Meningitis can be very serious if not treated quickly. Vaccines offer the best protection.
If you’re under 25 years of age and have not yet had the MenACWY vaccine, find out how you can get it at http://nhsinform.scot/vaccinesforstudents…
The UK Health Security Agency (UKHSA) has published the latest technical briefing, which shows early signs that the outbreak is plateauing.
As of 4 August, there are 2,859 confirmed and highly probable cases of monkeypox in the UK.
Analyses of the current UK outbreak shows that monkeypox continues to be transmitted primarily in interconnected sexual networks of gay, bisexual, or other men who have sex with men (GBMSM). The median age of confirmed cases in the UK was 37 years old. In England, 73% are known to be London residents over the course of the outbreak.
In the past few weeks, there have been a small number of women confirmed to have monkeypox but there is not enough evidence currently to suggest that there is sustained transmission outside of interconnected sexual networks. Twenty-two cases in women have been identified and 99% of all UK cases are male.
A small number of cases with no known travel history during their incubation period have been detected prior to 6 May, pre-dating the previous first-known report of a monkeypox case in the UK. This is not unexpected given our understanding of the outbreak to date.
Dr Meera Chand, Director of Clinical and Emerging Infections, UKHSA, said: “While the most recent data suggests the growth of the outbreak has slowed, we cannot be complacent. Be vigilant of and check yourself for monkeypox symptoms, including rashes and blisters.
“If you are concerned that you may have monkeypox symptoms, take a break from events, meeting with friends or having sexual contact. Instead, stay at home and contact 111 or your local sexual health service for advice.
“The smallpox vaccine is being offered to individuals at higher risk of coming into contact with monkeypox in order to offer them protection and to reduce the spread of disease.”
The briefing now includes monkeypox genomic surveillance data from the UK. As is described globally, the majority of outbreak cases in the UK belong to a distinct genetic lineage (B.1) which has mutations of unknown significance when compared with the closest previously characterised monkeypox virus genomes.
UKHSA will continue to publish regular technical briefings as the response to the outbreak continues.
Glasgow father-of-three Rico Franchi, who has lived with Lyme disease for the past 12 years, has backed a national campaign to raise awareness of tick bites and the symptoms of Lyme disease.
With a new survey revealing over half of people in Scotland (54 per cent) don’t know what to do when bitten by a tick, the Scottish Government campaign drives home the importance of acting quickly if a tick is found on the body.
The research also highlighted how common tick bites are, with almost two thirds of people in Scotland (64 per cent) having been bitten by a tick, or knowing someone who has been bitten.
Forty-year-old singer and vocal coach Rico has been living with Lyme disease since 2010, when he first experienced symptoms including extreme fatigue and joint pain. He was diagnosed around two years later, and the disease continues to impact his day-to-day life. Today, he encourages people to be aware of the early signs and seek medical advice early if concerned:
“Rewind to 2010, I was super healthy, super fit, I was always in the gym, or playing football or practicing martial arts. But in the space of a couple of weeks, I started to develop headaches, muscle aches and severe fatigue.
“It completely floored me, and my lifestyle changed completely. I basically had to conserve all my energy for work, and even then, I struggled. For over two years I searched for a diagnosis, which was frustrating, as it was hard trying to explain how I was feeling. Eventually, a friend’s dad who was a doctor suggested I get tested for Lyme Disease. Six weeks later my results came back positive.
“Like many sufferers, I can’t recall where I got bitten. Ticks are incredibly hard to spot so it could have been years before, even when I was a child, with symptoms only occurring years later.
“One of the worst things about Lyme disease is not knowing how you’re going to feel when you wake up in the morning, if it’s going to be a good day or a bad day. I play a lot of gigs and sing at lots of weddings, meaning late nights and long days, it’s quite an intense job. It’s challenging putting on a brave face most days, but when you’re self-employed, you must, and ultimately, it’s usually my family that suffers my complaints.
