NHS Lothian – Page 58 – The NEN

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.”

‘Simply unacceptable’: Western’s cleanliness standards slammed

Standards of cleanliness at The Western General Hospital have been severely criticized in a report (see below) by official watchdog The Healthcare Environment Inspectorate (HEI). NHS Lothian chiefs have said they have already acted to respond to concerns.

Chief Inspector Susan Brimelow said: “We carried out an unannounced inspection to the Western General Hospital on Tuesday 18 and Wednesday 19 November 2014. Due to significant concerns about the cleanliness of patient equipment and the environment, we escalated our findings to senior management in the hospital.

“We requested that NHS Lothian take immediate action to address these issues and produce an improvement action plan. We returned unannounced on Thursday 27 November 2014 to assess progress against the improvement action plan and found that significant improvements had been made. NHS Lothian must address the requirements and make the necessary improvements as a matter of priority.”

In a full statement issued earlier today the HEI said:

We previously inspected the Western General Hospital in February 2013. That inspection resulted in four requirements and five recommendations. The inspection report is available on the Healthcare Improvement Scotland website.

We carried out an unannounced inspection to the Western General Hospital on Tuesday 18 and Wednesday 19 November 2014. Due to significant concerns about the cleanliness of patient equipment and environmental cleanliness within the Western General Hospital, we escalated our concerns to senior management in NHS Lothian on 18 November and then again on 19 November 2014. On ward 52/53, we also raised concerns about the lack of working macerators and the procedures in place to reduce the risk of cross-infection to patients, staff and visitors. Macerators break human waste down into slurry so it can be sluiced effectively. We requested that immediate action be taken on these issues and an improvement action plan produced to show how these issues would be rectified.

We returned unannounced on Thursday 27 November 2014 to assess progress against the improvement action plan at ward and departmental level. Significant improvements had been made although we still noted some issues with the cleanliness of patient equipment and the environment.

We assessed the hospital against the NHS Quality Improvement Scotland (NHS QIS) healthcare associated infection (HAI) standards and inspected the following areas:

ward 2 (oncology)
ward 4 (oncology)
ward 15 (winter ward)
ward 20 (ICU)
ward 26 (general medicine)
ward 27 (colorectal)
ward 43 (regional infectious diseases unit)
ward 50 (stroke unit), and
ward 52/53 (gastroenterology).

Overall, we found evidence that NHS Lothian is not complying with the NHS QIS HAI standards to protect patients, staff and visitors from the risk of acquiring and infection.

In particular we found:

the standard of cleanliness of the patient environment was poor
the standard of cleanliness of patient equipment was poor, and
a lack of appropriate risk assessments, for example for out-of-order macerators.

The report highlights areas of strength and weakness as well as areas for further improvement, including requirements and recommendations.

This inspection resulted in eight requirements and one recommendation.
NHS Lothian must address the requirements and make the necessary improvements within the stated timescales.

Responding to the report, Melanie Johnson, executive nurse director at NHS Lothian, said staff had acted on the inspectors’ findings as ‘a matter of urgency’.

Ms Johnson said: “We recognise that some standards were below those we would expect and I apologise to any patients who may have been affected. I would also like to reassure them that those areas have been rectified – since the first of the visits in November, immediate changes were put in place to address all areas that were singled out for improvement.

“A detailed action plan was drawn up and all points have been completed. Many of these significant improvements were proven during the subsequent unannounced visit by inspectors as is detailed in the report.”

Commenting on the ‘extremely disappointing’ findings, Health Secretary Shona Robison said: “The report shows that standards have fallen well short of what the public and patients expect. The inspectors have uncovered simply unacceptable levels of cleanliness and infection control in certain wards, and I will be meeting the chair of NHS Lothian to reiterate my desire to see standards immediately improve. The improvement plan in place must be delivered urgently.”

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Health and social care integration plans unveiled

Edinburgh’s health and social care chiefs have unveiled details of how they will strengthen ties and improve people’s well-being through the integration of services.

Both organisations must integrate the planning and delivery of certain services through legislation set out by the Scottish Government relating to all Scottish local authorities.

Integrating adult health and social care services will allow the City of Edinburgh Council and NHS Lothian to:

Train and support staff to work together to meet people’s needs;
Improve health and reduce inequalities;
Give communities an active role in designing and delivering services;
Use shared resources in the most cost-effective way.

A Draft Integration Scheme will set out how the agencies will work together to deliver services through what will be known as a new organisation, the Edinburgh Integration Joint Board. A Shadow Edinburgh Health and Social Care Partnership Board has been operating since 2012.

A report recommending that the draft is approved to go forward for consultation will be considered by members of the Corporate Policy and Strategy Committee on 20 January.

A targeted and extensive consultation plan on the draft with relevant organisations and the public will run until 20 February, with the results set to be submitted to the Scottish Government for approval by 31 March.

Councillor Ricky Henderson, Health and Social Care Convener for the Council, said: “These are exciting plans and are the start of a new phase of development for health and social care in Edinburgh. I am confident that they will lead to an improved and more targeted service for everyone who needs it.

“It’s important to recognise that health and social care staff from the NHS and Council already work together very effectively to deliver integrated services, and the details will build on what is a very solid foundation.

“It’s vital that we engage with all the relevant groups so that everyone has the chance to have their say on how integration should work. They will be at the heart of the scheme’s decision making process and together we can shape a more streamlined service which will lead to improved health for citizens.”

Professor Alex McMahon, Director of Strategic Planning, Performance Reporting and Information, NHS Lothian, said: “We welcome and support these proposals on the integration of health and social care services for adults in Edinburgh.

