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Found 102 results
  1. News Article
    Long waits at accident and emergency (A&E) departments in Scotland continue to put patient safety at “serious risk”, the Royal College of Emergency Medicine has warned. New figures from Public Health Scotland show 78 per cent of patients visiting A&E in the week to January 23 were seen and admitted, transferred or discharged within four hours. This is an increase on the previous week, but still below the Scottish Government target of 95% It comes as the number of planned operations across NHS Scotland dropped 13% from November to December, to 17,835. Dr John Thomson, vice-president of the Royal College of Emergency Medicine in Scotland, said the college was concerned poor A&E performance times are becoming the “status quo”. “With fewer attendances performance has plateaued, but be in no doubt that the health service and its staff in Scotland remain under unprecedented pressure and increasing burnout,” he said. Dr Thomson added: “The impact of this continued poor performance is distress and moral injury to staff and serious discomfort and risk to the safety of patients. Read full story Source: The Scotsman, 2 February 2022
  2. News Article
    A mum says her life has been destroyed following a hernia repaired with a mesh implant – with pain so severe she considered ending her life. Roseanna Clarkin, 38, has suffered excruciating pain since medics used mesh products to repair the issue. Now she wants the use of mesh in hernia operations to be suspended, as it has for vaginal mesh following years of suffering by thousands of women. Revealing her own hell, Roseanna told how she was in so much pain last month she asked for ­guidance about how to legally end her own life. She added: "When I was going to the doctor's after my op, I wasn't believed. They told me it was all in my head and even told my husband Brendan 'Don't get roped into this'". Roseanna said: "I suspect the mesh has moved. But even the other week one of the GPs at my practice was suggesting it was in my head." Roseanna launched a petition calling for the suspension of mesh in hernia ops. It is going through the public ­petitions committee at Holyrood. To date, more than 70 patients or their families have written to the committee about their experiences with hernia mesh implants. Labour's health spokeswoman, Jackie Baillie, who campaigned for vaginal mesh ops to be suspended, called for an urgent review of the uses of mesh for other procedures. She said: "It has taken years for the serious problems caused for women who had transvaginal mesh used in their surgical treatment to be resolved but it appears to be affecting other conditions too." She warned: "We can't repeat the mistakes of the past." Read full story Source: Daily Record, 31 January 2022
  3. News Article
    Clinical care for sufferers of endometriosis is not meeting "base level", according to new research seen by BBC Scotland. The debilitating condition affects 100,000 women in Scotland and is more common than diabetes, yet it takes eight and a half years to be diagnosed. Almost half of those with endometriosis are in pain most days. The study, commissioned as part of the Scottish government's Women's Health Plan, found that services were lacking. The charity Endometriosis UK said the condition costs the UK economy £8.2bn each year in treatment, healthcare costs and loss of work. It carried out the study and has recommended four main areas for improvement: Implementing National Institute for Health and Care Excellence guidelines and quality standards on endometriosis care across Scotland - the research found that this base level of care "is not currently being met". Building relationships between healthcare services through managed clinical networks to allow for smoother referrals. Increasing education in primary and secondary care levels - including GPs and non-specialist gynaecologists. Investment in a public health campaign and improved menstrual education in schools. Read full story Source: BBC News, 23 January 2022
  4. News Article
    Swedish expert has praised Scotland for leading work in improving patient safety, with a decade-long programme which is now expanding into social care. Dr Pelle Gustafson (below), chief medical officer, of Swedish patient insurer Löf, said he was “particularly impressed” by the work in Scotland over the past 10 years during a meeting of the House of Commons Health and Social Care Committee. The Scottish Patient Safety Programme (SPSP), which has been in existence for around 13 years, was set up to make patient safety a priority in NHS Scotland, drawing on lessons from the airline industry such as introducing checklists. Gustafson was asked by Tory MP Dr Luke Evans which country he would hold at the “very top of the pillar” for preventative work during an evidence session on NHS litigation reform last week. He responded: “If you take all preventive work as regards patient safety, I would say that I am personally very impressed by Scotland. “In Scotland, you have a long-standing tradition of working. You have development in the right direction. “You have a system that is fairly equal all over the place and you also have improvement activities going on. I am very impressed by Scotland.” He added: “I am particularly impressed by the Scottish work over the last 10 years. There are a lot of things that we, in the Nordic countries, can learn from Scotland too.” Read full story Source: The National, 16 January 2022
