A total of 938 residential rehabilitation placements were approved between 1 April 2023 and 31 March 2024 to support people to attain an alcohol or drug-free lifestyle.
The Scottish Government is making £100 million available over this parliamentary term to increase access to residential rehabilitation for problematic drug or alcohol use. Latest statistics from Public Health Scotland (PHS) show the number of placements given the go ahead for public funding last year was up 126 on the previous year. The first three months of 2024 represented the highest number of quarterly approved placements since records began.
Drugs and Alcohol Policy Minister Christina McKelvie said: “These Public Health Scotland statistics indicate welcome progress – we are firmly on track to meet our commitment to giving 1,000 people access to public funding for residential rehabilitation each year by 2026.
“We do, however, recognise the scale of the challenge we continue to face and are determined to do more by expanding on good practice and addressing gaps in pathways in collaboration with Healthcare Improvement Scotland.
“My focus is on taking action to save and improve lives now as part of our £250 million National Mission. We’ve already reinforced our human rights-based approach where problematic drug use is treated as a health, not a criminal matter. We are prioritising getting people into the treatment and recovery that is right for them, at the right place at the right time.
“We are determined that every penny of the £100m we are investing to expand residential rehabilitation will make a difference to those who are suited to this form of treatment.”
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.
On Wednesday (6 December), Foysol Choudhury MSP chaired the Cross-Party Group (CPG) on Improving Scotland’s Health.
The CPG focuses on action which could be taken, such as reducing the consumption of alcohol, tobacco and unhealthy foods, to reduce illness and deaths in Scotland such as cancer, heart disease, diabetes and lung disease.
Wednesday’s CPG saw a presentation from Paul Johnston, Chief Executive of Public Health Scotland, about Public Health Scotland’s Economy and Poverty Programme, health trends and the importance of addressing health-harming commodities.
Following the meeting, Convener Foysol Choudhury MSP has also highlighted the concerning health disparities between Scotland’s richest and poorest communities.
Mr Choudhury said: “The concerning health trends we heard about at the meeting have raised alarm bells for me yet again about the disparity in life expectancy between Scotland’s richest and poorest communities.
“This is something I have raised before and will continue to raise until we see improvements in the quality of life for all in Scotland-until a time when where you are born will not affect your chance to live a long and healthy life.
“CEO of Public Health Scotland Paul Johnston noted in his presentation on Wednesday that change is possible, if we invest time, energy and resources into prevention now.
“That is why the work of this CPG is so vital, to ensure action is taken and preventative frameworks are put in place to support the future of Scotland’s health for the next generation.”
Those eligible for the flu and COVID-19 vaccines this winter are urged to come forward for vaccination.
With more than one million COVID-19 vaccines administered so far this winter, Public Health Scotland (PHS) is encouraging eligible people to take up the offer of their COVID-19 and flu vaccines as soon as possible.
During the colder winter months when people stay indoors for longer, and in larger groups, there is an increase in the number of people experiencing coughs, colds and flu-like illnesses.
Vaccination remains the best way to protect yourself against flu and COVID-19 and we strongly encourage eligible people to take up the vaccination offer now, to help avoid missing out on socialising with friends and family over the peak winter season.
This year’s winter vaccination programme is focused on protecting those most vulnerable to flu and COVID-19. In particular, people with underlying health conditions, such as heart conditions or liver disease, that put them at greater risk of severe illness from flu and COVID-19. Pregnant women are strongly recommended to take up the vaccines, as these give them and their babies the best possible protection against serious illness from the viruses.
All health and social care workers are eligible for the free flu vaccine, with frontline workers also eligible for the COVID-19 vaccine. The vaccine offers protection against the most likely circulating strains.
This week’s Viral respiratory diseases report shows that the winter vaccination programme for 2023 is well underway, with Health Boards across Scotland delivering flu and COVID-19 vaccines at pace to those eligible this season.
While many eligible people have booked their vaccination appointment, those that haven’t should do so as soon possible.
There is now increased availability, so anyone who previously had difficulty getting an appointment on the booking portal is encouraged to please try again. Alternatively, look at whether your local Health Board is running drop-in clinics where an appointment is not necessary.
