Tag: NHS Lothian

Statement on historical links with Atlantic slave trade

A joint statement from NHS Lothian and Edinburgh and Lothians Health Foundation:

We are aware that hospitals across Lothian have benefited from funds realised from the Atlantic slave trade.

With colonialism and slavery being central to the national economy from the 17th to the 19th centuries, both Edinburgh and Lothians Health Foundation and NHS Lothian can be considered as joint descendants of the legacies of these donations and endowments.

We do not believe that there is a limitation period on such contributions and have a responsibility to address this legacy of colonialism, racism and slavery and use this learning to help remove inequality and shape a positive future for all.

We have made a commitment to research, understand and acknowledge our history so that we can learn from it and act. We will:

  • create a consultative advisory group, with representation from staff, patient, and community groups, to help guide and shape the research, learning and related outputs.
  • fund a research post to review archive evidence and secondary sources to compile a thorough documented history of the links between the old Royal Infirmary of Edinburgh and the Atlantic slave trade. (Funded by Edinburgh and Lothians Health Foundation)
  • use the research to guide outcomes and outputs and make recommendations for action to the NHS Board
  • seek to work alongside other institutions (such as the University of Edinburgh) who are undertaking similar reflective exercises.   

The impact of the roots of the slave trade is evident in the inequalities that we see today, with COVID-19 exacerbating and giving a public spotlight to these inequalities.

As an employer and healthcare provider we state without reservation that all staff and patients must be treated equally, irrespective of skin colour, culture, religion, sexuality, age, disability or gender.

We support the fundamental need for equality and inclusion at the heart of what we stand for. It is important that all staff and representatives of NHS Lothian, treat one another with care, compassion, dignity, and respect. These are a key part of our organisation values.

Working to embed diversity, equity and inclusion in everything we do

We believe better health for all is within our reach and in no way condone the actions of historical donors. Acknowledging and understanding this history and using this learning to inform our corporate objectives will support us to become a more diverse and inclusive organisation and help us to tackle racism, discrimination and inequality.

Though we have much to learn and more work to do, ongoing reviews of our internal processes and systems have already led to positive, practical changes in the way we work.

The following examples outline work that is already taking place:

  • Staff Networks
    We have established four Equalities Staff Networks, and committed to increasing support for them, and potentially further networks in the coming year.  At present we have vibrant groups as follows;
    • Black & Ethnic Minority Staff Network
    • Disabled Employee Network
    • LGBT+ Staff & Allies Network
    • Youth Staff Network
       
  • Corporate Objective and Workplans
    Our Corporate Objective 2021 – 22 on race ethnicity and diversity demonstrate our commitment to act now – starting with a facilitated series of one to one and group discussions involving our Corporate Management Team and Staff Network members
  • Our detailed Advancing Equality Action Plan 2021-22 was devised and agreed with members of all our staff networks over a series of workshops in Spring 2021
  • 360 Visions – Managed by Edinburgh and Lothians Health Foundation’s Tonic Arts programme, 360 Visions uses theatre, storytelling, music and filmmaking to understand NHS Lothian BME staff experiences of the COVID-19 pandemic from an equalities perspective and explores the multi-faceted challenges faced not only by BME staff, but also by Disabled, LGBT+ and Youth staff members. The aim is to help open a door for all colleagues to gain awareness of the difficulties faced on a daily basis, both in and outside of work, and why change needs to happen. It bridges a gap to enable staff to further educate themselves about the daily struggles, in order to create a culture of inclusivity, diversity and acceptance which allows positive changes to be achieved. NHS Lothian has come a long way to improve culture and diversity, but COVID-19 has reinforced that there is still work to be done. As part of this ongoing work, the 360 Visions creative programme will help provide a platform for diverse viewpoints to be voiced and heard, celebrating the incredible work and diversity of NHS Lothian.
  • Reflecting Diversity in our Art Collection – Our Art Collection plays an important role in the improved health and wellbeing of staff, patients and visitors with over 2,750 artworks displayed across over 40 NHS Lothian sites. We have undertaken a review of our collection to ensure this is reflective of a wide and diverse culture.
  • Review of EDI practices within our funded programmes
    Edinburgh and Lothians Health Foundation’s Tonic Arts team is working with Knowledge Bridge to help embed EDI as a core part of the Tonic Arts programme. Knowledge Bridge is working with the Tonic Arts team to review the current programme and develop an inclusive strategy, advising on how to develop a more diverse and inclusive Arts in Health programme for NHS Lothian.  

