Tag: NHS Scotland

Edinburgh TV presenter opens up on Cancer Diagnosis after noticing ‘Unusual Lump’

BE THE EARLY BIRD CAMPAIGN LAUNCHED

BBC Scotland Reporter, David Cowan, has opened up on his experience with mouth cancer after finding a lump in his neck led to his diagnosis and successful treatment.

After looking up his symptoms on the NHS website, the Edinburgh journalist booked a GP appointment, in a decision that meant his mouth cancer was detected early, giving him a 90% chance of successful treatment.

David says the treatment was tough, but by June 2018 he was given the all-clear. Seven years on, he’s living well, enjoying life with his family and their dog, and supporting Mouth Cancer Action Month to raise awareness as part of Scottish Government’s ‘Be The Early Bird’ campaign:

‘BE THE EARLY BIRD’ CASE STUDY – DAVID COWAN

David Cowan, 58, Edinburgh – “It’s far better to know whether you’ve got cancer or not, you need to not delay and get it checked out.”

In late 2017, TV reporter David Cowan, from Edinburgh, noticed a small, hard, painless lump in his neck just weeks after his 50th birthday. After checking the NHS website, he booked a GP appointment, a decision he now credits with saving his life.

“My awareness of mouth cancer was pretty much very, very superficial. I knew it existed. I knew the dentists checked when they examined you, to see if there were any warning signs there, but it never occurred to me that it would happen to me.

“I was also blissfully unaware that the human papillomavirus (HPV) is linked to mouth cancer in a significant number of cases. I knew very little about it and had no real understanding of the risks it can pose.

“A few weeks after my 50th birthday, I noticed a lump in my neck, it was about the size of a wine gum. It was hard, just underneath my jaw line, and it wasn’t sore, and it just appeared.

“I thought that’s strange. I didn’t do anything about it for a few days. I thought it would go away, then I decided to look up my symptoms on the NHS website, and the advice came up very clearly that if you’ve got a painless, hard lump in your neck that doesn’t go away, you should contact your GP practice.

“They immediately referred me to specialists.  My GP later told me she thought straight away that it could be cancer.

“I was sent to a NHS Lothian clinic in Edinburgh for tests and about a month later, another doctor felt the lump on my neck and said, ‘that’s cancer.’  

“Because it had been found early, I was told there was a 90% chance of the treatment being successful.

“The treatment process was hard, I lost two stones and was off work for five months, but of course it was worth it, because I’m still here.

“It’s not pleasant treatment if you have mouth cancer, and my consultant had warned me about that from the start.

“They explained what was going to happen, and I remember, during treatment, thinking, ‘they did warn me this would happen.’

“I had no real hesitation in getting my symptom checked out because the NHS website told me to do that, and I’m very glad I did. Thinking that you might have cancer is scary, but it’s far better to know than just sitting there in the dark and delaying getting symptoms checked out.”

“I felt like I was in the expert embrace of the NHS; my experience was extremely positive throughout the whole thing. People talk about fighting cancer, I felt the NHS fought my cancer for me, and I just went along for the ride.”

“I also had fantastic support from family, friends and work colleagues. They helped me approach the whole experience in a positive way, which the doctors told me was very important.”

“I got the all-clear in June 2018. It was a massive relief. Lots of great things have happened in the seven years since I had cancer that I might have been deprived of had I not got back to full health with the help of the NHS.”

“I now try to appreciate the smaller things in life more and just remember how fortunate I am to be here.

“Having cancer is a life-changing event, but now I’m living well and enjoying life with my family and our dog.”

David was asked to share his story and the benefits of early detection as part of the Be the Early Bird campaign and to raise awareness amidst Mouth Cancer Action Month in November.

“We do need to raise more awareness of mouth cancer. I was told my mouth cancer was relatively rare, but was becoming more common. I’m delighted to see that young boys, as well as girls, are now getting human papillomavirus (HPV) vaccinations in school to help prevent this happening to them.

“It doesn’t matter where the cancer is, if you get it detected early, you’ve got a better chance of successful treatment. The crucial thing about cancer is getting treated as early as you possibly can, and that means if people are worried about something, they have to seek help, no matter how scary it might be.

