Tag: NHS Lothian

Go ahead for new Sick Kids

Plans to build a replacement for Edinburgh’s Royal Hospital for Sick Children (RHSC ) and Department of Clinical Neurosciences (DCN) have been approved.

The new building, next to the Royal Infirmary at  Little France, will provide a replacement for the current children’s hospital at Sciennes, the Department of Clinical Neurosciences currently based at the Western General Hospital and new facilities for the Child and Adolescent Mental Health Service (CAMHS) which will move from the Royal Edinburgh Hospital.

The project is due to be completed in 2017 and is part of the NPD and hub initiative pipeline, supported by the Scottish Futures Trust, which will see £750 million of investment in health facilities across Scotland.

Negotiations over the site for the new building, currently car park B at the Royal Infirmary of Edinburgh, have delayed the project but these were completed in August. Approval of the outline business case will see NHS Lothian take the next step in the process to select a private sector partner to design, build, finance and maintain the new facility.

Health Secretary Alex Neil made the announcement as he met young patients and staff at the current Royal Hospital for Sick Children. He also confirmed his commitment to investing over £1billion in NHS Scotland capital projects over the next two years, including £485m in 2013-14.

Mr Neil said: “I am pleased to say that the outline business case for the new RHSC and DCN has been approved meaning work to get the new hospital up and running for 2017 can move apace. “There have been delays with the new Sick Kids Hospital in the past, due to land and commercial issues with an inherited PFI contract on the proposed site. I am pleased to say that there is now a framework in place to resolve the legal and commercial issues that arose in the original contract. “This project is part of a £750 million health pipeline delivering a range of improvements to hospital and community health facilities right across Scotland.

“We have already seen £1bn being pumped into our hospitals and health centres since 2011 and I can confirm that another £1bn will be invested over the next two years. In 2013 alone we will invest nearly £500m. “I’ve been clear in the past that investing in our infrastructure is vital to growing our economy and the NHS presents huge opportunities to do this. Not only will it bring benefits to business and more jobs but it also means that patients can be treated in the best possible surroundings. “High quality health services as close to home as possible is what the people of Scotland want, and that is something this Government is determined to give them.”

Dr Charles Winstanley, Chair of NHS Lothian said: “Having the outline business case approved is a significant step forward in this important project. The benefits of having children’s, maternity and adult services on the same site are well documented. This project to re-provide services from the RHSC and DCN will create a centre of excellence at Little France, bringing paediatric care, specialist neonatal care, neurosciences and A&E together. The proximity to the University and the BioQuarter will also improve opportunities for partnership working and bring research to the bedside. We are working closely with the Scottish Futures Trust to plan the procurement process and, as required, we expect to advertise the project in the Official Journal of the European Union before the end of the year.”

The new hospital will cost around £150 million to build and brings together children’s, maternity and adult services on the same site. The new building will:

  • bring together paediatric care, specialist neonatal care, neurosciences and adult and children’s emergency departments all on one site, ensuring that that teams can share experience and expertise for the benefit of patients.
  • provide the ability to deliver paediatric and adult neurosurgery in the same theatre suite, maximising the utilisation of specialist equipment (e.g. intra-operative MRI) and expert staff, with direct internal access to age-appropriate critical care and wards
  • mental health services for children and young people on the same site as acute hospital services, supporting their physical and psychological care
  • joint-working and economies of scale in high-cost specialist clinical areas such as theatres and radiology
  • the opportunity to improve emergency access to services by incorporating a helipad on the roof of the new building

 

Six hundred sign up to keep LEAP in Stockbridge

Campaigners hoping to save Malta House for Lothian and Edinburgh Abstinence Programme (LEAP) handed in petitions containing over six hundred signatures to the Church of Scotland this morning. The move comes as talks over the future of the building continue between the Church of Scotland and NHS Lothian, and campaigners could know the fate of Malta House as early as next week.

In a statement issued earlier today, the Save Malta House for LEAP camapign group said: ‘Copies of the Save Malta House for LEAP petition were handed to the Church of Scotland this morning.  More than 600 signatures and heartfelt comments were gathered in less that a fortnight, on-line and on paper in the Stockbridge area.  Copies were addressed to the Moderator, the Secretary to the Council of Assembly (the Church’s Chief Executive), the Chief Executive Officer of CrossReach (the Social Care Council of the Church) and the Church’s Solicitor. Mary Macleod, Depute Solicitor of the Church, received the petition.  She said that a decision on the future of Malta House and the lease to LEAP would not be made today, but probably early next week.

