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England can learn from Scotland's population health plan

England can learn from Scotland's population health plan

The National20 hours ago
The King's Fund has said the framework from the Scottish Government and Cosla will be an 'important guiding light' in recognising what determines Scotland's population health and wellbeing 'is more than health care'.
The think tank has been advocating for a stronger focus on population health in England for several years.
It insists Scotland's plan is a 'major step forward' and England 'would do well to draw inspiration from its neighbour'.
'The framework will be an important guiding light over the next 10 years in recognising that what determines the Scottish population's health and wellbeing is more than health care: that sectors and approaches need to work together to improve health (working well in their own silos is not enough), and that living a good life matters as well as length of life,' said David Buck from the King's Fund.
READ MORE: UK ministers told to increase Scottish Government borrowing limits
The headline aim of the framework by 2035 is 'to improve Scottish life expectancy whilst reducing the life expectancy gap between the most deprived 20% of local areas and the national average'.
Buck said it is important over time that the life expectancy aim does not 'crowd out' wider government action on quality of life, but added: 'So, yes, more to do but Scotland does now have a population framework to help cohere the national approach to population health – this is a major step forward.
'Despite the now released Fit for the future: 10 Year Health Plan, England has nothing equivalent.
'Although there is interest and action on population health, including in many places and systems that have used or adapted The King's Fund framework, there is nothing that people can look to that provides coherence at national level to support the delivery of the government's stated goal of halving the gap in healthy life expectancy between the richest and poorest regions.
'England would do well to draw inspiration from its neighbour.'
Scotland's Population Health Framework sets out Scottish Government's and Cosla's long-term collective approach to improving Scotland's health and reducing health inequalities for the next decade and was published last month.
It sets out how national and local government will work with public sector partners, community organisations and business to tackle the root causes of ill health.
The framework says after many decades of improvement in life expectancy, progress has stalled with the health of the population being eroded by 'UK government austerity, the Covid-19 pandemic and the cost-of-living crisis'.
READ MORE: SNP ministers call in Glasgow Sauchiehall Street O2 ABC plans
The plan says it represents 'a shift in culture, from treating illness to prevention and a more whole system approach to improving health. It is the beginning of a live programme of change and improvement, with clear initial actions across the drivers of health and further actions to come over the ten-year period.'
Actions laid out in the framework include ensuring digital opportunities are maximised to improve the prevention of poor health and taking action to reduce the proportion of children with developmental concerns at 27 to 30 months including reducing inequalities.
It also aims to advance community wealth building in Scotland 'to address economic and wealth inequality by supporting the generation, circulation and retention of more wealth in communities'.
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The anti-vaxx conspiracists have blood on their hands
The anti-vaxx conspiracists have blood on their hands

