Lothian labs deliver vital tests amid ongoing surge in respiratory illnesses

NHS Lothian laboratory teams are the first in Scotland to develop and use PCR testing to detect Group A Strep illnesses among those admitted to hospital.

The tests are proving vital in helping to identify and reduce onward spread of these infections, which are particularly dangerous for children, the elderly and those with underlying health conditions.

Patients who are suspected of having a Group A Strep illness are typically treated swiftly with antibiotics, but this treatment impacts the success of more traditional testing methods, meaning an accurate diagnosis is more difficult and can take longer.

The introduction of the PCR testing, which is not affected by antibiotics, means patients are being diagnosed more accurately and much more quickly. A quicker diagnosis means treatments can be tailored, and the potential for onward spread of infection can be significantly reduced.

Dr Kate Templeton, Head of Molecular Diagnostics, NHS Lothian explained, “While the ongoing impacts of COVID are still being felt across healthcare, and society more generally, a more positive outcome of the pandemic has been the wealth of research and innovation within laboratory testing and diagnostics.

“Within NHS Lothian, we are taking the experience and knowledge gained throughout the pandemic and applying that to other health conditions. The development and use of the PCR test, which had more commonly been used in response to COVID, for Group A Strep illnesses is hugely important. Not only is it providing quicker diagnosis, but it is helping to reduce the spread of these infections and ultimately it is saving lives.”

The Lothian labs team is now processing PCR tests for suspected Group A Strep illnesses for all Health Boards across Scotland, a vitally important role, amid the ongoing surge in respiratory illness that is being seen across the country, and which is hugely impacting levels of hospital presentations and admissions.

Calum Campbell, Chief Executive, NHS Lothian said, “The NHS Lothian laboratory teams did incredible work throughout the pandemic, but they haven’t stopped there.

“This new development, which builds on their immense knowledge, and the investment we have made in this area, is now proving vital as Scotland’s healthcare system responds to increased and sustained levels of respiratory illnesses.

“The introduction of the PCR test will mean Scotland’s hospitals can diagnose Group A Strep illnesses more quickly, improving treatment options for patients and minimising the potential spread of infection. This innovation is proving invaluable now, but will continue to play a vital role in future years.

“I am immensely proud of the laboratory teams for their ongoing work in this area, and as they continue to support not just NHS Lothian, but Scotland’s other Health Boards throughout this particularly difficult winter.”

NHS Lothian: Nasal flu vaccine drop-in clinic at Royal Hospital for Children and Young People this Saturday

Has your 2 – 5 year old still not had their flu vaccine?

You can book or drop-in to a mop-up clinic at the Royal Hospital for Children and Young People this Saturday (21 January).

To book an appointment, please call 0300 790 6296

Walk the talk and get active in 2023 with Ageing Well

Ageing Well, run by Edinburgh Leisure in partnership with NHS Lothian is seeking new participants to join various city-wide activities which support people to become, and remain, active in later life.

Available to join are Buddy Swim sessions, a 19-week cycle skills course and a two-week technical skills Nordic Walking course, which is followed by four weeks of walking around Edinburgh.

Cat Wilson, Active Communities Project Officer at Edinburgh Leisure said: “Ageing Well activities have been developed to cater for a wide range of tastes and abilities.  All activities are either led by or supported by fully trained volunteers, who are all older adults themselves.

“The emphasis is on meeting new people whilst making physical activity accessible and enjoyable. For anyone who has made a promise to themselves, or their family, to improve their fitness in the new year, now is the time to walk the talk and to register their interest in any of our Ageing Well programmes. 

“I can guarantee it will be a lot of fun, will improve their wellbeing and fitness, and all our activities are sociable, with plenty of opportunities to make new friends.”

Buddy Swimming is aimed at older adults, who perhaps lack confidence, to get back in the water. Participants are met and greeted by Edinburgh Leisure’s volunteers and ensure they have the support they require in the water, followed by that all-important chat and cup of tea afterwards.

Ageing Well’s Buddy Swimming takes place in three Edinburgh Leisure venues across the city, moving to four, when Warrender Swim Centre, reopens in early 2023.

