Olympic torch shines at Sick Kids

‘The Olympic torch signifies strength, bravery and persistence – something which the patients of Edinburgh’s children’s hospital have bags of’ – Rachel McKenzie, Sick Kids Friends Foundation.

Ultra-marathon cyclist Katie Ford visited the Royal Hospital for Sick Children in Edinburgh recently to see the impact the Olympic torch she donated to the children’s hospital is having on patients of the Paediatric Neurology ward. Former Olympic torch-bearer Katie also presented a cheque for its new display case.

The iconic beacon, which featured in the London 2012 Olympic Games’ torch relay, has now been installed at the top of the hospital’s Ward 7 corridor to inspire young patients to try and walk the length of the pathway following major surgery.

Katie, who experienced up to three Grand-Mal epileptic seizures a week and up to15 Petit-Mal seizures a day spent five years in and out of the Sick Kids hospital as a youngster.

Fifteen years ago, the inspirational 29-year-old underwent life-changing surgery using equipment funded by the Sick Kids Friends Foundation (SKFF). The video telemetry equipment was used to investigate Katie’s seizures and has allowed her to go on and participate in a number of gruelling charity cycles including Race Across America – an impressive 3,000 mile cycle trail with a 9 day time limit.

Glasgow born Katie said: “It’s fantastic to return to the hospital that gave me so much support in overcoming my epilepsy. The Sick Kids Friends Foundations’ funding meant I could go through the work up testing that allowed me to be selected for neurosurgery that changed my life, and will always have a special place in my heart for that reason.

“It’s so humbling to see the Olympic torch I carried during the 2012 relay take pride of place at Ward 7. I have been privileged enough to meet so many kids with epilepsy here whose dignity and strength is incredible and even helped me carrying on riding during the toughest part of the Race Across America.

“Without the staff and patients of Ward 7 and the hospital, I would never have had the honour of carrying the Olympic flame, or even been able to ride a bike safely. Because of this, I feel the torch belongs here and not with me. It’s an incredible thing and I just hope it continues to inspire the brave, young patients of ward 7 to get back on their feet as soon as they can, because they’ve already inspired me to do more with my own life.”

Rachel McKenzie, head of fundraising at the Sick Kids Friends Foundation, added: “We feel very lucky to have such a treasured possession among the wards at the RHSC and are extremely grateful to Katie for this priceless gift. The Olympic torch signifies strength, bravery and persistence – something which the patients of Edinburgh’s children’s hospital have bags of.

“At the Foundation we’re working hard to ensure children are less scared during their time in hospital and have a positive experience – the Olympic torch is a fantastic asset which lights up ward 7 for our young patients. I have no doubt it will go on to inspire some future athletes and Olympians who, like Katie, will overcome the biggest of challenges.”

Pictured: Karen Duguid, Senior Charge Nurse from West Lothian, Katie Ford who donated the torch and Margaret McEwan, Play Specialist from East Lothian with the Olympic torch on Ward 7 at Edinburgh’s Royal Hospital for Sick Children in Edinburgh.

Western General: Must do better

Follow-up inspection finds there’s still room for improvement at Western General

The Healthcare Environment Inspectorate (HEI) has published its report following an unannounced follow-up inspection visit to the Western General Hospital on Tuesday 26 and Wednesday 27 May – and further improvement is required before the local hospital can be given a clean bill of health.

HEI, part of Healthcare Improvement Scotland, was set up to help reduce healthcare associated infection risk to patients through a rigorous inspection framework.

The HEI inspection team examined NHS Lothian’s self-assessment information and then inspected the hospital to validate this information, meet patients and staff, and visit wards and departments to assess how clean the hospital was and if it was meeting national standards.

This follow-up report should be read along with the previous report produced last November, as May’s inspection follows up on the requirements made at that inspection. (See NEN blog post 26 January ‘Simply Unacceptable’).

Inspectors found that the NHS board has met six of the requirements made at the previous inspection in November last year, and partially met two other requirements.

This latest inspection resulted in no new requirements or recommendations.

Jacqui Macrae, HEI’s Head of Quality of Care, said: “Our inspectors found that NHS Lothian has met six of the eight requirements we made in our previous inspection. Progress has been made in addressing the remaining two requirements but these have only been partially met.

“As a result, NHS Lothian must take further action to maintain a clean environment in the acute receiving admissions unit. It must also ensure that a consistent system is in place to check all mattresses across all wards and departments.

