Edinburgh Western MSP Alex Cole-Hamilton has commented on the waiting times “crisis” that is emerging across Lothian A&E units.
Mr Cole-Hamilton, the Liberal Democrat Spokesperson for Health since 2016, made his comments following reports yesterday that the Edinburgh Royal Infirmary is on the brink of having to declare a major incident.
Mr Cole-Hamilton said:“Reports of Edinburgh patients waiting up to twelve hours for treatments are not just concerning, but they are potentially catastrophic for our healthcare service.
“The escalation of this so-called “ping-demic” is having devastating effects across our health services, and many of our hospitals are working at minimum staff capacity because of it. Of course, we must be vigilant, but our NHS simply cannot cope when faced with such reduced staffing measures.
“The Scottish Government need to come forward with concrete actions and urgent changes on isolation policies. That means a test and release system, as recommended by the Royal College of Surgeons and others.”
All young people 16 to 17 years of age will now be offered the coronavirus (COVID-19) vaccination in Scotland.
In line with the latest advice from the Joint Committee on Vaccination and Immunisation (JCVI), they will be offered a first dose of the Pfizer-BioNTech vaccine.
From Friday (6 August), people who are 16 or 17 in mainland Scotland will be invited to register their interest through the online portal at NHS Inform, and will then be sent an appointment via SMS or email.
Eligible young people in Shetland, Orkney and Western Isles will be contacted by their health board and invited to attend clinics.
Alternatively, drop-in clinics will be available for 16 to 17-years-olds. The start date for clinics opening for this age group will be confirmed shortly.
Anyone who doesn’t register an interest or attend a drop-in clinic, once open, will be sent an appointment invitation through the post. It is expected that everyone in this age group will have been offered a vaccination appointment by the end of September.
Chief Medical Officer Dr Gregor Smith said: “In line with the latest JCVI advice we will now be offering a first dose of the COVID-19 vaccination to young people aged between 16 and 17.
“The programme has always carefully assessed all the benefits and potential risks and offered vaccine to groups where this benefit is clear. The research and evidence shows that is the case for this age group and they should now be called forward for an appointment for a COVID-19 vaccine.
“We will continue to follow the expert JCVI advice and will await the outcome of analysis of data on second doses for this age group and any additional future advice on vaccination for those in the 12-15 age group.”
Health Secretary Humza Yousaf said: “Getting vaccinated has never been easier and from Friday, 16 and 17-year-olds in mainland Scotland will be able to book an appointment through the online portal. We know drop-in clinics are a convenient way for young people to get vaccinated and will announce shortly when these clinics will be open for this age group.
“Vaccination continues to be the best way to protect yourself and those around you and I urge anyone who is eligible to take up the offer of the vaccine.
“The national vaccination programme has been a huge success and without doubt, represents our best way out of the pandemic.”
Background
In addition to 16 to 17-year-olds, we have started offering COVID-19 vaccinations to children and young people who are from key groups; and are between 12 to 17 years. Vaccinations will be offered to:
12 to 15-year-olds with severe neuro-disabilities
12 to 15-year-olds with Down’s syndrome
12 to 15-year-olds with underlying conditions resulting in immunosuppression
12 to 15-year-olds with profound and multiple learning disabilities (PMLD)
12 to 15-year-olds with severe learning disabilities
12 to 17-year-olds who have a diagnosed learning/intellectual disability (mild or moderate)
16-year-olds who have any of these above conditions or underlying conditions that place them at higher risk of serious COVID-19 (that were not 16 at the time of the previous invite for all 16 and 17-year-olds in March 2021)
young people aged 12 years and above who live in the same household of persons (adults or children) who are immunosuppressed (we previously invited over 16s who are household contacts of those on the shielding list)
England, Wales and Northern Ireland will also be taking the JCVI advice.
Health and Social Care Secretary Sajid Javid said: Today’s advice from the independent Joint Committee on Vaccination and Immunisation (JCVI) means more young people aged 16 and over can benefit from COVID-19 vaccines.I have accepted their expert recommendations and I have asked the NHS to prepare to vaccinate those eligible as soon as possible.
“The JCVI have not recommended vaccinating under-16s without underlying health conditions but will keep its position under review based on the latest data.
“Those aged 12 to 15 with severe neuro-disabilities, Down’s Syndrome, immunosuppression and multiple or severe learning disabilities, as well as people in this age group who are household contacts of individuals who are immunosuppressed, are already eligible for vaccination.
“JCVI will continue to review data and provide updates on at risk groups aged 12 to 15 and whether any additional groups will be added.