“I feel very lucky to be here. The message of the Be the Early Bird campaign this Mouth Cancer Action Month is, if you’re worried about something, no matter if you have reservations about going, please go and get it checked out.”

Go to getcheckedearly.org to find out more

Sustained progress in clearing waiting times in Scotland

New outpatient waits over 52 weeks reduce for fifth month in a row

New figures show long waits have fallen for the fifth month in a row with significant progress reported by health boards across a number of specialties.

Latest data from Public Health Scotland shows, between April 2025 and October 2025, new outpatient waits of over a year reduced by 17.9% and that these waits reduced for five consecutive months. In the same time period, the total over 52 week waiting list size for new inpatient/daycase procedures also reduced by 26.1%.

On a visit to Gartnavel General Hospital in NHS Greater Glasgow and Clyde, Health Secretary Neil Gray welcomed the progress, saying: “These figures show we are turning a corner in our efforts to reduce the backlog caused by the pandemic and our plan is working – long waits are reducing and we are treating patients more quickly.

“We are seeing downward trends across nearly all waiting list indicators and this is testament to the tireless work of our NHS staff – I thank them for their outstanding efforts.

“The First Minister put health at the very heart of this year’s budget and we are seeing the tangible impact of our additional targeted investment of £135.5 million. Outpatient waits over a year are down 17.9% and inpatient/daycase waits over a year have reduced by 26.1% – this is the first time we have seen this level of sustained improvement since the pandemic.

“Thousands more appointments, operations and procedures are being delivered this year and we are determined to continue to build on this momentum, ensuring people receive the treatment they need as soon as possible.

“I was pleased to meet the Gartnavel ophthalmology team and hear about their progress – since April 2025 new outpatient waits for ophthalmology are down by 72.6% across NHS GGC and we have a 53% decrease in new inpatient/daycase waits for orthopaedics – reducing the over 52 week waiting list in Scotland by 6.3%.”

Between April 2025 and October 2025 health boards reporting significant reductions in new outpatient waits, including:

• a 72.2% decrease in Ear, Nose & Throat waits at NHS Ayshire & Arran
• a 74.1% reduction in Gynaecology waits and a 60.6% drop in Orthopaedic waits at NHS GGC
• a 23.9% decrease in Ophthalmology waits at NHS Lothian
• a 80.6% reduction in Neurology waits at NHS Highland.

Between April 2025 and October 2025, health boards reported reductions in inpatient/daycase waits, including:

• a 52.98% reduction in Orthopaedic waits and a 54.66% drop in General Surgery waits at NHS GGC
• a 60.86% decrease in General Surgery waits at NHS Lothian
• a 29.59% reduction in Urology waits at NHS Tayside.

The new statistics also show increased levels of patients being seen and treated in shorter periods. In October 2025, 58.3% (14,235) of inpatient/daycases were seen within 12 weeks – up compared to 55.5% in March 2025. For new outpatients waits, 61.9% (72,698) were completed in 12 weeks or less compared to 60.8% in March 2025.

For ongoing waits – at the end of October 2025, 42.8% (234,414) of new outpatient waits had been waiting less than 12 weeks, an increase from 41.4% at the end of March 25. For inpatient/daycase waits, 36.9% (57,468) had been waiting less than 12 weeks, an increase from 34.6 % in March.

Healthcare support over winter

Campaign to ensure people know how to get help

Advice on how to get the right healthcare in the right setting this winter is the focus of an annual campaign launching today (Monday).

This year’s Right Care Right Place Campaign will run across TV, radio, press and digital platforms. It aims to ensure people can get the right care, while also reducing pressures on frontline health services.

As the weather turns colder, Scotland’s NHS and social care services get busier and the awareness campaign helps the public decide whether they should contact their GP or pharmacy, call NHS 24 on 111 or use self-help guides on the NHS Inform website. It reminds everyone that hospital emergency departments should only be visited for critical emergencies.

Health Secretary Neil Gray said: “Pressure on the healthcare system increases in winter months, and the Right Care Right Place campaign helps everyone know where they can go for advice or care for any health concerns during this busy period.

