Tag: NHS

Task Force to tackle delayed discharge

Task force set up but Lothian figures more than double

RIE

The NHS and Scotland’s councils are to work together to tackle the growing numbers of delayed discharges but opposition politicians argue that more urgency is needed to address the issue. NHS Lothian is one of four health board to miss discharge targets.

While delayed discharge has fallen by a third since 2006, the latest statistics show this continues to be challenging, with a significant number of people delayed due to a lack of availability of care in the community.

Health Secretary Alex Neil wrote to local authority and health board partnerships earlier this week, urging them to use the £5 million funding recently announced by the Scottish Government to address the reasons for the delays.

Mr Neil said: “We have come a considerable way in tackling this problem, with comparable figures for 2006 showing three times as many people were delayed for over four weeks.

“However, it’s disappointing that some patients are still delayed for lengthy periods in our hospitals. Remaining in hospital, when clinically ready to leave, is frustrating for individuals and can pose challenges in ensuring effective patient flow through the hospital.

“Integration of health and social care will be key to driving down delays, and we are working with COSLA to deliver integration for the benefit of people across Scotland. We recently announced an additional £5 million to be targeted at the areas with the greatest challenges. This money will be used by seven NHS and local authority partnerships to reduce delays and release hospital capacity.

“Legislation to implement health and social care comes into full force in April next year, but we need not wait to make progress. COSLA and I are agreed that we need immediate improvements and NHS Boards and local authorities recognise the need to work together now to make sure people do not have wait in hospital any longer than is necessary.”

care (2)Cllr Peter Johnston, COSLA’s Health and Well-being Spokesperson, added: “I’ve just visited a District General Hospital in my own Health Board area and know from that just how hard nurses, clinicians, social workers and managers are working to facilitate the transfer of people waiting for discharge back to their own homes or into a care home. This is a priority of the first order – we know that for older people in particular, a delay of longer than 72 hours can have an impact on their health and well-being.

“We in COSLA are determined to make further progress on discharge arrangements. We are fully committed to the work of the task force, and believe that innovation in discharge protocols and in commissioning practice will deliver some of the progress needed. This will all take place within emerging health and social care partnerships and we hope to get to a position in time where service redesign can build community capacity to ensure that people are only admitted to hospital because they really need to be there and are then discharged speedily back to their own homes.”

Lothian Green MSP Alison Johnstone believes the government must step up its response to the problem of delayed discharges in the region’s hospitals.

New figures show the number of patients having to wait longer than four weeks to be discharged from hospitals in Lothian has more than doubled in a year. In July this year there were 83 such patients, compared to 39 in April and 37 in July last year.

Alison Johnstone initially raised the issue of delayed discharges with Health Secretary Alex Neil in parliament back in May.

Commenting on the latest figures, she said: “While I appreciate we won’t see a solution overnight it’s a real concern that these figures aren’t improving. I have raised the issue with the health secretary and I’m aware of some distressing and frustrating situations in Lothian region affecting elderly people and their families.

“The Scottish Government and local authorities must step up their action to ensure patients who are ready to be looked after out of hospital aren’t left waiting. We must ensure adequate care home places and care-at-home packages so that people are treated with respect and that our health service resources are being used to best effect.”

RIEd

Free and easy: dial 111 for NHS 24

New free and easy-to-remember telephone number for NHS 24 

NHS24 freephone

A new free and easy to remember number for NHS 24 in Scotland is now up and running. People looking for medical help and advice can, from today (Tuesday 29 April), contact NHS 24 by calling 111.

It means callers in Scotland will no longer be charged when calling NHS 24 from a landline or mobile.

NHS 24 will continue to deliver the same high quality service for anyone seeking advice and support during the out of hours period until their GP surgery reopens.

It previously cost the price of a local phone call from a BT landline, with calls from other landline service providers and mobile providers often costing more.

Health Secretary, Alex Neil, said: “I strongly believe that our NHS should be free at the point of care for all, and this new number will help to protect these founding principles of the NHS.