The Herald Scotland

time2 hours ago

  • The Herald Scotland

The anti-vaxx conspiracists have blood on their hands

Scotland's own Neil Oliver, for instance, was a middling TV presenter until he parlayed vaccine conspiracy into international celebrity. Donald Trump's current pick for US ambassador to Malaysia is a publicity-seeker called Nick Adams. He achieved Twitter "fame" by endlessly claiming he's 'Alpha Male', telling parents to 'take your kids to Hooters', and cheering on those refusing the Covid vaccine. Finding the sweet spot where anti-vaxx messaging meets politics is a guaranteed passage to money, fame and power. Just ask GB News. The right-wing channel aired the US conspiracist Naomi Wolf comparing the vaccine rollout to 'mass murder'. When that future history of this era is written, after the chapter on the rise of the idiot, the next section should recount the consequences of their reign. Read more by Neil Mackay We see some of the profound real-world results in Britain today: a child has died in Liverpool's Alder Hey hospital after contracting measles. They were the second child to die in Britain since 2023; 17 children have been treated at Alder Hey since June. It's an agonising truth, but such deaths were all but unavoidable given the damage caused by widespread dissemination of anti-vaccine conspiracy in Britain. Millions of children worldwide are at risk of death and illness due to declining vaccination rates, according to the World Health Organization and Unicef. Britain has the worst vaccine level for MMR – against measles, mumps and rubella – in the G7. The required rate is 95%. In Britain, only 89% of children received the jab in 2024. In Germany, it was 96%. In France, Italy and Japan 95%. Even in America, where Covid conspiracy runs riot, rates were higher at 92%. Rates for the second MMR dose fall to 85% in Britain. In the pre-Covid years, around 93% got their MMR jab. The picture of vaccine take-up in Britain is complex, and differs depending on vaccine. There's wide regional variation. For the six-in-one vaccine – covering diphtheria, hepatitis B, haemophilus influenzae type B, polio, tetanus and whooping cough – London is nine per cent lower at 86.2% than the highest coverage in north-east England with 95.2%. Scotland and Wales have better coverage with the six-in-one, hitting the 95% target in some cases. However, overall Scotland has witnessed long-term declines in the uptake of all primary and booster childhood vaccinations, Public Health Scotland says. The journal Community Practitioner, which covers issues related to the work of community practitioners and health visitors, reported in March last year that in Scotland there had been 'declines in MMR, both the 5-in-1 and 6-in-1, rotavirus, MenB, PCV [pneumococcal], and Hib/MenC. 'For MMR 2 by age five, only two regions (Angus and East Dunbartonshire) hit the 95% uptake target, and the lowest uptake was in Aberdeen with 83.1%. Two (unrelated) cases of measles were reported last year [2023], in October.' With MMR, Britain never recovered from the Andrew Wakefield scandal. Wakefield was the doctor behind false claims linking MMR to autism. The claims were given front page treatment by gullible journalists. Wakefield was eventually struck off in 2010. The scandal left Britain extremely vulnerable to anti-vaccine conspiracy. Many journalists who amplified Covid conspiracies had pushed Wakefield's nonsense to the top of the news agenda in the late 1990s and early 2000s. Back then, however, the media landscape was radically different. A few foolish hacks regurgitating nonsense were as nothing compared to the tsunami of conspiracy which would wash across the internet during Covid. Donald Trump, who rode to power on the back of conspiracies related to Covid and QAnon, installed the vaccine conspiracist Robert Kennedy Jnr as his Secretary of State for Health. This month, there's around 1,300 Americans infected with measles. Three have died. Joe Rogan, whose podcast has a global audience of around 15 million, has pushed anti-vaxx nonsense. Remarkably, this former mixed martial arts commentator and comedian is one of the most influential media figures on Earth. As I said: in the age of idiocracy, idiots rule. Rogan has made comments including: 'If you're like 21 years old, and you say to me, should I get vaccinated? I'll go no.' He once claimed his show had been cancelled in Vancouver because Canada required proof of vaccination during Covid for live events. 'I'm not gonna get vaccinated. I have antibodies, it doesn't make sense,' he said. When Rogan contracted Covid, he told the world that he was taking the drug invermectin, used to treat parasite infection and proven to be ineffective against the virus. At one stage, 270 scientists wrote to Spotify, which distributes Rogan's show, citing 'false and societally harmful assertions'. They asked Spotify to 'establish a clear and public policy to moderate misinformation'. 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At such an age, Renae was too young for her vaccination when she was infected by others. Once the future history of this era is written, after the chapter on the rise of the idiots and the real-life consequences of their reign, one hopes the book closes with an account of how these fools were called to a reckoning for what they did in pursuit of fame, money and power. Every unnecessary death is on them. Neil Mackay is The Herald's Writer at Large. He's a multi-award-winning investigative journalist, author of both fiction and non-fiction, and a filmmaker and broadcaster. He specialises in intelligence, security, crime, social affairs, cultural commentary, and foreign and domestic politics.