These requirements will be carried forward to the next inspection and we expect NHS Lothian to address these areas as a matter of priority.”

The full HEI inspection report can be found at: http://www.healthcareimprovementscotland.org/our_work/inspecting_and_regulating_care/nhs_hospitals_and_services/nhs_lothian/western_general_hospital.aspx

Don’t fall for it: health and safety tips for older people

‘Take Small Steps to Stay on Your Feet’ campaign launched

A new campaign to encourage older people to keep fit and healthy by avoiding falls has been launched by the City of Edinburgh Council and NHS Lothian.

‘Take Small Steps to Stay on your Feet’ gives older people five easy tips to try and prevent falls and also information about what to do if they do suffer one.

Falls are a major problem for older people with more than 30% of over 65’s falling every year, with many more than once.

They can cause physical injuries such as fractures and head injuries and also psychological harm along with longer term problems such as disability, loss of independence and social isolation.

In Scotland the cost of falls by older people living in the community has been estimated to exceed £471m every year.

The new campaign has five top tips for older people:

Get checked out top to toe – have your eyes and hearing tested regularly, wear shoes and slippers that are comfortable and fit properly, and get your GP to regularly review your prescription medications
Calcium keeps bones strong – eat a well balanced diet that contains calcium rich foods like dairy products, green leafy vegetables, bread and fish
Get enough Vitamin D – to help keep your bones strong. Natural sunlight is a good way or take supplements from your GP or pharmacist
Stay active – exercise such as walking, gardening and dancing can strengthen muscles, bones and improve balance
Clear your way at home – make sure there’s nothing that might cause someone to trip or bump into them such as rugs, loose carpets and items lying on the floor
In addition, the campaign advises older people what to do if they have a fall. These include: move to a soft surface, keep warm, call for help and keep moving. There is also information about the best ways to get up after a fall.

Councillor Ricky Henderson, Health and Social Care Convener for the City of Edinburgh Council, said: “It’s important people realise that falling is not an inevitable part of getting older as many falls can be prevented. By making a few simple changes, older people can reduce the risk of falling both in and out of the home.

“The consequences of a fall can be devastating but by following these five easy tips we can make a real difference to older people’s lives.”

Lynne Douglas, Corporate Lead for Falls Prevention and Bone Health, NHS Lothian, said: “Preventing falls is vital in helping older people to live well and safely in their communities. This is an excellent initiative which is a result of collaboration between NHS Lothian services and City of Edinburgh Council and we hope that, most importantly, it will make a difference to the lives of older people in Edinburgh.”

Leaflets and posters highlighting the campaign will be issued to surgeries, pharmacists, libraries, care homes and sheltered housing complexes in the coming weeks.

More information about ‘Take Small Steps to Stay on your Feet’ can be found at www.edinburgh.gov.uk/fiveeasysteps or www.nhsinform.co.uk/falls.

Alternatively, phone NHS Inform on 0800 22 44 88

(textphone 18001 0800 22 44 88).

Get it clean, say Greens

Green MSP Alison Johnstone has called for improved hygiene in Lothians’ hospitals following a critical report by public health inspectors. She said trust in our health service is vital and public patience is ‘starting to run out’.

The Healthcare Environment Inspectorate (HEI), which is part of Healthcare Improvement Scotland, published its report relating to an unannounced inspection visit to the Royal Infirmary of Edinburgh (RIE) in April on Monday.

HEI has been set up to help reduce healthcare associated infection risk to patients through a rigorous inspection framework. The HEI inspection team examined NHS Lothian’s self-assessment information and then inspected the hospital to validate this information, meet patients and staff, and visit wards and departments to assess how clean the hospital was and if it was meeting national standards.

Inspectors made four requirements and one recommendation following the inspection.

Head of Quality & Care Jacqui Macrae said: “Overall this was a good inspection and we found evidence that NHS Lothian is complying with the majority of standards to protect patients, staff and visitors from acquiring an infection. In particular, we saw staff following the majority of standard infection control precautions. We also found hand hygiene practice among staff groups was generally good in most wards we inspected. The exception was the emergency department where we found poor hand hygiene practice from staff. We expect NHS Lothian to address our requirements and recommendations at the earliest opportunity.”

