health – Page 26 – The NEN – North Edinburgh News

New guidance issued during National Diabetes Week

Type 1 Diabetes cases continue to rise

New guidance will be issued to schools and parents from this week to help them support children with Type 1 diabetes. It comes as the annual Scottish Diabetes Survey, published this weekend, shows the number of cases of Type 1 diabetes continues to rise. The number of people with Type 1 diabetes has increased from 26,294 in 2006 to 29,251 in 2014 – an increase of 11.3 per cent.

The new guidelines – ‘Supporting Children and Young People with Type 1 Diabetes in Education’ – set out the responsibilities of local councils, schools, parents and young people. It includes advice on exam planning, injecting and storing insulin, blood glucose monitoring, eating, and physical activity in school.

The guidance brings together, for the first time, some of the best policies that are in place around Scotland. It has been produced in collaboration with teachers, parents, young people and healthcare professionals, and will be distributed to schools and colleges throughout Scotland. It will also be available online.

The booklet has been produced by the Childhood & Adolescent Subgroup of the Scottish Diabetes Group and Diabetes Scotland, with funding from the Scottish Government.

According to the Scottish Diabetes Survey there were 3,733 under 20s with Type 1 diabetes in Scotland at the end of 2013, and 1,860 under 15. The total number of people with diabetes is 268,154, of which 29,261 have type 1, 10.9 per cent of the total.

The increase of Type 1 cases reflects the rising incidence in children, and that people with the condition are now living longer. Type 1 is primarily an inherited condition.

The Scottish Government is taking a number of steps to deal with the increased cases of Type 1 diabetes, mainly focused on early diagnosis and improving access to insulin treatments.

Michael Matheson, Minister for Public Health, said: “This new set of guidelines is a clear and accessible way for teachers and parents to get the information they need about how to care for children with Type 1 diabetes.

“There’s no reason why a child with diabetes shouldn’t play a full and active role in school life. However, it’s vital that teachers, parents and young people know how to prevent any problems, and that’s why these guidelines will be so useful.

“Cases of Type 1 diabetes are rising in most western countries, and Scotland is no exception. That’s why this document, and all our other work in this area, is so important in improving the health of people living with type 1 diabetes in Scotland.

Claire Judson, National Director of Diabetes Scotland, said “It is a human right for children to be able to access education and not miss a day’s school. The care of children with Type 1 diabetes is a team effort, which requires all participants to play an active part in ensuring that that the child or young person has the best possible start in life and can succeed for the future. This document highlights the responsibilities of each of the partners involved to give a complete picture of what is needed so that children and young people with Type 1 diabetes are healthy and safe.

“I hope that all schools and local authorities will use this guidance in collaboration with children, parents and paediatric diabetes teams, so that children can manage their condition and receive the appropriate provision of care. Education is the gateway to a healthier adult life and creating opportunities for the future.”

Letter: More funding needed to protect our parents

Tony Delahoy on the final part of a deeply troubling BBC documentary …

Dear Editor

The third and final part of the BBC television programme ‘Protecting our Parents’ (Thursday 2 May) further illustrated the total inadequacy of the available resources – both staffing and funding – in addressing the human needs of frail individuals who are trying to understand the position they are in, at the same time being asked to decide their future accommodation needs.

Relatives, if available to help, are usually elderly themselves, with limited physical ability and torn by guilt.

One lady, who had dementia and at times could be aggressive, was a changed person after having one-to-one care: it was discovered in these one-to-one sessions that music was very comforting to her.

The extension of one-to-one care will need many more staff, more funding and more training. All authorities, national and local, say money is scarce so it is worth reminding them that all wealth is produced in the first place by people, and that money extracted from that wealth in various taxes still belongs to the people, who in turn elect others to manage to fund what the people need.

The Protecting our Parents series has shown the problems that exist now; the offloading of the elderly from hospital (to prevent ‘bed blocking’) to a sparse choice of expensive care homes, or a home care package which is inadequate, not only for essential needs but for mental inclusion in life.

A rapid increase in building NHS ‘halfway hospitals’ with fully trained staff is urgently needed to cater for the elderly who are in need of other care or accommodation.

Much more funding must be allocated to recruit, fully train and deploy staff to enable all round caring be given in Protecting our Parents.

A. Delahoy

Silverknowes Gardens

Free and easy: dial 111 for NHS 24

New free and easy-to-remember telephone number for NHS 24

A new free and easy to remember number for NHS 24 in Scotland is now up and running. People looking for medical help and advice can, from today (Tuesday 29 April), contact NHS 24 by calling 111.

It means callers in Scotland will no longer be charged when calling NHS 24 from a landline or mobile.

NHS 24 will continue to deliver the same high quality service for anyone seeking advice and support during the out of hours period until their GP surgery reopens.

It previously cost the price of a local phone call from a BT landline, with calls from other landline service providers and mobile providers often costing more.

Health Secretary, Alex Neil, said: “I strongly believe that our NHS should be free at the point of care for all, and this new number will help to protect these founding principles of the NHS.

“The new number is easy to remember, and free to call, which will ensure everyone across Scotland can access support and advice from NHS 24 whenever they need it.

“NHS 24 already provides a valuable service to patients across Scotland when their GP surgery is closed, and there will be absolutely no change to the high quality service provided through this new number.

“By introducing the 111 number we are removing any barrier for the public to access the health advice out of hours. “This will help to ensure people have access to health information and support, including access to a GP, when they really need it.

“In Scotland, the 111 number will be run by NHS 24 as a public service, in public hands – serving the needs of patients.”

“This is in complete contrast to the approach adopted by the NHS in England, where different organisations, including private sector providers, are contracted to provide the number in different regions.”

Mother-of-two Lee Armstrong, from Edinburgh, supports the change to the new number. Lee, 37, has a seven-year-old daughter Charlotte who has type one diabetes. Charlotte, who is a pupil at Wardie Primary School, was diagnosed with the condition when she was four and now uses an insulin pump.

Lee has contacted NHS 24 on several occasions looking for advice and reassurance when she is worried about her daughter’s blood sugar levels.

Lee said: “As a parent, I have always found it useful to have someone at the end of the telephone when GP surgeries are not open at the weekend or in the evenings. I have always been impressed that information about Charlotte and her condition is passed on quickly by NHS 24 to out-of-hours staff. On several occasions, staff have gone above and beyond to make sure Charlotte receives the right treatment or that I am given the correct advice as a parent.

“I think the move to the free telephone number will make it even easier for parents like me to contact the service in what is a positive development .”

NHS 24 Chief Executive John Turner said: “By dialling 111, patients throughout Scotland will receive the same high quality, trusted service that NHS 24 has delivered for more than ten years. We will continue to work with our partners across Scotland to provide high quality support to patients and their families on the new number, which is easy to remember and free to call.”

“NHS 24 has been serving the people of Scotland for more than ten years now and the move to a freephone number represents the next stage in the development of the country’s provider of telehealth and telecare services.”

Welcoming the introduction of the new free phone number, Dr Andrew Buist, Deputy Chairman of the BMA’s Scottish General Practitioners Committee, added: “Creating a new free phone number for NHS 24 will remove barriers to accessing this important part of our out of hours service. Patients will no longer have to worry about the cost of a phone call when seeking urgent health advice.

“NHS 24 provides an important service to patients at evenings and weekends for medical problems that can’t wait until the GP surgery reopens, with healthcare advice and, if necessary, access to a GP.”

More information on NHS 24 is available at www.nhs24.com

Letter: Protecting our Parents – who cares?

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 …?

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

Are you ready for Easter?

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.

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

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!

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’

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.