Tag: NHS Lothian

NHS Lothian helps pioneer new treatment for kidney cancer patients

A kidney cancer drug has been accepted for use within NHS Scotland and across the UK thanks to an international study, with NHS Lothian and Edinburgh University leading the UK part of the trial.

The treatment, pembrolizumab, is an antibody delivered intravenously as an immunotherapy to reduce the chances of a relapse after kidney cancer surgery.

Thanks to the research, the Scottish Medicines Consortium (SMC) has advised that the drug will now be made available to treat eligible adults with renal cell carcinoma (RCC).

In Scotland, about 1000 patients are diagnosed with RCC each year, and the incidence of the disease has been increasing over time.

Surgery carries the hope of cure if disease is caught early, but about a quarter to half of patients who undergo a nephrectomy (whole or partial kidney removal) have disease recurrence at different sites within three to five years of this.

RCC is generally resistant to chemotherapy and radiation therapy so, until now, there have been no additional treatments that reduce this risk of relapse.

The study showed that, for patients with a raised risk of relapse, pembrolizumab reduced the risk of kidney cancer coming back by a about a third and there are early indications that this is leading to patients living longer.

This has led to the SMC recommending the drug for NHS use and the first non-trial patients are now receiving this new treatment in Edinburgh.

Dr Stefan Symeonides, Senior Lecturer at the University of Edinburgh and Oncology Consultant at the Edinburgh Cancer Centre, said: “Research continues to explore which people might benefit most from this treatment, as pembrolizumab is not always effective or suitable for every patient.

“However, this represents a significant breakthrough in the treatment of kidney cancer as confirmed by UK approvals from the SMC in Scotland and NICE in England and Wales, as well as its incorporation in treatment guidelines from the European Society for Medical Oncology (ESMO).

“Approval of pembrolizumab is welcome news to many RCC patients, who otherwise had no treatment options available to them to prevent or reduce the risk of relapse of the cancer following nephrectomy.”

Visit the University of Edinburgh‘s website to read more.

‘Yousaf must go’ call as thousands wait for over 12 hours in A&E in Lothian

Humza Yousaf must be sacked for ‘dangerous negligence’, Scottish Labour MSP Sarah Boyack has said, as the party revealed that the number of patients waiting over 12 hours to be seen in Accident and Emergency in Lothian has soared.

Statistics have shown that, in the year from November 2021 to October 2022, a shocking 15,936 people in NHS Lothian spent more than 12 hours in A&E waiting to be seen – despite an SNP government commitment to see 95% of patients within four hours.

This figure has spiralled in recent years, with the number of people waiting more than 12 hours now around 18 times higher than the same period in 2018/19.

With A&E services in disarray and the situation only worsening throughout the winter, Scottish Labour is warning that lives will be lost due to the SNP-created A&E crisis.

Scottish Labour MSP Sarah Boyack said: “The facts are plain for all to see – NHS Lothian’s A&E services have been plunged into a deadly freefall by Humza Yousaf’s dangerous negligence.

“Despite the efforts of hardworking staff, the number of patients spending a shocking 12 hours waiting in A&E has soared this year.

“The SNP’s mismanagement of our NHS is putting lives at risk – we urgently need a real plan to put a stop to this chaos and protect services in Lothian.”

The Scottish Conservatives are also calling for Yousaf’s sacking. A spokesperson said: “With each passing week, Humza Yousaf continues to preside over complete chaos in our A&E departments.

“His tenure as Health Secretary has been nothing short of a disaster and Nicola Sturgeon must sack him immediately.”

Number of A&E patients waiting more than 12 hours:

Year to October 2019* Year to October 2022* Change (%)Change (times higher) 
NHS Ayrshire & Arran15578038416%5
NHS Borders5629255123%52
NHS Dumfries & Galloway43392812%9
NHS Fife4105326225%263
NHS Forth Valley20628991307%14
NHS Grampian2816855918%60
NHS Greater Glasgow & Clyde19759972944%30
NHS Highland206673235%33
NHS Lanarkshire8516267636%7
NHS Lothian910159361651%18
NHS Orkney48100%2
NHS Shetland01
NHS Tayside327800%9
NHS Western Isles00
NHS Scotland3879458951083%12

* 12 month period from November to October

HEALTH CRISIS: NHS Lothian is ‘stretched beyond capacity’

Hospitals and GPs in Lothian are being stretched beyond capacity as a result of sustained and intensifying pressures, NHS Lothian has warned.

