NHS Lothian: Look out for your breast screening letter

Routine screening doesn’t stop you getting breast cancer, but it’s the best way to spot cancers at an early stage when they’re easier to treat.

That’s why it’s important you attend your appointment when invited.

Find out more at http://nhsinform.scot/breastscreening

#BreastScreeningScot

Glasgow woman’s mission to tell others: ‘Never miss your breast screening appointment

A retired member of NHS Greater Glasgow and Clyde staff, Liz Thomas (71) from Pollock, has been photographed as part of an exhibition to celebrate the resilience, beauty, and strength of women affected by breast cancer.

Liz and three other women chosen for the photoshoot have recently had or are undergoing treatment for breast cancer. They were chosen to be part of Pink Ribbon Foundation’s BOLD Scotland Exhibition.

This extraordinary project, captured by award-winning photographer Caroline Sikkenk, is currently displayed in Glasgow’s Princes Square by M as part of Breast Cancer Awareness Month.

In addition to taking part in this project, Liz is also using this month to share an important message. She said: “Go for your breast screening when you’re invited.”

In November 2024, Liz attended her routine breast screening appointment at NHSGGC’s Breast Clinic in Nelson Mandela Place. Within a week, she was recalled and asked to bring someone with her.

“I wasn’t expecting good news,” Liz said. “They told me two lumps had been found. I had a biopsy and scans there and then. It turned out I had two Stage 3 tumours.”

Within four weeks, Liz underwent a mastectomy at Gartnavel Hospital, followed by chemotherapy and radiotherapy in early 2025.

“The treatment was tough, physically and mentally, but I met wonderful people along the way. The staff were incredible. We even managed to laugh during chemo. One time, the nurses joked they had to separate me from the other ladies because we were giggling so much. Laughter got us through.”

Liz credits her daughter Jourdana, also an NHSGGC staff member, as her rock throughout the journey. “I have a good life and a great life ahead. Who knows if I’d have that if I hadn’t gone for screening?”

Now, Liz is on a mission. She said: “I tell everyone, my daughter, my friends, even the girl who does my nails, never miss your breast screening appointment. And if you’re over 70, you won’t automatically get a letter. You need to contact the breast screening centre yourself.”

Women aged between 50 and 70 will be invited for breast screening every three years. Those eligible, will be invited by NHSGGC via letter to the address registered with their GP, and people are advised to ensure this is up to date.

Anyone over the age of 70, can make an appointment for breast screening directly via the breast screening service.

For more information visit:
Breast cancer | Get Checked Early
Breast screening in Scotland | NHS inform

Exhibition Details

The BOLD Scotland exhibition is on display at Princes Square by M. Entry is free, giving everyone the opportunity to witness this inspiring and empowering project.

Half of adults now have at least one long-term condition, the Scottish Health Survey shows

The Scottish Health Survey 2024 results, published yesterday, provide information on the health, and factors relating to health, of adults and children in Scotland.

Half of all adults now have at least one long-term condition, continuing the upward trend.  Almost two in five adults (39%) reporting having a long-term condition that limits their activities.

Eight percent of adults report having doctor-diagnosed diabetes, the highest level recorded.

There has been a decrease in the proportion of adults eating five or more portions of fruit or vegetables per day, with only 11% meeting this guideline compared to 20% in 2021 when the questions were last included.

Food insecurity reduced with 8% of adults reporting being worried about running out of food due to a lack of money or other resources in the last 12 months, a decrease from 14% in 2023 which was the highest level recorded.

New questions on menopause and perimenopause showed that 76% of those who had experienced symptoms had utilised one or more ways of managing them. The largest proportions had utilised physical activity (40%), Hormone Replacement Therapy (HRT) (38%) and/or vitamins, minerals or supplements (35%).

New questions indicated that prevalence of possible eating disorders among adults, based on self-reported eating behaviours and feelings towards food, was 13%. This was highest among those aged 16-24 (26%).

