The Poverty Alliance: Experiences of poverty stigma and mental health in the UK

More than 14 million people in the United Kingdom (UK) are currently living in poverty, and the number of people experiencing deep poverty is increasing (Joseph Rowntree Foundation, 2024).

We worked with the Mental Health Foundation and researchers from the University of Strathclyde on this report, where we examine how experiences of poverty stigma are related to mental health outcomes in the UK.

Our aim was to understand the impact of poverty stigma and who is most affected in order to inform solutions.

You read it below, or download it from here.

Skye fossil discovery reveals mammals grew more slowly in the Jurassic than they do today

Two unique Jurassic fossil discoveries from the Isle of Skye have shown that mammals in the time of the dinosaurs grew more slowly and lived longer than mammals today. 

A new study in Nature by an international team of researchers led by National Museums Scotland describes two Krusatodon kirtlingtonensis fossils, one adult and one juvenile, both discovered in Skye.

These mouse-sized mammals lived around 166 million years ago. The specimens represent the only juvenile Jurassic mammal skeleton known to science, while the adult is one of the most intact mammal skeletons from this time period in the world. 

The discovery of a juvenile and adult of the same species of early mammals is unique and has allowed groundbreaking comparative analysis into their growth and life history. The ages of the specimens at death were determined using X-ray imaging to count the growth rings in their teeth.

The adult was found to be around 7 years old and the juvenile between 1 – 2 years, and still in the process of replacing its baby teeth.  This was possible thanks to X-ray computed tomography carried out in several laboratories, including the European Synchrotron (ESRF).

Today, small mammals have significantly shorter lifespans, some living as little as 12 months, and maturing quickly, losing their baby teeth and weaning within months of birth. The Krusatodon fossils reveal for the first time that the earliest mammals didn’t finish replacing their teeth until well into their second year of life, possibly later. This tells us that a fundamental shift in the growth patterns and life expectancy of mammals must have taken place during or after the Middle Jurassic. 

The specimens were discovered decades apart, with the adult being one of the earliest Jurassic finds on Skye in the 1970s, while the juvenile was discovered in 2016.  

Dr Elsa Panciroli, lead author and Associate Researcher of Palaeobiology at National Museums Scotland, said: “These fossils are among the most complete mammals from this time period in the world. They give us unprecedented insights into the lives of the first mammals in the time of dinosaurs.

“Although on the outside Krusatodon looked like a shrew or mouse, on the inside it was quite different; it grew more slowly and lived much longer than small mammals do today. As a result, it probably had quite a different physiology and life history as well. Skye’s fossils are really putting Scotland firmly on the map when it comes to understanding mammal evolution.

“This is just the tip of the iceberg in terms of what they can tell us.” 

Dr Stig Walsh, Senior Curator of Vertebrate Palaeobiology at National Museums Scotland and co-author on the study, said: “Even in the context of the amazing palaeontological finds on Skye in recent years, these fossils are remarkable. 

“Mammal fossils of this age are exceptionally rare worldwide, and most are just single teeth found by sieving sediment. To find two such rare fossil skeletons of the same species at different growth stages has rewritten our understanding of the lives of the very earliest mammals. 

“We’re thrilled they are both now part of Scotland’s National Collection, an important part of the global fossil record, and will be preserved for generations of researchers to come.” 

In addition to National Museums Scotland, the study also involved researchers from the American Museum of Natural History, University of Chicago, European Synchrotron Radiation Facility, and Queen Mary University of London. 

Prof. Roger Benson from the American Museum of Natural History said of the fossil found in 2016:  “When we found the tiny juvenile skull I didn’t realise what we’d found right away.

“The part of the fossil that was sticking out of the rock was blasted by erosion, surrounded by barnacles, and looked just like a piece of ash. I used micro-CT scanning, a form of 3D X-ray imaging, and was very surprised to see a whole skull in the rock. For science,

“it’s really remarkable to have this fossil and it told us a lot about growth and life history in some of the earliest mammals” 

Dr Elis Newham, a Postdoctoral Research Associate at Queen Mary University of London said: “Our study benefited greatly from a new technique we developed using synchrotron X-ray technology.