If you think you may be eligible for either a flu or COVID-19 vaccine this winter (or both) you can check using our self help guide at
Dr Nick Phin, Director of Public Health Science, PHS said: “Vaccination remains the best way to protect yourself and others and we’re pleased to see so many people coming forward to take up the offer.
“Evidence shows that COVID-19 vaccine protection fades and the flu virus changes over time. The vaccinations offered this season top up your protection against severe illness from COVID-19 and flu.
“Those that have not yet received their vaccinations are encouraged to come forward and make an appointment or check local arrangements. There are a range of vaccination sites available in each Health Board, with some now offering drop-ins too.”
Professor Sir Gregor Smith, Chief Medical Officer for Scotland, said: “Flu and COVID-19 can still be serious, and can result in hospitalisation.
“The vaccines are the best protection we have against the viruses, and it’s important that all those who are eligible get vaccinated as soon as possible. This is especially true for pregnant women and people with underlying conditions, who are at increased risk from the viruses.
“Anyone who is eligible and who hasn’t yet been contacted about their vaccines can book an appointment using the online booking portal or by calling the vaccination helpline. If you are unsure about your eligibility, or that of your child, you can use the self-help guide on NHS inform.
“If you’ve been given an appointment for a time, date or location that doesn’t suit, you can also use the online portal to book a more suitable appointment.
“The flu virus changes every year and protection from the COVID-19 vaccine fades over time, so it’s important you get the winter vaccines when offered.
“I’d like to thank everyone who has already come forward for vaccination and would urge all those who are eligible and have still to be vaccinated to ensure they are protected ahead of winter.”
Justine Craig, Chief Midwifery Officer for Scotland, said: “If you’re pregnant, you’re eligible for both the flu and COVID-19 vaccines this winter. The flu and COVID-19 vaccines are recommended in pregnancy by the Joint Committee on Vaccination and Immunisation, the Royal College of Obstetricians and Gynaecologists, and the Royal College of Midwives.
“The vaccines are the best way to help protect pregnant women and their babies against the known risks of flu and COVID-19 in pregnancy. They can be given at any stage during pregnancy and are safe if you’re planning on breastfeeding.
“If you need information about the winter vaccines, you can speak to your midwife, who will also be able to advise you on how to get vaccinated.”
Following advice from the Joint Committee on Vaccination and Immunisation (JCVI), Public Health Scotland (PHS) will work with Scottish Government and colleagues across NHS Boards to make plans for the introduction of a varicella (chickenpox) vaccination as part of the routine childhood schedule.
JCVI’s recommendation is to offer a two-dose programme offering vaccination at 12 and 18 months of age, using the combined MMRV (measles, mumps, rubella and varicella) vaccine.
Varicella vaccines have been seen to dramatically decrease the number of cases of chickenpox seen in childhood when used in other countries.
Dr Claire Cameron, Consultant in Health Protection at PHS said: “Chickenpox is a highly contagious infectious disease.
“While most cases of chickenpox in children are relatively mild, many children are unwell for several days and have to miss school or nursery as a result. In some cases, chickenpox can be more severe and can lead to hospitalisations from serious secondary infections or other complications.
“The offer of the varicella vaccine is a welcome new addition to the routine childhood schedule and, as well as reducing the number of cases, will prevent more severe cases of chickenpox.”
Public Health Minister Jenni Minto said: “The Scottish Government welcomes the Joint Committee on Vaccination and Immunisation’s recommendation to introduce a chickenpox vaccine to the childhood immunisation programme.
“Immunisation is one of the most effective ways of preventing illness from infectious disease.
“We will work with Public Health Scotland, NHS Boards in Scotland, as well as colleagues across the UK, to consider this recommendation in more detail.”
More information on the current childhood immunisation schedule is available on NHS Inform.
More than TEN TIMES as many people waited over 12 hours in Scottish A&Es in August 2023 than in August 2019 – an increase branded ‘dangerous and shameful’ by the Royal College of Emergency Medicine.
