Majority of Scots will take COVID-19 vaccines in the future

A report published yesterday by Healthcare Improvement Scotland finds that the majority of Scots will take COVID-19 vaccines in the future, based on their experiences with COVID-19.

The survey, commissioned by the Scottish Government, asked questions about people’s motivations around vaccination as we move away from the pandemic.

Uptake of the COVID-19 vaccine has been high and the survey asked people if they would take up new offers of COVID-19 vaccination, or, if not, to understand their reasons why.

The Citizens’ Panel survey, which ran between November 2022 and February 2023, found that of the 667 people who responded to the survey, the majority of respondents (72%) said they would take up the offer of the COVID-19 vaccine in the future. The survey also found that of those who will take up the offer of the COVID-19 vaccine in future, their main reasons were to protect themselves (88%) and to protect others (82%).

One respondent said: “If I can do this to help myself and others, and know the vigorous testing the vaccines have gone through, then why wouldn’t I accept the vaccine?”

Some 12% said they would decline the offer and 17% were not sure. Where respondents did not want it, the most common reason given was concern over possible long-term side effects of the vaccine.

In addition, all respondents were asked if their decision about getting the COVID-19 vaccine has changed over time. The majority said that their decision has not changed (82%). Some 16% said they wanted it at first, but now they don’t, and just 2% said that they didn’t want it at first but now they do.

The survey asks if people are more or less likely to take up the offer of other vaccines, such as flu or childhood vaccines, based on their COVID-19 vaccine experiences, with 36% saying  more likely, 56% saying it’s made no difference, and just 7% saying they are less likely.

Simon Watson, Medical Director at Healthcare Improvement Scotland, said: “Vaccination is an absolutely essential element of our response to COVID-19 including future variants. It is vital to protect individuals, their families and the wider population of Scotland.”

Clare Morrison, Director of Community Engagement at Healthcare Improvement Scotland, said: “The findings around vaccination motivations highlight the positive public attitudes towards vaccination, as well as potential areas for improvement, mainly around the need to develop clear and accessible information about vaccine side effects and the benefits of vaccination including their effectiveness against serious illness.”

The report recommends the Scottish Government should continue to consider how to ensure positive and accessible vaccination experiences for all.

It also notes the Government should consider exploring people’s concerns further and their experiences around side effects. Developing further clear and accessible messaging around side effects, and the benefits and effectiveness of vaccination against serious illness may help address this.

Visit our Community Engagement website to access the full report.

Lothian MSP supports new Epilepsy and Mental Health Survey

Scottish Conservative & Unionist MSP for Lothian, Miles Briggs, encourages estimated 8108 constituents living with epilepsy to make their voices heard

MILES Briggs is calling on people living with epilepsy in Lothian and across the local authority to take part in a new national survey to understand the affect epilepsy can have on mental health, launched this week by Epilepsy Scotland. 

Epilepsy is defined as the tendency to have repeated seizures which start in the brain and there are an estimated 58,000 people in Scotland living with epilepsy, which is the most common neurological condition. 

This new national survey looks to understand the experiences of people of all ages living with epilepsy across Scotland and seeks to identify which specific support measures should be highlighted.

Miles Briggs said: “I am delighted to support Epilepsy Scotland in promoting this vitally important national survey to understand the specific mental health needs of people living with epilepsy in Scotland. 

“There are an estimated 8108 people living with epilepsy in my region in Lothian, which can have a serious and detrimental impact on their mental wellbeing and general day-to-day activities. 

“Depression and anxiety are just some of the mental health issues that epileptic people are more likely to develop as a result of the condition. 

“I would encourage all my constituents and people across Scotland with epilepsy to make their voices heard through this vital survey.” 

Lesslie Young, Chief Executive of Epilepsy Scotland, added: “We are pleased to have the support of Miles Briggs in promoting our ‘It’s Time to Talk about Epilepsy’ mental health survey to people living in Lothian and across Scotland. 