‘The aim of the petition is to secure the future of LEAP at Malta House.  By 7 September, the petition and campaign had encouraged the Church not to commit to immediate sale to a developer, but to enter into discussions about potential purchase by the NHS.  This in itself is a great achievement, for which we commend the Church, but we are clearly not yet out of the woods.  Should such discussions be successful, it would be a ‘win-win’ situation: the Church would raise money from a sale, and LEAP would continue to lease the property.

‘If these discussions do not lead to this ‘win-win’ outcome, the Save Malta House for LEAP campaign will want to know what on earth has gone wrong.  It is not clear why the Church is having difficulty resolving matters.  Initially the Church seemed to have found itself in an uncomfortable and stark choice between financial gain and its social responsibilities.  The current prospect of purchase by the NHS Lothian (potentially through the Edinburgh and Lothian Health Foundation) looks to offer a solution which delivers both: a way forward to the credit of all concerned.

We remain very aware of the efforts and concern of so many people on this issue of such importance.  The outcome has an impact far beyond a local community, on the reputation of the Church, and on all those recognising the importance of LEAP remaining at Malta House and continuing as a beacon of hope for those facing the challenge of dependency on drink and drugs.  The on-line petition is being kept open until the objective of keeping Malta House for LEAP is achieved.’

There are indications that the group and LEAP supportersmay indeed achieve their aim. In a statement on Thursday (6 September), Peter Bailey, Chief Executive Officer and Secretary of the Church of Scotland’s Social Care Council (Crossreach), told the campaigners: “In relation to the NHS LEAP project in Malta House The Social Care Council wishes to reiterate the earlier statement that they wish to be as helpful and as flexible as possible in the current situation relating to LEAP.  To this end they are now able to confirm that representatives of the organisation are in active discussions with NHS Lothian to explore a positive way forward on this matter within the constraints faced by both NHS Lothian and CrossReach.  It would be premature to comment further while these discussions continue.”

LEAP on the hunt for new home

Lothian and Edinburgh Abstinence Programme (LEAP) is on the lookout for a new home following a Church of Scotland decision to terminate the lease of Malta House, LEAP’s base since it was set up five years ago. 

Dr David McCartney, Clinical Lead of LEAP, said: “We can confirm that our landlord, The Church of Scotland, has informed us it is ending the lease of Malta House and that we require to move out by the end of January 2013.

We would like to reassure patients, their families, staff and partners that LEAP will continue to provide treatment to patients with substance dependence problems.

We are sad at the prospect of leaving Malta House as many people have started their recovery from addiction here and it has met our needs very well. We are now exploring with our partners all of our possible options.”

Funded by NHS Lothian and three local Alcohol Drug Partnerships, LEAP has been a real success story since it was launched in September 2007. Operated in partnership with the City of Edinburgh Council, Access to Industry (Transition) and the Serenity Café, LEAP has helped people with alcohol and drug dependencies to transform their lives through a three-month treatment and rehabilitation residential programme. In March this year, Community Safety Minister Roseanna Cunningham (below) visited the Stockbridge-based project to join in celebrations to mark the programme’s 250th ‘graduation’.

In a statement, a Church of Scotland spokesperson explained that the decision not to renew LEAP’s Malta House lease had been ‘difficult’ and was due to financial pressures on the church’s own social care budget.

“We originally leased Malta House to Scottish Ministers, acting on behalf of the NHS Lothian LEAP project, in 2007 for a 2 year period.  This was subsequently extended to 2010, when it was renewed.   At that point Scottish Ministers accepted the renewed lease of Malta House on the full understanding that the building would be sold when it was deemed that the market conditions were right, and to that end there were break points included in the lease.    In June this year, in terms of that lease, we gave six months’ notice of our intention to terminate the lease from January 2013.

“We are pleased that we have been able to support LEAP for many years through the lease of premises at Malta House.   However, we simply cannot afford to continue that support, given the financial pressures which we face in relation to our own vital services to people in need throughout Scotland.   We recognise the good work that LEAP has been doing and we have a great deal of sympathy for the situation they now find themselves in.  We have been trying to find them alternative accommodation in another Church building but have been unable to identify one that meets their needs.  CrossReach (the Church of Scotland’s Social Care Council) would dearly love to continue supporting LEAP but find ourselves simply unable to do so.  We will continue to be as helpful and flexible as possible in managing this unhappy situation.”