Record high number of patients waiting for an outpatient appointment in NHS Lothian

Lothian Tory MSP, Miles Briggs, has warned that NHS Lothian needs a record level of financial support to match a record number of patients waiting for treatments.

The number of patients waiting for an outpatient appointment in NHS Lothian has risen to almost 75,000 people, 74,546. This is an increase of 19,873 patients from 54,673 at the end of June 2020, an increase of 36%. The number of patients waiting for an appointment has increased from 65,855 at the end of June 2019, pre the Covid-19 pandemic. Over the last ten years, the number of patients waiting for an outpatient appointment in NHS Lothian has almost doubled, from 38,880 at the end of June 2011.

Lothian MSP, Miles Briggs, has repeatedly called for NHS Lothian to receive fairer funding from the Scottish Government with the health board receiving a lower percentage of funding than other health boards due to the formula used to work out allocations.

The Scottish Parliament Information Centre (Spice) found the gap between the amount NHS Lothian should receive and its actual allocation added up to a total of £365.7m, over the last 10 years.

Lothian MSP, Miles Briggs, said: “Under this SNP Government the number of patients waiting for an outpatient appointment has almost doubled.

“Over the last decade NHS Lothian has been underfunded by SNP Ministers and it is patients in Edinburgh and the Lothian’s who are suffering.

“NHS Lothian staff have made an incredible effort over the last year and a half and patients waiting numbers are still growing.

“Significant investment will be needed to return services to even where they were five years ago and this SNP/ Green government -who is independence first and recovery second – isn’t up to the job.”

End in sight to parking charges at Royal Infirmary Edinburgh

Talks at advanced stage to take over Edinburgh facility

Hospital parking charges are set to end permanently in Scotland after agreements were reached to buy out two car parks in Glasgow and Dundee operated through PFI (private finance initiative) schemes.

Negotiations are also progressing to take over the last remaining PFI car park in Scotland at Royal Infirmary of Edinburgh, with an agreement expected to be reached in the coming months.

Parking charges have been suspended at the three hospital PFI facilities since the start of the Coronavirus (COVID-19) pandemic. The agreements to take the car parks into public hands will mean this becomes permanent.

The new Scottish Government had pledged to take steps to end hospital parking charges permanently at PFI sites in Scotland during its first 100 days.

Health Secretary Humza Yousaf said: “I am delighted to announce that these facilities will come into public hands and help phase out the legacy of PFI in hospital car parks in Scotland.

“We all owe a huge debt of gratitude to our NHS workforce for their heroic efforts throughout the pandemic and this will ensure that, along with patients and visitors using our hospitals, they will not face the prospect of parking charges returning.

“There are no car parking changes in place at any hospitals after this Scottish Government secured an arrangement to suspend these at the three PFI sites at the start of the pandemic. Charges at other NHS car parks had already been abolished by this Government.

“This announcement shows we are determined to ensure they will not return at any PFI site in Scotland. Talks are progressing well with the owners of the Royal Infirmary of Edinburgh site and I am hopeful of reaching an agreement in due course. As this progresses we will be keeping the car park at the hospital free while the final agreement is reached.”

NHS Lothian Deputy Chief Executive, Jim Crombie said: “We look forward to the completion of negotiations with our PFI provider to end parking charges on our sites permanently and are grateful for the funding that enables staff and patients to continue to park free of charge in the meantime.”

The Scottish Government has provided the funding for NHS Greater Glasgow and Clyde to complete the buyout of the PFI car park contract at Glasgow Royal Infirmary for £26.3 million, taking over the facility. A similar arrangement has been reached for NHS Tayside to buyout of the PFI car park contract at Ninewells in Dundee for £9million.