“The new number is easy to remember, and free to call, which will ensure everyone across Scotland can access support and advice from NHS 24 whenever they need it.

“NHS 24 already provides a valuable service to patients across Scotland when their GP surgery is closed, and there will be absolutely no change to the high quality service provided through this new number.

“By introducing the 111 number we are removing any barrier for the public to access the health advice out of hours. “This will help to ensure people have access to health information and support, including access to a GP, when they really need it.

“In Scotland, the 111 number will be run by NHS 24 as a public service, in public hands – serving the needs of patients.”

“This is in complete contrast to the approach adopted by the NHS in England, where different organisations, including private sector providers, are contracted to provide the number in different regions.”

Mother-of-two Lee Armstrong, from Edinburgh, supports the change to the new number. Lee, 37, has a seven-year-old daughter Charlotte who has type one diabetes. Charlotte, who is a pupil at Wardie Primary School, was diagnosed with the condition when she was four and now uses an insulin pump.

Lee has contacted NHS 24 on several occasions looking for advice and reassurance when she is worried about her daughter’s blood sugar levels.

Lee said: “As a parent, I have always found it useful to have someone at the end of the telephone when GP surgeries are not open at the weekend or in the evenings. I have always been impressed that information about Charlotte and her condition is passed on quickly by NHS 24 to out-of-hours staff. On several occasions, staff have gone above and beyond to make sure Charlotte receives the right treatment or that I am given the correct advice as a parent.

“I think the move to the free telephone number will make it even easier for parents like me to contact the service in what is a positive development .”

NHS 24 Chief Executive John Turner said: “By dialling 111, patients throughout Scotland will receive the same high quality, trusted service that NHS 24 has delivered for more than ten years. We will continue to work with our partners across Scotland to provide high quality support to patients and their families on the new number, which is easy to remember and free to call.”

“NHS 24 has been serving the people of Scotland for more than ten years now and the move to a freephone number represents the next stage in the development of the country’s provider of telehealth and telecare services.”

Welcoming the introduction of the new free phone number, Dr Andrew Buist, Deputy Chairman of the BMA’s Scottish General Practitioners Committee, added: “Creating a new free phone number for NHS 24 will remove barriers to accessing this important part of our out of hours service. Patients will no longer have to worry about the cost of a phone call when seeking urgent health advice.

“NHS 24 provides an important service to patients at evenings and weekends for medical problems that can’t wait until the GP surgery reopens, with healthcare advice and, if necessary, access to a GP.”

More information on NHS 24 is available at www.nhs24.com

Letter: Protecting our Parents – who cares?

care

Dear Editor

Part two of the BBC programme Protecting our Parents, shown on 24 April, revealed the inadequacy of all-round care provision for the elderly.

All staff shown were indeed caring but handicapped by having to work within existing rules and funding constraints.

A disturbing feature was the ‘test’ by a psychologist to determine the patients’ capacity to make decisions (in other words removing decision-making from them) with questions such as: ‘what day is it?’; I would imagine most people after being in hospital for weeks would hesitate before answering. There were  of course other similar questions, and on their answers a decision is made on the patients capacity of doing so, with all that it implies.

The ‘test’ came across as inadequate and faulty, needing radical appraisal.

The second part of of the programme reinforced the first – that provision of care in all forms, from rapidly building NHS Hospitals for the elderly run by fully qualified staff, that care at home visiting time should be greatly expanded – if necessary to 24 hour caring operated by fully qualified staff.

This can be at least a start in showing we do care about protecting our parents.

A. Delahoy

Silverknowes Gardens

‘Toxic’ drugs danger

Police Scotland and NHS Greater Glasgow and Clyde are issuing a warning about the dangers of tablets being sold as ‘ecstasy’ which contain dangerous chemicals. Police are currently investigating a number of deaths which have occurred over the last two months where the victims appeared to have ingested what they thought was an ecstasy tablet but actually contained toxic stimulants.

