Keeping an eye on health promises

Lothian MSP, Miles Briggs, has called for clarity over upcoming NHS Lothian infrastructure projects.

Last month (w/c 14th December) it was announced that the Scottish Government was withdrawing £45 million funding for a new Princess Alexandra Eye Pavilion hospital. An initial agreement for the new hospital had already been agreed and a business case submitted in May 2019.

In a Written Answer from the Scottish Government this month, Lothian MSP Miles Briggs, was informed that an Initial Agreement, IA, had been submitted from NHS Lothian for a new Edinburgh Cancer Centre and a decision would be made this month (December) by the Capital Investment Group, CIG, based on the strategic case.

The new Edinburgh Cancer Centre would provide services for Cancer patients across the South East of Scotland.

At the start of this year, prior to Covid-19, it was announced that plans for a new Edinburgh Cancer Centre would be delayed to 2030 from the original planned date of 2025. The Scottish Government committed to investing £20 million in the current Edinburgh Cancer Centre to keep it going until the new Centre is ready.

Lothian MSP, Miles Briggs, said: “The confusion around new NHS Lothian infrastructure projects is extremely concerning and clarity is urgently needed on what projects are being funded.

“We are in desperate need of a replacement Edinburgh Cancer Centre, which will benefit the whole of the South East of Scotland, and is expected to be another decade before it is ready.

“The wait for routine eye treatments, such as for Glaucoma, are already incredibly long in NHS Lothian and patients deserve better than being short changed by SNP Ministers.

“I will hold SNP Ministers to their word to get these essential projects in NHS Lothian funded.

“SNP Ministers have underfunded NHS Lothian for the last 10 years. We need to see the health board receive their fair share of health funding in the upcoming budget.”

Concern over urgent cancer referral numbers in NHS Lothian

Lothian MSP and Co-chair of the Cancer Cross Party Group at the Scottish Parliament, Miles Briggs, has warned about the drop in urgent cancer referrals over the last six months in NHS Lothian.

Public Health Scotland figures released this week showed that over the last two quarters (ending June 20 and September 20) 484 and 463, 947 total, were urgently referred for and received a cancer treatment.

This compares to the same six months last year (ending June 19 and September 19) when 591 and 616, 1207 total, patients were urgently referred for and received a cancer treatment.

This is equivalent to 21.5%, or just over a fifth, fewer patients being urgently referred and receiving treatment for cancer in NHS Lothian.

Co-chair of the Cancer Cross Party Group at the Scottish Parliament, Miles Briggs, said:

“This is extremely concerning that there has been such a drop in patients being urgently referred to cancer patients in the last six months.

“Early detection and treatment of cancer is the best way to improve survival rates for cancer and these figures show fewer people are having cancer detected and treated.

“The focus of our National Health Service has been on Covid-19, but people are still going to get ill and it is vital that access to cancer services is available for everyone.”

ENDs…

Table with eligible referrals attached, tab 4e.

https://beta.isdscotland.org/find-publications-and-data/conditions-and-diseases/cancer/cancer-waiting-times/

NHS Lothian – Eligible referrals

 62 day standard from receipt of an urgent referral with suspicion of cancer to first treatment        
  
 Dec-18Mar-19Jun-19Sep-19Dec-19Mar-20Jun-20Sep-20
All Cancer Types*579529591616601605484463
All Cancer Types* (screened excluded)447414443489447455416449
All Cancer Types* (screened only)1321151481271541506814
Breast201169195173202197132110
Breast (screened excluded)92787167837976103
Breast (screened only)10991124106119118567
Cervical786116555
Cervical (screened excluded)454105544
Cervical (screened only)3321111
Colorectal72717985911038368
Colorectal (screened excluded)5250576557717262
Colorectal (screened only)202122203432116
Head & Neck2930233424272432
Lung6541576258544149
Lymphoma17148151251317
Melanoma1722436540221322
Ovarian47108641010
Upper GI6054646262806364
Urological10711310610110010810086

Protect Scotland App now available to anyone 12 or over

NHS Lothian urges locals to download app to help stop the spread

Young teens living in the Lothians are being urged to join the fight against COVID-19 by downloading the Protect Scotland app.

The free app is now available to those aged 12-15, and parents are being asked to encourage their child to download it if they have a compatible smartphone, to help stop the spread of coronavirus.

