Dr Owl takes flight across Scotland!
People in Edinburgh and the Lothians are being encouraged to get Healthwise with the official return of wise Dr Owl! Continue reading Be healthwise this winter
Tag: NHS Lothian
Milestone reached as Penumbra wins health award
Penumbra Milestone wins innovation award
An Edinburgh service for people with Alcohol Related Brain Damage (ARBD) has been recognised for its innovative approach at this year’s Scottish Health Awards, held in the capital this week. Continue reading Milestone reached as Penumbra wins health award
Pioneering advice project helps boost low-income household budgets
“Poverty has a huge impact on health and wellbeing, including damp housing, hunger, lack of access to healthy food, and stress and depression.” – Graham Mackenzie, Consultant in Public Health, NHS Lothian
Two Lothian projects that began with a midwife helping mums improve their nutrition have evolved into a support network ensuring low income families access thousands of pounds of unclaimed entitlements.
The projects in Leith and West Lothian have each had a welfare rights adviser working since March with a team of NHS Lothian, council and voluntary sector workers.
The welfare rights advisers are funded by the Scottish Legal Aid Board (SLAB) as part of its Tackling Money Worries programme.
In Leith, Granton Information Centre (GIC) has provided money and welfare rights advice to 89 families referred by midwives, health visitors, Dr Bell’s Family Centre, Citadel Youth Centre, nurseries and early years centres, and working with Edinburgh Community Food.
For these families the total financial gain during 2015-16 is projected to be £404,000, or an average of £4,500 per client. The maximum financial gain for one client so far has been £15,000.
This is in addition to the support GIC (pictured below) has already provided to the most vulnerable families in the North Edinburgh area, who are not included in these figures.
Citizens Advice Bureau West Lothian has been supporting families in West Lothian in a similar project, also funded by SLAB. In that project around 200 clients have gained £300,000, an average of almost £5,000 per client.
Over half of those accessing support for the first time have been in work, and were not aware of their unclaimed entitlements (e.g. tax credits, benefits) and other help available (e.g. advice about debt, access to hardship funds).
The figures have been released during Challenge Poverty Week 2015 which aims to raise awareness of poverty and to highlight the great work that community organisations are doing to help those in crisis.
Graham Mackenzie, Consultant in Public Health, NHS Lothian, said the success of the advice projects illustrated the importance of the NHS and other services working with welfare rights advisers, and could be repeated in many other parts of the UK.
“This work, which started with a single midwife focusing on ensuring families were claiming food vouchers they were entitled to, has expanded into a sophisticated package of support that we are aiming to offer to hundreds of families over the coming year.
“Poverty has a huge impact on health and wellbeing, including damp housing, hunger, lack of access to healthy food, and stress and depression.
“With hundreds of thousands of pounds secured for families, and more to come, we are taking practical steps to help families tackle the consequences of poverty.”
The Lothian projects were formed following work started with Healthy Start food and vitamin vouchers, a UK-wide scheme designed to improve nutrition for low income families. Across the UK around a quarter of eligible families miss out on these valuable vouchers, with the number of pregnant women and children under four years old in receipt of vouchers falling over recent years. In Lothian, however, after concentrated work with NHS Lothian staff and families, the number of pregnant women in receipt of vouchers increased from 294 in March 2014 to 368 in July 2015.
The work started with simple insights from a single midwife about how to make the application process more reliable, and secure vouchers for women earlier in pregnancy.
From 10 weeks of pregnancy to the child’s fourth birthday Healthy Start vouchers are worth up to £899 in total.
With 76 more women benefitting across Lothian as a result, this work has boosted family budgets by tens of thousands of pounds; this in addition to the hundreds of thousands secured through the Tackling Money Worries work. Vouchers can be spent on fresh and frozen fruit and vegetables, milk and formula feed. Vitamin vouchers are provided separately.
This work, part of the Scottish Government Early Years Collaborative, provided insights that have now been applied to much greater effect through the Lothian Tackling Money Worries projects by providing families with money and welfare rights advice.
