Tory MSP calls for increased funding for Public Services across Lothian

Lothian MSP, Miles Briggs, has spoken about the need to increase investment in public services across the South East of Scotland to meet growing demand – while at the same time his party is urging the Scottish Government to cut the highest rates of tax in line with England!

During a debate at Holyrood yesterday on Scotland’s Population – Meeting the Needs of our Communities, Economy and Public Services – the Conservative MSP said that “Edinburgh and the South East continues to be a resilient region and the only part of the Scottish economy which has seen continued economic growth.”

Mr Briggs went on to say that this should not “mask the huge pressures which are facing our public services.”

Scottish Government funding for NHS Lothian as well as Edinburgh City Council are at their “lowest level” according to Mr Briggs, while the region is projected to have a growing population, leading to greater demands on services.

Local authorities in Lothian have the fastest growing populations in Scotland. 

Midlothian is predicted to have the fastest growing population in Scotland, 13.8%, East Lothian the second fastest at 7.2%, City of Edinburgh sixth fastest, 6.6% and West Lothian seventh fastest, 5.9%. These local authorities all have much faster predicted population growth than the Scottish average of 3.5%.

Lothian MSP Miles Briggs has previously campaigned for a change to the formula which determines funding for NHS Boards, saying that NHS Lothian has not been receiving their fair share over the last ten years.

Lothian MSP, Miles Briggs, said: “The financial sustainability of delivering public services is becoming more difficult to deliver here in Lothian and it is time for SNP-Green Ministers to recognise this.

“The fact that levels of homelessness and children living in temporary accommodation are at their highest anywhere in Scotland is a direct consequence of not being able to deliver on local housing outcomes.    

“NHS Lothian is seeing an unprecedented demand on services and waiting times for treatments are unacceptably long.”

If only there was a magic money tree …

Meanwhile, the International Monetary Fund has rebuked the UK Tory Government’s reckless ‘growth plan’ …

Miles Briggs MSP raises a cup for Macmillan Cancer Support

One in two of us will face a cancer diagnosis in our lifetime. Going through cancer treatment or getting a diagnosis is tough enough to deal with, and now the cost-of-living crisis is increasing people’s worries.  It’s never been more important for people living with cancer to get the urgent help they need. 

Macmillan Cancer Support is doing whatever it takes to support people in Scotland from the moment they are diagnosed. Macmillan health professionals are working tirelessly across Scotland, local Macmillan Benefits advisors are at the end of the phone, and the charity’s Improving the Cancer Journey team provide much needed support with the emotional, practical and financial impact of cancer in various locations across Scotland.

The cancer charity relies almost entirely on public donations. That’s why Macmillan is calling on people to dust off their aprons and get involved in this year’s Macmillan Coffee Morning to raise invaluable funds.  

Kate Seymour, Macmillan Cancer Support said: “Last year, people hosted Coffee Mornings across Scotland and raised over £710,000 which was amazing. It helped us to provide much needed support, including Macmillan Grants to over 4,000 people in Scotland.

“Whether you host a Coffee Morning or join in, every penny raised helps Macmillan to provide the local services that people living with cancer desperately need, especially at the moment.

“This year, Macmillan Coffee Morning is on Friday 30 September. Whether it’s a traybake with pals in the garden, a virtual Coffee Morning by screen, or a cuppa and cake in the office, hold yours however and whenever you like. There are so many reasons to host a Coffee Morning – whatever your reason, it’s a great one! Every Coffee Morning has the power to raise vital pounds.” 

There’s lots of information online including recipes and hosting ideas.

To find out more and sign up to host a Macmillan Coffee Morning today, visit www.macmillan.org.uk/coffee 

For comprehensive cancer information and support visit www.macmillan.org.uk  

Angela Constance: Drugs deaths situation remains ‘unacceptable’

Official statistics for 2021 show decrease of just 1%

While welcoming an end to seven annual increases in drugs deaths, Drugs Policy Minister Angela Constance made clear the situation remains “unacceptable”, and work will continue at pace to address the emergency.