“Of course, people can also help by making sure they receive their Respiratory Syncytial Virus (RSV), Covid-19 and flu vaccinations if they’re eligible. This is even more important this year, as early evidence suggests it could be a particularly challenging flu season.

“We are taking a range of measures to ensure our health service is as resilient as possible over the next few months and that our committed health and social care staff are supported.

“We know that staff members work tirelessly to provide excellent care to all those who need it and as always, I’d like to thank them for their continued dedication.”

Right care right place | NHS inform

Self-help guides on NHS inform include advice on the most common winter illnesses.

Scotland sets new goal to support breastfeeding mums

A new target will aim to further increase the number of babies who are breastfed at six to eight weeks old.

NHS Scotland will now aim to reduce the ‘drop-off rate’ – the number of mothers who stop breastfeeding – by a further 10% by 2031. The announcement follows recent statistics which showed breastfeeding rates in Scotland are at their highest level since records began in 2002.

The previous target to reduce the drop-off rate by 10% by 2024-25 was exceeded more than twice over, with a 27% reduction since 2017-18.

Jenni Minto, Minister for Public Health and Women’s Health, announced the new breastfeeding goal for Scotland at the Breast Buddies support group at Perth Royal Infirmary.

The Scottish Government has invested more than £11 million additional funding in breastfeeding support since 2018, including almost £359,000 for the Breast Buddies project in Tayside. Last year, NHS Tayside became the first UK health board to receive full UNICEF Gold Baby Friendly accreditation across all services .

Ms Minto said: “The new 2031 target will help us to continue to give all babies the best possible start in life.

“The evidence is clear that supporting, protecting, and promoting breastfeeding remains one of the most effective ways to improve the health of mother and baby, in both the short and long term.

“Not everyone can or wants to breastfeed, but for those that do we will support them to meet their breastfeeding goals and improve their experiences.

“The record breastfeeding rates we have seen in Scotland would not have been possible without the dedication of NHS staff, infant feeding teams, and peer supporters. They work tirelessly to help new mums achieve their feeding goals and I thank them for their work.”

Holly Hunter, Breast Buddies Peer Supporter: “Having benefitted so much from the support offered by Breast Buddies when I had my first little one, when the opportunity to be able to become a peer supporter came up I jumped at the chance.

“Whether supporting in person or via text, it’s wonderful to be able to provide any help we can, be that a listening ear, support, or advice, particularly during what for some can be at such a vulnerable and challenging time.

“Also seeing the bonds between new mothers as they come together at groups and the support, they offer through the groups we facilitate is amazing.”

Jocelyn Smith, Breast Buddies Perth & Kinross Coordinator: “We are honoured to welcome the Minister to one of our Breast Buddies groups and showcase the invaluable support we provide to families. Since 2017, we have proudly supported families across Perth & Kinross, contributing to the significant rise in breastfeeding rates.

“Our services include antenatal and postnatal support delivered by trained breastfeeding peer supporters, available through local in-person groups, digital WhatsApp communities, and personalised one-to-one text support. Funding is always a challenge, so we deeply value every opportunity to highlight the impact of this work and ensure its sustainability.”

Gillian McMillan, Infant Nutrition Coordinator, NHS Tayside: “Across Tayside more than 70% of babies begin life being breastfed and to ensure mothers can continue breastfeeding for as long as they choose, it is vital that the right support systems are in place.

“The World Health Organization recommends exclusive breastfeeding from birth up to six months of age and then continued breastfeeding, with the introduction of solid food, up to two years of age and beyond.

“There is robust evidence demonstrating the positive impact of breastfeeding peer support – not only for the mother but for the peer supporters themselves. We are proud to have Breast Buddies working in partnership with NHS Tayside to support mothers to meet their breastfeeding goals.”

First Minister highlights importance of flu vaccination

The programme protects those most at risk from severe illness

The First Minister has urged all those eligible for a flu vaccination this year to take up the offer as he received his in Edinburgh.

Getting the flu vaccine is extremely important for those who are most vulnerable to the virus to protect them from severe illness and in some cases, death. Eligible groups include people 65 years and older, pregnant women and those with certain health conditions.

Unpaid carers and health and social care staff are also eligible as the vaccine helps prevent transmission of the virus so helps protect those they are caring for.   

