2016 Autumn

Scottish Charity Incorporated Organisation SC034260 Issue Autumn 2016 1
The Chairman’s Introduction
This issue features one aspect of ophthalmology services in the
North of Scotland; namely the on-going Waiting List for the
assessment and treatment of cataracts. The information obtained by
a service user under Freedom of Information makes for concerning
reading. Where does the responsibility for these figures lie? Local
management has made reference to maternity leave affecting
optometrist numbers and a vacant Consultant Ophthalmology post.
However, this is not a problem of NHS Highland’s making but
symptomatic of a national shortage of staff. The Health Service quite
rightly relies on a large number of female staff across all specialties.
Unsurprisingly many will have families and maternity leave. Many
health care workers are now working part-time. It takes many years
to train such professionals. Shortage of staff is not unique to the
Highlands or to one specialty. There is little virtue in poaching staff
from another area which simply transfers the problem elsewhere.
The predicted demographic time bomb affecting the numbers of
older people over the coming decades has been a topic for
discussion amongst health care professionals and politicians for
many years; recognizing it will have a profound impact on services.
Not least will be the need for timely cataract surgery for the growing
numbers of sufferers which can be life transforming and avoid
demands on other services. It is difficult not to come to the
conclusion that there has been a national failure of health care staff
planning for over a decade. The local ophthalmology managers say
they are working with the Scottish Government to improve the overall
ophthalmology service. Sadly, for some service users it will be too
late. Ian McNamara
Autumn Newsletter 2016

Are you waiting for cataract treatment? As the queue
triples, help us get things back on track
Veteran writer and artist Bette McArdle is shocked to find that hundreds of
people in the Highlands are not getting the treatment they need for their
cataracts and she is seeking help to make sure something is done about it.
Clouding of the lenses of the eyes – known as cataracts – can happen at any age, but it is very
common in the elderly; some 60% of people aged 80 and over are affected.
Those with cataracts may lose their licence to drive a car, have their enjoyment of reading
spoiled, lose the ability to do close work such as knitting and generally suffer from a loss of
independence, confidence and quality of life.
A relatively simple, quick and very successful operation can greatly help. If your eyesight is
becoming a problem and glasses can’t help any more, your optician will ask your GP to refer you
to an ophthalmologist and there is a statutory requirement that your condition is assessed by this
specialist within 18 weeks of referral.
Unfortunately, here in NHS Highland this statutory deadline has not been met for a couple of
years. At the end of June 2014 the waiting list for assessment (never mind treatment) totalled
317 people. Sadly a year later it had gone to 474. And at the end of June this year those of us
waiting to have our eyesight improved had grown to a shocking 919, almost THREE TIMES what
it had been two years earlier. These figures are from NHS Highland itself, provided under the
Freedom of Information Act.
I first learned about this situation last December when I was told it took around 8 or 9 months to
be assessed, not the statutory 4+ months. In April when my own referral was forwarded to
Raigmore I was told that I could expect to wait 11 months.
NHS Highland blame staff shortages due to maternity leave and say they are taking on more
staff and expanding their facilities.
I think we should make sure they restore a legal service as soon as possible and help hundreds
of people out of the limbo of deteriorating eyesight. If you have cataracts and are caught up in
these long delays in assessment/treatment, I would like to hear from you. For instance, if you
have had to depend on the kindness of family and friends to help you shop because you can’t
drive any more, if you can’t get to an exercise class, lunch club, play whist or visit friends, if your
eyes get dry and tired from watching TV, or your family responsibilities and social life have been
affected,do please write to me C/O HSCN, Box 301, 24 Station Square, Academy St, Inverness
IV1 1LD.
If you don’t want to write but would be happy to talk on the phone, please contact me via HSCN
on 07716 884989 to leave your number and I will phone you back. Confidentiality will be
absolutely respected.
Scottish Government’s National
Review of Primary Care Out-of-
Hours Services
Review of Urgent Care - Issue 1
Access via
www.hscn.co.uk