“Epilepsy can have a significant impact on a person’s mental health and almost every person we support through our national helpline is affected by mental health struggles. 

“To someone living with uncontrolled seizures, there is a significant psychological impact of never knowing when the next seizure is going to happen. For some who have controlled seizures, the medication can have side effects which affect mood and mental health. 

“I would encourage anyone living with epilepsy to share your experiences through our survey, to ensure your voice is heard.” 

The survey will run for six weeks and will close on Monday 13 March 2023.

To complete the survey, please go to:

https://www.epilepsyscotland.org.uk/mentalhealthsurvey/

Crimestoppers: Survey reveals one in six children face unwanted sexual harassment from the age of 10

A major new survey and report, commissioned by the charity Crimestoppers, has shed light on general attitudes to sexual harassment and the age at which victims are targeted.

Of those that responded, around one in six people who answered said their first experience of sexual harassment in a public place happened when they were aged just 10 or even younger.

Whilst 1,800 people participated in the survey, none of the questions were mandatory. This means that respondent numbers per question are lower than overall participant numbers. Due to the sensitivity of the subject matter, the University recommended using optional questions to encourage more people to take part.

Key findings are:

  • Around one in six participants’ (16.8%) first experience occurred when they were aged 10 or younger (3.7% aged 0-5, 13.1% aged 6-10)
  • 30.9% of participants first encountered unwanted sexual behaviour between the ages of 14-16
  • Almost the same percentage (29%) first experienced unwanted approaches between 11-13 years

These shocking findings demonstrate that the majority encountered sexual harassment for the first time during adolescence or childhood. Shockingly, the survey also found that 10% of women said they had been raped with 23% saying they had been `forced’ to have sex.

The report, by the University of Suffolk and commissioned by Crimestoppers, follows the impact of the #MeToo movement against sexual abuse and harassment. Crimestoppers has also launched a national campaign today to challenge attitudes and encourage reporting on those responsible.

Figure 17: Age at first experience of unwanted sexual behaviours or interactions in public spaces [P29]

In a clear message to the culprits, fewer than 1% of victims said they felt flattered, attractive or desired after their most recent harassment experience. [P33].

Strikingly, around 78% of female participants spoke of experiencing unwanted questions about their sex life, and two thirds experienced staring (leering) and comments on their clothes, body or appearance. [P23, Figure 10]. The research found that respondents change their behaviour or activities to avoid a repeat incident, with nearly 10% (9.8%) shunning outdoor areas where they had previously encountered unwanted sexual behaviours.

Figure 10: Lifetime prevalence of unwanted sexual behaviours in public spaces: female participants [P23]

More than a third (38%) have been followed and nearly a quarter (23%) have witnessed flashing/genital exposure. Whilst the largest group of perpetrators were strangers, they were closely followed by classmates during their younger years, then acquaintances and colleagues in later life.

Lydia Patsalides, VAWG (Violence Against Women and Girls) sexual violence lead at the charity Crimestoppers, said: “This research confirms that all forms of sexual harassment begin at a shockingly early age, which is completely unacceptable.

“It raises the question to those men involved: would you accept this behaviour towards those closest to you, such as a partner, female friend, or your daughter? Crimestoppers is taking its part in the conversation as these normalised behaviours, can escalate, with some perpetrators going on to commit the most serious of crimes such as rape and child abuse.

“We know this is a difficult and complex area and won’t be solved with one study. However, it’s important that we have a frank and realistic discussion, and we must all play our part in helping change behaviour and think seriously about how sexual harassment affects others.”

Mick Duthie, Director of Operations at the charity Crimestoppers, said: “As a father of two daughters, and an ex-police officer who dealt with the tragic circumstances of violence against women and girls, I totally understand the impact unwanted sexual behaviour has on victims.

“It’s important that we all understand the issue and take steps to educate ourselves on what is and is not appropriate. Our research shows that a large number of very young girls are being targeted, and therefore we must all ensure we take positive steps to protect them.”

