NHS Lothian: Free flu vaccine info

Flu vaccinations are already underway for 2 to 5-year-olds, primary and secondary school children.

Everyone else that is eligible for the free flu vaccine will be invited soon.

There’s no need to do anything just now and you don’t need to call your GP.

To find out if you’re eligible visit www.nhsinform.scot/flu

Hospital visiting guidance

We know visits from loved ones can help with recovery. Please help us keep everyone safe by following this guidance:

  1. To ensure that there are not high numbers of people in multi-bedded rooms we need to work with you to plan visits.
  2. Please do not visit if you have COVID symptoms or have been identified as a contact of someone who is.
  3. On arrival please check-in with a member of the ward team who will make sure that it is safe to visit.
  4. Each patient may have two designated visitors (this can be changed throughout the stay if required).
  5. If both visitors are from the same household, they may visit together. If they are not, they must visit separately.
  6. Visitors must have had both doses of the Covid vaccine, the second dose more than 14 days before any visit.
  7. Unfortunately, children and young people under 16 will not usually be able to visit.
  8. These arrangements may vary. In certain circumstances more than two people may visit, e.g. when patients are nearing the end of life, or for patients with dementia whose distress may be eased by the presence of a relative or carer.
  9. You must wear a face covering during your visit and follow infection control guidance.
  10. We want to ensure that our patients have close contact with you during the visit, therefore holding hands is permitted but you must adhere to hand hygiene requirements. You do not need to wear gloves.
  11. During outbreaks we may need to amend our guidance to maintain safety.
  12. Please maintain physical distancing in communal areas of the hospital.
  13. The name and contact details of those visiting will be kept should we need to inform NHS SCotland Test and Protect.


Thank you for following our guidance and helping keep everyone safe.

We encourage all visitors to take a voluntary Lateral Flow Test prior to visiting. Information on how to order Lateral Flow Tests is available on the Scottish Government’s website. Tests can also be collected from COVID testing centres in the afternoon or early evenings. If you do not wish to have a test or are not able to, you will still be permitted to visit.

It is essential you do not visit if you have any of the symptoms of coronavirus (COVID-19)

  • a persistent cough
  • flu-like symptoms
  • fever
  • new loss of taste or smell

It is also essential that you should not visit 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.

In order to keep our patients as safe as possible, the guidance may need to be amended at short notice. If this is the case, we will tell you why and keep it under review where possible.

Vaccination drive accelerated

Covid-19 booster vaccinations get underway today

– Lothian launches drop-in clinics for 12 to 15-year-olds

Residents in care homes for older people are the first to be offered coronavirus (COVID-19) booster vaccinations from today (Monday).

This group will be offered both flu and COVID-19 booster vaccines after the Joint Committee on Vaccination and Immunisation advised that they could be given alongside one another.

From tomorrow (Tuesday 21 September) frontline health and social care workers are able to book an appointment for a booster jab online at NHS Inform. The portal can be used by all health and social care workers to book a flu vaccine.

Adults aged 70 years and over and those 16 years and over who are on the highest risk list (previously known as the shielding list) will begin to be contacted by letter or by their GP from the end of September.  

People on the highest risk list who were severely immunosuppressed at the time of their last COVID-19 vaccination will be offered a third primary dose instead. 

Other eligible groups – including all those aged 16 to 49 years with underlying health conditions, adult carers, unpaid and young carers, adult household contacts of immunosuppressed individuals and all adults over 50 – will be able to book an appointment online from October.

Meanwhile, also from today (Monday) children and young people aged 12 -15 years old can go to drop-in clinics for a vaccination if they wish to get their jab before they receive their letter inviting them for a scheduled appointment. Everyone in this age group will be invited for vaccination at a community based clinic or a school delivery session from 27 September.

Heath Secretary Humza Yousaf said: “I am pleased to see the booster programme getting underway for residents in care homes for older people, offering longer lasting protection against severe COVID-19 illness.

“The booster programme will run alongside our biggest ever flu vaccine programme as both of these programmes are important for individual and for public health and wherever possible, those eligible will be offered COVID-19 booster and flu vaccines together.

“We are also starting vaccination of 12-15 year olds after Scottish Ministers accepted advice from the four UK Chief Medical Officers. This group can now head to drop-in clinics for their jabs or wait for a letter offering them a scheduled appointment.”

