NHS Lothian to play key role in COVID-19 vaccine trial

NHS Lothian is set to become involved in a major clinical vaccine trial testing the new Covid-19 vaccine in collaboration with Oxford University and 17 other sites across the UK.

The vaccine study will run at both the Western General Hospital and the Royal Infirmary of Edinburgh.

The aim is to enrol approximately 600 Lothian frontline health and social care workers which will include doctors, nurses, emergency department staff, paramedics, care home nurses, porters and domestics to test a new vaccine.

Screening volunteer health and social care workers is planned to begin from next week.

Dr Tracey Gillies, Medical Director, NHS Lothian, said: “We are pleased to be participating in this unprecedented clinical vaccine trial and I would like to thank everyone for their participation in this vital research.

“Their involvement will be essential in the development of a vaccine and this pioneering and important research allows us the opportunity to contribute to the development of a globally approved vaccine against Covid-19.”

The main focus of the study will be to develop a safe vaccine for use across the population.

As part of that, it will investigate the effectiveness of the vaccine, to pinpoint any side effects and to establish if it induces good immune responses against the virus.

To recruit the large number of participants needed for this trial, multiple clinical research sites across the UK are involved in delivering the study. The collaborative effort, led by the University of Oxford, will see vaccinations taking place throughout May and June.

Health Secretary Jeane Freeman said: “I am delighted that the Universities of Edinburgh and Glasgow along with NHS colleagues are taking part in the human safety trials for the development of a COVID-19 vaccine by Oxford University.

“Scotland has a long established reputation for medical research, and I would like to thank the research community across the country. The pace of work and the commitment of teams across Scotland has been outstanding and is testament to the world-class research infrastructure and expertise we have here.

“Of course, while the prospect of an effective vaccine developed here in the UK is exciting, there is no guarantee of success and we must continue to follow the guidelines set out by the Scottish Government to reduce the spread of COVID-19 and protect our NHS.”

New research into Type 1 Diabetes

NHS Lothian’s diabetes research teams based at the Western General Hospital (WGH) and the Royal Infirmary of Edinburgh (RIE) have launched a number of exciting new trials to help us understand what might cause type 1 diabetes and how to prevent it.

These new studies include INNODIA, a Europe wide study recruiting people with newly diagnosed type 1 diabetes and unaffected family members. As diabetes affects 1 in 18 people in Scotland, with around 5,000 people with type 1 and 37,000 with type 2 diabetes in the NHS Lothian region, research to improve patient care and develop new treatments is vitally important.

Key to the success of the research are the volunteers who take part in studies. An easy way for people to participate is to join the NHS Research Scotland Diabetes research register.

Alison Sudworth, Diabetes Specialist Research Nurse in the RIE, said: “Getting more people involved in diabetes research will help make inroads into understanding the disease and create new treatments. For instance, one part of our GoDarts study is looking at genetics.”

Diabetes can damage the heart, blood vessels, nerves, eyes and kidneys and the WGH team have two trials that aim to improve the health of patients with complications.

Lesley Steven, Specialist Research Nurse at WGH said: “Recruitment in clinical trials is often challenging, particularly in diabetes renal studies. Renal patients often have limited treatment options, so trials in this area are vital to allow access to new drugs that would otherwise not be available to them.”

For more information contact: WGH 0131 537 3327 or RIE 0131 242 1456. 

Any diabetes research project can make use of the NHS Research Scotland Diabetes research register, contact administrator-sdrn@dundee.ac.uk or phone 01382 383595 for more information.

Edinburgh Scientist Urges City To Walk All Over Cancer

AN Edinburgh woman who was inspired to become a cancer scientist after her grandmother’s life was extended following pioneering treatment, is calling on men and women to Walk All Over Cancer and help raise money for vital research.

Kristel Sepp, a PhD student at the Cancer Research UK Edinburgh Centre, is urging people to sign up now and get sponsored to walk 10,000 steps a day in March.

Scientist Kristel, aged 28, from Leith, knows first-hand how important research is to people with cancer after losing her beloved grandmother to the disease.

Senta Sosi died from pancreatic cancer aged just 63 years old, while Kristel was studying for a degree in chemistry at the University of Edinburgh.

It was saying goodbye to her grandmother that drove Kristel, originally from Kuressaare in Estonia, to become a cancer scientist. After completing her undergraduate degree, she joined the Cancer Research UK Edinburgh Centre to study for a PhD in optical medical imaging.