“Having worked closely with our partners at the City of Edinburgh Council to develop this joint plan, this new approach will build on the integrated work and good relationships which already exist between health and social care colleagues and services.

“We look forward to continuing to work together on the development of these important proposals as we move forward.”

More money for Scotland’s health boards

NHS in Scotland to receive additional £65 million

The Scottish Government has today announced that an extra £65m will be made available to NHS in the next financial year. The funding boost for 2015/16 will ensure that all health boards will receive uplifts next year which are at least 1% above the rate of inflation.

This will bring all health boards to within one per cent of parity under the NHS funding formula, NRAC, a year earlier than planned.

Health Secretary Shona Robison (pictured above) said the funding increase demonstrates the Scottish Government’s commitment to protecting the NHS. She said: “This Government has not only protected the NHS budget, but increased it.

“Our NHS services faces challenges as a result of the increase in patients, with more complex illnesses, and the rising costs of expensive new drugs.

“This £65m additional investment increases the resources available to health boards will help alleviate these pressures and ensure our NHS can continue to deliver effective and sustainable care to all patients across Scotland.”

“We’re clear that all patients in Scotland should be treated as quickly and as effectively as possible, with the right care, in the right place, at the right time. With this increase in funding, health boards are being given more support to achieve this.

“Despite Scotland’s fiscal resource budget being slashed in real terms by 10 per cent by Westminster since 2010, we’ve increased the health resource budget by 4.6 per cent in real terms.”

Health Boards publish holiday A & E figures

More than 90% of Lothian A & E patients seen within four hours

Scotland’s core accident and emergency departments saw 88.8 per cent of patients within four hours over the challenging Christmas and New Year period. NHS Lothian outperformed the national average, recording a 93.4% figure.

The figures which have been reported to the Government by NHS boards, outline performance at A&E departments between December 22 to January 4.

Boards have also reported one of the key challenges over this period has been the number of admissions to hospital, reflecting the fact that more seriously ill people are presenting at A&E.

Health Secretary Shona Robison said:

“The winter months bring increased pressure on the heath service and these figures show that this year’s Christmas period was a particularly challenging time for our A&E services and across our NHS.

“It is clear we must improve our performance – both in winter and year round – which is why we’ll go on increasing investment, improving systems and protecting staffing levels.

“Health board staff across Scotland have been working extremely hard to meet this demand and ensure long waits in A&E are minimised – and for this they have our thanks.

“However, across many health boards, delayed discharge is having a significant impact on the flow of patients through hospital and boards have informed us there has been an increase in seriously ill people presenting at A&E, who need admitted to hospital.

“I have already stated that reducing delayed discharge is a top priority for this government and we are continuing to work with health boards and local authorities to ensure effective co-ordination so that these patients, who are often very frail, can either get home or into a homely setting as quickly as possible.

“While we have significantly reduced by two-thirds the number of patients who are delayed for longer than four weeks, we recognise that we must go further to ensure all patients are safely discharged as quickly as possible when they’re judged clinically fit enough.

“To help deliver this we’ve already legislated for the integration of health and social care from this April.

“Of course, more must be done to deliver sustainable change and we are working with partners to make sure this happens.

“We have also recently made £28 million available to support boards experiencing an increase in demand over the winter and ensure local plans are in place across Scotland, supported by this extra investment.

“This investment is enabling the creation of an extra 200 intermediate care beds across Scotland, expanding community capacity substantially. That means fewer people will be unnecessarily delayed in hospital, freeing up beds and easing the pressure on A&E.”

NHS England and NHS Scotland A&E core site/Type 1 performance Christmas period figures are:

4 Hour A&E Performance:

Country (2 Weeks Ending the 4th January 2015)

England (Type One Sites) 82.8%

Scotland (Core Sites) 88.8%

NHS Scotland A&E core site Performance Christmas period (unvalidated) figures are:

Scotland NHS Boards (Core Sites) – 2 Weeks Ending the 4th January 2015

Ayrshire & Arran 89.6%

Borders 89.0%

Dumfries & Galloway 96.3%

Fife 87.3%

Forth Valley 83.1%

Grampian 90.6%

Greater Glasgow & Clyde 82.6%

Highland 95.9%

Lanarkshire 89.4%

Lothian 93.4%

Shetland 97.5%

Tayside 98.1%

Western Isles 99.2%

Scotland (Core Sites) 88.8%

Seasonal health advice from NHS Lothian

Holiday Health Advice

Check you have cold and flu remedies

Many children and adults pick up common winter ailments such as a cold or flu-like illness. These can often be effectively treated at home with readily available medicine. Parents are reminded to restock their medicine cabinet with remedies suitable for children.

Use your local pharmacy

Your local pharmacy is an accessible resource for you and your family. Your pharmacist can offer advice or help if you have run out of any prescribed medication. You can also collect medicine for minor ailments or illnesses.

Make sure you have repeat prescriptions. Only order what you need and pick it up in plenty of time.

If you, or someone you care for, require medicines regularly, check that you have enough and if you need more remember to order and collect repeat prescriptions in good time to ensure you or your family have enough medicine to last over the Christmas holiday period. Only order what you need.

Know when your GP surgery will be open

Your local doctor’s surgery will be open on Wednesday December 24^th and will then reopen on Monday 29th December. This means there are four days when it is closed – Christmas Day, Boxing Day, Saturday 27^th and Sunday 28^th.

Doctors Surgeries will follow normal opening hours on Wednesday 31 December and will then reopen on Monday 5 January.