Speaking in Tuesday, Calum Campbell, Chief Executive, NHS Lothian, said the healthcare system was under extreme duress as a result of an increase in the numbers of emergency patients, large numbers of delayed discharge patients and an increase in respiratory illnesses.

He said teams at the Royal Infirmary of Edinburgh, St John’s Hospital, the Western General Hospital and the Royal Hospital for Children and Young People were all being pushed to the limit.

To help free up vital beds, he said that some relatives may be asked if they can provide care to their loved ones as an interim measure while those packages of care to help in their own homes are put in place by their local Health and Social Care Partnership.

He said: “These challenges are unprecedented, but they are also sustained. We need people in Lothian to help their own communities and the NHS.

“We have large numbers of people waiting to be admitted into a hospital bed, so I would urge everyone who is asked to provide care to their loved one to give the request some serious consideration.”

Dr Tracey Gillies, Medical Director, NHS Lothian, said: “Our teams will have carried out a robust clinical assessment before they discuss the temporary possibilities with patients and their families.

“We know that most patients want to return home as soon as they possibly can, especially at this time of year. This would also help our teams and the patients waiting to be admitted.

“Also, if you have a loved one in hospital who has been discharged and requires to be collected, please do so as early in the day as possible.”

The primary care sector in Lothian also experienced one of its busiest days to date on Monday (19th December) as they provided care to increasing numbers of adults and children, especially families with concerns around Strep A following recent increases in the virus.

Jenny Long, Director of Primary Care, NHS Lothian, urged people to remember that there were a number of winter viruses in circulation and to consider NHS Inform and their local pharmacist for help and advice, use over the counter medication, drink plenty of fluids and rest.

Cold-type symptoms such as a runny nose or mild cough are more likely to suggest a viral illness.

If you have a sore throat, but can eat and drink, and don’t have a very high temperature then it is likely to be a common virus and there is no need to contact your GP.

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/.

Health crisis in NHS Lothian can no longer be ignored, warns Boyack

More than 90 dentists withdrew from NHS Lothian dental list from 2021 to June 2022, a Freedom of Information request submitted by the Scottish Labour has revealed.

Sarah Boyack warns of a health crisis as waiting times for A&E and NHS dentistry continue to spiral, while delayed discharges have gone up.

Scottish Labour’s FOI request revealed that between 2021 and June 2022, 92 dentists withdrew from NHS Lothian dental list. As at beginning of June this year, out of the 163 general dental practices in Lothian, only 51 confirmed that they are accepting patients, with some accepting children only.

Since 8th May 2022 and up until 11th  December, there has been only one week during which the percentage of people seen within Scottish Government’s 4-hour target was above 70 per cent – in the week ending 11th December more than 1,756 people were stuck in A&E for more than four hours – only 63.6 per cent of those attending NHS Lothian’s emergencies were seen within 4 hours. In the same week, 353 people were stuck in A&E for more than 12 hours.

This comes as the recent monthly report on delayed discharge shows rates in NHS Lothian for October 2022 soaring to 1,644 compared to 1,420 in September 2022.

This makes NHS Lothian the second-worst performing health board in Scotland, only topped by NHS Greater Glasgow and Clyde, with 3,848 delayed discharges in October 2022.

October recorded the highest average number of beds occupied per day due to delayed discharges in Scotland since the current guidance came into place in July 2016.

Scottish Labour MSP for Lothian Sarah Boyack said: “Another month, another set of damning statistics from NHS Lothian.

“On top of the cost of living crisis, which is taking its toll on people’s mental and physical health, we see piling pressure on our NHS, worsening patients outcomes and huge waste of public money.

“With the freezing cold, people will get sick and they will require care. That’s why we need support to GPs to allow them to respond to the rising demand and handle cases, whenever possible, at primary care level.

“These are not just figures – it is someone’s dad, friend or life partner; it’s the NHS staff who is overworked and underpaid; it’s the people who left our health service because they simply couldn’t cope.

“With a general election approaching, now is the time focus on what really matters and make a difference for millions of people.”

NHS Lothian issues winter vaccines reminder as hospitalisations increase

Those eligible for the free COVID-19 and flu vaccinations are being urged to get their jabs as winter sets in and hospitalisations increase.

The reminder comes as Public Health Scotland (PHS) data shows that in Scotland, in the week ending 11 December 2022, there were on average 735 patients in hospital with COVID-19, an 18.2% increase from the previous week.

Admissions for flu are also on the rise with the highest hospital admission rate noted in patients aged less than one year old (18.5 per 100,000).