Scottish Mental Health Arts and Film Festival opens today
Scottish Mental Health Arts and Film Festival launches today – World Mental Health Day
A national Ats and Film Festival tackling the stigma of mental health opens in Edinburgh this weekend, celebrating its ninth year.
Over 60 events are scheduled to take place across Lothian as part of the 2015 Mental Health Arts and Film Festival, making it one of the largest social justice festivals in the world, (SMHAFF) with performing arts, literature, photography, comedy and dance all set to feature.
The Festival officially opens today – World Mental Health Day – and this year explores the theme of ‘passion’
Linda Irvine Strategic Programme Manager, Mental Health and Wellbeing, NHS Lothian, said: “One in four people in Scotland will experience mental health problems at some point in their life but it is still something which attracts significant stigma.
“Through the many powerful, inspiring and provocative events taking place this year, the Festival aims to open up conversations about mental health and go some way towards challenging discrimination.”
Gail Aldam, Festival Manager, Scottish Mental Health and Arts Festival, said “We are delighted with the scale and scope of the events taking place in Edinburgh and Lothian this year and are struck by the passion that the planning team have for using art to give a voice to marginalised groups, challenging social injustice and instigating change.
“There really is something for everyone in the programme, offering an inspiring range of arts activities from spoken word to visual arts to music, across the region.”
Highlights of this year’s Festival include:
- Out of Sight, Out of Mind A series of powerful and compelling exhibitions taking place at venues and galleries across Edinburgh featuring work from artists with experience of mental health issues. Returning to the Festival for a third year, these events aim to get us thinking and talking about mental health and challenge preconceptions.
- A Play, A Pie and A Pint: Decent, a play by Linda Duncan McLaughlin has a special five day run at the Traverse (Tues 20th-Sat 24th Oct)
- To celebrate Arthur Miller’s centenary, Rapture Theatre present a new production of The Last Yankee, one of the legendary writer’s final great plays which is touring throughout Lothian.
- Rally & Broad An eclectic mix of spoken word, authors and music, the line-up features LOKI, one of Scotland’s most powerful and political performers (Fri 23rd Oct, Bongo Club, Edinburgh)
- In the Shadow of the Castle an evening of spoken word reflecting on the Gretna train disaster in the spectacular setting of Edinburgh Castle’s Great Hall (Thurs 22nd Oct)
- The Wellbeing Mela A free, fun, family day to celebrate diversity and promote positive mental health and wellbeing amongst Edinburgh’s varied minority ethnic communities. Music, dance, complementary therapies, relaxation workshops and lots more (Sunday 11th Oct, Out of the Blue)
- Push Me Pull Me Join the Writing Mums, poet Jenny Lindsay and singer-songwriter Polly Phillips, for an evening of prose and poetry (Wed 28th Oct, Dunbar Library)
There is also a wide ranging film programme curated from the more than 400 entries submitted to the Festival by filmmakers from across the globe. The winners will be recognised at a special awards ceremony hosted at the Filmhouse on 29 October.
Highlights of the film programme include the Scottish premiere of documentary Dancing With Maria, telling the story of Argentinian dancer Maria Fux who welcomes dancers from all backgrounds, including men and women with physical and mental impairments, to her Buenos Aires studio and Ida’s Diary – a powerful film that has been used by many mental health organisations for training and awareness raising purposes.
Details of all events taking place as part of this year’s Festival can be found at: www.mhfestival.com
WORLD HEALTH ORGANISATION (WHO)
World Mental Health Day 2015
Thousands of people with mental health conditions around the world are deprived of their human rights. They are not only discriminated against, stigmatised and marginalised but are also subject to emotional and physical abuse in both mental health facilities and the community. Poor quality care due to a lack of qualified health professionals and dilapidated facilities leads to further violations.
