A Conservative MSP has expressed concerns over a possible delay to vaccine rollout in Edinburgh.
Lothians MSP Miles Briggs was reacting to a news story that appeared in the Daily Mail group’s i newspaper yesterday, which quoted a Edinburgh Health and Social Care Partnership (EHSCP) email sent to GPs on Friday (8th January) which said supplies of the vaccine are not expected to ‘become reliable’ until 25 January.
Part of the email reads: “Our best understanding is that the supply will increase and become more reliable and proportionate to practice numbers from week beginning 25th January, so a couple more weeks of frustration during which some 80+ patients will be getting the vaccination whilst others have to wait longer.”
EHSCP also suggested that mass vaccination centres may not become operational until the middle of February, partly due to delays with creating a national booking system for patients.
Lothian MSP, Miles Briggs, said:“This is hugely concerning, SNP Ministers need to get their act together and sort the logistics to deliver the vaccine rollout.
‘The vaccine is our key weapon against this virus, we urgently need to see SNP Ministers accelerate plans and focus on rapid effective vaccine delivery.”
EHSCP have not responded to the news story but the Scottish Government says the email contains ‘inaccuracies’ and that EHSCP will be issuing a correction.
Genuine concerns or political point-scoring? We’ll see – Ed.
Lothians MSP Miles Briggs has expressed concern over a failure to improve conditions at Braid Hills Nursing Centre.
The latest Care Inspectorate report reads:
Braid Hills Nursing Centre is registered to provide care to 95 older people and 24 adults with a physical disability. The provider is BUPA Care Homes (ANS) Limited.
We carried out an initial inspection of the service on 29 September and 1 October, with NHS Lothian. The findings were outlined in the report laid before Parliament on 14 October.
We completed a further visit on 12 November with NHS Lothian to follow up on the improvements required in relation to cleanliness, infection prevention and control, waste management, the use of PPE and staff knowledge. The findings were outlined in the report laid before Parliament on 25 November.
We determined that further progress was still required.
We visited the service again on 29 December. Improvements were not sufficient in respect of the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge. Overall, the management oversight and quality assurance systems were ineffective.
We issued a letter of serious concern to the provider on 29 December which detailed immediate action the home must take.
We returned to the service on 2 January 2021. Although the service had made plans to address our concerns, progress was not sufficient to reassure us that people were being supported safely during the pandemic. We issued the service with an improvement notice on 4 January 2021.
We have informed Edinburgh health and social care partnership of our findings.
We will undertake a further visit to monitor the improvement notice.
This was a follow-up inspection. We did not change the service evaluations.
Lothians MSP Miles Briggs said: “This is extremely concerning that Braid Hills Nursing Centre has failed to make the necessary changes to make the care home safe.
“The care home has repeatedly been told to follow the necessary measures in respect to the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge, but have refused to do so.
“Increased levels of Covid-19 in the community puts elderly care home residents at even greater risk and Braid Hills Nursing Centre’s license must be reviewed if they will not meet the necessary standards to keep residents safe.”
Lothian MSP, Miles Briggs, has called for clarity over upcoming NHS Lothian infrastructure projects.
Last month (w/c 14th December) it was announced that the Scottish Government was withdrawing £45 million funding for a new Princess Alexandra Eye Pavilion hospital. An initial agreement for the new hospital had already been agreed and a business case submitted in May 2019.
In a Written Answer from the Scottish Government this month, Lothian MSP Miles Briggs, was informed that an Initial Agreement, IA, had been submitted from NHS Lothian for a new Edinburgh Cancer Centre and a decision would be made this month (December) by the Capital Investment Group, CIG, based on the strategic case.
The new Edinburgh Cancer Centre would provide services for Cancer patients across the South East of Scotland.
At the start of this year, prior to Covid-19, it was announced that plans for a new Edinburgh Cancer Centre would be delayed to 2030 from the original planned date of 2025. The Scottish Government committed to investing £20 million in the current Edinburgh Cancer Centre to keep it going until the new Centre is ready.
Lothian MSP, Miles Briggs, said:“The confusion around new NHS Lothian infrastructure projects is extremely concerning and clarity is urgently needed on what projects are being funded.
“We are in desperate need of a replacement Edinburgh Cancer Centre, which will benefit the whole of the South East of Scotland, and is expected to be another decade before it is ready.