The age range has been extended to allow younger people to protect themselves and those in their household – and help make sure they can keep meeting up with friends outdoors.

NHS Lothian today highlighted how the app offers an additional layer of protection, building on existing person-to-person contract tracing in place, and the more people that download it and use it, the more effective it will be.

Already downloaded over 1.7 million times since its launch in September, the Protect Scotland app enables people to self-isolate far quicker if they are exposed to the virus, reducing the risk of them infecting others.

Once downloaded, it works in the background, using Bluetooth technology to anonymously alert people if they’ve been near another app user who has tested positive for coronavirus.

And if they themselves test positive, app users are being encouraged to enter the code they’re provided, so close contacts can be quickly notified.

This latest update of the app will also reflect the reduction of the isolation period length to 10 days.

People’s privacy is be protected, as the app uses encrypted anonymised codes to determine close contacts, which are deleted after 14 days.  It doesn’t store details on an individual, or their location.

https://youtu.be/rzGzh0msKNA

Katie Dee, NHS Lothian’s Interim Director of Public Health, said: “I would encourage those aged 12 – 15 to download the free app, and parents to encourage their children to get the app, if they have a compatible smartphone.

“The app helps support NHS Scotland’s Test and Protect system, adding an additional means of notifying people who have been exposed to the virus, allowing them to self-isolate far quicker which reduces the risk of them infecting others.

“Using the app and following FACTS will help protect your household, and help young teens continue to be able to meet up with their friends more safely.  The more people that use it, the more effective it will be in slowing the spread of COVID-19 in the area.”

Download the free app today at protect.scot and protect yourself, your family, and Scotland against coronavirus.

Hospital and care home visiting update

Keeping residents and patients safe over Christmas and New Year period.

Visiting arrangements for hospitals and care homes in Scotland will remain in place over the Christmas and New Year period, it has been confirmed.

For the general public, there will be UK-wide easing of restrictions on travel and gathering between 23 – 27 December.

However, in a joint-letter to NHS Boards, the interim Chief Medical Officer, Chief Nursing Officer and National Clinical Director clarified this would not apply to hospitals over the Christmas period, given the increased vulnerability of hospital patients compared to the general population.

Christmas and New Year guidance has also been published for the adult care home sector, recommending that indoor visiting should continue to be supported where it is safe to do so, as well as setting out specific safeguards that care homes can put in place to safely support festive activities.

Health Secretary Jeane Freeman said: “While most people will see a limited relaxation of existing restrictions over the holiday period, hospital and care home visiting guidance will remain in place to protect patients and residents.

“However, we are encouraging Boards and care homes to continue to apply this guidance with flexibility and compassion, given how important the Christmas and New Year period is for many families, to ensure no-one is unnecessarily isolated over the Christmas period. Essential visits should also continue regardless of local restrictions, as they have throughout the pandemic.

“In care homes this will be facilitated by testing of designated visitors, which will be rolled out to all care homes from Monday onwards. Testing is not required for visiting but it does add an additional layer of protection, and we will make PCR testing available for any care homes unable to make use of lateral flow tests before Christmas.

Coronavirus (COVID-19): hospital visiting guidance

Coronavirus (COVID-19): adult care homes guidance

Visiting in care homes is subject to care homes being free of any COVID-19 symptoms for 14 days, actively participating in the care home testing programme and having visiting risk assessments approved by the local Director of Public Health.

Letter to NHS Boards: see below:

Next phase of the move to the New Sick Kids hospital set for January

NHS Lothian’s inpatient Child and Adolescent Mental Health Services (CAMHS) are set to move to their new home at the Royal Hospital for Children and Young People in January 2021. 

The service is expected to join the Department of Clinical Neurosciences and the vast majority of Children’s outpatient services in the middle of the month, following their successful migration to the new building in the summer.

Susan Goldsmith, NHS Lothian Director of Finance and Executive Lead on the Re-provision Project provided an update at a meeting of the Board of NHS Lothian on Wednesday.

Ms Goldsmith said: “We are really excited to be moving CAMHS into its new, purpose built home next month. It has been designed carefully with the input of patients and their families and with their needs in mind. 

“It will provide patients and staff alike with a safe, comfortable and pleasant environment conducive to high quality treatment and care.”

