Tag: NHS

Boyack: Two-tier dental crisis is failing the most vulnerable patients

The Scottish Government was unable to answer a parliamentary question regarding the number of NHS dentists who require a deposit to be paid before registering with them.

In response to a question submitted by Sarah Boyack MSP, the Minister for Public Health and Women’s Health, Jenni Minto, said that the information requested “is not held centrally by the Scottish Government,” raising concerns about the scale of the problem and the number of people it affects.

Earlier in May, the Scottish Labour MSP for Lothian, Sarah Boyack discovered that 75% of NHS Dentists in Edinburgh and Lothians are no longer accepting new NHS patients and some of those that are accepting new patients, are charging patients to do so.

The Lothian MSP has recently released findings showing that more than 3 in 4 Dental Practices serving patients in Musselburgh are no longer accepting NHS Patients.

This comes amid concerns over dentistry services failing to recover from the pandemic and fears that NHS dentists are becoming increasingly inaccessible.

Commenting Sarah Boyack, Labour MSP, said: “How can the Scottish Government get a grip of the crisis facing our NHS Dentists if they have no clue about how it is working?

“Following concerns from constituents in Edinburgh and the Lothians, that they are unable to register with an NHS Dentist I conducted research on the state of NHS Dentistry in Lothian and the finding were shocking.

“When asked about this, the Scottish Government admitted they have no clue and do not hold any information about this.

“The SNP have created a two-tiered healthcare system that prioritises those who can afford to pay over anyone else.

“It is a disgrace that in a cost-of-living crisis the SNP/Green Scottish Government knows nothing about the added costs being placed on patients, which has been caused by their managed decline of the NHS and lack of support for dentists.

“People deserve better than a botched two-tiered system that fails the most vulnerable.”

  1. Data collected by the office of Sarah Boyack MSP on 5th May 2022 for 39 NHS Dentists in Edinburgh
Practice NameAccepting PatientsStatus on NHS Inform
Meadowbank Dental PracticeNoOpen
Holyrood Dental CareNoOpen
Parkside Dental PracticeNoOpen
Abbeymount Dental CareNoOpen
Easter Road Dental PracticeNoOpen
University Dental CareNoOpen
Bupa Dental Care PrestonfieldNoOpen
Montgomery Street Dental PracticeNoOpen
Hope Park Dental PracticeNoOpen
Vitality Dental CareNoOpen
LW DentalNoOpen
Barbour Dental CareNoClosed
Edinburgh DentalYesOpen
Annandale Dental CareYesOpen
Craigmillar Dental CentreNoOpen
Pilrig Dental PracticeNoOpen
Duddingston Dental PracticeNoOpen
KF Dental CareNoOpen
Citrus Dental PracticeNoOpen
Marchmont Dental CareNoOpen
Bellevue Dental PracticeYesOpen
Leith Walk Dental PracticeYesOpen
Southside Dental CareNoClosed
Edinburgh Gums and TeethNoOpen
Newkirkgate Dental CareNoOpen
Meadows Dental ClinicnoClosed
Frederick Dental CareYesOpen
Lauriston Dental CareNoOpen
Duddingston ParkNoOpen
NinetyfiveDentalNoOpen
City Health ClinicNoOpen
Gilmore Dental PracticeNoOpen
Great Junction Dental PracticeNoOpen
Edinburgh OrthodonticsNoOpen
Mydentist PortobelloNoOpen
Portobello Dental ClinicYesOpen
Dental ExpressNoOpen
Craigentinny Dental CareNoOpen
  1. Question submitted:

Sarah Boyack (Lothian) (Scottish Labour Party): To ask the Scottish Government what information it holds on how many NHS dentists require patients to pay a deposit before registering with them.

S6W-17895

Jenni Minto: This information is not held centrally by the Scottish Government.

Boyack sounds alarm over access to dentists in Musselburgh

Sarah Boyack MSP has highlighted the grim findings that more than 3 in 4 Dental Practices serving patients in Musselburgh are no longer accepting NHS Patients.

Following up on concerns of Musselburgh residents, Lothian MSP Sarah Boyack contacted practices serving the Musselburgh area to inquire whether they were accepting new NHS patients.

The findings also highlighted those that were accepting new patients had waiting lists of over six months on average.

Commenting Scottish Labour MSP Sarah Boyack said: “Patients in Musselburgh are being routinely let-down by the lack of NHS Dental provision.

