Tag: NHS Lothian

Briggs: Health Secretary ‘misled Scottish Parliament’

On Tuesday this week, Miles Briggs MSP asked Jeane Freeman MSP what her response was to concerns raised by the former chair of NHS Lothian regarding the new Royal Hospital for Children and Young People.

http://www.parliament.scot/parliamentarybusiness/report.aspx?r=12568&i=113612

The Cabinet Secretary for Health stated: “I stress that, on 4 July, I took the decision to halt the move. Mr Houston next met me on 18 July. At no point in the intervening period did he – the chair of a major NHS board – feel that it was incumbent upon him to contact me, as the cabinet secretary, to discuss what might have gone wrong or what should be done next and where the board should be involved.”

It has since transpired that the Cabinet Secretary for Health was contacted by Mr Houston by email on 12 July, despite Parliament being repeatedly told otherwise.

The Scottish Government have refuted that Parliament had been misled on the grounds that the email by Mr Houston did not refer to specific issues.

The correspondence from Mr Houston referred to the “RHCYP/DCN situation” as well as assurances that himself and the board were handling the situation and an offer to meet for a 1 to 1 chat prior to the meeting on the 18th July.

Scottish Conservative Health Spokesperson, Miles Briggs, said: “It truly beggars belief that while Jeane Freeman was answering allegations of lying, she misleads the Scottish Parliament.

“The Health Secretary’s transparent attempts to smear Mr Houston have been exposed for what they are.

“The truth is that Jeane Freeman simply refuses to take responsibility for the mess at the Sick Kids hospital and continues to blame everyone but herself.

“It is clear that Mr Houston did attempt to contact the Cabinet Secretary for Health prior to the 18th July, but was ignored by her, as he has been since Ms Freeman took up the post.”

Children’s mental health services ‘creaking at the seams’

  • The NHS in Scotland failed to meet a maximum 18-week waiting time target for children and young people to receive treatment from mental health services
  • More than a third are waiting more than 18 weeks for treatment.
  • 11 out of 14 health boards, including NHS Lothian, failed to meet the 18-week waiting time target.
  • 272 children and young people waited more than a year prior to being seen
  • Coalition calls for fundamental rethink and renewed focus on prevention and early intervention, including embedding mental health within education.

Latest waiting time figures have reinforced the call by a coalition of leading independent and third sector children and young people’s service providers for dramatically increased investment in mental health services in the budget to address the current mental health crisis.

It has also called for an urgent need for transformational change in services, focusing on prevention and early intervention in order to tackle what is one of the greatest public health challenges of our time.

The call from the Scottish Children’s Services Coalition (SCSC), which campaigns to improve services for vulnerable children and young people, comes as the latest waiting time figures from the Information Services Division, part of NHS National Services Scotland, highlight that thousands of children and young people are failing to treated within a Scottish Government waiting time target.  

With an increasing number of children and young people being identified with mental health problems they also highlight a postcode lottery for mental health treatment across the country.

Covering the quarter October to December 2019, the figures highlight that 3,884 children and young people started treatment at specialist child and adolescent mental health services (CAMHS) in this period.

The NHS in Scotland, including 11 of the 14 regional health boards, failed to meet the Scottish Government 18-week waiting time target for children and young people to receive treatment from CAMHS. This target should be delivered for at least 90 per cent of patients.

While 66.4 per cent in the NHS in Scotland are being seen within this 18-week waiting time, still in itself far too long, more than a third (33.6 per cent) are failing to be seen within this period.

Individual health boards failing to meet this target are: NHS Fife (66.1 per cent), NHS Ayrshire & Arran (89.9 per cent), NHS Grampian (80.1 per cent), NHS Greater Glasgow & Clyde (68.9 per cent), NHS Highland (75.2 per cent), NHS Lanarkshire (57.8 per cent), NHS Lothian (48.4 per cent), NHS Tayside (57.4 per cent), NHS Dumfries & Galloway (88.6 per cent), NHS Shetland and NHS Forth Valley (57.7 per cent).

The figures also indicate that 272 children and young people in the October to December quarter had been waiting for more than a year prior to being seen for treatment, an increase from 204 in the previous quarter and a considerable increase from the  same quarter of last year (108).

