Organ donation: Scotland’s opting in

Scotland will move to a soft opt out system for organ and tissue donation, under legislation introduced to the Scottish Parliament.  The Human Tissue (Authorisation) (Scotland) Bill will change organ and tissue donation from the current ‘opt in’ system to an ‘opt out’ system.

Under the proposed system, if someone has not stated a decision about donation, they may be deemed as having authorised it.

The Bill contains safeguards to ensure people’s wishes regarding donation are followed and that families will be asked about their loved one’s views to ensure donations don’t occur where the person would not have wished it.

The move to an opt out system received 82% support from respondents in a public consultation in 2017. It will add to measures that have contributed towards improvements in organ donation over the last decade in Scotland, which has seen   an 89% increase in the number of deceased organ donors and a 78% increase in organ transplants.

Public Health Minister Aileen Campbell (above) said: “We need to do all we can to further reduce the number of people in Scotland waiting for transplants. We have made significant progress over the past decade, and moving to an opt out system will be part of driving a long term change in attitudes towards organ and tissue donation.

“Organ and tissue donation is an incredible gift. Importantly, under the proposed system, people will still be able to make a choice about donation as they can now and there are safeguards to ensure their wishes are followed. I would encourage people to continue to make a decision about donation and to tell their family.

“Organ donation can only occur in tragic circumstances, and every donor, supported by their family, makes a selfless decision that can save other people’s lives.”

Under the proposed system there will be protections for adults without capacity to understand deemed authorisation, adults resident in Scotland for less than 12 months and children under 16 who will not be subject to deemed authorisation and will only be able to donate if they, or someone on their behalf, explicitly authorises it.

Less than 1% of people die in circumstances that enable organ donation to proceed, as a potential donor usually has to be in an intensive care unit and  there may be medical reasons that mean organs are unsuitable for transplantation.

Since 2008 in Scotland, there has been:

  • An 89% increase in the number of people who donated organs after their death (54 to 102 in 2017/18)
  • A 78% increase in the number of lifesaving transplant operations from deceased donors (211 to 375 in 2017/18
  • A 22% decrease in the number of people on the active transplant waiting list (689 to 534 in 2017/18)

Sepsis awareness campaign launched today

A Scotland-wide campaign to raise public awareness of the signs and symptoms of sepsis will be launched today by Health Secretary Shona Robison. The radio, print and social media campaign will reach more than 1.3 million people across the country, and every community pharmacy in Scotland will display posters warning of the signs of sepsis. Continue reading Sepsis awareness campaign launched today

Free vaccination is best protection against flu

The Health Secretary and Chief Medical Officer have joined to urge all eligible adults to take up the offer of the free flu vaccination. Latest figures from Health Protection Scotland show just over 41% of those aged under 65, who are considered ‘at risk’, have had their flu jab this winter – but cases of flu have more than doubled compared to the same time last year. Continue reading Free vaccination is best protection against flu

Eat green in 2018: Scots urged to eat more fruit and veg

January will see the revamp of the ‘Eat Better Feel Better’ website, which offers practical advice with the aim of increasing fruit and veg consumption, and cutting unhealthy snacking and sugary drink consumption in children. The site has tips and tools for families to help them make simple, quick and cheap changes to how they shop, cook and eat. Continue reading Eat green in 2018: Scots urged to eat more fruit and veg

Quit smoking your way

A poster highlighting free NHS stop smoking services will be in every community pharmacy in Scotland from next week. The brand ‘Quit Your Way – with our support’ was created after research by Health Scotland found smoking cessation services should have one national identity to improve uptake. Continue reading Quit smoking your way

Lifesavers: 60,000 Scots trained in CPR

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More than 60,000 people across Scotland have been given life-saving CPR training in the last 12 months – as part of an unprecedented national collaboration of more than a dozen organisations including emergency services, defence and third sector – to improve the response to out-of-hospital cardiac arrest. Continue reading Lifesavers: 60,000 Scots trained in CPR

City cleanup initiative targets Leith Walk

Leith foot of the walk

A drive to tackle rubbish, fly-tipping and dumped trade waste on city streets was kicked off this week. The second phase of the Our Edinburgh initiative, which aims to address anti-social behaviour like littering, has begun in the Leith Walk area, identified as a hotspot for overflowing bin complaints. Continue reading City cleanup initiative targets Leith Walk

Legionnaire’s outbreak: we’ll never know the source

Final Report into 2012 Legionnaires’ Outbreak published but the source of the outbreak may never be known

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NHS Lothian, on behalf of the multi-agency Incident Management Team (IMT), has today published the final report​ into the 2012 Legionnaires’ outbreak which affected the south west of Edinburgh. The 68 page report goes into great detail – but the public heath professionals who produced the report are unable to pinpoint the source of the outbreak.