Feedback on the new facility, which has come to life in recent months, has been overwhelmingly positive from staff, patients and families. 

Catering outlets, including a shop, are open for staff and visitors to the building, while the rooftop helipad has passed all test flight and will come into operation once training has been completed. 

The building is due to be handed over to NHS Lothian at the end of January when a period of commissioning will begin to install equipment, train staff and carry out final checks.

Lothian MSP Miles Briggs commented: ““I welcome the long overdue move of CAMHS services to Royal Hospital for Sick Children, based at Little France, in January next year.

“CAMHS waiting times in Lothian are exceptionally long at the moment, with increased demand over recent years and this move is a chance to start reducing waiting times for children and young people who urgently need these services.

“I look forward to visiting the new CAMHS facilities next year when lockdown restriction allow.”

Vaccination programme is GO!

The first vaccinations against coronavirus (COVID-19) have been given in Scotland to those who will be carrying out the vaccination programme.

Initial supplies of the Pfizer vaccine have been arriving at NHS Boards across Scotland since the weekend and are being stored at the required Ultra Low Temperature ahead of the start of the vaccination programme.

Scotland’s Deputy Chief Medical Officer Nicola Steedman was at NHS Lothian’s Western General Hospital to see the roll-out begin, with vaccinators being vaccinated first.

After that, the focus will be on vaccinating residents in care homes for older adults and their carers and other frontline healthcare workers. People over the age of 80 will then receive their injections, as supply allows. As those being vaccinated need two doses at least 21 days apart, 50 per cent of the vaccines will be kept back in to make sure we can give the second injection within the advised timeframe.

Health Secretary Jeane Freeman said: “This is obviously a very welcome milestone in our collective fight against the pandemic and I am very grateful to all those who have worked so hard to ensure Scotland is ready to deliver these first COVID-19 vaccinations.

“Science has given us hope and we are starting on a journey which will eventually allow us to return to the lives we want to lead.

“Following clinical advice from the Joint Committee on Vaccination and Immunisation (JCVI) we will begin with those groups which have been prioritised to address 99 per cent of preventable deaths associated with COVID-19.

“These include elderly care home residents and staff, frontline health and social care workers and a number of other groups who are at risk of serious harm and death from this virus.

“We ask everyone to be patient as we work through these groups as quickly as vaccine supply allows and we urge you to go for the vaccine when it’s your turn.

“Meantime it remains very important that as we vaccinate, we all stick to the necessary restrictions and public health advice to keep suppressing the virus to as low a level as we can.

“A vaccination programme of this scale is a significant logistical challenge and requires a major nationwide effort.  But it is one we undertake with optimism and determination to succeed.” 

Deputy Chief Medical Officer Nicola Steedman (above) said: “I felt genuinely privileged to see this long hoped for and clinically crucial vaccination programme begin at NHS Lothian’s Western General Hospital in Edinburgh, and I would like to sincerely thank all those involved in the vast amount of work which has allowed us to reach this absolute milestone in our COVID-19 response.

“The arrival of these first COVID-19 vaccines is a huge turning point for us all, and will protect those most at risk from the serious effects of the virus, but we can’t relax yet. Even after the first people are vaccinated it will be important for now that everyone continues to follow the Scottish Government’s guidance for their area and above all to follow FACTS.

“These will continue to be the most important things we can do to protect ourselves and others from the virus, as we continue to roll out the vaccination to all of those who need it.”

Clinical Lead for the COVID Vaccination Hub at the Western General Hospital Pauline Bell said: “I am incredibly proud to be leading the team of vaccinators here at the Western General Hospital, for this unique and hugely important vaccination programme.

“An enormous amount of planning and preparation from across the organisation has been undertaken to get us to this point, so I am looking forward to finally welcoming staff into the clinic.

“As we prepare to administer the very first vaccinations, we reach a crucial juncture in the fight against COVID-19, the beginning of the journey towards a return to normality.”

Remember FACTS for a safer Scotland:

F – Face coverings

A – Avoid crowded places

C – Clean your hands regularly

T – Two metre distance

S – Self isolate and book a test if you have symptoms

Coorie in for Christmas!

Please find attached a copy of our “Coorie in for Christmas” booklet  that we partnered with Health  in Mind to produce. 