“The wait for routine eye treatments, such as for Glaucoma, are already incredibly long in NHS Lothian and patients deserve better than being short changed by SNP Ministers.
“I will hold SNP Ministers to their word to get these essential projects in NHS Lothian funded.
“SNP Ministers have underfunded NHS Lothian for the last 10 years. We need to see the health board receive their fair share of health funding in the upcoming budget.”
Lothian MSP and Co-chair of the Cancer Cross Party Group at the Scottish Parliament, Miles Briggs, has warned about the drop in urgent cancer referrals over the last six months in NHS Lothian.
Public Health Scotland figures released this week showed that over the last two quarters (ending June 20 and September 20) 484 and 463, 947 total, were urgently referred for and received a cancer treatment.
This compares to the same six months last year (ending June 19 and September 19) when 591 and 616, 1207 total, patients were urgently referred for and received a cancer treatment.
This is equivalent to 21.5%, or just over a fifth, fewer patients being urgently referred and receiving treatment for cancer in NHS Lothian.
Co-chair of the Cancer Cross Party Group at the Scottish Parliament, Miles Briggs, said:
“This is extremely concerning that there has been such a drop in patients being urgently referred to cancer patients in the last six months.
“Early detection and treatment of cancer is the best way to improve survival rates for cancer and these figures show fewer people are having cancer detected and treated.
“The focus of our National Health Service has been on Covid-19, but people are still going to get ill and it is vital that access to cancer services is available for everyone.”
Lothian MSP Miles Briggs has selected the winner of his annual Christmas card competition, which he has been running since his election to the Scottish Parliament in 2016.
This year’s Christmas Card theme was NHS Scotland, to honour frontline workers who have worked incredibly hard throughout the Covid-19 pandemic.
The competition was open to all primary schools in Edinburgh and the Lothians, and Elsie Adams age 8, from P4 at St Peter’s Primary School in Morningside, was chosen as the winner.
Elsie won £50 Amazon voucher (sponsored by Morrison Construction), afternoon tea at the Caledonian (sponsored by Waldorf Astoria) and a family day out at Conifox Adventure Park (sponsored by Conifox).
Miles was unable to present Elsie with her prize in person due to Covid-19 restrictions.
Lothian MSP, Miles Briggs, said:“There were some very creative Christmas cards this year and pupils in Edinburgh and the Lothian’s once again showed their artistic talent.
“The competition was very close with hundreds of Christmas card entries from primary schools across the region, with inventive designs from hand sanitiser to the distinctive NHS rainbow.
“What was clear from the entries was that primary school pupils are aware of the tremendous effort that NHS staff have made throughout this year.
“Congratulations to the winner Elsie, whose bright card and fun design stood out as the winner of my 2020 Christmas card competition.”
Lothian MSP, Miles Briggs, has called on residents in Edinburgh and the Lothians to back this years poppy appeal.
Charities across Scotland and the UK have been facing an unprecedented challenge this year in much needed fundraising efforts, with social distancing restriction limiting physical fundraising events.
The Scottish Poppy Appeal is no different as thousands of their volunteers are forced to stay at home because of the Coronavirus pandemic.
The demand on Poppy Scotland’s vital, life changing services for the arms forces community is increasing rapidly and fundraising is crucial to providing these services.
This year Poppy Scotland have changed the way they are fundraising, with a number of initiatives, including donating and downloading a photo of a poppy, or a poppy to colour in and display in your window to show your support, a virtual Field of Remembrance and a pop up shop on Waverly Bridge by Princess St. Gardens.
The Poppy Appeal is Poppyscotland’s most significant fundraising initiative, aimed at generating more than £2 million, which accounts for over half of the charity’s annual income.
Lothian MSP, Miles Briggs, said:“This year the Scottish Poppy Appeal is different to normal, with social distancing restrictions and not being able to go out and fundraise as normal.
“Poppy Scotland have created a number of other ways that people can show their support for our armed forces community and honour those servicemen and servicewomen who have given their lives for their country.
“I would encourage residents in Edinburgh and the Lothians to donate virtually and display a poppy in their window to show their support for the armed forces this Remembrance day.”
Lothian MSP, Miles Briggs, has said that City of Edinburgh Council have not followed the correct procedures for the Spaces for Peoples initiative.
