The British Dental Association Scotland has responded to new freedom of information data from the Scottish Liberal Democrats showing the number of dentists providing NHS services has fallen from pre-pandemic numbers across most health boards.
The BDA stress this data only begins to show the risks facing the service, as the data does not capture the mix of NHS and private work dentists undertake.
The professional body says the data gives no picture of the whole time equivalent NHS workforce, and without that there is no scope for robust workforce planning.
The broken high volume/low margin model high street NHS dentists work to proved unsustainable during COVID, and while some amends to this system were rolled out in November, it remains to be seen if reforms are sufficient to give the service a sustainable future
David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said:“For years the broken system NHS dentistry works to has left dedicated colleagues looking to the exit.
“We’ve seen some reform, but time will tell if it’s enough to put a halt to this exodus.
“One point is abundantly clear. If this service is going to have a future there can be no complacency at Holyrood.”
New data released yesterday (5 March 2024) for Scotland reveals January was the worst month on record for people waiting to be seen in A&E.
The figures published by Public Health Scotland show that, in January 2024:
41,161 (38%) patients waited over four hours in major Emergency Departments, a 21% increase compared to last January (33,962)
17,077 (16%) of patients waited eight hours or more in Emergency Departments, almost 13 times higher than in January 2016 (1,338)
8,402 (8%) of patients waited twelve hours or more in Emergency Departments, the largest amount for any January since records began and 36 times higher than in January 2016 (232).
There were 1,866 beds occupied due to delayed discharges, an increase of 53 compared to December 2023.
Dr JP Loughrey, Royal College of Emergency Medicine Vice President for Scotland said: “This is beyond exasperating. Most people attend A&E in desperate need – to be seen by a medical professional quickly and with dignity.
“Already struggling, patients are having to endure overcrowded waiting rooms and corridors – for hours. If admission is required, they must wait for a bed – for hours.
“This latest data makes for grim reading, and it is incredibly demoralising for my colleagues to be working under such strenuous circumstances.
“They are working all out to put patients first whilst also having to carry the burden of working in an underfunded, overcrowded, and at times unsafe emergency care system. We need intervention from the Government and policy makers to ensure we never reach this nadir again.”
The data also reports:
In January 2024, there were 108,427 attendances at major Emergency Departments in Scotland. This is marginal decrease of 0.25% compared to the previous month.
62% of patients were seen within four hours at major (Type 1) Emergency Departments. This is the worst four-hour performance for any January since records began.
This is a decrease of 0.5 percentage points compared to December last year and a decrease of 3.2 percentage points compared to January 2023.
41,161 (38%) patients waited over four hours in major Emergency Departments. This is a 1% increase compared to December last year (40,763) and a 21% increase compared to January 2023 (33,962).
The number of patients waiting more than four hours has increased by more than three times compared to January 2016 (9,808).
17,077 (16%) patients waited eight hours or more in Emergency Departments.
The proportion waiting this long has increased by 2% compared to the previous month, December 2023 and has increased by 2.3% compared to the previous year, January 2023.
The numbers waiting more than eight hours is almost 13 times those in January 2016 (1,338).
8,402 (8%) of patients waited twelve hours or more in Emergency Departments
This is the largest amount for any January since records began.
The proportion waiting this long has increased by almost 1% compared to December last year and has increased by more than 1% compared to January 2023.
The numbers waiting more than 12 hours is 36 times those in January 2016 (232).
There were 1,866 beds occupied due to delayed discharges, an increase of 53 compared to December 2023.
Implementation of Agenda for Change recommendations
NHS Agenda for Change staff – including nurses, midwives, paramedics, allied health professionals, porters and others – will see a reduction of 30 minutes in their working week from 1st April this year.
The move follows a recommendation from a working group set up to implement a previous commitment to cut the number of working hours as part of the 2023/24 pay deal. It is one of a number of measures to modernise the NHS Scotland Agenda for Change system and has been agreed with trade unions.
If, due to service pressures, safe staffing or wellbeing issues, it is not possible for a staff member to receive their 30 minute reduction they will be recompensed accordingly, until such times as the reduction can be accommodated.
Other measures agreed include:
a consistent approach to Protected Learning Time across all NHS Scotland Boards, and
a defined process for undertaking a review of Band 5 nursing roles with any Band 5 nurse able to self-apply for a review of their role if they believe they meet the criteria.
The changes will support NHS Scotland workforce recruitment, sustainability and retention.
Health Secretary Neil Gray said: “Our Agenda for Change system recognises the value, dedication and hard work of our staff and makes NHS Scotland an employer of choice.
“We expect NHS Boards to work in partnership with trade unions and staff to reduce the working week. This presents an opportunity to modernise how staff are rostered and work, ensuring that NHS Scotland is a leader in flexible and family friendly working practices.
