Scotland’s winter vaccination programme has started in Lothian with over 3,500 people getting their flu vaccine on the first day (Monday 4th September).
Invitations to book or attend an appointment have already been sent to those eligible for a flu vaccine by post in a white NHS Scotland envelope, or by email or text depending on communication preferences.
Flu is serious and even healthy people can become very ill from it. Flu cases were at their highest since 2018/19 last year, with over 14,000 confirmed cases in Scotland.
The flu virus is always changing and vaccination remains the best way to protect yourself and those around you. NHS Lothian is strongly encouraging those eligible to take up the vaccination offer when it comes.
Both flu and COVID-19 vaccines will be offered to people most vulnerable to illness and, where possible, administered at the same time. Eligible groups will be invited for vaccination as the programme progresses through the autumn and winter.
To prevent the spread of flu and COVID-19, the advice remains to stay home with any respiratory symptoms and to wash hands regularly.
Pat Wynne, Nurse Director for Primary and Community Care who oversees the delivery of the winter vaccines programme in Lothian, said: “Vaccination is the best way to protect yourself and others from COVID-19 and flu this winter. Flu vaccines are available to 50 to 64s, people aged 18 to 49 with an eligible health condition and health and social care workers now.
“There are a variety of clinics across Lothian covering evenings and weekends, and we strongly encourage you to book or attend your appointment when invited.
“Coming forward as soon as you’re invited will ensure you’re protected and help alleviate pressures on the NHS over the challenging winter months.”
There have been reports in the media that some buildings in the NHS Estate across Scotland may have been constructed using Reinforced Autoclaved Aerated Concrete (RAAC). This material, which was widely in use between 1960 and 1980, was used mainly for components such as roof and floor planks. It is known to be weaker than other forms of concrete and its use was phased out in the 1990’s.
Work is underway at a national level to check and risk assess all NHS buildings which may potentially contain RAAC.
As part of that work, NHS Lothian has identified those candidate buildings in our Estate and supplied the information to NHS Scotland Assure. We have identified the following buildings as requiring investigation:
• Bonnyrigg Health Centre
• Lauriston Building
• Princess Alexandra Eye Pavilion
• Royal Edinburgh Hospital – Cullen/River Centre Extension
• Royal Edinburgh Hospital – Link Corridor/X-Ray
• Stoneyburn Health Centre
• Tranent Medical Practice
• Western General Hospital – Gas Store
It is worth noting that the risk assessment that took place by NHS Scotland Assure was based on a desktop exercise and does not confirm the presence of RAAC within our buildings.
The next stage of the process will be for discovery surveys to be undertaken by an independent contractor appointed by NHS Assure to confirm or rule out the presence of RAAC within our buildings. This is a national process and the surveys are scheduled to be carried out in Lothian in the Autumn.
The output of these surveys will provide further information on any recommended remedial actions. This work is precautionary and not the result of any known issues in any of our buildings.
Do you have a little one(s) aged 6 months – 3 years? Would you like to learn more about encouraging positive behaviours around food in a safe and supportive environment?
Why not join Sally and Jules this Wednesday from 10am-11am Pilton Community Health Project , we’d love to welcome you and your wee one(s).
Booking is essential and these sessions run each week for a total of 4 weeks. Please register using the link below or by contacting us via email (details on poster).
Suitable for mums (or grans) who live in the area with their little ones, aged 6 months up to 3 years.
We will cover topics such as weaning, introducing first foods or new foods, introducing allergens, and advice on fussy eaters. Little ones will also get the chance to try all sorts of delicious and nutritious foods.
This will be a four-week closed group so booking is essential. We also ask that you can come to all 4 sessions.
An NHS Lothian doctor has set his sights on distributing donations to his counterparts in war-torn Ukraine.
Dr Peter Cackett, Consultant Ophthalmologist, Princess Alexandra Eye Pavilion, set about trying to gather Ophthalmic equipment and supplies that could be delivered to the country. Other organisations, along with NHS Lothian, rallied round to pull together a list of items to help both children and adults alike in Ukraine.
Items included specialist lights and cameras for ophthalmic examinations and vision tests for testing the sharpness of vision in young children who cannot yet read. The equipment was distributed to all three hundred and twenty paediatric ophthalmology departments in Ukraine, as requested by Professor Sergiy Rykov, President of the Association of Paediatric Ophthalmologists of Ukraine, Kyiv.
Also a trustee of the charity Ophthalmic Aid to Eastern Europe (OAEE), Dr Cackett stored the equipment in his home, arranging for heavier items to be collected during the journey to Medyka, a village at the Polish/Ukrainian border for handover of the donations to ophthalmologists from Lviv.
