Cole-Hamilton comments on Lothian’s A & E “crisis”

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.”

Scottish Government announces new national facility for families affected by drug use

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.”

Record numbers vaccinated at Gyle Shopping Centre drop-in

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.

Pop-up Covid vaccination clinic opens at Gyle Shopping Centre

NHS Lothian has opened a pop-up vaccination clinic at Gyle Shopping Centre.

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.

More information here: http://ow.ly/3IWJ50FDPel

LEAP rehab service fully restored

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. 

More information can be found at: 

https://services.nhslothian.scot/leap/Pages/default.aspx

Vaccination Bus arriving at Morrisons Ferry Road tomorrow

COVID vaccination bus is still at Tesco, Musselburgh today until 7pm.

The bus will be rolling back into Edinburgh tomorrow to Morrisons on Ferry Road.

You can get your shopping as well as you 1st or 2nd dose of Moderna or Astra Zeneca:

https://nhslothian.scot/Coronavirus/Vaccine/Pages/Drop-in-Clinics.aspx

Enertor gives thanks to RIDU at Western General Hospital

Save the Nation’s Soles campaign

Healthcare company, Enertor, has announced its support for the exceptional work of the Regional Infectious Diseases Unit and staff at the Western General Hospital in NHS Lothian. As part of the Save the Nation’s Soles campaign, Enertor wishes to give thanks to all those who have and continue to work hard on their feet throughout Covid-19. 

Through the month of July, for every 5 pairs of protective insoles purchased at Enertor, 1 pair will be donated to the hospital staff. A presentation will then take place in August. 

The Western General Hospital is the second group to receive thanks from the UK insole manufacturer. Through June, and the efforts of communities across the UK, 500 pairs of gifted Enertor insoles were secured for the District Nurses across Braintree, Witham and Halstead, Essex.  A presentation is planned next week, to deliver the 500 insoles to the key workers. 

Chris Stirling, Western General Hospital Director says: “The RIDU has been at the heart of the Covid-19 response, in fact Western General Hospital looked after Scotland’s first inpatient at the start of the pandemic.

“Every single one of our staff, from nurses to doctors, porters to therapists, receptionists to pharmacists have been working tirelessly, often in excess of 12 hour shifts to ensure their patients’ health and wellbeing. Our ward nurses can log over 20,000 steps in just one shift so you can imagine how tired their feet feel.

“We are incredibly touched by the support of Enertor and excited to receive the gifted insoles in August for our team. It’s so important we keep our staff on their feet and injury free. We know these insoles will help to keep our staff mobile, aid their posture and generally reduce the stress on their bodies.

“We are a real team at WGH and we want to show our appreciation in any way we can for their continued efforts at this incredibly tough time.” 

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 needs your help … 

The company are calling on local communities 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.  

Nick Beresford, CEO of Enertor says: “When the local community nominated the RIDU at Western General Hospital, we were thrilled, as we couldn’t think of more worthy recipients. They have been at the front line of this terrible pandemic, putting themselves at risk and we would really like to thank them for all their tireless and wonderful work.  

“This campaign has been created to recognise the many extraordinary people across the country that have and are still spending a huge amount of time on their feet as key workers, volunteering, delivering, cleaning, caring and many other important roles through the pandemic.  

“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. 

“Our insoles are trusted by podiatrists, the NHS and the British Army. They help all kinds of foot and leg injuries and pain such as stress fractures, Achilles tendinopathy, plantar fasciitis and shin splints.”  

HOW CAN YOU SHOW YOUR SUPPORT? 

To give thanks to your local heroes and heroines, visit 

https://enertor.com/pages/save-our-nations-soles 

to nominate your chosen group and learn more about the vital role insoles can play in keeping you safe, mobile and injury free.  

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, one chosen organisation will be presented with their donation.  

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   

Major milestone reached as scheduled first doses completed for all adults in Scotland

The vaccination programme completed first doses for all over 18s who have attended their scheduled appointments at close of play yesterday – Sunday 18 July.

Second doses continue to be scheduled and it is expected all adults will have received them by Sunday 12 September.

Some of those eligible have rearranged their initial appointment for health or work reasons and will get their first dose shortly. Anyone else who has not yet received their first dose for whatever reason is urged to head to a local drop-in clinic or go to NHS Inform to book an appointment convenient for them.

Health Secretary Humza Yousaf said: “It is testament to the incredible work being done by all those involved in the vaccination programme that we have reached this milestone of giving first doses to all those who attended their scheduled appointments.

“I want to thank them and of course, everyone who has taken up their offer of a vaccine as each and every one is playing their part in helping us out of the pandemic and of course, protecting themselves and those around them.

“For anyone who hasn’t yet come forward, we urge you to do so now. We have made getting a vaccination easier than ever – head to one of the drop-in clinics being offered across the country or, if you prefer, book an appointment online at NHS Inform. Please check your NHS board’s social media posts for the latest information on where you can attend.

“All of the evidence says that the vaccines are working as we continue to battle the faster-transmitting Delta variant which is now dominant so I urge everyone to take advantage of the vaccination programme which is open to every adult in Scotland.”

Information on drop-in clinics