Dr Katherine Allen from the University of Suffolk said: “In a post #MeToo era, these findings are shocking but unsurprising. Our survey underscores that sexual harassment is common, perpetrated across a range of public spaces, and remains highly gendered, disproportionately impacting women and girls and limiting their ability to exercise everyday freedoms.

“Chiming with national and international studies, our research suggests that women and girls are subject to unwanted sexualised behaviours from an early age, and overwhelmingly experience these behaviours as intrusive, uncomfortable and intimidating.”

Survey participant comment: “I think a lot of the time, perpetrators are completely oblivious to how their actions are making the other person feel.

“Being sexually harassed makes me feel genuinely scared for my safety, and scared to anger the person in case they get violent.”

Crimestoppers is a standalone charity that is independent of the police and takes crime information whilst guaranteeing total anonymity.

By never asking for or storing personal details, it encourages people to come forward who might otherwise stay silent. The process means no courts, no witness statements and no comeback.

If you know a work colleague/friend/relative or neighbour who is involved in any criminal aspect of sexual harassment – please tell our charity. 

To pass on crime information completely anonymously, visit our website Crimestoppers-uk.org and fill in the simple and secure anonymous online form. Alternatively, call Crimestoppers’ UK Contact Centre, which is open 24/7, 365 days a year, on freephone 0800 555 111.

Please note: Computer IP addresses are never traced, and no-one will ever know you contacted Crimestoppers. For telephone calls, there is no number display, no 1471 facility and calls have never been traced.

Arab citizens still want democracy, according to largest Arab opinion poll

The results of the largest opinion poll of its kind in the Arab world have been released by The Arab Center for Research and Policy Studies (ACRPS) with almost 33 thousand respondents across 14 Arab countries and more than 900 researchers taking part.

The poll touched upon the issues facing Arabs living within the region as well as their opinions on global events. Given the contentious nature of the region’s democratization efforts and political culture, Israeli-Arab relations, Russia’s war on Ukraine and more, the findings of this year’s poll highlight significant trends in Arab public opinion. The following are some of the report’s key findings.

The full report is attached.

DEMOCRACY AND STATE INSTITUTIONS

There is overwhelming support for democracy in the Arab World, with 72% of respondents supporting a democratic system. This support for democracy has been a constant in every Arab Index survey since its launch in 2011, demonstrating an established belief in democracy.

Citizens’ confidence in state institutions varies. Parliaments and legislative councils received the least amount of confidence among Arab citizens, at a rate of 47%.

Arab public opinion is almost unanimous that financial and administrative corruption is widespread in their countries to varying degrees, at a rate of 87%.

Just over a third of respondents (34%) said that their countries apply the law equally among citizens, while 39% think that they do not enjoy full equality, with their countries favoring some groups over others. Almost a quarter of respondents (24%) think that their countries do not apply the law equally at all.

ARAB-ISRAELI RELATIONS

84% of citizens oppose their home countries’ recognition of Israel, citing political reasons as opposed to religious or cultural ones. This opposition remains overwhelmingly high despite recent normalization agreements with Israel by UAE, Bahrain, Morocco and Sudan.

The majority of Saudi respondents who answered this question rejected recognition of Israel (38%), despite a high rate of nonresponse to this question (57%).

A vast majority of respondents consider the policies of Israel (84%) and the United States (78%) a threat to the security and stability of the Arab region, while 57% of respondents consider Iranian and Russian policies a threat to the region.

RUSSIA’S WAR ON UKRAINE

More than a third of respondents (44%) agreed that Russia’s declaration of war on Ukraine was unjustified, compared to 19% who said it was justified, and over a third (37%) said they do not know or declined to answer. Those who said it is unjustified deemed Russia’s declaration of war as an act of aggression, interference with the sovereignty of another state, and occupation of land.