The latest National Records of Scotland statistics show 1,330 people lost their lives in 2021 – a decrease of 1% and Ms Constance says it is clear there remains much work to do to save lives.

A national mission was announced in January 2021 to tackle rising death deaths in Scotland with additional funding of £250 million over the course of this Parliament.

The first year of the national mission has seen the introduction of Medication-Assisted Treatment (MAT) Standards, the expansion of residential rehabilitation provision, the setting of a new treatment target, increased funding to community and grass-roots organisations and the laying of ground work for innovation such as Safer Drug Consumption Facilities. 

1,330 people lost their lives to drug misuse in Scotland in 2021, according to latest figures published by National Records of Scotland.

The number is 1% lower than 2020 which makes it the first year since 2013 in which drug misuse deaths have not increased. However, it is still the second highest annual total on record.

Of those who died from the misuse of drugs, 65% were aged between 35 and 54 years old and more than two thirds (70%) were men.

Dundee City had the highest age-standardised drug misuse death rate of all local authority areas (45.2 per 100,000 population for the 5-year period 2017-2021), followed by Glasgow City (44.4) and Inverclyde (35.7).

Julie Ramsay, Vital Events Statistician at NRS, said: “Drug misuse deaths have increased substantially over the past few decades – there were more than five times as many deaths in 2021 compared with 1996. 2021 is the first year since 2013 that drug misuse deaths have not increased.

“In 2021, after adjusting for age, people in the most deprived areas were more than 15 times as likely to have a drug misuse death as those in the least deprived areas. This ratio has widened over the past two decades.”

In 93% of all drug misuse deaths, more than one drug was found to be present in the body, and the type of drugs that are implicated in deaths has been changing. In 2015 there were 191 deaths involving benzodiazepines, last year there were 918, near five times as many.

This increase has mostly been driven by street benzodiazepines rather than those which are prescribed. Of all drug misuse deaths in 2021, 84% involved opiates or opioids (such as heroin, morphine and methadone). 69% involved benzodiazepines (such as diazepam and etizolam).

In 2020 (the most recent year available for the rest of the UK) Scotland’s drug misuse rate was 3.7 times that for the UK as a whole, and higher than that of any European country.

Ms Constance said: “Scotland suffers a terrible toll from drug deaths, leaving families grieving and in pain and my heart goes out to all those affected by the death of a loved one through drugs.

“These latest statistics provide yet more heart-breaking reading, and the situation remains unacceptable. While there is so much more work to do, every life saved means one less family grieving and I am determined we can use this halt in the upward trend of recent years as a platform for real change.

“My focus now is on taking action and delivering new investment to improve services and get more people into the treatment which works for them. Residential rehabilitation is one of a range of treatment options available and today I am visiting River Garden Auchincruive to speak to residents and staff about the services provided. Later I will be meeting some families affected by a loved one’s drug use and asking what more we can do to help.

“I am concerned about the rise in deaths among women and will look to expand on current steps we are taking including the provision of two Mother and Child Residential Recovery Houses which will enable women to receive support while staying with their children.

“Despite regional differences, we are focused on a national mission and I’ll continue to use all the powers at my disposal, including holding local leaders to account in implementing the MAT standards, to drive improvements across Scotland.

“We are already implementing many of the recommendations from The Drug Deaths Taskforce, which issued its final recommendations last week, and I will report back on further actions to Parliament.

“In the first year of the National Mission we built the foundations for change. Now, with the backing of £250 million over the course of this Parliament, we will deliver on those foundations and our new Oversight Group will provide scrutiny, challenge and expert advice on the National Mission as we continue our efforts to improve and save lives.”

River Garden Operations Manager Mikael Heddelin said: “We offer a very different approach to recovery which allows residents to leave behind their addictions.

“Importantly that comes from communal support of peers and meaningful and qualitative work via our on-site social enterprises. We provide training, help develop competence in a range of areas and facilitate reintegration back into society.