  • Tuesday – Glenogle Swim Centre – 10.00 – 10.45am
  • Wednesday – Warrender Swim Centre – 10.00am – 11.00am (date of Warrender reopening is still to be announced)
  • Thursday – Drumbrae Swim Centre – 10.30am – 11.15am
  • Thursday – Royal Commonwealth Pool – 12.05pm – 12.45pm

The 19-week Cycle Skills course will start at the beginning of March 2023 and takes place on a Monday at 10am.

The initial level 1 course, based on Cycling Scotland’s Bikeability material is an 11-week course, which will get participants comfortable again on a bike, developing skills, at a pace that suits them, in a dedicated area at Saughton.

Level 2 lasts 8-weeks and gives participants the opportunity to explore Edinburgh’s extensive cycle path network, from the leisure centres at Ainslie Park and Meggetland.

Suitable for anyone who hasn’t been on a bike for ages or for those that don’t currently own one, Edinburgh Leisure can provide bikes, helmets, and hi-viz vests, but people are welcome to bring their own.

Ageing Well’s six-week Nordic Walking course launched in March 2022 and will start again in Spring 2023, day and date to be decided.

Nordic Walking is for everyone. Its origins are Finnish and it provides a total-body version of fitness walking with specially designed poles, not to be confused with trekking poles. It can be enjoyed at many levels, at low, medium, or high intensity.  The poles mean that effort is shared between the upper and lower body, so it feels easier than normal walking, particularly uphill. More than 10 million people globally enjoy this outdoor activity all year round.

Participants will meet at Brighton Park in Portobello and would be expected to attend the first two technical sessions to graduate. Each session will last 1-hour, and poles will be provided, if people do not already have their own.

Once group members have graduated from the 2-week introductory course, they will be eligible to join the Nordic Walking 4-week course, visiting various locations. These walks would take between 1.5 – 2 hours.

The Nordic Walking course complements Ageing Well’s already popular regular walks which take place in different locations around the city each week.

Ageing Well relies on external funding and donations to deliver its programmes across Edinburgh. A contribution of £3 per week for each activity is appreciated. This can be paid in one go or each week. People’s generous support means Edinburgh Leisure can provide a range of activities to reach more older adults in need of their support, protecting their health and wellbeing and improving their quality of life. 

In 2018 the Ageing Well programme was awarded the Queen’s Award for Voluntary Service (QAVS), which is the highest award given to UK volunteer groups and is the equivalent of an MBE. The award reflects the tremendous contribution of Edinburgh Leisure’s Ageing Well volunteers and the positive difference they make to the lives of participants. 

To find out more about any Ageing Well activities, visit:

https://www.edinburghleisure.co.uk/activities/active-communities/ageing-well

Don’t delay registering your interest in any of the Ageing Well activities:  active@edinburghleisure.co.uk or call 0131 458 2260.

NHS Lothian publishes research findings about the Royal Infirmary of Edinburgh’s historical ties to slavery

NHS Lothian has published the findings of a research project, funded by NHS Lothian Charity, to learn about the Royal Infirmary of Edinburgh’s historical ties with the enslavement of African people and people of African descent.

The main findings include:

From 1729 to 1850, the Royal Infirmary of Edinburgh (RIE) received at least £28,080 from 43 individuals with ties to Atlantic slavery. These donors included physicians, surgeons, politicians, colonial officials, bankers, and a range of merchants, both in Britain and its colonies, who were connected to the enslavement of African people in the British West Indies and America.

From 1749 to 1892, the RIE owned and leased an estate in Jamaica called Red Hill pen, bequeathed in the will of the Scottish surgeon and enslaver Dr Archibald Kerr. Until the abolition of slavery in Britain’s colonies in 1834, the RIE owned and leased the enslaved people, drawing substantial rents from the property. After Abolition, the estate employed ‘apprentice’ Black labourers.

Between 1773 and 1801, the RIE was involved in requests for the manumission (the granting of freedom) of an enslaved Black woman (Juliet) and later her two enslaved children (John and William Moodie) on Red Hill at the request of their father, Dr John Moodie, a White man.

Through a complex series of events, the RIE eventually received approximately £832 from the British Government after the abolition of slavery (1834) as ‘compensation’ for the loss of the labour of the enslaved people at Red Hill.

NHS Lothian is committed to eliminating unlawful discrimination and harassment, advancing equality of opportunity, and fostering good relations between the different groups of people working for the organisation and using its services.

