Labour Lothians MSP, Sarah Boyack, highlighted new research from Sight Scotland, which reveals that a quarter of all Scotland’s sight loss population, live within council areas served by Edinburgh’s Princess Alexandra Eye Pavilion.
Edinburgh’s Eye Pavilion was deemed not fit for purpose, by the NHS, in 2014 and has been the subject of a long running campaign to have it replaced.
In this time, waiting times have skyrocketed, with research from Sight Scotland highlighting that the number of ongoing waits has increased by over 10,000 since 2014.
With reports of appointments cancelled or delayed due to maintenance issues, it is likely this will only increase as the facility deteriorates further.
These numbers illustrate the extent of the crisis hitting eye care on the East coast of Scotland.
All this comes as the Scottish Government has backtracked on their election commitment to replace the current Eye Pavilion.
The Scottish Government’s recent budget froze capital spending for a minimum of two years, ensuring the new Eye Hospital could not go ahead and throwing its long-term future into doubt.
Sight Scotland have identified safety risks for both patients and staff due to the dilapidated state of the current facilities.
There is also a lack of clarity regarding what actions will be taken in the interim to ensure that the 45,000 people with sight loss, in the Pavilion’s remit, are able to receive the adequate care they require.
Commenting on the figures, Ms Boyack said: “We knew there was a crisis in eyecare, but now we know the full extent of it.
“The fact that a quarter of all those with sight loss are having to rely on not fit for purpose facilities is a national disgrace.
“And now the Scottish Government is subjecting them to unknown delays due to SNP budget cuts.
“Patients don’t just deserve a new hospital, they need one.
“If the Scottish Government does not act soon, there will be dire long-term consequences for Edinburgh’s sight loss population.”
Peter Scobbie, a long-time patient of the Eye Pavilion, added: “I’ve been going to the Princess Alexandra Eye Pavilion for 18 years now and the building is in shocking condition.
“The layout is completely inaccessible with the patient support services on the top floor and the pharmacy on the bottom next to the waiting area.
“Half the time the lifts are out of order, so I’m forced to use the stairs which I don’t feel safe doing as the handrail is very low and a straight drop down to the ground.
“I’d go as far to say it’s dangerous, especially for people with no to low sight.
“The decision not to fund a new hospital is therefore incredibly disappointing and I’m worried for other patients and the growing number of people who will need specialist eye care soon – what will they do?”
Millions invested in eight innovative companies behind lifesaving new medical technology which could destroy liver cancer tumours, detect Alzheimer’s and quickly spot those at risk of stroke
Countless lives could be saved thanks to a multi-million pound UK government investment in potential breakthrough medical devices.
As part of a £10 million funding package for boosting access to medical technology, eight innovative tech companies will be supported to bring their devices to market. It could help transform the way we treat some of the biggest causes of death and disability in the UK.
One device, by HistoSonics, aims to identify and destroy liver cancer tumours using focused ultrasound waves. These waves break down tumours without damaging healthy tissue, offering a safer alternative to radiotherapy and other high intensity treatments. It could improve quality of life for many patients going through treatment – reducing hospital visits, post procedure complications, and making pain management easier.
Today’s announcement is part of the government’s long-term plan to ensure the NHS and its patients can get quicker access to new ‘groundbreaking’ technologies. It follows the unveiling of our groundbreaking blueprint for boosting NHS medtech and turning innovation into real benefits for society last year.
Health Minister Andrew Stephenson said: “NHS staff need access to the latest technology to deliver the highest quality care for patients and cut waiting lists – one of our top five priorities.
“These cutting-edge technologies could help thousands of patients with a range of conditions, including cancer, stroke, and Alzheimer’s, while easing pressure on our hospitals and reducing healthcare inequalities.
“Our investment in these pioneering companies is part of our long-term plan for a faster, simpler and fairer health care system, and demonstrates our clear commitment to ensuring the UK is the most innovative economy in the world.”
One company is developing a blood test for Alzheimer’s Disease which means patients could be identified and treated earlier. Roche Diagnostics Ltd has developed the Amyloid Plasma Panel – a blood test which could help clinicians decide if patients with cognitive impairment should undergo tests or imaging to confirm Alzheimer’s Disease.
A portable blood test, from Upfront Diagnostics, could help paramedics identify stroke patients more quickly. Currently, ambulance workers can’t recognise a patient with a blood clot blocking the flow of blood and oxygen to their brain, who would require urgent treatment at stroke centres rather than local hospitals.
The blood test could help them recognise these cases on the spot – so patients could be taken to a comprehensive stroke centre for immediate, vital treatment. It could mean thousands are spared long-term disability and the associated care costs, while reducing pressure on A&E departments nationwide.
Dr Marc Bailey, Medicines and Healthcare products Regulatory Agency Chief Science and Innovation Officer, said: “We are very excited to announce the final eight selected technologies in the new IDAP pilot scheme.
“This is designed to explore how support from the regulator, UK health technology organisations and NHS bodies can accelerate the development of transformative medical devices from their initial proof of concept through to uptake in the NHS.
“The pilot criteria prioritises patient need in all aspects of decision-making and, by supporting innovative medical technologies, will ease pressure on the healthcare system. Most important, it’s an initiative which could be life-changing for many patients.
“We are committed to being a regulator that establishes the UK as a centre of medical innovation and look forward to working with the wider healthcare system to achieve this.”
The funding is part of a radical new programme called The Innovative Devices Access Pathway (IDAP), which aims to bring state-of-the-art technologies and solutions to the forefront of the NHS. Currently in the pilot stage, the funding will be used to test the new technologies for use on a large scale as quickly as possible.
The government is investing £10 million in the pilot as part of a wider programme of work to accelerate access to medical technology.