“I have my three kids, my wife and I love my job, so I am still able to live a happy life. I am fortunate because a lot of others with Lyme disease can’t. However, I would love to be able to do sport again, or just go for a big walk without feeling completely out of breath, and not always have to ration my energy.
“At the time I got infected with Lyme disease, myself and my parents didn’t know anything about Lyme disease or what to look out for. If we’d known, we might have caught it early and had it treated.
“So many people still have no idea what this invisible illness is. I hope this campaign helps create awareness of Lyme disease and associated symptoms and encourages more people to take precautions against tick bites when spending time outdoors, so they don’t have to go through what I did.”
Two thirds of people in Scotland (66 per cent) aren’t aware of the earliest and most common symptoms of Lyme disease, which include a red circular rash on the skin, often described as looking like a bullseye on a dart board.
People can also experience cold or flu-like symptoms such as tiredness, headaches and muscle or joint pain.
Ticks can be found throughout Scotland in wooded and grassy areas, so preventative measures when outdoors, such as sticking to pathways instead of going through long grass, using a repellent spray on clothing and not exposing skin can help reduce the risk of being bitten.
According to data, Scotland has 25% of UK cases of Lyme disease, and Professor of Molecular Microbiology for the University of Glasgow, Tom Evans, today reinforced that prevention is key to reducing the risk of serious infection:
“Ticks are in peak season in summer, and with people spending more time outdoors it’s important that they take steps to prevent becoming ill from Lyme disease.
“If you do get bitten, you should remove the tick as soon as possible to prevent infection. Using fine-tipped tweezers to gently grip the tick as close to the skin as possible, pull it steadily away from the skin without twisting or crushing it. Special tick removers are also available from most pharmacies. You should wash the area with water and soap afterwards and apply an antiseptic cream.
“Lyme disease can be difficult to detect, and while most cases are mild, if not found early it can have serious and lifelong side effects. Therefore it’s really important to be aware of any symptoms in the weeks following a tick bite so it can be effectively treated.”
Dr Emilia Crighton, Interim Director of Public Health for NHS Greater Glasgow and Clyde, said: “As long as you are diligent when out and about this summer, you should be ok.
“Being careful to check yourself for ticks after a trip to the countryside is really important and means if you’ve been bitten, you’ll be able to spot and remove the tick quickly, which help minimize the chances of Lyme disease. Otherwise, be aware of the common symptoms, particularly if you have been out in the countryside recently.”
Health Secretary Humza Yousaf said: “We definitely want people to spend time in Scotland’s beautiful outdoors, but with tick populations especially high in the summer months, we also want to make sure people do so safely.
“Ticks can be found all over Scotland so wherever you are spending time outdoors this summer, taking measures to prevent bites, knowing what to do if you are bitten, and being able to recognise the signs of Lyme disease will help avoid infection.
“More information about ticks and Lyme disease is available at NHS inform, and we’ve also placed information posters in pharmacies across Scotland where you can go for more advice about ticks.”
For more information about ticks visit nhsinform.scot/lyme-disease.
A novel harm reduction initiative to help healthcare staff monitor and treat people who inject drugs has helped support more than 800 vulnerable people since launching.
The WAND programme, which incentivises the city’s most hard-to-reach communities to regularly engage with the health service, has helped facilitate more than 5,000 harm reduction interventions across three participating sites, with more than 1,200 WAND assessments taking place since the programme launched in September 2020.
Operating from three centres in Glasgow, the programme focusses on providing a holistic approach to addressing drug harms such as overdoses, blood borne viruses, and injecting related complications. It comprises:
People who inject drugs can be hard to keep engaged with the health service, which is crucial in helping reduce the harms of drugs by providing advice and treatments and access to other services to help them.
WAND works by providing a £20 redeemable voucher to patients and encourages patients to return for follow up assessments every three – four months. The vouchers can then be exchanged for cash or other essentials. It’s one of a number of harm reduction programmes running across NHSGGC to help tackle the drugs crisis.
