Festive mental health with NHS 24

As we look ahead to another festive season impacted by the COVID19 pandemic, NHS 24 are encouraging people to put mental health first.

Lots of people are feeling anxious and unsure of where to turn for a bit of support so here is advice from the team behind NHS inform and the 111 service:

Clear Your Head web site

It’s natural to not feel yourself at times, and for anyone feeling that way, the Clear Your Head web site has simple tips for anyone feeling down, as well as guides on what to do to support others. clearyourhead.scot

NHSinform.scot

Anyone in Scotland with a digital device and having problems with anger or stress, having trouble sleeping, or struggling to cope with challenging situations, can find support by answering a few simple questions through this guide, nhsinform.scot/get-help-with-your-mental-wellbeing

During the summer of 2021 hundreds of visitors to NHSinform were directed to seek immediate telephone help while thousands more went on to self-directed care online using SilverCloud, a website with courses to improve mental wellbeing based on cognitive behavioural therapy.

An extensive range of mental wellbeing resources is available at

www.nhsinform.scot/mental-wellbeing

NHSinform also has a number of resources for users of British Sign Language that cover mental health issues at www.nhsinform.scot/BSL

editorial@ardrossanherald.co.uk

Breathing Space on 0800 83 85 87

Answering almost 9,000 calls a month, the Breathing Space service continues to grow and evolve with the web chat service now offering online support.

Callers contact Breathing Space for a wide range of reasons, including relationship issues, stress, anxiety and suicidal thoughts. However, over the last year the service has seen an increase in issues such as bereavement, work and money worries, and loneliness.

Breathing Space’s trained advisors ensure that each call is treated with patience and respect, knowing that it can often be the first time that a caller has contacted the service or talked about a problem.

111

For those experiencing mental distress the 111 Mental Health Hub is available 24 hours a day, 7 days of the week by calling 111 and following the telephone prompts. Anyone may call. There is no upper or lower age limit.

The most common reasons for calling include thinking about suicide, anxieties, low mood, psychosis, and self-harm. Where necessary, clinical support is offered and callers may be referred to local support services, community mental health teams, or exceptionally, emergency services. This team can also help with medication issues.

Stay safe this winter: Keep A&E free for critical emergencies

Picture by John Young / YoungMedia 2010

People living in Edinburgh and Lothian are being urged to seek the right medical help and to only go to A&E if it is a critical emergency.

The call comes as hospitals continue to be under immense pressure and demand for health and social care services is expected to reach unprecedented levels this winter.

Dr Tracey Gillies, Medical Director of NHS Lothian explains: “Demand for our services is already at an all-time high, putting our staff under huge pressure.  Our emergency departments are extremely busy. Now, more than ever, it is vital people access the right care in the right place.”

NHS Lothian is asking anyone who feels unwell, or has a minor illness, to use NHS Inform online or visit their local pharmacy first.

Pharmacists can provide expert advice on a wide range of conditions, such as sore throats or stomach upsets. Many can also offer consultations and, if appropriate, prescribe medicines for impetigo, shingles, skin infections and for some women urinary infections.

People can also prepare by stocking up on remedies to treat common illnesses at home, check repeat prescriptions and order only what is needed in plenty time to cover the festive break.

Local GP practice teams have a wide range of health professionals who can help with routine or urgent care.  There are now more ways to access this care with many able to help more quickly with phone consultations. Anyone who needs to be seen face-to-face will be given an appointment.

If people have a minor injury or think they need to attend A&E, but it is not a critical emergency, they should call 111 first, day or night. They can refer people to the right service, which could include a video call for minor injuries, or an out of hours appointment for urgent care that can’t wait.

For critical emergencies such as severe injury, a suspected heart attack or stroke, severe breathing difficulties or bleeding always call 999 or attend the nearest A&E.

With COVID-19 still among us, it is also vital that people test themselves regularly at home for COVID-19, if they don’t have any symptoms.

Kits can be picked up at lots of high street pharmacies and can also be ordered online from NHS Inform. 

Picture – Chris Watt @chriswattphotography

Dona Milne, Director of Public Health and Health Policy, NHS Lothian said: “We want everyone to stay safe and well and to be able to enjoy the festive season with their loved ones. People don’t always have COVID symptoms but can still pass it on. That’s why it’s important to test at home twice weekly and each time before socialising with others.”

Amid concern about the rapid spread of the Omicron variant of the COVID virus which is much more easily passed from person to person, Ms Milne urged everyone to follow the latest Scottish Government guidance and be extra careful:

Ms Milne added: “There are a few steps you can take to stay safe. Please do a test before you meet up with people and try to meet in smaller groups of no more than three households.