“With more than three quarters of NHS Dentists unable to accept new patients, the people of Musselburgh have been left with a two-tiered system that routinely fails them.

“We are now seeing the devastating effects of the SNP mismanagement of our NHS, with patients spending months suffering unnecessarily whilst they are unable to see an NHS Dentists.

“This cannot carry on, The SNP must act now before more communities like Musselburgh are left without access to NHS services.”

Data collected by the office of Sarah Boyack MSP for the 20 closest practices to Musselburgh on 5/5/23:

Practice NamePostcodeAccepting NHS AdultsWait time for appointment
Duncan Smith Dental PracticeEH21 6AANoN/A
Campbell & Gibson Dental PracticeEH21 6AGNoPrivate Only
Musselburgh Dental CareEH21 7ADYesNo appointments until August
Craigentinny Dental CareEH15 3AYNoN/A
Dental ExpressEH15 2DANoN/A
Portobello Dental ClinicEH15 2ATYesNo Appointments until November
My Dentists PortobelloEH15 2AUNoN/A
Duddingston ParkEH15 3NYNoN/A
Duddingston Dental PracticeEH15 1QRNoN/A
Bosco Dental StudioEH22 2RFNoN/A
Midlothian Dental PracticeEH22 1JZNoAbout 6 month waiting list
Family Dental Care East LothianEH32 9BFYesN/A
SR Dental CareEH22 1AHNoN/A
WF Mocharie Dental PracticeEH22 1JBNoN/A
Craigmillar Dental CentreEH16 4AJNoN/A
Bridge Dental CareEH33 1AHNoWait list of 7 to 8 months
Brite DentalEH17 7JDNoWait list of a year
Espie and Hill Dental CareEH33 1HHYesN/A
BUPA Dental Care PrestonfieldEH16 5BYNoN/A
Links Road Dental PracticeEH32 0DUNoAugust at earliest

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

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

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

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

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

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

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

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

Strikes looming in Scotland as junior doctors vote for industrial action

Junior doctors in Scotland have voted overwhelmingly in favour of strike action over pay following a five week ballot of BMA Scotland members.

With more than 5000 junior doctors in Scotland eligible to vote, turnout was in excess of 71% – with a total of 3610 votes cast, and almost 97% in favour of strike action.

While negotiations with the Scottish Government over pay are ongoing BMA Scotland will use this clear mandate for strike action to push forward in our ongoing efforts to reverse the unacceptable pay erosion junior doctors in Scotland have suffered for more than a decade.

Should the Scottish Government not put forward a credible offer that the BMA believes could be put to members, junior doctors in Scotland would then begin preparations for a 72-hour walkout at dates to be confirmed in due course.

Dr Chris Smith, chair of the BMA’s Scottish Junior Doctors Committee, said: “This ballot result shows, beyond doubt, that junior doctors in Scotland have had enough.

“Years of pay erosion have seen the take home salary of a newly qualified FY1 doctor decline by 23.5% in real-terms compared to 2008, and the pay of an average registrar reduced by 23.9%. This is simply unacceptable, and we are no longer prepared to stand aside, feeling overworked and undervalued, while witnessing so many junior doctors seeking employment abroad or outside the NHS where our considerable skills are properly valued.

“Investing in today’s junior doctors by paying them the salary they deserve is essentially making a down payment on the future of Scotland’s NHS – today’s junior doctors are the GPs, specialist doctors and consultants of the future. Without a serious plan to reverse pay erosion, these doctors will go on leaving Scotland’s NHS, undermining any plans to build a sustainable NHS for generations to come.

“We have made, and continue to make, progress with Scottish Government in formal negotiations on pay, but there is still some work to do before there is an offer that we believe could be credibly put to members.

“In the meantime – we will use this mandate to urge the Cabinet Secretary to signal a clear commitment to investing in the future of Scottish junior doctors, to make Scotland’s NHS an attractive place to train, grow and progress our careers, and show us that the work we do is finally properly, and fairly, valued and appreciated.

“We are not asking for huge pay increases – we are simply asking for a tangible step towards addressing the pay erosion our profession has suffered for well over a decade, combined with a clear plan for this to be reversed and restored.

“Should a credible pay offer not be forthcoming in the wake of this overwhelming mandate, our members are clear that they would have no choice but to stage a 72-hour walkout of all services across Scotland’s NHS.”

Health Secretary Michael Matheson said that he was disappointed with the junior doctors’ ballot decision but said the Scottish Government will continue to negotiatw with BMA Scotland to find a resolution.