Other key findings show that in 2024:

  • The proportion of adults who reported having felt lonely ‘most’ or ‘all of the time’ decreased from 10% in 2023 to 7% in 2024, similar to the proportion recorded in 2021 (8%).
  • Prevalence of doctor-diagnosed asthma amongst adults reached 18%, the highest proportion recorded.
  • Prevalence of any CVD (excluding diabetes or high blood pressure) remained in line with recent years at 16% of adults. 
  • In 2023/2024 combined, 15% of adults reported being unpaid carers.
  • The proportion of adults with a GHQ-12 score of 4 or more, indicative of a possible psychiatric disorder, was 22%, similar to levels in 2021 and 2023 (22% and 21%) and lower than the peak in 2022 (27%). 
  • In 2023/2024 combined, the prevalence of adults with two or more symptoms of depression was 10%, a decrease from 13% in 2021/2022 combined.
  • Seven per cent of adults reported currently having long COVID, consistent with 2023 (8%) and remaining higher than in 2021 (5%).
  • Around six in ten adults met the guidelines for moderate or vigorous physical activity (MVPA) (62%), a similar proportion as recorded in 2023 (63%).
  • The prevalence of hazardous or harmful alcohol consumption remained at 20% of adults, the same proportion as in 2023 and a decrease from 34% in 2003.
  • Almost a third of adults (31%) were living with obesity, a similar proportion to 2023 (32%), with a significantly higher proportion of females (35%) living with obesity compared with males (27%).
  • Fourteen per cent of adults were current smokers the same level as in 2023, maintaining the overall downward trend in prevalence recorded since 2003 (28%).
  • Current use of e-cigarettes or vaping devices (10%) remained in the range seen since 2022 (10%-12%).
  • Thirteen per cent of adults met the Scottish Dietary Goal for saturated fat of no more than 10% of energy excluding ethanol.
  • Less than a quarter (22%) of adults met the Scottish Dietary Goal of free sugars accounting for no more than 5% of energy excluding ethanol.

ASH Scotland calls for smoking cessation service funding transparency as survey shows stagnation of adult smoking rates

ASH Scotland is calling for the Scottish Government and NHS regional health boards to demonstrate increased transparency regarding funding being invested in smoking cessation services, which can help people to give up tobacco and reduce their risks of non-communicable diseases such as cancers, heart disease, type 2 diabetes, dementia and respiratory conditions including chronic obstructive pulmonary disease (COPD).

ASH Scotland’s call comes as the Scottish Health Survey 2024 findings published today (Tuesday 21 October 2025) by the Scottish Governent show that fourteen per cent of adults were current smokers, which is the same level as in 2023.

The charity is raising concern that the Scottish Government has not provided details of its annual funding to health boards specifically for smoking cessation services in 2025/26. The last publicly available figure regarding government annual funding to NHS health boards to deliver specifically smoking cessation services was £7,852,085 invested in 2021/22, a significant reduction from the £9,110,000 allocated in 2016/17.

Sheila Duffy, Chief Executive of ASH Scotland, said: “With tobacco continuing to be the biggest preventable killer in Scotland causing nearly 9,000 premature deaths each year, it is concerning that there is stagnation in the nation’s overall smoking rate, although we welcome the decrease from 26% down to 23% in our most deprived communities.

“The vast majority of people in Scotland who successfully give up smoking don’t use anything to aid their quit attempts, but it is vital that those who need behavioural support can benefit from NHS Scotland’s free person-centred specialist Quit Your Way services delivered by qualified health professionals which improves the chances of success by three to four times to reach a tobacco-free life and reduce the risk of cancers, heart disease, type 2 diabetes, dementia and chronic obstructive pulmonary disease (COPD).

“As the Scottish Government’s funding for smoking cessation services showed a downward trend between 2016/17 and 2021/22, and no details have been provided for 2025/26, ASH Scotland is calling for increased transparency by the government and regional health boards regarding funding for Quit Your Way services, which are needed to drive progress towards Scotland becoming a tobacco-free nation in 2034.”

The Scottish Health Survey 2024 main report, including a summary of key results, is available on the Scottish Health Survey website

Breast screening: Look out for your letter

Most women will have no sign of cancer, but breast screening can find cancers that are too small to see or feel.

