Do you have a little one(s) aged 6 months – 3 years? Would you like to learn more about encouraging positive behaviours around food in a safe and supportive environment?
Why not join Sally and Jules this Wednesday from 10am-11am Pilton Community Health Project , we’d love to welcome you and your wee one(s).
Booking is essential and these sessions run each week for a total of 4 weeks. Please register using the link below or by contacting us via email (details on poster).
Suitable for mums (or grans) who live in the area with their little ones, aged 6 months up to 3 years.
We will cover topics such as weaning, introducing first foods or new foods, introducing allergens, and advice on fussy eaters. Little ones will also get the chance to try all sorts of delicious and nutritious foods.
This will be a four-week closed group so booking is essential. We also ask that you can come to all 4 sessions.
An NHS Lothian doctor has set his sights on distributing donations to his counterparts in war-torn Ukraine.
Dr Peter Cackett, Consultant Ophthalmologist, Princess Alexandra Eye Pavilion, set about trying to gather Ophthalmic equipment and supplies that could be delivered to the country. Other organisations, along with NHS Lothian, rallied round to pull together a list of items to help both children and adults alike in Ukraine.
Items included specialist lights and cameras for ophthalmic examinations and vision tests for testing the sharpness of vision in young children who cannot yet read. The equipment was distributed to all three hundred and twenty paediatric ophthalmology departments in Ukraine, as requested by Professor Sergiy Rykov, President of the Association of Paediatric Ophthalmologists of Ukraine, Kyiv.
Also a trustee of the charity Ophthalmic Aid to Eastern Europe (OAEE), Dr Cackett stored the equipment in his home, arranging for heavier items to be collected during the journey to Medyka, a village at the Polish/Ukrainian border for handover of the donations to ophthalmologists from Lviv.
OAEE was established over 30 years ago, after the fall of the Berlin wall, and helps centres in Eastern Europe with ophthalmic equipment, whilst also supporting teaching and training initiatives for ophthalmologists in Eastern and Central Europe.
The donations were delivered to Ukraine overland, by van, by two final year medical students from Edinburgh and Dundee Universities, Wesley McLoughlin and Doireann Hughes, following in the footsteps of a group of medical students that delivered ophthalmic aid to Lviv 30 years ago in 1993.
Dr Cackett, Consultant Ophthalmologist, NHS Lothian said: “I felt that it is was important to help the Ukrainian ophthalmologists as I had previously helped take ophthalmic aid to Lviv, Ukraine in 1993, whilst I was a medical student. Dr Andriy Hudz, the junior doctor in Lviv, who we delivered the aid to in 1993 is now Professor of the department there.
“The Ukrainian ophthalmologists are delighted with the equipment which has been sent. I have started collecting equipment again to deliver more ophthalmic aid to Ukraine and have been trying to source financial donations to help pay for the transportation.
“We are also looking into potentially providing some assistance to Iasi, a city in Romania where Ukrainian refugees have been arriving and also Moldova. We also want to re-establish observerships for Ukrainian ophthalmologists to come to Edinburgh to receive further training.”
Children at an Edinburgh hospital will soon be learning important conservation lessons from some very unusual teachers – a mob of meerkats based in an outdoor classroom within the grounds!
The first programme of its kind outside of Australia, the meerkats from The Royal Zoological Society of Scotland’s (RZSS) Edinburgh Zoo will reside at NHS Lothian’s Royal Hospital for Children and Young People (RHCYP) and be at the heart of an extensive learning and discovery experience.
Thanks to a partnership between Edinburgh Children’s Hospital Charity (ECHC), NHS Lothian and RZSS, the inquisitive creatures will give young patients, particularly those staying long term, the opportunity to learn all about nature and the environment.
Edinburgh Zoo currently delivers a weekly programme of educational activities at the RHCYP, including projects on penguins, pandas and tigers, all of which encourage children to think about their place in the world and the importance of wildlife within it.