  5. News Article
    A new study has linked COVID-19 to complications during pregnancy. Scottish researchers found that women who catch the virus near the end of pregnancy were more vulnerable to birth-related complications. They are more likely to suffer them than women who catch Covid in early pregnancy or not at all. The researchers say getting vaccinated is crucial to protect pregnant women and their babies from life-threatening complications. The latest findings come from the Covid in Pregnancy Study (Cops), which carried out research across Scotland to learn about the incidence and outcomes of Covid-19 infection and vaccination in pregnancy. It is one of the first national studies of pregnancy and Covid. They found that preterm births, stillbirths and newborn deaths were more common among women who had the virus 28 days, or less, before their delivery date. The majority of complications occurred in unvaccinated women. The results, which have been published in Nature Medicine, come after recent data showed 98% of pregnant women admitted to UK intensive care units with coronavirus symptoms were unvaccinated. Researchers are now calling for measures to increase vaccine uptake in pregnant women. Read full story Source: BBC News, 13 January 2022
  6. News Article
    People with some of the deadliest forms of cancer are being diagnosed later than ever as a result of disruption to healthcare caused by the Covid pandemic, campaigners have warned. Stomach, lung, pancreatic, brain, stomach and oesophageal cancers have some of the poorest long-term survival rates and have always been disproportionately diagnosed late following an emergency hospital admission. However, campaigners are concerned that the poor prognoses for these patients have been exacerbated by factors such as a reluctance to attend A&E or bother GPs during the pandemic, and by bottlenecks in the numbers of patients waiting for tests such as CT scans or endoscopy. A drive to raise awareness of the symptoms for these cancers – which are not subject to any routine screening programmes – along with a push for more investment into research for treatments has been launched today to mark the first Less Survivable Cancers Awareness Day. Dawn Crosby, head of Scotland and Northern Ireland for Pancreatic Cancer UK and a member of the Less Survivable Cancers Taskforce, said: “We know that delays in diagnosis lead to much poorer outcomes for patients with these rapidly-advancing cancers. We also know the trauma associated with receiving a diagnosis in an emergency setting for both patients and families." “These cancers are currently difficult or impossible to treat at later stages and the time from diagnosis to death is often brutally short compared to more survivable cancers. “The situation is critical and has been exacerbated by the Covid-19 pandemic. The Taskforce is calling for a significant increase in research funding, as well as a commitment to increasing resources for early diagnosis for less survivable cancers so we can close the deadly cancer gap.” Read full story Source: The Herald, 11 January 2022
  7. News Article
    Scottish Liberal Democrat leader Alex Cole-Hamilton is calling for more cash to be invested in drug and alcohol services after “utterly heart-breaking” figures showed at least 852 babies have been born addicted since April 2017. A total of 173 such births were recorded in both 2019-20 and 2020-21, down from 205 in 2018-19 and 249 in 2017-18. In addition to this, a further 52 babies were born addicted in the first part of 2021-22, according to the figures, which were compiled by the Scottish Lib Dems using data obtained under Freedom of Information. Mr Cole-Hamilton described the figures as being “utterly heart-breaking”, adding: “It is hard to think of a worse possible start in life for a newborn baby to have to endure.” He criticised SNP ministers, saying: “In 2016, the Scottish Government slashed funding to drug and alcohol partnerships by more than 20 per cent. Valuable local facilities shut their doors and expertise was lost which has proved hard to replace." “Scotland now has its highest-ever number of drug-related deaths. The Scottish Government has belatedly begun to repair that damage but there is so much more to do." Read full story Source: The Independent, 6 January 2022
  8. News Article
    A care home with some of the highest Covid death rates recorded in the pandemic is facing whistleblower claims over unsafe conditions. Golfhill Nursing Home, in Dennistoun in Glasgow's East End, Scotland, is run by Advinia Healthcare, which confirmed a "large scale" investigation was taking place. A report by the Crown Office, published in April, showed Golfhill care home recorded 11 deaths related to coronavirus, among the highest rates. The Care Inspectorate investigation is said to have followed "months of complaints" about sub-standard and unsafe conditions at the home, including residents being admitted to hospital suffering from dehydration. The problems are said to centre on the intermediate care unit, where elderly residents are transferred after being discharged from hospital, requiring a higher level of care and remaining there for around a month before being sent home or into long-term care. According to a source, the unit has been short staffed "almost on a daily basis" because employees were being transferred to other areas of the home. Read full story Source: The Scotsman, 17 December 2021