Throughout January, a series of public engagement events, led in partnership between the project’s independent Advisory Group and researcher, will be held in Edinburgh and online.

The purpose of these events is to start a conversation about what we have learned, the lasting impact, and the changes NHS Lothian can make today.

We are particularly interested in hearing from those groups who are most adversely affected by this history of slavery, including NHS Lothian BME staff and the wider ethnically diverse communities across Lothian. The Advisory Group will then make recommendations to the NHS Lothian Board to suggest how the organisation might correctly and appropriately learn from its past and act to tackle the modern-day racism and racial inequalities experienced by the people who work for NHS Lothian and use our services.

The full historical report and further details on the project itself can be found on NHS Lothian’s website, including how to take part in these important conversations – https://org.nhslothian.scot/AboutUs/OurHistory/Slavery/Pages/default.aspx

Two open sessions will also take place at the Centre for Research Collections, University of Edinburgh. During these sessions, relevant eighteenth and nineteenth century records used in the historical report will be available for people to view with the guidance of staff at Lothian Health Services Archive.

Talking about the importance of this charity-funded project, NHS Lothian Chief Executive, Calum Campbell said: “It is essential that our health and care system is truly inclusive so that everyone in Lothian lives longer, healthier lives, with better outcomes from the care and treatment we provide.

“We also strive to be an inclusive employer where everyone who works with and for us has better experiences. This work to acknowledge and tackle racism and racial inequality is vital to delivering this ambition.

“This project was fully funded by NHS Lothian’s official charity, NHS Lothian Charity. An independent researcher was contracted by NHS Lothian Charity to undertake the research and will lead the subsequent public engagement work.

“We hope that the public will get involved in conversations about this important work, helping us to understand and consider different reflections and viewpoints that will inform the independent Advisory Group’s final recommendations.”

Director of NHS Lothian Charity, Jane Ferguson said: “This is an important piece of work that we are serious about working in partnership on with NHS Lothian and we are providing charitable funding to take it forward.

“Reducing health inequality is one of the Charity’s priority objectives and this research helps both us and NHS Lothian understand what more we can do to help improve the health outcomes of our ethnically diverse communities.”

A list of FAQs has been provided to help with any questions that you might have about this project.

For more information visit: 

https://org.nhslothian.scot/AboutUs/OurHistory/Slavery/Pages/default.aspx

Modern Apprenticeship opportunities with NHS Lothian

Do you have a passion for working in healthcare? Looking to start your exciting career as a Clinical Support Worker or in Administration?

NHS Lothian’s Modern Apprenticeships may just be what you are looking for!

Applications will open 6th January! More details to follow.

NHS Lothian issues advice to public on rise of respiratory viruses

An increasing number of respiratory viruses in Lothian is heaping extra pressure on the hospital system.

Cases of Flu are surging and there are still high levels of COVID and Respiratory Syncytial Virus (RSV), as well as norovirus, causing hospitals and GPs in Lothian to be stretched beyond capacity.

Calum Campbell, Chief Executive, NHS Lothian, said the sector as a whole was already experiencing significant pressures because of an increase in emergency patients and large numbers of delayed discharge patients, before this latest increase in infection rates.

He added: “Our teams across the health and social care system are facing sustained and relentless challenge. The system is under horrendous pressure and the challenges our teams are facing are uncharted.

“We are experiencing more cases of infection – flu, COVID and RSV, as well as norovirus – than ever before.

“In order to maintain our patient flow through the hospital and retain beds for the most urgent of cases, we need to support people to go home quicker after their treatment and reduce any preventable admissions. That is where the public can help.

“Please take sensible precautions to prevent infection, especially if you have underlying health conditions or plan to be with those that do””

The Royal Infirmary of Edinburgh, St John’s Hospital, the Western General Hospital and the Royal Hospital for Children and Young People are all at full capacity.

Dona Milne, Director of Public Health and Health Policy, NHS Lothian, urged people to help reduce the spread of infections to protect themselves and the most vulnerable in their communities.

She said: “Although they can be mild infections for many, RSV and Flu can be extremely serious for some people causing them to require urgent hospital treatment. We have now reached extraordinary levels of flu in Scotland that we haven’t seen for many years.”