SOCIAL MEDIA

Almost all (98%) internet users in the Arab World have accounts on social media platforms. More respondents had Facebook accounts than any other social media platform, except in the Gulf, where more (77%), had Twitter accounts.

A majority of Arab Citizens (75%) use social media to obtain news and political information. More than half of the users (51%) express their views on political events.

57% of social media users said that they do not trust information and news circulated on social media, a notable increase from the last AOI survey.

Interaction and participation with political issues among Arab social media users is divided: while 48% interact with or participate in political issues, 48% do not.

The Arab Center for Research and Policy Studies (ACRPS) is an independent research institute for the study of the social sciences and humanities, with particular emphasis on the applied social sciences. It seeks to examine the key issues afflicting the Arab world, governments, and communities; to analyze social, economic, and cultural policies; and to provide rational political analysis on the region.

Stopping “haemorrhaging” of crucial NHS staff must be an urgent priority, says BMA Scotland

Sticking our heads in the sand – or using the NHS as a political football to exchange snappy soundbites – will not cut it anymore

The number one “quick fix” priority for Scotland’s NHS as we move into 2023 must be the retention of our invaluable healthcare professionals, the chair of BMA Scotland said today (Wednesday, Dec 28th).

Dr Iain Kennedy said any plan for further recruitment, investment in the systems and aspirations of improvement will “fall flat on its face” unless there is a laser like focus on keeping the experienced staff our NHS already has.

Dr Kennedy, who was speaking as he delivered his annual festive message for doctors, added that the need for an open discussion on the NHS is now greater than ever.

His renewed call for a national conversation on the future of the health service comes as BMA Scotland shares more than 100 testimonies from doctors about what working in the NHS is like at the moment and their concerns for what the future holds.

Comments included:

  • “There have been a number of critical incidents in the last six months involving unsafe staffing levels. The acuity of the workload has increased. Patients are generally getting sicker and more complex, but we have less resources or time to care for them. It’s hard to keep them safe. I wouldn’t want to be an inpatient at the moment, and hope everyone in my family remains well for the foreseeable.”
  • “It feels unsafe – because it is. It’s not safe for patients, and it’s not safe for staff either. I have gone from being a passionate committed GP to being a shadow of my former working self. I want to leave the profession and I am devastated by this.”
  • “Things are very bad. Chemotherapy can only be delivered four weeks after seeing a consultant because of a chemotherapy nurse shortage. Radiotherapy preparation scans can only be done two weeks after seeing a consultant because of lack of radiotherapy staff/physicists – and it’s another two or more weeks before radiotherapy can actually be delivered.”

Dr Kennedy said: “The NHS is haemorrhaging crucial staff – staff who we urgently need now more than ever before – and the government must step up to stop it. They can talk as much as they want about recruitment of staff, of investment in the system or of plans for improvement, but every single one will fall flat on its face unless there is a laser like focus on keeping the staff we have.

“That is why the retention of healthcare professionals – keeping them in the service – needs to be the number one priority in terms of the quick fixes to help us just make it through this winter with the NHS in Scotland somehow intact.

“I desperately want to be optimistic and forward looking, to set out some hope for the future – for the medical profession that I am so proud to be a part of, and the Scottish health service that I am equally proud to work in.

“But it’s not easy to find that indication of a brighter future – especially after reading the, frankly, harrowing comments from some of my NHS colleagues about what they are experiencing day in, day out. No one working in the health service would give me any credibility if I gave an upbeat description of the way our NHS will, or can, get better and how the working conditions of those caring for the people of Scotland will miraculously improve.

All the statistics tell us that it’s a desperate state of affairs. Things are as bad, or worse, than they have ever been. Winter is a meaningless term now – this entire year has been winter.

“But looking beyond the statistics, looking at the people behind the statistics, the picture being painted is even more grim and concerning. The experiences my colleagues have shared speak louder than anything I could say, and anything any official stats could imply.

