People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency.
Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow.
Meeting staff at NHS 24, Mr Yousaf said healthy know how can help us stay well this winter: “Nobody wants to be unwell, especially over the festive holidays, and these few simple steps can help everyone manage common illnesses and avoid the need to interrupt the festivities with a trip to the pharmacy or GP.
“This is going to be the most challenging winter for our health service, and a lot of the ailments for which people access out-of-hours care can be easily managed at home. NHS 24’s 111 service is always busy over the holiday period, but roughly a third of calls to 111 result in safe, self-care advice at home.
“If this campaign can encourage people to care for common seasonal conditions at home, that will leave our frontline services free to help those with more serious conditions.
“By taking a few simple steps we can all do our bit to help support our health services this winter.”
Healthy know how tips to keep well this winter include:
Know how to be prepared for common illnesses and ensure that medicines are to hand, at home.
Know how to check symptoms if you do become unwell. NHS inform’s symptom checkers can give you all the health advice you need online and help you to get the right care, in the right place.
Details on the Healthy Know How campaign and the full range of winter health advice can be found here – www.nhsinform.scot/winter
Cabinet Secretary for Health launches NHS Scotland’s winter campaign
People across Scotland are being encouraged to include health as part of their festive preparations so that seasonal illnesses can be managed well at home. It is hoped that by following the tips and advice in the ‘Healthy Know How’ campaign the public will enjoy the festivities without having to seek health advice unless it is urgent or an emergency.
Humza Yousaf, the Cabinet Secretary for Health and Social Care launched the ‘Healthy Know How’ winter campaign at NHS 24’s newest contact centre in Hillington, Glasgow.
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Pic Peter Devlin
Emergency services, prosecutors and health colleagues are among those supporting a National Assault Pledge underlining a joint commitment to reduce violence and abuse against workers.
The National Assault Pledge builds upon Chief Constable Sir Iain Livingstone’s Assault Pledge, developed in response to a concerning increase in violence and abuse against Police Scotland officers and staff. The Chief Constable’s Assault Pledge was published in August 2020 with the support of the then Lord Advocate and Cabinet Secretary for Justice.
Since then, local pledges have been developed by services in Ayrshire and Dumfries and Galloway.
The national partnership group includes British Transport Police, NHS Scotland, Scottish Prison Service, Scottish Ambulance Service and others. The group will share best practice, develop preventative measures and use consistent messaging in their workplace to support and encourage staff to report incidents.
The National Assault Pledge was agreed by signatories at an event at Police Scotland Headquarters, Tulliallan, on Tuesday, 15 November.
Deputy Chief Constable Fiona Taylor QPM has been leading Police Scotland’s drive to reduce the impact violence and abuse has on officers and staff and introduce measures to improve their safety.
DCC Taylor said: “Being the victim of an assault can have a long lasting impact both physically and mentally. It’s not simply part of the job.
“Working in partnership with a number of key organisations highlights our collective approach and united pledge to reduce assaults at work.
“I want our officers and staff to feel supported and this partnership adds to work already ongoing in this area.”
Lord Advocate Dorothy Bain KC said: “Assaults on front line workers will not be tolerated and Scotland’s prosecutors will help protect their safety through robust action.
“The Crown Office and Procurator Fiscal Service work closely with police to ensure the effective investigation and prosecution of crime.
“Any criminal behaviour that threatens public safety and the safety of front line workers will be taken very seriously.”
In 2021/22, there were 7,858 common assaults against emergency workers – an increase of 12 per cent compared to the previous year. Over 7,000 of these were against police officers and staff.
Improved operational safety training, a Taser uplift programme and partnership with the Crown Office and Procurator Fiscal Service to introduce impact statements are some of the work that has been driven within Police Scotland to support officer and staff safety.
Up to 40,000 consultations taking place every month
The Near Me video consultation scheme is being extended so patients can use it in community settings such as libraries, community and health and care facilities as well as their own home.
The platform is already being used for around 40,000 consultations a month, helping to ease pressure on the health service, and saving people time and money travelling to appointments.
Near Me consultations include hospital outpatient appointments, GPs, and a wide range of other services including care homes, dietetics and mental health support. Patients should be offered the option of a Near Me appointment, if appropriate, by the hospital, GP practice or other service, along with details of a website address for its video clinic.