“If you are indoors, make sure there is ventilation – just opening a window a little makes a big difference. And following the guidance on wearing masks, hand-washing and social distancing is hopefully second nature by now, so we thank the public for continuing to follow the rules.”

The main symptoms of COVID-19 include a high temperature, a new cough that lasts for more than an hour or three or more coughing episodes in 24 hours, or a loss or change to smell and taste. 

Anyone who develops any one of these symptoms, no matter how mild, should book a PCR test online via NHS Inform and self-isolate until they get the test result. Self-testing is not appropriate for people who have these symptoms.

For more information about how to access the right care in the right place and stay safe this winter please visit: services.nhslothian.scot/rightcare

New drop-in vaccination clinic open at Ocean Terminal

A new vaccination clinic has opened this week in Ocean Terminal, making it even easier for you to get your first and second dose of the COVID vaccine.

The clinic is open seven days a week, from 11am to 7pm. You don’t need to make an appointment to attend, and you don’t need to be registered with a GP to get a jab.

Anyone over 12 can drop in, just make your way to the clinic which is on the first floor of the centre. If you’re coming to get your second jab, you must have had your first jab at least eight weeks ago.

To find out more about the COVID vaccine, visit NHS Inform.

NHS Inform: Help and information for long COVID patients

People in Scotland suffering from ongoing COVID symptoms can find useful information and guidance from NHS 24 at www.nhsinform.scot/longer-term-effects-of-covid-19-long-covid

Most people recover from coronavirus within 4 weeks, but for some people symptoms can last longer, or new ones can develop. Symptoms can also change over time and can affect anywhere in the body. This is often referred to as long COVID and can include breathlessness, a cough, aches and pains, insomnia and low mood or anxiety.

The information on NHSinform.scot includes the most common symptoms, how a patient is assessed and how to manage ongoing symptoms.

NHS 24’s Medical Director, Dr Laura Ryan, says: “Coronavirus can vary from person to person, and sometimes recovery can take longer than we would like. The important thing is not to compare with others and to take the time to look after ourselves.

“The information on NHS inform can really help with managing ongoing symptoms until they do naturally fade away. Of course, you should contact your GP practice if you’re worried about the severity or persistence of your symptoms or they’re getting worse.”

Health Secretary Humza Yousaf said: “It is important that people with long COVID symptoms get the right advice and having all the information in one place will hopefully make it easier for them. The information and support available at NHS inform has been designed to help people with their recovery.  

“The Long COVID Support Fund was established with £10m last month and was designed to maximise and improve the co-ordination of a broad range of existing services across the health and social care system and Third Sector in response to the condition.”

Colds and flu symptoms in babies and children: NHS Inform advice

Respiratory syncytial virus (RSV) is a common virus that causes cold and flu symptoms in babies and children – and moderate levels have been detected in Scotland.

Most children will make a full recovery in 2 – 3 weeks if infected.

Visit NHS Inform for more: https://bit.ly/3BIP6Ft

Councillor George Gordon calls on citizens to get their flu vaccination

In the first week of the winter vaccination programme, 27,000 people have come forward to get their flu vaccine, which is a great response ((writes Edinburgh Integration Joint Board member and Forth Councillor GEORGE GORDON).

We’ve all seen the devastating effect the pandemic has had in the past 18 months so it’s really important we all play our part to limit the impact this winter.  

This is a personal appeal to encourage everyone who’s eligible to get their flu vaccination this winter. COVID-19 has not gone away so it’s more important than ever to protect yourself by getting the vaccination and do your bit to ease the pressure on social care, GP surgeries and hospitals over winter. 

Many of you will already have received a letter either with an appointment or asking you to book one online. I know there’s been an issue with the scheduling of some flu appointments via the national booking system.

This means some people’s appointments are not as local as would have been expected, and a few cases where people who are housebound have been asked to go to an appointment. I know how concerning this is for people who cannot travel. 

If you have received a letter with an appointment that you are unable to attend, you can rearrange your appointment for a more local venue by going online at nhsinform.scot/flu-vaccine/invitations-and-appointments/rearrange-your-flu-vaccine-appointmen or ring the national flu vaccination helpline on 0800 030 8013 for help to re-book.

More local appointments are now available for people who find it difficult to travel. If you are housebound and normally get your flu jab at home then you will get it at home again this year, even if you’ve received an appointment letter.

It’s really good to see that so many people have been turning out to get their vaccinations. The Royal Highland Centre site experienced a slight delay in topping up vaccination stocks on Tuesday morning (5 October) due to the level of demand across other sites and some people were asked to return the following day.

This was resolved within an hour and I can assure you that we have good vaccine stocks in Edinburgh. 