Mental health services are creaking at the seams due to greatly increasing demand, as evidenced by these waiting time figures. Research indicates that 10 per cent of children and young people (aged five to 16) has a clinically diagnosable mental health problem (around three in every classroom), with 50 per cent of mental health problems established by the age of 14 and 75 per cent by the age of 24.

While acknowledging the great efforts the Scottish Government is making, such as an additional £250 million of funding announced in the Programme for Government of 2018, the SCSC has called for the Scottish Government to greatly increased investment in CAMHS and for a more consistent approach to delivering these services across Scotland. 3

It has also called for a renewed focus on prevention and early intervention for those with mental health problem, reducing the need for referral to under-pressure specialist CAMHS.

This includes embedding mental health within education from an early age in order to strengthen knowledge and awareness of mental health, as well as reducing the stigma associated with mental health.

SCSC says emotion and resilience classes should be provided to all students from primary one to teach students how to work through their emotions in a healthy way and there should be a whole-school approach, with training for all staff involved in education and providing counselling support.

A spokesperson for the SCSC said: “These latest waiting time figures highlight that we desperately need increased investment in the forthcoming budget to address this situation. The simple fact is that we are continuing to fail thousands of children and young people with mental health problems, and more clearly needs to be done to address this epidemic.

“These newly released figures highlight that the NHS in Scotland, including eleven of our health boards, are failing to meet what is already a lengthy waiting time. Yet we know that three children in every classroom has a clinically diagnosable mental health problem.

“There must be a radical transformation of our mental health services, with a focus on preventing such problems arising in the first place and intervening early, especially when we know that half of all mental health problems begin before the age of 14.  This includes embedding mental health within education from an early age as well as providing training for all staff involved in education.

“With mental health and the issues associated with it representing one of the greatest public health challenges of our time, we must ensure that children and young people are able to get the care and support they need, when they need it. This includes investing in greater community support and support at school, reducing the need for referral to specialist CAMHS.”

One in three young people in the Lothians are waiting over a year for mental health support.

Miles Briggs, Scottish Conservative Lothian MSP, said: “It is deeply concerning that we are now in a situation where over a third of young people referred for mental health support in NHS Lothian are having to wait over a year.

“SNP Ministers have allowed us to reach crisis point by not properly managing NHS Lothian’s workforce and must take responsibility for neglecting to take action over the mental health crisis amongst young people.

“These figures show just how urgently we need an additional 40 whole time equivalent mental health professionals in NHS Lothian.”

Coronavirus: ‘Drive through’ testing introduced

Testing arrangements for coronavirus are being expanded across Scotland. 

Health boards are implementing a range of different methods for people in their areas to access testing. This ranges from testing in contained areas at local health centres, to community testing in the home, and ‘drive-through’ testing in some areas.

NHS Lothian is the latest health board to introduce ‘drive through’ testing, where patients with mild symptoms drive themselves to a contained area of the Western General hospital for testing, enabling them to avoid public transport or walking.

However the drive-in initiaitve is NOT for self-referalls.

Dr Tracey Gillies, medical director at NHS Lothian, stressed: “This service is for patients who have been assessed by the specialist team so it is an appointment-only service. It is not a drop-in clinic and it is important to stress that patients cannot be seen without an appointment.

“The drive-through facility and the community testing teams allow us to test patients without them coming into healthcare facilities. Patients will be referred on by their GP or NHS 24 if they are at risk of the virus and meet the clinical criteria.

“They will then be referred on to our teams, who will decide whether they need to be tested in their own homes or if they are well enough and can use their own transport to drive to the Western General Hospital.”

Other boards are running community testing, which allows people to be tested in their own home where appropriate. This involves staff from public health teams attending people’s homes in protective suits to provide testing, and offer advice to anyone displaying symptoms.

It follows the introduction of specialised coronavirus screening laboratories in Glasgow and Edinburgh.

Chief Medical Officer Dr Catherine Calderwood said: “Although all test results have come back negative so far, it is only a matter of time before there is a positive case in Scotland. 