“Peer support and lived experience are key elements in the recovery journey at River Garden. Our ethos and culture allows our residents to recover without stigma and the local community play a huge part in what we do.”

River Garden resident Paul said: “I grew up in care and began using drugs at the age of 12. Throughout my life I tried various rehabs, none of them worked.

“At the age of 47 I joined River Garden. I have been here almost two years and I have purpose and self-worth. I’m happy and healthy and I feel good about myself.

“River Garden has been totally transformational for me. I really enjoy the work and the camaraderie. I have made many friends amongst the volunteers, the visitors
and the contactors who work at River Garden.”

Lothian MSP, Miles Briggs commented: ““My deepest condolences are with the family and friends of those who have died due to drugs.

“In Lothian the number of people who died due to drug misuse last year has doubled from ten years ago.

“SNP Ministers approach to tackling drug deaths is an unequivocal failure with drug deaths continuing to rise in Lothian for the last six years.

“If Angela Constance, the Minister for Drugs Policy, can’t reduce drug deaths in her own region of Lothian, then this does not bode well for the rest of Scotland.

“SNP and Green Ministers must get on board with the Scottish Conservatives Right to Rehab Bill, to ensure that everyone who needs rehabilitation for drugs has access to it.

“These latest shocking numbers clearly suggest that there is a particular problem in turning around the situation in Lothian. If that is the case, then SNP Ministers must consider direct control over drug services to drive urgent reforms.”

Link to National Records of Scotland Drug-related deaths in Scotland

Miles Briggs: Volunteering at the heart of the community

Miles Briggs MSP has praised the invaluable role of volunteers during a visit to BHF Scotland’s shop in Dalry Road, Edinburgh – seeing at first-hand how their efforts help raise vital funds for the charity’s lifesaving research into heart and circulatory diseases.

The visit took place ahead of Volunteers’ Week, marking the annual contribution of volunteers up and down the country. In Scotland, around 14,000 volunteers regularly give up their time to help the BHF in its 75 Scottish shops.

During the visit, Miles heard more about the role of volunteers taking in donations from the local community and the incredible benefits of shopping preloved, preventing good quality items from going to landfill, creating a sustainable, circular economy and saving money, while also funding the BHF’s lifesaving research.

In a year, the BHF saves around 71,000 tonnes of goods going to waste and through the reuse and recycling of donated items, helps prevent 135,000 tonnes of CO2 emissions being released into the atmosphere. The charity will also sell over half a million pieces of living room furniture and 14,000 tonnes of preloved clothes from its stores.

Heart disease is a major cause of ill health in Scotland and the BHF is currently funding around £60 million worth of projects in ten Scottish universities. This work is only made possible thanks to the huge generosity of the Scottish public.

Lothian MSP, Miles Briggs, said: “Volunteers are essential for the running of British Heart Foundation, raising money for such a worthwhile cause and reusing and recycling household goods, which is also beneficial for the environment.

“People donating their time his hugely valuable for the British Heart Foundation and I would encourage anyone who has been considering volunteering to offer their services.

“British Heart Foundation continue to pioneers lifesaving research, which would not be possible without the thousands of volunteers who give up their time.”

Kym Kestell, BHF Scotland’s Policy and Public Affairs Coordinator, said: “It was great to welcome Miles to our Dalry Road shop in Edinburgh and talk about the crucial support of our fantastic volunteers here and right across Scotland. 

“It goes without saying that volunteers are the lifeblood of our shops. Every hour donated makes a difference. It helps us raise money to power lifesaving science to save and improve more lives. Across Scotland around 700,000 people are living with heart and circulatory diseases. Your gift of time can help us, help them.  

“For more than 60 years, your support has helped the BHF turn research that once seemed like ‘science fiction’ into reality and we need your help now more than ever.”