The spokesperson added that no final decision about the sale of Malta House has been made, but that the option to sell is ‘actively being pursued.’

A group of concerned neighbours and supporters are mustering support to keep Malta House available to LEAP – visit http://www.facebook.com/SaveMaltaHouseForLeap for more information.

There is an on-line petition to sign and add comments at:

http://www.ipetitions.com/petition/save-malta-house-for-leap/

You need friends: LEAP launches fundraising charity

Malta House
Saturday proved to be an especially happy birthday for a groundbreaking local project when a new charity aimed at raising funds for LEAP, the Lothians and Edinburgh Abstinence Programme, was launched as part of LEAP’s fifth anniversary celebrations. Founders of the Friends of LEAP charity joined graduates, patients and staff at their annual ‘reunion’ event to celebrate the continued success of the innovative service based at Malta House in Stockbridge. 

Set up by a group of dedicated and skilled volunteers, Friends of LEAP will help to raise additional funds for the programme along with managing the donations they receive.

Dr David McCartney, Clinical Lead, LEAP, NHS Lothian, said: “LEAP continues to grow from strength to strength with more and more people successfully completing the programme and going on to live alcohol and drug free lives. We are delighted to see that the Friends of LEAP charity has been established. We welcome their support and I am sure their work will make a significant contribution to the service. All donations we receive are gratefully received and will go directly into catering for the needs of our patients.”

Trustee Alison Hume is one of four volunteers involved in setting up the charity. “Having volunteered at LEAP over the last few years we are delighted to set up Friends of LEAP. We have witnessed the dedication of staff, the high success in patients completing the programme and the impact that this has had not only on their lives but also that of their families and friends and we are delighted to be involved in this way.”

The LEAP programme operates seven days a week for people dependent on substances who want to achieve drug and alcohol-free recovery. There are six elements to LEAP’s three-month treatment and rehabilitation programme. These are:

  • Medical
  • Therapeutic
  • Mutual aid/recovery communities
  • Housing
  • Education, training and employability
  • Aftercare

“More than 500 patients have been admitted to the programme,” added Dr David McCartney. “It’s important we celebrate our achievements and look ahead with positivity in continuing to assist people in the future.”

Launched in September 2007 LEAP is the first programme of its kind in Scotland, and is an innovative partnership between NHS Lothian, the City of Edinburgh Council, Transition (Access to Industry) and the Serenity Café and the Alcohol and Drug Partnerships in Lothian.

You can find out more about LEAP here LEAP webpage

Legionnaires’ outbreak officially ‘over’

The Edinburgh Legionnaires’ disease outbreak is officially ‘over’. The outbreak, which struck in May and has so far taken the lives of three people, was declared over following a review meeting of the Incident Management Team (IMT) on Tuesday.

To date, there are a total of 101 confirmed and suspected cases. All of these cases have links to the south west of Edinburgh and fit the timescales of exposure and the incubation period for developing Legionella-related illness.

Detailed investigations into the source of the outbreak continue with further testing and analysis of the environmental samples taken from potential sources being carried out.

Lothian and Borders Police and the Health and Safety Executive are jointly investigating the circumstances of the deaths under the direction of the Crown Office and Procurator Fiscal Service (COPFS) Health and Safety Division, and research is also underway to better understand the full extent of the outbreak.

Dr Alison McCallum, Director of Public Health and Health Policy, NHS Lothian said: “As we have seen over the last week, we can expect further cases who have been ill for some time to continue to come forward and our increased surveillance will continue.

“However, all the evidence is suggesting that the action taken when the outbreak was first identified was effective and all cases fall within the expected incubation period, so the decision has been made to declare the outbreak over.

“Laboratory work is ongoing to try and identify the source conclusively but, as we have said from the start, it may not be possible to do so.

“There is also more work to be done to gain a better understanding of the scale of the outbreak and how to manage outbreaks in the future. We hope that people who are approached to participate in these studies will come forward and help us with this significant piece of research.”

A full report into the outbreak detailing the epidemiological, environmental, meteorological and microbiological investigations and recommendations for the prevention and control of future outbreaks will now be produced.