“We face crises across workload, workforce, working conditions, pay and pensions – all of these are hitting efforts to retain doctors, which we are already short of across both primary and secondary care. Hospitals have too many vacancies – indeed the current vacancy rate for consultants alone is 14.32% – and GP practices are falling over, with the Scottish Government not even close to being on target to deliver their promised 800 additional GPs by 2027.

“In the face of everything else pay and pensions are – incredibly – fairly quick fix issues. The government can make a decision to improve pay for NHS workers. And the UK Government can finally once and for all sort out the pension taxation issues that penalise senior doctors across primary and secondary care and force them to cut hours or face massive and unexpected bills.

“These two things will make a difference in staff retention – junior doctors will feel more valued and be more likely to stay in the NHS instead of looking to move abroad where they will be paid more and have a better work life balance.

“Senior doctors will be less likely to reduce their hours and more likely to work waiting list initiatives if they know they won’t receive a huge tax bill for doing so. We are beyond crisis point now – urgent action is needed to save our NHS and that simply must focus on investing in the workforce.

“Looking beyond that, of course we need to finally get a proper long-term workforce plan in place. But even more fundamentally we need, as a whole society, to grasp the nettle, face up to hard truths that have been brushed under the carpet for too long, and have a proper grown up, depoliticised national conversation about the future of the NHS in Scotland.

“Sticking our heads in the sand – or using the NHS as a political football to exchange snappy soundbites – will not cut it anymore.

“It’s clear we need to reflect on what we ask of our NHS and the levels of funding we, as a country, are prepared to provide to meet those asks, and to ensure the health service stays true to its founding principles and remains free at the point of delivery. The current approach of pushing insufficient resources harder and harder, then blaming staff when standards fall has failed and is failing patients every single day. I know doctors across Scotland are suffering moral injury as a result.

“Let’s stop putting healthcare workers in the impossible and insidious position of having to constantly be apologising and being the bearer of bad news.

We need politicians on all sides to be brave and act – by bringing us together and finally actually properly talking about a plan for a future NHS we can all confidently get behind. And a better NHS will be better not just for Scotland’s doctors, but for the many people who rely on it for care.”

The nightmare before Christmas

Independent Age: Scots sacrifice essentials to ensure they can buy for others this Christmas 

Many people in Scotland are facing a bleak run up to Christmas, as they cut back on essentials like food and heating to ensure they can buy presents for loved ones.

In a national survey of people aged 50 and over by older people’s charity Independent Age, a third (33%) of Scottish respondents said that in order to spend money on loved ones this year, they would reduce spending on essentials for themselves as Christmas approaches.

Of those who said that they will reduce their spending:

  • 69% will socialise less
  • 44% will cut back on heating their homes
  • 41% will spend less on food
  • 37% will cut back on the electricity they use

The findings come as inflation continues to rise, with the official rate recently soaring to 11.1%.

Scottish Government statistics show that 1 in 7 (150,000) older people in Scotland are living in poverty, with 120,00 pensioners living in persistent poverty (meaning they’ve spent at least three of the past four years in poverty).

Claire Donaghy, Head of Scotland at Independent Age, said: “It’s extremely alarming that those in later life are being forced to cut back on essentials so they can buy presents for loved ones.

“Older people living in one of the world’s richest nations shouldn’t have to risk damaging their health by reducing the food they eat and using less heating during the coldest months.

“For many in Scotland, the festive season is something to look forward to, but increasing numbers of older people are being hit from every angle financially.”

Cost-of-living fears this festive season

The immense financial pressure faced by millions of older people this winter is forcing many of them to cut back on essentials – as well as foregoing presents for others.

In the same survey over two fifths (41%) of people in Scotland said they are planning on spending less money at Christmas this year, compared to last.

When asked how they plan to reduce their spending, worryingly, 49% of people planning to spend less said they would reduce spending on food, and 47% said they would spend less on heating and gas.