NHS Fife urged to settle case against Sandie Peggie as Swinney under fire over support for health board
NHS Fife urged to settle case against Sandie Peggie as Swinney under fire over support for health board

Scotsman

time2 hours ago

  • Scotsman

NHS Fife urged to settle case against Sandie Peggie as Swinney under fire over support for health board

Nurse cleared of gross misconduct following her suspension for objecting to sharing female facilities with trans woman Sign up to our daily newsletter – Regular news stories and round-ups from around Scotland direct to your inbox Sign up Thank you for signing up! Did you know with a Digital Subscription to The Scotsman, you can get unlimited access to the website including our premium content, as well as benefiting from fewer ads, loyalty rewards and much more. Learn More Sorry, there seem to be some issues. Please try again later. Submitting... Scottish ministers have been accused of letting the situation surrounding a health board at the centre of a high profile employment tribunal get 'completely out of hand,' amid calls for officials to settle the case. It emerged yesterday NHS Fife has cleared Sandie Peggie of gross misconduct allegations amid her ongoing tribunal against the board. The nurse was suspended from her role last year after she objected to Dr Beth Upton, who is a trans woman, using female facilities at Kirkcaldy's Victoria Hospital. Advertisement Hide Ad Advertisement Hide Ad Nurse Sandie Peggie complained about sharing changing facilities with a transgender doctor | Lisa Ferguson After a five-month break in proceedings, the tribunal resumed on Wednesday, where it heard how NHS Fife's equality lead sought guidance from other health boards before advising that Dr Upton could use the female changing room. But the hearing was largely overshadowed by an announcement from Ms Peggie's solicitor, Margaret Gribbon, that her client had been cleared of gross misconduct allegations following a separate health board disciplinary hearing. The disciplinary hearing was held on 25 June and it considered allegations relating to patient care failures, one of "misgendering" Dr Upton, and one relating to her encounter with Dr Upton in the workplace. Advertisement Hide Ad Advertisement Hide Ad In the wake of that decision, the Scottish Conservatives accused First Minister John Swinney and the SNP government of ignoring several warnings about the health board, while Scottish Labour said the health board must now settle the tribunal. Mr Swinney insisted yesterday that he had 'confidence' in the board of NHS Fife and said they had to 'get on' with delivering health services. He said the disciplinary process had 'examined issues about the alleged conduct of Sandie Peggie' and had now ended, adding: 'It is important that these processes are fair to all parties and that is what has been taken forward here and it has reached its conclusion. 'There is obviously an employment tribunal that has been brought by Sandie Peggie that is currently under way. It's not appropriate for me to comment on the live proceedings that are under way in that process.' Advertisement Hide Ad Advertisement Hide Ad 'Ministers have ignored countless warnings' But Scottish Conservative deputy leader Rachael Hamilton attacked Mr Swinney for backing NHS Fife. She said: 'It's frankly astonishing that John Swinney is still backing this discredited health board to the hilt. 'They've dragged a dedicated nurse through a traumatic disciplinary hearing and tried to cover up the hundreds of thousands they have already squandered on this tribunal. 'SNP ministers have ignored countless warnings that NHS Fife was failing to comply with their legal obligations. Advertisement Hide Ad Advertisement Hide Ad 'It raises a serious question, what exactly would this health board have to do to lose the first minister's confidence?' She added: 'Instead of defending the indefensible, John Swinney should finally stand on the side of women and girls.' READ MORE: How the story of the row between nurse Sandie Peggie and trans Dr Beth Upton unfolded Jackie Baillie, deputy leader of Scottish Labour said: 'Neil Gray and John Swinney have failed to set clear standards in Scotland's NHS and have allowed the situation in NHS Fife to get completely out of hand. Advertisement Hide Ad Advertisement Hide Ad 'The SNP should get their act together and give clear guidance to public bodies, including health boards, on protecting this principle and upholding the Equality Act. 