The theme for this year’s World Mental Health Day, observed on 10 October, is “Dignity in mental health”. This year, WHO will be raising awareness of what can be done to ensure that people with mental health conditions can continue to live with dignity, through human rights oriented policy and law, training of health professionals, respect for informed consent to treatment, inclusion in decision-making processes, and public information campaigns.
Minister for Sport, Health Improvement and Mental Health, Jamie Hepburn comments on World Mental Health Day:
“On World Mental Health day, I am proud to be the first Scottish minister with mental health in my job title. While this is a sign of how seriously we take this issue – I want us to be judged on the actions, not words.
“Demand for services is increasing significantly. The number of people seen by Child and Adolescent Mental Health Services has risen by 30 per cent in the last year – more than 1,000 extra patients in the quarter ending June 2015. To respond to this we are investing heavily in the workforce. For example, we’ve seen a 70 per cent increase in the number of CAMHS psychologists working in Scotland’s health service since 2009/10.
“Yes, there are challenges, but we have also made great progress. Waiting times have decreased significantly, we have better data to drive improvement, and the number of deaths by suicide are their lowest level since 1977. This doesn’t mean we’re complacent. More progress is needed and we continue to work with health boards to attract more staff and bring waiting times down further. That’s one of the reasons why we’ve committed to invest an extra £100 million in mental health over the next five years. This funding will also be used to promote wellbeing, improve patient rights and develop better responses to mental illness in primary care.
“We’re moving towards the end of our current mental health strategy and are assessing what the strategy has achieved. Once we have a clear picture of our progress against the 36 commitments we set, we will then decide the best focus for the next strategy.
“The 2015 Mental Health Act will strengthen the framework for mental health legislation making the system more effective and efficient, and promoting patient involvement in their care, through strengthening the position of advocacy and advance statements.
“Mental health has deservedly moved up the agenda and that’s something we can all welcome. As treatment improves and the stigma of mental illness decreases, we will see more people coming forward to ask for help. I’m determined that we are able to meet that challenge.”
Legionnaire’s outbreak: we’ll never know the source
Final Report into 2012 Legionnaires’ Outbreak published but the source of the outbreak may never be known
NHS Lothian, on behalf of the multi-agency Incident Management Team (IMT), has today published the final report into the 2012 Legionnaires’ outbreak which affected the south west of Edinburgh. The 68 page report goes into great detail – but the public heath professionals who produced the report are unable to pinpoint the source of the outbreak.
The report states: ‘As it has not been possible to identify the precise source of the Legionella bacteria that resulted in the death of four people, Crown Counsel has concluded that there is insufficient evidence to prosecute any person or organisation for the deaths.’
The Incident Management Team has concluded that the outbreak was caused by an aerosol release of Legionella pneumophila Sg1 Knoxville ST191 over a defined area of south west Edinburgh during May 2012. Although the Incident Management Team could not establish the specific source of the organism, it has concluded that: ‘the most likely source of this aerosol release was an industrial complex containing wet cooling towers in the north east of the affected area.’
Between late May and late June 2012, 56 people who had links to south west Edinburgh, were confirmed as suffering from Legionnaires’ disease. Four of these people died and the Health and Safety Executive, under the direction of the Crown Office and Procurator Fiscal Service Health and Safety Division carried out a full investigation into the cause.
The final report into the outbreak highlights that the locally coordinated public health, environmental health, scientific and clinical response helped protect the health of people living and working in south west Edinburgh and had a positive impact in preventing more people becoming seriously ill.
It has been published following the conclusion of all investigations into the outbreak.
Professor Alison McCallum, Director of Public Health and Health Policy, NHS Lothian said: ““I would once again express my sincere condolences to the families of those who died during this outbreak and the patients affected.
“The review of outbreak management and the subsequent public health research has provided valuable in enhancing the existing knowledge on Legionella outbreaks and control. This report allows us to share our experience and findings with other public health teams across the globe.”
2015 Final Report – Master 2015 Final 060815
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.
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:
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.