Arthritis Care Scotland know that all too often, people with
arthritis are struggling to cope with their condition and are isolated
and disconnected from community life, as are their carers. This
impact can increase as people become older; they may have other
long term health conditions and face changes in how and where
they are able to live. These factors can mean they become even
more isolated at home or in a residential care environment. Many older people are living in
severe pain, feel depressed and have little or no social contact apart from daily visits from their
care workers. That is why they are developing a new service for older people with arthritis and
other long term conditions, who live in the Nairnshire area and are feeling isolated. The service,
called Staying Connected in Later Life, aims to help people over 60 cope better with their
condition by participating in a short-term, specialist mentoring programme provided by trained
volunteers visiting them at home. Each participant would be assisted to design their own
programme, from a range of self-management techniques and local activities, based on their
interests, abilities, and personal goals. Weekly visits will cover the selected topics and aims to
introduce them to at least one community group or activity.
Marion MacNeil, the Service Manager for Staying Connected, said, “This service is aimed at
people who no longer attend local activities, due to lack of mobility, lack of transport, or perhaps
lack of confidence. We want to reduce the physical and emotional isolation felt by many people
living with arthritis, and we aim to help them gain some control over their symptoms, and their
lives.” The service will be available by the end of the year, and will also include group sessions
for older carers to help them balance the demands of their caring role, focus on their own health
and wellbeing, and connect with their community, reducing feelings of isolation. If you would like
to know more about the service, please contact Marion on Tel: 07773 033 695 or
Email: marionm@arthritiscare.org.uk.
Highland Older People’s Groups Get-together
Facilitated by
Highland Senior Citizens Network & Age Scotland
Merkinch Centre, Thursday 6th
October, 11am – 2pm
An opportunity for older people’s groups to come together and look at common
issues, share information about local services and discuss the idea of having a
programme of gatherings in local areas. Presentations by:
 Highland Council Welfare Support Team
 Volunteering Service, Raigmore Hospital
 The Highland Alcohol and Drugs Partnership (HADP)
All HSCN and Age Scotland members are invited to attend. Please confirm attendance and any
dietary requirements to: hscn@hotmail.co.uk or 07716 884989 by Thursday 29th
September
Other venues and dates to be arranged to include Fort William, Ullapool, Wick and Grantown-on-Spey.

On 6th
September a new national phone number
“105” will be launched by electricity network
operators for customers to call should they need
to report or get information about a power cut in
their area.
Key points to note about this service are:
 Dialling 105 is free and will put customers
through to their local electricity network
operator – the company that manages the
cables, power lines and substations that
deliver electricity into homes and
businesses in their area.
 105 is just one way customers can contact
their electricity network operator. They can
also contact them by phone or via their
website, or social media.
 Customers can call 105 no matter who
they choose to buy electricity from.
 Customers can also call 105 if they spot
damage to electricity power lines and sub-
stations that could put anyone in danger. If
there’s a serious immediate risk, they
should call the emergency services too.
Healthcare Improvement
Scotland
Medicines Factsheet :
http://
www.healthcareimprovementscotland.org/
our_work/technologies_and_medicines/
ADTC_resources/medicines_factsheet.aspx
Scottish Older People’s Assembly
June Newsletter 2016
Access via
www.hscn.co.uk
Parking Permits: Info by Highland Council
http://www.highland.gov.uk/info/20006/
parking_and_car_parks/215/
inverness_parking_permits
Booking your holiday and online reviews – advice by Highland Council Trading Standards
You are about to go on holiday but you are not sure what accommodation to book. More of us
seek out online reviews and blogs on holiday destinations, hotels, b&b’s, cafes, restaurants and
bars. Ofcom state that 54% of consumers use online reviews and 6% also check blogs or videos
(or vlogs) before booking a holiday or making a purchase. Ofcom also state that one in five of
consumers believe that if a website is listed on a search engine results page, then the
information contained in it is accurate and unbiased. Unfortunately consumers can be duped or
mislead if they take the information shown at face value.
Fake reviews may be provided by the business or close friends and family. The reviews shown
could seem ‘perfect’ or ‘over-inflated’. Reviews of this nature may be ‘clustered’ all provided
about the same date and time, with no ‘poor’, ‘bad’ or ‘mixed’ reviews shown in between.
Genuine negative reviews are not published – this is where only positive reviews are shown over
a period of time.
Professional bloggers/reviewers may be paid or receive free gifts when they endorse a product
or a service in their blogs, vlogs or other online publications and they must make this clear in
their review, by stating that the post or video is an “Advertisement Feature or Endorsement”.
Consumers should also check out business and newspaper online forums including reviews by
trade associations. Doing a basic ‘google’ search on the name of the holiday provider may flag
up recent reviews or feedback.
The Competition and Markets Authority (CMA) has recently carried out an investigation into the
validity and accuracy of online reviews. As part of their recommendations they have provided a
toolkit for businesses to ensure that the reviews provided on their site are genuine and accurate.
Businesses can access this information by going to: http://bit.ly/CmaOnlineReviews
Consumers should report any suspicions relating to an online review or endorsement to Highland
Council Trading Standards via the online complaint form at: https://www.citizensadvice.org.uk/
scotland/consumer/get-more-help/if-you-need-more-help-about-a-consumer-issue/ Further
advice for Highland based businesses can be obtained from Highland Council Trading Standards
on telephone number 01463/228700 or by email : trading.standards@highland.gov.uk