“COVID-19 vaccines have saved more than 60,000 lives and prevented 22 million infections in England alone. They are building a wall of defence against the virus and are the best way to protect people from serious illness. I encourage everyone who is eligible to come forward for both their jabs as quickly as possible.”
A new residential rehabilitation facility to support families affected by drug use is to be developed in North Ayrshire.
Funding for the National Specialist Residential Family Service which will be run by the charity and housing association Phoenix Futures and based in Saltcoats, North Ayrshire, has been agreed in principle. The facility will provide rehabilitation services for twenty families at any one time and will be based on an existing facility run by the organisation in Sheffield.
Once given final approval, funding for the development will be made available from the £100 million announced as part of the national mission to improve and increase the provision of residential rehabilitation.
Meanwhile following the publication of the latest drug-related death statistics, an urgent review has been ordered on the use of so-called street benzos after latest statistics showed the drugs were implicated in 73% of drug-related deaths in 2020.
Benzodiazepines are usually prescribed for the treatment of anxiety and insomnia however increasingly, illicit supplies of street benzos are being used with opiates such as methadone and heroin contributing to poly-drug use in Scotland.
The rapid evidence review will look at who is using the drugs and why in order that measures to reduce demand can be introduced. It follows work by the Drug Deaths Taskforce to develop guidelines on the consistent prescribing of benzodiazepines across the country so that people can be offered support for their drug use and any underlying mental health problems.
Other actions include:
commissioning research on the role and risks of methadone in drug related deaths
awareness campaign on the increasing availability of naloxone and its benefits
awareness campaign on stigma and its negative effect on people seeking treatment
consider whether alcohol and drugs services should be included in new National Care Service as part of the consultation
setting of a target for the number of people in treatment for 2022
Minister for Drugs Policy Angela Constance said: “Once again, Scotland drug-related death statistics are a national disgrace and my heart goes out to all the families who have lost a loved one.
“We announced a national mission on this crisis in January and we have been taking a range of actions to tackle this national tragedy backed by an investment of £250 million over the next five years.
“Of that, £20 million each year is being spent on increasing capacity and improving access to residential rehabilitation and to that end, we have approved in principle an application for a development in North Ayrshire which will create a new national specialist service for families. It is vital that we make it easier for parents to access treatment by removing any barriers such as a lack of childcare and this project, run by Phoenix Futures will do exactly that.
“Though men are more likely to use and experience harms from drugs, there has been a disproportionate increase in drug related deaths among women and there is a strong link between women having children removed from their care and risk of drug related death.
“Poly-drug use – the use of more than one drug at a time – is an increasing concern with benzos implicated in almost three quarters of deaths last year and I have asked for an urgent review of benzo use so we can fully address the rise in popularity of this type of drug and reduce the demand.
“To tackle the number of drug deaths in this country we must increase the number of people in treatment and we will shortly be announcing a target so we can measure the impact of the introduction of the Medication-Assisted Treatment standards. These include the roll-out of same-day support services for anyone asking for help.
“We know there is much work to do and that the investment we are making must reach those directly affected by drug use and I am absolutely determined to make every penny count.”
Phoenix Futures Director of Operations CJ Williams said: “The Scottish Government’s Residential Rehabilitation Rapid Capacity Programme (Recovery Fund) announcement that it has agreed in principle to fund a National Specialist Residential Family Service in Scotland has been well received by all at Phoenix Futures Scotland.
“There is a clear and defined need for a service that supports families to stay together in a safe residential setting. Phoenix Futures have decades of experience of providing services for families to draw from in establishing and operating this new project.
“The Specialist Family Service will create fairer access to residential rehab for the whole family, and is a welcomed start to the commitment of investment from The Scottish Government as part of its mission to reduce drug related deaths and harms.
“We look forward to working with all involved to open Scotland’s National Specialist Residential Family service.”
Lothian Tory MSP calls for local residential rehab to be utilised
Lothian MSP, Miles Briggs, has called for local residential rehab to be utilised, following the announcement that a national rehab centre is to be developed in North Ayrshire.
The facility will provide rehabilitation services for twenty families at any one time and will be based on an existing facility run by the organisation in Sheffield.
Once given final approval, funding for the development will be made available from the £100 million announced as part of the national mission to improve and increase the provision of residential rehabilitation.
Scottish Ministers agreed to increase funding for rehabilitation beds earlier this year, following a campaign by the Scottish Conservatives to secure the funding.
Last week figures were released showing that drug related deaths in Scotland had reach a new record high, having risen consecutively in each of the last seven years.
