Alcohol related deaths highest in 16 years in NHS Lothian
Lothian MSP, Miles Briggs, said: “My deepest condolences are with the families and friends across Edinburgh and the Lothian’s who have lost a loved one to alcohol.
“SNP Ministers have made it clear by their actions that supporting people with addictions is not a priority for them, which is why the Scottish Conservatives have called for a Right to Rehab across Scotland.
“Drug and alcohol professionals work very hard to support those with addictions, however services have not been properly funded by SNP Ministers.
“SNP cuts to drug and alcohol partnerships have impacted on alcohol recovery services across Scotland. We need a new approach.
“We urgently need to see the focus switch towards sustainable recovery and long term rehabilitation, to support those who are dealing with addiction.”
‘the reality is that the NHS is really struggling’
Responding to the latest set of performance figures released by NHS England for July 2021, President of the Royal College of Emergency Medicine, Dr Katherine Henderson, said: “The NHS has been running hot for months now and these figures show we are nearly at boiling point.
“We are worried that the public think that things are getting back to normal on the virtual eve of a further reduction in restrictions, and messages from the centre that says things are OK are disingenuous – the reality is that the health service is really struggling.
“Four-hour performance has sunk to its lowest ever level, we have levels of 12 hour waits we would usually associate with winter, and July saw the second highest ever number of attendances across emergency care units. Yet there is no sign of rescue ahead of winter. Despite our calls for action, crowding is back with us and is compromising patient care.”
there were 1,431,499 attendances at major Emergency Departments – the second highest on record
67.7% of patients waited less than four hours from arrival to admission, transfer, or discharge in Type 1 EDs – the lowest percentage on record
the number of patients waiting more than four hours after a decision to admit them stood at 89,768 – this is a 30% increase compared to June 2021 (66,619) and is the third highest ever
the number of patients waiting more than 12 hours after a decision to admit them stood at 2,215 – by far the highest July figure on record (second highest is 451 from July 2019).
Dr Henderson said: “The NHS was in a pretty dreadful state going into the pandemic – we were seeing record waits across the board, due to insufficient resourcing – but the sheer determination of an overstretched workforce, combined with a ‘whatever it takes’ approach, got us through.
“The problems that were with us before the pandemic have not gone away. Not only do they remain but are now much worse due to the impact of Covid, as these figures make crystal clear.
“The ambulance service saw thehighest ever number of ambulance callouts for life threatening conditions in July, and we saw ‘trolley waits’ in hospitals go up by 30% on the previous month. This means there have been delays offloading ambulances and patients have experienced long waits to be seen and moved to a bed if they need admission.
“Emergency Departments are very, very busy.
“There has also been a steady rise in Covid presentations and even though numbers are still low all the infection risk concerns remain in hospitals, further depleting capacity. Staff have had no let up and are worried about what the winter will be like if this is where we are in the summer.
“Demand is driven by multiple factors – difficulties accessing primary care, complications of chronic conditions, new presentations of significant illness and waiting list patients with on-going symptoms and no sign of getting their care sorted any time soon.
“NHSE recommends patients to access help via 111 but unless the system is responsive and clinically supported and other options available that advice too often defaults to go to the Emergency Department. Local health systems must ensure adequate urgent care facilities for their communities, letting Emergency Department have capacity to treat the seriously ill and injured.
“The other side of this is problems with supply – we do not have enough staff, beds, or equipment. There is still no plan for social care, which has a huge impact on the NHS. These have been issues for some time, but on top of this is the growing waiting list for elective care, staff absence due to a combination of leave and necessary self-isolation, and an even lower bed capacity due to infection prevention control measures.
“We fear for what winter may hold; we know it will be worse than now but a heavy flu season, another potential Covid surge and an understandable desire not to cancel elective care this winter could cripple us and put patient safety at risk.
“NHS Trusts must do all that they can to wring out every drop of capacity ahead of winter and the Department of Health and Social Care must extend ‘discharge to assess’, which made a significant difference freeing up beds during the pandemic. There has been a sustained rise in the number of patients experience long stays in hospital, and this funding is critical to freeing beds and maintaining flow in hospitals.
“We also need clarity in terms of performance – we are currently in a performance vacuum with Trusts uncertain about what they need to focus on. Implementing some of the metrics proposed by the Clinical Review of Standards is vital ahead of winter. We need to operationalise the metric of a maximum of a 12 hour stay from point of arrival. This will be a small step to reducing exit block, and allow timely ambulance offloads.