That’s why it’s important you attend your appointment when invited.

For more information, visit:

http://nhsinform.scot/breastscreening

#BreastScreeningScot

Scale of obesity challenge in Scotland highlighted by new research

New research from Public Health Scotland (PHS), conducted in collaboration with Sciensano* and recently published in Public Health, the journal of the Royal Society of Public Health, projects a surge in the number of adult cases of excess weight in Scotland by 2040.

The findings highlight the scale of the challenge for both population health and future care services.

Current estimates from the Scottish Health Survey show that around two-thirds of Scottish adults are overweight, and one-third are living with obesity. These figures are disproportionately higher than other UK nations and among the highest compared to other European Union countries.

This new research analysed data from the Scottish Health Survey and found that, without urgent and sustained intervention, the number of adults who are overweight or living with obesity is set to rise significantly.

Dr Grant Wyper, Principal Epidemiologist, PHS, said: “Our findings highlight the stark challenge ahead. We estimate 3.3 million cases of adult excess weight by 2040, with more pronounced increases for obesity. Between 2025 and 2040, we estimate an additional 118,000 female and 36,000 male cases of obesity.

“Furthermore, recent increases in excess weight among adults aged 65 and above are projected to intensify towards 2040, signalling growing and more complex pressures on Scotland’s health and social care systems in the coming decades.

“These findings should be seen as a clear warning, but the projections are not inevitable. Delivering on the Population Health Framework priority to improve healthy weight is vital.

“Excess weight is linked to a wide range of health conditions, including premature death, meaning that our findings point to the risk of future adverse impacts on population health and unsustainable pressure on healthcare services.”

Claire Hislop RNutr (Public Health), Organisational Lead – Food & Physical Activity, PHS, added: “The time for incremental change is over. The evidence shows we must accelerate progress on bold, preventative measures that reshape the food environment and ensure healthier options are accessible, affordable and widely available.

“At the same time, we must strengthen comprehensive weight management and support services to improve the health and wellbeing of the people of Scotland. This approach aligns with the ambitions of the Population Health Framework.

“The framework priority for improving healthy weight needs a whole system package of prevention and treatment measures to improve levels of healthy weight, alongside ongoing policy developments to create conditions for better health and reduced inequalities.”

Read the published research

Read more about the Population Health Framework

Read the Scottish Public Health Systems consensus statement on improving Scotland’s diet and weight

*Sciensano is the federal research institute for public and animal health in Belgium.

CAMHS: Ongoing improvements to children and young people’s mental health services

WAITING TIMES STANDARD MET FOR THIRD TIME IN ROW

  • Latest figures highlight 146 children waiting more than a year for mental health treatment, says SCSC

For the third consecutive quarter in a row, there has been continued progress on waiting times for children and young people’s mental health care.

From April to June this year, 91.8% of those referred to CAMHS were seen within 18 weeks, according to the latest statistics from Public Health Scotland. This is a slight increase from 91.6% in the previous quarter, and above the national standard of 90%.

Mental Wellbeing Minister Tom Arthur said: “I welcome the continued progress in these services – staff across Scotland are working hard to ensure children and young people are getting the support they need when they need it, and I am grateful for their continued dedication.

“We have exceeded our promise to provide funding for 320 additional staff for CAMHS by 2026, and this will have contributed to the improvements we are seeing.

“However, I am aware there is still more to do to ensure standards are consistent across the country and we are supporting all NHS Boards to meet the standard and continue development in the delivery of CAMHS and all mental health services.”

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, is calling for parity of action and parity of spend as new figures highlight 146 children and young people have been waiting more than a year for mental health treatment in Scotland.

These figures were highlighted in the latest waiting time statistics from Public Health Scotland published today (2nd September), indicating that 146 children and young people had been waiting over a year for treatment from child and adolescent mental health services (CAMHS) in the quarter ending June 2025.

Additionally, 271 individuals have been waiting for between nine months and a year for treatment.

