16 September 07
Cabinet Secretary Addresses Aviemore Health Conference
Cabinet Secretary for Health and Wellbeing Nicola Sturgeon has told an audience of 250 delegates from the organisations that deliver health care in communities that their work is central to improving the health of Scotland’s population.

Community Health Partnerships (CHPs) bring together health staff and managers as well as council, patient, carer and community representatives to improve health and health care at local level. The Association of CHPs has been meeting at the MacDonald Aviemore Highland Resort over the past two days [13th and 14th September].

The Cabinet Secretary told delegates: “CHPs have a central, crucial and developing role as key drivers for change in health care and wellbeing. They are central to service redesign and workforce redevelopment and the key mechanism for tackling health inequalities and shifting the balance of care. They should be visible, local active leaders in improving the health of the population. CHPs must demonstrate high quality safe patient care and identify variations in practice. I believe CHPs are innovative and at the cutting edge of health and wellbeing.”

Under the theme of "well...well...well" the CHPs have been taking stock three years after they were set up.

Chair of the CHP Association Gill McVicar, who is also the General Manager of the Mid-Highland CHP, thanked the Cabinet Secretary for coming to Aviemore and welcomed her speech. She said: "We need to question what we do and how we do it. Above everything else we need to keep the patient at the centre. We need to make sure we are still challenging barriers and bringing them down. CHPs can do this because we have people from different backgrounds working together on shared aims. It means that increasingly patients get joined up care and that our health improvement work is more effective."

One of the most popular events at this year's conference has been a workshop on Programme Budgeting which was billed as being 'just for the anoraks'. After a speech on the subject the workshop was packed with people who wanted to know more about putting in place a system that would allow CHPs to more accurately monitor what they spend public money on and what sort of results they were getting for that investment.

Gill McVicar said: "Looking after the budget is important because there is a lot of work to do to improve the health of our people and our health care but there won't be a lot more money to do it. This means we need to be sure we're spending the money in the right ways - ways that make the biggest difference for patients."

10 September 07
Eat Better - Move More
For Healthy Highland 2007
It doesn’t matter how healthy any of us think we are we can all Eat Better and Move More! NHS Highland and partners have chosen the week beginning Monday 10th September to be Why Weight Week as part of Healthy Highland 2007. Throughout this week we are raising the importance of eating a healthy diet and taking regular exercise on our health and well being. It’s also an opportunity for communities throughout the Highlands to celebrate what they do to keep themselves fit and well.

66.2% of people in the NHS Highland area are overweight or obese. This can have serious consequences for their physical and mental health. Obesity is a recognised risk factor for conditions including type two diabetes, heart disease, high blood pressure, stroke, infertility, and some forms of cancer.

Raigmore Hospital’s Blue Dolphin Restaurant will have an Eat Better and Move More stand, run by NHS Highland’s Nutrition and Dietetics Department, with various themes being focussed on over the week. Topics such as how best to ensure you get your ‘five a day’, breaking diet myths, getting the balance of good health and even giving people the chance to try on ‘fat jackets’ to see just how heavy an extra few pounds are.

Local Health Improvement Network Co-ordinator Jane Groves said: “This week is about raising awareness of the health benefits associated with eating better and moving more but we know that it’s easier to say it than do it so we are also raising awareness of what’s out there that will help people.”

Among the schemes being highlighted are the Highlands and Islands Local Food Network’s Gates Open events which encourage local people to eat fresh local produce. Partnerships for Wellbeing’s Food First project which helps people on low incomes access healthy food, and Step it up Highland which trains volunteers to lead walking groups.

Jane Groves said: “These projects have the potential to help change the way people look at healthy living. It needn’t be about forcing your self to the gym or squeezing your body shape to match those of fashion models. We want people to feel good about simply taking a bit of exercise and making a meal from raw ingredients.”

This is the first of three weeks taking place before the end of the year to celebrate Highland as a healthy and vibrant place to live. For more information visit www.healthyhighland.com

4 September 07
NHS Highland Board backs Smoke Free Sites Policy
Patients coming into NHS Highland hospitals are to be given advice and support to help them stop smoking as part of the Health Board's new policy on tobacco. From the 1st of January 2008 almost all our buildings and grounds will be smoke free sites.

More than 500 people die every year in Highland from disease caused by smoking. Although the region has one of the lowest rates of smoking in Scotland it still accounts for a fifth of all deaths.