The figure has been calculated using data published yesterday (3 October 2023) by Public Health Scotland and reveals how many people visited a major Emergency Department in Scotland in August 2023.
116,673 people visited a major Emergency Department in Scotland – almost 6,000 more than the previous month (110,854).
67.90% of patients were seen within four-hours at major Emergency Departments.
This is a decrease of 1.7% from the previous month.
37,415 patients waited more than four-hours in major Emergency Departments, which is a 9.8% increase from the previous month and an 5.3% decrease from August 2022.
10,793 (9%) patients waited eight-hours or more in an Emergency Department
This is an increase of 2% from the previous month. But a 1.9% decrease compared with August 2022.
3,847 (3%) patients waited more than 12-hours before being seen, admitted, discharged, or transferred
This figure has increased 0.9% from the previous month, but decreased by 1% compared with August 2022.
There were 1,797 beds occupied due to delayed discharges, the most for any August on record.
Responding to the figures, Dr John-Paul Loughrey, RCEM Vice President for Scotland, said: “When you compare figures month-on-month you only get a snapshot of what is happening, but when you take a longer view it reveals the bigger, much more concerning picture.
“To think that in just three years we have seen the percentage of people experiencing extreme waits increasing so significantly is shocking.
“But worse than that it is shameful, and it is dangerous. We know long waits increase the risk of people dying.
“The system is stretched to beyond capacity. Nobody wants to be in this situation – not patients and certainly not clinicians. And this should not be blamed on the pandemic – it is symptomatic of a much wider issue.
“In the short term, we need decisive and urgent action from the Scottish Government to avert what is looking like an inevitable winter A&E crisis, but we also need and effective long-term strategy to reverse this unacceptable situation.”
Single use vapes could be banned in Scotland, as part of plans to protect public health and the environment.
The Programme for Government outlined a commitment to take action to reduce vaping among non-smokers and young people and to tackle the environmental impact of single-use vapes, including consulting on a proposal to ban their sale and other appropriate measures.
Research suggests that almost one in five (18%) of adolescents have tried vapes. Zero Waste Scotland estimates that up to 26 million disposable vapes were consumed and thrown away in Scotland in the last year, with 10 per cent being littered and more than half disposed of incorrectly.
With millions of vapes littered every year, there is a significant and increasing cost to local authorities through litter clear up and waste management.
Following a request of Scottish Ministers, the Circular Economy Minister and Public Health Minister will meet with counterparts in the UK Government, Welsh Government and Northern Ireland Executive to discuss the findings of recent research and potential policy responses.
In addition, action to help ensure that children, young people and non-smokers do not use these devices will also be set out in this year’s refreshed Tobacco Action Plan, which will set out our road map to 2034.
After publishing his first Programme for Government, First Minister Humza Yousaf said: “Disposable vapes are a threat to both public health and the environment.
“We know that the bright colours and sweet flavours catch the eye of children and young people in particular. The World Health Organisation has said there is evidence to suggest that young people who have never smoked but use e-cigarettes, double their chance of starting to smoke tobacco cigarettes in later life.
“Last year we consulted on restrictions on the advertising and promotion of vaping products. Any action we seek to take will build on the regulations already in place to restrict the marketing, promotion and sale of vaping products to under 18s and the findings will be used to inform the refreshed Tobacco Action Plan.
“On the environment, the evidence is undeniable – from litter on our streets, to the risk of fires in waste facilities, there are issues which demand action.
“We will be working constructively with retailers and other stakeholders to come up with solutions. While we will be asking for views on a ban, we are also keen to explore other interventions that could have a more immediate impact.
“Of course, this is not just an issue for Scotland – these problems are being experienced all over the UK and we will soon be holding discussions on potential solutions.”
Public Health Scotland (PHS) welcomes the Scottish Government’s commitment to consult on plans to ban the sale of single use e-cigarettes (also known as vapes), following today’s Programme for Government announcement.
PHS wants to see ambition and clear action around measures that will improve human health and protect the environment. A ban on disposable vapes is one example of a measure that can benefit both people and planet.
PHS is working with the Scottish Government, academics and the third sector to better understand and address this important issue.