The figures come out following a Freedom of Information request to NHS Boards that found that in 2024/25, a patient in NHS Highland waited 1189 days – more than three years – for treatment by CAMHS, and in NHS Tayside, a patient has been waiting 1,137 days to start treatment. 2

The Scottish Government’s target, dating back to December 2014, states that 90 per cent of children and young people should start treatment within 18 weeks of referral to CAMHS.

This comes against the background of a mental health emergency, with an increasing demand on services, exacerbated by the long shadow of the Covid lockdown and cost-of-living crisis.

Even before the Covid-19 pandemic, cases of poor mental health in children and young people were at unprecedented levels, with overstretched and under-resourced services struggling to keep pace with growing demand.

However, it should be noted that despite this greatly increased demand, only 0.82 per cent of the total frontline NHS budget was spent on CAMHS in the 2023/24 financial year, amounting to £134.188 million (real terms). This equates to just 82p in every £100 of the NHS budget. 3

A spokesperson for the SCSC commented: “The latest figures highlighting that 146 children and young people have been waiting over a year for mental health treatment are extremely alarming.

“While the fact that the Scottish Government is meeting its waiting time target is to be welcomed, many children and young people are still waiting years for help, which worsens their mental health and is a sure-fire way to add to their pain.

“What we need is not just parity of esteem between mental health and physical health, it’s parity of action and parity of spend.

“We are facing a mental health emergency, and many of our children and young people are at breaking point, with stress and anxiety reaching alarming levels as they battle with the long shadow of lockdown and the rising cost of living. This is also having a negative impact on classroom behaviour, affecting the young people concerned, their fellow pupils and staff.

“Each one of these statistics is an individual, and we would urge the Scottish Government to ensure the adequate resourcing of mental health services for our children and young people so that they can get the care and support they need, without lengthy waits.”

In response to today’s Child and Adolescent Mental Health Services figures, chief executive of Children First Mary Glasgow said: “Today’s figures show the importance of keeping the spotlight on children’s mental health. 

“The reduction in waiting times is welcome, but while four months is the target, it is still too long, especially when children are suffering in severe distress.

“By urgently investing in more early help and support the Scottish Government can prevent children reaching a point of emergency.

“Every day our support line and our teams across Scotland hear from children and young people with high levels of worry and anxiety coming to us desperate for help.”

“If you are worried about your child our friendly support line team is here for you on 08000 28 22 33.”

Child and Adolescent Mental Health Services (CAMHS) waiting times – Quarter ending June 2025 – Child and Adolescent Mental Health Services (CAMHS) waiting times – Publications – Public Health Scotland

Decrease in drug misuse deaths but ‘still work to be done’ in Scotland

DRUG-RELATED DEATHS IN SCOTLAND REPORTED FOR 2024

The number of deaths caused by drug misuse fell by 13% to 1,017 last year – the lowest level registered since 2017.

According to statistics published by National Records of Scotland yesterday, there were 155 fewer deaths in 2024 compared to the previous year.

The statistics showed that people in the most deprived areas were 12 times more likely to die from drugs as those in least deprived areas. This is a drop from 15 times more likely in 2023.

There was also a drop in the number of deaths among young people with 34 under-25s compared with 58 in 2023.

However, Drugs and Alcohol Policy Minister Maree Todd said there is still work to be done by the Scottish Government to deal with the harm caused by drugs.

During a visit to The Scheme Livi recovery project, which offers a variety of creative workshops to support people dealing with substance use, Ms Todd said: “My heartfelt condolences go to all those affected by the loss of a loved one through drugs.

“It is welcome that we have seen progress with the number of deaths at the lowest level since 2017, but I know there is still work to be done and we will continue to do everything we can to save and improve lives.

“This is particularly true as we face new threats from highly dangerous synthetic opioids like nitazenes, which further raise the risk of overdose and death.

“That is why we are providing record levels of funding for drugs and alcohol programmes and widening access to treatment, residential rehabilitation and life-saving naloxone. We have also supported and funded the opening of the UK’s first Safer Drug Consumption Facility and are working at pace to deliver drug-checking facilities.