“We are asking anyone who has cold or flu like symptoms to help limit the spread of infection and reduce the chances of passing it to someone who will become very unwell.

“Stay at home if you feel unwell. And if you do have to go out, please wear a mask. People should also remember to wash their hands, and cough or sneeze into a tissue and bin it.”

People in Lothian are also being reminded to stock up their medicine cabinets with paracetamol and cold remedies so they can treat common illnesses at home.

Anyone who has cold type symptoms, such as a runny nose or mild cough, or who has a sore throat without a temperature and can eat and drink, is likely to have a viral illness and does not need to contact their GP. They should drink plenty of fluids and rest and get additional help and advice from NHS Inform or their local pharmacy.

The most up to date information on Strep A can be found at:

https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/streptococcus-a-strep-a/

NHS Lothian explains how relatives and carers can help ease pressures

Following warnings that hospitals and GP services are being stretched beyond capacity NHS Lothian is explaining how relatives and carers can help.

Calum Campbell, Chief Executive of NHS Lothian, said that ongoing delays in discharging patients who no longer need clinical care is continuing to intensify pressure across the whole healthcare system but there are ways that people can help.  

He said: “Our services have been experiencing unprecedented demand for some time and we are doing everything that we can to increase capacity, provide essential care for patients and relieve pressure on staff.

“As we move into the New Year, we’re asking people to play their part in easing this sustained pressure by helping to care for loved ones at home, managing illnesses properly and reducing the spread of infections, which can result in increased hospital admissions.”

To help reduce waiting times and free up beds for new patients, NHS Lothian has been appealing to relatives and carers of patients who could be discharged to provide interim care for them at home.

Dr Tracey Gillies, Medical Director of NHS Lothian, explains: “Many of our patients no longer require hospital treatment but can’t go home until an appropriate care package is in place or a care home placement becomes available.

“We are urging families of these patients to please consider how they can help look after a loved one at home on a temporary basis. Our teams will be on hand to provide support and discuss their needs and will only allow patients to go home after a robust clinical assessment.”

“People can also help by arranging to collect friends and family who have been discharged as early as possible.”

NHS Lothian drop-in clinics extended

We’ve extended our drop-in clinics so you can get your winter vaccines over the festive period and into January without an appointment.

Flu cases are rising so, if you’re eligible, please get yours soon.

Clinic details here: http://ow.ly/V46850MblNa

FESTIVE ARRANGEMENTS: Clinics will be closed from 24th to 27th December and again from 31st December to 3rd January. Please check individual clinics for additional information before arranging your visit.

AreaSiteDaysDrop-in times
East LothianEdington Cottage Hospital

Monday to Friday

Closed from 24th December to 8th January
8.30am – 4.30pm
(Closed 10am to 10.30am and again from 12.30pm to 1.30pm)
East LothianHaddington Corn ExchangeMonday to Sunday8.30am – 4.30pm(Closed 12pm – 1pm)
East LothianMusselburgh Primary Care Centre
Monday to Friday
Closed from 24th December to 8th January
8.05am – 4.50pm
(Closed 10am to 10.20am and again from 12.30pm to 1.15pm)
​Edinburgh​Fort Kinnaird (SAS Bus – next to Currys)Monday 19th – Friday 23rd December​9.30am – 4pm 
EdinburghThe GyleMonday to Sunday9.30am – 6.30pm
EdinburghOcean TerminalMonday to Sunday9am – 6.30pm
EdinburghWaverley MallMonday to Sunday10am – 5.30pm
MidlothianGorebridge Leisure CentreWednesdays, Thursdays and Fridays 

Closed Thursday 22nd December onwards, reopens Wednesday 4th January
8.30am – 4.30pm
(Closed 12.30pm – 1.15pm)
MidlothianRosewell SteadingMonday to Sunday8am – 5pm
West LothianLivingston Designer OutletMonday to Wednesday
and Friday
9.30am – 5pm
Thursday9.30am – 6pm
Sunday10.30am – 4.30pm
West LothianCarmondean Health CentreMonday and Tuesday9am – 4.30pm(Closed 12pm – 1.15pm)
West Lothian
Strathbrock Partnership Centre Monday to Sunday9am – 6pm 
West LothianWest Calder Health CentreWednesday and Friday9am – 4.30pm(Closed 12pm – 1.15pm)