“I am grateful to both Trade Union and Employer representatives for working in partnership with us to develop these reforms to help modernise our service.”
UK patients want better access to early and accurate diagnosis of health problems, according to new survey data from the Patients Association.
Many patients would consider paying to get tests done privately if they faced a long wait for NHS tests.
Nine in ten (90%) of UK patients say it should be more straightforward to get the diagnostic tests they need
Three in five (60%) said they would be willing to pay to get a test done if they faced a long wait, or the test they needed was not available
More than three in five (61%) believed being able to test at home could help speed up diagnosis
Patients want to know how to get the tests they need, why they are having them, and when they can expect results.
The survey, undertaken in partnership with Roche Diagnostics UK and Ireland, represents the views of more than 1,000 patients from across the UK, who had received diagnostic support from the NHS in the preceding six months.
Nine out of ten (90%) of the people who completed the survey said it should be easier to obtain access to the diagnostic tests they need. They also wanted:
Better understanding of why they were being sent for a test
Increased speed and urgency
Improved access
A greater sense of empowerment when it comes to diagnostic tests, results, and subsequent treatment and care.
Access challenges
The findings demonstrated several challenges experienced by patients in gaining access to diagnostic tests.
One-third of respondents (33%) said when they tried to get a test, they found there were no appointments available locally. This reflects national data on the large numbers of patients unable to access diagnostic tests and services, even before consideration is given to any waiting lists for any treatment they may need.
Almost four in five (78%) patients felt testing facilities should be provided closer to patients’ homes to make access easier
Seven in ten (70%) wanted a clearer understanding of how to access tests. Some respondents highlighted that services are sometimes not available as advertised.
Speed and urgency of access to testing was another significant problem identified by survey. Only one in ten (11%) of respondent said they have never had any issues getting either a test or their results, or faced no consequences if they did.
For those living with long-term conditions, delays and difficulties in accessing diagnosis have had significant consequences. Nearly one in five (17%) respondents said their long-term recovery was set back significantly.
Many more reported consequences for their mental and physical health, and their wider work and family life.
Respondents were also unhappy about a lack of access to, and clear explanation of, test results. Almost nine in ten (88%) patients wanted a realistic timeline for their test results to come through and a similar number (87%) called for a better explanation of what those results meant for them and their treatment.
Patient-created solutions
The survey discovered patients are finding ways around the challenges they faced. For example, when asked whether they would be willing to pay to get a test done privately if they faced a long wait or if the test they needed was not available on the NHS, three in five (60%) of respondents said they would. This included patients who did not consider themselves to be ‘rich’.
The finding that so many patients would consider paying for tests shows the importance they place on getting a timely and accurate diagnosis, even if they had to pay.
Sustainable solutions
The survey’s results show many patients have a clear view on how diagnostic services in the UK could be improved.
Being able to test at home was seen as one way to make services more accessible. Nearly two thirds (61%) of respondents believed expanding opportunities to test at home could help speed up diagnosis.
When asked about specific examples, the numbers were even higher, perhaps building on our collective experience of testing at home during the COVID-19 pandemic. More than three quarters (77%) said they would be happy to test themselves at home.
Investing in diagnostics and new technology was supported by most respondents. For example, more than half (57%) the respondents felt the use of new technology such as artificial intelligence could speed up diagnosis and reduce pressures on the NHS – an important factor since nearly one-third (29%) said they delayed seeking tests to avoid wasting NHS time and resources.
Looking to the future
Almost nine in ten (86%) felt testing and diagnosing conditions more quickly would help reduce the NHS backlog. While patients want to feel more empowered in taking charge of their own health, they are also keen that solutions are sought to support NHS efficiency and sustainability in the longer-term.
Rachel Power, Chief Executive of the Patient Association, says:“Patients value diagnostic services – that’s very clear from the survey. Frustrations about access to tests came over loud and clear.
“Those taking the survey clearly value being partners in their care. And to partner with the professionals sending them for tests, patients need and want clear communication on how to get tests, why they need a test, and when they’ll get results. Healthcare professionals can improve patient-centred care when ordering diagnostic tests by explaining how, why and when.”
Geoff Twist, Managing Director, Roche Diagnostics, UK & Ireland says:“Tests that detect or diagnose disease early, or in some cases prevent it altogether, can play a vital role in the patient journey, and in helping the health system work efficiently.
“This report shows that patients themselves see and understand the importance of diagnostic tests, and that they will proactively seek them out to find the answers they need about their health.
“The message is clear. But to realise this we need a renewed policy focus, setting out how we can speed up getting existing diagnostic tests and innovations to the people who need them. Prioritising diagnostic services can help to relieve some of the pressure on our NHS today and protect it for generations to come.”