“The spread of grassroots support, enhanced by our funding of more than 300 organisations and projects, has also made a difference on the ground. However, we will always want to do more and will continue to work hard to adapt to new patterns of consumption and demand to direct support where it is most needed.”

The Scheme Livi co-founder Aidan Martin said: “At The Scheme Livi, we’ve seen first-hand how grassroots projects, supported by Corra, can transform lives. Since launching full-time in March 2023, we’ve welcomed over 3,100 attendees, with 524 unique footprints, to our free creative workshops, which carry both therapeutic and creative benefits.

“These attendee numbers highlight the real need for safe, supportive spaces for people impacted by addiction, trauma, mental health challenges, social isolation, and social deprivation.”

The annual report for drug related deaths from the National Records of Scotland, published today, shows that there were 1017 drug-related deaths in Scotland in 2024; a decrease of 13% (155 deaths) compared to 2023.

The report also highlights the worrying extent of premature mortality, with 46% of deaths (467) occurring in the 35-49 age group, similar to 2023, when this age group accounted for 49% of deaths (583).

Opioids continue to be the most common drug type implicated in drug-related deaths (80%), which reflects a similar picture to 2023.

Reflecting on the publication of the figures, Dr Tara Shivaji, Consultant at Public Health Scotland (PHS), said: “We must all take a moment to pause and reflect on the stark reality of this report. 

“These deaths are not just numbers; they reflect real people in our communities and families. Those who are working tirelessly within the system will feel the weight today as drug related deaths, and harm, continues to be one of the most significant public health challenges in Scotland.

“Whilst there was a slight decrease in deaths from 2023, Scotland continues to have one of the highest drug death rates in the developed world. Our most recent RADAR quarterly report showed an increase in drug harms during 2025.

“In order to tackle this, we must also address the underlying social determinants of health. Poverty, homelessness, trauma, and stigma play a key role in further entrenching the problematic drug use. We are working with health boards, local authorities and third sector organisations right across the country to reduce these inequalities.

Scotland’s Population Health Framework 2025-2035 sets out a vision that we, collectively, need to focus on prevention and create supportive environments that promote health and wellbeing and reduce health harming activities.

“Through research and consultation, PHS is working across the system to actively engage with partners, stakeholders and people with lived and living experience.

“Our aim is to prevent substance use harm – making sure our schools, families and communities can reduce early risks and support healthier futures.”

COSLA has issued a short statement following statistics published today (2nd September 2025) on drug-related deaths in Scotland.

A COSLA Spokesperson said: “Every death from drug misuse is a tragedy. These numbers represent loved ones: parents, sons, daughters and siblings. It is a stark reminder of the challenges we still need to overcome across the public and third sectors to end deaths of this nature.

“Local Authorities continue to work in partnership with a wide range of agencies to support to people affected by addiction and drug misuse, and reduce the devastating impacts on our communities.”

View the drug-related deaths in Scotland 2024 report

Poor quality bone services in Scotland have led to a devastating rise in broken hips, putting older people’s lives at peril

Scottish Govt must now deliver a mandate for universal Fracture Liaison Services and set rigorous care quality standards – just like England and Wales

A failure to deliver high-quality Fracture Liaison Services (FLS) across Scotland is contributing to a devastating increase in broken hips, say campaigners.   

FLS are early diagnosis services for osteoporosis, which is one of the top drivers of disability and early death amongst older people in Scotland.  

Osteoporosis causes bones to weaken and break more easily – often just from a fall from standing height, a cough or a sneeze.  

Half of women aged over 50 will suffer devastating broken bones as a result of osteoporosis, as well as a fifth of men. The end result of late treatment of osteoporosis is a life-threatening hip fracture, which kills over a quarter of sufferers within a year.  

The number of people aged 50 and over who suffered hip fractures rose considerably in 2024 to 8,426* cases, a new report by Public Health Scotland shows. 

The Royal Osteoporosis Society is now calling on the Scottish Government to deliver a mandate requiring all health boards to have high-quality Fracture Liaison Services (FLS). The Scottish Government must also set rigorous performance standards for FLSs to ensure enough patients are being identified, treated and monitored. 