“While the NHS rollout of the vaccine has been an incredible success, parliament must not take its eyes off the ball regarding the state of the NHS. This autumn’s spending review – one which has not been put out to consultation – is an opportunity for the government to further signal it’s ‘peace time’ commitment to NHS funding and help prevent the NHS from boiling over this winter.”
The situation in Scotland is also giving cause for alarm. Lothian MSP, Miles Briggs is ‘very concerned’ A&E waiting times aren’t showing signs of improvement.
Miles Briggs MSP said: “NHS Lothian is in desperate need of an injection of funds to alleviate pressure on services.
“Years of chronic underfunding and a global pandemic has left staff on their knees, struggling to meet the increased numbers of patients attending A&E.
“SNP Ministers must take responsibility for allowing the situation to get to this point and immediately fund NHS Lothian properly to start getting services back to normal.”
“ASK THE GP” The only public live meeting with the Polish GP in Scotland on Covid-19 vaccination for the Polish Community
“ZAPYTAJ GP” Jedyne takie spotkanie z polskim lekarzem w Szkocji na temat szczepień na Covid-19 [ENG]
In response to the needs of the Polish community in Scotland, Fenikswould like to invite you to a live webinar with Dr Piotr Konieczny, a Polish GP in Edinburgh who specialises in ENT and is a member of the Royal College of General Practitioners.
During this meeting, the expert will answer the most frequently asked questions about Covid-19 vaccination.
There is no need to register, but in case you do not want to miss this meeting you can sign up to the Facebook event (a notification will show up an hour before the event): https://www.facebook.com/events/845324889457595
A recording of the meeting will be made available on Feniks Facebook page and on YouTube. The discussion will be held in Polish.[PL]
“ZAPYTAJ GP” Jedyne takie spotkanie z polskim lekarzem w Szkocji na temat szczepień na Covid-19
Odpowiadając na zapotrzebowanie polskiej społeczności w Szkocji zapraszamy na spotkanie informacyjne online z dr Piotrem Koniecznym, polskim lekarzem rodzinnym w Edynburgu specjalizującym się w laryngologii, członkiem Royal College of General Practitioners. W czasie spotkania ekspert odpowie na pytania na temat szczepień przeciwko Covid-19, które można zadawać w poniższym kwestionariuszu.
NIE PRZEGAP: Czwartek, 12 sierpnia, godz. 19.30 (czasu brytyjskiego)
Nie trzeba się rejestrować, ale zachęcamy do dołączenia do wydarzenia na Facebooku (przypomnienie o wydarzeniu pojawi się na godzinę przed): https://www.facebook.com/events/845324889457595
Healthcare company Enertor thanked the Regional Infectious Diseases Unit and staff at the Western General Hospital in NHS Lothian today to recognise their exceptional work throughout the Covid-19 pandemic.
500 pairs of insoles were presented to the hospital staff at Turner House, Western General Hospital, by Enertor’s Lucy Hilton.
“We cannot thank Enertor enough for their support and kind donation of 500 insoles. There are a lot of tired feet walking around our hospital day in day out, with many ward nurses logging over 20,000 steps plus per shift, so we know the huge difference these will make. Not only to their feet but team morale too, at what’s continuing to be an incredibly tough time.”
1,000 insoles have been donated to date, as part of the campaign to say a heartfelt thankyou to keyworkers across the UK. The RIDU and WGH staff were the second support group to benefit from the charitable donations, 500 Essex District Nurses being the first.
Over a single day our feet can support hundreds of tons, with just one step exerting a force twice our body weight. Imagine the stress on the bodies of our health care professionals and community services through the pandemic.
In order to send thanks, Enertor launched their six month, Save the Nation’s Soles campaign … and they NEED YOUR HELP.
HOW CAN YOU HELP?
Enertor are calling on local communities across the UK to nominate groups of people they’d like to thank – be it volunteers or key workers, hospital staff to Covid test and vaccination centre volunteers, postal staff emergency services to school teachers – groups who you think are making a huge difference with their efforts day in, day out. For every 5 pairs of insoles bought in a given month, one pair will then be donated to the key worker group.