'It is now important that NHS Fife settles the tribunal case and brings this sorry saga to an end.' Nurse Sandie Peggie with her solicitor Margaret Gribbon | Lisa Ferguson The tribunal in Dundee resumed on Wednesday after previous hearings in February, and comes after the UK Supreme Court ruled in April that the terms 'woman' and 'sex' in the 2010 Equality Act 'refer to a biological woman and biological sex', a ruling which has been publicly welcomed by Ms Peggie. In February the tribunal heard that after Dr Upton made an allegation of bullying and harassment and cited concerns about 'patient care', Ms Peggie was suspended but was notified of safety allegations on March 28, 2024 in a letter. Advertisement Hide Ad Advertisement Hide Ad Ms Peggie has lodged a claim against Fife health board and Dr Upton, citing the Equality Act 2010, including sexual harassment; harassment related to a protected belief; indirect discrimination and victimisation. Isla Bumba, NHS Fife's equality and human rights lead officer, told the tribunal on Wednesday she researched the policies of other health boards as there was no regional policy in place regarding trans employees in 2023. Questioned by NHS Fife's counsel Jane Russell KC, Ms Bumba said that in August 2023, her line manager Esther Davidson had sought advice on transgender policies. Ms Bumba said: 'Esther called me, I believe she had called me to ask for very generic and informal advice. I was told they had a transgender staff member who was due to join the workforce, she was seeking advice on how best to accommodate them particularly around changing rooms.' Advertisement Hide Ad Advertisement Hide Ad She added: 'I said it could be deemed discriminatory to not allow a trans person access to facilities that aligned with their gender, but I recommended that it might be worthwhile having a conversation with the person directly if they had been open about their trans status to see where they would be most comfortable.' Ms Bumba said she looked at policies from NHS Lanarkshire and NHS Highland, and was regularly communicating with peers in her role as part of the NHS Scotland Equality Leads Network, and she was also working on a draft patient policy. Ms Russell read from the NHS Highland policy which said: 'Staff must be treated in accordance with self-declared gender regardless of whether under medical supervision or having gender recognition certificate.' Ms Bumba said the policy 'exactly' aligned with her understanding, and at the time, a national policy Once For Scotland from NHS Scotland was being worked on in draft form. Advertisement Hide Ad Advertisement Hide Ad She said she believed the national policy had been 'soft launched' before being withdrawn in February 2025 due to legal proceedings. Ms Bumba said she was providing advice on trans issues 'relatively frequently… at least once a month or every couple of weeks', and she believed Dr Upton was not the only transgender employee at NHS Fife. Ms Bumba said she was contacted by Dr Upton's line manager, Dr Kate Searle, on December 8 2023, and referred to the draft national policy. Advertisement Hide Ad Advertisement Hide Ad Ms Bumba went on annual leave between December 24 that year until January 3 2024, when she said she became aware of a conflict between a doctor and a nurse. Convicted rapist Isla Bryson cited During cross-examination by Ms Peggie's lawyer Naomi Cunningham, Ms Bumba told the hearing she was only aware of one incident where a transwoman had been proven to be a 'risk', citing convicted rapist Isla Bryson. Ms Bumba said 'by allowing trans people into women's space, there is potentially people assigned male at birth in that space', and she agreed men pose a greater threat to women. However she added: 'The risk you described does not equate for a transperson.' Advertisement Hide Ad Advertisement Hide Ad Ms Cunningham said: 'Are you saying although men in general present a greater threat to women than women do, are you saying that transwomen are different from other men in level of threat they present?' Ms Bumba replied: 'Absolutely. I have yet to see, other than one specific case, Isla Bryson, that they are a risk.'