A mandate like this is already in place in England and Wales, leaving Scotland trailing behind, despite Glasgow being the birthplace of the FLS model, which has been copied in 57 countries.   

Without a mandate from the Scottish Government, NHS chiefs are not incentivised to provide high-quality FLS in all areas. The lack of publicly available data – because a national audit of all FLSs has been delayed – is concealing life-threatening gaps where services are not present or performing.  

Fracture Liaison Services are specialist NHS clinics that diagnose and treat osteoporosis in people over 50 after the first broken bone. Early detection and treatment – with inexpensive medication that is available on the NHS – is vital in preventing further fractures such as broken hips. 

Currently, many patients in Scotland are not having their osteoporosis diagnosed and treated, which is leading to a devastating cascade of further avoidable fractures. 

If Scotland had quality universal FLS coverage, over a five-year period, it is estimated: 

  • 8,899 fractures will be prevented – with 3,341 of those being hip fractures 
  • 60,000 acute bed days will be saved 
  • £104m in all associated costs can be saved – including £64m in acute care costs 

Craig Jones, Chief Executive of the Royal Osteoporosis Society, said: “In England and Wales, the governments have promised a national roll-out of life-saving bone clinics, but the Scottish Government has, so far, declined to match that commitment, saying an audit of current services is needed first.

“The slow pace of auditing services is fuelling the rise in life-threatening hip fractures, which will lead to lost lives. Scotland invented the world standard for fracture care, so it’s hugely disappointing to see the nation fall behind England and Wales.”  

Carol Mochan, Shadow Minister for Women’s Health, said: “Every one of these hip fractures represents a person whose life has been turned upside down, and too many could have been prevented.

“The Government knows what we need – a mandate for universal, high-quality Fracture Liaison Services. Wales has done it. England is doing it. There’s no reason people in Scotland should be left behind.” 

Dr Sandesh Gulhane, Shadow Cabinet Secretary for Health and Social Care, said: “Scotland led the world in creating Fracture Liaison Services, but that early lead has been squandered. 

“Latest figures show that the number of people aged 50 and over with hip fractures has been rising, with the largest increases amongst people aged 70 to 89. This could be prevented by timely diagnosis and treatment, yet only 41.5% of patients in Scotland receive a full inpatient care package within 24 hours of admission. 

“The rise in hip fractures is the inevitable result of this inaction. The promised audit remains unfinished, and without a mandate for quality services, patients will keep falling through the cracks. The Scottish Government must act now to put Scotland back at the forefront of osteoporosis care.” 

  • Almost 200,000 people in Scotland are living with undiagnosed spinal fractures due to under-prioritisation of osteoporosis care.  
  • Osteoporosis affects around 250,000 people in Scotland, and it’s estimated that 41,900 ‘fragility’ fractures occur here every year.  
  • Fractures are the fourth worst cause of premature death and disability in Scotland.  
  • Half of women over 50 and one fifth of men will break a bone due to osteoporosis, a condition where bones lose strength and break more easily – even from a cough, a sneeze or a hug.  
  • Fractures are preventable with safe, effective medications that are highly affordable for NHS Scotland.  
  • 3.5 million people in the UK are estimated to have osteoporosis.  
  • Osteoporosis causes 500,000 broken bones every year in the UK, costing over £4.5 billion.  

The report by Public Health Scotland also shows standards of care in hospital for people following a hip fracture have plummeted. The average time patients spent in the emergency department after a hip fracture increased to 5 hours 36 minutes, compared with 5 hours 10 minutes in 2023.

Just 30% were admitted to a ward within the four-hour target in 2024, which compares with 37% in 2023. Scottish hip fracture audit – reporting on 2024 – Scottish Hip Fracture Audit – Publications – Public Health Scotland    

The Welsh Government issued a mandate to deliver universal FLS, which has been achieved. Wales also published a Quality Statement for Osteoporosis and Bone Health, which committed to delivering quality standards of care for people with osteoporosis. Targets have been set to identify, treat and monitor more patients. 

England has committed to rolling out universal FLS by 2030.

