Postive impact of new RSV vaccine

Report shows fewer older people hospitalised

Health Secretary Neil Gray has welcomed a report showing the new RSV (Respiratory Syncytial Virus) vaccine has led to a significant decrease in hospitalisations among older people.

Public Health Scotland (PHS) research, published in The Lancet Infectious Diseases Journal, demonstrates that vaccination resulted in a 62% reduction in RSV-related hospitalisations among the eligible 75-79 age group.

The Scottish Government invested £4.2 million via health boards in the vaccine supply. The programme began last August following expert scientific advice from the Joint Committee on Vaccination and Immunisation (JCVI).

Mr Gray said: “Once again we see evidence of the role which vaccinations play in preventing serious illness and keeping people out of hospital.

“We were pleased to be the first nation in the UK to introduce the new RSV vaccine in time to maximise the benefit to the more vulnerable ahead of winter. This research demonstrates just how many people avoided ending up in hospital as a result.

“RSV can be very serious for older adults, newborns and infants – potentially causing lung disease such as pneumonia.

“It is encouraging to see that by the end of November, 68% of eligible older adults had received their vaccinations and I’d urge all those eligible to come forward for their vaccine when called. It is incredibly important for older adults and pregnant women to protect their newborn babies from RSV.”

RSV vaccine during pregnancy | NHS inform

RSV vaccine for adults | NHS inform 

The RSV programme was in addition to winter vaccines offered, such as flu, Covid-19 and pneumococcal.

Taskforce recommends actions to attract and retain nurses and midwives in Scotland

A taskforce has published 44 recommended actions on how to improve working conditions for Scotland’s nurses and midwives.

The Nursing and Midwifery Taskforce was established by the Scottish Government in 2023 to build on efforts to make Scotland the best place for nurses and midwives to work.  Chaired by Health Secretary Neil Gray, it brings together key stakeholders, including the Royal Colleges of Nursing and Midwifery, to engage with nursing and midwifery staff, understand the challenges they face and recommend ways to improve the profession.

A key part of this work was the Listening Project, which gathered insights from more than 4,000 nurses, midwives, students and academics to shape future improvements. The findings from the Listening Project have led to 44 recommended actions designed to improve recruitment and retention of staff and workplace conditions.

These actions include:

  • ensuring appropriate staffing levels so that all staff can take the breaks they are entitled to
  • reviewing data-inputting and paperwork requirements to reduce the administrative burden on nurses and midwives
  • developing national guidance on rostering and flexible working to ensure better work-life balance
  • ensuring nurses and midwives can participate in decision making and planning
  • widening entry routes into nursing and midwifery careers

The next stage of the taskforce will focus on implementation, with a dedicated group developing a detailed work plan and timeline that ensures these recommended actions are delivered effectively.

Accepting all 44 recommendations, Cabinet Secretary for Health, Neil Gray said: “Our nurses and midwives are the backbone of Scotland’s healthcare system and we are committed to ensuring they have the support, flexibility and workplace conditions to thrive.

“The publication of the Nursing and Midwifery Taskforce report marks an important milestone; we have heard directly from staff about what matters most to them, and this has shaped the recommended actions which will deliver real change for nurses and midwives.

“I am very grateful to everyone who has taken the time to take part in this important piece of work. The Scottish Government will now work with our partners to deliver the actions contained in the report.”

Colin Poolman, RCN Scotland Director, said: “This is the culmination of two years of collaborative working, and we welcome the recommended actions announced today.

“We see this as a significant step and, as the implementation board begins its work, the recommendations should provide a strategic roadmap to begin to tackle the nursing retention and recruitment challenges in Scotland.

“Implementation of the recommendations will take time and investment, we look forward to playing a key role in the Implementation Board to ensure delivery and enable Scottish government to meet its aspiration of making Scotland the best place for nurses and midwives to work.”

Prime Minister takes part in National HIV Testing Week

In support of National HIV Testing Week, the Prime Minister undertook a public rapid HIV home test, available for free, in No 10 Downing Street.