Inspectors found birthing balls and a mattress in a labour ward were contaminated with blood and also found half the cot mattresses were contaminated. Eight of the 29 mattresses checked were contaminated, and in the labour ward three out of six cot mattresses checked were also found to be dirty. Three birthing balls, mattress covers, a mattress and patient bed frames and stirrups were all contaminated with blood and hand cleansing hygiene also came in for criticism in the report.

NHS Lothian has been urged to make sure that ‘all patient equipment is clean and ready for use at all times’.

Responding to the inspectors’ report, Alison Johnstone, Scottish Green MSP for Lothian, said: “Hospital hygiene is a big challenge but it’s incredibly important and public patience is starting to run out. It’s therefore disappointing to hear of contamination during an inspection of the emergency department and the labour ward at ERI. Trust in our health service is vital, and I want to hear from NHS Lothian how they plan to improve procedures for good hygiene in our hospitals.”

Melanie Johnson, nurse director at NHS Lothian, said: “We welcome the report from the Healthcare Environment Inspectorate and we are pleased that some areas were singled out for individual praise, including good infection control management, combined with patient care and the general cleanliness of the hospital.

“A total of 67 of the 70 patients interviewed by the inspection team also said they were pleased with the levels of cleaning in their wards.

“We recognise there are things that can be improved and they have been addressed as a matter of urgency, including the cleaning of patient equipment and ensuring that hand hygiene is improved by all staff in the emergency department.”

The full HEI inspection report is available to view at:

http://www.healthcareimprovementscotland.org/our_work/inspecting_and_regulating_care/nhs_hospitals_and_services/nhs_lothian/royal_infirmary_of_edinburgh.aspx

Healthy Hibee Scott tackles diabetes head on

‘Around 4% of the population of Lothian have diabetes – which although is a life-long condition, as Scott has proved, it does not need to stop you living a full and normal life’ – Dr Alan Jaap

Hibernian midfield star Scott Allan inspired young people with diabetes at a special event at Easter Road on Monday. Scott was diagnosed with Type 1 diabetes as a child, and the recently-named SPFL Championship Player of the Year is the perfect person to prove that the condition need not stand in the way of a successful sporting career.

The event, the first in a series of health promotion activities planned by the Hibernian Community Foundation and NHS Lothian, saw around 100 children who have been diagnosed with diabetes and their families hear Scott talk about how he manages his condition as a sportsman.

Scott said: “I am delighted to be asked to provide positive messages to young people with diabetes. If they can draw some extra energy from meeting with me and having a conversation about how I manage my diabetes then that is fantastic. The fact that so many people want to come along is really humbling.”

Leeann Dempster, Chief Executive of Hibernian FC and a Director of the Hibernian Community Foundation, said: “Scott is a high profile professional athlete and sportsman who has managed to build a successful career despite being diagnosed with diabetes.

“He manages the condition very successfully, even during matches, and because of the help and support he has received is keen to help children and young people with diabetes understand the condition, how it can be managed better, and how much can be achieved despite it. Scott approached us to say he was keen to help in any way that he could, and to raise awareness of diabetes.”

Dr. Alan Jaap, Consultant in Diabetes, NHS Lothian, said: “Around 4% of the population of Lothian have diabetes – which although is a life-long condition, as Scott has proved, it does not need to stop you living a full and normal life. I’m sure Scott will act as an inspiration and positive role model for all of the youngsters attending.”

Scott has always had to consider his type 1 diabetes when playing football – his diagnosis came when he was just three-years-old, and he learned how to manage his condition playing football at school.

Diabetes should be no barrier to young people considering a career in sport, Scott insists. “As long as you manage your diabetes you can do whatever you want”, he said. “There have been a lot of athletes throughout the years that have been at the top of the game with diabetes. You need to live as much of a normal life as possible – don’t let people tell you otherwise.”

The event is part of ‘Healthy Hibs Messages’ – a series of health promotion events undertaken as part of the new GameChanger Public Social Partnership, the first Public Social Partnership launched by a football club in Scotland, and supported by Hibernian FC, Hibernian Community Foundation and NHS Lothian. This unique partnership has seen more than 70 different organisations signing up to work together with the joint aim of making Scotland’s population healthier.

Café Life community café attains Breastfeeding Friendly Award

It’s been the law in Scotland for ten years that it is an offence to prohibit a woman from publicly breastfeeding her child. Despite this, many women still feel unwelcome.

NHS Lothian has launched a new initiative to get public places such as café’s to create a policy that breastfeeding mothers will not just be welcomed but actively encouraged to use their facilities.