The number of drug related deaths in Lothian rose to 159, an increase of 4 deaths from 155 in 2019. The number of drug related deaths in Lothian has more than doubled in the last 10 years.
The Scottish Conservatives are calling for the Right to Rehabilitation to be made into law, so that anyone needing drug and rehabilitation support has a legal right to access it.
Lothian MSP, Miles Briggs, said:“Scotland used to have a national rehab centre in the form of Castle Craig Hospital which used to provide vital residential rehab to NHS patients across Scotland.
“It is fundamentally clear that the drug deaths crisis needs to see all available services utilised. That is why Scottish Conservatives have led calls for a Right to Rehab.
“Castle Craig Hospital sits just 20 miles south of Edinburgh. But currently only 2 of the 60 patients are NHS funded.
“I have visited Castle Craig Hospital and was hugely impressed with the residential rehab services they offered and the person centred care which was helping people mostly from the Netherlands to get their lives back on track.
“There are growing questions being asked why SNP Ministers not using the rehab beds available on NHS Lothian’s doorstep ?
“I have raised the opportunities which Castle Craig Hospital could present with SNP Ministers for years – we’ve seen no action as the same time as drug deaths have escalated to the shocking level we see today.
“I have written to Drugs Minister, Angela Constance, to ask why SNP Ministers are not utilising this local residential rehab facility and instead will expect patients across the East to travel Ayrshire when local rehab opportunities already exist.”
Scotland’s first new blood donor centre venue in at least 60 years has opened at The Centre, Livingston – at a crucial point in history for the nation’s blood donors.
Recent exceptional weather combined with the easing of pandemic restrictions has led to a dip in group O and A blood donations – and with elective surgeries recommencing across the country, the need for donations is rising.
Livingston Donor Centre, situated in The Centre, aims to bring in 210 donations each week from donors living, shopping and working in the area. Designed to make blood donation easier by placing the facility within a busy shopping centre (with excellent transport links and ample parking) the hope is the venue makes it easier for local people to build giving blood into their regular routines.
Debbie McNaughton, Associate Director Scottish National Blood Transfusion Service, says: “We’re delighted to be opening our new venue in Livingston today. It’s a fantastic new facility which will play a huge part in saving lives across Scotland in the future.
“This is the very first time we’ve opened a blood donor centre in a brand new Scottish location since the 1960’s – up until now, our donor centres have all been based in our biggest cities – Glasgow, Edinburgh, Dundee, Aberdeen and Inverness.
“However, no matter where you live, patients in Scotland need you to make an extra special effort to give blood in the coming days.
“The good weather, lockdown easing and the school holidays, mean we really need donors with the blood group O and A – that’s O-, O+, A- and A+ donors in particular.
“Please make a special effort to keep your appointment, and let us know if you need to cancel. If you’ve never given blood before, or haven’t for a while, now is the time to donate.
“The Livingston Donor Centre is currently a pilot, and we plan to be in this venue for six months. we welcome all donor feedback on the blood donor centre, its location, donating hours and your donation experience there.”
Please make an appointment to give blood at Livingston Blood Donor Centre.
You can book your appointment by creating your online donor account at www.scotblood.co.uk, contacting us online, or by phoning 0345 90 90 999 (Monday to Friday, 9am-5pm).
GMB Scotland has today advised thousands of local government cleansing workers to prioritise safety and exercise their ‘right to refuse’ requests from employers to continue working if they have been exposed to COVID-19.
It follows the Scottish Government’s announcement that double-vaccinated workers in key services, returning negative PCR tests and undertaking daily lateral flow tests, can avoid self-isolation if notified of exposure to COVID-19 by the test and trace app, and continue working if their employer’s requests meet conditions set by Ministers.
The union has over 2,300 members in cleansing and waste services across Scotland’s local government, including Glasgow, North and South Lanarkshire, and West Lothian councils, who have worked throughout the COVID-19 pandemic, and the decision was taken after consultation with their workplace representatives.
GMB Scotland Senior Organiser for Public Services Drew Duffy said:“A major underlying factor in the so-called ‘pingdemic’ is the chronic understaffing in our frontline services after years of cuts, and our cleansing and waste is no different.
“But the Scottish Government’s new guidance has opened the door for employers across the country to heap more pressure on these key workers if they have been exposed to COVID-19. That’s not safe for workers, families, or communities.
“And again, some of the lowest paid are being asked to take the greatest risk in another example of how poorly they are valued by government. You cannot cut and coerce your way out of a crisis, if you want services to function then you must invest in them.
“That lesson needs to be learned, and it’s why we are advising our members to exercise their right to refuse and instead follow the general self-isolation rules if they are exposed to COVID-19.”