Nick Beresford, CEO of Enertor said: “We were thrilled when the Western General Hospital was nominated. They have been right at the front line of this pandemic working tirelessly, putting themselves and their families at risk all for the greater good. We are delighted to be able to give a small token of appreciation in recognition of the superb work they have done and continue to do day in and day out.
“We all know how debilitating lower limb and foot pain can be – 90% of impact comes through our feet with little realisation of the damage this can do to the body. Now more than ever, injury prevention is becoming crucial, in helping to keep our key workers and community heroes healthy and mobile.
“We will come through this crisis, but the only way through is together and so we wanted to do our bit to support and send our thanks for their continued efforts and devotion to saving the nation.”
WHAT DO I NEED TO DO NEXT TO SHOW MY SUPPORT?
To give thanks to your local heroes and heroines, visit:
The nominated organisation must comprise over 50 people and each nomination will require the name of the group, a named contact to receive the donation if chosen and a short reason as to their hard work and deserving of the protective insoles.
Each month until December, one chosen organisation will be presented with their donation.
WHY DO WE NEED SHOCK ABSORBING INSOLES?
Enertor PX1 insoles offer the first shock-absorbing technology specifically developed for protecting the feet and body from ground forces.
Transmitting impact forces horizontally through the insole, shockwaves are greatly reduced through the leg. The shoe inserts also help to improve lower limb alignment, reduce fatigue and reduce tibia and femur rotation and the stress this puts on joints. 91% of foot pain sufferers reported an improvement in the level of pain and 75% confirm that our insoles healed their plantar fasciitis.
Trusted by podiatrists, the NHS and British Army, the PX1 insole boasts flexibility, comfort, durability and energy returning properties, priced at just £34.99.
Edinburgh Western MSP Alex Cole-Hamilton has commented on the waiting times “crisis” that is emerging across Lothian A&E units.
Mr Cole-Hamilton, the Liberal Democrat Spokesperson for Health since 2016, made his comments following reports yesterday that the Edinburgh Royal Infirmary is on the brink of having to declare a major incident.
Mr Cole-Hamilton said:“Reports of Edinburgh patients waiting up to twelve hours for treatments are not just concerning, but they are potentially catastrophic for our healthcare service.
“The escalation of this so-called “ping-demic” is having devastating effects across our health services, and many of our hospitals are working at minimum staff capacity because of it. Of course, we must be vigilant, but our NHS simply cannot cope when faced with such reduced staffing measures.
“The Scottish Government need to come forward with concrete actions and urgent changes on isolation policies. That means a test and release system, as recommended by the Royal College of Surgeons and others.”
A new residential rehabilitation facility to support families affected by drug use is to be developed in North Ayrshire.
Funding for the National Specialist Residential Family Service which will be run by the charity and housing association Phoenix Futures and based in Saltcoats, North Ayrshire, has been agreed in principle. The facility will provide rehabilitation services for twenty families at any one time and will be based on an existing facility run by the organisation in Sheffield.
Once given final approval, funding for the development will be made available from the £100 million announced as part of the national mission to improve and increase the provision of residential rehabilitation.
Meanwhile following the publication of the latest drug-related death statistics, an urgent review has been ordered on the use of so-called street benzos after latest statistics showed the drugs were implicated in 73% of drug-related deaths in 2020.
Benzodiazepines are usually prescribed for the treatment of anxiety and insomnia however increasingly, illicit supplies of street benzos are being used with opiates such as methadone and heroin contributing to poly-drug use in Scotland.
The rapid evidence review will look at who is using the drugs and why in order that measures to reduce demand can be introduced. It follows work by the Drug Deaths Taskforce to develop guidelines on the consistent prescribing of benzodiazepines across the country so that people can be offered support for their drug use and any underlying mental health problems.
Other actions include:
commissioning research on the role and risks of methadone in drug related deaths
awareness campaign on the increasing availability of naloxone and its benefits
awareness campaign on stigma and its negative effect on people seeking treatment
consider whether alcohol and drugs services should be included in new National Care Service as part of the consultation
setting of a target for the number of people in treatment for 2022
Minister for Drugs Policy Angela Constance said: “Once again, Scotland drug-related death statistics are a national disgrace and my heart goes out to all the families who have lost a loved one.
“We announced a national mission on this crisis in January and we have been taking a range of actions to tackle this national tragedy backed by an investment of £250 million over the next five years.