Café Life, a community café which is part of the charity LifeCare Edinburgh in Stockbridge has recently attained the Breastfeeding Friendly Award.

LifeCare’s Business Relations Manager, Stephen Clarke said: “This award is proof that we do what we say we do. Although we have always welcomed mother’s to breastfeed their child in the café and use our facilities such as our baby changing units this award means that we are recognised as part of a bigger initiative to support the rights of breastfeeding mothers.”

Café Life is used by a cross section of the community such as parents with infants, young adults with learning disabilities, older people, workers and school children.

LifeCare (Edinburgh) Limited is a local charity that works with the elderly, those with dementia and their carers across Edinburgh. Café Life contributes to the services provided by directing any extra income made into them.

Edinburgh leads the world on family nurse partnership

Edinburgh has become the first city in the world to offer the family nurse partnership programme to all eligible women after First Minister Nicola Sturgeon announced that the service will continue on a sustained basis.

Speaking at a reception to celebrate the fifth anniversary of the scheme for first-time mothers, the First Minister said since its launch the programme had provided support and advice to 660 young women across NHS Lothian, with an average take-up rate of 81 per cent among the eligible group.

Addressing the event at Edinburgh Castle, the First Minister – who launched the pilot programme in NHS Lothian in 2010 – confirmed that the resources and staffing were now in place for every eligible young mother in the city to be offered a place on the programme.

Ms Sturgeon said the positive experience in NHS Lothian was now being replicated across Scotland with teams already in place across eight health board areas – Lothian, Tayside, Fife, Greater Glasgow and Clyde, Ayrshire and Arran, Forth Valley and Lanarkshire – and plans for expansion into Borders and Grampian later this year.

The First Minister said: “It’s now five years since the Family Nurse Partnership pilot project was established in Lothian. In that time it has been such a success that it now operates in seven other health board areas across the country. It will be established in two more – Grampian and Borders – over the course of the summer.

“In total, more than 2,000 mothers have already benefited from the programme – more than 600 of them here in Lothian.

“It’s one of the best investments we can make as a society – we give young mothers the support they need, we help children to get the best possible start in life, and we reduce public spending further down the line, because we have better health, education and employment outcomes.

“That’s why I’m delighted to announce today that Edinburgh has become the first city anywhere in the world, to offer the family nurse partnership to every first-time mother aged 19 and under. That will make a huge difference to mothers and children across the city, and it’s a testament to the success of the partnership so far.”

Kate Billingham, Senior Adviser at Nurse Family Partnership International said:
“On behalf of the programme’s founder, Prof David Olds I congratulate Scotland and all they have achieved for young parents and their children.

“To have the first city in the world to reach 100 per cent coverage for teenage mums – along with high levels of quality – is an amazing achievement. Today we are recognising the leadership in Scotland, the skilled and dedicated nurses and the parents who have worked hard for their children and their own futures.”

Melanie Johnson, Executive Nurse Director, NHS Lothian, said: “We are particularly pleased and proud in NHS Lothian that Edinburgh has become the first city in the world to be able to offer care to every client who requires it under the Family Nurse Partnership.

“The service first began as a pilot project in January 2010 in Edinburgh and since then it has gone from strength to strength. It has also made a real and lasting impact after it was rolled out across the rest of Lothian and also Scotland.

“We are honoured that the First Minister attended our event because she was at the first launch event in 2010 and was able to meet some of the original parents, who were the first to graduate from the service, and their children, most of whom will start school in the summer.”

Edinburgh Western MSP Colin Keir has welcomed the news that the pioneering family nurse partnership is to be continued and replicated across Scotland.

Mr Keir said: ‘This is great news for first-time mums in NHS Lothian, giving them the support they need and helping to give children the best possible start in life. I’m delighted that Edinburgh has become the first city in the world to offer this service to every first-time mum aged 19 and under. I welcome the news that this pioneering initiative has been such a success that it is being replicated and rolled out across Scotland.’

Sign up to help cure the stigma of dementia

‘We need the whole community to get on board and help us make Edinburgh a dementia friendly city’ – Cllr Ricky Henderson

A new awareness campaign has been launched today (Monday 16 February) to highlight the stigma associated with dementia, and the little things we can all do to help.

Devised in conjunction with Edinburgh residents who have dementia and their relatives, the campaign is part of ongoing work by the City of Edinburgh Council, NHS Lothian and Alzheimer Scotland to make Edinburgh a dementia friendly city.