“This allowed us to analyse growth patterns in the teeth of these fossils, much like counting tree rings. It was surprising to discover that Krusatodon, while showing a similar development pattern to modern mammals, grew much slower and lived longer.

“This research emphasises the value of studying juvenile fossils, and the X-ray cementochronology technique offers a powerful tool for unlocking these secrets from the past.”

The paper was published in Nature yesterday, 24 July 2024. 

Measuring the Voluntary Sector

Whether it’s developing skills and training to enter the workforce, investing in buildings and equipment, or providing services to fill gaps left by the public sector, the voluntary sector plays a significant part in the UK economy. However, measurement of its economic contribution is inherently complex, meaning the role it plays is often undervalued (write CIARA CRUMMEY and MAIRI SPOWAGE of FRASER of ALLANDER INSTITUTE).

There are several difficulties in measuring this economic contribution compared to methods used for the private sector. One reason for this is a lack of an adequate, recognised definition across the sector, which leads to wide variation in valuations.

Core National Accounts can be used to estimate the voluntary sector, through the Non-Profit Institutions Serving Households (NPISH) sector. However, the UK voluntary sector is much larger than the organisations that are included within NPISH, given the specific definition of this sector. Voluntary organisations are spread across sectors and industries in the National Accounts, so the use of NPISH results in significant undervaluation of the sector’s economic contribution.

Researchers at the FAI are collaborating with VCSE Data and Insights National Observatory at Nottingham Trent University on a new ESCoE research project that aims to explore the problems with measuring the voluntary sector.

It will answer questions surrounding NPISH and the National Accounts and improve measurement of the sector within the UK National Accounts framework. This project builds on previous FAI research on Scottish charities and links to other ESCoE work on National Accounts and beyond GDP.

Why does this matter?

The inability to measure the voluntary sector’s contribution to the UK economy limits its comparison to the non-voluntary sector, meaning that it may be undervalued or overlooked. Accurate measurement would allow for better recognition of the sector’s economic contribution.

This could encourage further volunteering and involvement and investment in the sector, along with better use and allocation of resources. Unleashing the potential of the voluntary sector by measuring it more accurately could also allow its inclusion in economic growth strategies to improve both regional and national economic performance.

What are the possible solutions?

Significant research has been conducted into how the voluntary sector can be measured more accurately, and what data is required to do so. Various methods have been identified to produce a variety of estimates of the size and contributions of the sector. These methods have used different definitions of the sector.

Extensive research has been conducted into the use of satellite accounts, as an extension to National Accounts, to measure both the size and impact of the voluntary sector.

National Accounts provide a single overview of all economic activity in a country through collating and presenting the output, expenditure, and income activities of a country’s economic actors; satellite accounts provide a framework that is linked to the National Accounts but allows for a more detailed focus on a certain field or aspect of the economy.

Stakeholders have highlighted that the existence of a satellite account is as important as what it includes to provide validity for the sector. They recommend that an initial satellite account should start with the simplest definitions and be improved with further additions over time. It should take a modular approach, allowing for different definitions of the sector, and should allow for comparisons with other sectors in the economy.

In 2023, Pro Bono Economics conducted an in-depth feasibility study into satellite accounts and developed a preliminary framework for its creation.

Their recommended short-term approach uses the legal status on the Inter-Departmental Business Register (IDBR) and organisation type in the Labour Force Survey (LFS) to identify organisations that are not included in NPISH but are considered to be within civil society. They suggest a modular approach where data can be broken down and compared by Standard Industrial Classification (SIC) codes.