NHS Lothian launches drop-in clinics for 12 to 15-year-olds

Young people aged 12 to 15 will be able to get a COVID-19 vaccine at drop-in clinics across Lothian from today (September 20).

Mass clinics in West Lothian, Edinburgh and Midlothian will open their doors to young people as part of the latest phase of the national vaccination programme.

Pyramids, Gorebridge and Lowland Hall vaccination clinics will be the first in Lothian to administer the lifesaving vaccine, before more clinics are added to the list over coming days.

Pat Wynne, Director of Nursing for Primary and Community Care, NHS Lothian said: “We are delighted to offer drop-in clinics for young people aged 12-15.

“These clinics will enable young people to attend, without a prior appointment to receive their vaccination.

“We recognise that young people, as well as their parents and guardians may have questions regarding the COVID vaccination and we encourage them to visit the pages on NHS Inform where there is a range of information available.

“Alongside this, our teams at Pyramids, Gorebridge and Lowland Hall are one hand to answer any questions people may have.

“Vaccination remains critically important in the continued fight against COVID-19 and we welcome the further expansion of the vaccination programme across Lothian.”

The clinics are opening their doors following the publication and government acceptance of the advice of the four Chief Medical Officers (CMOs) to offer a single dose of the COVID vaccine to all healthy 12-15-year-olds.

Young people do not need to be registered with a GP to attend, however it is requested that they are accompanied by their parent or guardian.

As well as the drop-in clinics for 12-15’s, NHS Lothian continues to operate a range of COVID vaccination clinics in locations across Lothian.

Mr Wynne added: “We continue to offer vaccination clinics across Lothian for anyone who requires a first dose of the vaccine, or who is now due their second dose. I would urge anyone who has still to be vaccinated to pop along.”

More information on the 12-15 vaccination programme is available on NHS Inform https://www.nhsinform.scot/12to15

Information on clinic locations and opening times is also available on NHS Lothian’s website – https://www.nhslothian.scot/Coronavirus/Vaccine/Pages/Drop-in-Clinics.aspx

More funding for Child and Adolescent Mental Health Services

Support for children and young people with mental health issues

Funding of £10.83 million has been allocated for the remainder of this year to help improve access to Child and Adolescent Mental Health Services (CAMHS).

The investment will also increase the numbers of trained professionals to support children and young people with neurodevelopmental support needs.

The allocation is part the of £120 million Mental Health Recovery and Renewal Fund announced in February 2021, and will help to deliver a number of improvements, including:
· improve access to CAMHS assessments out of hours
· help to put in place specialist regional CAMHS services including those with learning disabilities and those requiring secure care
· Help provide access to CAMHS Intensive Home Treatment Teams
· Support mental health liaison teams within paediatric services.

The Recovery and Renewal Fund supports many mental health measures contained in the Programme for Government.

Other policies include extra support for health and care staff, completion of the commitment to recruit 800 additional mental health workers this year and a pledge that at least 10% of frontline NHS spending will go towards mental health over this parliament.

Mental Wellbeing and Social Care Minister Kevin Stewart, who announced the allocation during a visit to the Young People’s Inpatient Unit at The Royal Hospital for Children and Young People Edinburgh said: “I am pleased to announce the allocation of £10.83 million health boards to support children and young people with mental health issues, and those with neurodevelopmental support needs.

“This funding will lead to substantial improvements in the mental health care that children and young people receive in Scotland, ensuring that the right support is available in the right place at the right time.

“We know the pandemic has had a negative impact on many people’s mental health – whatever their age or circumstances. That is why we committed £120 million to the recovery and renewal of mental health services in this year’s Programme for Government. I hope that the allocation I have announced today makes a real and lasting difference to children, young people and their families.”

Joanna Barrett, Associate Head of Policy for the Devolved Nations, NSPCC Scotland, said: “Before the pandemic hit, thousands of children referred to mental health services in Scotland were having to wait unacceptable periods of time for treatment to begin.

“The profound impact of the conditions of the past 18 months on children has compounded this by increasing the need. Our Childline counsellors have heard from children struggling with loneliness and isolation, worries about education, abusive home environments and suicidal feelings.

This funding by the Scottish Government to address young people’s mental health is therefore crucial. However, this investment must go alongside more preventative efforts, including the provision of mental health support in schools, to ensure children get the help they need before reaching crisis point.”

