Please find attached a copy of our “Coorie in for Christmas” booklet that we partnered with Health in Mind to produce.
Recognising that Christmas and New Year can be a difficult time of year and that we also face new challenges, unknowns and stresses over the festive period from coronavirus, we’ve focused on the Scottish concept of ‘coorie’ as a way to help us look after our mental health and wellbeing this winter.
This booklet focuses on the things we can all do to look after our mental health and wellbeing in our homes, whilst also encouraging us to get outside and embrace the benefits of nature. It also includes a range of support and helpful contacts.
There is more information about mental health and support available all year round on iThrive Edinburgh and that online space will be kept up to with support available during the festive period and on Christmas Day in Edinburgh.
NHS Lothian’s official charity, Edinburgh and Lothians Health Foundation (ELHF), have been proud to work with Hibernian FC, Warner Music and The Proclaimers on the reissue of Sunshine on Leith which was announced last week.
This special edition, pressed for the first time on 7″ clear green vinyl, is due for release on 29 January 2021 – pre-orders opened on 3 December.
The money they raise will help Edinburgh and Lothians Health Foundation continue to provide additional support for NHS Lothian staff during one of the largest global health crises of our lifetime.
It will also enable them to put in place a programme of longer-term, sustainable wellbeing support that will address the lasting effects of the pandemic, both in the recovery phase and beyond. In aid of this, The Proclaimers also released 100 limited edition signed copies, exclusively through Hibernian Direct.
Jane Ferguson, Foundation Director of Edinburgh and Lothians Health Foundation, said: “We are delighted that The Proclaimers and Warner Music have re-released Sunshine on Leith to support our partnership with Hibs and help our amazing NHS Lothian staff as they respond to the ongoing challenges of the Coronavirus pandemic.
“Funds raised will enable Edinburgh and Lothians Health Foundation to continue to provide additional support for our NHS Lothian colleagues, providing a fast and flexible response to meet any urgent and emerging needs, as well as supporting them in their long term recovery from the profound impact of the virus on their physical and emotional health and wellbeing.”
In a statement Craig and Charlie Reidsaid: “We’re very happy to be supporting NHS Lothian during this challenging time for our people and health service.
“The NHS is very much loved by both of us and we have much reason to be grateful to it.”
Hibernian Captainand Scottish Cup hero David Gray added: “”Sunshine on Leith is a phenomenal club anthem and I’ll never forget it ringing out around the east stand of Hampden during the celebrations of the Scottish cup final in 2016, it was a proper hairs on the back of your neck moment.
It’s such a powerful track and whenever I hear it I always get a buzz thinking back to that day.
“This limited edition version of the track is a fantastic gesture from The Proclaimers in support of The NHS and Edinburgh and Lothian’s Health Foundation and it’s great to see them partner with the club for such a great cause. Our NHS heroes have been brilliant during this pandemic and even before then and we wear the ‘Thank You NHS’ message on our shirts with pride.
“I’m sure our fans will snap up this limited edition version and raise plenty money for the charity. I’ll be after one as well!”
People across Scotland are being encouraged to be prepared for winter illnesses in a new campaign launched today/on Friday 4th December.
The NHSScotland campaign takes the ‘clap for carers’ idea and turns it around, showing healthcare workers applauding people as they check their prescription, visit their pharmacy for medicines and health advice, and check the self-help guides at nhsinform.scot.
NHS 24’s Medical Director, Dr Laura Ryan said: “It’s always a good idea to prepare for the common winter illnesses, and this year it’s even more important. Services tend to be busier in the winter so anything we can do to keep ourselves and our loved ones healthier is good.
‘No one can predict illness, so it’s a good idea to keep some common remedies at home such as paracetamol and ibuprofen. Knowing the best place to get help if someone does become unwell is also important – there is a service directory on NHS 24’s health information site NHSinform.scot which also has a range of really helpful self-help guides.
‘In the run up to the festive holidays it’s worth checking any repeat prescription you rely on, making sure you order only what you need and in plenty of time.
‘Your local pharmacist can also help with advice about winter health and medicines – all provided in a COVID-safe way! You should continue to stick to the rules for COVID-19 including self -isolation advice and how to access a test if you develop symptoms. All of the up to date information on COVID-19 is on our dedicated pages on NHS Inform.
These are just a few of the ways we can all show we care – for ourselves, each other and our NHS.”
NHS 24 supports the Show You Care, Prepare campaign in partnership with NHSScotland and all Scottish Health Boards.