“Our priority is to ensure testing facilities are available across Scotland, so we have asked health boards to explore options for people in their area depending on their needs. Methods of testing will be different depending on factors like population and geography.

“Scotland is well-prepared to deal with coronavirus. We need the public to help contain spread by keeping themselves informed of the latest health and travel advice, and taking basic hygiene precautions such as hand-washing, not touching their face and covering their nose and mouth with a tissue when coughing or sneezing and binning the tissue straight away.”

NHS England news release on drive through testing

The Scottish Government and NHS Scotland are well-prepared to deal with a potential coronavirus (COVID-19) outbreak and are working with the UK Government, Wales and Northern Ireland to publish a coordinated response.

In the coming days the four nations will jointly publish an updated action plan on the response of the health care system and the public to coronavirus. The document will outline the steps that will be taken to manage coronavirus if there is a sustained epidemic.

The Scottish Government is also participating in the UK wide launch of an updated public information campaign this week. It will feature posters and social media adverts to reinforce the importance of hand-washing, for 20 seconds or more with water and soap, to prevent the spread of the virus.

In addition, the Scottish Government has:

• stood up its Resilience Room (SGoRR) with both Ministers and officials meeting regularly to ensure the country is prepared
• participated and engaged in UK Government COBR activity
• developed emergency regulations to ensure coronavirus is a notifiable disease
• implemented a training programme and trained Scottish Ambulance Service staff to support the transport of patients that may be infectious
• established two laboratories in Scotland (Glasgow and Edinburgh) to manage an increase in testing
• delivered face masks to GP practices as a precautionary measure
• developed and issued guidance to clinicians as well as sector specific information to schools, universities, ports and airports to ensure members of the public are alerted to the latest clinical information
• established a dedicated helpline within NHS 24 to provide members of the public with the opportunity to receive information and discuss concerns
• developed an online resource via NHS Inform that can be accessed 24/7

Health Secretary Jeane Freeman said: “In Scotland we have a proven track record of dealing with challenging health issues and while all tests have so far come back negative, it is highly likely that we will see a positive case soon as coronavirus continues to spread around the world.

“As part of our efforts we are working with the UK Government, Wales and Northern Ireland to publish a coordinated response in the coming days.

“Staff across the Scottish Government, its agencies and key partners are stepping up work to deal with the potential consequences of a coronavirus outbreak. This includes prioritising key activity to keep Scotland running should the situation change, but also to ensure that all sectors can play their part in managing the response.

“Led by the Chief Medical Officer, Dr Catherine Calderwood, our clinicians and Health Protection Scotland are working closely with their counterparts across the UK to guarantee a consistent and joined up approach.

“We will continue to ensure we are as prepared as possible for the likelihood of coronavirus cases in Scotland and will continue to work with health boards, local authorities and other governments across the UK in ensuring that plans and preparations are in place to respond.”

The UK has 23 confirmed cases – none so far in Scotland – but there are warnings more will inevitably follow.

Don’t Sit Still!

Young at heart get active with chair-based exercise

Active Communities March 2019

Edinburgh Leisure’s Ageing Well programme, working in partnership with Steady Steps, an NHS community-based health referral programme, has launched a new chair-based exercise class in a new locality at the Queensferry Sports & Community Hub. 

Running every Monday, from 11.45 am – 1.00 pm, the class launched on Monday, 3rd February with eight people attending and more participants expected over the coming weeks.

The Ageing Well Project, run by Edinburgh Leisure in partnership with NHS Lothian, delivers a range of city-wide activities which support people to become, and remain, active in later life.

The emphasis is on meeting new people and making physical activity accessible and enjoyable. Each session is followed by refreshments and time for that all-important chat and a cuppa.

Steady Steps is run in partnership with NHS Lothian and delivers group exercise sessions to people who have had or are at risk of having a fall with the aim of preventing future falls and injury.

There is scientific evidence that the exercise used in the sessions help to increase endurance, strength, flexibility and balance. The classes are delivered in a safe environment and can be adapted so no exercise is too easy or difficult for any individual.

Michael McLaughlin, Specialist Health Instructor at Edinburgh Leisure said: “These classes will act as a pathway for those attending Steady Steps, so they have a class to continue on to.  It will mean that they don’t undo all the hard work they have put in when they have been attending the 16-week Steady Steps programme for 1.5 hours each week.