Next steps for new Eye Pavilion

Health Secretary Humza Yousaf has confirmed that the outline business case for the new Edinburgh Eye Pavilion has been approved by the Scottish Government. NHS Lothian has now been invited to submit a full business case.

This will be part of a £10 billion investment in the NHS estate over the next 10 years, bringing about the renewal and replacement of health facilities across Scotland.

Mr Yousaf said: “I am delighted that we are a step closer to delivering improved specialised eye services for the city of Edinburgh and the wider region.

“The Scottish Government is committed to working closely with NHS Lothian to meet the demand for eye care, with improvements for patients and a more modernised service.”

Earlier this year, the Scottish Government asked NHS Lothian to carry out a review of eye care services, including redesigning pathways to enable patients to access care closer to home.

750 Nursing and Midwifery posts vacant in NHS Lothian

‘STAFFING LEVELS ARE REACHING CRISIS POINT’

Julie Lamberth, RCN Scotland Board Chair, said: “I wanted to highlight statistics which have been published today from NHS Education for Scotland, which show a worrying rise in NHS Nursing and Midwifery vacancies.

“Across Scotland a record high of 4,854 nursing and midwifery posts are vacant, which is 7.1% of posts, while in NHS Lothian, 750 nursing and midwifery posts are vacant, which is 6.9% of posts.

“Staffing levels are reaching crisis point across Scotland. As well as these vacancies, a significant number of nursing staff are on work related sick leave through stress and other mental health issues. Unless this is addressed, proposals to remobilise services and increase elective capacity are simply unachievable and the NHS Recovery Plan’s proposals to recruit 1,500 additional staff woefully inadequate.

“RCN Scotland members are clear about what needs to be done. Out of the 39% of members who have told us they are thinking of leaving the nursing profession, 73% of respondents said “improved pay” and 49% said “better staffing levels” would make them feel more valued.

“Implementation of the Health and Care (Staffing) (Scotland) Act 2019, fair pay for nursing staff in all settings and robust workforce planning are needed urgently to ensure Scotland has the nursing staff it needs to remobilise services as we continue to deal with Covid-19.”

Lothian MSP Miles Briggs said: “The number of Nursing and Midwifery posts that we have vacant across NHS Lothian is extremely concerning.

“NHS Lothian staff work incredibly hard to care for everyone who comes through their door, but the current position is unsustainable. These vacancies need to be filled for health boards to recover from the Covid-19 pandemic.

“SNP Ministers have failed to workforce plan pre-pandemic and we are seeing the consequences now, with many nurses considering leaving the profession.”

Delayed Discharge in NHS Lothian returns to pre Covid-19 levels

The number of days that patients who have been delayed from leaving hospital because of no appropriate place to go to has risen to 7,829 for July 2021, the latest month statistics are available for.

This is an increase of 2,004 from 5,825 delays throughout June and triple the number of bed days occupied from delayed discharge at the start of the Covid-19 pandemic when 2,531 delays occurred.

At the start of the Covid-19 pandemic SNP Ministers made the decision to move hospital patients into care homes, to free up hospital space for dealing with the Covid-19 pandemic. It later emerged that patients being moved from hospitals to care homes where not tested for Covid-19 leading to higher rates of Covid-19 deaths in care homes than anywhere else in Scotland.

The level of delayed discharge in NHS Lothian has now returned to pre- pandemic levels with the number of bed days in hospital for delayed discharge being 11 higher than March 2020, 7,278, when hospital patients where moved to care homes.

Edinburgh and the Lothians were in the process of recovering from a Social Care crisis before the pandemic hit, with the peak of delayed discharge in hospitals being in October 2018, when 11,855 combined days when patients were not able to leave hospital, despite being back to health.

Lothian MSP, Miles Briggs, said: “These figures are very concerning, with the number of patients being stuck in hospital without a suitable destination, returning to pre pandemic levels.

“In Edinburgh and the Lothians there has been a long standing challenge to provide social care, which started to shift towards care in the community.

“We are now seeing increasing numbers of patients not able to leave hospital and the Edinburgh Integrated Joint Board are planning on closing more care homes.

“Patients leaving hospital must have a suitable destination to go once recovered, so that we are not in a position where people are waiting days on end in hospital, when they don’t need to be there.”

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.”