The programme is run by the Medicines and Healthcare products Regulatory Agency (MHRA), The National Institute for Health and Care Excellence (NICE), NHS England, Health Technology Wales, and Scottish Health Technology Group. They will be providing tailored, intensive advice on regulatory approval, health tech assessments and access to the NHS.
Jeanette Kusel, Director of NICE Advice (The National Institute for Health and Care Excellence) said: “NICE’s ambition is to drive innovation into the hands of health and care professionals to enable best practice in health and care treatment.
“Through IDAP and our support service NICE Advice, we aim to be a trusted adviser, providing tailored advice and supporting businesses along the whole product lifecycle helping them realise their ambition and helping bring the very best of innovation into the NHS and the hands of patients.”
Lenus Health Ltd. is using artificial intelligence to predict patients at risk of hospitalisation for Chronic Obstructive Pulmonary Disease, which causes the airways to become narrow and damaged, resulting in breathing difficulties.
The company collects data from wearable devices, sensors and apps and uses AI to predict which patients are at greater risk of hospital admissions. This allows them to be monitored and treated more effectively, while simultaneously reducing pressure on hospitals.
Another device aims to reduce inequalities in the field of lung health. Oximeters – devices clipped over the end of a fingertip – are used widely at hospitals and at home to assess how well the lungs and circulatory system are working. However, research suggests this technology may not accurately detect falling oxygen levels in people with darker skin tones.
EarSwitch has produced a device which detects oxygen levels from the inner ear-canal instead, which is not pigmented irrespective of the person’s skin colour. It could offer better quality readings and a more innovative approach to oxygen level monitoring.
Vin Diwakar, Interim National Director of Transformation, NHS England, said: “This is an important milestone in our work to ensure the NHS continues to get the best new technologies and treatments to patients faster, having already rolled out more than 100 new treatments through the cancer drug fund and setting up a dedicated programme to prepare for new Alzheimer’s treatments once they are approved.
“We will be working closely with our partners to support those companies selected for the pilot so that more game-changing, life-saving technologies are introduced quickly and safely on the NHS.”
Other technologies set to benefit from a share of the funding include:
Multiple Sclerosis fatigue app: Avegen Ltd. has developed a new smartphone app that delivers exercises, cognitive behaviour therapy and targeted physical activity in a personally customisable format to help patients manage Multiple Sclerosis (MS).
Self-test for neutropenia: 52 North Health. has developed a new device to allow chemotherapy patients to self-test at home – using a finger-prick blood test – for neutropenic sepsis. This is a life-threatening condition in patients whose immune system is suppressed.
Algorithm infection predictor: Systemic Inflammatory Response Syndrome (SIRS) is a life-threatening medical condition caused by the body’s overwhelming response to infection or inflammation. Presymptom Health Ltd. has developed a new test and algorithm with the potential to predict infection status up to three days before conventional diagnosis is possible.
Dr Susan Myles, Director of Health Technology Wales, said: “Health Technology Wales is proud to have played a role in the selection of eight pilot IDAP technologies which have the potential to support clinicians and improve the lives of patients across the UK.
“We look forward to continuing to support the adoption of innovative health technologies by the NHS.”
A proposal for air quality monitors to be trialled in Aberdeen, Dundee, Edinburgh, Glasgow and Perth
Doctors encourage Scottish Government to take forward schools air quality monitor pilot
A proposal for air quality monitors to be trialled in Aberdeen, Dundee, Edinburgh, Glasgow and Perth
The Royal College of Physicians of Edinburgh (“the College”) is urging the Scottish Government to take forward its proposal to monitor air quality around urban schools in Scotland.
The College’s costed pilot proposal would see air quality monitors placed for a year in up to three schools, within 50m of those schools, in each of five Scottish cities: Aberdeen, Dundee, Edinburgh, Glasgow and Perth. The pilot would therefore see up to 15 schools across Scottish cities taking part.
Last year, the College called for air quality monitors to be placed at all city primary schools in Scotland for a period of at least a year, in its submission of evidence to the Scottish Parliament’s Net Zero, Energy and Transport Committee.
The pilot idea was developed by the College’s Working Group on Air Pollution and Health. It has now been submitted to the Scottish Government following positive discussions with government officials last year. Members of the Working Group highlighted the lack of data on air quality around schools despite the knowledge that air pollution can pose serious health risks to children.
As part of the working group’s preparation of the pilot proposal, clinicians plotted the distances between primary and secondary schools in these five city areas and existing air quality monitors.
The group found that from the 337 primary and 94 secondary schools examined, only one primary school was within 50m of a PM (particulate matter) monitor and only 2 primary schools were within 100m of a NO2 (nitrogen dioxide) monitor.
There were no secondary schools within 100m of either type of monitor.
Professor Jill Belch, Co-lead of the College’s Working Group on Air Pollution and Health, and Professor of Vascular Medicine at the University of Dundee, said:“Science has provided robust evidence that children are significantly harmed by air pollution, with sometimes tragic results.
“Whilst lung disease in children is widely recognised as a result of breathing polluted air, less well known to the public, but equally important, are the effects of this pollution on the developing organs within a child.
“For example, exposure to polluted air in childhood has been shown to reduce brain cognitive function in a number of key ways. Further, and of concern, is that children appear to become unwell at lower levels of pollutants than do adults.
“ At present the early work conducted by the Royal College of Physicians of Edinburgh suggests that few school have air quality monitors nearby, so we do not actually know how well or otherwise, our children are protected. It is therefore imperative that we ensure air quality around schools is within regulatory levels, and the College’s proposal to the Scottish Government can start this process.”
Professor Andrew Elder, President of the Royal College of Physicians of Edinburgh and the other Co-Lead of the Working Group on Air Pollution and Health, said:“ There is overwhelming evidence that air pollution can have a wide range of detrimental health impacts on our children including problems with the lung, heart, brain and immune and hormonal systems.