The initiative has caused significant controversy since being put in place, including floating bus stops, reduced parking and increased congestion.
Local shops in the South of Edinburgh have spoken out this week about the adverse effect the initiative is having on their businesses, with a number being forced to close.
A Freedom of Information request by Lothian MSP, Miles Briggs, revealed that no road safety audits or Economic Impact Assessment had been made before road closures were put in place.
A Written Answer from the Scottish Govt. responded that 56 letters or emails had been received concerning Spaces for People projects in Edinburgh which cover a range of issues.
In answer to being asked what consultation with local residents and businesses has been carried out, a City of Edinburgh Council representative responded:
“It is important that we put temporary measures in quickly as our priority is to protect the health and wellbeing of our residents and support businesses. This means we are not able to follow a full engagement process but we have encouraged communities to submit their views”
Lothian MSP, Miles Briggs, said:“The initial measures put in place when lockdown started, to give people more spaces on pavements, were understandable.
“Edinburgh has started moving again, shops have reopened and schools are back, so traffic has come up again to pre lockdown levels.
“City of Edinburgh Council has clearly stated that they want to move towards more walking and cycling as lockdown restrictions are eased, but full public consultation must be carried out before any permanent changes are made.
“The lack of any safety audits or an Economic Impact Assessment have led to all of the issues that we have seen with the Spaces for People initiative since it was put in place.”
A ground-breaking new collaboration will provide more educational opportunities for young people in areas of Edinburgh and Glasgow traditionally associated with social deprivation.
New learning centres will be established in Craigmillar and Govan, offering educational support to young people aged 7-18. The centres will provide after-school academic tuition, mentoring and programmes to enable young people achieve their ambitions.
The project is a collaboration between the Universities of Edinburgh and Glasgow, in partnership with education charity IntoUniversity.
The initiative is based upon a shared concern for children growing up in poverty and a belief in the power of education to transform young people’s lives.
Working closely with local schools, colleges and other agencies, the centres will provide invaluable long-term support for young people, their education and their journey towards employment.
The centres will complement both universities’ widening participation activities, providing community-based support to young people on their doorstep.
A total of £2.7 million has been raised by the universities to fund the two centres for a pilot period of five years.
Professor Peter Mathieson, Principal and Vice-Chancellor of the University of Edinburgh, said: “We are proud to be part of this ambitious and important project. It is a major milestone in helping us unlock and nurture the potential of young people, regardless of their background.
“The impact will create a wider benefit not only for the individuals, but also for their families and communities, the universities or colleges they might attend, and for society as a whole.
“We are delighted that this new partnership with the Universities of Glasgow and Edinburgh is enabling IntoUniversity to serve young people in Scotland. The learning centres will use the power of education to lift young people out of poverty, opening up new worlds of possibility, said Dr Rachel Carr OBE, Co-Founder and CEO, IntoUniversity.
“We look forward to working in partnership with local schools, colleges, third sector organisations, businesses and councils, along with the Universities, to bring this project to fruition.”
IntoUniversity has carried out detailed feasibility work and consultation to ensure that the new centres will play a valuable role alongside other services for young people.
The centres will complement extensive work that both universities already do to widen access to higher education, by providing community-based support to young people on their doorstep. Through activities at the universities young people will develop their understanding of university life and awareness of the opportunities that higher education has to offer.
£2.7 million has been raised to fund the first two centres for a pilot period of 5 years. Further fundraising is underway to enable a third centre to open in Maryhill in Autumn next year.
Dr Rachel Carr OBE, Co-Founder and CEO IntoUniversity, said: “We are delighted that this new partnership with the Universities of Glasgow and Edinburgh is enabling IntoUniversity to serve young people in Scotland.
“Three new learning centres in Glasgow and Edinburgh will use the power of education to lift young people out of poverty, opening up new worlds of possibility. We look forward to working in partnership with local schools, colleges, third sector organisations, businesses and councils, along with the Universities, to bring this project to fruition.”
Professor Sir Anton Muscatelli, Principal and Vice-Chancellor University of Glasgow, said: “The University of Glasgow is a proudly international institution, but we have never forgotten that our first duty is to the city we serve. A key part of that is ensuring opportunities are available to talented young people across Glasgow, regardless of their background.