An investigation is underway and our enquiries have so far revealed that the taking of what users thought was ‘ecstasy’ is a common denominator. Emergency doctors in Greater Glasgow and Clyde are joining police in issuing this warning following the rise in the number of drugs related deaths in young people.

Superintendent Alan Cunningham said: “This is clearly disturbing and we are currently carrying out extensive enquiries in relation to these incidents.  Drugs are being sold as ecstasy tablets but they contain a cocktail of ingredients which have and can endanger life.  These drugs are unstable, unpredictable and extremely dangerous and we want to highlight the very serious and potential harm which can be caused.  In the build up to events such as T in the Park it’s crucial that the public is aware of the dangers of becoming involved in drug use. These very sad circumstances highlight the fact that often users don’t know what they’re taking.

“Of particular concern at the moment are green tablets with a Rolex crown logo stamped on them, some of these tablets have been found to contain dangerous toxic stimulant PMA. Previously we have warned of other tablets being sold as ecstasy which included the white tablet which has the Mitsubishi logo imprinted on it.  This pill was found to contain the potentially dangerous chemicals, 5IT or AMT.  We are also warning of a yellow tablet with a star logo imprinted on it containing a toxic stimulant, PMA.”

Glasgow Royal Infirmary Senior Specialty Doctor in Emergency Medicine, Dr Richard Stevenson said: “We are deeply concerned about this tragic increase in the number of drug related deaths. People are coming into A&E who have taken what they believe to be ecstasy but in some cases the drug is actually something else containing a highly toxic chemical formula which is proving lethal.”

All individuals in the Greater Glasgow and Clyde area presented in hospital at a stage of toxicity which was too late for treatment.  The majority of those who died were in their early 20s.

Dr Stevenson explained: “All the fatalities were due to symptoms which are treatable if help is sought early – sadly in these cases they all came into A&E too late. Symptoms include a high temperature, aggression and muscle pains as well as an extreme exaggerated expected effect of the drug such as hallucinations and excitability which would be very alarming and unpleasant to the person experiencing them. These symptoms are treatable if help is sought early I would urge anyone who begins to feel unwell or feels a more intense high than usual after taking any drug which they think is ecstasy or not to seek immediate medical help.”

If anyone has any information about the sale or supply of such tablets, please contact police on the non emergency number, 101 or contact Crimestoppers anonymously on 0800 555 111.

Green Rolex crown logo - PMA and MDMA

NHS is 65 today

BILL

The National Health Service celebrates it’s 65th anniversary today.

The National Health Service was created by Clement Attlee’s Labour government to create “comprehensive health and rehabilitation services for prevention and cure of disease”. Described by Minister for Health Aneurin Bevan as ‘the biggest single experiment in social service that the world has ever seen undertaken’, the legislation to create the NHS was implemented in England and Wales in 1946 and across the rest of the United Kingdom by 1948.

Sixty-five years on the NHS has seen many changes – for better and worse – and has become something of a political football. But for all it’s shortcomings and faults, the NHS remains by far the country’s most cherished institution.

Prime Minister Daid Cameron (pictured below) said: “Our National Health Service is one of the most precious institutions we have. We all know it, because all of us have been touched by it. I will never forget the care my son Ivan received and the inspirational people who helped Sam and me through some of the most difficult times.

The consultants, the community nurses, the care team – every one of them became part of our lives. When you have experienced support and dedicated professional care like that, you know just how incredibly special the NHS is.”

Cameron visits north west

Holyrood Health Secretary Alex Neil visited Wishaw General maternity unit to meet babies born on the same day as the anniversary of our health service, and took the opportunity to point out what the Scottish Government is doing to improve health in Scotland.

Mr Neil said: “I am absolutely committed to the founding values of our NHS. I can promise that while this Government is in charge it will be free at point of access for everyone, and as  we move towards the historic moment of the 2014 referendum, I can guarantee that independence will help maintain Scotland’s NHS as the wonderful institution it is today.