I shed 6st on Mounjaro – the common mistake that can hinder weight loss & 3 foods you need to eat from the start
I shed 6st on Mounjaro – the common mistake that can hinder weight loss & 3 foods you need to eat from the start

Scottish Sun

time13 hours ago

  • Scottish Sun

I shed 6st on Mounjaro – the common mistake that can hinder weight loss & 3 foods you need to eat from the start

WEIGHT TO GO I shed 6st on Mounjaro – the common mistake that can hinder weight loss & 3 foods you need to eat from the start Click to share on X/Twitter (Opens in new window) Click to share on Facebook (Opens in new window) A MUM who slimmed down five dress sizes thanks to Mounjaro has shared her top tips for those wanting to shed weight with fat jabs. Katie McCutcheon, from Glasgow, Scotland, who lost over 5st in just nine months, said one of these tips was critical to remaining motivated while on Mounjaro. Sign up for Scottish Sun newsletter Sign up 4 The Scottish mum said her biggest hint was for people on the drug to not fixate on a number on scale Credit: TIKTOK/@ 4 Two of her other tips were to consume a diet high in protein and have healthy snacks Credit: TIKTOK/@ 4 Mounjaro is typically used to treat type 2 diabetes Credit: Getty Mounjaro, which is known as the King Kong of jabs, is now being prescribed on the NHS in the first anti-obesity rollout of its kind. It is said to suppress the ­appetite, making people feel fuller for longer. Such injections are licensed for patients with type 2 diabetes and to assist those who are clinically obese - with a Body Mass Index of 30 or over. One jab is administered each week but the duration is dependent on a person's weight. Sharing her tips in a TikTok clip, the Scottish mum said her biggest hint was for people on the drug to not fixate on a number on scale. ''If you are hyper-focused on a number on a scale you're probably going to be so obsessed with it that you won't be able to celebrate your non scale victories,'' she advised. ''Like going down a clothing size, or two, or three, or your health being so much better.'' The mother of-two explained that doing so will help you avoid a pitfall that can kill your motivation to stick with the drug, as well as dieting. ''It will be disheartening if you are comparing yourself to other people because it's your journey at the end of the day and no one else's,'' she said. Another of her top tips to help others shed the weight was to ensure they're hydrated and drink plenty of water. I went on fat jabs but the hair loss was unbelievable so I quit - I'd rather be chubby with hair than skinny and bald ''Drink your three to four litres of water a day, if you don't you're probably going to see probably not going to lose (weight) as quickly,'' she said. Two of her other tips were to consume a diet high in protein and have healthy snacks dotted around the house and available when you're on the go. The mum, who posts under the username @ said she currently eats about 60g of protein per day, the equivalent of about two chicken breasts. However, Katie also warned that people following a high protein diet needed to be aware of the potential consequences. ''Please be aware that having a high protein diet you could end up with a side effect like constipation because you're not putting any fibre into your diet, so you need to supplement that in some way,'' she said. Everything you need to know about fat jabs Weight loss jabs are all the rage as studies and patient stories reveal they help people shed flab at almost unbelievable rates, as well as appearing to reduce the risk of serious diseases. Wegovy – a modified version of type 2 diabetes drug Ozempic – and Mounjaro are the leading weight loss injections used in the UK. Wegovy, real name semaglutide, has been used on the NHS for years while Mounjaro (tirzepatide) is a newer and more powerful addition to the market. Mounjaro accounts for most private prescriptions for weight loss and is set to join Wegovy as an NHS staple this year. How do they work? The jabs work by suppressing your appetite, making you eat less so your body burns fat for energy instead and you lose weight. They do this my mimicking a hormone called GLP-1, which signals to the brain when the stomach is full, so the drugs are officially called GLP-1 receptor agonists. They slow down digestion and increase insulin production, lowering blood sugar, which is why they were first developed to treat type 2 diabetes in which patients' sugar levels are too high. Can I get them? NHS prescriptions of weight loss drugs, mainly Wegovy and an older version called Saxenda (chemical name liraglutide), are controlled through specialist weight loss clinics. Typically a patient will have to have a body mass index (BMI) of 30 or higher, classifying them as medically obese, and also have a weight-related health condition such as high blood pressure. GPs generally do not prescribe the drugs for weight