Through the interventions, staff can provide immediate care to the patients, helping avoid trips to A&E or further harm being caused further down the line. It also ensures that if a patient has a Blood Borne Virus such as HIV for example, this can be picked up at an early stage through dry blood spot testing and appropriate information and treatment can be provided to the patient.
John Campbell, Injection Equipment Provision Manager for NHSGGC, said: “WAND is by far the most successful harm reduction initiative running in Glasgow today. Individuals we look after come from the hardest to reach communities and WAND provides us with an insight and touch point with them that we would never previously have had.
“This means that through early intervention we can stop problems getting worse, which would cost more to address had they gone undiagnosed or untreated, and we can also encourage those patients to consider moving into recovery or to engage with other means of support to help them.”
As part of the 30 minute assessment, patients are also encouraged to carry naloxone with them at all times. Naloxone is a lifesaving injectable which is used to reverse overdoses. In the past year alone more than 3000 naloxone kits have been distributed, and more than 18,000 have been issued in total. Every week there are instances of naloxone being used to reverse overdoses in patients.
John Campbell added: “Naloxone is literally a life-saving device for many people. If we can ensure that our patients are trained and carry the kit at all times, it means that we’ll hopefully see far fewer deaths as a result of overdose in the future.”
The WAND initiative was recently referenced in the Scottish Drugs Deaths Taskforce report, which made the recommendation that the programme be rolled out on a larger scale due to its success in supporting and monitoring patients in the city.
UKHSA has published the latest epidemiological overview for the ongoing monkeypox outbreak.
Up to 25 July 2022, there were 2,367 confirmed and 65 highly probable monkeypox cases in the UK: 2,432 in total.
To expand the UK’s capability to detect monkeypox cases, some NHS laboratories are now testing suspected monkeypox samples with an orthopox polymerase chain reaction (PCR) test (orthopox is the group of viruses which monkeypox is part of).
Since 25 July 2022, the monkeypox case definition recognises those who are orthopox-positive as highly probable cases, and those who test positive on a monkeypox PCR test as confirmed cases.
Dr Sophia Makki, National Incident Director at UKHSA, said: “Monkeypox cases continue to rise, with the virus being passed on predominantly in interconnected sexual networks.
“Before you have sex, go to a party or event, check yourself for monkeypox symptoms, including rashes and blisters.
“If you have monkeypox symptoms, take a break from attending events or sex until you’ve called 111 or a sexual health service and been assessed by a clinician.
“Vaccination will further strengthen our monkeypox response and so we urge all those who are eligible for the vaccine to take it up when offered. It will help protect yourself and others you have had close contact with.
“While the infection is mild for many, it can cause severe symptoms and hospitalisation in some.
“Please remember that the vaccine may not provide complete protection against monkeypox, so it is still important to be alert for the symptoms of monkeypox and call 111 or a sexual health clinic if you develop any.”
The NHS will provide the vaccine to those eligible, so please wait until you are contacted.
While anyone can catch monkeypox, the majority of monkeypox cases in the UK continue to be in gay, bisexual and other men who have sex with men (MSM), with the infection being passed on mainly through close contact between people in interconnected sexual networks.
Before you go to a party or event, check yourself for monkeypox symptoms, including rashes and blisters.
If you have monkeypox symptoms, take a break from attending events or sex until you’ve called 111 or a sexual health service and been assessed by a clinician.
It can take up to 3 weeks for symptoms to appear after being in contact with someone with monkeypox, so stay alert for symptoms after you have skin to skin or sexual contact with someone new
The NHS and social care face the greatest workforce crisis in their history, compounded by the absence of a credible government strategy to tackle the situation, say MPs in a new Health and Social Care Committee report.
In the NHS, persistent understaffing poses a serious risk to staff and patient safety in routine and emergency care.
The Workforce: recruitment, training and retention report outlines the scale of the workforce crisis: new research suggests the NHS in England is short of 12,000 hospital doctors and more than 50,000 nurses and midwives; evidence on workforce projections say an extra 475,000 jobs will be needed in health and an extra 490,000 jobs in social care by the early part of the next decade; hospital waiting lists reached a record high of nearly 6.5 million in April.