“We also know that there is a correlation between areas of high deprivation and poor air quality and this can exacerbate pre-existing health inequalities in children and young people.
“ We are concerned at the lack of data on air quality around urban schools in Scotland- with the vast majority of urban air quality monitors currently sited too far away from schools- and believe we must collect as much accurate school level data as possible so we can have an evidence base for action.
“The College hopes that the Scottish Government will consider our proposal positively and we remain committed to working constructively with it and all other stakeholders so that we can better understand the levels of air pollution around our schools and subsequently support implementing mitigation measures where these are required.”
Mike Corbett, National Official (Scotland) for the NASUWT said: “Thousands of people die each year because of occupational diseases caused by air pollution at work. Pollution arising from work and travel to work are health issues for which employers currently take little responsibility.
“Air pollution impacts workers and their families at all stages from before birth to old age and is particularly damaging to the growth and development of babies and children.
“ Being able to quantify the scale of the problem around our schools is the first step to cleaning up the air we and our children breathe and moving towards a heathier and safer future. NASUWT is therefore very pleased to endorse and support this proposal for pilot air quality monitoring around schools.”
Proposal to continue policy and increase level to 65p
Plans to continue setting a minimum price per unit of alcohol and to increase it by 15p will go before the Scottish Parliament for approval.
As part of a ‘sunset clause’ when Minimum Unit Pricing (MUP) legislation was introduced in 2018, it will end on 30 April this year unless Parliament votes to keep it.
A price increase is required to counteract the effects of inflation and 65p has been selected as the Scottish Government seeks to increase the positive effects of the policy.
If Parliament agrees, it will take effect on 30 September 2024.
Deputy First Minister Shona Robison said: “Research commended by internationally-renowned public health experts estimated that our world-leading Minimum Unit Pricing (MUP) policy has saved hundreds of lives, likely averted hundreds of alcohol-attributable hospital admissions and contributed to reducing health inequalities.
“Despite this progress, deaths caused specifically by alcohol rose last year – and my sympathy goes out to all those who have lost a loved one.
“We believe the proposals, which are supported by Scotland’s Chief Medical Officer, strike a reasonable balance between public health benefits and any effects on the alcoholic drinks market and impact on consumers.
“Evidence suggests there has not been a significant impact on business and industry as a whole.
“Alongside MUP, we will continue to invest in treatment and a wide range of other measures, including funding for Alcohol and Drug Partnerships which rose to £112 million in 2023-24.”
CAMRA: Action plan needed to save Scottish pubs from permanent closure after MUP announcement
The Campaign for Real Ale (CAMRA) says ministers need to value the role of local pubs as part of Scotland’s social fabric and protect them from closure.
CAMRA is calling on the Scottish Government to come up with an action plan to save the nation’s pubs following today’s announcement on increasing the minimum unit price for alcohol to 65p from 30 September.
Representing pubgoers, the consumer group believes that policies like Minimum Unit Pricing (MUP) – and a cut in tax specifically on pints served in pubs, which it is calling for ahead of the UK Government’s Budget in March – can encourage people to drink in the regulated setting of the pub instead of drinking cheaper supermarket alcohol at home.
But the Campaign fears that uprating MUP won’t have an impact on its own to encourage pub-going and to safeguard the future of hundreds of community locals at risk of permanent closure due to crippling business rates and a possible return of Scottish Government plans to ban alcohol advertising.
Commenting on the MUP increase, CAMRA’s Scotland Director Stuart McMahon said:“Our pubs and social clubs are a vital part of our social fabric, bringing people together and helping to tackle loneliness and social isolation. But too many are being forced to close due to crippling costs, with pubs in Scotland shutting up shop at a higher rate than elsewhere in the UK.
“Sadly, the Scottish Government doesn’t seem to understand the importance of protecting our local pubs as community meeting places and as a safe, regulated place to enjoy a pint with friends and family, with all the wellbeing benefits that go with it. Once our pubs have closed down, or have been converted into flats or shops, or demolished altogether, it is too late to get them back for the communities they once served.
“That’s why we are calling on the Scottish Government to bring forward an action plan to protect and promote pubs as a force for good in our society and to recognise the mental health and wellbeing benefits of drinking responsibly in your local.
“CAMRA urgently wants to see a rethink on help for pubs with business rates, the closing of loopholes in the planning system that allow pubs to be demolished by developers without the need for planning permission and a commitment not to cripple valued local pubs and independent breweries by bringing back draconian measures to ban alcohol advertising and sponsorship.”
GMB Scotland responds to ministerial announcement on Minimum Unit Pricing
GMB Scotland has urged the Scottish Government to urgently reconsider plans to increase minimum unit pricing (MUP) for alcohol by 30%.
The union, with members across the drinks industry, warned the policy is already risking jobs and investment while its health benefits remain unproven.
Deputy first minister Shona Robison today revealed the government’s intention to continue the policy beyond its initial five years while increasing the MUP from 50p to 65p.
David Hume, GMB Scotland organiser in the drinks industry, said: “The case for continuing with MUP never mind increasing it gets weaker with every piece of research published.
“Ministers must be guided by reliable research and data not wishful thinking and good intentions.
“The potential consequences of this policy are too damaging for it to be justified with anecdote, hunches and hope.
“Five years ago, we were told this policy would help save lives of problem drinkers. Now we are told it is about curbing the intake of moderate drinkers but there is no substantive evidence to suggest it does either.”
“The health benefits of this policy remain theoretical at best but the risk of undermining one of Scotland’s most successful industries threatening investment and jobs could not be more real.
“It is reckless to consider extending this policy and increasing MUP when there is no substantive evidence that it does any good.”