The meerkat enclosure will replicate their natural habitat and zookeepers from Edinburgh Zoo will care for them and provide meerkat educational sessions while on site.
Roslyn Neely, CEO of ECHC, said: “Some children are too unwell or have been in hospital for so long that they don’t have the opportunity to engage with the outdoors, or interact with animals.
“Many of the children who visit the hospital care passionately about nature and the environment. Our programme will allow them to learn from experts while getting up close to the best teachers of all – the meerkats themselves.
“The wellbeing benefits of engaging with animals and using nature in the healing process are well documented, and there’s great excitement within the hospital in anticipation of our furry friends arriving.”
David Field, chief executive of the Royal Zoological Society of Scotland, said, “Our conservation education programme has already been a great success and now we are taking this incredible next step by creating the only meerkat enclosure at a children’s hospital outside of Australia, making this a first in the UK and Europe.
“Being close to nature and animals can have a tremendous impact on people’s mental and physical health and wellbeing. We also know that people and communities are more likely to help protect nature when they have had the opportunity to connect with our natural world.
“We are really looking forward to bringing a group of meerkats to live at the hospital next year and seeing the impact this will have for the children and their families.”
Allister Short, Service Director, Women’s and Children’s, NHS Lothian, said: “We are really excited about this innovative programme coming to the RHCYP.
“Meerkats have been introduced into many children’s hospitals in Australia and this unique concept encourages children to learn and be inspired, particularly when they’re in hospital for long periods of time.
“We want to brighten up our patients’ days in an educational way and we know that the meerkats will be an exciting addition to the RHCYP.”
The programme is currently in the early stages of planning and it is hoped the meerkats will move into their new home at the RHCYP from 2024.
NHS Lothian welcomed HRH The Princess Royal to officially open the Royal Hospital for Children and Young People (RHCYP) and Department of Clinical Neurosciences (DCN) at Little Franceyesterday.
Offering world-class facilities for both children and adults, the building first opened its doors in July 2020, with all services transferred to the new space by March 2021.
The Royal Hospital for Children and Young People delivers local, regional and national services in some of the most modern and best-designed healthcare facilities in the world. The children’s hospital is physically connected to the Royal Infirmary of Edinburgh meaning that paediatric care, specialist neonatal care, neurosciences and both Emergency Departments are now all on the same site.
This reduces the need for emergency transfers between hospitals and ensures that clinical teams can share skills and expertise for the benefit of all patients.
The expert teams in Neuroscience are made up of a range of specialists, neurologists and neurosurgeons who treat people with disorders of the nervous system, such as problems affecting the brain and spinal cord, and the nerves and muscles in the rest of the body.
NHS Lothian’s Department of Clinical Neurosciences treats patients from the Borders, Dumfries & Galloway, Forth Valley and Fife as well as Lothian. It covers a population of 1.6 million across these areas, while for some specialist services it covers the 2.8 million people living on the east side of Scotland.
During the visit, HRH The Princess Royal enjoyed a tour of some of the building, meeting with staff and patients. Within the Dalhousie Ward at RHCYP, she heard about the important role Play Teams have in enabling children to be children even when in hospital and enjoyed some magic tricks performed by Edinburgh Children’s Hospital Charity funded magician Tricky Ricky. 6-year-old patient Harper presented Her Royal Highness with a posy of flowers to thank her for visiting.
Within the Department of Clinical Neurosciences, HRH The Princess Royal learnt more about the investigative work of our Neurophysiology Department and observed an EMG, a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons).
The Princess Royal met with staff from the Neurosurgery and Neurology Departments before visiting the Neurorehabilitation Ward, to learn more about the work of NHS Lothian’s Occupational Therapists, Physiotherapists and Speech and Language Therapists in supporting patients to return home, to re-learn basic tasks and to regain their confidence.
Calum Campbell, Chief Executive, NHS Lothian said, “We are delighted to have welcomed HRH The Princess Royal to officially open the Royal Hospital for Children and Young People and Department of Clinical Neurosciences.