General advice and information on how to stay healthy this winter can be found at www.nhsinform.scot/winter
A pioneering, inter-agency partnership, led by NHS Lothian, NHS Fife, NHS Borders and the six local authorities in the region, is working together to reduce type 2 diabetes across the East of Scotland.
Type 2 diabetes has been on the rise across the country for the past decade, having a significant impact on the lives of individuals and health of Scotland’s population as a whole.
Over 62,000 people are living with type 2 diabetes in the East of Scotland – around 5% of the total population – and there are over 3,700 new cases in the region each year.
Recognising that diet and excess weight is driven by a range of environmental, societal and individual factors, regional health and social care providers have joined forces with stakeholders from the public, third and private sectors to advance sustainable change.
Growing evidence of the link between obesity and an increased risk of complications from COVID-19 has reinforced the importance of this shared vision, compounded by the measures recently revealed as part of the UK government’s new obesity strategy.
With national investment of £1.46 million in the East of Scotland programme this year, regional director Nicky Waters said: “Our programme is a priority initiative – reflecting the need for urgent action to reduce the prevalence of type 2 diabetes in Scotland and support people to lead healthy lifestyles.
“By adopting a Whole Systems Approach and bringing a wide range of partners together, our programme is centred on tackling structural, systemic root causes – such as poverty, inequality and childhood trauma – and the part that we all need to play in addressing them.”
Four core intervention programmes – Get Moving with Counterweight, Type 2 Diabetes Remission through Counterweight Plus, Gestational Diabetes education and Let’s Prevent Diabetes – are being rolled out across the region, with partners taking advantage of technology to support people throughout the pandemic.
Over 1900 adults have been referred to Get Moving with Counterweight and the remission programme since October 2019, with 60 patients currently taking part in Counterweight Plus.
Counterweight Plus, a free two-year programme being delivered by specialist NHS dietitians, is based on ground-breaking evidence from the Diabetes Remission Clinical Trial (DiRECT).
A combination of intensive, long-term support and Total Diet Replacement (TDR) of nutritional shakes and soups, is key to the intervention’s success.
Jenny*, a patient going through Counterweight Plus in Lothian, has overcome various hurdles to continue on the programme at home throughout the pandemic – receiving virtual support whilst juggling family and working life under lockdown.
Despite the challenges, Jenny’s blood glucose results, weight loss and largely positive experience to date, all indicate that she’s heading in the right direction. She said: “The programme hasn’t been easy but the consistent emotional support and awareness of the long-term health benefits has really spurred me on. I’ve lost twenty kilos since I was first diagnosed and feel great because of it.”
Jonathan Hayes, the dietitian supporting Jenny, reflected: “It’s brilliant to see that, despite this unprecedented situation, there are people out there like Jenny who have turned things around for the positive. And who stand a very good chance of coming out of the pandemic, having put their type 2 diabetes into remission. That is an incredible outcome.”
Regional health and social care providers are further committed to improving the working environment for their 84,000 employees and local areas are rolling out community based pilot projects to test a Whole Systems Approach (WSA) to diet and healthy weight.
Laurie Eyles, one of the newly appointed professional advisers for diet and healthy weight at the Scottish Government, who prior to this had been supporting partners as the programme’s clinical lead, said: “From delivering targeted interventions, to addressing the widespread issue of weight stigma and tackling the health inequalities which exist across the region – partners are committed to making lasting improvements to the environment in which we live.
“It is this that will allow us to build an East of Scotland where we eat well, have a healthy weight and are physically active – reducing our risk of developing type 2 diabetes for the long-term.”
For weight management and type 2 diabetes support during this time, please visit:
Projects working with young families to encourage healthy eating and good nutrition have been awarded a share of more than £600,000 of funding.
Ten initiatives around Scotland are being allocated funding by the Scottish Government, supported by Public Health Scotland, to help prevent and reduce levels of childhood obesity.
Among the initiatives are the Bump and Beyond Buddies scheme in Tayside, which aims to extend its successful peer support infant feeding programme and a pilot scheme in areas of deprivation in Lothian where 120 family workers and early learning childcare practitioners will be trained to support families in community settings in good nutrition.
The funding is part of the Scottish Government’s ambition to halve childhood obesity by 2030 and significantly reduce diet-related health inequalities.
Public Health Minister Joe FitzPatrick said: “We want children and families to have access to appropriate support to achieve as healthy a weight as possible, no matter where they live and we will continue to support local partners to develop ambitious and effective plans to prevent and reduce childhood obesity.