Recognising that Christmas and New Year can be a difficult time of year and that we also face new challenges, unknowns and stresses over the festive period from coronavirus, we’ve focused on the Scottish concept of ‘coorie’ as a way to help us look after our mental health and wellbeing this winter. 

This booklet focuses on the things we can all do to look after our mental health and wellbeing in our homes, whilst also encouraging us to get outside and embrace the benefits of nature. It also includes a range of support and helpful contacts.

There is more information about mental health and support available all year round on iThrive Edinburgh and that online space will be kept up to with support available during the festive period and on Christmas Day in Edinburgh.

Please do share the booklet across your networks. 

With best wishes

Linda

Dr Linda Irvine Fitzpatrick

Strategic Programme Manager, NHS Lothian

Proclaimers reissue Sunshine on Leith to support NHS Lothian staff

NHS Lothian’s official charity, Edinburgh and Lothians Health Foundation (ELHF), have been proud to work with Hibernian FC, Warner Music and The Proclaimers on the reissue of Sunshine on Leith which was announced last week.

This special edition, pressed for the first time on 7″ clear green vinyl, is due for release on 29 January 2021 – pre-orders opened on 3 December.

The money they raise will help Edinburgh and Lothians Health Foundation continue to provide additional support for NHS Lothian staff during one of the largest global health crises of our lifetime.

It will also enable them to put in place a programme of longer-term, sustainable wellbeing support that will address the lasting effects of the pandemic, both in the recovery phase and beyond. In aid of this, The Proclaimers also released 100 limited edition signed copies, exclusively through Hibernian Direct.

Jane Ferguson, Foundation Director of Edinburgh and Lothians Health Foundation, said: “We are delighted that The Proclaimers and Warner Music have re-released Sunshine on Leith to support our partnership with Hibs and help our amazing NHS Lothian staff as they respond to the ongoing challenges of the Coronavirus pandemic.

“Funds raised will enable Edinburgh and Lothians Health Foundation to continue to provide additional support for our NHS Lothian colleagues, providing a fast and flexible response to meet any urgent and emerging needs, as well as supporting them in their long term recovery from the profound impact of the virus on their physical and emotional health and wellbeing.”

In a statement Craig and Charlie Reid said: “We’re very happy to be supporting NHS Lothian during this challenging time for our people and health service.

“The NHS is very much loved by both of us and we have much reason to be grateful to it.”

Hibernian Captain and Scottish Cup hero David Gray added: “”Sunshine on Leith is a phenomenal club anthem and I’ll never forget it ringing out around the east stand of Hampden during the celebrations of the Scottish cup final in 2016, it was a proper hairs on the back of your neck moment.

It’s such a powerful track and whenever I hear it I always get a buzz thinking back to that day.

“This limited edition version of the track is a fantastic gesture from The Proclaimers in support of The NHS and Edinburgh and Lothian’s Health Foundation and it’s great to see them partner with the club for such a great cause. Our NHS heroes have been brilliant during this pandemic and even before then and we wear the ‘Thank You NHS’ message on our shirts with pride.

“I’m sure our fans will snap up this limited edition version and raise plenty money for the charity. I’ll be after one as well!”

Show You Care, Prepare

People across Scotland are being encouraged to be prepared for winter illnesses in a new campaign launched today/on Friday 4th December.

The NHSScotland campaign takes the ‘clap for carers’ idea and turns it around, showing healthcare workers applauding people as they check their prescription, visit their pharmacy for medicines and health advice, and check the self-help guides at nhsinform.scot.

NHS 24’s Medical Director, Dr Laura Ryan said: “It’s always a good idea to prepare for the common winter illnesses, and this year it’s even more important. Services tend to be busier in the winter so anything we can do to keep ourselves and our loved ones healthier is good.

‘No one can predict illness, so it’s a good idea to keep some common remedies at home such as paracetamol and ibuprofen. Knowing the best place to get help if someone does become unwell is also important – there is a service directory on NHS 24’s health information site NHSinform.scot which also has a range of really helpful self-help guides.

‘In the run up to the festive holidays it’s worth checking any repeat prescription you rely on, making sure you order only what you need and in plenty of time.