Welcoming the announcement, Health Secretary Nicola Sturgeon said: “It is good news that the outbreak has been declared over, and as we have already seen, the number of new cases has been dropping off over recent weeks.

“We have worked closely with NHS Lothian to ensure the outbreak was well managed, and I would like to pay tribute to NHS staff who have coped extremely well with this situation.

“However, we have to remember that there are some patients who remain extremely ill, and NHS staff are maintaining high quality care for those patients.

“The Health and Safety Executive and Edinburgh City Council are continuing their investigations into the source of the outbreak.”

Legionella latest

No new cases have been confirmed in the Edinburgh Legionnaires’ outbreak for the sixth day in a row. The total number of confirmed cases remains at 50, the number of suspected cases is 49 and the total number of overall cases remains at 99.

At noon yesterday, of those cases being treated in hospital, there were two patients in intensive care and seven on general wards. Twenty cases are being treated in the community, 59 have been discharged from hospital and three people have sadly died.

Ten cases are being treated outwith the NHS Lothian area. The ages of the confirmed cases ranges between 32 and 85, with more males than females affected.

Investigations into the source and cause of the outbreak continue.  Lothian and Borders Police and the Health and Safety Executive are jointly investigating the circumstances of the deaths under the direction of the Crown Office and Procurator Fiscal Service (COPFS) Health and Safety Division.

Health Secretary Nicola Sturgeon said: “I am pleased to see that no further cases have emerged for the sixth day in a row, and the evidence continues to suggest that the outbreak has peaked. NHS Lothian are maintaining high quality care for patients who remain unwell and work to identify and deal with the source of the outbreak continues.”

NHS Lothian

 

Legionnaire's outbreak update

The latest reports on the Edinburgh Legionnaires’ outbreak show that there are no further confirmed or suspected cases of the disease. The total number of confirmed cases remains at 44 and the total number of suspected cases remains at 47, a total of 91 cases overall.

At noon yesterday, of those cases being treated in hospital, six are in intensive care – a reduction from seven yesterday – and 18 are on general wards.

A total of 19 cases are being treated in the community, 39 have been discharged from hospital – an increase from 38 on Monday – and two people have sadly died.

Seven cases are being treated outwith the NHS Lothian area. The ages of the confirmed cases ranges between 33 and 85, with more males than females affected.

The Health and Safety Executive and Edinburgh City Council are continuing their investigations into the possible source of the outbreak, with cooling towers in the Gorgie and Dalry areas coming in for particular attention.

Health Secretary Nicola Sturgeon said: “I am pleased to see a reduction in the number of  people in intensive care. I would like to thank the hardworking staff at NHS Lothian who are continuing to provide the very best treatment to the remaining six individuals who are critically ill. For anyone who is concerned about the outbreak, there is information on NHS Lothian’s website NHS 24 dedicated legionnaires’ helpline can be reached on 0800 0858 531.”

Dr Duncan McCormick, Consultant in Public Health, NHS Lothian, said: “We are encouraged to see that the numbers of patients with Legionnaire’s disease in Lothian remains unchanged. This is in line with our prediction that the numbers would reach a peak at the weekend and then begin to gradually decline. We will continue to monitor all of the services in NHS Lothian which are working extremely hard as part of this outbreak, but overall the numbers of people seeking treatment or with concerns continue to fall.”

Legionnaires’: the worst may be over

Health experts are hopeful that we now may be in the latter stages of the Legionnaires’ outbreak. As of the latest update at 4pm yesterday the number of cases stands at 82, with indications that the number of cases presenting is slowing down.