“For the university and the city to thrive, we need to be able to empower people across our communities to meet their full potential and this ground-breaking collaboration – delivered in partnership with the University of Edinburgh and IntoUniversity – represents the next step in realising that ambition, with the potential to transform the lives of some of our most disadvantaged young people.”
Lothian MSP Miles Briggs welcomed the initiative. He said:“This is an excellent imitative between Edinburgh and Glasgow University to improve access to higher education for pupils from disadvantaged backgrounds.
“Being from a less affluent background can put up barriers for young students to go on to further education and I am pleased that this partnership is looking to even the scales.
“The grading fiasco last academic year, where pupils from less affluent backgrounds were marked down by a greater extent than pupils form more affluent backgrounds, highlights the need to improve access to higher education.
“I fully support this new partnership between Edinburgh and Glasgow University, and will support it in whatever way I can.”
A £20.6 million investment from the Scottish Government has been granted to improve cancer care services for patients at the Western General Hospital.
It will fund a range of construction and refurbishment projects to Oncology wards, services and facilities at the hospital. This includes building two new Linear Accelerator (LINAC) bunkers to house specialist cancer treatment machines, improvements to patient accommodation increasing the number of ensuite single rooms and relocating the Cancer Assessment Unit.
The project forms part of a wider masterplan for the Western General Hospital to transform services, create more space, comfort and privacy and provide access to modern facilities and cutting-edge equipment.
Jim Crombie, Deputy Chief Executive of NHS Lothian, said: “This Scottish Government funding marks a key milestone in an ambitious programme of investment to ensure the Western General hospital continues to provide high quality treatment and services into the future.
“It will greatly enhance the hospital as a centre of excellence and help us work towards our longer-term vision of opening a new Regional Specialist Cancer Centre.”
Additional projects currently being funded by other capital investments at the Western General include the modernisation of Haematology inpatient services and construction of a new outpatient facility, funded by an exceptional and incredibly generous charitable donation of circa £12 million.
A £1 million investment will create new facilities to expand the Clinical Trials footprint and a £6.2 million Renal Dialysis facility is also being constructed which will offer improved clinical areas and better clinical team facilities.
These projects are supported by a programme of ongoing infrastructure improvements and upgrades in and around the hospital to enable the construction and refurbishment works.
Chris Stirling, Site Director at the Western General Hospital added: “This work will greatly enhance the care, services and environment at the Western General. We are committed to the long-term future of the Western General and ensuring we provide staff and patients with the clinical space and services they deserve.
“We are grateful to everyone who has supported the projects so far and to our neighbours and the community for their patience and understanding whilst work progresses.”
Health Secretary Jeane Freeman said: “The Scottish Government is pleased to be supporting improved cancer facilities at the Western General Hospital in Edinburgh.It is a mark of improved population health that more of us are living longer overall, however this also means the incidence of cancer is rising.
“Improved treatments also mean more of us live longer with cancer as a chronic condition. It is therefore vital our NHS facilities keep pace with demand and offer the best environment possible for people with cancer and those who treat and care for them.”
Work across the projects is expected to be completed over the next three years, finishing in 2022.
Lothian MSP, Miles Briggs said:“This much needed investment at the Western General Hospital is welcome news and the improvement of cancer care service is crucial for the South East of Scotland.
“Cancer care has been significantly impacted by the Covid-19 pandemic and getting services fully resumed is critical for patients who are diagnosed with cancer.
“Ultimately a new Cancer centre, based at the Western General, will be needed going forward. This funding, which I have previously called for, will significantly improve cancer services until the new centre is built.
“I have called on SNP Ministers to update Parliament on plans for a new build Edinburgh Cancer Centre.”
The National Audit Office (NAO) recently reported that HM Treasury and the public bodies responsible for overseeing the cash system need to work together more effectively to achieve the government’s goal of safeguarding access to cash. A coordinated effort is needed to prevent vulnerable people who rely on cash for transactions from being excluded.
Ten years ago, cash was used in six out of 10 transactions but by 2019 it was used in less than three in 10 transactions. The outbreak of COVID-19 may have accelerated this trend, as data suggests that market demand for notes and coins declined by 71% between early March and mid-April during the lockdown, although demand has since been recovering.