‘Your local pharmacist can also help with advice about winter health and medicines – all provided in a COVID-safe way! You should continue to stick to the rules for COVID-19 including self -isolation advice and how to access a test if you develop symptoms. All of the up to date information on COVID-19 is on our dedicated pages on NHS Inform.

These are just a few of the ways we can all show we care – for ourselves, each other and our NHS.”

NHS 24 supports the Show You Care, Prepare campaign in partnership with NHSScotland and all Scottish Health Boards.

General advice and information on how to stay healthy this winter can be found at www.nhsinform.scot/winter

East of Scotland leads the way in tackling type 2 diabetes

A pioneering, inter-agency partnership, led by NHS Lothian, NHS Fife, NHS Borders and the six local authorities in the region, is working together to reduce type 2 diabetes across the East of Scotland.

Type 2 diabetes has been on the rise across the country for the past decade, having a significant impact on the lives of individuals and health of Scotland’s population as a whole.

Over 62,000 people are living with type 2 diabetes in the East of Scotland – around 5% of the total population – and there are over 3,700 new cases in the region each year.

Recognising that diet and excess weight is driven by a range of environmental, societal and individual factors, regional health and social care providers have joined forces with stakeholders from the public, third and private sectors to advance sustainable change.

Growing evidence of the link between obesity and an increased risk of complications from COVID-19 has reinforced the importance of this shared vision, compounded by the measures recently revealed as part of the UK government’s new obesity strategy.

With national investment of £1.46 million in the East of Scotland programme this year, regional director Nicky Waters said: “Our programme is a priority initiative – reflecting the need for urgent action to reduce the prevalence of type 2 diabetes in Scotland and support people to lead healthy lifestyles.

“By adopting a Whole Systems Approach and bringing a wide range of partners together, our programme is centred on tackling structural, systemic root causes – such as poverty, inequality and childhood trauma – and the part that we all need to play in addressing them.”

Four core intervention programmes – Get Moving with Counterweight, Type 2 Diabetes Remission through Counterweight Plus, Gestational Diabetes education and Let’s Prevent Diabetes – are being rolled out across the region, with partners taking advantage of technology to support people throughout the pandemic.

Over 1900 adults have been referred to Get Moving with Counterweight and the remission programme since October 2019, with 60 patients currently taking part in Counterweight Plus.

Counterweight Plus, a free two-year programme being delivered by specialist NHS dietitians, is based on ground-breaking evidence from the Diabetes Remission Clinical Trial (DiRECT).

A combination of intensive, long-term support and Total Diet Replacement (TDR) of nutritional shakes and soups, is key to the intervention’s success.

Jenny*, a patient going through Counterweight Plus in Lothian, has overcome various hurdles to continue on the programme at home throughout the pandemic – receiving virtual support whilst juggling family and working life under lockdown.

Despite the challenges, Jenny’s blood glucose results, weight loss and largely positive experience to date, all indicate that she’s heading in the right direction. She said: “The programme hasn’t been easy but the consistent emotional support and awareness of the long-term health benefits has really spurred me on. I’ve lost twenty kilos since I was first diagnosed and feel great because of it.”

Jonathan Hayes, the dietitian supporting Jenny, reflected: “It’s brilliant to see that, despite this unprecedented situation, there are people out there like Jenny who have turned things around for the positive. And who stand a very good chance of coming out of the pandemic, having put their type 2 diabetes into remission. That is an incredible outcome.”

Partners are also working together to design services to meet the Children and Young People Weight Management Delivery Standards for Scotland and develop effective prevention initiatives.

Regional health and social care providers are further committed to improving the working environment for their 84,000 employees and local areas are rolling out community based pilot projects to test a Whole Systems Approach (WSA) to diet and healthy weight.

Laurie Eyles, one of the newly appointed professional advisers for diet and healthy weight at the Scottish Government, who prior to this had been supporting partners as the programme’s clinical lead, said: “From delivering targeted interventions, to addressing the widespread issue of weight stigma and tackling the health inequalities which exist across the region – partners are committed to making lasting improvements to the environment in which we live.

“It is this that will allow us to build an East of Scotland where we eat well, have a healthy weight and are physically active – reducing our risk of developing type 2 diabetes for the long-term.”

For weight management and type 2 diabetes support during this time, please visit:

To find out more about the programme, services and how to self-refer, please visit our website: www.eost2d.scot.nhs.uk