Kristel said: “My grandma was diagnosed with pancreatic cancer before I started high school. It was really hard for all the family. Pancreatic cancer is one of the most difficult cancers to treat and we didn’t know what to expect.

“But, after surgery and chemotherapy, she lived for another five years. I’m so grateful that thanks to her treatment we got to spend more time with her – and that she got to see the birth of another granddaughter, my cousin.

She continued: “It was research that developed the treatment that gave my grandma more time with her family. That’s why I decided I wanted to become a cancer researcher, and why I’m calling on people in Edinburgh to sign up with me to Walk All Over Cancer and raise money to help more people have more time with their family and friends.”

Kristel works at the Cancer Research UK Edinburgh Centre on a technique called stimulated Raman scattering microscopy (SRS), which allows her to study how drugs behave in cancer cells in real time.

She explained: “To be able to study a drug in this way, we get a better understanding of where the drug goes in cancer cells – does it go where we expect it to go in order to kill the cancer cells? This has been a big challenge for scientists up until now.

“I’ve been studying how drugs behave in chronic myeloid leukaemia cells. Some patients with this type of blood cancer stop responding to treatment because their cancer becomes resistant to the drugs.

“I’ve been using SRS to look at how one drug used to treat chronic myeloid leukaemia behaves in cancer cells that are sensitive to the treatment, compared to cancer cells that are resistant to it.

“By understanding clearly how drugs behave in cancer cells in real time, it could help scientists to develop better cancer treatments more quickly and at less expense.”

As well as working on ground-breaking cancer research, Kristel enjoys keeping fit and tries to walk 10,000 steps every day as part of her exercise plan. She uses a fitness tracker on her wrist to keep track of how many steps she’s taken.

She said: “I like to walk because I enjoy the fresh air and the health benefits of walking. If it’s the weekend, I like to walk to the top of Arthur’s Seat. Day to day, I’ll do things like walk to the gym and back to try to get in as many steps as I can.”

She continued: “If you take on the Walk All Over Cancer challenge, it’s up to you how you reach 10,000 steps per day. You could take on the challenge on your own or with family, friends and colleagues. And you can try to find ways to fit your steps in around your other daily activities. For example, I like to walk when I’m Skyping my mom. That way I can get my steps in and catch up with what’s going on back home in Estonia at the same time.”

Keeping check on the number of steps taken each day has never been easier, with many smartphone apps, pedometers and wearable activity trackers.

Victoria Steven, Cancer Research UK’s spokesperson for Scotland, said: “Signing up to Walk All Over Cancer is a great way to kick-start a healthier lifestyle, now that Spring is just around the corner.

She added: “Walking 10,000 steps is equal to about five miles, based on the average person’s strides. That’s quite a challenge for many people. But adopting small lifestyle changes – from walking to work or taking the stairs instead of the lift – can help make the goal feel achievable.”

In Scotland, a fifth (20 per cent) of people are getting less than 30 minutes of physical activity a week.

Not only will taking on the challenge help raise money, it has health benefits as well. Moderate exercise can help build stamina, burn excess calories and protect against a range of diseases including cancer.

Victoria continued: “By signing up now, there’s time to plan ways to fit in some extra steps in March. Everyone who gets sponsored to go those extra miles will be making a real difference to the 88 people diagnosed with cancer every day in Scotland. 

“Cancer survival has doubled since the early 1970s and Cancer Research UK’s work has been at the heart of that progress – but every step our doctors, nurses and scientists take relies on donations from the public and the tireless fundraising of our supporters.” 

To sign up now, visit www.cruk.org/walkallover.

Mum thanks ambulance service after collapsing at gym

A mum said she owes her life to the Scottish Ambulance Service when she collapsed at the gym after being struck down with an exercise-related medical condition.

Vicky Tallentire, from Corstorphine, became unwell while on a treadmill at a city gym.

She was suffering  from a rare disorder in which anaphylaxis occurs after physical activity and was unresponsive after having collapsed. She was rushed to Edinburgh Royal Infirmary by ambulance crew Mark Ferrier and Alex Vesco.

Since the incident, she has been reunited with both on separate occasions.

Vicky, a medical consultant of Acute Receiving at Western General Hospital, said: “It was a Saturday morning and I was at the gym. 