The union polled workers across the brewing, whisky and spirits last year when 64% said MUP should be scrapped because it needlessly risked jobs and investment while doing nothing to discourage problem drinking while a third said it should remain at 50p or be reduced.
There has been a rise in young people in Scotland vaping in recent years, with more than 40 per cent of children and teenagers saying they’ve tried vapes by the time they reach S4.1
Vaping is a new and emerging pattern of disruptive behaviour in schools, with staff reporting reduced attendance as young people gather to vape in toilets through the school day.2
Nicotine, often found in vapes, can also be linked to stress, anxiety and struggles with sleeping. Research shows that you can become addicted to nicotine within days of starting to use it and a quarter of teens who tried vaping say they are addicted.3
To help tackle this issue the Scottish Government has launched a campaign which encourages and supports teachers to have conversations with pupils about the serious health risks of vaping.
Public Health Minister Jenni Minto said: “Smoking damages lives and kills more than 8,000 people a year in Scotland and is burden on our NHS and social care services. Research also suggests that almost one in five adolescents have tried vapes.
“While E-cigarettes are one of a range of tools for adult smokers to quit smoking, they should never be used by young people or adult non-smokers. We must take action to prevent young people using vapes and becoming addicted which will damage their health, and that’s why we launched a marketing campaign. It is much easier to never start than it is to give up.”
Allie Cherry-Byrnes, CEO of Fast Forward, a voluntary education organisation, said: “We know from speaking to schools and parents during our vaping workshops that schools have seen a notable increase of vaping among pupils recently.
“The nicotine addiction associated with vaping can affect pupils’ ability to concentrate in school and schools are also seeing a negative impact on attendance.
“The campaign resources are a useful tool for teachers as they continue to speak to pupils about vaping and help young people understand the health risks involved.”
Resources linking to Curriculum for Excellence have been shared with all Scottish schools, including information and facts about vaping, posters, newsletter copy, social media assets and an expert film featuring Professor Linda Bauld talking about the impacts of vaping on young people.
Professor Linda Bauld from the University of Edinburgh said “There is a rise in young people in Scotland who vape and this is a concern. These are products that should be used by adult smokers trying to quit and not other groups.
“Although we don’t have long term evidence on health harms, we do know that many vaping products contain nicotine that can be addictive. Cravings for nicotine can lead to irritability, restlessness, feeling anxious or depressed, trouble concentrating and sleeping.
“It’s important that we communicate to young people and parents about risks and support them to have informed discussions about these products.”
Nicotine withdrawal can have an impact on a young person’s mental health making them tired, stressed and anxious. It can also affect young people’s concentration and impact their ability to learn and study. The first symptoms of nicotine dependence can appear within days or weeks of starting to occasionally vape.
The ‘Take Hold’ campaign also offers advice for parents about talking to their about vaping and features a striking image of a young person being ‘taken hold of’ by vape smoke, to highlight how vaping can quickly take hold of and impact your life.
Disposable vapes will be banned in the UK as part of ambitious government plans to tackle the rise in youth vaping and protect children’s health
Ban on disposable vapes which have driven alarming rise in youth vaping
New powers to restrict vape flavours, introduce plain packaging and change how vapes are displayed in shops so they don’t appeal to children
New law will make it illegal to sell tobacco products to anyone born on or after 1 January 2009, delivering on the Prime Minister’s pledge to create a smokefree generation
Disposable vapes will be banned in the UK as part of ambitious government plans to tackle the rise in youth vaping and protect children’s health, the Prime Minister has announced today [Monday 29 January] on a visit to a school.
The measure comes as part of the government’s response to its consultation on smoking and vaping, which was launched in October last year.
Recent figures show the number of children using vapes in the past three years has tripled. Use among younger children is also rising, with 9% of 11 to 15-year-olds now using vapes. The long-term health impacts of vaping are unknown and the nicotine contained within them can be highly addictive, with withdrawal sometimes causing anxiety, trouble concentrating and headaches. While vaping can play a role in helping adult smokers to quit, children should never vape.
Disposable vapes have been a key driver behind the alarming rise in youth vaping, with the proportion of 11 to 17-year-old vapers using disposables increasing almost ninefold in the last two years.
As part of today’s package, new powers will be introduced to restrict flavours which are specifically marketed at children and ensure that manufacturers produce plainer, less visually appealing packaging.
The powers will also allow government to change how vapes are displayed in shops, moving them out of sight of children and away from products that appeal to them like sweets.
To crack down on underage sales, the government will also bring in new fines for shops in England and Wales which sell vapes illegally to children. Trading standards officers will be empowered to act ‘on the spot’ to tackle underage tobacco and vape sales. This builds on a maximum £2,500 fine that local authorities can already impose.
Vaping alternatives – such as nicotine pouches – will also be outlawed for children who are increasingly turning to these highly addictive substitutes.
The government has again reiterated its commitment to bring about the first smokefree generation and introduce legislation so children turning fifteen this year or younger can never legally be sold tobacco.
Smoking is the UK’s single biggest preventable killer – causing around one in four cancer deaths and leading to 80,000 deaths per year – so stopping young people from ever starting to smoke will protect an entire generation, and future generations, from smoking harms as they grow up.
To help ensure the success of the smokefree generation plan, £30 million new funding a year will be provided to bolster enforcement agencies – including Border Force, HM Revenue and Customs (HMRC) and Trading Standards – to implement these measures and stamp out opportunities for criminals.
The Prime Minister, Rishi Sunak, said: As any parent or teacher knows, one of the most worrying trends at the moment is the rise in vaping among children, and so we must act before it becomes endemic.
“The long-term impacts of vaping are unknown and the nicotine within them can be highly addictive, so while vaping can be a useful tool to help smokers quit, marketing vapes to children is not acceptable.
