Tag: NHS Lothian

Back in the Saddle: New Course Helps Seniors Rediscover Cycling Joy

Edinburgh Leisure is seeking new participants as it launches an innovative 11-week cycling course, starting Monday, 3rd March, designed specifically for older adults looking to rebuild their cycling confidence. The programme offers a supportive environment for those eager to return to cycling after years away from the handlebars.

The course, based at Saughton Sports Centre’s 400m traffic-free track, uses Cycling Scotland’s acclaimed Bikeability curriculum to help participants regain their cycling prowess. At just £3 per week, or £33 for the block, the programme provides bikes, helmets, and Hi-Viz vests, though participants are welcome to bring their own equipment.

“Cycling is a great way to keep fit, active and mobile while enjoying Edinburgh’s amazing network of dedicated cycle paths,” says Cat Wilson, Edinburgh Leisure’s Project Officer for Older Adults.

“Whether you want to join grandchildren on family rides or meet new people, our experienced volunteers will help you rediscover the joy of cycling at your own pace.”

The course features:

  • Professional instruction in essential skills including safe stopping, proper signalling, and gear management
  • A traffic-free learning environment
  • Fully qualified, passionate volunteer instructors
  • All necessary equipment provided
  • Social, relaxed atmosphere with like-minded participants

Upon completing the initial course, participants can progress to an 8-week Level 2 programme, where they’ll explore Edinburgh’s cycle paths using their newly refined skills.

Important Notes:

  • This is not a beginners’ course but is designed for those who have previously cycled
  • Suitable for adults aged 50 and above
  • No current cycling experience required
  • All abilities welcome

The Ageing Well project, a partnership between NHS Lothian, Edinburgh Leisure, and Pilmeny Development Project, is part of the UK Ageing Well network dedicated to promoting healthy lifestyles for older adults and increasing expectations of good health in later life.

For registration, information and to register your interest: Phone: 0131 458 2260 Email: active@edinburghleisure.co.uk

Miles Briggs deplores ‘horrifying’ A&E waiting times in NHS Lothian

Scottish Conservative and Unionist MSP for Lothian Miles Briggs has accused the SNP of presiding over “horrifying” A&E waiting times in Lothian.

Mr. Briggs’ remarks come after monthly A&E waiting times for November showed that only 58.5% of patients across Lothian were seen within the SNP’s four-hour target waiting time.

In the Royal Infirmary of Edinburgh, the figure is at a shockingly low 44.1%.

This was below the average for Scotland which sits at 65.8%.

The SNP’s own target is for 95% of patients to be seen within that time after arriving at A&E.

Lothian MSP Miles Briggs says these waits are “unacceptable” and “undoubtedly put lives at risk” and insists that the SNP have failed to give dedicated staff the resources they need to see patients quickly enough.

Mr. Briggs says that the SNP’s failures mean A&E services in Lothian are in “permanent crisis” mode and that this could “spiral out of control” over winter.

Mr. Briggs has urged SNP health secretary Neil Gray to come up with a proper plan for the health service, which ensures money gets to the frontline, rather than being wasted on pointless bureaucracy.

Scottish Conservative and Unionist MSP Miles Briggs said: “A&E waiting times in Lothian are absolutely horrifying, and this is mirrored across Scotland.

“Far too many patients are waiting too long to be seen in Lothian and that undoubtedly puts lives at risk.

“These waits are unacceptable and successive SNP health secretaries have left Lothian and the rest of Scotland without the resources to meet the demands of patients turning up in A&E.

“My constituents in Lothian are at even greater risk than other Scots – and the buck stops with the SNP government.

“A&E departments are in permanent crisis mode and as winter continues there is a real danger the waits will spiral out of control.

“These waiting times must finally be the wake-up call for Neil Gray to deliver a proper plan to support Scotland’s NHS.

“This must prioritise getting money to the frontline in Lothian and across Scotland rather than being wasted on pointless bureaucracy.”

NHS Lothian: Quit Your Way

Your local community pharmacy provides a free stop smoking service.

You can drop in when it suits you to chat to your local pharmacy team. They will explain the nicotine replacement products available to help you quit smoking and advise on the pros and cons of each to help you decide which option is the best for you.

Find your local pharmacy ⬇

www.nhsinform.scot/scotlands-service-directory/pharmacies

Winter plans in place in NHS Lothian

Robust plans are in place across NHS Lothian this winter to help patients receive the right health care in the right place.

The health board, which is already experiencing significant pressures, has geared up for the busiest time of the year.

