Tag: NHS Recovery Plan

Coalition calls for political consensus as more than 460 children wait more than a year for mental health treatment

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, is calling on all Scotland’s political parties to come together and make mental health a key focus.

The call comes as new waiting time figures out yesterday (6th June), highlight that 469 children and young people had been languishing on waiting lists for more than a year for treatment from child and adolescent mental health services (CAMHS) at the quarter ending March 2023.1

Indeed, just 74.2 per cent of patients with mental health problems were seen within 18 weeks of referral to CAMHS, with more than a quarter waiting longer than this time. This is short of the Scottish Government’s waiting time target of 90 per cent being seen within 18 weeks. 1

The new figures indicate that it has failed to deliver a key pledge to clear waiting lists by March 2023, as outlined in the NHS Recovery Plan.2

Figures also show that as many as 7,701 children and young people were still stuck on waiting lists to start treatment at the end of the quarter ending March 2023, an increase of 138 on the previous quarter ending December 2022.

The new figures are set against the backdrop of a mental health emergency, which is set to worsen given the cost-of-living crisis and services already at breaking point.

The SCSC is calling on a cross party approach to prioritise spending on mental health, avoiding a potential lost generation of children and young people with mental health problems, such as anxiety, depression and self-harm.

Even before the Covid-19 pandemic, cases of poor mental health in children and young people were at unprecedented levels, with under-resourced services struggling to keep pace with growing demand, leaving an increasing number of vulnerable individuals unable to access support. Children and young people are still battling with the long shadow of lockdown, and the rising cost of living is adding to the pressure.

A spokesperson for the SCSC commented: “The latest figures highlighting that more than 460 of our children and young people have been languishing on waiting lists for treatment more than a year is extremely alarming.

“Disturbingly, this means that the Scottish Government has totally failed to achieve its pledge to clear waiting lists by March 2023, leaving many thousands of children and young people waiting for treatment.

“Even before the Covid-19 pandemic demand for already overstretched and under-resourced mental health services was increasing. The mental health of our children and young people has deteriorated markedly over the past decade, and both the pandemic and the cost-of-living crisis are making matters even worse, creating a potential lost generation of vulnerable children and young people.

“We are facing a mental health emergency and many of our children and young people are at breaking point, with stress and anxiety reaching alarming levels as they battle with the long shadow of lockdown and the rising cost of living.

“We must make the delivery of adequately resourced mental health services for our children and young people an absolute priority and would urge all of Scotland’s political parties to come together and make this a reality.” 

1 Public Health Scotland, Child and Adolescent Mental Health Services: Waiting Times in Scotland, Quarter Ending December 2022, 7th March 2023. Dashboard. Available at: https://publichealthscotland.scot/publications/child-and-adolescent-mental-health-services-camhs-waiting-times/child-and-adolescent-mental-health-services-camhs-waiting-times-quarter-ending-december-2022/

2 Scottish Government, NHS Recovery Plan, 25th August 2021. Available at: https://www.gov.scot/publications/nhs-recovery-plan/pages/9/ (accessed 2nd September 2021).

Holyrood Committee to drill down on Scotland’s NHS dentistry recovery

The Scottish Parliament’s COVID-19 Recovery Committee has launched a new survey of Scotland’s dentists as part of a snapshot inquiry examining the recovery of NHS dentistry services.

The inquiry will track progress by the Scottish Government on the aims set out in the NHS Recovery Plan 2021-2026, which includes a commitment to return Scotland’s NHS dentistry services to pre-pandemic levels.

Dentists who provide NHS services are being invited to share their views and experiences on the recovery of services through an on-line survey which runs from Friday 5th May to Wednesday 31st May.

The inquiry will also consider the impact of additional funding for equipment and ventilation in NHS dentistry practices and the availability of access to services in communities experiencing health inequalities.

Commenting, Committee Convener, Jim Fairlie MSP said: “The COVID-19 Recovery Committee want to get the root of the issues facing Scotland’s NHS dental recovery in the wake of the pandemic.

“This inquiry will scrutinise the Scottish Government’s commitment to improve the provision of dental services as set out in the Recovery Plan.

“Scotland’s NHS dentists, who work daily on the front-line, are best placed to tell us how services are recovering, and we are encouraging them to share their experiences and views directly with Committee to inform our scrutiny and assist us in tracking progress towards recovery.”

750 Nursing and Midwifery posts vacant in NHS Lothian

‘STAFFING LEVELS ARE REACHING CRISIS POINT’

Julie Lamberth, RCN Scotland Board Chair, said: “I wanted to highlight statistics which have been published today from NHS Education for Scotland, which show a worrying rise in NHS Nursing and Midwifery vacancies.

“Across Scotland a record high of 4,854 nursing and midwifery posts are vacant, which is 7.1% of posts, while in NHS Lothian, 750 nursing and midwifery posts are vacant, which is 6.9% of posts.

“Staffing levels are reaching crisis point across Scotland. As well as these vacancies, a significant number of nursing staff are on work related sick leave through stress and other mental health issues. Unless this is addressed, proposals to remobilise services and increase elective capacity are simply unachievable and the NHS Recovery Plan’s proposals to recruit 1,500 additional staff woefully inadequate.

“RCN Scotland members are clear about what needs to be done. Out of the 39% of members who have told us they are thinking of leaving the nursing profession, 73% of respondents said “improved pay” and 49% said “better staffing levels” would make them feel more valued.