No time to delay: RCEM calls for meeting with new Health Minister

‘The Emergency Care system is not functioning as it should’, RCEM says as Emergency Department performance drops

Responding to the latest Emergency Department performance figures for Scotland for March 2023 Dr John-Paul Loughrey, Vice President of the Royal College of Emergency Medicine Scotland, said: “The data show another drop in performance. This means more patients facing longer waits, more delays to care and more harm.

“We cannot continue to see this occur, we need to be seeing improvements in performance and a reduction in delays to care. This is a signal that the current interventions and actions are not having the time critical impact that we need to be seeing.

“The Scottish Government needs to understand that hesitancy to take the necessary actions will impact on the safety of patients and their care. Emergency care is not functioning as it should, no patient should face a 12-hour wait in an Emergency Department.

“We know what needs to be done: ensuring social care is responsive and able to support the timely discharge of patients; expanding acute bed capacity across Scotland; retaining existing staff while recruiting more staff into Emergency Medicine. These are the solutions laid out in our campaign Five Priorities for UK Governments for #ResuscitatingEmergencyCare.

“We would welcome an opportunity to meet the new Cabinet Secretary for Health and Social Care, Michael Matheson MSP, to put forward these solutions and the means to tackle the crisis in Emergency Care. We cannot consider this to be winter pressure anymore; this is year-round, and it continues to cause harm. We must do better for patients and staff, there is no time to delay.”

The latest performance figures for March 2023 for Emergency Departments across Scotland show:

  • There were 110,446 attendances at major Emergency Departments
  • 64.5% of patients were seen within four-hours at major (Type 1) Emergency Departments
    • This is a decrease of 1.9 percentage points from the previous month, and a decrease of 3.9 percentage points when compared with March 2022
    • 39,253 patients waited over four-hours in major Emergency Departments, this is an increase of 22.3% from the previous month
  • In February 2023, 13,750 (12.4%) patients waited eight-hours or more in an Emergency Department
    • This is an increase of 33.9% from the previous month, February 2023, and the highest figure so far this year
    • When compared with March 2022, this figure has increased by 24.8%
    • This is equal to more than one in eight patients waiting eight-hours or more in a major Emergency Department
  • 5,739 patients waited more than 12-hours before being seen, admitted, discharged, or transferred
    • This figure has increased by 25.6% from the previous month, and an increase of 39% compared with March 2022

New Perinatal Befriending Service to support parents impacted by neonatal experiences

Aberlour Children’s Charity is today launching a service which offers vital emotional and befriending support to parents impacted by neonatal experiences. 

The new Aberlour Perinatal Befriending Service is for families living in the Lothians whose babies are born at 34 weeks’ gestation or later and have received neonatal care through the NICU at the Royal Infirmary of Edinburgh.

Following a pilot in the neonatal unit last year, the charity concluded that whilst becoming a new parent can be an exciting and challenging time – parents whose babies have needed specialist neonatal care are at greater risk of increased anxiety and isolation. 

It is estimated that parents of babies with a neonatal experience are 40% more likely to develop perinatal mental health difficulties. Parents with neonatal babies born at 34 weeks’ or later were identified as a cohort requiring enhanced support.

Funding secured from the National Lottery Community Fund, East Lothian Council, William Grant Foundation and the Charles Gordon Foundation has enabled Aberlour to establish the new Perinatal Befriending Service.

It aims to connect with parents at the earliest opportunity both in hospital, community or home settings, building relationships to support parents and babies throughout pregnancy and in the first year of baby’s life.

Working in parallel with the charity’s NHS partners, the service will offer in person support from a Perinatal Coordinator, a 1:1 match with a Perinatal Befriender and bespoke digital support all of which connects parents, improves emotional wellbeing, reduces isolation and supports positive relationships between parents and babies. It also recognises the significance of sustaining wider family relationships. 

Perinatal befrienders are dedicated trained volunteers who are matched to parents and offer emotional listening support and help accessing services and activities in the community.

The launch of the service coincides with the launch of Aberlour’s Perinatal Connections app. As a result of listening to mums and gathering data, a gap was identified in mental health support services outside normal working hours for new and expectant mums.

The app has been developed to offer a safe, facilitated space for new and expectant mothers supported by Aberlour to connect with each other and access information and resources whenever they wish.

Emma Cashmore-Gordon, Assistant Director at Aberlour, said: “We are thrilled to be able to establish the new Perinatal Befriending Service. It’s great to see all the strands come together and provide greater support – Perinatal Coordinator, Perinatal Befrienders and the new app.