OAEE was established over 30 years ago, after the fall of the Berlin wall, and helps centres in Eastern Europe with ophthalmic equipment, whilst also supporting teaching and training initiatives for ophthalmologists in Eastern and Central Europe.
The donations were delivered to Ukraine overland, by van, by two final year medical students from Edinburgh and Dundee Universities, Wesley McLoughlin and Doireann Hughes, following in the footsteps of a group of medical students that delivered ophthalmic aid to Lviv 30 years ago in 1993.
Dr Cackett, Consultant Ophthalmologist, NHS Lothian said: “I felt that it is was important to help the Ukrainian ophthalmologists as I had previously helped take ophthalmic aid to Lviv, Ukraine in 1993, whilst I was a medical student. Dr Andriy Hudz, the junior doctor in Lviv, who we delivered the aid to in 1993 is now Professor of the department there.
“The Ukrainian ophthalmologists are delighted with the equipment which has been sent. I have started collecting equipment again to deliver more ophthalmic aid to Ukraine and have been trying to source financial donations to help pay for the transportation.
“We are also looking into potentially providing some assistance to Iasi, a city in Romania where Ukrainian refugees have been arriving and also Moldova. We also want to re-establish observerships for Ukrainian ophthalmologists to come to Edinburgh to receive further training.”
Children at an Edinburgh hospital will soon be learning important conservation lessons from some very unusual teachers – a mob of meerkats based in an outdoor classroom within the grounds!
The first programme of its kind outside of Australia, the meerkats from The Royal Zoological Society of Scotland’s (RZSS) Edinburgh Zoo will reside at NHS Lothian’s Royal Hospital for Children and Young People (RHCYP) and be at the heart of an extensive learning and discovery experience.
Thanks to a partnership between Edinburgh Children’s Hospital Charity (ECHC), NHS Lothian and RZSS, the inquisitive creatures will give young patients, particularly those staying long term, the opportunity to learn all about nature and the environment.
Edinburgh Zoo currently delivers a weekly programme of educational activities at the RHCYP, including projects on penguins, pandas and tigers, all of which encourage children to think about their place in the world and the importance of wildlife within it.
The meerkat enclosure will replicate their natural habitat and zookeepers from Edinburgh Zoo will care for them and provide meerkat educational sessions while on site.
Roslyn Neely, CEO of ECHC, said: “Some children are too unwell or have been in hospital for so long that they don’t have the opportunity to engage with the outdoors, or interact with animals.
“Many of the children who visit the hospital care passionately about nature and the environment. Our programme will allow them to learn from experts while getting up close to the best teachers of all – the meerkats themselves.
“The wellbeing benefits of engaging with animals and using nature in the healing process are well documented, and there’s great excitement within the hospital in anticipation of our furry friends arriving.”
David Field, chief executive of the Royal Zoological Society of Scotland, said, “Our conservation education programme has already been a great success and now we are taking this incredible next step by creating the only meerkat enclosure at a children’s hospital outside of Australia, making this a first in the UK and Europe.
“Being close to nature and animals can have a tremendous impact on people’s mental and physical health and wellbeing. We also know that people and communities are more likely to help protect nature when they have had the opportunity to connect with our natural world.
“We are really looking forward to bringing a group of meerkats to live at the hospital next year and seeing the impact this will have for the children and their families.”
Allister Short, Service Director, Women’s and Children’s, NHS Lothian, said: “We are really excited about this innovative programme coming to the RHCYP.
“Meerkats have been introduced into many children’s hospitals in Australia and this unique concept encourages children to learn and be inspired, particularly when they’re in hospital for long periods of time.
“We want to brighten up our patients’ days in an educational way and we know that the meerkats will be an exciting addition to the RHCYP.”
The programme is currently in the early stages of planning and it is hoped the meerkats will move into their new home at the RHCYP from 2024.
NHS Lothian welcomed HRH The Princess Royal to officially open the Royal Hospital for Children and Young People (RHCYP) and Department of Clinical Neurosciences (DCN) at Little Franceyesterday.
Offering world-class facilities for both children and adults, the building first opened its doors in July 2020, with all services transferred to the new space by March 2021.
The Royal Hospital for Children and Young People delivers local, regional and national services in some of the most modern and best-designed healthcare facilities in the world. The children’s hospital is physically connected to the Royal Infirmary of Edinburgh meaning that paediatric care, specialist neonatal care, neurosciences and both Emergency Departments are now all on the same site.
This reduces the need for emergency transfers between hospitals and ensures that clinical teams can share skills and expertise for the benefit of all patients.