“These healthcare facilities combine excellent architectural design, one of the UK’s largest Art and Therapeutic Design programmes and the latest clinical thinking and technology. Added to this are our amazing, dedicated and expert staff who deliver exceptional patient care day in, day out.
“The COVID pandemic may have delayed our official opening event, however we are delighted that on the 75th anniversary of the NHS, HRH The Princess Royal could join us, as together we celebrate.”
As well as welcoming HRH The Princess Royal to the hospital, a range of special activities, organised in collaboration with NHS Lothian’s charity partners, and designed to mark the official opening took place yesterday (5 July).
This included an indoor garden party with giant games, information stalls run by all charity partners including Kindred, Edinburgh Children’s Hospital Charity, NHS Lothian Charity and Ronald McDonald House, a special ‘Cuddle Station’ featuring regular Therapet doggy visitors and refreshments. Staff, patients and their families were invited to join the celebrations.
£9 million extension of partnership to help patients
A partnership to support cancer patients and their families to deal with the financial, emotional and physical health effects of the disease is to be extended with a further investment of £9 million.
The programme looks to ensure that everyone affected by cancer in Scotland has access to a specialist key support worker. This means clinicians have more time to offer direct medical and clinical support to patients.
Over the next three years, it is anticipated there will be a gradual increase in access to the service, with a minimum of 14,000 new cancer diagnoses accessing it each year.
The Scottish Government has been working in partnership with Macmillan Cancer Support to improve the service offered to those affected by cancer through the Transforming Cancer Care Programme (TCC). This partnership – the first of its kind in the UK – began under the 2016 Cancer Strategy and has seen £18 million invested to date.
The Scottish Government has agreed to continue the partnership and provide an additional three years of funding for the Improving the Cancer Journey services. Each partner will invest an additional £4.5 million.
Making the announcement ahead of a visit to NHS Forth Valley to celebrate the NHS 75th anniversary, First Minister Humza Yousaf said: ““Our recently published Cancer Strategy and Action Plan places an emphasis on person-centred care for all and supporting the mental health of cancer patients and their families.
“We have committed to launch the final Improving the Cancer Journey service, in partnership with Macmillan, over the next three years. We will also commit to spreading this successful model to all areas in Scotland over the coming year.
“This will see an additional £9 million of joint investment and ensure that everyone diagnosed with cancer in Scotland has access to a key support worker. It will be of great benefit to patients while also easing pressure on the NHS by freeing up clinicians.”
Janice Preston, Head of Partnerships at Macmillan Cancer Support in Scotland, said: “The Macmillan Improving the Cancer Journey (ICJ) Services are available for anyone affected by cancer.
“By the end of 2024, everyone in Scotland who needs support will have the chance to talk to an ICJ practitioner who will help individuals to identify their needs and access expert support, from benefits advice to emotional support – whatever they might need.
“This is a unique service for people affected by cancer that helps to reduce pressure on the NHS and is making a really positive difference to people living with cancer and their families. Since 2014, these vital, non-medical services have already helped over 18,500 people and this money will mean they can keep on transforming cancer support across Scotland.
“We are excited that, through our partnership with the Scottish Government, another £9 million is being made available to ensure people can continue to get this help for another three years.”
The roll out of the Improving the Cancer Journey model to every Health & Social Care Partnership follows 4 key principles:
o 100% of adults diagnosed with cancer, within agreed criteria, will be invited or referred to an ICJ service to speak to a specialist practitioner.
o An ICJ practitioner with the service user will complete a Holistic Needs Assessment (HNA) and generate a care plan to meet the needs identified.
o Local community assets will be identified and utilised to support the service user in meeting their needs.
o The service user will be followed up by the ICJ practitioner in the community to monitor progress with agreed actions.