The latest reports from the Scottish Government Resilience Room (SGoRR) on the Edinburgh Legionnaires’ disease outbreak show that there are now 37 confirmed cases and 45 suspected cases: an increase of one in the total number of confirmed cases and an increase of one suspected case.
As at noon yesterday, of those cases being treated in hospital, 15 are in intensive care and 26 are on general wards. A total of 16 cases are being treated in the community, 19 have been discharged from hospital and one person has died.
Five cases are being treated outwith the NHS Lothian area. One patient is being treated in the north of England, two in NHS Tayside, one in NHS Lanarkshire and one patient from NHS Highland is now being treated in Glasgow. At this stage all these cases are considered to be linked to the south west Edinburgh outbreak.
The ages of the confirmed cases ranges between 33 and 76, with more males than females affected.
NHS 24 has received 630 calls to the dedicated helpline for Legionnaires’ disease, and the Health and Safety Executive and City of Edinburgh  Council are continuing investigations into the possible source of the outbreak.
Health Secretary Nicola Sturgeon said: “These latest figures are reassuring and in line with expectations, and although it is too early to be definite they do suggest we are now in the later stages of this outbreak. All those involved are responding extremely well: NHS Lothian services are coping with the demands on them and the City of Edinburgh Council and the Health and Safety Executive continue to make significant progress in their investigation to identify the source of this outbreak.”
Dr Duncan McCormick, Chair of the IMT and Consultant in Public Health Medicine at NHS Lothian, said: “We are pleased with the slow down in the number of cases presenting and we hope this will continue over the coming days. The risk to the general public is low but anyone with concerns should contact their GP or NHS 24’s dedicated hotline on 0800 0858 531.”

Royal Victoria Building Open Day today

The new Royal Victoria Building is holding an open day this afternoon to give local people, patients and relatives the chance to look around the new building at the Western General Hospital. It’s an opportunity to see Edinburgh’s state-of-the-art facility before it swings into operation next month.

The RVB, which has been built on the Western General Hospital site, has been designed to provide the highest quality healthcare services in a modern setting for older people, dermatology and rheumatology patients. It will become a landmark in healthcare history when it opens, as the first of its kind in Scotland to 100 per cent single en-suite rooms.

Along with the rest of the team, project director Dave King will be on hand to take guided tours of the building and point out some of the innovative features and designs. He said: “We are really proud of this facility and we are looking forward to taking people around the building and letting them see it for themselves. The open day will give our neighbours, locals, patients and relatives the chance to see the future of healthcare services for the elderly on Scotland”.

You can see the future for yourself today from 1 – 4pm.

The open day follows the recent handover ceremony from the contractor to NHS Lothian, when NHS Lothian Chairman Dr Charles Winstanley, joined by children from St David’s Primary School, sunk a time capsule in the grounds of the new facility to mark the occasion.

The new Royal Victoria Building was commissioned following a review of older people’s services in January 2002 and an extensive public consultation two years later. Approval was granted in early 2010 for medical services for patients over 65 years of age to be moved and provided in a new facility.

Spartans Breastfeeding Cafe is open

Local mum Becky Smith cut a cake to officially open the new Spartans Breastfeeding Café earlier today.  Becky and her two-year old son James were joined by Spartans’ development manager Dougie Samuel and a happy team of NHS Lothian professionals to mark the occasion.

The Spartans breast-feeding café is a friendly, informal setting where mums who are breastfeeding – or pregnant women – can drop in for a chat about breastfeeding with local health visitors and midwives.  And as well as being a great place for advice, support, encouragement and information, it’s also a great place to meet other mums who are breastfeeding – and tea and coffee is free!

Any breastfeeding, even for a short time, is beneficial for you and your baby. Having good information about breastfeeding, plus support and advice, will help you – and your baby – get off to a good start and will help you to keep going.  

Welcoming the new café, NHS Lothian’s Katy Ruggeri, clinical manager for Midwifery Services, said: “It seems such a long time ago that we first talked about the need for a local breastfeeding support group, how we could set one up and how to move things on. I’m delighted that, with the tremendous support of Spartans, we have been able to secure this venue. It’s really great to see the community working hand in hand with NHS Lothian and it’s a credit to everyone who has been involved. I hope the project grows and grows and I’m really looking forward to coming back to see how the project is developing.”

 Spartans’ Dougie Samuel said: “Since we’ve been established here we’ve always tried to ensure that Spartans would be at the heart of the community so we are delighted to welcome the breastfeeding café to Spartans. This initiative follows on from the Spartans Smilers project we undertook with Cathy (Wood, North West Local Health Partnership public health practitioner) and her NHS Lothian colleagues and we hope it will be just as successful.”

Mum Becky Smith added: “I think this is a great idea and the area definitely needs something like this. It’s good to have this advice available locally without having to go to a clinic or surgery and it will be a good place to meet other local mums as well.”

Spartans Breastfeeding Café takes place every Monday from 12.15 to 1.45pm at Spartans Community Football Academy off Pilton Drive. For further information, contact your local midwife or health visitor or just drop in to Spartans Breastfeeding Café.