“As Prime Minister I have an obligation to do what I think is the right thing for our country in the long term. That is why I am taking bold action to ban disposable vapes – which have driven the rise in youth vaping – and bring forward new powers to restrict vape flavours, introduce plain packaging and change how vapes are displayed in shops.
“Alongside our commitment to stop children who turn 15 this year or younger from ever legally being sold cigarettes, these changes will leave a lasting legacy by protecting our children’s health for the long term.”
There was overwhelming support among responses to the government’s consultation for a disposable vape ban, with nearly 70% of parents, teachers, healthcare professionals and the general public supportive of the measure.
The government has a duty to protect children’s health, which is why it is taking bold and decisive action on smoking and vaping. This is the responsible thing to do to protect children for generations to come.
Health and Social Care Secretary Victoria Atkins said: “Smoking is still the single largest preventable cause of death in England. Almost every minute of every day someone is admitted to hospital with a smoking-related disease. And its costs society £17 billion each year – putting a huge burden on our NHS.
“That’s why we are driving the way forward through our smokefree generation plan, which will prevent our children from starting this dangerous habit.
“The health advice is clear, vapes should only ever be used as a tool to quit smoking. But we are committed to doing more to protect our children from illicit underage vaping, and by banning disposable vapes we’re preventing children from becoming hooked for life.”
Vapes should only be used by adults as a tool to quit smoking. They contribute to an extra 50,000-70,000 smoking quits a year in England.
As part of the government’s Swap to Stop scheme, almost one in five of all adult smokers in England will have access to a vape kit alongside behavioural support to help them quit the habit and improve health outcomes.
Chief Medical Officer Professor Chris Whitty said: “Smoking damages and cuts short lives in extraordinary numbers.
“Stillbirths, cancer, asthma, dementia, stroke and heart failure – smoking causes disability and death throughout the life course. If passed, this legislation would have a major public health impact across many future generations.”
Health Minister Andrea Leadsom said: “We are in the midst of a worrying rise in young people vaping. I want to stop youth vaping in its tracks – and a ban on disposable vapes is central to that.
“Nicotine is highly addictive – and so it is completely unacceptable that children are getting their hands on these products, many of which are undeniably designed to appeal to young people.
“Along with tougher enforcement measures, we are making sure vapes are aimed at the people they were designed to help – adults who are quitting smoking.”
As well as benefitting children’s health, the ban will have a positive impact on the environment. Five million disposable vapes are thrown away each week, up from 1.3 million from last year. Over a year this is equivalent to the lithium batteries of 5,000 electric vehicles.
Environment Secretary Steve Barclay said: “Not only are disposable vapes often targeted, unacceptably, at children – they also represent a huge and growing stream of hard-to-recycle waste, with nearly 5 million thrown away every week.
“This historic announcement will be a powerful tool in support of our efforts to crack down on waste and boost recycling, as well as helping to create the first smokefree generation.”
Scotland’s Public Health Minister Jenni Minto said: “Smoking damages lives and kills more than 8,000 people a year in Scotland and is burden on our NHS and social care services. Research also suggests that almost one in five adolescents have tried vapes.
“We want to do more to achieve our goal of being tobacco-free in Scotland by 2034 and after collaborating on the UK-wide consultation, we have worked closely across the four UK nations on next steps and now intend to act on taking forward its recommendations, either on a UK-wide basis or through legislation in the Scottish Parliament.
“I have worked closely with Circular Economy Minister Lorna Slater on disposable vapes. These are a threat to both public health and the environment – from litter on our streets, to the risk of fires in waste facilities – that’s why we will act on our Programme for Government commitment and move to ban them.”
Smoking is responsible for one in five deaths – more than 8,000 a year – in Scotland. It causes preventable ill health, is a significant burden on our NHS and social care services, is the leading preventable cause of health inequalities and costs the economy millions each year in lost productivity.
In Scotland, 82.3% supported restrictions on single-use vapes (79.3% UK-wide), and 73.4% favoured an outright ban (68.1% UK-wide).
The 10-week public consultation on ‘Creating a smokefree generation and tackling youth vaping’, closed on 6 December.
Over 25,000 responses were analysed, and the government response sets out plans for upcoming legislation which will be introduced in Parliament shortly.
Creating a smokefree generation goes beyond the harm to public health. The trade in illicit cigarettes, hand-rolling tobacco and other tobacco products has far reaching implications. HMRC estimates that the illicit tobacco trade costs the UK economy around £2.8 billion a year in lost revenue – money that should fund our public services.
Today, HMRC and Border Force will publish a new Illicit Tobacco Strategy, ‘Stubbing Out the Problem’, which:
sets out their continued commitment to reduce the trade in illicit tobacco, with a focus on reducing demand, and to tackle and disrupt organised crime behind the illicit tobacco trade
highlights the cost to the UK in lost tax revenue and the burden to taxpayers, the undercutting of law-abiding businesses, and the funding of wider organised crime through illicit tobacco sales.
There has been widespread support for the ban:
Dame Rachel de Souza, the Children’s Commissioner for England: “As Children’s Commissioner, I want all children to grow up healthy and well, which is why I have been calling for disposable vapes to be banned, to protect children and prevent them from becoming addicted.
“I am absolutely delighted that the Government has listened to the appeals that I, and many others, have made to ban disposable vapes. I also welcome the decision to create far tighter restrictions on marketing and flavours of vapes so they aren’t so appealing to children and young people.
“When I asked children a couple of years ago about all aspects of their health and wellbeing, I was shocked and concerned to hear from children as young as 12 who told me that vaping was normalised among their peers – even on school premises. This announcement will help tackle that issue and I know that many children and parents will be extremely relieved.”