Miles Briggs MSP and Tómas get Pawlitical to be crowned Holyrood Dog of the Year 2022

On Monday 9th May, Miles Briggs, Conservative MSP for Lothian and his sister’s five-year-old rescue dog, Tómas will compete with other politicians and their pooches to win the coveted title of Holyrood Dog of the Year 2022.

Following a three-year hiatus, dogs of all shapes and sizes, regardless of breed, creed or ‘pawlitical’ persuasion, will head to Scottish Parliament gardens at Horse Wynd, Edinburgh with their two-legged MSP owners to see who will be crowned Holyrood’s top dog.

Organised jointly by Dogs Trust and The Kennel Club, the competition offers the unique chance for Miles Briggs MSP to show off the lovely, Tómas.

With the boom in dog ownership during the pandemic, this year’s event focuses on promoting responsible dog ownership as well as celebrating the unique bond between dogs and their owners. Not only is responsible dog ownership integral to improving dog health and welfare throughout Scotland, it also helps ensure the nation’s dogs lead happy and healthy lives. 

The event also encourages open dialogue on dog welfare issues with MSP’s having the opportunity to meet with dog welfare experts from Dogs Trust and The Kennel Club.

Proud dog lover, Miles BriggsMSP explains: “Tómas is a Spanish rescue dog who had a hard start in life but has now become a much-loved member of the family and dog brother to my niece, Skye.

“Tómas puts up with me dressing him up every Christmas and he has a huge life skill of managing to find and destroy the squeak in any dog toy within two minutes.   

“Tómas is always super excited when you come home – he gives the best welcomes in the world.  He will always be a winner to me and proves very popular in Lothian when out campaigning and meeting constituents.

“This fun event will be a great chance to celebrate the essential work MSPs are doing to improve dog welfare in Scotland while highlighting the importance of responsible dog ownership.”

MSPs are also calling for their supporters to vote for their canine companions online in a bid to win the ‘pawblic’ vote. There will be additional judging on the day by representatives from Dogs Trust and The Kennel Club, which will review the contestants on their good dog deeds and winning personalities. This will then determine which political pooch will take home the ultimate parliamentary privilege of the ‘Holyrood Dog of the Year’ title.

The Holyrood Dog of the Year 2022 competition starts at 10.00am on Monday 9th May at the Scottish Parliament Gardens, Horse Wynd, Edinburgh, EH8 8DX.

To vote for Miles Briggs and Tómas in the pawblic vote please click here:

thekennelclub.org.uk/hdoty 

– where you will also find the details of all the MSPs and their four-legged friends entered in this year’s competition. 

Briggs hails 2,444 local people helped by warm homes scheme

Lothian MSP Miles Briggs has welcomed the impact in his constituency of a scheme aimed at helping homes become warmer, more comfortable and more affordable to heat.

Warmer Homes Scotland, the Scottish Government’s national fuel poverty scheme, has supported 2,444 people in Lothian since it was launched in 2015, with each of them saving an average of £264 off their energy bills.

The Warmer Homes Scotland scheme provides a step-by-step service to identify where energy improvements can be made in the home and arranges for this work to be carried out. The scheme offers new central heating systems, including renewable heating technologies such as air source heat pumps, in all property types and in all regions of Scotland.

All of the work delivered under the scheme is carried out by registered and accredited local sub-contractors, working to rigorous quality standards across the country, with completed work independently checked to guarantee that these standards are met. In the last year, 99% of Warmer Homes Scotland customers said they were satisfied or very satisfied with the work carried out in their homes.

A new report also found that the scheme has wider benefits for the health, wellbeing and social lives of those people who received support.

It also identified positive outcomes from the scheme for all levels of society, from householders through to the NHS and the Scottish Government.

Lothian MSP, Miles Briggs, said: “I’m pleased to learn that the Warmer Homes Scotland scheme has supported so many people in my constituency to be warmer and more comfortable in their homes.

“It’s also great to learn about Warmworks Scotland’s new report and the positive benefits from the scheme on householders’ health, wellbeing and day-to-day living.