They also propose an ‘intermediate approach’ to capture organisations within civil society that have been missed. They provide details on how to identify these organisations, where to access relevant data and how to select what data to include. However, they acknowledge that this ‘intermediate’ approach is still limited in measuring all aspects of the sector and highlight the need for further research on volunteering, social enterprises and growth measurements.

Whatever form a satellite account takes in the UK, it is clear from previous research that one of the biggest challenges is the delineation of the sector. Given the different views of stakeholders, it is likely that a ‘menu’ of definitions is likely to be required to ensure this product has greatest utility for users.

What issues remain?

Despite these significant recent advances, issues still remain in measuring the voluntary sector and capturing its economic contributions.

The first issue is the lack of a clear, adequate definition that is recognised and adopted across the sector. Until this is agreed, measurement methodologies and estimates will continue to differ.

NPISH in the National Accounts is also an inadequate measure of the voluntary sector. NPISH is defined as economic units that supply services on a non-commercial basis. To be considered, NPISH institutions must: provide goods and services either for free or below market prices; mainly derive their income from grants and donations; and not be controlled by the government. Therefore, NPISH does not capture all voluntary sector organisations.

As a result, using the value of the NPISH sector significantly underestimates the economic contribution of the voluntary sector. Additionally, the methodology used by the Office for National Statistics (ONS) to create these estimates in unclear and not publicly documented, so it cannot be critiqued or replicated in devolved countries’ national accounts.

Finally, while the Pro Bono Economics report has made great advances in the technicalities of constructing a satellite account, several questions still remain to ensure the entire sector is accurately measured.

This includes a need for further understanding on how the IDBR legal status flag is constructed and how to capture other organisations not included on the IDBR (including many small organisations).

Additional considerations include how to capture informal volunteering, data collection on sources of funding for organisations, how to identify social enterprises and how to prevent double counting across multiple data records.

A new research project

Our project aims to answer some of these questions surrounding NPISH and the National Accounts. It will focus on three elements:

  1. Documenting ONS methodology for calculating NPISH
  2. Interviewing data providers and users
  3. Investigating recommendations for data on the voluntary sector used in National Accounts

1. Documenting ONS methodology for calculating NPISH

Through this project we will formally document the full methodology used to create the NPISH statistics in the National Accounts. NPISH includes charities, higher education and further education, political parties, and trade unions, and we will highlight what data is used for each of these elements.

In particular, we will focus on documenting the data process for charities, at both the National Council for Voluntary Organisations (NCVO) level (who provide charity data to the ONS), and how the ONS then use this data. NCVO provide ONS with data for charities in England and Wales, collected from the Charity Commission register.

These charities undergo a ‘market test’, where charities that ‘fail’ the market test (if 50% or more of income comes from donations and legacies) remain in NPISH, and the rest are captured in the industrial market sectors of the National Accounts.

We will document and review these processes and outline recommendations for improvements on how to make NPISH more representative of charities outwith England and Wales and allow for replication in both regional and devolved National Accounts.

2. Interviewing data providers and users

We plan to interview key practitioners in the sector about their understanding of the role of data in the development of national accounts. These will include national infrastructure organisations involved in producing the data for the accounts, organisations that might use the accounts for their work understanding and campaigning about the sector, and government officials. We will identify what role they think National Accounts plays in their work and how they think it shapes understanding of the voluntary sector within society.

3. Investigating recommendations for data on the voluntary sector used in National Accounts

Following on from our interviews with providers, we will recommend improvements and investments in the data infrastructure for the voluntary sector, ensuring regulators, voluntary sector representative organisations, and statistical producers are focussed on supporting the production of appropriate and accurate statistics about the sector.
We will investigate the IDBR flag recommendation underpinning the PBE recommendations for a satellite account. A better understanding of this flag will identify if it would be possible to use this flag to describe voluntary organisations across the National Accounts, including those currently considered outside the NPISH sector.

We will also analyse the data collected for charities in Scotland and Northern Ireland to identify how this can be included in UK NPISH calculations in addition to NCVO data. Finally, we will examine the sectors charities self-report into, and design a mapping methodology between different industry classification codes This will ensure greater consistency in the classifications used across charity registers.