Parents and carers are encouraged to get their children vaccinated as soon as possible if they haven’t done so already. All primary and secondary school pupils and all pre-school children aged 2 to 5 (on 1st September 2022) are eligible for the vaccine, as well as children aged 6 months and over with an eligible health condition. The flu vaccine for children is a painless nasal spray which will help protect them and reduce the risk of them spreading the virus to more vulnerable people.

The vaccines are safe, effective and offer the best protection to those most at risk of serious illness from COVID-19 and flu while also helping to protect the NHS at this, the busiest time of year.

Adults over 50 are entitled to get both free vaccines and further information on eligibility for each jab is available at nhsinform.scot/wintervaccines.

Pat Wynne, Nurse Director for Primary and Community Care with NHS Lothian, said: “We’d like to thank all those who have come forward for vaccination so far. The vaccines are the best protection we have against flu and COVID-19, and with hospital admissions due to the virus rising, it’s really important that that those who are eligible get vaccinated.

“If you are eligible and you’ve not yet had your winter vaccines, or if your child has still to receive their flu vaccine, please arrange to get this as soon as possible.”

Winter vaccines appointments for adults can be booked online at www.nhsinform.scot/wintervaccines or you can drop in to a local clinic.

For information on the flu vaccines for children, please visit NHS Lothian’s website.

Health Secretary Humza Yousaf said: “Uptake for the winter vaccine programme is very encouraging with Scotland delivering more jabs per head of the population among over 50’s than any other UK nation. However, the number of hospitalisations from both COVID-19 and flu are on the rise.

“The vaccines help to prevent serious illness and the need for hospital treatment freeing up capacity as we move into what could be the most challenging winter in the history of our health and care service.

“We are concerned that flu-related hospital admissions have been rising, with admission rates highest among very young children, and we urge parents and carers to get their children vaccinated with the painless nasal spray offered to this group.

“As well as protecting the child, the vaccine helps to reduce the risk of children spreading flu to family and friends who are more vulnerable, which is especially important at this time of year when families are getting together more.”

NHS Lothian marks 2nd anniversary of COVID-19 vaccine roll out

2.5 million doses given across the region

NHS Lothian is marking two years since Scotland’s roll out of the COVID-19 vaccine began on 8 December 2020. Since then, more than 14.5 million doses of the vaccine have been administered in Scotland with 2,451,177 of those being given across Lothian.

The initial effort to protect people from the deadly virus was the biggest logistical operation Scotland had seen since the Second World War.

Thousands of volunteers signed up to help NHS staff, mass vaccination centres were rapidly assembled in major cities and mobile units toured the country.

This rapid deployment meant a million Scots were jabbed within three months – averting 27,656 deaths, according to the World Health Organisation, which noted Scotland’s quick uptake.

Health Secretary Humza Yousaf commented: “When marking this milestone we must first remember all those who have lost a loved one to this virus and reflect on what has been an incredibly challenging time for everyone.

“As a nation we can be incredibly proud of our world-leading vaccination programme.

“This could not have happened without the incredible efforts of staff and volunteers across the country. Unfortunately COVID-19 has not gone away and I continue to urge everyone to take up the offer of a vaccination when they become eligible.”

Pat Wynne Nurse Director for Primary and Community Care, NHS Lothian said: “The past two years have been a hugely challenging time for everyone and we are hugely grateful to our team of vaccinators, support staff and to everyone who has come forward for vaccination as we mark the second anniversary of the COVID-19 vaccine roll out in Scotland.

“COVID-19 is still circulating and it can spread more easily during the winter months. So if you’re eligible and you’ve not had your vaccine yet please book an appointment online today for both your flu and COVID-19 vaccines, or attend one of our drop-in clinics. By getting vaccinated you can top up your protection and reduce the risk of becoming seriously unwell from the virus.”

Those who are eligible can book an appointment online at nhsinform.scot/wintervaccines or attend a drop-in clinic.

You can find out if you are eligible at nhsinform.scot/wintervaccines. More information on Lothian’s drop-in clinics is available at:

https://www.nhslothian.scot/HealthInformation/Immunisation/WinterVaccination/Pages/default.aspx

Drop-in clinics available across Lothian for winter vaccines

Waverley Mall and Ocean Terminal units open every day

Vaccination clinics across Lothian are now welcoming drop ins from all adults who are eligible for this year’s winter vaccines.

Until Thursday 22nd December 2022, adults who are eligible for a flu vaccine and/or a COVID-19 winter booster can get their vaccinations without an appointment.

So far, over half a million winter vaccines have been delivered in Lothian, protecting hundreds of thousands of people from the latest strain of flu and topping up their protection against COVID-19.