  • Prime Minister takes part in National HIV Testing Week – UK Government backed drive offering free, quick and easy HIV self and home testing kits. 
  • First Serving Prime Minister and serving G7 leader to take a public HIV test.  
  • HIV Testing Week to drive efforts to reach estimated 4,700 undiagnosed people living in England to end new HIV transmissions by 2030.

In support of National HIV Testing Week, the Prime Minister undertook a public rapid HIV home test, available for free, in No10 Downing Street. 

By taking part in the campaign, he will be the first serving British Prime Minister and serving G7 leader to take a public test on camera. 

Joined by Terrence Higgins Trust Patron Beverley Knight, the Prime Minister took a rapid home test to raise awareness that during National HIV Testing Week, anyone in England can order a free and confidential HIV test from www.freetesting.hiv to do at home. 

The campaign which sees up to 20,000 funded kits being available to the public – centres on regular home or self-testing – one way to meet the Government’s ambition to end new HIV cases in England by 2030 committed to by the Prime Minister in December. 

After undertaking a test, the Prime Minister said: “It is really important to do it, and I am pleased to have taken part too. It’s easy, it is quick. And during testing week you can get a test free – so it is a great time to also take part.

“If people test, they will know their status, it is better that people know, and that is a good thing because you can then get access to treatment, and that will also help meet our collective target to end new HIV transmissions by 2030.”

It comes as polling by YouGov, on behalf of leading HIV Charity the Terrence Higgins Trust, has found that more than 80% of adults in England are unaware it is possible to test for HIV at home.  

However, when prompted as an option, at-home testing was the most popular way to know your HIV status, with 44% of people saying it would be their preference.  

The Prime Minister has committed to ending new HIV cases in England by 2030, with a new HIV Action Plan to be published in summer 2025.  

Once diagnosed, people living with HIV can access free, effective treatment which means they can have a normal life expectancy and can’t pass on the virus. 

Richard Angell OBE, Chief Executive of Terrence Higgins Trust said: “The Prime Minister has made history by becoming the first G7 leader to publicly take an HIV test while in office and has led by example.  

“This free, quick and simple test sends a powerful message to the country and to the public. During National HIV Testing Week, anyone in England can order a test to their home, whether that’s to Downing Street, to Penzance or to Berwick-up-Tweed. 

“England can be the first country in the world to end new HIV transmissions, but we are not on track to do so by 2030. Scaling up HIV testing will be crucial to our shared goal. We are delighted that Keir Starmer is leading from the front in this mission.”

Beverley Knight MBE said: “Living with HIV today is a world away from the experience that my late best friend Tyrone endured in the early 2000s.

“People living with HIV can now easily know their status, can access effective treatment and live a long, healthy life. I wish this was case for Ty.

“In his memory, I’m using my voice alongside the Prime Minister to make everyone aware of how easy it is to test. People need to hear the crucial message that thanks to effective medication people living with HIV can’t pass it on, so we can end this epidemic once and for all.”

Rebecca Mbewe, an author and speaker, who is living with HIV said: “Testing for HIV is the only way to know your status, and it helps you stay in control of your health. If you do have a positive result, you won’t be on your own.

“I have been living with HIV for close to 30 years, I am still able to do anything and everything that I like. I still have my glass of gin and tonic. I can still go out and dance. Thanks to free, effective medication,

“I have a full life, I can’t pass HIV on and I have a normal life expectancy. Every time I have a birthday I love telling people my age. It’s a statement. It’s a celebration!”

Improving miscarriage care

£1.5 million to support delivery of compassionate, high-quality care

Women can expect improved miscarriage care Public Health and Women’s Health Minister Jenni Minto has pledged, after unveiling a new framework, backed by £1.5 million funding.

The framework sets out a range of actions for Scotland’s NHS boards to implement, including ensuring that women going through miscarriage have a separate, private space. It will introduce a graded model of miscarriage care across the country. This means all women can receive tailored support and services, and won’t have to wait until a third miscarriage. This will include access to progesterone prescriptions – where clinically appropriate – both for threatened and recurrent miscarriage.

These changes will be supported by £1.5 million Scottish Government funding and aim to ensure that early pregnancy care is equitable so that no women are disadvantaged, regardless of where they access and receive care.