As part of this final research stage, this ESCoE research project will support an economic student summer placement through the Economics Futures programme, hosted at the Fraser of Allander Institute.

This placement will focus on highlighting the differences in charity registers held across the UK. We will then use the data held in the charity registers in Scotland and Northern Ireland as a proxy to estimate the number of charities that are under the minimum registration requirements in England and Wales, so are not captured in their register. This same methodology will be applied to identify charities missing from UK business register data, to inform recommendations on expanding the data used for measuring the charities in NPISH.

Overall, this research will provide a review of the current National Accounts practise. Our recommendations have the potential to improve the National Accounts construction methodology and allow for more accurate measurement of NPISH in both UK, regional and devolved country’s National Accounts.

This will complement the building of a civil society satellite account, if the underpinning National Accounts are fundamentally more robust.

Paid COPD Workshop at PCHP

Next Tuesday 28th of May at 1pm Pilton Community Health Project (PCHP) will be hosting a COPD workshop. If you have COPD, researchers from NHS Lothian and The University of Edinburgh, want to hear about your experience of having COPD, so they can design their research to meet you needs.

You can expect nice and welcoming atmosphere, a warm cup of tea and £20 voucher for you time.

If you are struggling to get to PCHP, transport can be provided too.

To sign up for workshop please fill in a form https://bit.ly/3WS3VCZ or use a QR code on a poster or Call Sammy Waite Patient and Community involvement in research officer 07385347040

For more information please visit Edinburgh and Lothians Public Involvement in Research

Royston Wardieburn Community Centre

Granton Community Gardeners

The NEN North Edinburgh News

#fivewaystowellbeing

#community

#healthandwellbeing

New photo of Greyfriars Bobby unveiled

Greyfriars Bobby needs no introduction. He’s one of the most recognizable figures in Scottish history and probably one of the most famous dogs in the world. Yet despite a wealth of literature, and a Disney film, there remain open questions about who exactly this little dog was (writes JAKOB ASSARSSON).

Speaking strictly from the photographic record, there are two dogs purported to be Greyfriars Bobby. One, often named Greyfriars Bobby the First, appears in at least five photographs, taken by Edinburgh publisher Walter Greenoak Patterson around 1867. The other, Greyfriars Bobby the Second, appears in a single photograph of unknown date and origin.

Before we continue, we must sadly put Greyfriars Bobby the Second to bed. In the cold light of day, a single photograph of a Skye terrier, with “Grayfriars [sic] Bobby” written on it, is not enough to suppose, as some have, that there was a second dog. Photographs are frequently mislabeled.

On the balance of probability, we have no choice but to conclude that Greyfriars Bobby the Second was no Greyfriars Bobby at all, but a Greyfriars Red Herring. Consequently, we must dismiss the hypothesis that Greyfriars Bobby the First died and was replaced prior to 1872 – the “two dog” theory.

That so famous a dog could have been replaced by one of a different breed without raising any eyebrows already stretches the bounds of credulity. Perhaps most importantly, it means that Bobby was, probably, neither a purebred Skye terrier, nor a Dandie Dinmont, although they will forever remain an integral part of the legend of Greyfriars Bobby.

So who was Greyfriars Bobby the First? If you visit Bobby’s display at the Museum of Edinburgh, you will see the three images known prior to 2010.

One shows Bobby with the family of John Traill, another with the family’s children, and one by himself, the Museum’s cabinet card-sized copy addressed to John Traill from WG Patterson.

John Traill ran an establishment at 6 Greyfriars Place, at different times described as a coffee house, refreshment rooms, or a restaurant, always with Temperance added to signify that no alcohol was sold.

Today, it is part of Alandas Gelato, with nothing but a neon sign reading “where the magic happens” to signify its historical ties to Bobby.