“We’re also hoping to welcome any other older adults in the community looking to be active.  No specialist equipment or workout gear is required.  Just wear lose, comfortable clothes and trainers or soft-soled shoes.  It’s such a great opportunity to make new friends too and of course, socialise over tea and biscuits afterwards.”

A donation of £2 is welcomed for the class.

Interested?  Just turn up at the Queensferry Sports & Community Hub, 30 Ashburnham Road, Queensferry, South Queensferry EH30 9JN

Family Nurse Partnerships celebrate tenth anniversary

The Family Nurse Partnership (FNP) programme celebrated it’s 10th birthday last week with special guest Nicola Sturgeon.

The First Minister, who initially helped launch the programme in Scotland ten years ago, attended the event in the Edinburgh Corn Exchange to meet many of the mothers and staff who she first met back then.

The First Minister said: “The Family Nurse Partnership is really close to my heart. We know that for any woman becoming a mum is a life changing experience but for young, first time, mums it can present particular challenges and the whole point of the Family Nursing Partnership is about helping young mums to overcome those challenges.

“It really helps mums and dads to give their children the best start in life and in my opinion it’s probably the best investment we can make as a society.”

FNP focuses on helping young, first time, mothers and their families to provide responsive, sensitive and positive parenting. It also helps them to develop self-efficacy to both identify and achieve their future goals.

Laura Wilson, 26, from Edinburgh, who was one of the first mothers to join the programme back in 2010 said: “Pam, my first Family Nurse, was willing to let me take things at my own pace and encouraged me to bond with the baby.

“Shortly after Caitlin was born I changed Family Nurses to Trudy, but honestly she was so nice and couldn’t have done a better job.

“She helped me to have the confidence to get out of an unhealthy relationship, which allowed me to be happier and to be a better parent.

“She also saw potential in me to help other parents in the community to breast feed. I received training and that allowed me to apply for my first job in the NHS as a clinical support worker and I’ve been there for six years now and I’m currently studying towards a HNC in care.”

In 2010 NHS Lothian became the first health board to provide this service in Scotland. In March 2015, Nicola Sturgeon announced Edinburgh city (as part of NHS Lothian) had been formally recognised as the first city in the world to have achieved delivery of a concurrent FNP service to all eligible clients. Since then the service has expanded to cover all of Lothian.

Val Alexander, the original FNP Supervisor for NHS Lothian, said: “Our first clients showed us that they wanted to become the best mums they could be for their children. Last night they evidenced that they had achieved their goal.  The first children of FNP now age 8-9 years presented as happy, confident and inspiring to all who attended.”

The programme was first developed 40 years ago in the United States of America by Professor David Olds and the University of Colorado. It has shown to improve pregnancy and health behaviours, reduce child abuse and neglect, increase maternal employment and economic self-sufficiency and reduce closely spaced subsequent pregnancies.

Since the initial introduction in Scotland the programme has continued to grow; for example the service was initially offered to mothers 19 years of age and younger where now it supports mothers from 21 years of age and younger. From 2015 NHS Lothian has supported NHS Borders to implement the FNP programme and in 2019 similar arrangements were put in place to include NHS Dumfries & Galloway.

Dorothy-Ann Timoney, FNP Supervisor, said: “We remain proud of our FNP programme in Lothian and as we strengthen and focus on quality improvement for our service we continue to value the ongoing feedback from the staff, clients and their families.”

Free Training Opportunity: Getting the Balance Right: Physical Activity and Healthy Eating

This course provides participants with the information, confidence and tools to support their client group to put healthy eating and physical activity recommendations into practice to improve health and wellbeing. 

WHERE AND WHEN

Tuesday, 17 March: 09:30 – 16:30

Chancellors Building

Seminar Room 1

Edinburgh Royal Infirmary, EH16 4SA

WHAT

Participants will have the opportunity to: 

·        Gain an understanding of the policy context relating to food and health, physical activity and mental wellbeing 

·        Gain an understanding of current eating and physical activity patterns in Scotland. 