The decline in the use of cash in transactions is putting pressure on the cash system. Commercial operators who distribute cash rely on high demand to maintain the attractiveness of their business models, and cover large fixed costs, such as bank branches and ATMs. In March 2020 the government announced that it would be bringing forward legislation to protect access to cash and address the sustainability of the cash infrastructure.
According to the NAO, the pressures on the cash system could mean that people who rely on cash find it more difficult to use cash in transactions. Published research shows that older people and those on a low income are more likely to make cash transactions.
In the two years to December 2019, there was a 17% reduction in free-to-use ATMs. LINK3, with support from the Payment Systems Regulator, have protected ATMs in specified areas where provision is limited.
However, while there remains a higher number of free-to-use ATMs in more deprived areas, in the two years to January 2020 the proportion of free-to-use ATMs has declined faster in those areas than in less deprived areas.
The NAO cannot currently see a clear link between the government’s aim to safeguard the consumer’s ability to use cash, and the responsibilities of the five public bodies in the cash system.
No single body has responsibility for reporting on the performance of the system in meeting the government’s aim. In May 2019, HM Treasury established the Joint Authorities Cash Strategy Group (JACS) to coordinate work to support nationwide access to cash. Although the group has improved joint working towards government’s aims, JACS does not oversee the cash system and has no decision-making power.
Changes in cash use are having an impact on the production of coins. Coin production shrank by 65% in the last decade to 383 million UK coins a year in 2019-20, from around 1.1 billion in 2010-11.
When the Royal Mint (the Mint) replaced the old £1 coin in 2017, the public returned large volumes of all coin denominations. As a result, the Royal Mint’s stocks exceeded targets in all denominations.
At the time of the NAO’s fieldwork, the Mint had no plans to produce new 2p or £2 coins for at least ten years. To drive efficiencies, the Mint has reduced headcount by 22% on coin-making work within its currency division and scrapped two of its six plating lines.
Despite fewer people using cash for transactions, the demand for notes has continued to increase.
In 2020, the number of notes in circulation reached a record high of 4.4 billion, with a value of £76.5 billion. In 2018, the Bank of England (the Bank) estimated that only 20%–24% of the value of notes in circulation were being used or held for cash transactions, with UK households holding a further 5% as savings.
Little is known about the remainder, worth approximately £50 billion, but possible explanations include holdings overseas for transactions or savings and possibly holdings in the UK of unreported domestic savings, or for use in the shadow economy. The Bank and other government bodies have little reliable information to quantify how much is likely to be held where.
At March 2020 the Bank’s contingency holding of notes significantly exceeded its minimum guidance levels, which was partly affected by the launch of the new £20 note. Its contingency stock levels were above minimum levels for all denominations, with a total value of £39 billion, against its minimum contingency guidance level of £20.5 billion.
The Bank considered these stock levels to be appropriate in light of the transition of the £20 note to polymer. However, it is not clear from the documentation shown to the NAO what process the Bank operated to determine adequate stock levels, and how the cost implications of building stock levels were taken into account.
Recent anti-counterfeiting work by both the Bank and the Mint is delivering improvements. Indications so far are that £5 and £10 polymer notes, with new security technology, have reduced the incidence of counterfeiting compared to equivalent paper notes. In addition, since the Mint introduced new advanced security technology, surveys have found very low counterfeiting rates for the new £1 coin and other denominations.
The NAO recommends that HM Treasury should set out more clearly the specific outcomes it wants the cash system to deliver for consumers and small businesses, and how this should be balanced against costs.
To drive efficiency, the Mint and the Bank should maximise opportunities to learn from each other’s experiences of cash production and align production capacity closely to future needs.
Gareth Davies, head of the NAO, said:“As society progresses towards the wide use of digital payments, the use of cash in transactions is dwindling. It may become harder for people to access cash when they need it and those without the means to pay digitally will struggle if cash is not accepted.
“HM Treasury now works more closely with the public bodies in the cash system to achieve the government’s goal of safeguarding access to cash. However, the approach is fragmented, and it is not clear that the action being taken will keep up with the pace of change.”
Lothian MSP, Miles Briggs, said:“Edinburgh and the Lothians have been moving away from cash over the last decade, but there are many people who still rely on using cash.
“The Covid-19 pandemic has accelerated the use of contactless payments which is not convenient for everyone.
“The UK and Scottish Government must work together to ensure that people who prefer using cash to manage their money have easy access to it.”