The numbers of people who need healthcare surges every winter for a variety of illnesses and conditions, including winter bugs, such as flu, COVID, other respiratory illnesses and Norovirus.

NHS Lothian is working closely with the four health and social care partnership in the region – East Lothian, Midlothian, Edinburgh and West Lothian – to focus in on more community-based initiatives to reduce the need for hospital attendance and admission in the first place.

The move also means that more patients will be able to receive the care they need closer to home and if they do have to be admitted to an acute hospital, the length of their stay in hospital should be shorter.

In turn, the renewed focus on community programmes will help free up more hospital beds for patients who are acutely unwell.

Dr Tracey Gillies, Medical Director, NHS Lothian, said: “The pressures facing hospital and community teams, GPs and pharmacies regularly surge beyond levels of activity that some years ago would normally have been associated with winter.

“That level of demand will only increase as winter progresses, so we have worked with partnerships to bolster their capacity in the community to ensure that more hospital beds are available for those that need them most.

“Health care is there for everyone who needs it this winter and we want to make sure patients can receive their advice, care or treatment in the right place at the right time.”

Health and Social Care Partnerships (HSCPS) across Lothian are enhancing their “discharge to assess” programmes which helps support people to leave hospital as soon as it is safe and appropriate.

Single points of contact (SPoC) services are also being boosted. These systems are aimed at people who are at imminent risk of hospital care but can be safely managed in the community. They support GPs and other professionals to rapidly coordinate services.

Other streamlined assessment processes have also been put in place to expedite hospital discharges and help community teams to proactively identify people ready for discharge with their support.

People across Lothian are being reminded to seek care in the right place this winter – and that in many cases they may get help sooner and closer to home, without attending an A&E department.

The NHS Inform App is the first stop for self-care and advice, while local pharmacies, GP, or Minor Injuries Unit can provide expert care and treatment, usually closer to home. If patients are unsure where to get help or if they need urgent health care at night or at the weekends, they should call 111 day or night.

In Lothian, patients may be signposted on to other services if they turn up to hospital A&E when they don’t need to be there.

New Year, Old Challenges?

EDINBURGH SOCIAL CARE ANTI-CUTS CONFERENCE

Preliminary Notice of Anti Cuts Conference – Saturday 18th January 2025

Augustine United Church – George IV Bridge Edinburgh

9.30 am – Doors Open – Tea/Coffee and Biscuits

10.00am – 1pm  Conference 

The Conference is being convened by Edinburgh Trade Union Council and the Scottish Trades Union Congress (STUC).

The purpose of the Conference is to consider how best to fight the social care and health service cuts that are being planned by the Edinburgh Integration Joint Board (EIJB).

Crucial budget decisions are going to be made by the Scottish Government and the City Council over the next two or three months which will determine the level of cuts.

The conference will discuss how best to lobby to obtain the resources  needed to meet service demands. This will include the services provided by  the  64 third sector organisations Edinburgh that are threatened with cuts and redundancies.

The conference is open to the public. The agenda will be an introductory session, workshops and a final plenary session. The conference will have input from speakers from the STUC. We will invite a speaker from amongst the Councillors on the EIJB and a speaker representative of Edinburgh community health organisations. 

We hope the conference will be able to draw up a City wide plan for lobbying and campaigning.

More details of the conference will be circulated on Monday 6th January 2025. Any comments or queries in the meantime will be responded to on 23/12/24 and 27/12/24.

Regards,

Des Loughney

Secretary, Edinburgh Trade Union Council

EIJB Decision Day: Edinburgh’s Third Sector calls for clarity on future funding

It has been six weeks since the decision by the Edinburgh Integrated Joint Board (EIJB) to retain the Third Sector Grants Programme, worth £4.5 million, until the end of this financial year.

While a much-welcomed reversal of the initial proposal to pull the grant from 64 charities from January 2025, the forecasted cuts have left many of these registered charities in Edinburgh in doubt over their long-term future.

Edinburgh Community Health Forum strategic development manager Stephanie-Anne Harris, said: “Without the necessary funding, closures are inevitable. These community-led charities cannot afford to exist without long-term public funding, and the threat of this being removed is hanging over their heads, preventing future planning.

“Edinburgh Health Community Forum has heard from many member organisations that are expecting to have to start the process of shutting down in January due to the EIJB’s decision.”

One such organisation is the Murrayfield Dementia Project, which provides lunch clubs and day services for those who are elderly and frail or living with early-stage dementia.

The termination of the EIJB funding will remove this service from the 20 members who attend each week, with repercussions for their carers and families. It will also result in five members of staff being made redundant and eight voluntary opportunities being stopped.