·        Increase understanding of the definitions, key messages around food & health, physical activity and the links to mental wellbeing. 

·        Increase awareness of barriers to healthy eating and physical activity & raise awareness of behaviour change. 

·        Understand risk factors and benefits associated with healthy eating and physical inactivity 

·        Be aware of national and local initiatives and resources for promoting healthy eating, physical activity and mental wellbeing 

·        Reflect on learning and how it will inform professional practice. 

This course is provided free of charge by NHS Lothian Health Promotion Service. 

Book your place through Eventbrite HERE

John Brennan | Senior Health Promotion Specialist (Physical Activity) | NHS Lothian Health Promotion Service | R4008 Canaan Park  Astley Ainslie Hospital 133 Grange Loan Edinburgh EH9 2HL |  ( 0131 537 9419 È07776 225 778

Busiest year ever for NHS Lothian

The year 2019 was the busiest on record for NHS Lothian’s hospitals and community health centres, according to new figures published.

NHS Lothian provided care and treatment to more patients in 2019 than ever before, an increase of nearly three per cent (2.7%) on the previous year.

Local figures show a total of 1,693,614 attendances, admissions and appointments throughout acute and community services. In addition, general practices carried out around 5,000,000 urgent and routine appointments across Lothian.

Dr Tracey Gillies, Medical Director, NHS Lothian said: “The beginning of the year is a good time for us to reflect on what we have achieved in 2019 and look ahead to how we can improve and evolve in 2020.

“Every number represents a patient who required safe, effective, patient-centred care. These statistics show just how hard our staff work all year round to provide the highest quality care for our patients.

“I would like to thank them for all of their hard work as we look forward to a new decade of care.”

The number of adults and children requiring urgent care in Emergency Departments (ED) and Minor Injuries Units (MIU) across NHS Lothian rose by five per cent, compared with last year. On average, around 800 patients attended each day, with 288,663 people treated overall.

A total of 218,706 people were admitted into hospitals across NHS Lothian in 2019, a five per cent increase on the numbers for 2018.

Throughout the year, 1,046,277 outpatients were seen in clinics across community and hospital sites in NHS Lothian.

Meanwhile a total of 139,968 patients received unscheduled GP care including doctor’s advice, primary care emergency centre consultations, home visits and district nurse care. An increase of 1.49% increase from 2018.

Tim Davison, NHS Lothian Chief Executive said: “These figures underline just how important it is that the provision of healthcare services continues to evolve to meet rising demand and the changing needs of our population.

“This is not without considerable challenge, but NHS Lothian is committed to working with our Health and Social Care partners to redesign services across Lothian to meet that need.”

One more challenge NHS Lothian faces this year is the recruitment of two senior executives. Board Chairman Brian Houston resigned last week, and Chief Executive Tim Davidson, who announced his intention to retire last month, leaves in August …

NHS Lothian’s Nightingale Challenge set to inspire next generation of future leaders

NHS Lothian has launched its Nightingale Challenge to inspire nurses and midwives across the board to become future leaders.

The challenge, which is taking place around the world, forms part of the celebrations for the Year of the Nurse and Midwife and marks 200 years since the birth of Florence Nightingale.

The Nightingale Challenge encourages health employers to provide leadership and development training for their young nurses and midwifes during 2020. To date, more than 570 employers in 66 countries have signed up, involving around 25,000 nurses and midwives worldwide.

Across NHS Lothian, the focus for the challenge is ‘Inspiring the Next Generation.’ Through a programme of work NHS Lothian wants to promote the diversity of nursing and midwifery roles, and to highlight the various pathways to joining the professions. Already around 50 students and registered nurses and midwives across Lothian have signed up to take part.

The launch event on 24 January provided an opportunity for attendees to share their journeys into nursing and midwifery and to get involved in developing ideas to support the programme of events taking place throughout 2020 to mark the Year of the Nurse and Midwife.

Professor Alex McMahon, Director of Nursing, Midwifery and Allied Healthcare Professionals, NHS Lothian said: “I am delighted that NHS Lothian is joining the celebrations to mark the Year of the Nurse and Midwife, and that as part of this, will be getting involved in the Nightingale Challenge.