Stigma and lack of understanding are major barriers for people with dementia according to 66% of people who responded to a recent Alzheimer’s Society survey. The research also revealed that 35% of people with dementia only go out once a week or less.

The new campaign includes a radio advert featuring people affected by dementia and a poster campaign for bus shelters, shops, pubs, clubs and pharmacies. It aims to tackle the stigma often associated with dementia and encourage people to be more aware of the condition. It also highlights how we can all play our part to make Edinburgh a dementia friendly city.

Six key ways to help a person with dementia and help them to feel included have been summarised as part of the initiative:

Learning more about the facts;
Show patience, for example if someone is having problems with their words;
Include them in conversations;
Being kind and show respect;
Helping them to join in;
Be a friend.

Health, Social Care and Housing Convener, Councillor Ricky Henderson, said: “With the numbers of people with dementia in Edinburgh continuing to rise, it’s important to address some of the myths about dementia which can lead to people feeling excluded from the community.

“There are little things that everyone can do to support and encourage people with dementia so that they feel confident enough to continue with day-to-day activities such as shopping and getting out and about. This may be a friend with dementia or someone that they meet in the course of their job or in their local neighbourhood. We need the whole community to get on board and help us make Edinburgh a dementia friendly city.”

Helen Hay, Regional Manager of Alzheimer Scotland, added: “Many people don’t understand dementia and think that a diagnosis means that a person is immediately incapable of working or carrying on with their daily routine.

“The campaign will help break down some of the barriers people face when they tell others they have dementia. Simple things like being included in the conversation and being asked to take part in social activities like going to the theatre can make a big difference to a person’s quality of life.”

A number of activities will take place in the city throughout the campaign, including dementia awareness sessions with retailers, councillors, Council and NHS staff. Members of the public are also being urged to become more dementia aware by signing up to Alzhiemer Scotland Dementia Friends programme, www.dementiafriendsscotland.org

A ‘dementia friendly’ performance of Plutôt La Vie theatre company’s production ‘Clean Sweep’, co-hosted with the Festival Theatre, is one of the events planned.

It will be attended by people with dementia, their friends and family and is specifically designed to provide an accepting environment and relaxed atmosphere for people with dementia.

Cerin Richardson, Learning and Participation Manager, Festival City Theatres Trust, said: “The Festival and Kings theatres have been developing work for children and young people with additional needs through their Relaxed Theatre programme and are delighted to be expanding their participation work to include people living with dementia and their families, so that they can take full advantage of the performances in our theatres.”

Find out more about the campaign at www.edinburgh.gov.uk/dementiastigma

Contracts signed for new Sick Kids hospital

Construction of a major new healthcare facility is set to start after the financial contracts were agreed yesterday. The new £150 million building will see services from the Royal Hospital for Sick Children, Department of Clinical Neurosciences and Child and Adolescent Mental Health Service brought together in a modern and high-quality setting at Little France.

Construction works will start over the next few weeks and the new building, which will adjoin the Royal Infirmary of Edinburgh, is expected to open in autumn 2017.

The six storey building (including basement) will have a large atrium with a shop and café, a stunning skylight linking both hospital entrances, a helipad on the roof and a link building adjoining adult and paediatric emergency departments.

It will also bring with it an increase in single rooms with ensuite facilities and a range of new technology.

Health Secretary Shona Robison said: “This is a momentous date for this project and I’m personally very pleased that work will soon be about to begin on the new co-located Royal Hospital for Sick Children and Department of Clinical Neurosciences.

“The new development brings paediatric care, specialist neonatal care, neurosciences and adult and children’s emergency departments all together in one place, making access to services much easier for patients and health professionals alike.

“The Scottish Government is investing over £2 billion in Scotland’s health infrastructure over the spending review period, with this development being one of many that demonstrate the Scottish Government’s commitment to continually improving health services. The investment in this development will ensure the hospital campus at Little France can continue to develop as a modern hub of research and medical practice.”

Susan Goldsmith, Finance Director, NHS Lothian said: “We are delighted to have reached this point and now look forward with anticipation to seeing the new facility taking shape over the coming years.

“This is an extremely exciting time in the proud history of the Royal Hospital for Sick Children, along with the Child and Adolescent Mental Health Service and Department of Clinical Neurosciences, which will find a high-quality new home at Little France from 2017.

“The building designs have been heavily influenced by staff, patients and families and, in addition to offering a modern, light and spacious environment, will also enhance the clinical services we deliver.”