“Today, Scotland’s NHS is a both a tribute to the kind of society Scotland is, and the kind of society we must continue to aspire to be. Anyone who comes for treatment will get the care they need – regardless of whether they are rich or poor. That is the embodiment of a just and equitable society.

“But this isn’t just about the institution that is the Health service. It’s about the health of our people. Health inequalities blight Scottish society. It is simply not good enough that someone’s life expectancy should depend on where they are born, or the income of their parents.

“Where can act, we have. We’ve banned smoking in public places. We are tackling excessive drinking and will introduce a minimum price for alcohol. But the main levers to tackle the kind of poverty that is a driver of health inequality remain in the hands of London Governments.

“The recent welfare cuts are just the latest example of this. With our population ageing, and pressures on the health service growing significantly, we need to be allowed to take control of the levers needed to tackle poverty and with it finally rid Scotland of health inequalities.”

Treatment times down – and NHS Lothian ‘improving’

More than 90 per cent of patients in Scotland are now being treated in 18 weeks or less. New figures published today by ISD show that over 92 per cent of patients whose entire journey could be measured were seen and treated within 18 weeks from initial GP referral to start of treatment.

NHS Lothian is the only Board not to have met the 90 per cent target for the three months measured, with NHS Forth Valley also missing the target for one month.

The figures also show that over 283,000 patients were treated within 18 weeks during the quarter ending 30 June.

Health Secretary Nicola Sturgeon said: “I am pleased to say that NHS Scotland is delivering on the target to ensure that patients are treated in 18 weeks or less. Quick access to treatment, delivered as locally as possible is what patients want. NHS Lothian have been working hard to reduce the numbers of patients breaching the waiting times targets following changes to their recording practices last December. We are already starting to see improvements in their numbers and we expect this to continue.”

She went on: “It is important to remember just how much progress has been made. In 2007 over 29,000 people were stuck on ‘hidden waiting lists’ not getting the treatment they needed. Our 18 weeks referral to treatment target demonstrates what the NHS can achieve by protecting the founding principles of the National Health Service. Scottish patients really are reaping the benefits.”

Treatment times down – and NHS Lothian 'improving'

More than 90 per cent of patients in Scotland are now being treated in 18 weeks or less. New figures published today by ISD show that over 92 per cent of patients whose entire journey could be measured were seen and treated within 18 weeks from initial GP referral to start of treatment.

NHS Lothian is the only Board not to have met the 90 per cent target for the three months measured, with NHS Forth Valley also missing the target for one month.

The figures also show that over 283,000 patients were treated within 18 weeks during the quarter ending 30 June.

Health Secretary Nicola Sturgeon said: “I am pleased to say that NHS Scotland is delivering on the target to ensure that patients are treated in 18 weeks or less. Quick access to treatment, delivered as locally as possible is what patients want. NHS Lothian have been working hard to reduce the numbers of patients breaching the waiting times targets following changes to their recording practices last December. We are already starting to see improvements in their numbers and we expect this to continue.”

She went on: “It is important to remember just how much progress has been made. In 2007 over 29,000 people were stuck on ‘hidden waiting lists’ not getting the treatment they needed. Our 18 weeks referral to treatment target demonstrates what the NHS can achieve by protecting the founding principles of the National Health Service. Scottish patients really are reaping the benefits.”

Letter – Caring for our NHS

Dear Editor

The NHS will care for everyone in the UK whoever and wherever they are; it is our most valuable public service and must remain so.

We are told people are living longer and therefore the workload of the NHS will grow; it follows there must be an increase in staff, fully trained in all aspects of care. It is obvious the existing staff – who are already under great pressure to maintain the service – would not be able to take on extra work and maintain the quality of both physical and mental care that is needed.

I hope those who view the NHS as a drain on the nation will come to realise that no-one is able to predict their needs as one gets older.

There are uncaring and reactionary people who say we cannot afford a comprehensive national service. If we are a caring society we can – and must – do just that.

A Delahoy

Silverknowes Gardens