“I’m delighted to know that the scheme has helped many of my constituents save money on their fuel bills. I’d encourage all of my constituents to check if they are eligible to receive help under the scheme, as the improvements it offers could make a real difference this winter and in the years to come.”

Warmworks Scotland Managing Director, Ross Armstrong, added: “The Warmer Homes Scotland scheme has been helping people right across Scotland feel warmer and more comfortable in their homes for six years.

“But we also now know that the benefits of the scheme go even further, and that it’s making a real difference in terms of supporting people with their health, wellbeing and day-to-day lives.

“I’m delighted that we have been able to help 2,444 people in Miles Briggs MSP’s constituency to be warmer and more comfortable in their homes, and that they have saved £264on their fuel bills thanks to the improvements made under the scheme.

“We look forward to building on this work and helping many more people throughout Lothian and across Scotland in the years to come.”

“Horrendous”: Deaf children seriously failed by NHS Lothian

An extensive expert review has found failings in the standard of hearing tests carried out for children in NHS Lothian’s Paediatric Audiology service.

The review, conducted independently by the British Academy of Audiology (BAA), identifies significant concerns about hearing tests that were not carried out to the required professional standard, with consequences for children and their families.  In some cases, diagnosis of hearing loss or impairment may have been missed or delayed.

Early identification of hearing loss or impairment from birth is important because the earlier it is picked up, the more successfully it can be treated with hearing aids or cochlear implants and the better the outcomes for the child.

Tracey Gillies, Medical Director NHS Lothian said; “We are very sorry and saddened to learn that there are some children whose conditions were not diagnosed correctly, or as early as possible, as a result of testing that was not up to standard.

“Due to these failings, the diagnosis of hearing loss or impairment in six children was missed.  Diagnosis of a further six children was significantly delayed with long term consequences for these children. Their long-term development of speech and language will be affected and these children will require specialist support.”

Ms Gillies continued “Delayed diagnosis of hearing loss in a further 48 children is also likely to have resulted in some harm, though the longer-term impact of this will depend on the individual circumstances of each child. Some children may require to be retested.

“We have already written to the most severely-affected families individually to offer support and a face-to-face meeting to discuss their child’s condition. We have also arranged appointments for those children whom the review recommends should be tested again.

“In addition, measures have been put in place to identify young children currently in the system whose cases may require clinical review. If any concerns are found, the families will be contacted immediately.

“We apologise sincerely to all affected children and their families for these failings and for the worry and distress caused. We would encourage families who may have concerns to contact our helpline for information on 0131 465 5457. Lines will be open on Monday to Friday from 9am to 4pm.

“We have been engaging closely with the National Deaf Children’s Society and would like to thank them for the support they are able to provide families via their own helpline, which can be contacted on 0808 800 8880.”

NHS Lothian commissioned the full, external review of the service following criticism in May about the diagnosis and care of a child with hearing difficulties. The review is part of the Health Board’s response to the recommendations made by the Scottish Public Services Ombudsman who investigated that case.

Other actions already taken include the appointment of an additional senior expert to provide support in Paediatric Audiology, a comprehensive training programme for service staff and support from NHS Ayrshire and Arran and NHS Greater Glasgow and Clyde with testing in the interim.

The review consisted of an audit of cases from 2009 -2018, an appraisal of the clinical governance structures in place as well as a week’s residential visit by external experts to observe working practices in the service.

NHS Lothian Chief Executive, Calum Campbell said: “The thoroughness of the review reflects our determination to improve the service and outcomes for the children in our care.

“We note that the report was positive about some aspects of the care of the audiology team who are committed to working hard to improve the quality of testing provided by the service.  

“A number of improvements have already been made and a detailed action plan has been developed to implement all the recommendations of the BAA in full.

“We continue to work closely with the BAA and would like to thank them for their diligence and support in conducting the review.

“I apologise to the affected families and give them my assurance that lessons have been learned and that the recommendations from the review are being implemented in full.”