“Of that, £20 million each year is being spent on increasing capacity and improving access to residential rehabilitation and to that end, we have approved in principle an application for a development in North Ayrshire which will create a new national specialist service for families. It is vital that we make it easier for parents to access treatment by removing any barriers such as a lack of childcare and this project, run by Phoenix Futures will do exactly that.
“Though men are more likely to use and experience harms from drugs, there has been a disproportionate increase in drug related deaths among women and there is a strong link between women having children removed from their care and risk of drug related death.
“Poly-drug use – the use of more than one drug at a time – is an increasing concern with benzos implicated in almost three quarters of deaths last year and I have asked for an urgent review of benzo use so we can fully address the rise in popularity of this type of drug and reduce the demand.
“To tackle the number of drug deaths in this country we must increase the number of people in treatment and we will shortly be announcing a target so we can measure the impact of the introduction of the Medication-Assisted Treatment standards. These include the roll-out of same-day support services for anyone asking for help.
“We know there is much work to do and that the investment we are making must reach those directly affected by drug use and I am absolutely determined to make every penny count.”
Phoenix Futures Director of Operations CJ Williams said: “The Scottish Government’s Residential Rehabilitation Rapid Capacity Programme (Recovery Fund) announcement that it has agreed in principle to fund a National Specialist Residential Family Service in Scotland has been well received by all at Phoenix Futures Scotland.
“There is a clear and defined need for a service that supports families to stay together in a safe residential setting. Phoenix Futures have decades of experience of providing services for families to draw from in establishing and operating this new project.
“The Specialist Family Service will create fairer access to residential rehab for the whole family, and is a welcomed start to the commitment of investment from The Scottish Government as part of its mission to reduce drug related deaths and harms.
“We look forward to working with all involved to open Scotland’s National Specialist Residential Family service.”
Lothian Tory MSP calls for local residential rehab to be utilised
Lothian MSP, Miles Briggs, has called for local residential rehab to be utilised, following the announcement that a national rehab centre is to be developed in North Ayrshire.
The facility will provide rehabilitation services for twenty families at any one time and will be based on an existing facility run by the organisation in Sheffield.
Once given final approval, funding for the development will be made available from the £100 million announced as part of the national mission to improve and increase the provision of residential rehabilitation.
Scottish Ministers agreed to increase funding for rehabilitation beds earlier this year, following a campaign by the Scottish Conservatives to secure the funding.
Last week figures were released showing that drug related deaths in Scotland had reach a new record high, having risen consecutively in each of the last seven years.
The number of drug related deaths in Lothian rose to 159, an increase of 4 deaths from 155 in 2019. The number of drug related deaths in Lothian has more than doubled in the last 10 years.
The Scottish Conservatives are calling for the Right to Rehabilitation to be made into law, so that anyone needing drug and rehabilitation support has a legal right to access it.
Lothian MSP, Miles Briggs, said:“Scotland used to have a national rehab centre in the form of Castle Craig Hospital which used to provide vital residential rehab to NHS patients across Scotland.
“It is fundamentally clear that the drug deaths crisis needs to see all available services utilised. That is why Scottish Conservatives have led calls for a Right to Rehab.
“Castle Craig Hospital sits just 20 miles south of Edinburgh. But currently only 2 of the 60 patients are NHS funded.
“I have visited Castle Craig Hospital and was hugely impressed with the residential rehab services they offered and the person centred care which was helping people mostly from the Netherlands to get their lives back on track.
“There are growing questions being asked why SNP Ministers not using the rehab beds available on NHS Lothian’s doorstep ?
“I have raised the opportunities which Castle Craig Hospital could present with SNP Ministers for years – we’ve seen no action as the same time as drug deaths have escalated to the shocking level we see today.
“I have written to Drugs Minister, Angela Constance, to ask why SNP Ministers are not utilising this local residential rehab facility and instead will expect patients across the East to travel Ayrshire when local rehab opportunities already exist.”
NHS Lothian’s pop-up COVID-19 vaccination clinic scheme has seen its most successful day at Gyle Shopping Centre with 330 people attending.
The Gyle Shopping Centre pop-up clinic was launched on Tuesday (27 July) within an outlet at the centre alongside some of the biggest names in retail, allowing for those shopping or working nearby to drop-in to get their life-saving vaccine.