2011 Census on Unpaid Care in NHS Highland – the stats
 At Census 2011 there were 29,814 people living in NHS Highland who were involved in
providing unpaid care and support to a family member, friend or neighbour to enable that
person to continue to live in their own community. The provision of unpaid care in NHS
Highland has grown by 10 percent between 2001 and 2011. Over the same period the
population as a whole increased by 6.7 percent.
 The greatest percentage increase in caring has been among those providing over 20-49
hours a week of unpaid care.
 The 2011 Census shows that there were approximately 17,483 women and 12,331 men
providing some level of unpaid care in NHS Highland, 10.7 percent and 7.9 percent of the
usually resident female and male population, respectively.
 The highest share of unpaid care falls on men aged 50-64 and women aged between 35-64
years.
Extracted from a report by Ian Douglas: Health Intelligence Specialist at the NHS: Feb 2015
Care for the Elderly Ward Volunteers
Patients on the Care for the Elderly Ward at
Raigmore Hospital are currently benefiting
from the support of volunteers who help with
the afternoon tea trolley. The role involves
volunteers taking the trolley round the ward
and ensuring that every patient is provided
with a hot drink of their choice.
Elderly patients on
the ward benefit
from the extra time
and attention that
volunteers can
provide during this
part of the busy
hospital routine.
Volunteers benefit
from meeting new
people, staying
active and the sense
of satisfaction which
comes from
supporting others
who are in need.
Members of staff including the Senior Charge
Nurse are immensely grateful for volunteering
input. If you would like to find out more about
this opportunity, please contact Ian – Volunteer
Services Manager for NHS Highland:
Tel : 01463 704867
Email: Ian.mcconnell1@nhshighland.net
Report available: A Review of
Respite / Short Break Provision
for Adult Carers of Adults in the
Highland Partnership Area:
Key Findings and Main
Recommendations
Authors Anne McDonald and
Donald Macleod (January 2016)
Access via
www.hscn.co.uk
We are now on
Facebook
Please take the time to
“Like” our page or
“follow” us.
Facebook can also be
accessed via our
website
www.hscn.co.uk

Chest Heart & Stroke Scotland’s Services in Highland
One in 10 people in Scotland is living with chest, heart or stroke illness. In the Highland and
Islands alone there are more than 6,800 people living with chest illness, over 21,200 living with
heart disease and 9,700 living with the effects of a stroke. Chest Heart & Stroke Scotland runs
support services throughout Highlands to support people living with these conditions.
Sue Hill is one of the five Coordinators running stroke support services across the Highlands and
Islands. Sue explains, “Our Support Services are tailored to the needs of the individual and
provide support in a variety of settings. Our services help people to overcome their
communication difficulties, their lack of confidence and reduce the sense of isolation and
frustration they face following their stroke. This enables people to participate in activities and
supports them to achieve their individual goals in hospital, at home, in a group setting, or out in
the community.
The services rely on volunteers to provide face to face support to people. All volunteers are fully
trained to be confident and competent in their role and are vital to the running of these services.”
CHSS also runs a Cardiac & Respiratory Support Service in Highland which helps to reduce
isolation for those living in the community with heart failure and COPD. Sue says, “This service
offers people one to one support and provides companionship to people who experience limited
social contact due to their illness. Volunteer befrienders are recruited, trained and carefully
matched with people who need someone to talk to, go shopping
with, or perhaps just share a cup of tea. Often a volunteer
befriender is the only person that some people will see in a
week”. The charity also has an award winning free Advice Line
(0808 801 0899) staffed by professional nurses who provide
confidential, independent information, advice and support to
patients and carers. To find out more about Stroke Services or
Cardiac and chest services in Highland please contact: Sue Hill
on email: sue.hill@chss.org.uk or tel: 01456 415775. Or visit
www.chss.org.uk
Chest Heart & Stroke Scotland, Third Floor, Rosebery House, 9 Hay-
market Terrace, Edinburgh EH12 5EZ
News from Kelly and Anne, the HSCN Coordinators - HSCN on the road
Senior Safe & Well Highlander Great Wilderness Challenge Information stand
Rogart Poolewe Eastgate Centre, Inverness
We have continued to spread awareness of Highland Senior Citizens Network and opportunities for older
people to be involved in service planning and delivery. Some exciting developments include:
 Attending the Senior Safe and Well Highlander event in Rogart and exploring opportunities for greater
involvement of older people with Sutherland District Partnership.
 Working in partnership with Age Scotland to arrange a series of older people’s group get-togethers
across Highland – Inverness, Fort William, Ullapool, Dingwall, Wick. Please let us know if you think this
would be good in your area.
 Meeting with Highview Nursing Home Residents and Relatives Groups and looking at developing links
between them and other nursing home residents in Inverness.
 Involvement of older people in Care Inspectorate consultation on new National Care Standards
 Creating an older people’s champion role for older people who are happy to represent others in
meetings such as local District Partnerships.
Looking forward to meeting lots of you at the Highland older people’s group gatherings and other events in
your areas. As always, please don’t hesitate to get in touch with either of us:
Kelly Sutherland 07933653585 or kelly-hscn@outlook.com
Anne McDonald 07933 653313 or anne-hscn@outlook.com