The National Deaf Children’s Society has called for a sweeping review of children’s audiology services in Scotland after almost a decade of failures by NHS Lothian.

At least 887 children are known to have been affected during the nine-year period, 155 significantly, but the actual number could potentially include thousands more and the problems have continued.

The charity has spoken out after a new report, published yesterday, uncovered repeated mistakes by NHS Lothian’s audiology service, with at least 100 deaf children among those affected.

The report reveals cases of deaf children being wrongly deprived of crucial technology, incorrectly discharged or identified years later than they should have been. Some have been left with life-changing consequences as a result.

In response, the charity has today written to the Cabinet Secretary for Health and Social Care, Humza Yousaf MSP. The letter calls for an assurance that such catastrophic errors will never happen again and asks for urgent Government action to improve audiology services across the country.

The failures were revealed in a new audit report, carried out by the British Academy of Audiology to examine NHS Lothian’s children’s audiology caseload of 22,900 from 2009-2018.

It sampled 1,007 cases and found there were concerns about assessment and care in 887 of them (88%). Of those, 155 had “significant concerns”.

The specific findings of the report include:

  • The average age of children identified as deaf under NHS Lothian was 1,653 days (4.53 years old), compared to 109 days in England. The report says this appeared to have gone “unreported and un-noticed.”
  • 12 children were eligible for cochlear implantation, but this was significantly delayed, to the extent where some missed out on getting them altogether.
  • There was no evidence that nine of the children were offered a hearing aid, even though it would likely have helped them.
  • 49 children had a delayed identification of hearing loss or the fitting of their hearing aid was delayed.
  • 30 were not offered the right hearing aids.
  • The remainder of the 155 were wrongly discharged or mismanaged.

As a result, the National Deaf Children’s Society is calling for a review of children’s audiology services across Scotland. It wants to see the Scottish Government introduce national leadership for services, robust data collection and a mandatory program setting out clear standards for care.

Without urgent action, the charity says there’s a real danger that many more deaf children risk not getting the quality of care they need.

Locally, it wants NHS Lothian to commit to following the recommendations made by the report, review its past caseload to avoid repeating the same mistakes and announce a clear plan on how it will catch up and deliver for deaf children and their families.

The charity is also strongly advising all affected families to seek independent specialist legal advice. It is already offering support to families affected and says that anyone who is worried about the report should contact its helpline.

Susan Daniels, Chief Executive at the National Deaf Children’s Society, said: “The horrendous findings in this report represent a real-life nightmare for the families involved.

“They placed their trust in a service that was supposed to help, only to be completely let down. Some will be left with life-changing consequences, while many others across Scotland will now be facing the very real fear that the same thing could happen to them.

“Early identification and the right care are vital in helping deaf children develop language and communication at a crucial age, so this must never be allowed to happen again.

“This means we need urgent action from the Scottish Government, starting with a thorough review of children’s audiology services across the country. Until we have national leadership, better data collection and mandatory standards that services must comply with, thousands more deaf children could be at risk and families won’t be able to rest.

“We’re already in touch with several families affected and we’ve provided them with support and guidance. Anyone else who’s been affected, or feels worried about this issue, can contact our helpline or visit our website at www.ndcs.org.uk.”

Lothian MSP, Miles Briggs said: ““These findings by the British Academy of Audiology are extremely concerning and families in NHS Lothian have been totally failed.

“It is crucial that all 36 recommendations for the paediatric audiology service are implemented as soon as possible.  

“The average age for diagnosing hearing loss in NHS Lothian is far too late and measures must be put into place to ensure that children with hearing loss are diagnosed much sooner.

“I have written to the Health Secretary to request a meeting about why it takes four and half years in NHS Lothian for a child to be diagnosed with hearing loss, compared to 109 days in England.”

Copies of the report are available:

BAA Summary Report

BAA Audit Report

BAA Governance Report

NHS Lothian Helpline:  0131 465 5457 Mondays to Fridays 9.00am to 4.00pm. 