The Minister for Public Health and Women’s Health said: “The loss of a baby, no matter at what stage of pregnancy, has a profound and lasting impact on women and their families.

“To all who have experienced such a tragedy, I offer my deepest sympathy. The Scottish Government recognises this impact and is clear that women and families who have experienced pregnancy or baby loss must be provided with the right information, care and support, tailored to their individual circumstances.

“I am very grateful to everyone in Scotland’s NHS who works to provide miscarriage care and support.

“I know there is already a lot of good work underway within NHS Boards to improve miscarriage care services. The 2025-26 Budget, if approved by Parliament, will provide £1.5 million to support NHS Boards to improve delivery of sensitive and compassionate miscarriage care.”

Kath Abrahams, Chief Executive of pregnancy charity Tommy’s commented: “We are delighted to see the Delivery Framework for Miscarriage Care in Scotland launching today.

“The Framework is a real milestone on the path to excellent care for women and families in Scotland and Tommy’s has been pleased to work closely with our colleagues in Scottish Government as they have developed the Framework, which aims to ensure the right support and care for parents after every tragic loss.

“With compassionate care at its heart, we are looking forward to continuing to support our Scottish colleagues as they oversee the rollout.”

The Miscarriage Association’s Chief Executive Vicki Robinson said: “We are extremely pleased to see the publication of this important Framework for Miscarriage Care in Scotland, which represents a significant step forward in ensuring that those experiencing miscarriage receive the compassionate, high-quality care they deserve during such a heart-breaking time.

“This framework is a vital step in providing evidence-based care and offering women additional support in early pregnancy. We are proud to have contributed to its development and look forward to seeing it bring positive change. This is a crucial milestone in ensuring that miscarriage care is accessible, equitable, and compassionate across Scotland.”

First Minister sets out major increase in NHS capacity

‘Protecting, strengthening and renewing the NHS’

People across Scotland will have better access to NHS treatment through increased capacity, expanded primary care services, enhanced use of digital innovations and a range of other measures, First Minister John Swinney announced yesterday.

Speaking to representatives from across the health and social care sector, the First Minister set out action to drive down waiting times and reduce pressure on frontline services.

The First Minister was joined by Health Secretary Neil Gray and announced a range of actions including:

  • A substantial increase in capacity, with 150,000 additional appointments and procedures per year
  • Increased investment in primary care, making it easier for people to get appointments with their GP
  • Improved use of data and new digital innovations including the roll-out of a Scottish health and social care app – a ‘Digital Front Door’ to the NHS for patients

The First Minister said: “Protecting, strengthening, renewing our National Health Service – that is a goal I think we can all get behind. A real focus of common purpose.

“That requires action from me, as First Minister, from my Health Secretary Neil Gray, and from my Government. We can offer the leadership and direction – as the measures outlined today seek to do.

“So, today, we commit to a substantial increase in capacity in order to significantly reduce people’s waits.

“Our plan will ensure that a greater proportion of new NHS funding goes to primary and community care. GPs and services in the community will have the resources they need to play a greater role in our health system.

“This increased investment will result in GP services that are easier for people to access. That is important in terms of people’s confidence in the health service – but equally, it will make it more likely that health issues are picked up quickly and dealt with earlier.

“Our National Health Service is there when we need it. No other public institution supports us with so much care through life’s biggest moments. We must support it in return.

“The approach I set out today charts our course to do that. It addresses both the challenges and the opportunities. It sets the NHS on a path of modernisation and renewal.”

Improving Public Services and NHS Renewal – First Minister’s speech – gov.scot

Avian Influenza Prevention Zone

Zone declared in Scotland and England

Following an increase in the number of detections of avian influenza (bird flu) in wild birds and other captive birds, the Deputy Chief Veterinary Officer from Scotland and Chief Veterinary Officer from England have declared a national Avian Influenza Prevention Zone (AIPZ) to mitigate the risk of the disease spreading amongst poultry and other captive birds.

This means that from 12:00 noon on Saturday 25 January, it will be a legal requirement for all bird keepers in Scotland and England to follow strict biosecurity measures to help protect their flocks from the threat of avian flu.

