Stay safe in the sun – summer health advice from NHS 24

With more hot weather forecast this week, NHS 24 are offering advice on how to stay safe in the sun as part of their summer health campaign ‘Hello Summer.’

Dr Laura Ryan, a GP and NHS 24’s Medical Director said: ‘We’ve had a few really hot and sunny days in Scotland this summer, which is brilliant for everyone to spend a lot of time outdoors.

‘Unfortunately, the hot weather isn’t good news for everyone, and it’s really important we follow some simple rules to ensure we avoid becoming unwell.

‘When it comes to being safe in the sun, prevention is definitely better than cure. It is best to avoid being in the sun between 12 noon and 3pm if possible. If you need to be outdoors, we advise that everyone, uses a high factor sun protection cream. The best quality lotions block both UVA and UVB rays. Also wear loose-fitting, light-weight clothing that covers your body.

‘If you’re unfortunate to become sunburnt, there’s simple steps to take to lessen the discomfort. The most obvious piece of advice is to avoid being in the sun at all until the redness subsides and don’t burst any blisters. Cool showers or applying cool towels to your body can provide some relief, using moisturiser which contains aloe vera after your shower, or taking painkillers can help with any painful or tight skin. However please check that pain relief such as paracetamol or ibuprofen is safe for you to take.

‘Another weather-related condition which I wish to draw attention to is heat exhaustion or heat stroke.’

Signs or symptoms of heat stroke can include headache, feeling confused or dizzy, rapid pulse or fast breathing, body cramps (in the arms, legs and stomach), sick or vomiting, feeling dehydrated or thirsty, pale, sweaty or clammy skin, a high temperature of 38C or above.

Dr Laura Ryan continued: ‘If someone is showing signs of heat exhaustion, 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.

‘If there is no improvement in the person’s condition, but they are conscious, alert and responding normally call your local GP during opening hours for further advice. If your GP is closed, call NHS 24 on 111. If you feel their condition is in any way life-threatening, dial 999 and ask for an ambulance.

‘I really encourage everyone to visit NHS inform as it has some great advice on how to stay safe in the sun. By being prepared and following these simple tips, I hope more people will be happy and healthy this summer.’

Heat-health alert issued by the UK Health Security Agency in England

The UK Health Security Agency’s (UKHSA) heat-health alert service is designed to help healthcare professionals manage through periods of extreme temperature. The service acts as an early warning system for periods of high temperatures that may affect the public’s health.

The alert will be in place from midday Tuesday 9 August to 6pm on Saturday 13 August for all regions of England.

Temperatures are not forecast to reach the record-breaking levels of the most recent heatwave but are expected to rise throughout the week, potentially reaching mid-30 degrees Celsius on Friday and Saturday in the South East, London, the South West, and the East and West Midlands.

Dr Agostinho Sousa, Head of Extreme Events and Health Protection at the UK Health Security Agency (UKHSA), said: “Temperatures will feel very warm again this week, particularly in southern and central parts of the country.

“We want everyone to enjoy the warm weather safely when it arrives but remember that heat can have a fast impact on health. It’s important to ensure that people who are more vulnerable – elderly people who live alone and people with underlying health conditions – are prepared for coping during the hot weather.

“The most important advice is to ensure they stay hydrated, keep cool and take steps to prevent their homes from overheating.”

Met Office Deputy Chief Meteorologist, Tony Wardle, said: “Heatwave criteria look likely to be met for large areas of the UK later this week, with the hottest areas expected in central and southern England and Wales on Friday and Saturday. Temperatures could peak at 35⁰C, or even an isolated 36⁰C on Saturday.

Elsewhere will see temperatures widely into the high 20s and low 30s Celsius later this week as temperatures build day-on-day through the week due to an area of high pressure extending over much of the UK.

Coupled with the high daytime temperatures will be continued warm nights, with the mercury expected to drop to only around low 20s Celsius for some areas in the south.

Read more on the forecast from the Met Office.

The top ways for staying safe during hot weather:

  • look out for those who may struggle to keep themselves cool and hydrated – older people who may also live alone, and those with underlying conditions are particularly at risk
  • stay cool indoors by closing curtains on rooms that face the sun – and remember that it may be cooler outdoors than indoors
  • drink plenty of fluids and avoid excess alcohol
  • try to keep out of the sun between 11am to 3pm, when the UV rays are strongest
  • walk in the shade, apply sunscreen and wear a wide-brimmed hat, if you have to go out in the heat
  • avoid physical exertion in the hottest parts of the day
  • make sure you take water with you if you are travelling
  • check that fridges, freezers and fans are working properly
  • check medicines can be stored according to the instructions on the packaging
  • never leave anyone in a closed, parked vehicle, especially infants, young children or animals
  • take care and make sure to follow local safety advice if you are going into the water to cool down

High temperatures also present a risk of wildfires, especially after long dry periods. People with pre-existing heart and lung conditions such as asthma are most susceptible as breathing wildfire smoke may worsen their symptoms. Children and older people may also be susceptible to health impacts.

If wildfire smoke affects your area, avoid or reduce your exposure to smoke by staying indoors with the doors and windows closed.

Where possible avoid smoky areas. If you should travel through a smoky area, ensure that the vehicle windows are closed and the air conditioning is switched to recycle or recirculate if possible.

Listen out for local news reports and information from the emergency services who will provide advice on the precautions you should take.

Further information:

Read the UKHSA blog on staying safe in extreme heat.

UKHSA’s Beat the heat checklist identifies suitable actions people can take to protect themselves during periods of hot weather.

For more information on the common signs and symptoms of heat exhaustion and heatstroke, visit NHS.UK.

UKHSA has also published advice for the public on how to stay healthy during periods of drought.

UK monkeypox case numbers begin to plateau

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.

Dad living with Lyme disease urges people to be tick aware when enjoying the outdoors this summer

 
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.  

Pilot initiative helping look after Glasgow’s drug injecting population supports more than 800 people

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: 

  • W: Wound Care
  • A: Assessment of Injecting Risk
  • N: Naloxone Provision
  • D: Dry Blood Spot Testing

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.

Monkeypox cases continue to rise

Latest updates on cases of monkeypox identified by the UK Health Security Agency (UKHSA)

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

Persistent understaffing of NHS a serious risk to patient safety, warns Westminster committee

‘We now face the greatest workforce crisis in history in the NHS and in social care’

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.

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.”

Scorching Scotland: extreme heat Amber warning extended

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:

  • stay indoors or shaded when the sun is at its hottest (11am – 3pm)
  • drink plenty of cool fluids throughout the day
  • eat cold foods with high water content such as salads and fruit
  • take a cool shower, bath or body wash
  • sprinkle water over skin or clothing, or keep a damp cloth on the back of your neck
  • avoid alcohol – which can leave you dehydrated
  • avoid extreme physical exertion

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:

Summer health | NHS inform

Amber warning for extreme heat in Scotland next week

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:

  • stay indoors or shaded when the sun is at its hottest (11am – 3pm)
  • drink plenty of cool fluids throughout the day
  • eat cold foods with high water content such as salads and fruit
  • take a cool shower, bath or body wash
  • sprinkle water over skin or clothing, or keep a damp cloth on the back of your neck
  • avoid alcohol – which can leave you dehydrated
  • avoid extreme physical exertion

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.

Summer health | NHS inform

Keep yourself safe in hot weather (ready.scot)

UK weather warnings – Met Office

Water Safety Code

When to phone 111 | NHS 24