National Deaf Children’s Society Helpline:  0800 800 8880 Mondays to Fridays   9.00am – 5.00pm

For information and services provided by the National Deaf Children Society, please visit their website https://www.ndcs.org.uk/our-services/

Lothian MSP concerned at record number of patients – 17,432 – waiting for a key diagnostic test

Lothian MSP, Miles Briggs, has raised concerns about the number of people waiting on key diagnostic tests in NHS Lothian.

Diagnostic tests give doctors more information about a patient, so that they can confirm or rule out conditions and diseases. Key diagnostic tests include endoscopy and radiology. Endoscopy is where a long flexible tube with a light and camera shows images of a patients organs on a television screen. Radiology is the science of x-rays for taking images to diagnose a patient.  

The eight key tests and investigation are upper endoscopy, lower endoscopy (excl. colonoscopy), colonoscopy, cystoscopy, CT scan, MRI scan, barium studies and non-obstetric ultrasound.  

In NHS Lothian a record 17,432 patients were waiting to be seen for a key diagnostic test at the end of September 2021. This is an increase of 790 from the end of June 2021 when 16,631 patients were waiting, an increase of 4.75%.

The number of patients waiting for a diagnostic test in NHS Lothian has risen by 2,989 in the last year from 14,443 at the end of September 2020, an increase of 21%.

Over the last two years the number of patients waiting for a diagnostic test has risen from 10,657 at the end of September 2019 by 6,775 patients, 64%.

Across Scotland 125,557 patients were waiting to be seen for the eight key diagnostic tests, an increase of 8.9% (+10,304) from 30 June 2021 and 22.2% higher than at 30 September 2020.

Lothian MSP, Miles Briggs, said: “We are seeing a very concerning increase in the number of patients waiting for a key diagnostic test in NHS Lothian over the last two years.

“The number of patients waiting over 6 weeks has more than tripled over the last two years.

“Diagnostic tests are vital for doctors to be able to diagnose and treat patient’s diseases.

“The quicker a patient’s illness is diagnosed the sooner they can get treatment, which improves their chance of recovery.

“The pandemic will inevitably have impacted diagnostic tests in NHS Lothian, however consistent underfunding for the health board by SNP Ministers had made diagnostic waiting times very long even before Covid-19.”

Diagnostic waiting times – Waits for key diagnostic tests 30 November 2021 – NHS waiting times – diagnostics – Publications – Public Health Scotland

Diagnostic Test & InvestigationIndicator 31-Mar-1930-Apr-1931-May-1930-Jun-1931-Jul-1931-Aug-1930-Sep-1931-Oct-1930-Nov-1931-Dec-1931-Jan-2029-Feb-2031-Mar-2030-Apr-2031-May-2030-Jun-2031-Jul-2031-Aug-2030-Sep-2031-Oct-2030-Nov-2031-Dec-2031-Jan-2128-Feb-2131-Mar-2130-Apr-2131-May-2130-Jun-2131-Jul-2131-Aug-2130-Sep-21
                                  
8 Key Diagnostic Tests & InvestigationsNumber on List 13,15612,09211,30410,79110,26110,08710,65711,63812,24812,62112,96813,36112,84413,84014,63714,27713,34913,81514,44314,37014,39115,24815,30615,10915,86416,43416,92516,63116,32116,64217,432
 Number Waiting > 4 Weeks 4,8844,5253,5283,1793,1002,9202,9953,6753,8544,7554,4274,8666,34511,64011,2329,8958,2117,4697,6807,5476,9368,3568,1517,9857,8038,3818,5108,8159,2069,4499,541
 Number Waiting > 6 Weeks 3,9263,4842,8252,4232,1712,0701,9132,2992,5973,0983,7933,2503,81410,33310,5308,8357,0906,2466,2656,2735,5266,1897,0126,2435,9596,1076,2516,5026,9657,2527,220
                                  