The Royal College of Paediatrics and Child Health (RCPCH) Vice President for Policy, Dr Mike McKean, said: “We’re delighted that the Westminster Government has heard our calls and is rightly prioritising the health and well-being of our children and the planet.
“Bold action was always needed to curb youth vaping and banning disposables is a meaningful step in the right direction. I’m also extremely pleased to see further much needed restrictions on flavours, packaging, and marketing of vapes, which RCPCH has repeatedly called for.
“As a respiratory consultant it is not lost on me that smoking remains the single biggest cause of preventable illness and disease in the UK. We know this because we have 60 plus years of research and data on cigarette use on a population level. But the research and data around widespread e-cigarette use is still very much in its infancy. The long-term impacts, especially for children and young people, remain unknown.
“Government must swiftly lay the legislation to ensure it can be fully considered in this Parliament. We look forward to seeing more details about these landmark plans, especially in terms of implementation, enforcement, and monitoring.”
Cllr David Fothergill, Chairman of the Local Government Association’s (LGA) Community Wellbeing Board said: “We’re delighted that the Government has listened to the longstanding concerns of the LGA and councils and are taking decisive action to ban single-use vapes.
“Disposable vapes are inherently unsustainable products, meaning an outright ban remains the most effective solution to this problem.
“Single use vapes blight our streets as litter, are a hazard in our bin lorries, and are expensive and difficult to deal with in our recycling centres. Their colours, flavours and advertising are appealing to children and are a risk to the health of young people.
“We look forward to working with the Government and others to enforce this ban as well as ensure plans for a smokefree generation are a success.”
Henry Gregg, Director of External Affairs at Asthma + Lung UK, said: “We welcome this robust approach to protecting young people from vaping.
“Disposable vapes, with their pocket money prices and brightly-coloured packaging have contributed to the increase in under-18s taking up vaping, and we support a well thought-out, properly enforced ban on disposable vapes.
“Immediate action to restrict flavours, packaging, and the display of vapes to reduce their appeal and availability to children and non-smokers is also much needed.
“If you’re a smoker and you want to quit tobacco, vaping can be a helpful way to give up smoking. But for children and those who don’t smoke, starting to vape isn’t a good idea, especially if you have a lung condition.
“The plan to create a smoke-free generation is a landmark decision that really shows the Government is putting the health of young people first. It’s one of the most impactful things the Government can do to protect future generations from developing lung conditions caused by smoking.
“Smoking is the biggest cause of lung disease deaths and today’s decision will save thousands of lives. Now these measures must be implemented as quickly as possible, with sufficient funding, to ensure they can be fully enforced.”
Dr Ian Walker, executive director of policy at Cancer Research UK, said: “Smoking is the biggest preventable cause of cancer, and research shows that vapes are far less harmful than smoking and can help people to quit.
“If this legislation is passed, the UK Government should ensure local smoking cessation services are adequately funded, and those trying to quit are given as much support as they need to help them do so.
“We are also pleased to see that the Government is moving forward with the tobacco age of sale legislation, applying to all tobacco products, taking us one step closer to creating the first smokefree generation.”
Libby Peake, Head of Resource Policy, Green Alliance : “This ban can’t come soon enough, not only for the health of future generations, but also for the health of the planet.
“The government has followed the science, and this decision will have many environmental benefits. Valuable lithium ion batteries will stop going to waste or winding up as litter, along with all the casings that have been blighting our environment for too long.
“This means critical raw materials will be preserved for uses where they’re much needed – like renewable energy. The risk of fire from mishandled batteries will be minimised and dangerous plastic pollution will be prevented.
“This bold move by the government is nothing but good news.”
Allison Ogden-Newton OBE, Chief Executive of environmental charity Keep Britain Tidy, said: “The announcement of a ban on disposable vapes is great news for the environment.
“Our surveys show that disposable vape litter has doubled in the past two years alone and last year more than 16% of the sites we surveyed were blighted by these single-use items, posing a significant risk to wildlife and polluting our streets, parks and beaches.
“An estimated 260 million are thrown away in this country every year, wasting precious scarce resources, including lithium.”
Gavin Graveson, Veolia Senior Executive Vice President, Northern Europe, said: “When faced with an environmental crisis, every product that enters the market should be designed for recyclability.
“Disposable vapes are a clear example of when products have been designed with no thought for their environmental impact and should be subject to an extended producer responsibility scheme that incentivises the right eco-design.
“Millions of disposable vapes have been littered causing environmental damage or thrown in bins where they cause weekly fires in recycling and waste trucks as well as treatment facilities.
“We can’t afford to allow more pollution. Veolia’s recycling scheme has already recycled over one million vapes and we support policies that will curb products with no end of life treatment.”
Members of the public are being urged not to visit hospitals if they are displaying symptoms of vomiting or diarrhoea, or if they have been in contact with anyone who is unwell.
NHS Greater Glasgow and Clyde (NHSGGC) issued the advice to those who are planning to visit loved ones in hospital.
The health board said anyone with vomiting or diarrhoea symptoms, or anyone who has been in recent contact with someone with these symptoms, should not visit until they feel better.
It comes amid a rise in winter related illnesses including Norovirus, Gastroenteritis, COVID-19 and flu across Scotland.
Visitors are also reminded to practice good hygiene by ensuring they regularly wash their hands to prevent the spread of viruses.
Nausea, vomiting and diarrhoea are common symptoms of these illnesses, along with headaches, fever and muscle or limb pain.