Jenny Rowe, Project Coordinator at Murrayfield Dementia Project, said “The EIJB reprieve has only prolonged the inevitable. As a small, community organisation, we need to know whether future funding will be made available, and if not, we will be forced to close.

“The loss of vital services, such as Murrayfield Dementia Service will not only impact those who directly benefit from them. Without the support offered by Third Sector organisations, we will undoubtedly see an increased pressure on Scotland’s wider health and social care services, which are already at breaking point”.

This is exemplified in the case of Phonelink Edinburgh, a twice-daily check call service for the over 60s that offers social interaction, medication prompts, welfare and safety checks, and eating and drinking prompts.

Kellie Mercer, Manager of Phonelink Edinburgh, commented “Phonelink Edinburgh receives £89,000 in funding from the EIJB grant.

“Among other check-ins, we carry out 128 medication prompts twice daily, 7 days a week. The estimated cost for Edinburgh Health and Social Care Partnership (EHSCP) to do the same would be £256,960 – and that is without considering the other welfare and safety services Phonelink Edinburgh offers.”

A Therapy Assistant Practitioner from the  Western General Hospital gave a real life example of the importance of the Phonelink Service: “A patient was medically fit for discharge but needed medication prompts to allow this to happen.

“So Phonelink was contacted by email for a twice daily medication prompt. The email was received at 3.48pm,  the service set up at 4.30pm,  with the patient discharged that evening,  and the service started at 7.30pm.

With unprecedented budgetary challenges facing the EIJB, and the necessary shifting in strategic priorities, the cessation of the Third Sector Grants Programme may well be unavoidable.

If this is to be the case, Stephanie-Anne Harris argues for a planned transition with interim support made available:

“Sufficient time and planning must be given to avoid devastating consequences for Edinburgh’s most vulnerable citizens.

“This requires a collaborative approach, including Third Sector representatives, NHS Lothian and the City of Edinburgh Council to establish a clear timeline and secure alternative funding to prevent the immediate loss of vital services which currently benefit over 50,000 people across Edinburgh.

 “Without Edinburgh charities and Third Sector organisations, the fabric of the community collapses. It is imperative that together we carve out a sustainable future for the City’s Third Sector, one that delivers high-impact services, strengthens community resilience, reduces pressure on statutory services and achieves better outcomes for Edinburgh’s most vulnerable citizens.

“We urge Edinburgh City Council and the EIJB to step up, provide clarity, and commit to funding that ensures these vital organisations can continue their essential work beyond the end of March 2025. ”

Granton Information Centre delighted with feedback survey response

Thanks to everyone who has given us feedback so far by completing our survey!

GIC are passionate about providing the best possible service to our clients and we are delighted with the results and the many positive comments we’ve received since April:

EIJB funding crisis: The Third Sector relationship with the EIJB

THIRD SECTOR INTERFACE BRIEFING NOTE:

The financial situation of the Edinburgh Integration Joint Board (EIJB) is very challenging. In 2025/26, the IJB seek to realise around £51m of savings. Future years will see further savings required, currently estimated to be £76m in 2026/27 and £105m in 2027/28.  

These savings will be difficult and their impact will be substantial.  So, managing change, and ensuring key services are delivered to communities will require collaboration by the IJB and city partners, including the Third Sector.

Reference Group

On November 1 2024, Third Sector representatives presented deputations to the EIJB challenging proposals around the Third Sector Grants Programme and an in-year cut (2024/2025). The IJB did not approve the proposal for the in-year cut with an alternative proposal being approved. 

Following that meeting, the IJB invited Third Sector representatives to talk through concerns and identify areas to work together. To inform those meetings, EVOC and their TSI partners collaborated with the Edinburgh Community Health Forum and representatives of other Third Sector interests across the city to create a Reference Group.

The purpose of the Reference Group is to:

  1. inform governance and city partnerships
  2. assert the value of the Sector
  3. shape investment
  4. support change
  5. distil the voices of the Third Sector to effectively represent the sector on the IJB

EIJB Engagement and Proposals

The Reference Group has rapidly considered the short-term issues around funding, and the longer-term issues of future partnership models, sharing a briefing note with the IJB on issues and options in early December. The engagement with EIJB has been positive given the difficult circumstances, and this positive engagement has resulted in an EIJB paper to the December Board which recommends:

  • That the Health Inequalities grants programme, due to end on 31 March 2025 should be extended for three months into 2025/26 which will help provide time for the organisations affected to adapt.
  • The Board support work currently underway to undertake a series of collaborative workshops which will inform some of the savings proposals and invest-to-save opportunities that will be submitted for consideration by the EIJB in March 2025.