The expert teams in Neuroscience are made up of a range of specialists, neurologists and neurosurgeons who treat people with disorders of the nervous system, such as problems affecting the brain and spinal cord, and the nerves and muscles in the rest of the body.
NHS Lothian’s Department of Clinical Neurosciences treats patients from the Borders, Dumfries & Galloway, Forth Valley and Fife as well as Lothian. It covers a population of 1.6 million across these areas, while for some specialist services it covers the 2.8 million people living on the east side of Scotland.
During the visit, HRH The Princess Royal enjoyed a tour of some of the building, meeting with staff and patients. Within the Dalhousie Ward at RHCYP, she heard about the important role Play Teams have in enabling children to be children even when in hospital and enjoyed some magic tricks performed by Edinburgh Children’s Hospital Charity funded magician Tricky Ricky. 6-year-old patient Harper presented Her Royal Highness with a posy of flowers to thank her for visiting.
Within the Department of Clinical Neurosciences, HRH The Princess Royal learnt more about the investigative work of our Neurophysiology Department and observed an EMG, a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons).
The Princess Royal met with staff from the Neurosurgery and Neurology Departments before visiting the Neurorehabilitation Ward, to learn more about the work of NHS Lothian’s Occupational Therapists, Physiotherapists and Speech and Language Therapists in supporting patients to return home, to re-learn basic tasks and to regain their confidence.
Calum Campbell, Chief Executive, NHS Lothian said, “We are delighted to have welcomed HRH The Princess Royal to officially open the Royal Hospital for Children and Young People and Department of Clinical Neurosciences.
“These healthcare facilities combine excellent architectural design, one of the UK’s largest Art and Therapeutic Design programmes and the latest clinical thinking and technology. Added to this are our amazing, dedicated and expert staff who deliver exceptional patient care day in, day out.
“The COVID pandemic may have delayed our official opening event, however we are delighted that on the 75th anniversary of the NHS, HRH The Princess Royal could join us, as together we celebrate.”
As well as welcoming HRH The Princess Royal to the hospital, a range of special activities, organised in collaboration with NHS Lothian’s charity partners, and designed to mark the official opening took place yesterday (5 July).
This included an indoor garden party with giant games, information stalls run by all charity partners including Kindred, Edinburgh Children’s Hospital Charity, NHS Lothian Charity and Ronald McDonald House, a special ‘Cuddle Station’ featuring regular Therapet doggy visitors and refreshments. Staff, patients and their families were invited to join the celebrations.
£9 million extension of partnership to help patients
A partnership to support cancer patients and their families to deal with the financial, emotional and physical health effects of the disease is to be extended with a further investment of £9 million.
The programme looks to ensure that everyone affected by cancer in Scotland has access to a specialist key support worker. This means clinicians have more time to offer direct medical and clinical support to patients.
Over the next three years, it is anticipated there will be a gradual increase in access to the service, with a minimum of 14,000 new cancer diagnoses accessing it each year.
The Scottish Government has been working in partnership with Macmillan Cancer Support to improve the service offered to those affected by cancer through the Transforming Cancer Care Programme (TCC). This partnership – the first of its kind in the UK – began under the 2016 Cancer Strategy and has seen £18 million invested to date.
The Scottish Government has agreed to continue the partnership and provide an additional three years of funding for the Improving the Cancer Journey services. Each partner will invest an additional £4.5 million.
Making the announcement ahead of a visit to NHS Forth Valley to celebrate the NHS 75th anniversary, First Minister Humza Yousaf said: ““Our recently published Cancer Strategy and Action Plan places an emphasis on person-centred care for all and supporting the mental health of cancer patients and their families.
“We have committed to launch the final Improving the Cancer Journey service, in partnership with Macmillan, over the next three years. We will also commit to spreading this successful model to all areas in Scotland over the coming year.
“This will see an additional £9 million of joint investment and ensure that everyone diagnosed with cancer in Scotland has access to a key support worker. It will be of great benefit to patients while also easing pressure on the NHS by freeing up clinicians.”
Janice Preston, Head of Partnerships at Macmillan Cancer Support in Scotland, said: “The Macmillan Improving the Cancer Journey (ICJ) Services are available for anyone affected by cancer.
“By the end of 2024, everyone in Scotland who needs support will have the chance to talk to an ICJ practitioner who will help individuals to identify their needs and access expert support, from benefits advice to emotional support – whatever they might need.
“This is a unique service for people affected by cancer that helps to reduce pressure on the NHS and is making a really positive difference to people living with cancer and their families. Since 2014, these vital, non-medical services have already helped over 18,500 people and this money will mean they can keep on transforming cancer support across Scotland.