“I was on a treadmill when I started to feel really unwell. I went downstairs with my husband Mike, who was with me and I collapsed in quite a confined bathroom area of the gym, with what evolved into an episode of anaphylaxis. I have had one previous episode of anaphylaxis and I sort of recognised some of the symptoms.” 

She “very rapidly” started to lose consciousness and added: “My husband, who is a doctor as well, phoned 999. I don’t remember much about the intervening period between the phone call going out and me kind of regaining consciousness in the emergency department in the Royal Infirmary. I do remember a crew arriving and having a sense I was being managed really well.  

“My husband, an ICU consultant, thought I was going to [cardiac] arrest.  I was in a small toilet area of the gym, making logistical issues even more challenging.” 

An ambulance crew was soon dispatched, staffed by Mark and Alex. 

Vicky said: “The crew were everything I could have asked for – efficient, effective and kind, all at the same time.  I didn’t care much about kind words; I knew I needed adrenaline and fluids and hospital.  

“But whenever I was conscious I felt a sense of control by the crew; I heard specific and effective communication, I heard rapid decision-making under pressure and I knew I was in safe hands. 

“I have only ever been in an ambulance transferring patients between hospitals, never as a patient myself.

 “I know I owe my life to that crew – being at the front line is tough.  I know, I live it.  But just occasionally you do get to make a real difference to someone’s life.”

Accompanied by her son Wilson, Vicky recently met up with paramedic Alex just before Christmas. She also ran into Mark earlier this month while at work.

Wilson also thanked the crews: “Thank you for having my mum back for Christmas.”

On meeting Vicky again, Alex said: “It was a real unique experience to meet a patient after the event, it’s not something we commonly get to do, and quite often we don’t get to find out how are patients are after we take them into the Emergency Department, so this has been really good to have an informal debrief, and ask each other questions, so it was really nice to meet up.”

Vicky has since made a very full recovery and added: “I really can’t express how grateful I am to both of the crew involved, and also the amazing team at Royal Infirmary of Edinburgh ED. From the bottom of my heart, I am so immensely grateful to everyone involved.”

NHS Lothian praises staff as health watchdog publishes inspection report

NHS Lothian has ‘welcomed’ the publication of Healthcare Improvement Scotland’s Royal Hospital for Sick Children (RHSC) and Department of Clinical Neurosciences (DCN) inspection report.
Continue reading NHS Lothian praises staff as health watchdog publishes inspection report

Briggs: Critical Care delayed discharges at the Western General remain highest in Scotland

This week’s Audit of Critical Care in Scotland report has revealed that the critical care unit at the Western General Hospital in Edinburgh has significantly higher delayed discharge rates than the rest of Scotland. Continue reading Briggs: Critical Care delayed discharges at the Western General remain highest in Scotland

Briggs ‘deeply worried’ over Western’s Urology waiting list

The number of patients on the urgent waiting list for a urology operation at the Edinburgh Western General Urology Hub has increased from 363 at 30 June 2018 to 465 at 31 March 2019, the latest data available. Continue reading Briggs ‘deeply worried’ over Western’s Urology waiting list

Western General: more operations cancelled

More non-emergency procedures have been postponed at the Western General Hospital following the outbreak of a bacterial infection in a ward last week. The ward closure will now remain in place until Thursday at the earliest. Continue reading Western General: more operations cancelled

Minor Injuries Unit celebrates 22nd birthday

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The Western General’s Minor Injuries Clinic  celebrated its 22nd birthday on 1st November. 
The clinic provides treatment for adults and children aged over one year. Open every day of the year from 8am to 9pm (last patient book-in at 8.30pm) it treats a wide range of injuries, such as cuts, burns, sprains, wound infections and simple fractures.
More details on the work of the Minor Injuries Clinic are on the NHS Lothian at:
The clinic opened on 1 November 1994, breaking new ground by becoming the first nurse-led unit of its kind in Scotland. The new Unit was created as a result of community pressure following a long campaign to retain A & E and childrens services at the Western (above).

As a special 22nd birthday treat for the clinic’s specialist nurse, paramedic and physiotherapy practitioners, NHS Lothian arranged for a special rendition of “Happy Birthday” to be performed (appropriately) in the key of ‘A Minor!

You can hear the performance here:

Continue reading Minor Injuries Unit celebrates 22nd birthday