Upper EndoscopyNumber on List 2,1861,8681,4291,3341,0791,1531,0211,1161,2551,5441,6731,8261,9172,0162,0902,1862,2062,2652,3312,3092,2442,2972,2682,1862,1712,3422,4042,3122,3072,3332,385
 Number Waiting > 4 Weeks 1,6341,2828687777046435546277359691,0891,2501,5081,9211,9501,9331,8541,9001,9791,9551,8381,8831,9051,8521,7591,8921,9581,9211,9381,9411,926
 Number Waiting > 6 Weeks 1,4271,117759

750 Nursing and Midwifery posts vacant in NHS Lothian

‘STAFFING LEVELS ARE REACHING CRISIS POINT’

Julie Lamberth, RCN Scotland Board Chair, said: “I wanted to highlight statistics which have been published today from NHS Education for Scotland, which show a worrying rise in NHS Nursing and Midwifery vacancies.

“Across Scotland a record high of 4,854 nursing and midwifery posts are vacant, which is 7.1% of posts, while in NHS Lothian, 750 nursing and midwifery posts are vacant, which is 6.9% of posts.

“Staffing levels are reaching crisis point across Scotland. As well as these vacancies, a significant number of nursing staff are on work related sick leave through stress and other mental health issues. Unless this is addressed, proposals to remobilise services and increase elective capacity are simply unachievable and the NHS Recovery Plan’s proposals to recruit 1,500 additional staff woefully inadequate.

“RCN Scotland members are clear about what needs to be done. Out of the 39% of members who have told us they are thinking of leaving the nursing profession, 73% of respondents said “improved pay” and 49% said “better staffing levels” would make them feel more valued.

“Implementation of the Health and Care (Staffing) (Scotland) Act 2019, fair pay for nursing staff in all settings and robust workforce planning are needed urgently to ensure Scotland has the nursing staff it needs to remobilise services as we continue to deal with Covid-19.”

Lothian MSP Miles Briggs said: “The number of Nursing and Midwifery posts that we have vacant across NHS Lothian is extremely concerning.

“NHS Lothian staff work incredibly hard to care for everyone who comes through their door, but the current position is unsustainable. These vacancies need to be filled for health boards to recover from the Covid-19 pandemic.

“SNP Ministers have failed to workforce plan pre-pandemic and we are seeing the consequences now, with many nurses considering leaving the profession.”

Delayed Discharge in NHS Lothian returns to pre Covid-19 levels

The number of days that patients who have been delayed from leaving hospital because of no appropriate place to go to has risen to 7,829 for July 2021, the latest month statistics are available for.

This is an increase of 2,004 from 5,825 delays throughout June and triple the number of bed days occupied from delayed discharge at the start of the Covid-19 pandemic when 2,531 delays occurred.

At the start of the Covid-19 pandemic SNP Ministers made the decision to move hospital patients into care homes, to free up hospital space for dealing with the Covid-19 pandemic. It later emerged that patients being moved from hospitals to care homes where not tested for Covid-19 leading to higher rates of Covid-19 deaths in care homes than anywhere else in Scotland.

The level of delayed discharge in NHS Lothian has now returned to pre- pandemic levels with the number of bed days in hospital for delayed discharge being 11 higher than March 2020, 7,278, when hospital patients where moved to care homes.

Edinburgh and the Lothians were in the process of recovering from a Social Care crisis before the pandemic hit, with the peak of delayed discharge in hospitals being in October 2018, when 11,855 combined days when patients were not able to leave hospital, despite being back to health.

Lothian MSP, Miles Briggs, said: “These figures are very concerning, with the number of patients being stuck in hospital without a suitable destination, returning to pre pandemic levels.

“In Edinburgh and the Lothians there has been a long standing challenge to provide social care, which started to shift towards care in the community.

“We are now seeing increasing numbers of patients not able to leave hospital and the Edinburgh Integrated Joint Board are planning on closing more care homes.

“Patients leaving hospital must have a suitable destination to go once recovered, so that we are not in a position where people are waiting days on end in hospital, when they don’t need to be there.”