The flu virus is always changing and the vaccination offers the best protection against the strains circulating each winter. Getting vaccinated ahead of the peak festive season is important to allow time for your body to build up protection against the virus.

First Minister John Swinney qualifies for a flu vaccine as an unpaid carer. Attending the NHS Lothian centre at Edinburgh’s Ocean Terminal he said: “I welcome the chance to receive my flu vaccine and I want to thank all those involved in this year’s roll-out.

“Since the start of this year’s programme, staff have delivered more than 980,000 flu vaccines to those most at risk and, with flu cases rising, I would encourage all those who are eligible to take up an appointment ahead of the worst of winter.

“We saw very high levels of the flu virus last year across Scotland, with over 6,500 adults being hospitalised, which contributed to real pressure on the NHS. So please take the opportunity to protect yourself and those around you and reduce your risk of ending up in hospital.”

Appointments for a flu vaccine will be sent to most eligible groups. Unpaid carers and household contacts of those who are immunosuppressed can book online or call the vaccination helpline to arrange an appointment at a suitable time and location anywhere in Scotland.

More information on the flu vaccine is available at NHS Inform:

www.nhsinform.scot/flu

Some people may also be eligible for other vaccines this year, including RSV and COVID-19. Information on these vaccines is available at: 

Winter vaccines | NHS inform and RSV vaccine for adults | NHS inform 

School children and pre-school children are also eligible for a free flu vaccine: 

Child flu vaccine | NHS inform

Health Information Integrity Strategy

Focus on using trusted and accurate sources

People should use trustworthy sources of information to make the best possible decisions about health, Health Secretary Neil Gray has said.

In response to the growing volume of false information, and a recommendation from the pandemic advisory group, the Standing Committee on Pandemic Preparedness, the Scottish Government has launched a Scottish Health Information Integrity Strategy.

Mr Gray said it would help the NHS counter false and misleading health information by giving healthcare professionals the tools to enable people to make the best possible choices about their own health.

He said: “There is lot of health information at our fingertips, but often it is not in line with the science and evidence produced by international experts. Some of it is misleading, inaccurate, and sometimes just plain false. This strategy will help the Scottish Government and our health partners respond to the growing threat from such poor-quality information.

“For all of us, understanding our health and options is vital, as the wrong information can lead us to make the wrong choices that can harm us or our loved ones. The Scottish Health Information Integrity Strategy will guide our response to these challenges and help retain public trust in the NHS.

“For any health questions, in the first instance, people should go to Scotland’s national health information service NHS Inform, which provides evidence-based and accurate health information.”

University of Edinburgh Chair in Public Health, and Scottish Government Chief Social Policy Adviser Professor Linda Bauld said: “People are seeking information about their health in new ways, and often from platforms which are not accurate.

“This strategy marks the beginning of the Scottish healthcare system’s response. It describes potential first steps to help NHS Scotland and others build and maintain trust and find the best ways of providing people with information.”

The strategy makes a number of recommendations on developing leadership and co-ordination, and rapidly responding and building resilience to false health information. These include:

  • providing dedicated resources
  • participating in UK and international networks
  • supporting staff to have evidence-based conversations with patients
  • supporting embedding media, digital and health literacy into the Curriculum for Excellence
  • engaging with community partners and third-sector organisations on public health messaging.

Scottish Health Information Strategy

NHS Lothian: Look out for your breast screening letter

Routine screening doesn’t stop you getting breast cancer, but it’s the best way to spot cancers at an early stage when they’re easier to treat.

That’s why it’s important you attend your appointment when invited.

Find out more at http://nhsinform.scot/breastscreening

#BreastScreeningScot

Glasgow woman’s mission to tell others: ‘Never miss your breast screening appointment

A retired member of NHS Greater Glasgow and Clyde staff, Liz Thomas (71) from Pollock, has been photographed as part of an exhibition to celebrate the resilience, beauty, and strength of women affected by breast cancer.

Liz and three other women chosen for the photoshoot have recently had or are undergoing treatment for breast cancer. They were chosen to be part of Pink Ribbon Foundation’s BOLD Scotland Exhibition.