Health Secretary Michael Matheson met frontline A&E staff at the Royal Alexandra Hospital (RAH) in Paisley today to see first-hand how services are coping with peak winter demand.
Mr Matheson thanked teams for their ongoing efforts and met RAH staff working to keep the flow of patients moving through the hospital to help reduce pressures building up in the emergency department, and avoid people being delayed in hospital longer than necessary.
With hospitals across the country remaining extremely busy, Mr Matheson thanked the public for continuing to do their part to help ease pressure on A&E by considering if their condition is an emergency before attending.
Mr Matheson said: “Our health and care services are now dealing with peak winter demand. There is no doubt the situation remains very challenging so I am extremely grateful to all our highly skilled and committed NHS and social care staff for their continued hard work and dedication.
“The public have really played their part so far, by considering whether their condition is an emergency before going to A&E. To help relieve pressure on services it’s vital everyone continues to do that. Local GPs and pharmacies can be contacted during the day for non-critical care, NHS 24 is also available on 111 for non-emergencies, and the NHS Inform website is an invaluable resource.
“However, let me be clear – urgent care will always be available for those who need it. If someone needs emergency care they should call 999 or go straight to A&E.
“The NHS 24 service dealt with significant demand over Christmas and New Year and, although very challenging, the system handled the large volume of calls very well, which was down to all those involved in the implementation of months of pre-winter planning, which started in spring, to ensure services were available to those in need.
“I am especially grateful to those across health and social care who sacrificed their time and worked over the bank holidays.”
Mr Matheson remains under investigation by the Scottish Parliament’s Corporate Body over his explanation of £11,000 data roaming costs on his parliamentary i-Pad incurred during a family holiday.
As winter poses increasing demand on our healthcare system, NHSGGC is encouraging family members to help get their loved ones ‘Home for Lunch’.
Almost all patients that are ready to go home are discharged on the same day, but a number remain in hospital causing flow issues throughout the health care system.
Doctors are reminding families of patients who are ready to be discharged to help make the required arrangements to get them back to their own home or care setting, at the earliest opportunity.
NHS Greater Glasgow and Clyde ward staff and discharge teams work in parallel to create pathways for families to ensure that, when their loved ones are healthy enough to return home, they are supported in doing so.
As part of NHSGGC’s ABC winter campaign, the health board are attempting to ease pressure on our services and staff from the emergency department, through to patients being discharged.
Dr Scott Davidson, Deputy Medical Director for Acute Services, said: “Winter places increasing demands on our health care services and families play an important role in helping to ease those pressures.
“Our staff are working extremely hard to ensure we provide the best possible care for our patients and we are looking for your help to get loved ones home at the earliest opportunity.
“We do not want patients spending any longer than they need to within our hospitals and want people to be in the comfort of their own home, without the risks associated with lengthy hospital stays.
“I would like to thank families and members of the public who are doing their best to support our patients and staff as we continue to tackle winter pressures.”
If you suffer a strain, sprain, or suspected broken bone, wound, burn or other nasty injury this winter, you can be treated by one of our experts in the Minor Injuries Unit.
Call 111 to make an appointment or find more information:
If you’re looking for health advice this Hogmanay, please read this important information:
The 111 service is very busy today with almost 5000 calls already. This may mean a longer wait than usual for calls to be answered. Some mobile providers disconnect calls due to network capacity demand.
Here’s what you can do to help yourself, save time and help us care for those in the most need first.
Whether it is prescribed or non-prescribed medication, our guide to accessing medication can save you time. You might not need to call 111.
If you need general advice about seasonal ailments remember we have a lot of information on NHS inform, including a range of symptom checkers which you can use to help you decide what to do next: https://nhs24.info/symptom-checkers
The NHS 24 Online app also has handy health advice and can help you source your nearest open healthcare services, including pharmacies. The app is free to download on both iOS and Android devices. https://nhs24.info/NHS-24-Online
By using NHS resources wisely, we can keep well and get the care we need quickly, safely and as close to home as possible.
If you are using a mobile phone to call please switch to WiFi calling and ensure your device is charged. This should help to prevent your call being disconnected by a network provider.
NHS 24’s staff are working exceptionally hard to answer as many calls as we can, quickly and safely. Please be patient and we will answer. If you can try the above options first, it could save you time. We want to help you get the right care, in the right place.
If you suffer a strain, sprain, or suspected broken bone, wound, burn or other nasty injury this winter, you can be treated by one of our experts in the Minor Injuries Unit.
Call 111 to make an appointment or find more information:
‘We must not normalise crisis or celebrate small improvements – our patients and our members deserve more.’That is the response of the Royal College of Emergency Medicine to the latest A&E performance data.
