Tag: health

World Diabetes Day tomorrow: Does your employer take diabetes seriously?

Does your employer take diabetes seriously?

Education, flexibility, training and risk assessment are some ways that employers up and down the country can provide support to diabetic employees.

Health and safety experts at CE Safety have revealed actionable steps for employers to ensure that they have the correct workplace procedures to deal with a diabetic emergency.

It is World Diabetes Day on November 14th, prompting CE Safety to offer guidance about first aid and diabetes in the workplace. With 4.8 million people in the UK living with diabetes, employers should be clued up and support staff who have the disease.

This is especially important in the time of Covid-19, as research has revealed that people with diabetes are at greater risk of dying from the virus. People with diabetes should be taking steps to look after themselves to avoid complications, such as maintaining healthy blood sugar targets and staying fit and healthy.

It is a basic minimum standard to ensure workplaces are risk assessed and suitable for diabetics.

A spokesperson for CE Safety says: “Diabetes is a lifelong serious condition and involves having to control the blood glucose levels in the body to stop it getting too high, which can be dangerous. Among the different types of diabetes, type 1 and type 2 are the most common.

“Huge efforts to raise awareness about the chronic condition are being made around the globe, and not without reason. The statistics on people who already have the disease are stark enough, however, experts also believe there are more than 13 million people in the UK who are at risk or already have undiagnosed type 2 diabetes.

“The team at CE Safety deliver health and safety training in the workplace and feel passionate about ensuring every place of work has the correct procedures and policies to look after their staff.”

Here are practical steps for business owners to support employees with diabetes:

Open up the conversation

Allowing the conversation to open up, and having an honest chat around diabetes can help in a variety of ways. It can improve the mental health and wellbeing of the employee; remove any discrimination; employers can gain an understanding of how staff are coping, and provide a forum to outline initiatives and measures which everyone gains from.

Educate yourself on the disease

There are alarming numbers of people out there who don’t even understand the disease they’re living with, so it’s unlikely that employers without diabetes will fully understand it. There are many resources out there so a quick read will give you a lot of insight. For example, did you know that there’s a link between diabetes and depression?

Be flexible

Understanding what your staff with diabetes need, means you can then put measures in place to help them. Be accommodating for attending healthcare appointments for starters, but also support them around working hours, any modified equipment they need or simply show patience for when the disease becomes debilitating. It’s not easy to balance work with managing a disease.

Provide privacy

Staff with diabetes may need to take injections of insulin or check blood sugar levels throughout the working day. Give them a private and clean space to do this, which will provide peace of mind and inclusivity, and even reduce stress.

Revisit working practices

Do your terms allow for assessing a worker on an individual basis? For example, some employees may benefit from flexible working patterns or a higher level of sick leave. Diabetes can cause short and long term complications, so factor this into any relevant policies.

Train your staff in first aid

Your workforce should know what to do in an emergency situation, but do they know what to do in a diabetic emergency? Pass on the information you have gathered.

Do a diagnostic diabetes risk assessment

Get the overall picture of your workforce. Understand the full health picture of your staff, then you can take steps towards pinning down your approach, ensuring the workplace is prepared, safe and supportive to those who need it.

Look at your company culture

As well as supporting people who already have diabetes, there are many improvements employers can make to do their bit in eradicating the disease. We know there is plenty that can be done to avoid getting type 2 diabetes. Promote healthier choices in available food and drink, encourage work-life balance and exercise, and have policies around mental wellbeing.

Stop sitting down

A study in the journal Diabetologia discovered that people who sit still for long periods of time double the risk of developing type 2 diabetes, even if they exercise too.

The NHS says many adults in the UK sit for about nine hours a day, and that living a sedentary lifestyle is linked to obesity, type 2 diabetes, some types of cancer and early death.

Because many people spend hours sitting at a desk while at work, employers should be finding ways to reverse this problem. For example, encourage people to take the stairs, set reminders to stand, create standing workstations, go for a walk while speaking on the phone or regular coffee breaks.

For further information on diabetes and first aid, please see –

https://cesafety.co.uk/diabetes-and-first-aid-how-to-help-in-a-workplace-emergency/

NHS workers call on government to show its appreciation for them

Early pay rise of at least £2,000 to every NHS worker is needed

Health staff across the UK – including nurses, paramedics, cleaners, domestics and porters – have embarked on two days of campaigning to urge the government to give an early, significant pay rise of at least £2,000 to every worker in the NHS.