Bobby would visit and be fed at 6 Greyfriars Place, as he would visit other local homes and businesses in-between stints in Greyfriars Kirkyard. As time went on, the Traill family’s role evolved to something like carers or owners, and it is for this reason they were photographed with the famous pooch.

What is rather remarkable is that since 2010, three entirely new photos have come to light. Mine is the latest and the reason for this article.

In 2010, a Flickr user posted an Edinburgh carte-de-visite photo of a small terrier in a cemetery. It was quickly pointed out that the photographer, WG Patterson, the graveyard setting, and the general appearance of the dog, suggested it might well be Greyfriar’s Bobby.

Having compared the photograph to the location of John Gray’s grave in Greyfriars Kirkyard, and the subsequently discovered photos of Bobby, I am confident that not only is this indeed Greyfriars Bobby, but Bobby at the famous graveside he may have mourned at.

In 2022, another carte-de-visite of unknown ownership but with a remarkable resemblance to the renowned canine began to circulate in the media. Fresh on its heels, I discovered a further carte-de-visite in 2023. For the first time, we can assemble all of these photos together and gain a better understanding of Bobby.

One of the first conclusions we can draw (yes, pun intended!) is that the previously-known solo portrait is not a photograph, but a traced illustration of the photo I discovered, with some minor changes. Another is that being intended for commercial sale, the images were probably taken in order of saleability until the final, illustrated image was chosen for sale to the public.

Resembling the most strongly a traditional Victorian studio portrait, it is likely that the Traill family was photographed first. However, the inclusion of a family that not all intended customers would have been familiar with, and Bobby looking away from the camera in one photo and blurry-faced in the other, probably necessitated additional photos.

From here it may have been decided that instead of with his current caretaker family, Bobby might be photographed at the famous graveside of John Gray, the man who may have been his former owner.

With no further known photos in this Kirkyard series, we can hazard a guess that Bobby may not have been particularly cooperative in terms of adopting a mourning pose when prompted. We can also see from the shallow depth of field that the studio camera had been adjusted for a shorter exposure, probably to maximize chances of keeping a moving dog in focus.

Inability to secure a photo of Bobby suitably reposed may have led Patterson back to the studio, where Bobby was placed, by himself, on an ornamental pedestal. One photo shows his claws, in another they are absent – the photo with claws must have been taken first.

Perhaps they were trimmed to soften Bobby’s appearance. His coat, too, is brushed. In my photo, an alert, sitting Bobby, claws hidden and coat smooth, finally has his face in focus.

For the first time, we can truly look Bobby in the face. He is unquestionably a terrier cross, resembling no breed in particular. He has teeth. He looks quite happy.

So why was this relatively good photo made into an illustration for sale?

Here, examining the minor changes is revealing. Bobby’s right ear is lowered. His teeth are hidden. His eyes are made to gaze upward, his entire demeanor taking on an air of mournfulness.

His body, made blurry by the shallow depth of field, is brought into sharp focus. Finally, Patterson had his sellable image of a sad Greyfriars Bobby.

The rest is history.

PICTURED (TOP) = Friends of Dalry Cemetery volunteer Lani Knott with the newly unveiled photograph of Greyfriars Bobby in Greyfriars Kirk

Funding for ‘game-changing’ tech which could destroy cancers and predict disease

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.”

New aquatic exercise research for fall prevention looking for participants

Have a history of falling, or at risk of falling?

New aquatic exercise research for fall prevention looking for participants to get involved

An exciting new aquatic exercise research study is looking for participants to get involved.

Aqua Steps, is a new exercise programme, developed by experts in the field from the University of Edinburgh, Glasgow Caledonian University and Edinburgh Leisure. The programmes are delivered as part of a research project, and aims to improve the balance, strength, endurance, confidence, and independence of the participants.