“We are excited that, through our partnership with the Scottish Government, another £9 million is being made available to ensure people can continue to get this help for another three years.”
The roll out of the Improving the Cancer Journey model to every Health & Social Care Partnership follows 4 key principles:
o 100% of adults diagnosed with cancer, within agreed criteria, will be invited or referred to an ICJ service to speak to a specialist practitioner.
o An ICJ practitioner with the service user will complete a Holistic Needs Assessment (HNA) and generate a care plan to meet the needs identified.
o Local community assets will be identified and utilised to support the service user in meeting their needs.
o The service user will be followed up by the ICJ practitioner in the community to monitor progress with agreed actions.
BOYACK: ‘Delayed discharge is piling pressure on our hospitals’
Scottish Labour MSP Sarah Boyack has warned that delayed discharge in Lothian is “piling pressure on hospitals” as a new report reveals the issue cost NHS Lothian more that £28million in 2022/23.
Delayed discharge figures monitor the number of days patients spend in hospital despite being fit to leave, typically because of a lack of social care services in their area.
Over the course of the year, a total of 97,118 bed days in NHS Lothian were lost to delayed discharge, as rates across Scotland hit a record high.
This includes 70,208 bed days in the City of Edinburgh.
Analysis by Scottish Labour has revealed that the approximate cost of delayed discharge to NHS Lothian in 2022/23 was an eye-watering £28,368,168.
Scottish Labour MSP Sarah Boyack said: “Delayed discharge in Edinburgh is piling pressure on our hospitals and threatening patients’ recovery.
“Our NHS is at breaking point and every penny matters, and it is a scandal that NHS Lothian has been forced to foot a £28million bill for SNP incompetence.
“Social care in Edinburgh and the Lothian is crying out for help, but the SNP’s botched National Care Service plans will do nothing but centralise local services.
“It is high time for the Scottish Government to step up and provide unwavering support for our social care services and increase pay for the sector’s dedicated workers, so no-one is left languishing in hospital waiting for a care package.”
The Lothians & Edinburgh Abstinence Programme (LEAP) has become the first rehabilitation service in Scotland to hire people with lived experience to bridge the gap between community treatment and rehab.
LEAP, run by NHS Lothian and partners, is the only therapeutic community rehabilitation for alcohol and other drug dependencies offered by the NHS in Scotland.
Before the launch of this programme, the service was supported by volunteers with addiction and recovery experience but now officially employees six Peer Bridgers.
Peer Bridgers are people with lived experience of addiction and recovery whose role is to support others through rehabilitation and help improve outcomes.
Recruitment began earlier this year, with the most recent bridger joining in June 2023.
Phil Hayes (above, right) is one of the new Peer Bridgers now employed by LEAP.
Phil suffered from substance misuse issues earlier in his life but, thanks to a community programme, moved into recovery over 20 years ago.
Since then, he spent several years learning about the behaviours that led to his own issues around addiction.
Phil said: “I think society in general views recovery as either unattainable or a continual hard slog of fighting your inner demons day in, day out. I want to be able to show people that isn’t the case.
“With the right support and guidance, as well as some honest hard work, anyone can move completely into recovery and be both happy and of value within their wider community.
“The peer bridging project allows me, and the rest of the team, to engage with people from the moment they decide to change their lives.
“We can provide continuity of support and guidance for them to build a life for themselves outside of addiction.”
Recently published research has shown that residential rehabilitation programmes, like LEAP, are effective in reducing the use of substances and have a positive impact on the overall health and quality of life of those with substance use issues.
Research also shows that positive changes in behaviour after residential rehabilitation can be maintained over time.
David McCartney, Clinical Lead for LEAP, said: “Tackling Scotland’s drug and alcohol-related deaths and improving outcomes from substance misuse treatments, including residential rehabilitation, is a national priority.
“LEAP is a unique programme in Scotland. In other areas, the road to rehab can be much more complicated so we’re very lucky in Lothian to have this service.
“There are few people in Scotland whose lives are untouched by the harms of addiction, whether experienced by individuals, their families, friends or colleagues – addiction affects us all.
“We support our service- users through medical and psychosocial interventions within a therapeutic community setting, giving individuals an opportunity to heal from trauma and addiction and continuing to support them after treatment.”
LEAP is part of the services provided by the Addiction Treatment and Recovery Care Directorate in NHS Lothian and is delivered in partnership with the City of Edinburgh Council, the Cyrenians, Encompass and Alcohol and Drug Partnerships.
The service is funded thanks to both Scottish Government as well as the Alcohol and Drug Partnerships.