This extraordinary project, captured by award-winning photographer Caroline Sikkenk, is currently displayed in Glasgow’s Princes Square by M as part of Breast Cancer Awareness Month.

In addition to taking part in this project, Liz is also using this month to share an important message. She said: “Go for your breast screening when you’re invited.”

In November 2024, Liz attended her routine breast screening appointment at NHSGGC’s Breast Clinic in Nelson Mandela Place. Within a week, she was recalled and asked to bring someone with her.

“I wasn’t expecting good news,” Liz said. “They told me two lumps had been found. I had a biopsy and scans there and then. It turned out I had two Stage 3 tumours.”

Within four weeks, Liz underwent a mastectomy at Gartnavel Hospital, followed by chemotherapy and radiotherapy in early 2025.

“The treatment was tough, physically and mentally, but I met wonderful people along the way. The staff were incredible. We even managed to laugh during chemo. One time, the nurses joked they had to separate me from the other ladies because we were giggling so much. Laughter got us through.”

Liz credits her daughter Jourdana, also an NHSGGC staff member, as her rock throughout the journey. “I have a good life and a great life ahead. Who knows if I’d have that if I hadn’t gone for screening?”

Now, Liz is on a mission. She said: “I tell everyone, my daughter, my friends, even the girl who does my nails, never miss your breast screening appointment. And if you’re over 70, you won’t automatically get a letter. You need to contact the breast screening centre yourself.”

Women aged between 50 and 70 will be invited for breast screening every three years. Those eligible, will be invited by NHSGGC via letter to the address registered with their GP, and people are advised to ensure this is up to date.

Anyone over the age of 70, can make an appointment for breast screening directly via the breast screening service.

For more information visit:
Breast cancer | Get Checked Early
Breast screening in Scotland | NHS inform

Exhibition Details

The BOLD Scotland exhibition is on display at Princes Square by M. Entry is free, giving everyone the opportunity to witness this inspiring and empowering project.

Frailty services ‘delivering results’

Specialist teams improving care and easing hospital pressures

All NHS Boards now have frailty services in emergency departments to help older and vulnerable patients as soon as they arrive – improving care and reducing pressure on A&E departments.

On a visit to Dumfries and Galloway Royal Infirmary Acute Frailty Unit, Health Secretary Neil Gray saw the impact the service is having on patient care, including:

  • the average hospital stay for those admitted to the Acute Frailty Unit was 3.4 days – compared to a typical 17.5 day average hospital stay for older frail patients.
  • no increase in re-admissions
  • two thirds of frailty patients admitted have been discharged directly home.

Frailty services provide specialist, multidisciplinary assessment and care for older patients where required. They are designed to accelerate early discharge, reduce delays, and shorten hospital stays — helping patients recover more quickly and return home sooner.

This expansion of frailty services across the country is backed by a share of the £200 million investment from the 2025-26 Budget, aimed at reducing waiting times, improving hospital flow, and minimising delayed discharges.

After his visit, Health Secretary Neil Gray said: “The success of the frailty service here in Dumfries and Galloway is something we are replicating across Scotland.

“By shifting the balance of care from acute hospitals to community-based services, we can ensure that people experiencing frailty are supported earlier – whether through GP referral or direct access via the Scottish Ambulance Service.

“This is about making sure people get the right care, in the right place, at the right time.

“The work being done here is making a real difference, particularly for older patients, with average length of stay reduced by 14 days and no increase in re-admissions.

“Improving patient flow is a key priority, and services like this show how targeted, well-coordinated care can lead to better outcomes.”

Chief Operating Officer of NHS Dumfries and Galloway Nicole Hamlet said: “This work is making a real and measurable difference.

By reducing unnecessary time in hospital, we’re helping people get home or to a homely setting safely and sooner. It also frees up vital capacity in the hospital, which helps us deliver better care across the board.

“I’m very proud of what the team has achieved.

“The project builds on previous frailty work in Dumfries and Galloway and continues to evolve with input from those delivering the care. The team is supported by Dumfries and Galloway Health and Social Care Partnership’s management team and project leads.”

NHS Board hears of service results and progress towards key target

Detecting colorectal cancer earlier

£1.5m INVESTMENT IN REDESIGNED AND ACCELERATED DIAGNOSTIC PATHWAY

A new way to diagnose colorectal cancer will help ensure patients get quicker treatment.