Surveillance has indicated that the highly pathogenic avian influenza H5N1 virus is currently circulating in wild birds in the UK and their risk to poultry and other captive birds is currently assessed as being very high. Maintaining strict biosecurity is the most effective method of protecting birds from the virus.

Keepers with more than 500 birds will need to restrict access for non-essential people on their sites, workers will need to change clothing and footwear before entering bird enclosures and site vehicles will need to be cleansed and disinfected regularly to limit the risk of the disease spreading.

Backyard owners with smaller numbers of poultry including chickens, ducks and geese must also take steps to limit the risk of the disease spreading to their animals.

Public Health Scotland advises that the risk to public health from the virus is very low and Food Standards Scotland advises that avian influenzas pose a very low food safety risk for consumers. Properly cooked poultry and poultry products, including eggs, are safe to eat.

Scotland’s Deputy Chief Vet Officer Jesus Gallego said; “While the risk to public health is very low, we are currently experiencing a heightened risk of an incursion from this virus and so it is vital that appropriate precautions are taken to protect poultry and other captive birds from infection. 

“The introduction of this zone is a preventative measure, aimed at minimising the effect that this, often devastating virus, can have on Scottish kept birds”.

Green MSP calls for drug consumption rooms in nation’s Capital

Scotland’s first legal drug consumption room in Glasgow is a “crucial milestone” and a “big step forward” in tackling drug misuse in Scotland, but it’s only the beginning, says Green MSP for Lothian LORNA SLATER.

At the new Thistle unit, those with medical training operate the facility and can intervene should something go wrong for a user, as well as providing support and advice for people who are giving up drugs.

There are health rooms where treatments are available too, for testing for diseases or having wounds checked and cleaned. The facility also has a recovery area, a shower room and a clothing and book bank.

https://twitter.com/i/status/1879448436292145312

Ms Slater said: “Stigmatising and shunning drug users is wrong, and it does not work. It has contributed to Scotland having the highest number of drug deaths in Europe. Instead, we should be supporting people through addiction and treating them as the human beings they are.

“Safe consumption rooms alone will not solve all the issues associated with drug addiction and misuse. To start to truly tackle the crisis we also need to address poverty and inequality and invest in rehab services, mental health provision and safe housing.

“I urge all related bodies to learn from Glasgow’s experiences and look to implement a service in Edinburgh that remains non-judgemental, supportive, and focused on harm reduction. We need this and other measures quickly.”

https://twitter.com/i/status/1877732427973406728

The City of Edinburgh Council has previously published a report that looks at opening a drug consumption room in the city after months of delay. The latest feasibility study can be found here: 

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-024-01144-1press@scottishgreens.org.uk

Health Secretary praises NHS resilience

Services dealing with ‘extraordinary surge’ in flu cases

Health Secretary Neil Gray underlined the ‘resolve and resilience’ of the NHS as he praised the dedication of Scotland’s health and social care workforce in facing up to an ‘extraordinary surge’ in Influenza A cases.

The number of patients admitted to hospital as an emergency and testing positive for flu has surpassed the recent peak of the winter of 2022/23.

Following the latest in a series of meetings with First Minister John Swinney, health boards, the Scottish Ambulance Service, Public Health Scotland and NHS 24 earlier this week, Mr Gray praised the NHS response to the increased pressures on the system, in a statement to parliament.

He also thanked members of the public for continuing to follow guidance on the best way to access services, and for doing their bit to reduce the spread of infections in the community.

He stated that, as of 15 December, more than 1.2 million adult flu vaccinations have been administered. Those eligible to be vaccinated have until March to do so, with many health boards offering drop-in clinics.

Mr Gray said expert healthcare advice is available without the need for an appointment through the NHS Pharmacy First Scotland service, adding that £13.6 million of additional funding has been invested in General Practices to enable the recruitment and retention of staff.

Services such as Discharge to Assess and Hospital at Home are also key to helping health and social care partnerships to reduce delayed discharges, ensuring people who are clinically ready to leave hospital can do so.

Mr Gray said: “The resilience and determination shown by staff in the face of pressures across the health and care sector is inspiring.

“Every part of our health service has gone above and beyond to serve the country during the hardest months of the year.

