants to do the right thing to protect their kids. This campaign will give them the tools and information to do just that.”

For help and advice on how to take smoking right outside, visit www.rightoutside.org

See the advert at: https://www.youtube.com/watch?v=e5pZz_78DJQ

fags

 

Lothian girls offered protection against cervical cancer

The NHS Lothian school nurse team is offering the third dose of the HPV immunisation to teenage girls in schools across Lothian from the beginning of this month.

The HPV vaccination program, which started in Scotland in 2008, aims to protect girls from developing cervical cancer. The vaccine protects against the four strains of HPV (Human Papillomavirus) which account for 70 per cent of cervical cancers.

Cervical cancer can occur at any age, however it is the second most common cancer in women under the age of 35 in the UK.

Lorna Willocks, Immunisation Co-ordinator, NHS Lothian said: “The HPV vaccine is a safe and effective way to protect against the most dangerous strains of HPV that can cause cervical cancer.

“It is crucial that young women have all three vaccinations and also attend for their cervical screen appointments to ensure they have the best protection for the future”.

Teenage girls in S2 will be offered the final dose of the vaccine in March as part of the school immunisation programme.  Young women and their parents, are urged to ensure they complete the course of immunisations to protect against cervical cancer.

 

NHS Lothian restates commitment to Royal Victoria Hospital

Scotland rugby star Gavin Hastings hosted the Farewell to Victoria  event back in 2012
Scotland rugby star Gavin Hastings hosted the Farewell to Victoria event back in 2012

It was closed and earmarked for sell-off but after a rethink it seems that the Royal Victoria Hospital will be providing services for a while yet …

NHS Lothian confirmed its commitment to retaining the Royal Victoria Hospital for the medium to long-term earlier this year. Wards in the hospital are currently being used to provide additional winter capacity and plans are now being developed to use the facility to provide flexibility in the number of beds available for older peoples’ services.

Between £0.5 and £0.75 million has been invested to improve the accommodation and infrastructure within the hospital to ensure it meets the needs of patients and staff and complies with infection control and health and safety standards.

Following board approval, detailed plans will be developed to transfer appropriate services from other sites such as the Astley Ainslie Hospital and Corstorphine Hospital to the newly refurbished and upgraded wards in the Royal Victoria Hospital.

Patients, families and staff will be fully engaged in this process and support will be provided to ensure the transfer of patients is as smooth as possible.

Melanie Johnson, Director of Unscheduled Care, said: “The significant investment in improving the facilities at the Royal Victoria Hospital has been made easier by the fact the Hospital has not been fully operational. We are now looking at how we can make the best used of the Royal Victoria Hospital once the demand for additional winter beds reduces.

“Moving some services from the Astley Ainslie Hospital and Corstorphine Hospital will allow us to continue to provide safe, high quality care for patients in a more modern healthcare environment. We will be working with patients and their families as well as our staff to develop these plans over the coming months.”

Two wards were re-opened in the Royal Victoria Hospital in November 2012 to provided additional capacity, and since two more wards have been upgraded with another two currently being refurbished. This will provide around 120 beds in total with a mix of single rooms and four or six bedded bays.

  • The growing population in Lothian – in particular the number of people living into their 80s and 90s with complex long-term conditions – has required NHS Lothian to review previous decisions on which sites to develop or dispose of.

NHS Lothian’s long-term plan is to concentrate on developing four key hospital sites and the proximity of the Royal Victoria Hospital (RVH) to the Western General Hospital has also played a part in the decision to investigate services moving to the RVH. The RVH will be incorporated into the master planning of the Western General Hospital site.

RVH