When asked about general Christmas spending, 56% who plan to spend less at Christmas said they plan to spend less on presents for their children or grandkids, and this number rises to 78% when asked about other friends and family.

There will be even fewer ornaments and lights to enjoy this festive season, with 39% saying they will reduce spending on decorations that require electricity. These figures paint a bleak picture of how the cost-of-living crisis will stop many from enjoying their usual Christmas.

End the Pension Credit Scandal

With many households struggling to cope financially this December, Independent Age is calling on the government to ensure older people are receiving the support they are entitled to, including Pension Credit.

For people over 66, Pension Credit acts as an income top-up, and is a gateway to additional support, including the Warm Home Discount and Council Tax Reduction. It is also being used as a mechanism by the government to decide who gets some of the vital cost-of-living payments announced in November.

In what the charity is calling a ‘national scandal’, Independent Age estimate that almost 80,000 people who are eligible for Pension Credit in Scotland are currently not claiming, resulting in £160 million being missed out on by older people in Scotland.

Claire Donaghy continues: “The government was right to uprate Pension Credit by inflation in the Autumn Budget, but the hard truth is too many older people are still not receiving this vital income top-up that they are eligible for. Without it, many people in later life are facing a stressful and dire Christmas, forced to cut back on food and heating, which can be detrimental to their health. 

“It is scandalous that people are struggling when billions of pounds has been set aside for them and the money is sitting there unused. The government must commit to a Pension Credit strategy to prevent hundreds of thousands of people missing out.”

Independent Age has launched a petition calling on the government to end the Pension Credit scandal and announce a strategy to increase uptake. 

You can sign the petition here: End the Pension Credit Scandal

Bank of Scotland – Christmas business barometer

A THIRD OF SCOTTISH BUSINESSES IN BETTER “ELF” THIS CHRISTMAS ! 

Bank of Scotland survey shows: 

  • 33% of businesses expect higher revenues this Christmas compared to last year 
    • 23% of businesses expect to see increased demand this seasonal period
    • Only one in ten (10%) of retailers say they are completely ready for Christmas trading
  • However, a fifth (20%) of firms said they do not feel fully prepared for the festive trading period 

Despite high inflation, rising energy prices and a tighter labour market, 33% of firms in Scotland expect this Christmas trading period to be merry and bright compared to last year, according to the latest insight from the Lloyds Bank Business Barometer.

Those predicting a bumper festive period cited having more time to prepare (25%), while increasing customer demand was cited by 22% of firms as they felt less affected by Covid restrictions due to the Omicron variant last year. Those expecting a worse Christmas trading period said they were struggling with increased costs of doing business (10%). 

Almost three-quarters of businesses surveyed said that Christmas was important for their future prospects (74%), but only one in ten (10%) said they felt completely prepared for Christmas. Meanwhile, a fifth (20%) said they are not yet fully prepared for the festive period. 

When asked what could help firms prepare more effectively, 30% said they wanted more support with rising costs, with 23% saying that better access to their supply networks would help. Skilled workers were also high on businesses’ wish lists, with 25% saying access to more skilled staff would boost Christmas trading.  

Chris Lawrie, area director for Bank of Scotland, said: “This year has been marked by highs and lows but it’s encouraging to see many firms are in good spirits about trade over the festive period.  

“With no restrictions in place, the opportunities for businesses are clear but we know that some aren’t fully prepared for this Christmas trading period.  It’s essential that businesses put plans in place now to carefully manage cashflow and make the most of what will be a busy end of the year.” 

World Stroke Day 2022: Patients falling through the gaps in care

Survey reveals inadequate psychological support after stroke in Scotland

  • 95% reported stroke had an impact on their psychological wellbeing.
  • Most stroke survivors surveyed, do not feel they are getting the osychological support they need both in hospital (73%,) and in the community (68%.)
  • 87% of stroke survivors in Scotland want to see equal access to physical and psychological care within their rehabilitation. 