Now patients will be able to visit 55 hubs across Scotland which have set up areas for private video consultations thanks to funding from the Scottish Government.
The new hubs provide private confidential space, good connectivity, and help for those with low digital confidence or no access to a suitable device.
Health Secretary Humza Yousaf praised the innovative use of technology to benefit patients and ease the pressure of the NHS.
Mr Yousaf said: “Face to face appointments will always be there for people who need them, but Near Me has many benefits to patients, including saving time and money. It is valuable in giving them options on accessing healthcare in a way that is easy and comfortable for them.
“It allows multiple family members to join consultations and saves patients having to take time off work or organise childcare.
“The platform has also reduced the need for travel, saving an estimated 57 million miles of travel since January 2020. That is so important at this time when we are looking at fuel costs and the impact on the environment.”
Andrina Robb, Near Me Support Manager for NHS Highland, said: “The Near Me system is safe and secure, and very straightforward to use. There is no app to download or registration required. Your details remain private, just like any other appointment.
“All you need is a device for making video calls, like a smartphone, tablet, or laptop, and an internet connection. If you don’t have these things, Near Me rooms are now available in some GP surgeries and other locations such as libraries. You can even invite along a friend or family member for support, and they can join the call even if they live far away.”
A feedback survey of nearly 25,000 users reported an average saving of 36 miles per visit – around 1.4 million miles a month. They survey also revealed 92% said the system was easy to use and 97% would use it again.
‘It’s OK to Ask’ – supporting patients in Scotland to ask the right questions about their healthcare
Through the ‘It’s OK to Ask’ campaign, people in Scotland are being encouraged to ask their healthcare providers more questions about their treatment and be more involved in decisions around their care.
The campaign aims to break down communication barriers and create open, positive conversations to ensure patients have full information on the options available for their care and treatment.
Patients are being asked to consider four key questions when they next attend an appointment, or discuss their care with a healthcare professional:
What are the benefits of my treatment?
What are the risks of my treatment?
Any alternative treatments I can try?
What if I do nothing?
John McAnaw, Associate Clinical Director at NHS 24 said: ‘The ‘It’s OK to Ask’ campaign was designed to help people feel empowered to ask for more information about their care during discussions with health professionals.
‘We understand it can sometimes feel intimidating or even scary to ask for more information when you are in a healthcare setting, but our healthcare colleagues throughout the NHS will be delighted to help with any questions you may have.
‘By feeling supported and encouraged to freely ask questions and get more advice on the available options, we hope that more patients feel involved in decisions about their care and treatment, and they make more educated, informed choices about what is right for them.’
The campaign is being promoted through digital advertising and is supported by NHS Scotland. More information, including a free-to-download patient leaflet and translations into other languages, can be found on
If you are aged 50 to 64 with no additional risk factors, please wait to be contacted about your winter vaccination appointment. The flu and COVID-19 vaccines are being given to those most at risk first.
Following on from the previous advice on which vaccines should be used in this year’s autumn booster programme, the Joint Committee on Vaccination and Immunisation (JCVI) has updated its published advice to include an additional bivalent vaccine now approved by the Medicines and Healthcare products Regulatory Agency (MHRA).
Studies indicate the Pfizer-BioNTech bivalent vaccine produces a marginally higher immune response against some variants than the Pfizer-BioNTech mRNA Original ‘wild-type’ vaccine. The clinical relevance of these small differences is uncertain.
‘Bivalent’ vaccines have been developed by global manufacturers since the emergence and dominance of the Omicron variant. These vaccines are targeted against antigens (substances that induce an immune response) from 2 different COVID-19 strains, or variants.
All of the available booster vaccines offer very good protection against severe illness from COVID-19. As more vaccines continue to be developed, the committee will consider their use in the autumn programme.
Professor Wei Shen Lim, Chair of COVID-19 immunisation on the JCVI, said: “It is very encouraging that more vaccines continue to become available and we now have another option to add to the vaccines already advised for the autumn booster campaign.
“Winter is typically the time of greatest threat from respiratory infections. We strongly encourage everyone who is eligible to have their booster vaccine this autumn when it is offered. This is our best defence against becoming severely ill from COVID-19.”