The report finds the Government to have shown a marked reluctance to act decisively. The refusal to do proper workforce planning risked plans to tackle the Covid backlog – a key target for the NHS.
The number of full-time equivalent GPs fell by more than 700 over three years to March 2022, despite a pledge to deliver 6,000 more. Appearing before the inquiry, the then Secretary of State Sajid Javid admitted he was not on track to deliver them. The report describes a situation where NHS pension arrangements force senior doctors to reduce working hours as a “national scandal” and calls for swift action to remedy.
Maternity services are flagged as being under serious pressure with more than 500 midwives leaving in a single year. A year ago the Committee’s maternity safety inquiry concluded almost 2,000 more midwives were needed and almost 500 more obstetricians. The Secretary of State failed to give a deadline by when a shortfall in midwife numbers would be addressed.
Pay is a crucial factor in recruitment and retention in social care. Government analysis estimated more than 17,000 jobs in care paid below the minimum wage.
A separate report by the Committee’s panel of independent experts (Expert Panel) published today rates the government’s progress overall to meet key commitments it has made on workforce as “inadequate”.
Health and Social Care Committee Chair Rt Hon Jeremy Hunt said: “Persistent understaffing in the NHS poses a serious risk to staff and patient safety, a situation compounded by the absence of a long term plan by the government to tackle it.
“We now face the greatest workforce crisis in history in the NHS and in social care with still no idea of the number of additional doctors, nurses and other professionals we actually need. NHS professionals know there is no silver bullet to solve this problem but we should at least be giving them comfort that a plan is in place.
“This must be a top priority for the new Prime Minister.”
The Scottish Government Resilience Room (SGoRR) remains in operation as the Met Office Amber warning of extreme heat extends to more parts of Scotland this week.
The warning has been extended further northeast to Dundee.
This means that all of Edinburgh, the Lothians, Fife, Perth, Clackmannanshire, Falkirk and eastern parts of Lanarkshire are all now included in the warning, as well as the Scottish Borders and Dumfries and Galloway.
The warning is valid from 00.00 on Monday 18 July to 23.59 on Tue 19 July. Red warnings are in place for other areas of the UK.
Justice Secretary Keith Brown, lead Minister for resilience, attended a Cabinet Office Briefing Room (COBR) meeting chaired by the Chancellor of the Duchy of Lancaster Mr Malthouse, on the extreme heat warning, on Saturday (16 July).
Mr Brown said: “We are aware of the extension to the weather warnings currently in place and are receiving regular updates from partners including the Met Office and emergency services. Our resilience arrangements have been activated and stand ready at all times to coordinate a response to severe weather issues where required. We will continue to closely monitor developments.
“When temperatures increase, it’s important to monitor forecasts and follow public health advice, including staying hydrated and drinking plenty of fluids and avoiding excess alcohol.
“I would also urge people to look out for vulnerable family, friends and neighbours, as older people, those with underlying conditions and those living alone may struggle to keep cool and hydrated.
“Water safety incidents and drownings increase in hot weather and people should be aware of the dangers and use supervised beaches and pools when possible – follow the Water Safety Code and in an emergency call 999.
“If you are planning on travelling to the areas covered by the Red warning, you should be prepared for significant disruption, and may want to consider delaying your travel. If you decide to travel, you should prepare appropriately, and keep-up to date with travel alerts.”
The Met Office warning covers Edinburgh, the Lothians, Fife, Perth, Clackmannanshire, Falkirk, and eastern parts of Lanarkshire as well as the Scottish Borders and Dumfries and Galloway.
While these areas will see more extreme temperatures, it is important to note that there will be high temperatures across much of the country, especially up the east coast to the Moray Firth.
The Met Office has warned that some people are likely to experience some adverse health effects including sunburn or heat exhaustion (dehydration, nausea, fatigue) and other heat related illnesses.