One-third of people aged 65 years or over fall every year with more than 4 million people falling each year in the UK, which is approximately 11,000 people daily. Falls reduce quality of life, lead to nursing home admissions, cause about 90% of hip fractures and half of deaths due to injury. The annual NHS and social care cost for fall-related injuries is more than £3.3 billion.

Older adults who have some of the following:  feel unstable/unsteady; have poor gait or balance, have a history of falling or are at risk of falling, have low bone density or previous fracture are encouraged to get in touch to take part.

Dr Stelios Psycharakis, Senior Lecturer in Biomechanics at the University of Edinburgh said: “Aquatic exercise can improve many of these factors and has many benefits.

“For example, the buoyancy of the water reduces spine and joint loads and allows exercising without having to support one’s weight, while the pressure of the water on the body assists with balance and mobility which may be preferable for people who find land exercise challenging or have high risk/fear of falling.”

Amy Fastier, Health Development Officer (Falls Prevention) at Edinburgh Leisure said: “We’re delighted to be working in partnership with the University of Edinburgh. 

“The study is looking to see if water-based classes have similar benefits as land based as there is no current research on water based activity in preventing falls. 

“Participants don’t need to be strong swimmers as the exercises take place in shallow water and everyone will be encouraged to work at their own pace during the class, guided by our expert instructors.

“People who may have difficulty getting in and out of the pool without some help, are welcome to bring along a family member, carer, or friend.  

“Pools hoists (for safe entry/exit from the water) are available at swimming pools and will be used when necessary.”

High-quality research on aquatic exercise in fall prevention is scarce.  This programme will deliver an aquatic intervention for people with high risk of falls. The data we get will be used to look at the programme’s effects on falls risk and compare it with an established land-based programme, Steady Steps, which is delivered by Edinburgh Leisure to see whether there are similar benefits to the existing research on land-based classes.

The classes are free, with the cost covered by funding provided by the Chief Scientist Office for Scotland. The exercise sessions will take place in the shallow water only in one of five swimming pools in Edinburgh and Midlothian*.

The pools are Warrender Swim Centre (Marchmont), Dalry Swim Centre (Dalry), Ainslie Park Leisure Centre (Inverleith/Pilton), Glenogle Swim Centre (Stockbridge) and Penicuik Leisure Centre (Penicuik).

Participants would be required to attend for two sessions per week (30 minutes in the water for each session) over a course of 16 weeks.  Different time slots will be available.

The programme will start in the first week of March 2024 (last week of March for Penicuik).

Interested parties willing to take part should contact the Aqua Steps administrator, Diane Chirnside on AquaSteps@ed.ac.uk and will be assessed for their willingness/ability to participate and complete the intervention. 

Spaces are limited so people are encouraged to get in touch as soon as possible, and ideally by early to mid-February.

Short bouts of yoga may help prevent diabetes, new study reveals

Three-minute bouts of yoga have been found to significantly lower blood glucose levels and reduce the risk of diabetes, a study from Glasgow Caledonian University has revealed.
 
The research carried out by a team of physiotherapists, including NHS Greater Glasgow and Clyde team member, Alex Colvin, investigated the effects of breaking up sedentary behaviour with short bouts of yoga and tai-chi on glycaemic control, concentration, and wellbeing in healthy individuals.
 
The study, which involved 15 adults aged 26-28, found that the effects of short bouts of yoga to break up the working day significantly lowers glucose levels to reduce the risk of diabetes without compromising concentration or wellbeing.
 
However, tai-chi did not provide the same significant effect on glucose levels but allowed better maintenance of concentration and wellbeing. The research concluded that these interventions provide effective ways to combat the harmful effects of prolonged sitting while maintaining concentration and wellbeing.

Alex, also lead author of the study, said: “Through this research, I want to make people aware that you can break up your sedentary time with things that are good for your mental and physical wellbeing, and to reduce the risk of diabetes.
 
“There has been a lot of research into the benefits of yoga and tai-chi, which show favourable effects, but this is the first research that I am aware of that investigates the use of shorter three-minute bouts to break up a working day and shows results that this can help to reduce the risk of diabetes.
 