“We all have a responsibility to work together to help people in Scotland to achieve and maintain a healthy weight and these projects will help address inequalities in obesity between children in our wealthiest and poorest areas.
“As we set out in our 2018 Diet and Healthy Weight Delivery plan, our ambition is to halve childhood obesity by 2030 and significantly reduce diet-related health inequalities.”
NHS Lothian will trial HENRY, an evidence-based training package, with family workers and early learning childcare practitioners working across the four local authority areas.
The pilot brings together support for parenting efficacy, family emotional welbeing and behaviour change with information about nutrition, physical activity, oral health and more.
Tracy McGillivray OF NHS Lothian’s Health Promotion Service said: “The Childhood Obesity, Early Intervention and Prevention funding will allow NHS Lothian to work closely with our partners in City of Edinburgh, East Lothian, Midlothian and West Lothian.
“The project will work in areas where families are at increased risk of diet-related health inequalities.
“We will be able to provide training to community-based family support staff to have increased knowledge, skills and confidence around the promotion of eating well and ensuring consistent messaging in the importance of establishing good nutrition in the early years.”
A new minor injuries services helping people to access advice about minor injuries more quickly, easily and safely has been officially launched across the Lothians.
Introduced by NHS Lothian, Call MIA offers patients a confidential online video consultation with a Minor Injuries Nurse Practitioner. It provides advice on a wide range of injuries, less than 14 days old, from sprains, cuts and burns to suspected broken bones.
The launch follows a successful pilot of the service at the Western General Hospital in Edinburgh earlier this year, which received extensive positive feedback from patients and staff. During its first six months Call MIA helped over 1,000 patients with minor injuries, saving many an unnecessary trip to hospital.
The service has now been extended to include all minor injuries services across the Lothians including the Royal Infirmary of Edinburgh and St John’s Hospital in Livingston.
Gillian McAuley, Acute Nurse Director responsible for introducing the service, explained: “We’re asking anyone with a minor injury to Call MIA first”.
“A qualified nurse will advise if you can self-treat the injury or with the help of a local pharmacy. If you need to go to a minor injury service, you’ll be given an appointment, so you don’t need to wait when you attend. All of this can be done from the comfort of your home or workplace.”
The video appointment service is available 7 days a week by calling 0300 790 6267 between 8am and 9pm. It is open to children over the age of eight and adults of all ages who live in Lothian.
Dr Tracey Gillies, Medical Director of NHS Lothian added: “Not everyone with a minor injury needs to be seen in person. Call MIA provides an extremely valuable service for patients, helping people to access the right care in the right place, and get help quicker and closer to home where possible.
“As we approach winter it will be essential in reducing overcrowding in hospital waiting areas and keeping patients and staff safe during the COVID-19 pandemic.”
Call MIA can help patients with injuries including: strains, sprains and suspected broken bones; wounds and burns; damage to joints ligaments, muscles, nerves and tendons; minor bumps to head and face; eye injuries and insect bites and stings. It is operated using secure online software.
Anyone with a life-threatening emergency should always call 999.
Following the success of NHS Lothian pilot, Call MIA is being extended to other health board areas including NHS Forth Valley and Fife.
NHS Lothian announced last week that visiting across sites will be suspended unless for essential visits only.The decision is designed to help protect patients and staff by limiting the spread of coronavirus (COVID-19)
Fiona Ireland, Deputy Director of Nursing, NHS Lothian said: “Across Lothian, Scotland and the UK, we are seeing rising levels of COVID-19 within the community.
“We have taken the difficult decision to suspend visiting across our sites to help minimise the risk of transmission, to protect patients, our staff and the wider community, and to manage the increasing pressure on our acute and community sites.”
Where possible, ward staff have been contacting relatives, who had previously been identified as designated visitors, to advise them of the new arrangements and to provide more information.
Under the current guidance, some essential visits are still permitted; for example patients receiving end-of-life care, for patients with mental health issues including dementia, for inpatients in our children’s services and those accompanying partners during childbirth. Visiting arrangements for these groups should only take place following discussions with senior charge nurses or midwives.
Ms Ireland added: “I understand that not being able to visit family members while they are in hospital may be upsetting, but I would like to assure the public that this decision has not been taken lightly.
“With higher levels of COVID-19 cases within the community, there is an increased risk that visitors could inadvertently bring COVID-19 into our hospital sites, especially if they are not showing any symptoms.