“I’d like to thank the ambulance service staff for their sacrifice and devotion to their task, staying at work beyond the end of their shift as they wait to turnaround at hospitals.

“I’d also like to thank social care staff doing extra shifts to make up for staff being off sick with flu and GPs working at the weekends to offer appointments and bolster the resilience of the entire system.

“Hospital staff, like the porter I met at St John’s in Livingston on Christmas Eve, are working hard to turnaround beds as quickly as possible.

“This is the reality of public service – relentless, skilled, devoted and dedicated work to serve the people that need it most.

“Thanks to the incredible efforts of NHS staff and sure-handed planning, we are facing this with resilience and resolve.”

Scotland’s dentists respond to damning FOI data

Responding to new FOI data from the Scottish Liberal Democrats, the British Dental Association Scotland has warned lifetime registration figures are effectively meaningless, and that there can be no complacency from government or opposition over the future of the service.

New figures show nearly 40% of Scots registered with a dentist have not seen one in two years. 39.5% of all those registered with a practice have not been to one in 24 months, and that includes 1.8 million adults and 177,318 children. 80,000 children have not seen a dentist in five years. More than a quarter of adults (28.8%) who are registered with a dentist have not seen one in five years.

Reform to the discredited high volume/low margin model of care NHS dentistry in Scotland works to took place in November 2023. However, official data shows access problems remain the norm and the oral health gap between rich and poor is widening.

Research last summer found that no practices were able to take on new adult NHS patients within three months in Argyll and Bute, Dumfries and Galloway, Inverclyde, Orkney, Perth and Kinross and Shetland.

David McColl, Chair of the British Dental Association’s Scottish Dental Practice Committee said: “The Scottish Government likes to talk about registration when what really matters is participation. 

“Scotland faces widening oral health inequalities. There’s no room for complacency from anyone at Holyrood.”

Quit for a week and save a day, say health experts

Smokers who choose to quit on the 1 January could save a whole day of their life by 8 January, according to new research

  • New research finds smokers who choose to quit on New Year’s Day could save a whole day of their life by 8 January  
  • On average, every cigarette smoked steals approximately 20 minutes of life 
  • This equates to nearly seven hours of life lost with every 20 pack of cigarettes smoked, demonstrating the importance of government commitment to a smokefree UK 

Smokers who choose to quit on the 1 January could save a whole day of their life by 8 January* according to new research from University College London (UCL), published today (30 December).  

The research commissioned by the Department for Health and Social Care shows, smoking is more harmful than previously thought, with every cigarette stealing on average approximately 20 minutes of life from smokers.

This equates to nearly seven hours of life lost when smoking an average pack of 20 cigarettes. 

If a smoker quits on New Year’s Day, by 20 February, smokers could get a week of their life back and by the end of the year, they could have avoided losing 50 days of life. 

Any smoker considering quitting for 2025 can find advice, support and resources with the NHS Quit Smoking app, which has recently been updated with new information about beating cravings, as well as the online Personal Quit Plan, which tailors its advice to each smoker’s preferences. 

The research follows the introduction of the landmark Tobacco and Vapes Bill, which recently passed Second Reading in the House of Commons.  

The world-leading Bill includes measures to create the first smoke-free generation ,  phasing out the sale of tobacco products across the UK to anyone born after 1 January 2009. 

The Bill delivers on one of the three key shifts in the government’s 10 Year Health Plan, to move from sickness to prevention. Achieving this will help reach a key measurable milestone set out by the Prime Minister in his Plan for Change to cut waiting lists and protect the NHS. 

Public Health Minister Andrew Gwynne said: “Smoking is an expensive and deadly habit, and these findings reveal the shocking reality of this addiction, highlighting how important it is to quit.  

“The new year offers a perfect chance for smokers to make a new resolution and take that step. 

“For anyone looking to quit in 2025, the NHS provide a range of services to help break free from the habit. 

“This government is going further than ever to protect children and young people from ever becoming hooked on nicotine through our Tobacco and Vapes Bill.”

Dr Jeanelle de Gruchy, Deputy Chief Medical Officer said: “Smoking has an immediate impact on your lung and heart’s health as well as significantly increasing your chance of getting a chronic illness or disability and of dying young.