Symptoms of Gastroenteritis include:
Suddenly feeling sick
Projectile vomiting
Watery diarrhoea
Slight fever
Headaches
Painful stomach cramps and aching limbs
Symptoms of COVID-19 include:
Continuous cough
High temperature, fever or chills
Loss of, or change in, your normal sense of taste or smell
Shortness of breath
Unexplained tiredness, lack of energy
Muscle aches or pains that are not due to exercise
Not wanting to eat or not feeling hungry
Headache that’s unusual or longer lasting than usual
Sore throat, stuffy or runny nose
Diarrhoea
Feeling sick or being sick
Symptoms of flu include:
A sudden fever
A dry, chesty cough
A headache
Tiredness and weakness
Chills
Aching muscles
Limb or joint pain
Diarrhoea or abdominal (tummy) pain
Nausea and vomiting
A sore throat
A runny or blocked nose
Sneezing
Loss of appetite
Difficulty sleeping
In recent years, taking precautions against viral infections have become part of our daily life and we can all continue to help each other by following guidance around slowing the spread of viruses and practicing good hygiene.
You can protect yourself and others by staying at home if you are unwell and by cleaning hands and surfaces regularly.
Dr Aleksandra Marek, Consultant Microbiologist and Infection Control Doctor, said: “We are asking anyone with symptoms including vomiting or diarrhoea, or anyone who has been in contact with someone who has these symptoms, not to visit our hospitals.
“During the winter months, illnesses such as Norovirus, Gastroenteritis, COVID-19 and flu, can add to the pressures that staff face across our sites.
“To help protect yourself, your loved ones and our services, we are asking members of the public not to visit our hospital sites if they are displaying symptoms of any of these viruses.
“We are also asking anyone who does attend a site to follow infection control guidance, such as washing your hands regularly.”
NHSGGC is urging people to only attend Emergency Departments (A&E) if their condition is very urgent or life-threatening.
Any patient unsure of who to turn to has a range of options available to them:
Miracle match pair share their story to highlight extraordinary impact of living kidney donation
A man with chronic kidney disease underwent a life-saving transplant with a kidney donated by his friend, after tests showed the pair were a 100 per cent match.
Sixteen months on, Calum Mitchell, 45, from Dunfermline, and his donor Ian Cameron, 41, from Edinburgh, are sharing their story as part of a campaign to highlight the benefits of living kidney donation.
Living kidney donation plays a vital role in increasing donation and transplantation rates in Scotland, with a kidney from a living donor generally offering the best outcomes for patients in need of a transplant. Since 1960 there have been 1905 kidney transplants from living donors in Scotland, with 95 taking place in 2023.
Calum, who underwent his first transplant aged 21, spoke of how Ian’s gift has given him his life back after the function of his first donated kidney from a deceased donor began to decline. Following his second transplant, bloods show that his kidney function is better now than it was aged 16.
Calum’s first transplant lasted 22 years, nine months and six days. By 2022, he describes himself as being ‘deep into overtime’ with his donated kidney.
Calum said: “My first transplant went ahead in January 2000 and the difference it made to my life is very hard to describe. Within a year I was back to doing all the sports I loved and it was amazing being freed from dialysis, thanks to my donor and their family.
“Fifteen years post-surgery they told me my kidney function was gradually declining and by October 2021 a second transplant was raised. I knew this was ahead of me and never felt like the situation was out of control. I also felt hugely grateful my transplant had given me so many good years.”
Calum was listed for transplant and at that stage set up a WhatsApp group so his wife Kirsty could be supported by those close to her. This group included Ian’s wife Becky, which prompted Ian to email Calum in December 2021, broaching the subject of the donation.
Research conducted to support the living donation campaign shows almost half of those surveyed said they’d be likely to consider donating to a friend (48 per cent), but for Ian, the decision was made long before Calum’s first kidney transplant failed.
Ian said: “We were quite close and I had a good handle on the extent of Calum’s condition. I was always interested in how he was doing and years previously Calum mentioned he might need a new kidney.
“At that point, I spoke to my wife and we agreed we’d get tested as possible donors. So it was a kind of done deal at that point, in my head at least.
“I knew him well enough to know he wouldn’t be enthusiastic about the prospect. I’m a guy that likes to move quickly so I pushed him as I was resolute in my decision to donate. I think Calum thought I wouldn’t be a match so after a bit of back and forth, he eventually agreed to the initial tests.”
The testing started positively and went from strength to strength. Calum is a rare B negative blood type, as is Ian. At that point they had a serious discussion about Ian moving to the next stage of testing and whether Calum would accept the kidney. On Ian’s 40th birthday in April, the tests went ahead and everything was a match, with the pair being told they could be twins.
Calum said: “I’d left the ball in Ian’s court as I was grateful but that gratitude was tied up with concern and nervousness. I didn’t want to put any pressure on him, but when we got the test results it was hard to refuse as it definitely felt like it was meant to be.”
Calum went back on dialysis in June 2022 and the surgery was scheduled for September at the Royal Infirmary of Edinburgh.
Ian said: “I was pumped going in for surgery, so excited. I’d never had surgery in my life. We drove into hospital together and it felt like a very unique experience.
“Post surgery I was sore but I felt great, and ravenously hungry about an hour later. I was up and about in a couple of hours and in for two days with the soreness getting better reasonably quickly.
“The highest point of joy for me was when I was out of surgery and Calum was in theatre having the transplant. The surgeon came to see me, my wife and Calum’s wife Kirsty and told us the kidney had started working straight away. I burst into tears and I’m not a crier. It was so joyful for the three of us, such a high point and a real special time.”
Calum added: “Coming round from surgery, I knew I was immediately better, my extremities were warm, my head was clear, I had no central line in my neck which made me realise it had gone well. Compared to the last transplant, the recovery was so much quicker. I was home four days after surgery and taking the boys to football three weeks later.
“It’s like being given your life back. At the end I began to feel the decline and then felt really ill starting dialysis and the next minute I was fully alive. Life got back to normal so quickly and that is the difference. You go from one extreme to normality and normality is very, very special. I can’t really put into words what Ian has done. It’s a gift like no other.”