“This is also good news for employers who dislike the use of physical activity to break up sedentary time because they have this misplaced perception that it will negatively impact on production, as we have found it’s quite the opposite. We measured concentration and wellbeing throughout the study. Although there wasn’t a change with yoga and tai-chi, at least it didn’t get any worse, which disproves that doing these types of things is bad for worker productivity.”
 
Alex graduated with a Masters in Physiotherapy in 2020 from Glasgow Caledonian and became an NHS Greater Glasgow and Clyde specialist physiotherapist. He began the research during his studies with fellow students Lynne Murray and Jillian Noble, under the supervision of Professor Sebastien Chastin, but results were delayed due to the COVID-19 pandemic.
 
The study, entitled Effects of Breaking Up Sedentary Behavior With Short Bouts of Yoga and Tai-Chi on Glycemia, Concentration, and Well-Being, was published in the Journal of Physical Activity and Health, which is part of the Human Kinetics Journals.
 
Alex explained more about the methods used in the two-year study: “We took finger-prick glucose readings every half an hour throughout a seven-hour working day and standardised the participants’ diet as much as we could, along with that we broke up the sedentary time and the groups with either three minutes of yoga or tai-chi, or just sitting for the whole time and measuring their glucose.
 
“Although the study involved a small number of 15 mostly healthy adults aged between 26-28, it doesn’t change the fact that the glucose levels were still lowered. By using this group it might even be more beneficial to people who are prediabetic and the results might even be more significant.”
 
Professor of Health Behaviour Dynamics Sebastien Chastin, from the University’s School of Health and Life Sciences’ Research Centre for Health (ReaCH), highlighted the benefits of this research study.
 
He said: “Clearly we all spend far too much time sitting in the office or working from home. This shows that short bouts of yoga that can be done anytime during the day and it has the impact we expected that it can be turned into one of the interventions or reduce the risk of diabetes.

“What’s also really important about this research is that it demonstrates that it doesn’t reduce the productivity of workers. That’s always the worry of the bosses. Allowing them to have that time shows that it actually doesn’t reduce productivity at all, if anything it probably increases productivity so there’s not just a health incentive for the workers to do it but also for the employers to support that and implement it.”

Committee calls for development of bacteria-killing viruses

In a major report today Westminster’s Science, Innovation & Technology Committee calls for steps to develop the potential of bacteria-killing viruses – called bacteriophages or phages for short – that can provide an alternative to antibiotics that are attracting growing resistance.

Phages have been used as therapy for over a hundred years, but interest has increased in recent years as the widespread use of antibiotics is leading to alarming antimicrobial resistance (AMR) to even the most effective treatments. But they have never been licensed for therapeutic use in the UK. They have only been used as “compassionate” treatments of last resort in isolated cases of otherwise intractable infections.

One of the problems has been an impasse: in order to be deployed in clinical trials phages must be manufactured to the Good Manufacturing Practices (GMP) standard – but investment in compliant manufacturing plants will only be justified following successful clinical trials.

Rt Hon Greg Clark MP, Chair of the Committee, said:  “Phages offer a possible response to the increasing worldwide concerns about antimicrobial resistance.

“But the development of phage therapies is at an impasse, in which clinical trials need new advanced manufacturing plants, but investment requires clinical trails to have demonstrated efficacy.

“The Committee is asking the Government to consider whether the mothballed Rosalind Franklin Laboratory in the West Midlands could provide a suitable facility.

“The Laboratory, which has already received over £1 billion of public funding, was established by the Government to bring to an end the inadequacy of testing capacity that so hampered the national response to Covid.

“It consists of modern, secure laboratory facilities and was meant to be an important source of national resilience against future pandemics. But the Rosalind Franklin Laboratory has suddenly appeared for sale on the property website Rightmove, to the astonishment of the science and health communities.