Stroke survivors with anxiety and depression risk being let down in hospital without psychological care, a new survey of over 100 stroke survivors in Scotland reveals today.

The research, conducted by the Stroke Association ahead of World Stroke Day (29 October), is part of an urgent call for improved psychological care after stroke.  

The results, contained in a Stroke Association report, “Keeping Stroke Recoveries in Mind, lay bare the unmet needs of stroke survivors in Scotland.  

Nearly nine out of ten (89%) respondents revealed their stroke had an impact on their physical health, whereas 95% said their stroke had an impact on their psychological and emotional well-being.  Of those, over one in three (39%) said the emotional impacts were severe compared to 36% who said the physical effects were severe.

Paula McGuire, 41, from Glasgow, who had her stroke last year, knows first-hand the devastation of the emotional impact of stroke. Whilst Paula suffered mild physical effects from her stroke, she found this more bearable than her anxiety.

She said: “My feelings of anxiety accelerated to levels I had never experienced before. I can only describe it as overwhelming and felt completely lost and alone trying to unpick what was going on, asking myself whether it was my fault.”

Paula’s low mood and anxiety rendered her unable to leave the house and carry on with the everyday tasks which we all take for granted. Going shopping, driving, swimming and meeting up with friends were impossible to undertake.

She continued: “I kept telling myself to try harder and face my challenges. I didn’t understand what was going on and it was very frightening. Fortunately, the nursing staff on the ward identified my low mood and anxiety early on and helped me to understand and process the changes I was facing.”

But some doctors wanted to treat Paula’s physical problems, without taking account of her anxiety. “All I needed them to ask me was: How was I feeling?”

Most stroke survivors surveyed do not feel they got the psychological support they needed in hospital (73%) or in the community (68%.) 

Paula continued: “I was a wreck.  I’d had a stroke at 40. How could anyone cope with that? People should have the same amount and standard of care for their emotional health as is given to those with physical challenges after stroke.  It needs to be embedded into the system.”

95% of stroke survivors report they want to see equal access to physical and psychological care within their rehabilitation.  

John Watson, Associate Director for the Stroke Association in Scotland said: “A stroke happens in the brain, the control centre for who we are and what we can do. The impact can be devastating – wiping out speech or rendering people unable to walk.

“The emotional consequences of stroke can be life shattering – an overnight change to our emotions, personality and sense of self. These findings are further evidence2,3 of the desperate need for the system to address the psychological consequences of stroke.” 

“Whilst guidance on psychological care and assessment and access to services has been included in the Progressive Stroke Pathway4, we know that psychological care is lacking as highlighted in The Scottish Stroke Care Audit5. With support from the Scottish Government, health boards have an opportunity to change that.”

The charity’s recommendations in its report, are based on proposals put forward by the Scottish Stroke Psychology Forum which seeks to give psychological care equal prioritisation to other forms of rehabilitation which focus on the physical effects of stroke.

The Stroke Association is now calling for:

  • The recommendations to be included in the forthcoming Scottish Government’s Stroke Improvement Plan. 
  • Health boards to commit to delivering those recommendations and make psychological and emotional care a priority in stroke rehabilitation. 
  • The Scottish Government to support health boards implement the recommendations – offering appropriate resource as required. 

John continued: “This not just about recruiting more psychologists to treat people affected by stroke. Everyone working with stroke survivors at every level has a role to play in understanding and integrating psychological care into stroke services.

“An adequate level of education and training must be given to staff to meet their responsibility, and give them the skills in providing that care. This is critical to help people with emotional challenges after stroke to live well.”

Dr Jackie Hamilton, Consultant Clinical Neuropsychologist on behalf of the Scottish Stroke Psychology Forum said: “Throughout my years of experience working in stroke services I have found that often the focus is on physical recovery in the early period after stroke.

“What is frequently less understood is the impact of ‘hidden problems or challenges’ to achieving best physical outcomes as well as overall outcomes. Psychological care is not just managing anxiety and depression.