Ian added: “We very much feel like this was providential. When we started out on this journey we had no idea if we’d get past the first stage, but our identical results showed it was meant to be.
“Kidney donation changes lives, life expectancy and there’s a knock on effect beyond the recipient. There is no personal gain other than seeing that person doing better. That’s what makes the purity of that gift is so unique.
“To anyone considering donating, I would say it’s one of the most profound ways of changing someone’s life and I’ve personally found the entire experience hugely rewarding.”
Jen Lumsdaine, Lead Nurse for Living Donation Scotland and Living Donor Transplant Co-ordinator for NHS Lothian, said: “For those with kidney failure who are facing treatment choices, we know that talking about living donation with family and friends can be challenging. The more we can raise awareness of living kidney donation the easier it is to talk about it.
We also know that living kidney donation transforms lives – and we thank the donors and their support networks for this exceptional gift.”
Public Health Minister Jenni Minto said: “Living kidney donation plays a vital role in saving and improving lives. Calum and Ian’s story demonstrates how living donation can transform the life of someone living with kidney failure.
“A person can lead a completely normal life with one kidney, and anyone who is interested in volunteering can find out more about donating from livingdonation.scot.”
1905 people in Scotland have helped others by donating a kidney since the first pioneering surgery took place in Edinburgh over 60 years ago.
There were 95 living kidney donor transplants in 2023.
Living donation can not only lead to better outcomes for patients, but one donor can trigger a ‘chain’ of transplants for up to three people. This is co-ordinated through the UK Living Kidney Sharing Scheme (UKLKSS), which is managed by NHS Blood and Transplant (NHSBT).
Over 400 people in Scotland are currently waiting for a kidney transplant.
Approximately 600 people in Scotland start kidney replacement treatment per year, with the majority starting dialysis.
Last year 247 people in Scotland received a kidney transplant. 57 of these people received their new kidney before it was necessary to start dialysis.
Since 2006, over 100 people in Scotland have altruistically donated a kidney.
A kidney transplant is a treatment, not a cure, however kidney transplants from living donor are very successful, with over 80% of transplants still functioning at 10 years.
Living donor transplantation offers the best short-and-long term outcome for recipients. It is also by far the most cost-effective treatment and a significantly more environmentally sustainable option than dialysis.
UKHSA and ONS have published the latest data from the Winter Coronavirus (COVID-19) Infection Study, known as the Winter CIS
Winter COVID-19 Infection Study shows a continued decline in COVID-19 in England and Scotland.
The latest data from the Winter COVID-19 Infection Study, an epidemiological study run in partnership by the UK Health Security Agency (UKHSA) and the Office for National Statistics (ONS), shows a clear decline in the prevalence of SARS-CoV-2 in England and Scotland in the 2 weeks up to 10 January.
Analysis by UKHSA suggests that prevalence in the community is 2.3%, or around one in every 43 people. This represents a decrease in prevalence from 3.1% (one in every 32 people) in the previous report.
Positivity data from the ONS indicates that of the approximately 26,000 participants who reported LFD test results in the last reporting period, 1.9% tested positive for COVID-19, compared to 2.7% in the last report.
The most recent data shows a clear decline in prevalence in Scotland and most of the regions in England. This decline was also observed for the age groups between 18 to 74.
Professor Steven Riley, Director General for Data and Surveillance at UKHSA said: “This week’s data confirms the early signs of a decline in COVID-19 across the country that we saw in last week’s report.
“While this is welcome, it is important to recognise that this does not mean that the risk of becoming ill with COVID-19 has gone away.
“In previous years, we have sometimes seen a decline in early January followed by an increase over the next few weeks, so it remains important that we continue to do what we can to reduce transmission.
“Those people who are most at risk of severe illness from COVID-19 can still receive a seasonal vaccination until the end of this month, and we urge anyone eligible who has not already done so to come forward. You can get a vaccine through your GP, by booking with a local NHS vaccination service, or you can find a COVID-19 vaccination walk-in site.
“If you are showing symptoms of COVID-19 or other respiratory illnesses, you should try to limit your contact with other people as much as possible, especially those who are older or more vulnerable.”
Labour Lothians MSP, Sarah Boyack highlighted deeply distressing figures about the fall in GP surgeries in Edinburgh.
The latest figures by Public Health Scotland show that from 2010-2022, the number of Edinburgh’s GP surgeries dropped from 75 to 72. However, over the same period Edinburgh’s population skyrocketed from an estimated 480,000 to 548,000.
Edinburgh recorded the third highest population growth in Scotland, according to the most recent statistics.
This all comes as it was revealed the city of Edinburgh’s average practice list size has jumped from 7,074 in 2012, to 8413 – the 5th highest in Scotland.
In May 2023, the BMA warned that there was a sustainability crisis in Scottish general practice, in part due to the closing of surgeries.
A fall in GP surgeries will leave more and more communities without the adequate facilities to cope with their population increase.
This follows on from the Scottish Government’s decision to freeze capital projects for health boards, as well as freezing the ability to hire new staff.
The Scottish Government also requires health boards to require savings of 6.8%.
These moves will only increase pressures on NHS Lothian to provide adequate healthcare services with diminishing resources.
Commenting on the findings, Sarah Boyack said: “These figures are deeply distressing but will come as no surprise to patients in Edinburgh.
“The Scottish Government’s underfunding has left Edinburgh’s GPs unable to keep up with the city’s population growth.
“If the Scottish Government goes ahead with its budget plans, this will only exacerbate the problem.
“GP surgery staff do amazing work, but they need the funding to fulfil their potential.
“Allowing GP surgeries to close merely aggravates the sustainability crisis we are facing in general practice.
“If we are to tackle this issue, we need investment and strategy from the Scottish Government, not freezes and delays.”