“Implementation of the Health and Care (Staffing) (Scotland) Act 2019, fair pay for nursing staff in all settings and robust workforce planning are needed urgently to ensure Scotland has the nursing staff it needs to remobilise services as we continue to deal with Covid-19.”

Lothian MSP Miles Briggs said: “The number of Nursing and Midwifery posts that we have vacant across NHS Lothian is extremely concerning.

“NHS Lothian staff work incredibly hard to care for everyone who comes through their door, but the current position is unsustainable. These vacancies need to be filled for health boards to recover from the Covid-19 pandemic.

“SNP Ministers have failed to workforce plan pre-pandemic and we are seeing the consequences now, with many nurses considering leaving the profession.”

Scottish Government publishes NHS Reovery Plan

The Scottish Government has published its NHS Recovery Plan, committing more than £1 billion of targeted investment for the recovery and renewal of Scotland’s health service.

It sets out key actions for the next five years to help address backlogs in healthcare and increase capacity by at least 10%.

The plan outlines a range of reforms across primary and acute NHS services to help recover from the impact of the COVID-19 pandemic, and get everyone the treatment they need as quickly as possible.

A key aim in primary care is to restore face-to-face GP consultations as quickly and safely as possible, while ensuring everyone can continue to make use of eHealth services like NHS Near Me, if that is their preference. We are also bolstering the NHS Pharmacy First scheme to enhance the range of services patients can access from community pharmacists without having to go to their GP.

In acute care we are increasing capacity for inpatients, day cases, outpatients and diagnostics. Prior to the pandemic, Scotland’s NHS carried out approximately 270,000 inpatient/day cases per year, and approximately 1.4 million outpatient appointments. Through this Plan we will work to increase NHS capacity substantially beyond these levels.

A priority within the Plan is to focus on the health and wellbeing of NHS staff who have given so much, particularly during the pandemic.

Actions include:

  • increasing investment in National Treatment Centres (NTCs) to more than £400 million, contributing to delivery of over 40,000 additional elective surgeries and procedures per year
  • raising primary care investment by 25%, supporting GPs, community pharmacists, dentists and optometrists
  • investing £29 million to target diagnostic backlogs, providing 78,000 additional procedures in 2021/22 rising to 90,000 per year from 2025/26
  • providing £8 million to support the mental health and wellbeing of the health and care workforce
  • investing £11 million in new national and international recruitment campaigns to produce an additional 1,500 staff over the next five years for our NTCs, 1,000 mental health link workers in communities, 800 more GPs, and boosting paramedic numbers through the £10,000 Paramedic Bursary.
  • delivering £23 million to redesign urgent care – with rapid access to a senior clinician via a telephone or video consultation where possible, reducing the pressure on A&E
  • devoting £130 million to deliver our National Cancer Plan and Detect Cancer Early Programme
  • ensuring at least 10% of frontline health spending will be dedicated to mental health, and recruiting 320 additional Child and Adolescent Mental Health Services (CAMHS) workers

First Minister Nicola Sturgeon was joined by Health Secretary Humza Yousaf to launch the NHS Recovery Plan during a visit to the new national Centre for Sustainable Delivery (CfSD) which will play a key role in supporting improvements in outpatient and inpatient capacity as well as diagnostics.

She said: “This Plan will drive the recovery of our NHS, not just to its pre-pandemic level but beyond.

“As we maintain our resilience against COVID-19 and other pressures, the Scottish Government is providing targeted investment to increase capacity, reform the system and ultimately get everyone the treatment they need as quickly as possible.

“Tackling the backlog of care is essential and will be a priority. But we want to go further than that and deliver an NHS that is innovative, sustainable and stronger than ever before.”

Another £12 million to health boards for emergency care

The Scottish Government has released £12 million in additional funding to health boards across Scotland to support non-COVID emergency care.

This immediate action will help put measures in place to reduce waiting times for urgent or emergency treatment, with a focus on boosting staffing levels and available beds.

Health Secretary Humza Yousaf said: “We are acutely aware that hospitals are facing significant challenges due to a rise in non-Covid attendances and that some health boards are taking necessary measures to protect urgent and emergency care capacity.

“This £12 million will support them to do so. We are working closely with those Health Boards experiencing the greatest challenges to ensure the funding delivers the improvements required.

“Our NHS staff continue to work tirelessly to respond to the pandemic whilst providing vital non-Covid treatment and safe patient care. Any reductions to service will be short term to ensure those of most critical need have immediate medical attention. Urgent treatment, including vital cancer treatment will continue during this challenging period.”

Chief Executive of NHS Lothian Calum Campbell said: “Hospitals across Scotland are dealing with the pandemic, while seeing an increase in non-covid patients arriving at their doors.

“We are grateful to the Scottish Government for working with us to ensure everyone who needs urgent or emergency care is prioritised – such as vital cancer treatment or accident and emergency care for life-threatening conditions.

“This funding will be vital in helping to provide extra staffing and bed capacity to further enhance improvements in unscheduled care and support delivery of the NHS Recovery Plan.

“NHS Lothian will use this funding to increase beds in the community, relieving pressures on acute hospitals, and to support staff in treating patients as quickly as possible.”

The public can do their part to help the NHS by considering options closer to home when they need medical attention.

Advice is available online at NHS Inform, or they can contact their GP practice or visit their local pharmacy who can help and prescribe treatment.

They can also call NHS 24 on 111 if they can’t wait for their GP practice to open, or they think they need emergency treatment which is not life-threatening.