Alcohol and Older People – tell it as it is! By Dr Liz Smart,
Consultant in Public Health at NHS Highland
These are common stories.
Anyone at any age can have a drinking problem. William always liked his drink, so his family
may not see that his drinking is getting worse as he gets older. Grandma Mhairi was a teetotaller
all her life until she started having a drink each night to help her sleep after her husband died.
People close to her do not realise that she needs a couple of drinks to get through each day.
Ted, after leaving work has joined a number of social clubs and now enjoys a daily tipple along
with friends on the golf course and when watching golf on his new wide screen television at
home.
What is the safe limit?
To keep health risks from drinking alcohol to a low level, men and women should not regularly
drink more than 14 units per week. (Figure 1: What is in a unit?)
Source: Alcohol Focus
A summary of specific issues:
 Alcohol can interfere with medication. GPs and pharmacists can advise whether it is safe to
drink alcohol when taking medication.
 Memory, balance or coordination difficulties can be made worse when drinking alcohol. This
can lead to falls and accidents.
 Drinking alcohol actually leads to heat loss in the body, increasing the risk of hypothermia
when a lot of alcohol is consumed.
 Older people may forget to eat properly if they are drinking too much.
 Links increasingly made between alcohol and dementia.
Helping someone with an alcohol problem
Harmful use of alcohol doesn't just affect the drinker, it also affects the lives of those closest to
them. If you are worried about someone you care about e.g. a partner, relative or friend, who
may be experiencing problems with alcohol, the first step is acknowledging the problem. If you
want to help you need to:
 appreciate that their drinking is causing problems.
 be direct.
 refuse to make excuses for them.
 accept that you cannot rationalise their reasons for drinking.
 recognise that putting additional pressures on them is not helpful.
 it can be difficult for someone to admit they need help. Offering to accompany them to visit
their General Practitioner, who may offer advice and support or will direct them to appropriate
services or groups which can help, is a good place to begin.
Helping someone to come to terms with their drinking is challenging. But by accessing
information and support you can help them make the changes that can result in reducing the
harm caused to themselves, their family and friends. Tell it as it is.
Where to get local help and advice?
 The Highland Alcohol & Drugs Partnership (HADP) has developed a website to provide
information relating to drugs and alcohol in the Highland area. http://www.highland-adp.org.uk/
 General Practice will always offer help and advice.
 Alcohol and Older People (2013) Public Health Agency http://www.publichealth.hscni.net/
sites/default/files/alcoho_drugs_older_people_booklet.pdf
 Highland Alcohol and Drug Partnership http://www.highland-adp.org.uk/

Connect, inform and campaign
Join us today!
Highland Senior Citizens
Network
Box 301
24 Station Square
Inverness
IV1 1LD
Tel 07716 884 989
“Nothing about us, without
us”
Email:
hscn@hotmail.co.uk
Website: www.hscn.co.uk
THANK YOU “In August 2015, I launched the National
Conversation to give people the opportunity to have their say about
the future shape of health and social care services in Scotland. I
am incredibly grateful to everyone who has taken time to join the
conversation and encouraged by the views expressed. It is
fundamentally important to now build on the positives and focus on
the priority areas identified.” SHONA ROBISON, CABINET
SECRETARY FOR HEALTH, WELLBEING AND SPORT
The link to the Report “Creating a Healthier Scotland” is available
here : http://www.gov.scot/Resource/0049/00496905.pdf
One of the intrepid band of
HSCN Walkers who completed
the Great Wilderness Challenge
on 13th August in atrocious
conditions.
The sum raised to be
announced in the next issue.

2016 Autumn

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