The report states: ‘As it has not been possible to identify the precise source of the Legionella bacteria that resulted in the death of four people, Crown Counsel has concluded that there is insufficient evidence to prosecute any person or organisation for the deaths.’

The Incident Management Team has concluded that the outbreak was caused by an aerosol release of Legionella pneumophila Sg1 Knoxville ST191 over a defined area of south west Edinburgh during May 2012. Although the Incident Management Team could not establish the specific source of the organism, it has concluded that: ‘the most likely source of this aerosol release was an industrial complex containing wet cooling towers in the north east of the affected area.’

Between late May and late June 2012, 56 people who had links to south west Edinburgh, were confirmed as suffering from Legionnaires’ disease. Four of these people died and the Health and Safety Executive, under the direction of the Crown Office and Procurator Fiscal Service Health and Safety Division carried out a full investigation into the cause.

The final report into the outbreak highlights that the locally coordinated public health, environmental health, scientific and clinical response helped protect the health of people living and working in south west Edinburgh and had a positive impact in preventing more people becoming seriously ill.

It has been published following the conclusion of all investigations into the outbreak.

Professor Alison McCallum, Director of Public Health and Health Policy, NHS Lothian said: ““I would once again express my sincere condolences to the families of those who died during this outbreak and the patients affected.

“The review of outbreak management and the subsequent public health research has provided valuable in enhancing the existing knowledge on Legionella outbreaks and control. This report allows us to share our experience and findings with other public health teams across the globe.”

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Talking about a healthier Scotland

‘We want to know what really matters to people and their families when thinking about the future, and what support they need to lead healthier lives.’ – Health Secretary Shona Robison

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The conversation on the long term future of health and social care services in Scotland began at an event held in Dundee yesterday.

Representatives from the Scottish Government, NHS, care sector, charities, patient groups and the third sector came together this morning in a café conversation-style event hosted by national third sector health and social care organisation, the ALLIANCE.

It is the first in a series of events and discussions which will be held around the country between August 2015 and April 2016.

Opening the event, Health Secretary Shona Robison called on people from across the country to get involved. She also announced the launch of the Creating a Healthier Scotland website, giving people the opportunity to follow the conversation and contribute to the debate as it progresses.

Ms Robison said: “Earlier this year I announced my intention to hold a national conversation about the future of our health and social care services. I want to seek agreement on how to make more progress in improving the health of the population, and on how our NHS and social care systems should develop by 2030 to continue supporting everyone to live well.

“We want to know what really matters to people and their families when thinking about the future, and what support they need to lead healthier lives.

“The NHS is a treasured institution and holds a special place in this country’s heart. Nearly every single person has used or had some experience of the NHS in their lifetime and so it is absolutely right that we involve as many people as we can in the discussion about where the NHS will go in the next ten to fifteen years and beyond.

“There will be many opportunities for people to get involved, and tell us what matters over the coming months.

“We have made some real progress in recent years – cutting waiting times, vastly reducing superbug infections in our hospitals and bringing together health and social care through legislation for the first time ever to deliver fully joined up services for people in Scotland.

“We have also taken steps to address immediate challenges – like investing £100 million to tackle delayed discharge, recruiting record levels of staff, investing more than £12billion in a financial year for the first time ever and setting out a new plan for emergency care.

“Our vision for 2020 – that people should live longer healthier lives at home or in homely settings remains the right course to set. But our approach to health and social care between now and 2030 cannot simply remain the same as we face increasing challenges and pressures and we must start discussing and planning for that now.

“Most importantly, I want to ensure that as far as possible the outcome of the national conversation is turned into a practical reality. This isn’t about producing just another vision – we want to take these views and put them into practice as quickly as we can.

“Today marks the beginning of this conversation and I’m pleased to be here in Dundee to listen to a wide range of stakeholders, professionals and patients of the NHS.”

Ian Welsh, Chief Executive of the Health and Social Care Alliance Scotland (the ALLIANCE) said: “The ALLIANCE welcomes the national conversation on the future of health and social care in Scotland. This provides us with an opportunity to engage with people across the country who use support and services in defining priorities for improving Scotland’s health and wellbeing. We look forward to working with our members to generate a substantial contribution to this process and support creative discussions about what keeps people well.”

The national debate will focus around three broad questions:

  • What support do we need in Scotland to live healthier lives?
  • What areas of health and social care matter most to you?
  • Thinking about the future of health and social care services, where should our focus be?

Find out more on the Creating Healthier Scotland website: http://healthier.scot/

Contribute to the debate via post and email, or by joining the discussion on the blog, Twitter, orFacebook page.