“Knowing that we can help families who have received neonatal care, in particular parents of babies born 34 weeks+ who really will benefit from the enhanced support is amazing. Special thanks to the Pilgrim Trust who funded the pilot and to all our other funders who have helped bring the service to fruition.”  

Megan, parent of Rosie, said: “The help I got from the service and the relationship with my befriender was unique. When I look back, I’m a totally different person now, when I have rough times, I can get through a day at a time”.

NHS 24: Easter Opening Times

Important, please share 💙

It’s important to know the opening times of your GP, pharmacy and dental surgeries over the Easter weekend in case you need medical assistance.

A lot of these services will have reduced hours or be closed, so it’s best to check in advance to ensure you have access to the care you need.

Find out more at NHS inform

https://nhs24.info/servicedirectory

RCEM welcomes new Health Secretary

‘We must eliminate dangerous and unacceptable delays to patient care’

Responding to the latest Emergency Department performance figures for Scotland for February 2023 (see below) Dr John-Paul Loughrey, Vice President of the Royal College of Emergency Medicine Scotland, said: “As the data show, the start of this year has continued to be difficult in Emergency Care.

“Patients continue to face long and dangerous waits as staff continue to be stretched to their limit. Ambulance queues, poor patient flow throughout our hospitals, exit block – where patients are stuck in the system in a ‘traffic jam’ – these remain prevalent across Emergency Departments in Scotland.

“We congratulate the First Minister for Scotland, Humza Yousaf MSP, on his appointment to his new role, and we welcome Michael Matheson MSP (above) to the role of Cabinet Secretary for Health and Social Care.

“We hope to continue and increase our engagement with the Scottish Government to improve patient care and staff conditions in Emergency Medicine and the wider health service.

“We urge the new Cabinet Secretary to build on the constructive engagement of his predecessor and increase focus on investing in adequate and sufficient social care to discharge patients in a timely way to free up beds.

£Alongside this, we ask him to prioritise expanding acute bed capacity across Scotland and retaining existing staff. These are the short-term priorities for Emergency Care. It would be wrong to take measures to manage demand and reduce attendances on the front door – such measures do nothing to tackle the root causes of long-term problems.

“In the long-term, we urge the new Cabinet Secretary to look at workforce planning and sustained and continued funding and investment in health and social care to ensure we do not reach the troughs of performance and patient care that we saw in 2022.

“We must reduce and eliminate dangerous and unacceptable delays to patient care that we know are associated with patient harm and patient deaths. We would welcome an opportunity to meet with the new Cabinet Secretary to discuss our Five Priorities for UK Governments for #ResuscitatingEmergencyCare.”

The latest performance figures for February 2023 for Emergency Departments across Scotland show:

  • There were 95,110 attendances at major Emergency Departments
  • 66.4% of patients were seen within four-hours at major (Type 1) Emergency Departments
    • This is an increase of 1.2 percentage points from the previous month, but a decrease of 5.3 percentage points when compared with February 2022
    • 31,964 patients waited over four-hours in major Emergency Departments
  • In February 2023, 10,709 patients waited eight-hours or more in an Emergency Department
    • This is a decrease of 18% from the previous month, January 2023
    • This is the worst February on record
    • This is equal to more than one in 10 patients waiting eight-hours or more in a major Emergency Department
  • 4,751 patients waited more than 12-hours before being seen, admitted, discharged, or transferred
    • This figure has fallen by 25% from the previous month
    • This is the worst February on record

NHS Dentists issue open letter to new First Minister

Following the election of Humza Yousaf as SNP leader and his swearing in as First Minister, dentist leaders in Scotland have called for immediate action to ensure the beleaguered service has a future.

The leadership election has delayed the timetable for reform of the low margin/high volume system dentists work to, that has left providers facing the risk of delivering NHS care at a financial loss. In an open letter the British Dental Association has stressed that without immediate action the exodus from NHS dentistry will accelerate.

A recent survey of high street dentists across Scotland showed over half (59%) have reduced the amount of NHS work they do since lockdown, and four in five (83%) say they plan to reduce or further reduce their NHS commitment in the year ahead.

In the letter BDA’s Scottish leadership state: “In 2021 the SNP made a promise to the Scottish electorate: free NHS dentistry for all. The decisions you take in your first 100 days will effectively determine if that promise is going to be kept.”