“The skills and experiences that I gained from my nursing days really have supported and enabled me to move into a range of leadership roles.

“I hope that through the Nightingale Challenge, we can inspire and encourage our young nurses and midwives to see themselves as future leaders, who will help to shape and support our NHS for years to come.”

NHS Lothian’s promotional activities in support of the Nightingale Challenge and the Year of the Nurse and Midwife can be followed by searching the hashtags #LothianYNM2020, #NightingaleChallenge, #ScotNurses2020 and #ScotMidwives2020 on social media. 

Who Cares? Tory concern over hard to fill job vacancies

The Care Inspectorate and Scottish Social Services Council (SSSC) published new figures on the levels of staff vacancies in Scotland’s social care services yesterday.

Edinburgh has the highest percentage, 57%, of services reporting that vacancies are hard to fill and almost half of posts unfilled 49%.

West Lothian, Midlothian and Edinburgh have all shown an increase in the number of vacancy rates with East Lothian dropping slightly to 32%. 

Latest figures show West Lothian had 78 vacancies, 35%, Midlothian had 47 vacancies, 40%, and Edinburgh had the highest number of vacancies in Scotland 334, 49%.

Lothian MSP, Miles Briggs, said: “This report highlights the ongoing challenges of recruitment in Social Care and is another example of SNP Ministers’ terrible record on workforce planning.

“The continued high rate of vacancies for social care makes if very difficult to see improvement to services.

“Issues such as delayed discharge in hospitals and shortages in adult care homes are not going to be fixed until recruitment of staff is resolved.

“Edinburgh and the Lothians have particularly high vacancies for Social Care staff and have higher than average services struggling to fill posts.”

The report comes as the Scottish Government launches a new campaign to promote careers in adult social care ‘There’s More To Care Than Caring’.

The staff vacancies report provides a national overview of vacancy levels and recruitment difficulties reported by care services registered with the Care Inspectorate. It also includes data on the actual number of vacancies services have, which is held by the SSSC.

In the past year, 38% of services reported having vacancies, which is unchanged from the previous year.

However, care homes for adults, care homes for older people, housing support services, care at home services, nurse agencies and residential special schools all had a proportion of services with vacancies significantly above the national average for all care services.

Daycare of children and adoption services were significantly below the national average for all care services reporting vacancies.

At 31 December 2018, the rate of WTE vacancies for all services in Scotland was 5.5%, down from 5.9% in 2017. This was higher than the overall vacancy rate across all establishments in Scotland of 3.1%.

Lorraine Gray, Chief Executive of the SSSC said: “A vital consideration when looking at vacancies in care services is making sure that social care attracts people with the right values, skills and experience to work in the sector.

“We’ve worked with Scottish Government on the adult social care recruitment campaign, launched today, which aims not only to encourage more people to consider a career in care but also emphasises the values you need.

“The social service workforce is growing, there are more than 200,000 people working in the sector, which is almost 8% of all employment in Scotland, so there are lots of opportunities and different types of roles.

“It’s a fulfilling and rewarding career which gives you the opportunity to work towards qualifications as part of a professional workforce making a positive difference to people’s lives.”

Peter Macleod, chief executive of the Care Inspectorate said: “We know that an effective and stable staff team is important for providing the world class care everyone wants to see.

“It allows trusting relationships to be developed between people providing and experiencing care, often supporting positive experiences and outcomes.

“The Care Inspectorate recognises that recruitment and retention into some parts of the social care sector remains a challenge, and we collect significant data about the places and parts of the sector where recruitment problems are more challenging.

“This report has been prepared to provide a national overview of the vacancy levels and recruitment difficulties reported by care services in their Care Inspectorate annual returns.

“We know, of course, that numbers do not tell the whole story. The skills, experiences, and values of social care staff are just as critical as the right number of staff being employed.

“However, going forward we expect to see more innovative solutions embraced by care providers and commissioners, as well as increased partnership working between social care services, local authorities and other key partners to ensure that the underlying issues around filling problem vacancies can be addressed.”

Every care service is asked to complete an annual return every year to provide statistical and other information. The vacancy questions are asked for every care service type apart from childminders, who are typically sole providers.

Staff vacancies in care services 2018