Scotland’s Colorectal Optimal Cancer Diagnostic Pathway has been designed by clinical experts at NHS Golden Jubilee’s Centre for Sustainable Delivery (CfSD).

Supported by £1.5 million on funding from the Scottish Government’s Detect Cancer Early (DCE) programme, it sets out a new model for NHS Scotland to follow.

Patients will be able to receive multiple tests at one time – where clinically appropriate – reducing visits to hospital, speeding up time to diagnosis and improving the quality and safety of care.

Colorectal cancer is the fourth most common malignancy in Scotland, representing 11% of all cancer deaths.

Health Secretary Neil Gray said: “Bowel cancer touches thousands of families in Scotland every year, and we know the difference early diagnosis can make – more treatment options, more time with loved ones, and better outcomes.

“That’s why I am so pleased to see the publication of Scotland’s Colorectal Optimal Cancer Diagnostic Pathway. By speeding up diagnosis and improving the way services are delivered, we can give patients and their families greater peace of mind, faster answers, and the very best chance of recovery.”

One patient who credits early diagnosis with saving his life is Nick Rimmer, 55, from Crieff.

Nick was diagnosed with stage one bowel cancer in 2019 following a routine NHS screening test which arrived just after his 50th birthday. Initially hesitant, he now says taking the test “saved my life and my future.”

Nick said: “I consider myself lucky because it was detected at a stage where I had absolutely no symptoms and no idea. Okay, I had to go through a major operation, but after that I didn’t require chemotherapy. I’ve been healthy for the last five years.

“If you’ve got any unusual, persistent symptoms, go to your GP practice. Please don’t delay. Even if you don’t have symptoms, when that test lands on your doormat – do it. The more people that do the test and find cancer earlier, the easier their life is going to be.”

Dr. Lisa Wilde, Director of Research and External Affairs at Bowel Cancer UK, said: “We’re delighted to see the launch of Scotland’s new optimal bowel cancer diagnostic pathway and toolkit.

“Bowel cancer is treatable and curable, especially if diagnosed early. The earlier patients are diagnosed with the disease, the greater their chance of survival.

“By supporting earlier diagnosis and reducing waiting times, this work has the potential to improve efficiency across the system and importantly deliver better outcomes for patients.”

Increase in numbers of newly qualified paramedics

MORE THAN 450 RECRUITS SINCE 2020

Health Secretary Neil Gray has welcomed an increase in the number of newly qualified paramedics joining the Scottish Ambulance Service, with 360 new recruits joining the service since 2023.

New figures show a steep increase in recruitment between 2022-23 and 2023-24, and a total recruitment of 489 since 2020.

The investment in newly qualified paramedics is designed to give the service more resilience, improve capacity and increase the number of patients treated in the community.

A three-year paramedic undergraduate degree programme was launched at Glasgow Caledonian University in 2017 and is now available at five universities across Scotland.

Figures for the last five years, which include graduates from outside Scotland, are:

2020-21 = 24

2021-22 = 58

2022-23 = 47

2023-24 = 179

2024-25 = 181

The number of paramedics currently working in Scotland is 2,156.6 whole time equivalent posts.

Health Secretary Neil Gray said: “The Scottish Ambulance Service is an absolutely vital part of the health service, so the Scottish Government is working hard to provide it with the staff and resources it needs to continue delivering a high-quality emergency service to people across Scotland.

“Since 2020, we have supported the recruitment of additional staff, with further recruitment already underway this year—bringing workforce levels to a record high.

“Ambulance staff have shown outstanding resilience in the face of sustained pressure, and I want to thank them for their continued dedication and hard work.”

Michael Dickson OBE Chief Executive of the Scottish Ambulance Service said: “We are delighted to welcome this number of newly qualified paramedics to SAS. This reflects their experience to date, and it also reinforces the important role paramedics can play in the future of NHS Scotland.

“Our continued ambition, supported by Scottish Government, is to grow and develop the SAS workforce, ensuring we continue to deliver the very best patient care by boosting capacity and increasing our resilience in communities across Scotland.”