“It is also incorporates identifying and managing cognitive impairment and multi-factorial distress, such as the effects of experiencing a traumatic event, fear of recurring stroke, loss of role and identity, and changes to relationships and employment.

“These are all factors which are recognised as significant barriers to rehabilitation and adjustment. As such these should be considered at all stages when working and supporting individuals and their families across their rehabilitation journey.”

Emotional support after stroke survey

Dear Editor

The Scottish Parliament’s Cross Party Group on Stroke – of which we are secretariat, is exploring the current position of emotional support available to people affected by stroke in Scotland. Our aim is to support stroke improvements in this area. 

A vital part of this is to gather the views of people affected by stroke in Scotland.   

We want to know: what support you received?  Was it the right support for you?  

Please have your say by completing out short online survey.

The survey can be found here:

https://forms.office.com/r/YwK8tfR7k1 

The deadline for responses is Monday 3rd October 2022

If you have any questions, or would like to be more involved, please contact Katie.macgregor@stroke.org.uk or Tel: 01315557242 

Every stroke is different, each person’s recovery is different, so to your experience matters. 

Stroke Association

Coram: Counting the cost of childcare

Holiday childcare prices jump by 5%, amid cost of living crisis, as parents working full time struggle to find the childcare they need

Families across Britain are bracing themselves for a difficult summer as a sharp rise in holiday childcare prices and patchy availability of places hits working parents, Coram Family and Childcare’s 17th annual Holiday Childcare Survey has revealed.

Coram’s report finds that, amid the soaring costs of living, holiday childcare costs have jumped by 5% since 2021. The average place at a holiday club now costs £148 a week – more than double what parents pay for an after-school club during term time.

Families will now find themselves almost £900 out of pocket for six weeks of holiday childcare for each school age child, nearly £500 more than they would pay for six weeks of term time childcare before and after school. Some 42% of local authorities across Britain have reported that the pandemic had caused an increase in prices.

The survey also found considerable regional variation in prices across Britain, with parents in inner London paying an average of £161 per week compared to £135 in the West Midlands, an 18% price difference. There are also huge price differences within the same area, with some holiday childcare places in inner London costing 92% more than the average, while others cost 44% less.

Alongside the financial strain, parents are struggling to find the childcare they need, with only 27% of English local authorities having enough holiday childcare available for parents in their area who work full time, down 6% on last year. Parents of disabled children face the most acute challenge with only 7% of local authorities having enough holiday childcare for these families, plunging from 16% in 2021.

Other notable gaps in England include holiday childcare for children whose parents work atypical hours and children living in rural areas, with only 10% and 15% of local authorities respectively reporting they have enough childcare availability for these groups.

Ellen Broomé, managing director of Coram Family and Childcare, said: “Families across Britain are reeling from record inflation and this steep rise in holiday childcare will push many further into financial distress.

“Many parents, particularly mothers, will have no choice but be locked out of work altogether or struggle to pay for basic necessities such as food or rent.

“Holiday childcare is key economic infrastructure. The lack of childcare places for working parents is a serious problem – not just for families but for the country’s economic output. Children have experienced such disruption throughout the pandemic, and holiday childcare offers them a safe and fun space to stay active and connect with their friends while also helping to tackle the summer learning loss.”

Coram Family and Childcare is calling on the UK, Scottish and Welsh Governments to:

  • Reform Universal Credit so it does not lock parents out of work – by increasing the maximum amount of childcare costs paid under Universal Credit and guaranteeing support for upfront childcare costs.
  • Increase support for Family Information Services to provide good quality holiday childcare information and broker access to local provision that meets families’ needs.
  • Expand provision of the Holiday Activities and Food programme to improve access to affordable, high quality childcare for all children who need it.
  • Support local authorities to ensure they have a comprehensive overview of the cost and availability of holiday childcare in their area to identify and plug gaps in provision.