“This decision will help manage the increasing risks of COVID-19 transmission and protect the safety of your loved ones, our staff and the wider community. I would urge our patients and families to help us by respecting this difficult decision.”
NHS Lothian understands that the public may have questions in relation to this decision, so have prepared some FAQs:
Why can’t I visit?
Cases of COVID-19 within the community have been rising. With more people potentially exposed to the virus, there is a real risk that visitors to our sites may be infectious, but not displaying any symptoms.
By suspending visiting, we hope to limit the spread of COVID-19 and in doing so help to protect those individuals, including your loved ones, who may be more at risk.
What is classified as an essential visit?
As per the Scottish Government guidance, essential visits include the following –
For patients receiving end of life care
For patients with mental health issues including dementia
For patients with learning disabilities
For patients with autism
For birthing partners
For children
Can I get personal items like clothes, nightclothes, toiletries to my loved one?
If you are in hospital, we understand how important it is to have personal items such as clothes and your own toiletries. If relatives need to bring personal items to their loved ones, they can still do this, but are expected to leave the items with the ward staff and not enter the ward.
If I want to give my loved one a phone or an iPad to communicate with me can I hand this in?
Yes, but like handing in clothes or toiletries you will be expected to leave the items with the ward staff and not enter the ward.
What if my child is in an adult ward, can I visit them?
If your child (up to the age of 18) happens to be in an adult ward, the nurse in charge will be able to advise when to visit and any constraints that may be placed around the visit. We would remind families, that if they have any symptoms of coronavirus (COVID-19) such as a high temperature and/or a new persistent cough, they should remain at home. Similarly if you have been identified as a close contact of someone who has tested positive for coronavirus (COVID-19) you should remain at home for the required isolation period, which is currently 14 days.
My partner is due to give birth, will I still be able to attend?
At present, birth partners are permitted to attend, however we ask that this is limited to just one person. The midwife in charge will be able to advise. We would remind birth partners, that if they have any symptoms of coronavirus (COVID-19), such as a high temperature and/or a new persistent cough, they should remain at home.
Similarly if you have been identified as a close contact of someone who has tested positive for coronavirus (COVID-19) you should remain at home for the required isolation period, which is currently 14 days
Delight for mental health charity Penumbra and partners as Milestone Edinburgh is recognised in prestigious awards
Penumbra Milestone in Edinburgh has been awarded a prestigious health award in the Mental Health and Wellbeing Awards. Milestone won the award for most innovative mental health service with judges describing the team as “going the extra mile with excellent outcomes”.
Penumbra Milestone is an alcohol-free 10-bed step-down residential facility which provides short-term care for people with ARBD (Alcohol Related Brain Damage) who no longer require medical intervention, but who are not ready to go directly home.
The service is a partnership between mental health charity Penumbra, NHS Lothian, City of Edinburgh Health&Social Care Partnership, Midlothian H&SCP, West Lothian H&SCP, East Lothian H&SCP, and Waverley Care.
Through the provision of intensive, multidisciplinary support Penumbra Milestone improves outcomes for people with ARBD and reduces the number of days they spend in an acute hospital settings despite no longer requiring acute medical care.
ARBD is the term that is used to describe a range of symptoms which occur following a prolonged period of heavy drinking, such as: difficulty remembering, difficulty concentrating, feeling confused, irritated, or having difficulty making choices and decisions. With the right care, support and treatment people with ARBD can make a significant recovery.
Penumbra Milestone Service Manager Lesley Forbes said:“We’re delighted to win this award for Milestone. The team and I are all feeling very proud that our work has been recognised in this way.
“Awards like this are a chance to raise awareness of ARBD and it also shines a light on the innovative work we undertake with the inspirational people who access our service here at Milestone.
“The wellbeing outcomes for people accessing Milestone who are at risk of slipping through the net are quite astounding. But we know that the more we recognise and understand ARBD and with the right support, people can and do make a significant recovery.”
East Lothian IJB Chair Councillor Fiona O’Donnell said:“Penumbra’s Milestone Project richly deserves the Innovative Interventions Award. I know that it has made a real and positive difference in the lives of the people who use its services.
“Congratulations to our partners at Milestone – your work and approach is outstanding and makes a lasting contribution to the recovery of people with ARDB.’’
Fiona Hume, Assistant Programme Manager, NHS Lothian said:“I am delighted that the ARBD Unit at Penumbra Milestone has been recognised for their innovative approach to supporting the mental health and well being of people with ARBD.