  9. News Article
    Swift action is needed from the Scottish Government to prevent a “cancer catastrophe”, campaigners have claimed, as new figures showed the NHS has again failed to meet a key waiting times standard. Ministers have set the target of having 95% of patients begin treatment within 62 days of being referred for help because cancer is suspected. But the latest data showed another decline in performance against this in the period July to September, with only 83.1% beginning treatment in this timeframe – down from 84.1% in the previous quarter and below the 87.3% that was achieved in July to September last year. None of Scotland’s health boards met the goal of starting to treat patients within two months of referral – and nor was this target achieved for any cancer types. The latest figures from Public Health Scotland showed that in NHS Orkney, only two out of five (40%) of patients referred with an urgent suspicion of cancer began treatment within two months, the lowest rate in Scotland. And less than three quarters (71.8%) of those suspected of having bowel cancer began treatment within two days, compared to 76 per cent of those with cervical cancer, 91.5% of those with lung cancer and 92.7% of those with breast cancer. It comes as the number of people being referred to help increased by almost a third from the same time last year. Read full story Source: The Scotsman, 14 December 2021
  10. News Article
    Nearly 2,000 children and teenagers have been left waiting for specialist mental health care for at least a year in Scotland, according to official figures branded “damning” by psychiatrists. New NHS Scotland data has revealed that, at the end of September, there were 1,978 patients who had been waiting 52 weeks or more for a Child and Adolescent Mental Health Services (CAMHS) appointment. That is more than double the 959 young people who were waiting that long the previous September – despite efforts by Nicola Sturgeon’s government to meet its own 2023 target for 90% of young people to receive help within 18 weeks. Ahead of the Holyrood Budget on Thursday, the figures prompted calls from service providers for a “radical transformation of our mental health services” enacted with the same zeal as the response to the coronavirus pandemic and with a focus on earlier interventions to prevent young people “giving up on their futures”. According to the latest figures, there were a total of 11,816 young people waiting for an appointment by the end of September – just 78% of them who had been seen within 18 weeks. Dr Helen Smith, chair of the CAMHS faculty of the Royal College of Psychiatrists in Scotland, said the long waits for help highlighted the “many problems” with these services “across the length and breadth of the country”. “The fact that our vulnerable children and young people are still waiting to be seen is, frankly, not good enough,” Dr Smith said. “We need them to be able to access the right support at the right time, from the correct services.” Read full story Source: The Independent, 8 December 2021
  11. News Article
    A special Crown Office unit set up to probe Covid-linked deaths is considering 827 cases in Scotland's hospitals, latest figures show. The unit was set up to consider the circumstances of Covid-linked deaths such as those in care homes. But the prosecution service has also received reports of hundreds of hospital-related virus deaths. Prosecutors will eventually decide if these deaths should be the subject of a fatal accident inquiry or prosecution. As of 7 October, Crown Office figures show Scotland's biggest hospital, the Queen Elizabeth University Hospital in Glasgow, has the highest number of reported Covid-linked deaths at 113. This was followed by the Royal Alexandra Hospital in Paisley and Glasgow Royal Infirmary which both had 71 Covid-related deaths referred to the Crown Office. The figures do not include deaths at home addresses or hospices, or where a care home resident died in hospital after contracting COVID-19 in a home. Read full story Source: BBC News, 4 November 2021
  12. Content Article
    The Inquiry is investigating the Covid-19 pandemic in Scotland. The Inquiry will establish the facts about the devolved response to the Covid-19 pandemic, in order to identify what lessons there are for the future.  The aim is to learn from the handling of the Covid-19 pandemic. People in Scotland have suffered as a result of Covid-19. The Inquiry will examine what was done to face the challenge of the pandemic. The Inquiry will report on what worked well, areas where things could have been done better, and make recommendations. 
  13. Content Article
    The Queen Elizabeth University Hospital Review was prompted by public and political concern following reports of the deaths of three patients between December 2018 and February 2019. The deaths had been linked to rare microorganisms and concern was growing that these organisms were in turn linked to the built environment at the Queen Elizabeth University Hospital (QEUH) and Royal Hospital for Children (RHC). The Review's remit was: “To establish whether the design, build, commissioning and maintenance of the Queen Elizabeth University Hospital and Royal Hospital for Children has had an adverse impact on the risk of Healthcare Associated Infection and whether there is wider learning for NHS Scotland”.