Across Scotland, GP surgeries are no longer responsible for flu vaccinations for their patients. Now, health and social care partnerships manage the flu programme. In Edinburgh we have a range of drive through and walk through clinics for adults which will open at weekends during October and November.

Edinburgh’s main site is in Lowland Hall at the Royal Highland Centre which is open seven days a week and easy to access by public transport (buses 100, 200 and 400). We also have small local clinics for people who can’t make their way to Ingliston.

Children have received a letter for their parents or carers about their vaccine. If it’s been six months since your second dose of the COVID vaccine, you may also get your COVID vaccine booster at the same time as your flu vaccine. 

It’s a massive programme and this year there’s more people than ever eligible to get a vaccine which is great news. You can now get the vaccine if you’re over 50, pregnant, an unpaid carer, at risk because of an existing health condition, or because of the job that you do. You can check if you are eligible for a flu vaccine, or find more information, at nhsinform.scot/flu.

I’d really encourage you to take up that offer – go to your vaccination appointment if you have been given one or book an appointment on the online portal if you’ve been asked to do that. 

Please don’t be in any doubt – flu is serious. Getting the vaccine will protect you, your family and friends, and also our vital NHS and social care services.

Ten million tests

More than 10 million COVID-19 PCR tests have now been carried out in Scotland over the past 19 months since testing got underway.

The tests, which include those processed at the three NHS regional hubs set up around Scotland, have now reached 10,017,000. They also include the four-nations network of Lighthouse laboratories, partner laboratories and testing sites.

More than one million tests have also been conducted by the Scottish Ambulance service at mobile testing units around the country.

Health Secretary Humza Yousaf said: “Reaching ten million tests is a major milestone and recognition of the hard work and dedication of our testing teams across the country.

“Testing has a vital role to play as restrictions are phased out and we learn to live with the virus.

“It may be tempting to think as vaccinations increase and cases drop, that testing will become less important. In fact, this will only make it more important to spot and prevent new outbreaks as cases emerge. We know from our experience  just how quickly one outbreak can lead to another.

“The ability to quickly identify new outbreaks and put appropriate measures in place will remain at the heart of our strategy to help break chains of transmission.”

All adults are encouraged to take a PCR test if they have any one of the three symptoms of coronavirus. These are a high temperature or fever, a new continuous cough, as well as any loss of, or change in sense of smell or taste.

People are also encouraged to take two rapid (lateral flow) tests a week, regardless of whether they have symptoms.

https://youtu.be/X0Kj8dD_X_M

Three regional hubs were established this year at Gartnavel hospital in Glasgow (West) operated by NHS Greater Glasgow and Clyde,  Foresterhill in Aberdeen (North) operated by NHS Grampian and Lauriston Place in Edinburgh (East), operated by NHS Lothian,  to increase capacity.

The 10,017,000 figure for tests comprises those processed through to midnight on  September 20.

A PCR test can be booked through NHS Inform:  NHS inform – Scottish health information you can trust | NHS inform

Vaccination drive accelerated

Covid-19 booster vaccinations get underway today

– Lothian launches drop-in clinics for 12 to 15-year-olds

Residents in care homes for older people are the first to be offered coronavirus (COVID-19) booster vaccinations from today (Monday).

This group will be offered both flu and COVID-19 booster vaccines after the Joint Committee on Vaccination and Immunisation advised that they could be given alongside one another.

From tomorrow (Tuesday 21 September) frontline health and social care workers are able to book an appointment for a booster jab online at NHS Inform. The portal can be used by all health and social care workers to book a flu vaccine.

Adults aged 70 years and over and those 16 years and over who are on the highest risk list (previously known as the shielding list) will begin to be contacted by letter or by their GP from the end of September.  

People on the highest risk list who were severely immunosuppressed at the time of their last COVID-19 vaccination will be offered a third primary dose instead. 

Other eligible groups – including all those aged 16 to 49 years with underlying health conditions, adult carers, unpaid and young carers, adult household contacts of immunosuppressed individuals and all adults over 50 – will be able to book an appointment online from October.

Meanwhile, also from today (Monday) children and young people aged 12 -15 years old can go to drop-in clinics for a vaccination if they wish to get their jab before they receive their letter inviting them for a scheduled appointment. Everyone in this age group will be invited for vaccination at a community based clinic or a school delivery session from 27 September.

Heath Secretary Humza Yousaf said: “I am pleased to see the booster programme getting underway for residents in care homes for older people, offering longer lasting protection against severe COVID-19 illness.

“The booster programme will run alongside our biggest ever flu vaccine programme as both of these programmes are important for individual and for public health and wherever possible, those eligible will be offered COVID-19 booster and flu vaccines together.