Mark Bradshaw, IHS Lothian and Macquarie Capital said: “We are excited that construction will soon start on The Royal Hospital for Sick Children and Department of Clinical Neurosciences. This state-of-the-art facility will allow the delivery of quality healthcare services to the people of the Lothian region and beyond for decades to come.

“It has been a pleasure to partner with the Lothian NHS Board and the Scottish Futures Trust to develop an innovative and competitive financing structure that will ensure value for money over the next 25 years.”

Peter Reekie, Scottish Futures Trust, deputy chief executive and director of investments said: “This is a fantastic deal for NHS Lothian and its partners, bringing investment into the Lothians and allowing construction to start on a great new building which will support many hundreds of jobs as it is built.”

Some key features of the new facility include:

233 beds and 10 theatres. 154 beds in the Royal Hospital for Sick Children, 67 beds in the Department of Clinical Neurosciences and 12 beds in the Child and Adolescent Mental Health Service.
11 beds will be added to the critical care department within the Royal Infirmary of Edinburgh.
The specifically designed family hotel will mean that the experience for families whose child has to spend time in hospital is more homely.
Conjoined children’s and adult Emergency Departments will mean that the most appropriate services are available to teenagers who currently do not always fit well into either service.
Patients in the Child and Adolescent Mental Health Service suffering from physical illness and mental health problems will benefit from the immediate availability of both specialities.
The Department of Clinical Neurosciences will make neurology and neurosurgery available to all age groups on a single site, meaning potentially quicker treatment is available. One advantage will be that patients who present to the Emergency Department at Royal Infirmary of Edinburgh and who subsequently turn out to need neurosurgery will no longer need to be transferred to the Western General Hospital.
The most modern imaging equipment within the Department of Clinical Neurosciences along with its adjacency to the Anne Rowling Regenerative Neurology Clinic and the Clinical Research Imaging Centre will allow the Department of Clinical Neurosciences to further enhance its position as a leading clinical and academic neurosciences centre.

Scheme to identify harmful drinking goes citywide

A successful pilot scheme that helps frontline staff identify problem drinking amongst elderly people in the west of Edinburgh is set to be rolled out across the city.

An advice toolkit was drawn up after alcohol-related harm was identified as a significant concern amongst those aged 65 years and over and living in the Almond and Western Edinburgh areas of the city.

A report about the scheme will be made to members of the Communities and Neighbourhoods Committee when it meets on Tuesday (10 February).

Staff training and the toolkit, which includes a unit measuring glass, phone numbers and information leaflets, has been well received and it is anticipated that similar training may be received by Police Scotland, Scottish Fire and Rescue and third sector partners in the future.

The scheme was created by the joint Almond and Western Edinburgh Neighbourhood Partnership Health and Community Care Sub-Group in collaboration with NHS Lothian who had concerns about drinking habits; these were supported by local health care partners and local GPs.

The next step is to roll the training programme out to third sector partners, equality groups and local businesses. Information sessions are also planned for GP surgeries, pharmacies, libraries and shopping centres.

Councillor Maureen Child, Communities and Neighbourhoods Convener, said: “Many elderly people enjoy the occasional tipple, and there is nothing wrong with that. This toolkit is aimed at those whose drinking habits are causing harm to their health and are in need of advice.

“Staff have been very positive about the pilot scheme and have welcomed the support it gives them to approach residents who may be struggling. It makes sense to roll it out to other areas of the city, and it’s fantastic that other organisations are also interested in using it.

“The health and well-being of our residents is the most important factor, especially with our ageing population. Anything that helps to reduce health inequalities should be welcomed.”

Lesley Taylor, Neighbourhood Support Service Manager for the Council, has taken part in the training. She works with vulnerable adults through the housing support service. Lesley said: “Our priority is to support the people we visit to make the best choices regarding their health and lifestyles. This toolkit has been extremely helpful by giving staff the confidence to talk to clients where there is a concern about their drinking habits. We’ve found that people are open to the advice and have been able to dispel some of the myths surrounding alcohol use.”

Eleanor McWhirter, NHS Lothian Lead in Alcohol Brief Interventions, said: “This pilot is a great example of community groups, NHS Health Promotion Service and the Council working together to promote the health and well being of the local population.

“It revealed that intervening early and focusing on the needs of local people can be effective in reducing alcohol consumption. We look forward to potentially expanding this work to other areas of the city.”