For guidance people should:
If someone is showing signs of heat exhaustion – headache, feeling confused or dizzy, rapid pulse or fast breathing, body cramps (particularly in the arms, legs and stomach), feeling sick or vomiting – they need to be shaded from the sun and cooled down. Heat exhaustion is not normally serious if the person is treated within 30 minutes and symptoms begin to improve.
Ensure that babies, children or older people are not left alone in stationary cars or other closed spaces. Animals should not be transported in extreme temperatures.
The Met Office is also warning of an increased risk of risk of wildfires and disruption to transport.
EDINBURGH
Today:
Hot and Sunny.
A few early mist patches across Dumfries and Galloway soon clearing to a fine day with very warm or hot sunshine and mainly light winds. Maximum temperature 30 °C.
Tonight:
A warm sunny start to the evening but increasing amounts of high cloud later. Mainly dry and very mild overnight with a mixture of high cloud and clear spells. Minimum temperature 19 °C.
Tomorrow (Tuesday):
Hot again with sunshine and periods of high cloud. This may allow for an isolated shower, though majority staying dry, sunny. Occasional gusty breeze by coasts. Chance of thunder overnight. Maximum temperature 34 °C.
Further information is available online:
A Scottish Government Resilience (SGoRR) meeting was held yesterday to prepare for the potential impacts of a Met Office Amber warning of extreme heat in Scotland next week.
The warning covers southern parts of Scotland from 00.00 on Monday 18 July to 23.59 on Tue 19 July. Red warnings are in place for other areas of the UK.
Justice Secretary Keith Brown, lead Minister for resilience, said: “We are aware of the weather warnings currently in place and are receiving regular updates from partners including the Met Office and emergency services.
“Our resilience arrangements have been activated and stand ready at all times to coordinate a response to severe weather issues where required. We will continue to closely monitor developments.
“When temperatures increase, it’s important to monitor forecasts and follow public health advice, including staying hydrated and drinking plenty of fluids and avoiding excess alcohol.
“I would also urge people to look out for vulnerable family, friends and neighbours, as older people, those with underlying conditions and those living alone may struggle to keep cool and hydrated.
“Water safety incidents and drownings increase in hot weather and people should be aware of the dangers and use supervised beaches and pools when possible – follow the Water Safety Code and in an emergency call 999.”
The Met Office warning covers southern parts of Scotland including eastern parts of Dumfries and Galloway, much of the Scottish Borders and parts of East Ayrshire, South Lanarkshire and Midlothian.
While these areas will see more extreme temperatures, it is important to note that there will be high temperatures across much of the country, especially up the east coast to the Moray Firth.
The Met Office has warned that some people are likely to experience some adverse health effects including sunburn or heat exhaustion (dehydration, nausea, fatigue) and other heat related illnesses.
For guidance, people should:
If someone is showing signs of heat exhaustion – headache, feeling confused or dizzy, rapid pulse or fast breathing, body cramps (particularly in the arms, legs and stomach), feeling sick or vomiting – they need to be shaded from the sun and cooled down. Heat exhaustion is not normally serious if the person is treated within 30 minutes and symptoms begin to improve.
Ensure that babies, children or older people are not left alone in stationary cars or other closed spaces. Animals should not be transported in extreme temperatures.
The Met Office is also warning of an increased risk of risk of wildfires and disruption to transport.
Keep yourself safe in hot weather (ready.scot)
For the first time temperatures of 40°C have been forecast in the UK and the Met Office has issued the first ever Red warning for exceptional heat.
Exceptional heat is expected to affect a large part of England early next week, with temperatures likely in the high 30s C in some places and perhaps even reaching 40°C.
The Red Extreme heat national severe weather warning will cover Monday and Tuesday (18th and 19th July) for parts of central, northern, eastern and southeastern England.
An Amber Extreme heat warning, has been in place for much of England and Wales for Sunday, Monday and Tuesday (17th – 19thJuly) since earlier this week. Today the amber areas are also being extended to cover Cornwall, west Wales and parts of southern Scotland.