Staff in UNISON branches based in NHS hospitals, ambulance stations and clinics will be using social media and taking part in socially distanced events to press home the message that health workers deserve much more than applause for their efforts during the pandemic.

Health workers know the public backs an early NHS pay rise, but now want to see the government show its appreciation for staff by bringing forward the pay rise due in April.

UNISON’s pay claim – delivered to Downing Street last month – would see every NHS employee receive an increase of at least £2,000 by the end of the year.

This early wage increase – equivalent to around £1 an hour extra for all staff – could give ailing local economies a much-needed boost as workers spend the extra money in their pockets on the high street, says UNISON.

With the arrival of autumn, and the increasing rates of infection, UNISON believes now is the perfect time for the government to show the high regard in which ministers say they hold NHS staff.

UNISON head of health Sara Gorton said: “Infection rates are rising in care homes and out in the wider community, and hospital admissions are on the up.

“The pressure on staff is beginning to build again, as the NHS tries to open services shut earlier in the year and deal with the backlog of cancelled appointments and operations.

“That’s why now would be the perfect time for the Prime Minister and Chancellor to show they can do more than clap for NHS staff, and demonstrate their appreciation in a much more practical way.

“Boris Johnson’s pie in the sky plans for any time, any place, anywhere ‘moonshot’ testing would cost a mindboggling £100bn. An early pay rise for NHS staff would be a tiny fraction of that and would make a huge difference to individuals and the services they help provide.

“Investing in the NHS and its incredible workforce is a must for the government. It would help the health service tackle the mounting staff shortages that were already causing huge problems even before the virus hit.

“An early pay rise would also be the country’s best way of saying a heartfelt thank you to every single member of the NHS team.”

Scottish Tories: Government must plan to clear backlog of operations

The Scottish Conservatives have called for the Scottish Government to publish a plan outlining how they will clear the backlog of operations created while the NHS concentrates on Covid-19.

The call comes as the latest figures show that the number of planned operations for March this year in Scotland has fallen over 30% compared to March last year.

In addition, the number of cancelled operations for the same month has almost doubled to 15% compared to March 2019.

The Scottish Conservatives have said that it is understandable that the NHS has been prioritising Covid patients but the Scottish Government must outline a plan to clear this backlog and ensure there isn’t any avoidable suffering beyond the pandemic.

3,429 operations were carried out in NHS Lothian during March 2020, a decrease of 1,875 from 5,304 in March 2019 – a decrease of 35%.

The percentage of cancelled operations has more than doubled compared to March 2019, with 21.3% of operations cancelled in March 2020, compared to 9.9%.

Miles Briggs, Scottish Conservative shadow health secretary said: “Our NHS has rightly diverted time and resources to tackling Covid-19 and we wouldn’t expect anything else.

“But the dramatic reduction in hospital operations is not without cost and must be reversed as soon as possible.

“The Scottish Government must put a plan in place to clear these operations or Covid could cause even greater suffering.

“Prior to the Covid-19 outbreak SNP Ministers were failing to meet their own waiting times targets.

“It is clear that for many patients the wait to get the treatments and operations they need is going to be significantly longer.

“I am enormously grateful to everyone working in our NHS right now – the Scottish Government must plan now so doctors and nurses can continue to save lives now and in the future.”

Yet another delay for the new Sick Kids hospital?

The saga of Edinburgh’s new Sick Kids hospital is set to be extended again – after health secretary Jeane Freeman admitted the latest timescale was “under review”.

The facility, which is now eight years late, was supposed to finally open in the autumn.

However, Ms Freeman admitted in a parliamentary answer on Friday that the handing over looked set to be held up again because of coronavirus pressures.

Ms Freeman said: “NHS Lothian is working closely with IHSL to ensure delivery of the programme as close to the timeframe of a full handover in Autumn 2020, but this timeframe is now under review. A refreshed programme is likely to be available during the second half of May and I will of course keep Parliament updated.”

Shadow health secretary Miles Briggs said while this particular delay may be understandable given the Covid-19 crisis, it could have all been avoided had the SNP hit any of the previous targets for opening.

The much-needed facility has been plagued by problems, meaning staff and patients have been forced to continue to use the ancient building in the Sciennes area of the city, which the health board itself has acknowledged is no longer fit for purpose. 