BOYACK: ‘Delayed discharge is piling pressure on our hospitals’
Scottish Labour MSP Sarah Boyack has warned that delayed discharge in Lothian is “piling pressure on hospitals” as a new report reveals the issue cost NHS Lothian more that £28million in 2022/23.
Delayed discharge figures monitor the number of days patients spend in hospital despite being fit to leave, typically because of a lack of social care services in their area.
Over the course of the year, a total of 97,118 bed days in NHS Lothian were lost to delayed discharge, as rates across Scotland hit a record high.
This includes 70,208 bed days in the City of Edinburgh.
Analysis by Scottish Labour has revealed that the approximate cost of delayed discharge to NHS Lothian in 2022/23 was an eye-watering £28,368,168.
Scottish Labour MSP Sarah Boyack said: “Delayed discharge in Edinburgh is piling pressure on our hospitals and threatening patients’ recovery.
“Our NHS is at breaking point and every penny matters, and it is a scandal that NHS Lothian has been forced to foot a £28million bill for SNP incompetence.
“Social care in Edinburgh and the Lothian is crying out for help, but the SNP’s botched National Care Service plans will do nothing but centralise local services.
“It is high time for the Scottish Government to step up and provide unwavering support for our social care services and increase pay for the sector’s dedicated workers, so no-one is left languishing in hospital waiting for a care package.”
The Lothians & Edinburgh Abstinence Programme (LEAP) has become the first rehabilitation service in Scotland to hire people with lived experience to bridge the gap between community treatment and rehab.
LEAP, run by NHS Lothian and partners, is the only therapeutic community rehabilitation for alcohol and other drug dependencies offered by the NHS in Scotland.
Before the launch of this programme, the service was supported by volunteers with addiction and recovery experience but now officially employees six Peer Bridgers.
Peer Bridgers are people with lived experience of addiction and recovery whose role is to support others through rehabilitation and help improve outcomes.
Recruitment began earlier this year, with the most recent bridger joining in June 2023.
Phil Hayes (above, right) is one of the new Peer Bridgers now employed by LEAP.
Phil suffered from substance misuse issues earlier in his life but, thanks to a community programme, moved into recovery over 20 years ago.
Since then, he spent several years learning about the behaviours that led to his own issues around addiction.
Phil said: “I think society in general views recovery as either unattainable or a continual hard slog of fighting your inner demons day in, day out. I want to be able to show people that isn’t the case.
“With the right support and guidance, as well as some honest hard work, anyone can move completely into recovery and be both happy and of value within their wider community.
“The peer bridging project allows me, and the rest of the team, to engage with people from the moment they decide to change their lives.
“We can provide continuity of support and guidance for them to build a life for themselves outside of addiction.”
Recently published research has shown that residential rehabilitation programmes, like LEAP, are effective in reducing the use of substances and have a positive impact on the overall health and quality of life of those with substance use issues.
Research also shows that positive changes in behaviour after residential rehabilitation can be maintained over time.
David McCartney, Clinical Lead for LEAP, said: “Tackling Scotland’s drug and alcohol-related deaths and improving outcomes from substance misuse treatments, including residential rehabilitation, is a national priority.
“LEAP is a unique programme in Scotland. In other areas, the road to rehab can be much more complicated so we’re very lucky in Lothian to have this service.
“There are few people in Scotland whose lives are untouched by the harms of addiction, whether experienced by individuals, their families, friends or colleagues – addiction affects us all.
“We support our service- users through medical and psychosocial interventions within a therapeutic community setting, giving individuals an opportunity to heal from trauma and addiction and continuing to support them after treatment.”
LEAP is part of the services provided by the Addiction Treatment and Recovery Care Directorate in NHS Lothian and is delivered in partnership with the City of Edinburgh Council, the Cyrenians, Encompass and Alcohol and Drug Partnerships.
The service is funded thanks to both Scottish Government as well as the Alcohol and Drug Partnerships.
A West Lothian doctor is leading the way in helping to build services across Scotland that allow people to be treated at home rather than hospital.