For the first time all three vaccines are available, allowing those in need of a second dose of Pfizer to be vaccinated. Moderna and AstraZeneca are also available at the centre.
The clinic is open to everyone over the age of 18 for their first or second dose, provided there has been an eight week gap between vaccinations.
Pat Wynne, Director of Community Nursing, NHS Lothian, said: “To see these numbers come through our clinic at Gyle is fantastic and it reinforces our decision to use pop-up clinics in order to move forward with our vaccination programme.
“We are really pleased to have teamed up with Gyle Shopping Centre and we are grateful to them for providing this space for such a prominent drop-in clinic and supporting our team with queue management.
“Sites like Gyle Shopping Centre are great venues for us because they allow people to easily drop in when they are out shopping or taking a break from work. I would encourage anyone who is due to be vaccinated to consider coming to our Gyle clinic as soon as possible.”
The Gyle pop-up clinic will run until Saturday 14 August and is open every day between 10am to 6pm.
Mr Wynne added: “Pop-up clinics are part of the campaign to target younger people and make it as easy as possible for them to get the vaccine in the places they visit.
“We feel the clinic at Gyle will also help us target people between the ages of 18-29, who we especially need to come forward for vaccination. We remain determined to do everything we can to make sure as many people are vaccinated as possible.”
NHS Lothian’s vaccination bus, which is being run along with Lothian Buses, is continuing to visit sites across Lothian. More details on its locations can be found in the COVID vaccination hub on NHS Lothian’s website.
The team can administer all three vaccines – Pfizer, Moderna and AstraZeneca – so it is open to all ages. No appointment is necessary and those needing a first or second dose are welcome, as long as you have waited eight weeks between injections.
The clinic, which is just next to M&S, will run from 10am til 6pm, seven days a week from today – Tuesday 27 July.
People living in Lothian with serious alcohol and drug problems can now access help from an expanded rehabilitation service.
The Lothians and Edinburgh Abstinence Programme (LEAP) is providing more placements than ever before thanks to its renewed partnership with the City of Edinburgh Council and support from the Edinburgh Integration Joint Board and The Cyrenians.
Up to 22 people can now benefit from one of the intensive three-month residential placements to overcome their addiction in a safe and supportive environment. The service provides clinical, medical and therapeutic support backed up by two years of aftercare and peer support and a family programme.
The boost will help to significantly reduce waiting times for patients looking to access the service following lockdown. It is in line with Scottish Government priorities for increasing residential rehabilitation provision.
Dr David McCartney, Clinical Lead for LEAP, NHS Lothian explains: “As a direct result of the pandemic we had to reduce service capacity to just 40 per cent. While we continued to provide some patient support remotely, our residential services were reduced to just 8 places.
“With the help of our partners we are back operating the full range of services again, helping even more people to get help and support as quickly as possible.
“The majority of LEAP patients starting the programme complete it. Nearly two thirds of them reach their goal of a long-term successful alcohol and drug-free recovery with significant improvements in their mental and physical health.”
LEAP is currently operating as a partnership between NHS Lothian, the Edinburgh Health and Social Care Partnership, The Cyrenians, Access to Industry and Rehabilitation and Recovery Team Social Workers.
It offers detoxication and therapeutic treatment for people who want to become alcohol and drug free alongside structured, practical support to get into work or education as part of people’s recovery if needed.
Patients can also access psychiatry, psychology and occupational therapy services whilst in treatment.
Lesley Taylor, Registered Manager, City of Edinburgh Council, said: “We’re delighted to be working with LEAP again to help roll-out this essential service.
“Our team have a valuable role in providing accommodation and support, not only for the initial three-month placement but also in assisting individuals address their longer-term housing needs.”
Linda Nichol, a volunteer with NHS Lothian’s subsistence misuse team and former LEAP patient and PEER supporter encourages anyone struggling with addiction to access the service. She said: “LEAP changed my life. It helped me recognise that I had a disease and gave me the confidence and support I needed to turn my life around.
“If you or someone you know is struggling with addiction then ask for help and get referred into LEAP. It is possible to change your whole life beyond your wildest dreams.”
LEAP is open to people who have a serious problem with alcohol or other drugs. Anyone interested in being assessed for residential treatment should speak to their GP, health, support or social care worker.