“We are also starting vaccination of 12-15 year olds after Scottish Ministers accepted advice from the four UK Chief Medical Officers. This group can now head to drop-in clinics for their jabs or wait for a letter offering them a scheduled appointment.”

NHS Lothian launches drop-in clinics for 12 to 15-year-olds

Young people aged 12 to 15 will be able to get a COVID-19 vaccine at drop-in clinics across Lothian from today (September 20).

Mass clinics in West Lothian, Edinburgh and Midlothian will open their doors to young people as part of the latest phase of the national vaccination programme.

Pyramids, Gorebridge and Lowland Hall vaccination clinics will be the first in Lothian to administer the lifesaving vaccine, before more clinics are added to the list over coming days.

Pat Wynne, Director of Nursing for Primary and Community Care, NHS Lothian said: “We are delighted to offer drop-in clinics for young people aged 12-15.

“These clinics will enable young people to attend, without a prior appointment to receive their vaccination.

“We recognise that young people, as well as their parents and guardians may have questions regarding the COVID vaccination and we encourage them to visit the pages on NHS Inform where there is a range of information available.

“Alongside this, our teams at Pyramids, Gorebridge and Lowland Hall are one hand to answer any questions people may have.

“Vaccination remains critically important in the continued fight against COVID-19 and we welcome the further expansion of the vaccination programme across Lothian.”

The clinics are opening their doors following the publication and government acceptance of the advice of the four Chief Medical Officers (CMOs) to offer a single dose of the COVID vaccine to all healthy 12-15-year-olds.

Young people do not need to be registered with a GP to attend, however it is requested that they are accompanied by their parent or guardian.

As well as the drop-in clinics for 12-15’s, NHS Lothian continues to operate a range of COVID vaccination clinics in locations across Lothian.

Mr Wynne added: “We continue to offer vaccination clinics across Lothian for anyone who requires a first dose of the vaccine, or who is now due their second dose. I would urge anyone who has still to be vaccinated to pop along.”

More information on the 12-15 vaccination programme is available on NHS Inform https://www.nhsinform.scot/12to15

Information on clinic locations and opening times is also available on NHS Lothian’s website – https://www.nhslothian.scot/Coronavirus/Vaccine/Pages/Drop-in-Clinics.aspx

Waiting times: what’s happening?

During the pandemic, patients have been seen and treated based on their clinical urgency and we will continue to do so whilst we remobilise our NHS.

Patients are being classified in the following groups:

  • Priority Level 1a Emergency – operation needed within 24 hours
  • Priority Level 1b Urgent – operation needed within 72 hours
  • Priority Level 2 Surgery – scheduled within 4 weeks
  • Priority Level 3 Surgery – scheduled within 12 weeks
  • Priority Level 4 Surgery – may be safely scheduled after 12 weeks

NHS Scotland is working hard to increase the services available as safely and as quickly as possible. Clinicians and Clinical Experts are continuously reviewing how they deliver services to provide additional appointments to support your care.

About your appointment

It is important to attend your appointment or to let us know if you no longer need to attend.

Make sure you read any information provided in advance of your appointment so you know what to expect and can make the relevant preparations.

Keeping an eye on your condition

It is important to attend your appointment or to let us know if you no longer need to attend.

Make sure you read any information provided in advance of your appointment so you know what to expect and can make the relevant preparations.

Self Help

If you require further advice on your condition, please contact the hospital team you are awaiting an appointment with.

If your condition or symptoms worsen while waiting, you should contact your GP Practice.

Your local pharmacist or a trained member of the pharmacy team can give you advice and provide over-the-counter medicine if needed.

Call NHS 24 on 111 for further advice on managing symptoms.

If you consider your condition or symptoms to be life-threatening, then you should call 999 immediately.

Other Support

If you’re feeling overwhelmed, or that your mental health and well-being has been affected by the delay in your treatment, you can call:

  • NHS 24 on 111, 24 hours a day, and select the Mental Health option from the telephone prompts
  • Breathing space on 0800 83 85 87 is open weekdays Monday-Thursday, 6am to 2am, and weekends Friday 6pm to Monday 6am
  • Living Life on 0800 328 9655 is open Monday-Friday 1pm to 9pm

Your rights and responsibilities

Under the Charter of Patients Rights and Responsibilities, you have certain rights and responsibilities when using the NHS in Scotland.

For waiting times, It’s important that these be respected if patients are to receive treatment in the shortest time possible.

Your rights and responsibilities apply to waiting times in the following ways:

  • Availability
  • Appointments
  • Attendance

Find out more about how your rights and responsibilities apply to waiting times.