‘Shocking and shameful’

51,400 older people endured dangerous 12 hour waits in Scotland’s A&Es last year

Extreme long waits in Emergency Departments across Scotland are a political responsibility that can no longer be ignored as more than 51,400 older patients endured stays of 12 hours or more last year – the worst on record.  

New analysis from the Royal College of Emergency (RCEM) reveals in major EDs, one in every eight patients (51,423) aged 60 or over waited more than 12 hours to be transferred, admitted or discharged in 2024.  

That’s 14,407 more patients than the year before (2023). 

And is over 16 times more people than in 2019 when just 3,135 older people endured waits of this length.    

The figures, obtained by RCEM via Freedom of Information requests to Public Health Scotland, also reveal that, concerningly, the older a patient is the longer they are likely to wait in A&E. 

People aged 70-79 have a 12% chance of waiting 12 hours or more – almost 16 times higher than it was in 2019.  

Meanwhile, people aged 80-89 have a 16% chance of enduring extreme waits, and the likelihood rises to 19% for those aged 90 and above.  

Compare that to patients aged 18-29, whose average likelihood of experiencing a 12-hour wait last year was just 2.2%. 

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Older patients often arrive to the Emergency Department with more complicated or multiple health issues.  

This, when combined with the inability to admit them onto a ward due to the lack of available in-patient beds, means older people can become stuck in Emergency Departments – enduring extreme long waits, often on trolleys in corridors.  

And when patients do finally get admitted, they often find themselves stranded in hospital, unable to go home when they are well enough to leave, frequently due to a lack of available social care support.  

Public Health Scotland recently revealed that in 2024/25, there was a record 720,119 days spent in hospital by patients whose discharge was delayed – 474,153 of which were experienced by people aged 75 or over. This accounted for two out of every three (66%) delayed discharge bed days. 

Dr Fiona Hunter, Vice President of RCEM Scotland, said, “This data is both shocking and shameful, and it is abundantly clear that older people are bearing the brunt of a system in crisis.  

“Hundreds of thousands of dearly loved people – great-grandparents, grandmas, grandads, parents – forced to experience extreme long stays in our Emergency Departments every year mainly because we don’t have enough in-patient beds to admit them to when they need one.  

“Often enduring these waits on trolleys in areas that aren’t designed to deliver care in – corridors or even cupboards. 

“It’s a failure of the system. It’s unacceptable, it’s dangerous and it’s putting lives at risk.  

“Enough is enough. The government can’t ignore the ongoing crisis our Emergency Departments – the workforce and patients – continue to face day in, day out.  

“We all deserve an Urgent and Emergency Care system that works as it should and not letting people, our most vulnerable, down when they need it most.” 

Dr Bob Caslake, Chair of the BGS Scotland Council, said, “This report highlights the urgent attention that is needed across the health and social care system to allow older people to access the care they need at the time they need it.

“The current waiting times faced by older people in Emergency Departments are unacceptable, and reducing these delays is a matter of equity, dignity, and patient safety.” 

Professor Andrew Elder, President of the Royal College of Physicians of Edinburgh said, “It is disappointing that this information is not routinely collected, analysed and published and it is unacceptable to see so many older people waiting hours — sometimes days — in A&E wards for the care they need.

“These older people are often living with frailty, dementia, and multiple other health conditions. They deserve to be treated with dignity and compassion.

“Long waits for care are neither dignified nor compassionate and can also lead to serious harm. This is not the standard of care we should accept for our parents, grandparents, or neighbours.

“With the numbers of older people in Scotland in need of care expected to increase dramatically, we urgently need a system that prioritises timely treatment and supports frontline staff in delivering the respect and care our older population deserves.” 

The figures come after the Royal College of Emergency Medicine published a report earlier this year looking at the care older people, aged 75 and over, receive in Emergency Departments across the UK.   

Titled ‘Care of Older People 2023-24’, the research found there was insufficient screening for three common conditions which primarily affect this age group, including delirium and for general frailty. 

RCEM also released analysis in February which found the number of people experiencing stays of longer than 12hrs in Scotland’s ED last year was a staggering 99 times higher than 2011 when records began.