And with a strong sense of family firmly at the heart of Dr Latana Munang’s ethos, her role at Healthcare Improvement Scotland as National Clinical Lead for Hospital at Home, has given her a job with purpose.
Healthcare Improvement Scotland is supporting the development of Hospital at Home services which reduce hospital admissions for elderly patients by providing acute care in the comfort and familiarity of their own home. Latana brings her wealth of clinical experience to the role, supporting Hospital at Home services across the country to be established and to grow. Hospital at Home services now cover nearly every NHS board and health and social care partnership in Scotland.
Latana was born in Malaysia and came to the UK on a sixth form scholarship before gaining a place at Edinburgh University to study medicine. She spent a year in Singapore as part of her registrar training before returning to Scotland where she has remained ever since.
The mum-of-two began working at St John’s Hospital in Livingston in 2011 and has remained there since. She is currently a consultant working in general medicine and medicine of the elderly.
Latana said: “Growing up in Malaysia the family structure in Asian communities was very strong. When my granny became ill she moved in with us to be cared for and that was the norm.
“Differences in society and different pressures mean that’s not possible everywhere but I do think most people are happiest being at home with family when they are ill, if it’s an option, and I really enjoy being involved in how we can make that happen.”
Ten years ago Latana was a key figure in setting up Hospital at Home in West Lothian and she remains as committed today as then to “push the boundaries in providing the best possible care for the frail and elderly”.
Latest figures show the Hospital at Home programme has seen an increase of 68% in the number of patients. The amount of areas where Hospital at Home is an option for patients has also more than doubled.
Latana said: “Sometimes people are admitted to hospital as they feel there’s no other safe alternative, but actually for older and frail patients if it’s possible to stay in the security and familiarity of home that can be best for them.
“With Hospital at Home we have a visit at the beginning to see what needs to be organised for each patient. In many cases we are able to cut out unnecessary procedures that would have been done routinely in hospital when we consider how much more complicated it would be to do from home, as we sometimes realise they’re not needed.
“Hospital at Home is a true generalist service where on occasion we’ve had nurses change a lightbulb to prevent someone falling or check for out of date food in patient’s homes.
“Seeing people in their own homes gives us a different perspective and empowers them to feel their wishes and choices are being fully respected.”
For Latana and her husband Phil Buchan, whom she met at university, and their two children Leo (11) and Zola (9) home is Linlithgow. Latana said: “It’s a great place to live, it’s really family friendly with a strong sense of community.
“Spending time in other countries has made me appreciate the NHS and I’m lucky to be in a role that I feel so passionate about.”
LOTHIAN MSPs have spoken out following a critical report on safety issues at the Royal Infirmary of Edinburgh at Little France. Inspectors reported safety concerns following visits to the hospital’s A & E Department in February and subsequent follow-ups.
Conservative Lothian list MSP Miles Briggs said: “These are very serious concerns in regards to overcrowding at Royal Infirmary of Edinburgh and the fire safety risk it creates.
“The A&E department at the hospital has been running over capacity for a number of years now, with SNP Ministers showing an ability to make any progress.
“Patient and staff safety must be the number one priority at the RIE and urgent improvements must be made.
“I have written to NHS Lothian to ask for further details and a timetable for when these improvements are being made .”
Labour list MSP Foysol Choudhury added: “It is incredibly disappointing and worrying that inspectors raised numerous serious concerns about safety in the A&E department at Royal Infirmary Edinburgh (RIE).
“Constituents in Edinburgh need to be sure that they can safely attend hospital for care and treatment. Instead, patient safety, care and dignity were called into question.
“This is terrifying for those patients in the region who need to be able to rely on and trust the A&E department should they ever need it.
“I’m very concerned that our hardworking NHS staff may also be put in danger by this crisis in the NHS, with concerns raised over staff wellbeing at RIE. Our hospital staff work incredibly hard to provide the best service possible.