Met Office Chief Meteorologist Paul Gundersen, said “Exceptional, perhaps record-breaking temperatures are likely early next week, quite widely across the red warning area on Monday, and focussed a little more east and north on Tuesday. Currently there is a 50% chance we could see temperatures top 40°C and 80% we will see a new maximum temperature reached.
“Nights are also likely to be exceptionally warm, especially in urban areas. This is likely to lead to widespread impacts on people and infrastructure. Therefore, it is important people plan for the heat and consider changing their routines. This level of heat can have adverse health effects.”
The step up in warning level to red is running parrel to an increase in the current Heat Health Warning to Level 4 for England by the UK Health Security Agency.
The high pressure near the southern half of the UK, which has been responsible for this week’s warm weather, continues to dominate bringing largely dry and clear weather for most.
However, during the weekend, a developing southerly flow will allow very high temperatures currently building over the continent to start to spread northwards into the UK. Further north, eastern areas of Scotland could see temperatures in in the high 20°C in a few places, well above their average for the time of year.
Will we get record-breaking heat?
This is the first time we have forecast 40°C in the UK. The current record high temperature in the UK is 38.7°C, which was reached at Cambridge Botanic Garden on 25 July in 2019.
Weather forecast models are run numerous times to help us quantify the likelihood of a particular event occurring and estimate the uncertainty which is always present in weather forecasting to some degree. Some models are now producing a 50% chance of maximum temperatures in excess of 40°C in isolated parts of the UK for the start of next week. Mid, to high, 30s Celsius will be seen more widely with an 80% chance we will exceed the current record.
What happens after Tuesday
Temperatures are expected to start to return closer to normal for the time of year from the middle of next week onwards as cooler air pushes across the country from the west.
You can find the latest forecast on our website, by following us on Twitter and Facebook, as well as on our mobile app which is available for iPhone from the App store and for Android from the Google Play store. Keep track of current weather warnings on the weather warning page.
Is this due to climate change?
“We hoped we wouldn’t get to this situation but for the first time ever we are forecasting greater than 40°C in the UK” said Dr Nikos Christidis, cllimate attribution scientist at the Met Office.
“In a recent study we found that the likelihood of extremely hot days in the UK has been increasing and will continue to do so during the course of the century, with the most extreme temperatures expected to be observed in the southeast of England.
“Climate change has already influenced the likelihood of temperature extremes in the UK. The chances of seeing 40°C days in the UK could be as much as 10 times more likely in the current climate than under a natural climate unaffected by human influence.
“The likelihood of exceeding 40°C anywhere in the UK in a given year has also been rapidly increasing, and, even with current pledges on emissions reductions, such extremes could be taking place every 15 years in the climate of 2100.”
A recent Met Office study found that summers which see days above 40°C somewhere in the UK have a return time of 100-300 years at present, even with current pledges on emissions reductions this can decrease to 15 years by 2100.
Extreme heat events do occur within natural climate variation due to changes in global weather patterns. However, the increase in the frequency, duration, and intensity of these events over recent decades is clearly linked to the observed warming of the planet and can be attributed to human activity.
The chances of seeing 40°C days in the UK could be as much as 10 times more likely in the current climate than under a natural climate unaffected by human influence. The likelihood of exceeding 40°C anywhere in the UK in a given year has also been rapidly increasing
Whilst a 1°C background temperature increase may not seem significant, the resulting increase in the severity of extreme heat events is already evident in the observed record. This has widespread and significant impacts.
Advice
A Level 4 UK Health Security Agency Heat Health Alert has been issued for Monday and Tuesday. This is level of alert is used when a heatwave is so severe and/or prolonged that its effects extend outside the health and social care system. At this level, illness may occur among the fit and healthy, and not just in high-risk groups.
Dr Agostinho Sousa, Head of Extreme Events and Health Protection at UKHSA, said: “Heat-health alerts have now been issued to the majority of the country, with temperatures set to remain consistently high throughout the duration of the weekend and the start of next week.
“It is important to keep yourself hydrated and to find shade where possible when UV rays are strongest, between 11am and 3pm.