Yesterday (14 December 2023) two sets of data published by NHS England, have been released: the latest Urgent and Emergency Care (UEC) Daily Situation Reports 2023-24 (also known as Winter Sitrep); and monthly A&E performance figures for November 2023.
While there have been some small signs of improvement in certain areas the overall situation remails extremely challenging with A&E departments declaring critical incidents this week, clinicians describing things as the worst they have experienced and ambulance chiefs expressing serious concerns about the pressure their service is under.
The most recent Winter UEC Sitrep data which covers the period 4-10 December 2023 paints a worrying picture with bed occupancy running dangerously high at almost 95% (the level considered ‘safe‘ is 85%) and two-thirds of ambulances not meeting the 15-minute target to hand over patients.
There was a small uplift in the number of beds available within hospitals, but these do not appear to have helped to ease pressure elsewhere in the system, and there remain thousands of patients, who are well enough to go home, but have not been discharged – occupying beds which are needed for other people.
The November performance data reveals that last month more than 144,000 people who visited an A&E within the month were there for more than 12 hours – the target is four hours.
Reacting to these figures, Dr Adrian Boyle, President of the Royal College of Emergency Medicine, said: “While the data suggest a marginal improvement compared to last year, it’s just deja-vu and we must not allow this permacrisis to become accepted as ‘normal’.
“Ambulances are queueing outside A&Es, Trusts are declaring critical incidents, patients are facing dangerously long waits in overcrowded and uncomfortable A&Es. Conditions are intense and difficult for staff, and the experience of patients is distressing and undignified.
“Clinicians are doing their very best, despite the circumstances, to deliver optimal and compassionate care, and mitigate any potential risks to patients but it is taking its toll on them too.
“It is welcome to see small increases in bed numbers, but it is not enough and patients continue to endure long waits.
“Significant and urgent action is required now to address these issues – this is what our members and their patients need and deserve.”
Data in detail:
The latest Urgent and Emergency Care Winter sitrep data for week ending 10 December (week 4 of publication for 2023/24) published today by NHS England show:
Bed occupancy levels at Trusts with a major A&E (Type 1 acute Trust) was 94.9%.
There were 99,497 beds open at Trusts with a major A&E, 1,521 more than the same week last year.
The Government promised that by winter 2023/24 there would be 5,000 more beds open when compared to October 2022 (97,287). For this week, there was an increase of 2,210 Type 1 beds compared with October 2022.
On average, one third of ambulance handovers involved a delay of over 30 minutes, while only one third of patients arriving at A&E were handed over within 15 minutes as per national guidance.
On average, 46,929 patients occupied a bed for more than seven days at a Trust with a major A&E.
On average, 384 beds were general and acute beds were occupied by patients with flu.
On average, 12,927 patients remained in hospital while no longer who were ready to be discharged.
There was an average of 49,020 daily staff absences at Trusts with a major A&E.
This is 7,547 fewer than the same week last year.
Published today (14 December 2023) by NHS England, the latest A&E performance figures for November 2023 show:
There were 1,385,701 attendances to major A&Es (Type 1 EDs) in November 2023. This is a 1.97% decrease compared with the previous month.
In November 2023, 144,085 patients waited 12-hours or more from their time of arrival. This accounts for 10.9% of all major A&E attendances in November. This means that more than one in 10 patients waited 12-hours or more.
The four-hour target at major A&Es stood at 55.4%, this is the fourth worst four-hour performance on record and the lowest so far in 2023.The aggregate four-hour target stood at 69.7%, the lowest so far in 2023. This is 6.3 percentage points lower than the Government’s intermediary threshold target of 76% to be hit by March 2024.
42,854 patients waited 12 hours or more from decision to admit (DTA) to admission. This is a 4% decrease when compared to the previous month. It is a 13.2% increase when compared with November 2022.
Beds data for October 2023 show bed occupancy stood at 94.8%.
Data show there were 98,844 Type 1 General & Acute beds available. This is an increase of 1,473 beds from October 2023 (97,371). And an increase of 1,636 beds from November 2022 (97,208).
Since it was announced in January 2023 that 5,000 new beds would be made available by winter 2023/24 compared with October 2022 (when there was 97,287 beds available), there has been an increase of 1,557 beds.
There were 396,755 emergency admissions at major A&Es. This is a 1.19% decrease since the previous month (401,523). This is the second highest number of admissions so far in 2023.
If your call is related to medicines please visit
If you need general advice about seasonal ailments remember we have a lot of information on NHS inform, including a range of symptom checkers which you can use to help you decide what to do next: 
The NHS 24 Online app also has handy health advice and can help you source your nearest open healthcare services, including pharmacies. The app is free to download on both iOS and Android devices. 
By using NHS resources wisely, we can keep well and get the care we need quickly, safely and as close to home as possible.