NHS’ Lothian’s vaccination Lothian Buses vaccination bus is rolling into the Grassmarket again today.
Anyone over 18 who requires either a 1st or 2nd dose of Moderna or AZ (provided they received the 1st more than 8 weeks ago) can attend – no appointment necessary.
The Scottish Ambulance Service’s vaccination bus has celebrated a huge milestone – the delivery of 10,000 vaccines to individuals across the country, as part of Scotland’s national vaccination programme.
To mark this significant moment, the Service, working with NHS Greater Glasgow and Clyde, brought the vaccination bus to Scotland’s national stadium, Hampden Park, today (Wednesday 28th July).
The Cabinet Secretary for Health and Social Care, Humza Yousaf, MSP, was in attendance at Hampden to help mark this achievement and to witness the vital work being carried out.
He met with the Consultant Paramedic Paul Kelly, who has been leading the vaccination bus programme with other colleagues, and Scottish Professional Football League Referee John Beaton, who was there to encourage people to get vaccinated.
Over the last six months, the Service has been working in partnership with health boards and local authorities to support the delivery of the national vaccination programme. This has included taking the vaccination bus to local community settings, such as football grounds and shopping centre car parks, to demonstrate the benefits of a responsive and tailored approach to reach communities across Scotland.
Pauline Howie, Chief Executive of the Scottish Ambulance Service, said: “Reaching the milestone of delivering 10,000 doses of the vaccine is incredibly significant, and it’s been made possible with the dedication of our colleagues, and our close working with Scottish Government, Health Boards and local authorities across Scotland to reach into communities.
“It’s so simple to get vaccinated and protect yourself and others from Covid-19. Just come along to our vaccine buses, roll up your sleeve, and our professional team will administer the vaccine. If we work together, we can all do our part in beating the Pandemic.”
Health Secretary Humza Yousaf said: “The vaccination programme has been a huge success and it is great to see so many people taking advantage of the mobile units.
“It is fantastic that the staff at the vaccination bus have administered 10,000 jags and I want to thank them all for their hard work in helping to get our national programme out into the community, making getting a vaccine easier than ever.
“You can pop in to the bus while you are out shopping or walking and staff will answer any questions you have in relation to the COVID-19 vaccination.
“All of the evidence says that the vaccines are working as we continue to battle the faster-transmitting Delta variant so I urge everyone to take advantage of the vaccination programme which is open to every adult in Scotland.”
Dr Emilia Chrighton, Deputy Director for Public Health for NHS Greater Glasgow and Clyde, said: “We’d like to thank everyone who has come forward so far to receive a vaccination. This is the single biggest factor in helping us control the virus.
“The vaccine bus has played a key role in the vaccination programme rollout so far, and alongside drop-in clinics and appointment clinics, has helped provide as many routes to vaccination to make it as easy for the public as possible.”
The team can administer all three vaccines – Pfizer, Moderna and AstraZeneca – so it is open to all ages. No appointment is necessary and those needing a first or second dose are welcome, as long as you have waited eight weeks between injections.
The clinic, which is just next to M&S, will run from 10am til 6pm, seven days a week from today – Tuesday 27 July.
Respiratory infections in young children have begun to rise out of season, following low infection levels in response to COVID-19 restrictions and good infection control measures that have been in place.
Parents are being encouraged to look out for symptoms of severe infection in at-risk children, including a high temperature of 37.8°C or above (fever), a dry and persistent cough, difficulty feeding, rapid or noisy breathing (wheezing).
The NHS is preparing for a rise in children needing treatment.
Through the Respiratory DataMart surveillance system, positivity of samples tested for RSV has increased over the last 5 consecutive weeks and now stands at 8.9%.
Health chiefs in England are encouraging parents to be aware of the signs of respiratory illnesses in young children, as data from Public Health England (PHE) shows cases are starting to rise in parts of the country.
Respiratory illnesses, including colds and respiratory syncytial virus (RSV) are very common in young children and we see them every year.
Last winter, due to the various restrictions in place to reduce the spread of coronavirus (COVID-19), there were far fewer infections in younger people. This means many will not have developed immunity and so we may see more cases this year than in a typical season. For the majority of children, these illnesses will not be serious and they will soon recover following rest and plenty of fluids.
RSV is a very common virus and almost all children are infected with it by the time they are 2 years old. In older children and adults, RSV may cause a cough or cold.
However, some children under 2, especially those born prematurely or with a heart condition, can suffer more serious consequences from these common infections such as bronchiolitis, an inflammatory infection of the lower airways – which can make it hard to breathe.