“Patients at RIE and their relatives spoke highly of the compassionate care they received from staff. “This makes it all the more disappointing that staff and patients alike are being affected by 16 years of SNP incompetence.
“Staff and patients are crying out for help. Will the new Health Secretary answer their call and reverse years of damage done by Humza Yousaf when he held the post?”
NHS Lothian says the concerns expressed in the report are already being addressed. Alison Macdonald, nurse director at NHS Lothian, told the BBC the HIS visit came at a time of “unprecedented pressure” on the hospital.
She said: “We accept and acknowledge the findings of the HIS report and we sincerely apologise to patients for longer than usual waiting times in the emergency department and a poorer experience of care.
“We had already begun our own improvement work when the inspectors carried out their first visit.
“When they returned for their follow-up, it was clear to see that improvements had already been made, but more was required. We are now focused on our improvement and safety action plans.”
HEALTHCARE IMPROVEMENT SCOTLAND’S REPORT
HEALTH watchdog Healthcare Improvement Scotland carried out an unannounced inspection to the Royal Infirmary of Edinburgh, NHS Lothian on Monday 20 to Wednesday 22 February 2023 using our safe delivery of care inspection methodology.
During our inspection, we:
inspected the ward and hospital environment
observed staff practice and interactions with patients, such as during patient mealtimes
spoke with patients, visitors and ward staff (where appropriate), and
accessed patients’ health records, monitoring reports, policies and procedures.
As part of our inspection, we also asked NHS Lothian to provide evidence of its policies and procedures relevant to this inspection. The purpose of this is to limit the time the inspection team is onsite, reduce the burden on ward staff and to inform the virtual discussion session.
On Tuesday 14 March 2023, we carried out an unannounced follow-up visit to the Royal Infirmary of Edinburgh to establish if concerns we raised during our initial visit had been addressed.
On Thursday 16 March 2023, we held a virtual discussion session with key members of NHS Lothian staff to discuss the evidence provided and the findings of the inspection.
As a result of serious concerns about patient safety within the emergency department identified during this inspection we wrote to NHS Lothian to formal escalate our concerns in accordance with level 1 of our escalation process in the Healthcare Improvement Scotland and Scottish Government: operating framework.
A copy of the letter has been published with this report.
Summary of our findings
At the time of inspection, the Royal Infirmary of Edinburgh, like much of NHS Scotland, was experiencing a significant range of pressures including increased hospital admissions, increased pressures in the emergency department and admission units and reduced staff availability. During our onsite inspections the hospital was operating at over 100% capacity.
In ward areas, senior managers were visible, wards were generally calm and well organised and we observed good leadership and care being delivered. Patients and relatives spoken with described a good experience of care and helpful staff.
During the safety huddles we attended, we observed a strong focus on patient care needs across the hospital. However, serious patient safety concerns within the emergency department were identified during this inspection.
Inspectors raised a number of serious patient safety concerns regarding the emergency department during both our onsite inspection and return visit regarding the delivery of fundamental care for patients, patient safety, care and dignity, the current operating environment, leadership and coordination of care in the emergency department, as well as concerns about staff wellbeing.
Other areas for improvement identified during the inspection include the management of intravenous fluids, medicine administration processes, locked doors policies and procedures, and feedback to staff following incident reporting.
NHS Lothian senior managers responded quickly to concerns raised during the initial inspection. However, during our return visit on 14 March 2023, we remained concerned that the immediate actions put in place by NHS Lothian did not lead to significant improvements in the delivery of safe and effective care within the emergency department.
This resulted in us writing a formal letter of non-compliance to NHS Lothian in accordance with level 1 of our escalation process, setting out the serious patient safety concerns that required immediate action.
NHS Lothian promptly responded to this escalation, providing a detailed plan of improvement action to address each of the concerns. We will seek assurance on progress with planned improvement actions in accordance with our published inspection methodology.
This inspection resulted in five areas of good practice, three recommendations and 13 requirements.