Pfizer/BioNTech bivalent COVID-19 booster approved by UK medicines regulator
A second, “bivalent” vaccine was yesterday approved as a booster by the Medicines and Healthcare products Regulatory Agency (MHRA) after it was found to meet the UK regulator’s standards of safety, quality and effectiveness.
The updated booster vaccine made by Pfizer/BioNTech, targeting two coronavirus variants, has been approved for use in individuals aged 12 years and above. This decision has been endorsed by the Commission on Human Medicines, after a careful review of the evidence.
In each dose of the booster vaccine, ‘Comirnaty bivalent Original/Omicron’, half of the vaccine (15 micrograms) targets the original virus strain and the other half (15 micrograms) targets Omicron (BA.1).
The MHRA’s decision is based on data from a clinical trial which showed that a booster dose with the bivalent Pfizer/BioNTech vaccine triggers a strong immune response against both Omicron and the original strain. Safety monitoring showed that the side effects observed were the same as those seen for the original Pfizer/BioNTech booster dose and were typically mild and self-resolving, and no new serious safety concerns were identified.
Dr June Raine, MHRA Chief Executive said: I am pleased to announce that we now have a second approved vaccine for the UK Autumn booster programme. The clinical trial of the Pfizer/BioNTech bivalent vaccine showed a strong immune response against the Omicron BA.1 variant as well as the original strain.
“Bivalent vaccines are helping us to meet the challenge of an ever-evolving virus, to help protect people against COVID-19 variants.
“We have in place a comprehensive safety surveillance strategy for all UK-approved COVID-19 vaccines, and this will include the updated booster we approved today.”
Professor Sir Munir Pirmohamed, Chair of the Commission on Human Medicines said: “Following an independent review of the safety, quality and effectiveness of the vaccine, the Commission on Human Medicines and its COVID-19 Vaccines Expert Working Group supports the MHRA’s decision.
“As with any medicinal product, including vaccines, it is important to continually monitor effectiveness and safety when it is deployed, and we have the relevant processes and expertise in this country to do that.
“The Joint Committee on Vaccination and Immunisation (JCVI) will advise on how this vaccine should be offered as part of the deployment programme.”
A sister’s quick thinking saved the life of a student who had fallen ill with meningitis, when she took her straight to A&E on their way home from university.
Ashleigh Denton was 18 and in her first year at the University of the West of England in Bristol when she became ill with a headache and flu-like symptoms on a night out. The following day her sister Sophie drove from Oxfordshire to collect her but, halfway home, went straight to Swindon A&E as Ashleigh’s condition suddenly worsened.
Doctors say her fast response that day saved Ashleigh’s life.
“If my sister had tried to take me to Oxford rather than Swindon – less than an hour down the road – doctors said I would have died,”Ashleigh said. “It would have been too late.”
Now Ashleigh, 29, is telling her story to raise awareness of meningitis and the importance of looking out for your friends and taking quick action if the disease is suspected, as she spearheads charity Meningitis Now’s ‘Look out for your mates’ student campaign, which launches today.
The campaign is timed to coincide with the announcement of A-level results as thousands of young people contemplate their future. Meningitis Now is concerned that the combination of new-found social freedoms, the desire of young people to mix in large groups and a move to campus-based accommodation for students, will present the ideal opportunity for infectious diseases to spread, putting young people at a higher risk of meningitis.
“If you’re at university and you or one of your friends is unwell or acting out of character and you’re not sure if it’s something small or serious, get things checked out,”Ashleigh added. “Don’t be afraid to go to hospital – meningitis can develop so quickly, from just having a headache to being at death’s door.”
“It is so important to have your symptoms checked as soon as possible if you are concerned.”
Ashleigh, from Bicester in Oxfordshire, initially thought she was getting a cold. “I started to get a headache, but I wasn’t worried, so I went out with my friends as planned.
“Within a couple of hours my behaviour had changed – I was agitated and emotional – and this is one of the biggest things I tell people. It’s not the physical symptoms that I remember the most, but my behaviour.”
Ashleigh left the club and two girls who were going to the same place as her shared a taxi home. “They noticed I was unwell and even offered for me to stay at theirs, but I declined as I just wanted my bed,” she said.
“The next day I woke up, still with a headache, and assumed I was just hungover. As the day went on I really didn’t feel right. I phoned my mum to tell her and that I was going to sleep for a bit, but I was crying and she knew something wasn’t right.