The early symptoms of bronchiolitis are similar to those of a common cold but can develop over a few days into a high temperature of 37.8°C or above (fever), a dry and persistent cough, difficulty feeding, rapid or noisy breathing (wheezing).
Most cases of bronchiolitis are not serious and clear up within 2 to 3 weeks, but you should contact your GP or call NHS 111 if:
you are worried about your child
your child has taken less than half their usual amount during the last 2 or 3 feeds, or they have had a dry nappy for 12 hours or more
your child has a persistent high temperature of 37.8C or above
While still at low numbers, respiratory infections in young children are expected to rise this summer and as we go into the winter months.
Health Minister Lord Bethell said: “I remember the long nights in hospital when my 8 week old daughter fought off RSV. The image of her tiny body plugged into those machines and gasping for air will not leave me. I would not wish those moments for anyone.
“I urge all parents and carers to be alert to the signs of RSV, particularly amongst young children. It’s a nasty bug, so watch out for it.”
Dr Yvonne Doyle, Medical Director at PHE, said: “This winter, we expect levels of common seasonal illnesses such as cold and flu to increase as people mix more and given that fewer people will have built up natural immunity during the pandemic.
“Children under 2 are at a particular risk of severe infections from common seasonal illnesses. If a child under 2 is suffering from a cold, keep a close eye on their symptoms and make sure to contact your doctor if they get a high temperature, become breathless or have difficulty feeding.
“It’s important that we carry on with good hygiene habits that we’ve become used to during the pandemic, in order to protect ourselves and those around us. This means washing your hands regularly, using a tissue to catch coughs or sneezes and washing your hands afterwards, and staying away from others if you feel unwell.”
Ruth May, Chief Nursing Officer for England, said: “For most children these illnesses won’t be serious and they will soon bounce back but if you do need medical help for your child, especially if they are under 2, please do come forward for the care you need.
“The NHS has detailed plans in place for a wide range of scenarios ahead of winter and will continue to adapt them as needed, in line with the guidance from PHE.”
NHS England began planning for the potential rise in paediatric respiratory infections in April 2021, with paediatric units bringing forward their usual winter planning, escalation and emergency processes which will support an increased capacity in terms of beds, workforce and ward supplies.
A new study by Queen’s University Belfast and Washington University in St. Louis shows that promoting physical activity is key to achieving the U.N. Sustainable Development Goals (SDG’s).
The research provides new evidence to show that integrating strategies to promote increased physical activity is a key part of the action plan for achieving the United Nations Sustainable Development Goals.
The study found strong links between physical activity promotion strategies and eight out of the 17 SDGs: good health and well-being (SDG 3); gender equity (SDG 5); industry, innovation and infrastructure (SDG 9); reduced inequalities (SDG 10); sustainable cities and communities (SDG 11); climate action (SDG 13); and peace, justice and strong institutions (SDG 16).
Deborah Salvo, Assistant Professor of Public Health at Washington University in St. Louis and lead author on the study, said: “Physical inactivity has been characterized as a pandemic, accounting for 7% of all premature deaths per year globally and resulting in billions of dollars spent on health-related expenditures.”
The international research team applied a modelling method to simulate the effects of large-scale physical activities strategies to gain insights on the potential impacts of widespread scale-up of active transport systems and active urban design strategies on three different city types of high-, middle- and low-income countries.
The simulation results indicated that expected physical activity gains are greater for low- and middle-income countries. In high-income countries with high car dependency, physical activity promotion strategies may help to reduce air pollution and traffic-related deaths, but shifts toward more active forms of travel and recreation and climate change mitigation may require complementary policies that disincentivize driving.
Dr Leandro Garcia, from the Centre for Public Health at Queen’s University Belfast and co-author, said: “The simulation results reveal context-specific relations. In terms of physical activity increases, low- and middle-income country cities stand more to gain from urban transformations that prioritize equitable access to walking, cycling, public transport, and recreational infrastructure.
“As for high-income country cities, findings suggest that to observe meaningful improvements in physical activity levels and climate change mitigation, these types of strategies may need to be further complemented by policies that increase the cost of driving.
“Our research provides strong evidence to illustrate the multiple benefits of promoting physical activity on a large scale, not just for specific areas or populations. The benefits are huge for individuals, communities and to the planet and goes a long way in contributing to the U.N. sustainable development agenda.
“As well as helping to prevent chronic disease, promoting physical activity at scale can reduce traffic deaths and pollution. It helps to create more equitable societies and reduce climate change.
“Physical activity promotion strategies can bring benefits beyond health and bring us closer to a more equitable, sustainable and environmentally friendly future.”