“The team’s hard work. skill and dedication to working with this vulnerable group of patients is truly inspiring and even more so in the challenging times of Covid. This service and all the staff involved are a great example of what can be achieved through partnership working and delivering a person centred care service.”
A number of people – understood to be fewer than five – have died in the Western General Hospital following an outbreak of Covid-19 on a cancer ward.Six other patients have also been confirmed with the virus.
NHS Lothian is investigating the outbreak and the oncology ward has been closed to new admissions and discharges to allow tests to be carried out.
Patients and staff are being screened for the virus as part of the health board’s response.
Public health expert Prof Linda Bauld told BC Reporting Scotland: “Infections do happen, not just for Covid, but the cause is always that someone has brought in the infection normally from outside, then it does spread.
“I know that the NHS has been working incredibly hard to develop Covid-secure areas, including priority testing for cancer patients. Obviously we just need to get to the bottom of why this happened.”
An incident management team (IMT) has been set up and strict infection control measures have been put in place on the ward.
All patients have been informed of the outbreak and contact tracing is being carried out.
Patients who would normally return home for the weekend have been asked to remain in the hospital to reduce the risk of further transmission.
Dr Donald Inverarity, consultant microbiologist and chair of the Incident Management Team, said: “Our thoughts are with the family of the deceased and I would like to express our sincere condolences.
“The situation will continue to be reviewed and monitored very closely.
“Patient safety is our main priority and while we understand that the request not to go home for the weekend may be upsetting, it is necessary.
“It will help reduce the risk of onwards transmission and protect their families and the wider community. I would like to thank patients and their families for their co-operation and understanding.”
A £20.6 million investment from the Scottish Government has been granted to improve cancer care services for patients at the Western General Hospital.
It will fund a range of construction and refurbishment projects to Oncology wards, services and facilities at the hospital. This includes building two new Linear Accelerator (LINAC) bunkers to house specialist cancer treatment machines, improvements to patient accommodation increasing the number of ensuite single rooms and relocating the Cancer Assessment Unit.
The project forms part of a wider masterplan for the Western General Hospital to transform services, create more space, comfort and privacy and provide access to modern facilities and cutting-edge equipment.
Jim Crombie, Deputy Chief Executive of NHS Lothian, said: “This Scottish Government funding marks a key milestone in an ambitious programme of investment to ensure the Western General hospital continues to provide high quality treatment and services into the future.
“It will greatly enhance the hospital as a centre of excellence and help us work towards our longer-term vision of opening a new Regional Specialist Cancer Centre.”
Additional projects currently being funded by other capital investments at the Western General include the modernisation of Haematology inpatient services and construction of a new outpatient facility, funded by an exceptional and incredibly generous charitable donation of circa £12 million.
A £1 million investment will create new facilities to expand the Clinical Trials footprint and a £6.2 million Renal Dialysis facility is also being constructed which will offer improved clinical areas and better clinical team facilities.
These projects are supported by a programme of ongoing infrastructure improvements and upgrades in and around the hospital to enable the construction and refurbishment works.
Chris Stirling, Site Director at the Western General Hospital added: “This work will greatly enhance the care, services and environment at the Western General. We are committed to the long-term future of the Western General and ensuring we provide staff and patients with the clinical space and services they deserve.
“We are grateful to everyone who has supported the projects so far and to our neighbours and the community for their patience and understanding whilst work progresses.”
Health Secretary Jeane Freeman said: “The Scottish Government is pleased to be supporting improved cancer facilities at the Western General Hospital in Edinburgh.It is a mark of improved population health that more of us are living longer overall, however this also means the incidence of cancer is rising.
“Improved treatments also mean more of us live longer with cancer as a chronic condition. It is therefore vital our NHS facilities keep pace with demand and offer the best environment possible for people with cancer and those who treat and care for them.”
Work across the projects is expected to be completed over the next three years, finishing in 2022.
Lothian MSP, Miles Briggs said:“This much needed investment at the Western General Hospital is welcome news and the improvement of cancer care service is crucial for the South East of Scotland.
“Cancer care has been significantly impacted by the Covid-19 pandemic and getting services fully resumed is critical for patients who are diagnosed with cancer.
“Ultimately a new Cancer centre, based at the Western General, will be needed going forward. This funding, which I have previously called for, will significantly improve cancer services until the new centre is built.
“I have called on SNP Ministers to update Parliament on plans for a new build Edinburgh Cancer Centre.”