“Our Committee’s report on phages asks for the Rosalind Franklin Laboratory to be considered for this purpose, rather than be lost to the nation and to science in a firesale.”

The Committee recommends that the Government should consider establishing a small GMP facility on the lines of the Catapult network which provides shared facilities for companies who cannot afford to make the level of investment on their own.

The Committee also calls on the Medicines and Healthcare Products Regulatory Agency (MHRA), Department for Health and Social Care (DHSC), and phage researchers to work together to make for a more promising route for phage research to be funded and its products licensed for use. 

The Committee calls for:

  • Awareness-raising for healthcare students and professionals of the antimicrobial potential of phages where antibiotics have failed or are failing
  • Government and its agencies to make a definitive and positive statement on the role of phages in the national approach to anti-microbial resistance (AMR), which is important in research funding decisions and for private investment in commercial phages
  • The MHRA to consider allowing the compassionate use of non-GMP phages produced in the UK for last resort medical cases where other medical approaches have failed or are failing
  • The MHRA to review how current regulations would govern liability for clinicians and hospitals who used UK non-GMP phages,

UNISON: Edinburgh schools facing urgent issues

UNION CALLS FOR ACTION FOLLOWING ALARMING WORKPLACE SURVEY

New survey data from UNISON’s recent research among Edinburgh City Council workers sheds light on the challenges faced by school support staff, echoing the findings of the Scottish government’s Behaviour in Scottish schools: research report 2023.

UNISON Edinburgh City Branch emphasises that the impact of pupils’ behavioural challenges is disproportionately falling on the shoulders of support staff, who are often the lowest paid and receive minimal training and support.

The violence at work survey, conducted among our members, saw the highest response rate from staff working in schools with 82% of respondents in that area. The Edinburgh Branch survey indicated a need for clearer reporting procedures and improved feedback mechanisms to ensure member concerns are addressed promptly and effectively.

The return aligns with the government’s findings, revealing that 86% of support staff encounter low-level disruptive behaviour daily. Additionally, 66% experience verbal abuse, and 59% face physical aggression on a regular basis. This supports what UNISON members have been telling us – the lowest-paid support staff, mainly women, are the frontline responders to challenging pupil behaviour.

Pauline Henderson, UNISON Edinburgh Convenor for education, stated: “No one should face violence and abusive behaviour at work, and if they do, they need proper support.

“Yet, in our schools in Edinburgh, it is the lowest-paid, mostly women support staff who deal with challenging and disruptive behaviour every day.”

“UNISON stresses that support staff are more likely than teachers to report the greatest negative impacts from serious disruptive behaviours”.

Tom Connolly, UNISON City of Edinburgh Branch Secretary, emphasised UNISON’s consistent advocacy on the issue: “UNISON has consistently raised violence and abuse of school support staff with employers and the government.

“Now that we have evidence backing up this growing problem, we need government funding and action to help schools deal with it.”

“More than half of the respondents (57.6%) feel their employer does not take violence at work complaints seriously. Addressing this perception is crucial for fostering a supportive and protective workplace culture.”

Key Points from UNISON Edinburgh City Survey:

Daily Challenges for Support Staff:

66% experience verbal abuse, and 59% encounter physical aggression regularly.

Comparisons with Government Report:

UNISON’s survey findings align with the Scottish government’s report, emphasising the universal nature of challenges faced by support staff.

Impact on Support Staff:

Support staff report the greatest negative impacts from serious disruptive behaviours, underlining the urgent need for comprehensive support and strategies.

Call for Edinburgh City Council Action:

Urgent action is needed to protect council staff. UNISON continues to advocate for enhanced reporting, substantial local authority investment, and comprehensive support for all council staff.

Call for Government Action:

UNISON Edinburgh City urges the Scottish government to recognise the inadequacy of current council funding and take substantial action to address the challenges outlined in both the survey and the government report.


Read the full UNISON Edinburgh City Branch survey report here