loss. Private prescribers offer the jabs, most commonly Mounjaro, to anyone who is obese (BMI of 30+) or overweight (BMI 25-30) with a weight-related health risk. Private pharmacies have been rapped for handing them out too easily and video calls or face-to-face appointments are now mandatory to check a patient is being truthful about their size and health. Are there any risks? Yes – side effects are common but most are relatively mild. Around half of people taking the drug experience gut issues, including sickness, bloating, acid reflux, constipation and diarrhoea. Dr Sarah Jarvis, GP and clinical consultant at said: 'One of the more uncommon side effects is severe acute pancreatitis, which is extremely painful and happens to one in 500 people.' Other uncommon side effects include altered taste, kidney problems, allergic reactions, gallbladder problems and hypoglycemia. Evidence has so far been inconclusive about whether the injections are damaging to patients' mental health. Figures obtained by The Sun show that, up to January 2025, 85 patient deaths in the UK were suspected to be linked to the medicines. The ''plus-size content creator'' also said she advised people to have high protein and low-calorie snacks dotted around to deal with hunger cravings. ''One minute I will be like, 'No, I can't eat a single thing, I am not hungry in any way shape or form,' and then the hunger comes back like that in an instant'', she said. The mother said protein shakes and chicken satay skewers were good options to have on the go. In her video, Katie explained that by planning snacks Mounjaro patients could ensure they were sticking to their diet and not go for more calorific options that could slow down the weight loss process. ''If you don't have something to satiate that hunger you might then end up snacking and you might not count for calories and you could go over your daily calorie deficit,'' she warned. ''We all know that with this medication you need to be in a calorie deficit to lose weight so keep some nice snacks dotted about.'' What are the other side effects of weight loss jabs? Like any medication, weight loss jabs can have side effects. Common side effects of injections such as Ozempic include: Nausea: This is the most commonly reported side effect, especially when first starting the medication. It often decreases over time as your body adjusts. Vomiting: Can occur, often in conjunction with nausea. Diarrhea: Some people experience gastrointestinal upset. Constipation: Some individuals may also experience constipation. Stomach pain or discomfort: Some people may experience abdominal pain or discomfort. Reduced appetite: This is often a desired effect for people using Ozempic for weight loss. Indigestion: Can cause a feeling of bloating or discomfort after eating. Serious side effects can also include: Pancreatitis: In rare cases, Ozempic may increase the risk of inflammation of the pancreas, known as pancreatitis, which can cause severe stomach pain, nausea, and vomiting. Kidney problems: There have been reports of kidney issues, including kidney failure, though this is uncommon. Thyroid tumors: There's a potential increased risk of thyroid cancer, although this risk is based on animal studies. It is not confirmed in humans, but people with a history of thyroid cancer should avoid Ozempic. Vision problems: Rapid changes in blood sugar levels may affect vision, and some people have reported blurry vision when taking Ozempic. Hypoglycemia (low blood sugar): Especially if used with other medications like sulfonylureas or insulin. In the comments, the stunner explained she was on a 1,300 calorie deficit diet, where you consume fewer calories than you use in a day, forcing the body to burn its fat reserves. A 1,300 calorie deficit is 100 less than the NHS's recommended 1,400 for women on such diets. Women are typically advised to only consume a maximum of 2,000 calories per day by the health service. Katie's final tip for people on the drug was to maintain healthy habits, such as calorie counting and staying hydrated, while using the medication. ''If you let those habits drop, like I've done two or three times during this journey, you're probably going to notice stalls,'' she said. ''It's because you're not as focused on calorie counting any more. ''You might have a bad week or a bad couple of weeks, but that does not derail this journey.'' 4 Be aware of the dangers While hailed as revolutionary for the fight against obesity GLP-1 medications, like any drug, do come with the risk of side effects, some potentially deadly. Experts and NHS medics have shared a stern warning about the dangers of taking such medications without a prescription. Following the death of a man from Burton upon Trent, Staffs, who died after taking Mounjaro, his family are now calling for a probe into the jab's "potential to kill."

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