NHS Tayside Director of Facilities, John Paterson said: “We know that the suspension of car parking charges at Ninewells Hospital has benefited patients, staff and visitors alike and it has made a real difference to those who have come on to our site since March 2020. 

“Today’s announcement of the permanent removal of parking charges at Ninewells is welcome news for everyone. We have worked closely with Scottish Government and car park operators Saba UK to achieve this and we are continuing to work with Saba UK to ensure car parks are managed effectively, enabling patients, staff and visitors to park safely at the hospital.“

NHS Greater Glasgow and Clyde Director of Facilities and Estates, Tom Steele said: “We have been working closely with Scottish Government colleagues to remove parking charges for staff, patients and visitors from all of our hospital sites.

“It has been an aim of NHSGGC for some time that our staff can come to work and not be charged to use the parking facilities, so I am really pleased that this work has now concluded and we are able to offer free parking to all staff working at each of our hospitals as well as patients who will be attending to receive treatment and their loved ones who visit them.”

Car parking charges were suspended at the Glasgow Royal Infirmary, the Royal Infirmary of Edinburgh and Ninewells Hospital, Dundee in March 2020 at the beginning of the pandemic. 

Waiting times: what’s happening?

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

Patients are being classified in the following groups:

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

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

About your appointment

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

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

Keeping an eye on your condition

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

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

Self Help

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

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

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

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

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

Other Support

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

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

Your rights and responsibilities

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

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

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

  • Availability
  • Appointments
  • Attendance

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

MSPs concern over record number of alohol related deaths

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.”

Table 6B: Single year figures for alcohol-specific deaths and age standardised rates by current Health Board area1: registered in Scotland, 1979 to 2020 back to contents
   
                
 Number of deaths registered
YearAll Scotland2Ayrshire and ArranBordersDumfries and GallowayFifeForth ValleyGrampianGreater Glasgow and ClydeHighlandLanark-shireLothianOrkneyShetlandTaysideWestern Isles
197938916141482717613415030272
198036918161181518623284522192
198134818342092313619326311142
198235514149112315524375411163
1983351184412122112728405430280
1984369173101682514825335910193
1985395202716103314821425713305
198638417248143116722365410222
1987384212714161815623365221332
1988427285712162614129606912262
1989449254916102118522308522315
1990436356421193916613345715341
1991431247920173511536467806380
1992410245617213711624555826372
1993451334828303513327506121363
1994550348922243718937657123463
19956273071132194423945588131498
199677554610342456310367410532556
199786186614223649333

…

Lowest ever levels of A&E performance show NHS ‘near boiling point’

‘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.”

Performance figures for Emergency Care for the NHS in England in July 2021 showed that:

  • 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.”

https://www.publichealthscotland.scot/publications/nhs-performs-weekly-update-of-emergency-department-activity-and-waiting-time-statistics/nhs-performs-weekly-update-of-emergency-department-activity-and-waiting-time-statistics-week-ending-1-august-2021/

Ask the GP – live webinar for Polish community tomorrow

“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, Feniks would 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.

Ask a question prior to the meeting: https://bit.ly/pytaniadoGP

SAVE THE DATE: Thursday, 12 August, 19.30 (the UK time)

The meeting will be held live on Feniks’s Facebook: 

https://www.facebook.com/Feniks.Support.Services

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.

Zachęcamy do zadawania pytań przed spotkaniem:
https://bit.ly/pytaniadoGP

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

Spotkanie odbędzie się live na profilu facebookowym Feniksa: https://www.facebook.com/Feniks.Support.Services

Nagranie ze spotkania zostanie zapisane i udostępnione na profilu Feniksa na Facebooku oraz na YouTube. Rozmowa odbędzie się w języku polskim.

Enertor thanks Western staff

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. 

Talking at the event, Chris Stirling, Western General Hospital Director said:  “The Western General Hospital looked after Scotland’s first inpatient at the start of the pandemic and every day since all of our staff from nurses and doctors on the frontline to porters and administrative staff have all been working tirelessly to support our patients’ health and wellbeing and their fellow colleagues.  

“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: 

https://enertor.com/pages/save-our-nations-soles to nominate your chosen group. 

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. 

www.enertor.com