“Stopping smoking is one of the best things you can do to improve your current and future health. This new year – start afresh and leave smoking in the past.”

Separately, new research conducted by Censuswide shows more than half (53%) of smokers are planning on quitting smoking as a new year’s resolution in 2025.  

Smoking is the number one preventable cause of death, disability and ill health in the UK. It causes around 80,000 deaths a year in the UK and 1-in-4 of all cancer deaths in England and kills up to two-thirds of its long-term users. 

Just 72 hours after quitting, your breathing will feel easier, and your energy will increase. After 12 weeks, your blood circulation will improve and by the time one-year rolls around, your risk of heart attack will have halved compared to a smoker.

Sarah Jackson, Principal Research Fellow, UCL Alcohol and Tobacco Research Group said: “It is vital that people understand just how harmful smoking is and how much quitting can improve their health and life expectancy.  

“The evidence suggests people lose, on average, around 20 minutes of life for each cigarette they smoke. The sooner a person stops smoking, the longer they live. Quitting at any age substantially improves health and the benefits start almost immediately.

“It’s never too late to make a positive change for your health and there are a range of effective products and treatments that can help smokers quit for good.”

Ex-smoker, Kamran, started smoking in university and tried to quit several times without success. With support from his local stop smoking service, Kamran quit smoking as a 2024 New Year’s resolution. 

Kamran said: “It wasn’t until I quit smoking that I realised how much it had affected my health; I often felt short of breath and couldn’t keep up with my children.

“I tried to quit a few times without any help, but after a few days I would find myself thinking about it again.  

“Quitting can be challenging but keeping busy and using stop smoking products was the best way for me to get through it.

“Now that I’m smoke free, I feel less stressed and am able to play a more active role in my family. I am proud of myself, and I feel great that I’ve managed to control it.” 

Using stop smoking services is three times as effective as an unassisted quit attempt. To support current smokers to quit, the government recently confirmed an additional £70 million for stop smoking services in England, for 2025/26, with local authorities having received confirmation of their funding amount.  

This is in addition to the NHS recently announcing the roll-out of a pill, Varenicline, that could help tens of thousands of people give up cigarettes. 

Professor Sanjay Agrawal, NHS England national speciality advisor for tobacco dependency said: “NHS treatments, including nicotine replacement therapy, are helping thousands of adults each year to live healthier lives and we have seen adult smoking rates drop by more than half in the last three decades.

“But smoking remains a huge public health issue and giving up is one of the best things someone can do for their health, so if you’re looking for support to help you quit, please contact your local NHS stop smoking service.”

NHS GP and TV doctor, Dr Sarah Jarvis, said: “As a GP, I see firsthand the devasting effects smoking can have on health. Each cigarette smoked not only shortens life expectancy but also significantly increases the risk of many health conditions including heart disease, stroke, type 2 diabetes, dementia and COPD.

“I often see patients attempting to quit smoking with no support, but going cold turkey can be tough. Quitting smoking is easier when you have a plan and the right support – you don’t have to do it alone. The NHS offers a range of free quitting support, including the NHS Quit Smoking app and local stop smoking services.”

The Tobacco and Vapes Bill contains powers to extend the indoor smoking ban to certain outdoor settings to reduce the harms of second-hand smoking, particularly around children and the vulnerable. Children’s playgrounds and outside schools and hospitals are being considered in England and will be subject to consultation. 

This sits alongside plans to crack down on youth vaping, with the Bill banning vape advertising and sponsorship, as well as giving powers to restrict the flavours, display and packaging of all types of vapes and nicotine products, subject to consultation. 

Disposable vapes are also due to be banned from 1 June 2025 under separate environmental legislation

The UK government is committed to cutting waiting lists – backed by an additional £22.6 billion for day-to-day spending over two years – as announced by the Chancellor in her first Budget. Protecting children and young people from smoking will free up valuable NHS services and help cut waiting lists.  

In October, the Health and Social Care Secretary launched  change.nhs.uk to encourage the biggest conversation ever about the NHS to help inform the 10 Year Health Plan for England.