In the current landscape this is a positive outcome for the Third Sector, informed directly by the voice, needs and priorities of the Sector.

City of Edinburgh Council Engagement and Proposals

Given the challenges to funding for the Third Sector and the impact cuts will have to the viability of Third Sector Organisations, the Reference Group have also argued the need for a cross city partnership approach to investment.

Following the November 1 EIJB meeting, the TSI wrote to the Chair of the EIJB, the Chief Executive of City of Edinburgh Council and NHS Lothian asserting the need to [a] reset investment [b] reform ways of working [c] repair relationships. In the immediate term, a key priority is to secure a commitment from City of Edinburgh to invest to mitigate the risks to critical and anchor organisations.

On December 10 the Council Policy and Sustainability Committee considered and approved a proposal that recognised that the Council may need to provide core or foundational funding to stabilise vital third sector organisations. The TSI with ECHF collaborated to present a joint deputation, welcoming the Council proposal, and offering support.

Council officers were instructed to:

  • Work on a briefing paper for the Council’s political groups on what the Third sector needs now, specifically transitional funding, medium term, ahead of the Council setting its budget in February;
  • Undertake a review of all grant funding, exploring the provision of longer term, sustainable funding;
  • Work with the Edinburgh Partnership and Third Sector to co-design solutions, and agree terms of reference for a short life group and report back to Policy and Sustainability Committee in March.

Priorities: December EIJB meeting and Future Planning

The Reference Group will continue to meet and shape the next steps. An immediate priority is to agree on Terms of Reference and confirm representatives in the Group. We will be sharing a set of proposals before Christmas for your consideration.

A strong voice is essential to shape the long-term relationship with the EIJB and in particular the workshop series in spring 2025.

The Edinburgh TSI with EVOC and others from the Reference Group will support the paper to the EIJB on December 17 on progress on the Third Sector Grants Programme and the next steps in working collaboratively with the Sector, and also with the City of Edinburgh Council.

The EIJB Paper is available here: 6.3 Third Sector Commissioning 25-26 Engagement Update.pdf

If you need any further information in advance of the IJB meeting tomorrow (Tuesday 17 December), please get in touch with us or reach out to any member of the Reference Group.

We will also provide regular briefings on progress, through the fortnightly EVOC E-news and targeted updates on key information as necessary.

Dairmaid Lawlor, TSI Chair

NHS: Winter Vomiting Bug advice

🌟 How to Cope with the Winter Vomiting Bug 🌟

We have some important advice for dealing with norovirus, also known as the winter vomiting bug, after a recent increase in calls to the 111 service.

Norovirus is a stomach bug that causes vomiting and diarrhoea. While it can be very unpleasant, it usually goes away in about 2 days. Symptoms include:

🤢Feeling sick (nausea)

💩 Diarrhoea

🤮 Vomiting

🤒 High temperature

🤯 Headache

😩 Aching arms and legs

Unfortunately, norovirus spreads easily and quickly. If you catch it, here’s what you should do:

☑️ Stay off work or school until at least 48 hours after symptoms have stopped.

☑️ Avoid visiting anyone in hospital during this time.

☑️ Wash your hands frequently and thoroughly with soap and water, especially after using the toilet and before handling food.

☑️ Remember, alcohol-based hand gels don’t kill the virus.

To prevent spreading norovirus, maintain basic hygiene and cleaning:

☑️ Disinfect surfaces and objects that could be contaminated using a bleach-based household cleaner.

☑️ Wash clothes and bedding separately on a hot wash (60°C).

☑️ Don’t share towels and flannels.

☑️ Clean toilets and surrounding areas with a bleach-based household cleaner.

Dr. Ron Cook, NHS 24’s Medical Director, advises: “If you experience sudden diarrhoea and/or vomiting, stay at home until you’re feeling better.

“There’s no treatment for norovirus, so you have to let it run its course. Drink plenty of fluids to avoid dehydration and avoid giving fizzy drinks or fruit juice to children as it can make their diarrhoea worse.

“Babies should continue to feed as usual. You don’t usually need medical advice unless there’s a risk of a more serious problem. Alleviate fever or aches with paracetamol and get plenty of rest.

“If you or someone you’re caring for shows signs of dehydration, use special rehydration drinks from your local pharmacy. Once you feel like eating, try plain foods like soup, rice, pasta, and bread.”

Stay healthy and take care this winter! 💙