“She spoke to my sister, who phoned me and asked if I wanted her to pick me up and take me home. I initially said ‘no’ but eventually agreed and she came from Oxford to Bristol to get me.
“In the car home my symptoms got worse very quickly. My head was so sore, I couldn’t open my eyes, my neck stiffened, I was retching, and I just knew something was seriously wrong.
“Just at the right time my sister saw a sign for the hospital in Swindon and took me straight there.
“In A&E I remember struggling to breathe, so I just stopped as it felt like the easier option. My sister shook me and I came to and started breathing again, but it wasn’t long before I stopped. My sister pressed the panic button and within seconds a team rushed in and carried me to resus.
“I am told I became aggressive, so I was sedated and admitted to ITU.
“During this time I was given a CT scan and a lumbar puncture, which confirmed I had Group B meningococcal meningitis and septicaemia.
“I had developed a rash but not until I got to hospital. What most people don’t realise is that the rash is not an early symptom and if you have one, you are in the advanced stages of meningitis.”
Ashleigh’s family was told there was a one in three chance that she would wake up blind, deaf or brain damaged.
“But fortunately I woke up two days after arriving at hospital and the first thing I said was ‘I want my breakfast’.Somehow, before I was even told, I knew I had meningitis.
“I was in hospital for a week and unable to walk or get out of bed by myself for the first few days. What I didn’t realise at the time was that my brain was muddled as a result of the infection and would be for a few months. I just had no awareness of this until a family member asked my mum if I was making any sense a few weeks after I’d got home.”
Fortunately, despite not being her usual self for three months and struggling with fatigue, Ashleigh went on to make a good recovery, even returning to university for her exams in August, five months after she first became ill.
“I am forever thankful for my family, and the doctors and nurses at Great Western Hospital in Swindon, for saving my life.”
Ryan Bresnahan wasn’t so lucky, His mum, Michelle, who set up the Bristol-based charity, a Life for a Cure, following Ryan’s death from meningitis in 2010, has been campaigning tirelessly to raise awareness of the symptoms of the disease and funds for research.
Ryan was a fit and healthy 16-year-old when he was tragically struck down by Meningitis B within an hour of first feeling ill.
Michelle said: “I know only too well how devastating this disease can be and have seen the worst it can do, destroying young lives and tearing apart those who remain.
“No-one should be left counting the cost of making the wrong assumption – meningitis can affect anyone at any time but we need to highlight that teenagers and young people are the second most at risk group of contracting the disease, after babies and toddlers.”
Meningitis Now chief executive, Dr Tom Nutt, said:“Research has shown that up to a quarter of 15 to 24-year-olds carry the bacteria that cause meningococcal meningitis and septicaemia in the back of their throats compared to one in 10 of the general population.
“Whilst many young people will have been vaccinated against MenACWY, which protects against four strains of meningococcal meningitis, at school, we estimate that up to half a million under-25s may have missed this important vaccination. If that’s you – contact your GP and see if you can get up to date with your vaccinations.
“And very few young people will have been vaccinated against MenB, which is the strain Ashleigh and Ryan had and that causes the most cases of bacterial meningitis in the UK.
“Common complaints such as a hangover and Freshers’ Flu are often given as reasons for a person not feeling too well – but we are asking young people not to simply assume this is the case. A headache and fever are also common signs of meningitis, which is why it is so important that young people should learn the signs and symptoms of the disease, look out for themselves and their mates and seek medical help straight away if they feel unwell.”
The early signs and symptoms of meningitis and septicaemia can be similar to ‘flu, tummy bug or a hangover and include fever, headache, nausea, vomiting, diarrhoea, muscle pain, stomach cramps and fever with cold hands and feet.
More specific signs and symptoms include fever with cold hands and feet, drowsiness, confusion, pale blotchy skin, stiff neck, dislike of bright lights and a rash which doesn’t fade under pressure.
Meningitis Now has free information for parents and students, including leaflets, signs and symptoms cards and fridge magnets – all of which contain lifesaving information.
NHS Lothian’s Community Vaccination Team has administered an incredible 5,200 HPV vaccinations in schools across Edinburgh and the Lothians this past month, even with a break over the Easter holidays.