The COVID-19 vaccine on offer in Lothian is a Spikevax bivalent booster vaccine, which is proven to protect from the Omicron variant as well as older strains of the virus.

For those who are eligible for both vaccines, getting these at the same time is a safe and efficient way to deliver maximum protection over the winter months.

Pat Wynne, Nurse Director for Primary and Community Care for NHS Lothian, said: “The flu virus is always changing and COVID-19 protection can fade over time, so it’s important we keep ahead of these viruses and top up our protection when offered.

“Even if you’ve already had COVID-19, you can get it again and vaccination is still the best way of protecting yourself and those around you against severe COVID-19 illness.

“If you’re an eligible adult and are yet to get your vaccinations, I’d urge you to take up this offer and drop in to one of our clinics before Christmas.

“For more information on these clinics, and details of how children and teenagers can get their vaccines, please visit our website.”

You may have to wait to be seen if you drop-in.

If you are required to queue and have mobility issues, or need any support or assistance, please make yourself known to a member of staff.

You are welcome to bring a carer, family member or friend along if you wish.

If you prefer to book an appointment, you can still do so online via the booking portal or by calling the National Vaccination Helpline on 0800 030 8013.

Drop-in clinic details can be found on NHS Lothian’s website. Please visit NHS Inform to find out more about the winter vaccines.

If you prefer to book an appointment, you can still do so online via the booking portal or by calling the National Vaccination Helpline on 0800 030 8013.

AreaSiteDaysDrop-in times
East LothianHaddington Corn ExchangeMonday to Sunday8.30am – 12pm1pm – 4pm
EdinburghOcean TerminalMonday to Sunday9am – 6.30pm
EdinburghWaverley MallMonday to Sunday10am – 5.30pm
MidlothianRosewell SteadingMonday to Sunday8am – 5pm

*Please note the main car park will be closed between 3pm and 5pm on Sunday 4th December for the switching on of the Christmas lights. On street parking will be available.
West LothianLivingston Designer OutletMonday to Wednesday and Friday9.30am – 5pm
​​Thursday9.30am – 6pm
​​Sunday10.30am – 4.30pm
West LothianCarmondean Health CentreMonday and Tuesday9am – 12pm1.15pm – 4.30pm
West LothianWest Calder Health CentreWednesday and Friday9am – 12pm, 1.15pm – 4.30pm
West Lothian
Strathbrock Partnership Centre 
Monday to Sunday
9am – 6pm 

Nasal flu vaccine drop-in clinics

If your child is between 2 – 5 years old & has missed their flu vaccination appointment, you can head to one of the drop-in clinics or call the team on 0131 659 2920 to book.

The painless nasal spray vaccine helps prevent your child getting and spreading the flu.

Winter Vaccine Drop-Ins available

Drop-in clinics

Until Thursday 22nd December, anyone aged 65 or over and anyone aged 12 or over with an eligible health condition can drop-in to a vaccination clinic (listed below).

Please be advised that there may be a wait to be seen if you drop-in.

If you are required to queue and have mobility issues, or need any support or assistance, please make yourself known to a member of staff.

You are welcome to bring a carer, family member or friend along if you wish.

If you prefer to book an appointment, you can still do so online via the booking portal or by calling the National Vaccination Helpline on 0800 030 8013.

AreaSiteDaysDrop-in times
East LothianHaddington Corn ExchangeMonday to Sunday8.30am – 12pm1pm – 4pm
EdinburghOcean TerminalMonday to Sunday9am – 6.30pm
EdinburghWaverley MallMonday to Sunday10am – 5.30pm
MidlothianGorebridge Community CentreMonday to Friday8.30am – 12pm1pm – 4pm
MidlothianPenicuik YMCA/YWCAMonday to Friday8.30am – 12pm1pm – 4pm
West LothianLivingston Designer OutletMonday to Wednesday and Friday9.30am – 5pm
​​Thursday9.30am – 6pm
​​Sunday10.30am – 4.30pm
West LothianCarmondean Health CentreMonday and Tuesday9am – 12pm1.15pm – 4.30pm
West LothianWest Calder Health CentreWednesday and Friday9am – 12pm1.15pm – 4.30pm
​West Lothian​Strathbrock Partnership Centre ​Monday to Sunday​9am – 6pm 

NHS Lothian public holiday next Monday

Monday 28th November is a public holiday for NHS Lothian.

This is in lieu of the local September public holiday, postponed for the national bank holiday for the Queen’s funeral. Please collect your prescription before the weekend.

If you need urgent help over the weekend, call NHS 24 on 111.