“If you have vulnerable family, friends and neighbours, make sure they are aware of how they can keep themselves protected from the warm weather.’’
Peter Jenkins, Director of Campaigns, Water UK said: “Water companies are seeing substantial demand during this extremely hot weather. We can all help ensure there’s enough to go around by being mindful of the amount of water we use while ensuring we stay hydrated and safe.
“By making just small changes indoors or in the garden you can have a big impact on our water consumption. Our Water’s Worth Saving campaign has a host of helpful top-tips showing the simple things we can all do to save this precious resource, so it remains readily available now and in the future.”
Mel Clarke, Customer Service Director for Operations at National Highways, said: “It is always important to plan ahead for your journey and this advice is no different during periods of hot weather. Our advice is that everyone should check their vehicles, such as tyres, coolant and oil levels, before heading out.”
Find out more about driving in hot weather with National Highways.
Government advice is that 999 services should be used in emergencies only; seek advice from 111 if you need non-emergency health advice.
Top ways to stay safe when the heat arrives are to:
Ambitious new targets have been set out for NHS Scotland to address the impact of the pandemic on long waiting times for planned care.
Health Secretary Humza Yousaf announced NHS Scotland will aim to eradicate waits of more than two years, and then one year in most specialities by September 2024.
Mr Yousaf has asked health boards to take a focussed approach to tackle the waiting lists now that activity in the NHS is beginning to recover from the pandemic.
The targets are to treat those patients waiting longer than:
Mr Yousaf, who made the announcement while visiting Perth Royal Infirmary said: “We know that waiting times have grown as a result of the pandemic, which is why we now need to focus on treating these people that are waiting too long for treatment. That’s why I am announcing some of the most ambitious targets in the UK.
“From speaking to patients and clinicians across the country, I know there is a physical and mental consequence in having to wait a long period to be treated, that is why addressing long waits is a key focus of our plans for NHS recovery.”
Mr Alastair Murray, Chair of Scottish Committee for Orthopaedics and Trauma said: “Scottish orthopaedics very much welcomes the introduction of targets to address the growing number of people waiting for essential treatment. It is hoped that the targets set out will drive ongoing efforts to reduce waiting times for orthopaedic surgery in Scotland.”
The NHS will work together to reduce backlogs of care, specifically longest waiting patients, and that will mean some patients will be offered appointments outwith their local health board area to provide treatment more quickly – for example, the Golden Jubilee University National Hospital or at National Treatment Centres as they become operational over the next year.
The approach will also build on the success of the Centre for Sustainable Delivery, which was established to drive innovation and introduce new ways of delivering care that will create additional capacity for inpatient, daycase and outpatients.
The National Clinical Prioritisation Framework will be revised to ensure any patient waiting more than two years is prioritised and treated, as well as those who require urgent clinical care.
Funding for the new drive will come from the £1 billion allocated for the NHS Recovery Plan.
Lothians list MSP Foysul Choudhury said: “The latest figures show that waiting times in NHS Lothian A&E departments are at historic highs. The last eighteen months have seen a significant drop in compliance with the Scottish Government’s target of 95% of A&E patients to be seen within four hours.
“The figures for NHS Lothian currently sit at 65% of A&E patients being seen within four hours, with the Royal Infirmary currently around 50%, one of the worst figures in the country.
“I welcome the new appointments system for the Minor Injuries Unit, but this will only have an impact on overall waiting times if the whole system – including NHS 111 – is properly staffed, resourced and able to cope with the current and future levels of demand.
“Speaking to staff from NHS Lothian, they too often feel the stress of the pressures on the NHS. They are increasingly being abused at work by patients frustrated at long waiting times, and staff absences are being kept high by repeated waves of COVID. The Scottish Government must better support NHS staff to defuse the building crisis of morale among our healthcare workers.
“Our NHS is now in a state of year-round crisis. The Scottish Government promised the Scottish people only last year that they would focus on pandemic recovery, and these latest figures only make it more disappointing that they are instead being distracted by their obsession with the constitutional question.”