Scottish Conservative shadow health secretary Miles Briggs said: “Obviously with the current situation it’s inevitable there will be delays with almost all projects of this nature.

“What wasn’t inevitable was the SNP’s failure to get this hospital open in anything like the timeframe initially set out. This vital hospital – which was commissioned, planned and built by the SNP – was meant to open in 2012.

“It should currently be open, thriving and assisting our dedicated NHS staff with the coronavirus battle. Instead, it lies empty while the rest of the hospital estate is placed under immense pressure.

“Families across the east of Scotland will not forget the SNP’s spectacular mismanagement of the Sick Kids project.”

New Year A&E record reveals Scotland’s GP crisis

A record-breaking number of people attending accident and emergency in the first week of January is a symptom of the country’s GP crisis, the Scottish Conservatives have said. Continue reading New Year A&E record reveals Scotland’s GP crisis

New research shows e-cigarette vape increases the potential for lung bacteria to cause harm

Researchers from Queen’s University Belfast have discovered that bacteria often found in the lungs became more harmful and caused increased inflammation when they were exposed to e-cigarette vape. Continue reading New research shows e-cigarette vape increases the potential for lung bacteria to cause harm

Rugby star issues health warning ahead of World Cup

  • The upcoming 2019 Rugby World Cup in Japan is a once in a lifetime event with over 1.8 million fans expected to attend
  • Most fans will not be aware of deadly conditions such as Japanese Encephalitis, Tick Borne Encephalitis and Rabies Enchephalitis which occur across south-east Asia and the Pacific Islands.
  • Rugby legend, John Bentley is supporting a campaign encouraging fans to be fully prepared in plenty of time before the games

With a month to go until the Japanese Rugby World Cup 2019, both fans and players will be in full preparation mode, with the event expected to attract the largest ever number of foreign fans. More than 600,000 of the 1.8 million available tickets expected to be held by international fans making the journey to Japan. Continue reading Rugby star issues health warning ahead of World Cup

Briggs ‘deeply worried’ over Western’s Urology waiting list

The number of patients on the urgent waiting list for a urology operation at the Edinburgh Western General Urology Hub has increased from 363 at 30 June 2018 to 465 at 31 March 2019, the latest data available. Continue reading Briggs ‘deeply worried’ over Western’s Urology waiting list

Scottish Children’s Services Coalition: “We are failing thousands of children and young people with mental health problems”

Latest waiting time figures highlight need for fundamental shift in focus for child mental health services 

  • The NHS in Scotland failed to meet a maximum 18-week waiting time target for children and young people to receive treatment from mental health services
  • More than a quarter are waiting more than 18-weeks for treatment
  • Ten out of 14 health boards failed to meet the 18-week waiting time target:
    • NHS Fife, NHS Grampian, NHS Highland, NHS Lanarkshire, NHS Lothian, NHS Tayside, NHS Borders, NHS Ayrshire and Arran, NHS Orkney and NHS Greater Glasgow and Clyde Valley
  • 118 children and young people waited more than a year prior to being seen
  • Figures show only 0.53 per cent of NHS expenditure is spent on CAMHS, less than 7 per cent of the mental health budget
  • Coalition calls for fundamental rethink and renewed focus on prevention and early intervention, including embedding mental health within education

 

Latest waiting time figures have reinforced the call by a coalition of leading independent and third sector children and young people’s service providers for increased investment in mental health services with a much greater focus on prevention and early intervention. 

The call from the Scottish Children’s Services Coalition (SCSC) (see Notes to Editors for members), which campaigns to improve services for vulnerable children and young people, comes as the latest waiting time figures from the Information Services Division, part of NHS National Services Scotland, highlight that thousands of children and young people are failing to be treated within Scottish Government waiting time target. 

With an increasing number of children and young people being identified with mental health problems they also highlight a postcode lottery for mental health treatment across the country.

Covering the quarter January to March 2019, the figures highlight that 4,237 children and young people started treatment at specialist child and adolescent mental health services (CAMHS) in this period.

The NHS in Scotland, including ten of the 14 regional health boards, failed to meet the Scottish Government 18-week waiting time target for children and young people to receive treatment from CAMHS. This target should be delivered for at least 90 per cent of patients.

While 73.6 per cent in the NHS in Scotland are being seen within this 18-week waiting time, still in itself far too long, more than a quarter (26.4 per cent) are failing to be seen within this period.