Agenda for Change pay offer accepted by health trade unions

Healthcare staff will begin to benefit from largest overall investment in Agenda for Change pay in a single year from next month, following unions’ unanimous agreement.

160,000 NHS staff – including nurses, midwives, paramedics, allied health professionals, porters and others – will receive an average 6.5% increase in pay in 2023-24.

This £568 million deal includes a commitment to deliver the most progressive package of terms and conditions reform in decades and support for workforce recruitment, sustainability and retention.

Health Secretary Humza Yousaf said: “I am very pleased that the Agenda for Change trade unions have unanimously agreed to accept this pay offer, meaning staff will start seeing the benefits of this deal in their April pay packets.

“This £568 million deal that will ensure NHS Agenda for Change staff remain, by far and away, the best paid anywhere in the UK. We are also committed to delivering the most progressive package of terms and conditions reform in decades. 

“Our healthcare staff have shown how dedicated and hardworking they are time and again and I cannot thank them enough for their commitment, particularly over the last few challenging years. Our staff are the very backbone of the NHS and we are committed to supporting them, particularly during a cost of living crisis.

“I am grateful for the continued efforts to keep discussions going to reach this deal and that this has been able to be processed in time to get the money to staff so quickly.

A total of £568 million has been committed for Agenda for Change pay in 2023-24. This equates to an average uplift of at least 6.5% for all staff at Band 8a and below.

All staff will also receive a one-off pro rata payment of between £387 and £939 depending on banding.

The offer also reaffirms previous commitments to work to reduce the working week, protect learning time and review band 5 job nursing profiles.

Examples of increases over the two years (2022-23 and 2023-24):

  • experienced porters (band 2) receive more than £3,750 extra (19.1%)
  • experienced healthcare support workers (band 4) receive more than £4,000 extra.
  • experienced AHPs (band 5) receive more than £4,700 extra (14.4%)
  • experienced paramedics (band 6) receive more than £5,360 extra (13.2%)
  • experienced advance nurse practitioners (band 7) receive more than £5,900 extra (12.4%)

The revised pay scales are set out below:

Band  2021-222022-232023-24 Offer  2023-24 £ Uplift2023-24 % UpliftConsolidated increase over two years  One-off Payment 
11£19,487£21,692£23,240 £1,5487.1%£3,75319.3% £387 
21£19,609£21,814£23,362 £1,5487.1%£3,75319.1% £387 
 2£21,615£23,820£25,368 £1,5486.5%£3,75317.4% £387 
31£21,709£23,914£25,468 £1,5546.5%£3,75917.3% £389 
 2£23,603£25,808£27,486 £1,6786.5%£3,88316.5% £420 
41£23,709£25,914£27,598 £1,6846.5%£3,88916.4% £421 
 2£25,982£28,187£30,019 £1,8326.5%£4,03715.5% £458 
51£26,104£28,384£30,229 £1,8456.5%£4,12515.8% £461 
 2£28,049£30,329£32,300 £1,9716.5%£4,25115.2% £493 
 3£32,915£35,365£37,664 £2,2996.5%£4,74914.4% £575 
61£33,072£35,522£37,831 £2,3096.5%£4,75914.4% £577 
 2£34,637£37,087£39,498 £2,4116.5%£4,86114.0% £603 
 3£40,739£43,286£46,100 £2,8146.5%£5,36113.2% £703 
71£40,872£43,422£46,244 £2,8226.5%£5,37213.1% £706 
 2£42,530£45,080£48,010 £2,9306.5%£5,48012.9% £733 
 3£47,846£50,506£53,789 £3,2836.5%£5,94312.4% £821 
8a1£50,965£53,513£56,992 £3,4796.5%£6,02711.8% £870 
 2£55,016£57,767£61,522 £3,7556.5%£6,50611.8% £939 
8b1£61,325£63,530£67,285 £3,7555.9%£5,9609.7% £939 
 2£66,018£68,223£71,978 £3,7555.5%£5,9609.0% £939 
8c1£73,506£75,711£79,466 £3,7555.0%£5,9608.1% £939 
 2£79,221£81,426£85,181 £3,7554.6%£5,9607.5% £939 
8d1£88,385£90,590£94,345 £3,7554.1%£5,9606.7% £939 
 2£92,424£94,629£98,384 £3,7554.0%£5,9606.4% £939 
91£105,635£107,840£111,595 £3,7553.5%£5,9605.6% £939 
 2£110,468£112,673£116,428 £3,7553.3%£5,9605.4% £939