  14. Content Article
    These resources by Health Education for Scotland support their e-learning modules on hand hygiene. You will need an account to access the e-learning modules, but the supporting resources are available to download. Resources include: Hand hygiene: print version, PDF version of the SIPCEP foundation layer e-learning module 'Hand hygiene' for use in offline settings Advantages and disadvantages of alcohol based hand rub (ABHR), This document lists the advantages and disadvantages of using ABHRs and handwashing Preparing your hands before starting work: job aid, A short job aid for Hand hygiene Hand hygiene using alcohol based hand rub (ABHR): tip sheet, A short tip sheet for using ABHRs Washing hands with liquid soap and warm running water: tip sheet, A short tip sheet about washing hands with liquid soap Work based activity – Hand hygiene Video: What's stopping you? Video: Alcohol-based hand rub Video: Liquid soap and warm water
  15. Content Article
    For the first time since the 1990s, the Surgeons’ Hall Museums in Edinburgh has displayed a new pathology specimen—a transvaginal tape removed in April 2022 from a woman suffering complications of vaginal tape (or mesh) surgery performed in 2006. In this blog Louise Wilkie, the museums' Curator, explains how the device came to be displayed, the history of vaginal tape surgery and the controversy surrounding its introduction and regulation. She also highlights concerns about the subsequent treatment of women who experienced life-changing complications as a result of the procedure.
  16. Content Article
    This is the report of an employment tribunal concerning claimant Terence Burke, who was employed as a caretaker for the charity Turning Point Scotland. The tribunal ruled that Mr Burke was a disabled person within the meaning of s6 of the Equality Act 2010, and therefore unfairly dismissed by Turning Point Scotland in August 2021. The tribunal found that Mr Burke was disabled as he was suffering from Long Covid. This is the first case of Long Covid being classed as a disability in an employment tribunal and the ruling is likely to have implications on future cases concerning employees with Long Covid.
  17. Content Article
    Information on waiting times for local health boards and specialties in Scotland. This site shows information on waiting times for planned (elective) care. This site does not show information for emergency (unscheduled) care. The statistics shown here relate only to any treatment as an inpatient or day case covered by the Treatment Time Guarantee (TTG). A small number of specialist treatments are not covered by the TTG.
  18. Content Article
    This report outlines the Royal College of Psychiatrists in Scotland's priorities for the Scottish Parliament. The report centres on the idea that there should be 'no wrong door' for individuals in all communities to accessing the right care, in the right place, at the right time for mental ill health. It highlights the significant effects of the Covid-19 pandemic on the mental health of the population: The number of people with high levels of psychological distress (indicating a potential psychiatric disorder) has doubled during the Covid-19 pandemic to 35.6%. Those most vulnerable to psychological distress (67%) were those with pre-existing mental ill health–the population already supported by psychiatrists. Women, young people, ethnically diverse communities and the economically disadvantaged have also been disproportionately affected.
  19. Content Article
    The Scottish Government has published a new Bill to establish a Patient Safety Commissioner for Scotland. This article provides an overview of the remit, accountability, powers, and responsibilities of the new Commissioner that are proposed in this Bill.
  20. Content Article
    Realistic Medicine is Scotland's approach to a sustainable health and social care system. The Realistic Medicine Podcast shares the stories, experiences and projects of teams and communities across Scotland. In this episode, Dr Graham Kramer, National Clinical Lead for Self Management and Health Literacy, talks about health literacy and the importance of people being able to understand and engage in their own health and healthcare.
  21. Content Article
    This realist evaluation aimed to explore and explain the ways in which a programme initiated by the Scottish Government, Keeping Childbirth Natural and Dynamic (KCND), worked or did not work in different maternity care contexts. KCND was a maternity care programme that aimed to support normal birth by implementing multiprofessional care pathways and making midwife-led care for healthy pregnant women the national norm.
  22. Content Article
    Acute prescribing forms a large part of the daily workload for GP practices. Quality improvement (QI) methodology can be used to help improve prescribing processes and ensure that prescribing work is managed by the right member of your team, safely and effectively. This toolkit is designed to help primary care multidisciplinary teams, including pharmacotherapy services, safely improve their acute prescribing processes in line with the Essentials of Safe Care. An acute prescription is defined as any prescription without a serial or repeat mandate.
  23. Content Article
    Poor and ambiguous medication recording is a common issue identified by the Care Inspectorate during inspections or complaints activity. This guidance aims to support care staff working in residential care services who record medication administration and develop personal plans, by giving common sense guidance on medication recording and personal plans.
  24. Content Article
    In this article, Professor Paul Bowie, Programme Director for Safety & Improvement at NHS Education for Scotland (NES), outlines an NES research project which aimed to critically review the safety-related content, language and assumptions of a small but diverse range of health and care safety learning reports, policies, databases and curricula.
  25. Content Article
    In May 2012, a working group from The Royal College of Surgeons of Edinburgh issued a report examining the provision of care for victims of major trauma in Scotland. This report recommended the development of a trauma system across Scotland which focuses on reducing disability as well as mortality.
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