Individual health boards failing to meet this target are: NHS Borders (target achieved for 40.0 per cent), NHS Fife (72.8 per cent), NHS Ayrshire & Arran (81.6 per cent), NHS Grampian (43.3 per cent), NHS Greater Glasgow & Clyde (80.6 per cent), NHS Highland (81.4 per cent), NHS Lanarkshire (76.6 per cent), NHS Lothian (69.1 per cent) and NHS Tayside (57.9 per cent)

The figures also indicate that 118 children and young people in the quarter had been waiting for more than a year prior to being seen for treatment, an increase from 108 in the previous quarter (October to December).  

It should be noted that a mere 0.53 per cent of the NHS budget is spent on specialist CAMHS, amounting to £61.074 million.  In addition to this, only 6.34 per cent of the overall mental health budget is spent on CAMHS.

These very low figures are despite the fact that mental health services are creaking at the seams due to greatly increasing demand, as evidenced by these waiting time figures. Research indicates that 10 per cent of children and young people (aged five to 16) has a clinically diagnosable mental health problem (around three in every classroom), with 50 per cent of mental health problems established by the age of 14 and 75 per cent by the age of 24.

While acknowledging the great efforts the Scottish Government is making, such as an additional £250 million of funding announced in the Programme for Government, the SCSC has called for the Scottish Government for greatly increased investment in CAMHS and for a more consistent approach to delivering these services across Scotland.

It has also called for a renewed focus on prevention and early intervention for those with mental health problem, reducing the need for referral to under-pressure specialist CAMHS.

This includes embedding mental health within education from an early age in order to strengthen knowledge and awareness of mental health, as well as reducing the stigma associated with mental health.

Emotion and resilience classes should be provided to all students from primary one to teach students how to work through their emotions in a healthy way and there should be a whole-school approach, with training for all staff involved in education and providing counselling support.

A spokesperson for the SCSC said: “These latest waiting time figures highlight that fact we are continuing to fail thousands of children and young people with mental health problems.

“The great efforts the Scottish Government is making, including an additional £250 million for mental health over the next five years announced in its recent Programme for Government, is to be welcomed, but more clearly needs to be done.

“These newly released figures highligh that the NHS in Scotland, including ten of our health boards, are failing to meet what is already a lengthy waiting time. Yet we know that three children in every classroom has a clinically diagnosable mental health problem.

“There must be a radical transformation of our mental health services, with a focus on preventing such problems arising in the first place and intervening early, especially when we know that half of all mental health problems begin before the age of 14.  This includes embedding mental health within education from an early age as well as providing training for all staff involved in education.

“With mental health and the issues associated with it representing one of the greatest public health challenges of our time, we must ensure that children and young people are able to get the care and support they need, when they need it. This includes investing in greater community support and support at school, reducing the need for referral to specialist CAMHS.”

The ISD figures released yesterday show that for the latest quarter to March 31st 2019, 85 young people in NHS Lothian waited over a year to be seen out of the 118 of young people waiting over a year across all NHS health boards in Scotland.

The number of young people waiting within the 18 week target in NHS Lothian has increased to a record 540, 69.1%, which is still below the national average of 73.6% seen within the 18 week target for the last quarter.

In NHS Lothian more young people are being seen within the 18 week target, however the 85 young people waiting over a year to be seen still makes up 72% of all young people waiting over a year to be seen in Scotland for the same quarter.

The CAMHS Workforce Report states that “NHS Grampian and NHS Lothian’s child & adolescent populations are projected to increase the most by over 6.0% each” (page 8), which means that NHS Lothian CAMHS will need extra funding to meet future demand.

Scotland’s first Youth Commission on Mental Health produced a report last week that said fundamental change was needed to the way young people with mental health issues were supported. Recommendation included that mental health education be embedded within the school curriculum and for education professionals to be trained in mental health support. 

The commission’s also called for waiting times to access child and adolescent mental health services to be reduced to eight weeks.

Scottish Conservative Health Spokesperson, Miles Briggs, said: “This provision of mental health services for young people in Lothian is nowhere near where it needs be.

“Hundreds of young people are waiting over the 18 week target every quarter in NHS Lothian to be seen by a mental health professional.

“There has been a mental health crisis for young people in Lothian for many years now and the complacency of SNP Ministers means that young people are suffering without the access to support that they need.

“The SNP must start taking the necessary actions to improve mental health provision for young people in Lothian immediately.”