Cervical cancer is the most common cancer in women under 35 and HPV is the main cause. A 2018 Scottish study showed that the vaccine has reduced pre-cancerous cervical disease in 20-year-old women by up to 71%.
The prevalence of certain HPV types in 16- to 18-year-old women in England, who were offered vaccination at 12 to 13, was found to have reduced from 15% before the vaccination programme to less than 2% in 2018.
The vaccination also provides vital protection against genital warts and anogenital cancers in both boys and girls. Consent forms were provided to schools earlier this year. Consent is provided for the vaccination course and, once given, covers your child for both doses.
The team began vaccinating at the beginning of April and this year’s programme runs until the end of June. If your child’s form was misplaced or lost, you can contact the school’s office to get another.
If your child has any questions or concerns, they are encouraged to speak to our vaccinators.
Scottish health boards have recruited more than 1,000 additional healthcare support staff and almost 200 registered nurses from overseas to help address the unprecedented challenges facing the NHS.
The support staff recruitment drive, backed by £15 million, was launched by Health Secretary Humza Yousaf last October. The new employees will be working in a variety of roles, both in acute hospitals and in community health teams.
Under a separate £4.5 million initiative, offers of employment have been signed with 191 nurses from countries including India and the Philippines, with some already arrived and in posts in hospitals across the country, while agreements are in place with recruitment agencies for a further 203. The figure is likely to increase significantly over the coming months as boards take advantage of new infrastructure for employing qualified international staff.
All international recruitment is in line with the Scottish Code of Practice for health and social care personnel, which demonstrates Scotland’s commitment to ethical recruitment to protect the healthcare systems of developing countries.
Health and Social Care Secretary Humza Yousaf said: “The pandemic has been the biggest shock our NHS has faced in its 73 year existence. To help deal with Winter pressures and pressure brought on by the current Covid wave we are expanding and investing in our NHS workforce.
“Our hardworking and compassionate health and social care staff have been on the frontline of patient care throughout the pandemic and I am incredibly grateful to them all.
“In October, we set ambitious targets to boost the number of health care support staff and step up international nurse recruitment. I am delighted with the success of the recruitment campaigns and seeing the new staff already providing frontline patient care.
“Scotland has the best paid NHS staff in the UK and record workforce levels, with more than 155,000 whole time equivalent (WTE) staff now working in the service. We are determined to continue this progress as we recover from the pandemic.
“Our National Workforce Strategy for Health and Social Care commits to understanding how we can achieve a more sustainable, skilled workforce which makes careers in health and social care – at all levels – more attractive.”
Scotland sends £2.9 million of urgently needed items
Scotland is sending critical medical supplies and equipment to help Ukraine following the illegal invasion by Russia.
Over 500,000 emergency items valued at about £2.9 million, including hypodermic needles and oxygen masks are being donated by NHS Scotland.
An initial donation will be flown from Stansted Airport in Essex to Poland tomorrow (Thursday) for onward transport to Ukraine and includes wound dressings and bandages. These supplies are urgently needed by the Ukrainian Government.
The medical aid is in addition to £4 million of humanitarian assistance for Ukraine announced by the Scottish Government on Monday, which will help provide basic support such as shelter, water and sanitation.
First Minister Nicola Sturgeon visited the NHS equipment storage facility in Motherwell to see the supplies being loaded. She said: “Scotland stands in solidarity with the people of Ukraine and we are ready to provide whatever support we can in their hour of need.
“The Ukrainian Government has requested critical medical assistance and I am proud of our NHS and all those who have worked tirelessly in recent days to make this initial consignment possible. We will deliver the rest of the supplies as quickly as we can.
“Scotland has strong links with Ukraine – Edinburgh is twinned with Kyiv and many Ukrainians have chosen our country as their home – and we will continue to provide practical help as it faces Russia’s unprovoked and illegal aggression.”
NHS National Services Scotland Chief Executive Mary Morgan said: “We are all very saddened by what is happening in Ukraine and our thoughts are with all those affected.
“Colleagues across NHS National Services Scotland, quickly mobilised to compile this shipment of necessary medical equipment which will go towards supporting the people of Ukraine, and we as an organisation will do whatever we can to support this period of uncertainty.
“Time is of the essence in this these situations, and thanks goes to the NHS teams for a fantastic effort in the coordination of this effort to support the humanitarian effort of Ukraine.”