Dr Garth Reid, Consultant in Public Health at PHS, said: “The rise in youth vaping in Scotland is deeply concerning. E-cigarettes contain nicotine which is addictive and the long-term negative impacts of vaping are not yet clear. They can be a gateway to smoking and are not products for children.
“PHS welcomes a ban on the sale of disposable e-cigarettes as part of a comprehensive approach to tackling youth vaping and wider efforts to improve population health.”
ASH Scotland is welcoming today’s Programme for Government announcement by the First Minister, Humza Yousaf MSP, that a consultation on banning the sale of disposable e-cigarettes will be carried out by the Scottish Government.
Sheila Duffy, Chief Executive of ASH Scotland said: “We have been alarmed for some time about the upsurge of children across Scotland using disposable e-cigarettes so welcome the Scottish Government’s commitment to consulting on proposals that include an outright ban on the health harming recreational vaping products.
“Young people who use e-cigarettes are three times more likely to start smoking cigarettes and only a ban would ensure the availability of single-use health-harming products that have become so popular with children are off the market as soon as possible.
“France is currently in the process of banning disposable e-cigarettes and their law could be enacted before the end of this year. Several other European countries are considering bans too so Scotland has a great opportunity to re-establish itself as a leading public health nation by prohibiting the sale or use of these products in 2024.
“Throughout the consultation period we expect the Scottish Government to ensure that interference by the tobacco industry and its vested interests, including retailers, to influence policy development is not permitted, as part of the good global health governance for which Scotland is known internationally.
“Under the World Health Organisation Framework Convention on Tobacco Control (FCTC) Article 5.3, WHO describes tobacco industry interests as ‘fundamentally and irreconcilably opposed’ to the aims of public health and, through their long record of denial and deceit, tobacco companies have shown they cannot be trusted to tell the truth about their own health harming products, and have sought to disrupt or delay health regulations designed to reduce use of tobacco and related products such as electronic nicotine and non-nicotine devices.
“By implementing a ban on the sale of disposable e-cigarettes, Scotland can start to address the exponential rise in young people vaping which is being driven by these products, safeguard public health and mitigate the environmental impacts.”
COVID-19 case rates continued to increase this week compared to our previous report. A total 9.7% of 4,288 respiratory specimens reported through the Respiratory DataMart System were identified as COVID-19. This is compared to 7.1% of 4,303 from the previous report.
The overall COVID-19 hospital admission rate for week 34 was 3.37 per 100,000 population, an increase from 3.00 per 100,000 in the previous report.
Intensive care units (ICU) admission rates have increased to 0.11 per 100,000 compared to 0.08 per 100,000 in the previous report.
Hospital admission rates have increased in most age groups.
Those aged 85 years and over continue to have the highest hospital admission rates; these have increased to 34.15 per 100,000 from 32.63 per 100,000 in the previous report. Admission rates among those aged 75 to 84 years have increased to 17.66 per 100,000 from 15.71 per 100,000 in the previous report.
Dr Mary Ramsay, Head of Immunisation at the UK Health Security Agency (UKHSA), said: “Over the last 2 weeks, we have seen an increase in some COVID-19 indicators. This includes hospital admissions and ICU admissions, but these have all stabilised over the last week. While case rates have continued to rise, rates remain low overall, and we will continue to monitor them closely.
“If you are experiencing any symptoms of respiratory illness, you should avoid mixing with other people, especially those who are vulnerable. This will help combat the spread of COVID-19.
“This week, the Department of Health and Social Care (DHSC) announced that the winter vaccination programme has been brought forwardas a precautionary measure to deliver greater protection against the potential impact of BA.2.86 variant. We urge everyone eligible to take up the vaccine when offered.”
New BA.2.86 variant found in Scotland
Scotland has detected its first case of a new Covid variant that is being closely monitored by the World Health Organization.
The BA.2.86 variant is not yet considered a variant of concern but it has a high number of mutations.
Scotland’s winter vaccination programme starts on 4 September, but in response to the new cases PHS and Scottish government are now working to bring winter vaccinations forward for those at the highest risk of becoming seriously ill from flu and Covid-19.