Director of Public Health Dr Eric Baijal said: "Stopping smoking saves lives. This policy will ensure every time a smoker comes into hospital it is an opportunity for them to stop. Every time someone stops smoking they reduce their risk of suffering cancer, heart disease and lung disease."

The new policy will be implemented sensitively. Board Nursing Director Heidi May said: "We have looked at what happened in other areas and found that the vast majority of people obey the signs. Patients and visitors tell us they do not like people coming into our hospitals smelling of smoke so I'm confident this will be welcomed by the majority of people."

NHS Highland Board Chair Garry Coutts said: "We want to improve people's health and this policy will help them cut out smoking at least while they are with us. In surveys 70% of smokers say they want to quit and a stay in hospital is an opportunity for us to help them succeed."

The Smoking, Health and Social Care (Scotland) Act 2005 provides an exemption for inpatients in psychiatric hospitals.

NHS Highland's Tobacco Policy will provide exemptions for; vulnerable, anxious and distressed inpatients who may be offered an outdoor designated smoking area which meets the requirements of the legislation.

In Highland 23% of the adult (16+) population say they smoke.
Source: Scottish Household Survey

It is estimated that 3, 393 people died from smoking-attributable causes in Highland between 2000 and 2004. This is the equivalent of 20% of all deaths.
Source: An Atlas of Tobacco Smoking in Scotland

10 August 07
The Body Shop survey shows that teen attitudes are a time bomb to domestic violence
Research released today by The Body Shop, as part of their Stop Violence in the Home Campaign, reveals that the next generation will be as much at risk of domestic violence as today unless action is taken to educate young people on developing positive and respectful relationships.

The research showed that 1 in 5 teens (21%) believe it's ok to tell a boyfriend or girlfriend what to do, with the figure rising to more than one in four (27%) in young men. A further 1 in 10 teens think saying sorry makes it ok after they've hurt or forced a partner to do something. A worrying statistic considering that on average, a woman will be assaulted by her partner or ex-partner 35 times before reporting it to the police.

Nicola Harwin, Chief Executive of Women's Aid commented: "This research is very worrying. As young people enter relationships for the first time they must be aware that allowing consistent power and control over a partner in any relationship is abusive and not acceptable. We need to work harder to reach young people and make them aware of the risks".

In light of the fact that one in four women will experience domestic abuse in their lifetime*, The Body Shop survey findings paint a worrying picture of youngsters attitudes towards domestic violence. Many do not seem to realise that domestic violence does not have to be physical or where emotional abuse can lead, suggesting that there is need for greater awareness at an early age to tackle this issue.

Zuni, 17, a survivor of domestic violence, said: "My ex-boyfriend was very controlling, he used to check my phone, tell me what to wear and who I couldn't be friends with. On one occasion he slapped me in front of his friends because I 'answered him back'. He made me feel really bad about myself and that I was always the one in the wrong. If I did what he said - things would be ok. I wish I'd known then that his behaviour was the problem - not mine. I think it's really important for young people to know what a healthy relationship really is and that they don't have to put up with being treated badly, like I did. I was lucky to leave but others might not be. Young people have to spot the signs early"

Nicola Harwin, Chief Executive of Women's Aid commented:
"The only way we can do this is being able to finance awareness campaigns and offer support services aimed at young people. Contributions from companies like The Body Shop are vital in tackling domestic violence "

Toby Morgan, Values Manager for The Body Shop® UK & ROI commented: "The report highlights a number of grey areas in young people's attitudes to domestic violence, particularly emotional abuse and where the boundaries lie. There is a need for greater awareness and support of charities like Women's Aid so that help and information is available for young people. Throughout 2007, The Body Shop is raising much needed funds for Women's Aid by donating all profits from sales of our special edition pink Hi-Shine Lip Treatment to the charity".

The survey was commissioned by The Body Shop® to support their latest campaign to heighten awareness about the impact of domestic violence, as well as raise funds for national domestic violence charity, Women's Aid.

Women's Aid run a website for children and young people, http://www.thehideout.org.uk/ which aims to support and inform about domestic violence. Funds raised from The Body Shop Stop Violence in the Home campaign will help to develop this vital resource.

26 July 07
Do You Have Questions About The Health Service - Now's Your chance To Get Answers
Shona Robison MSP Minister for Public Health Come North Virtually
Public Invited To Take Part In Annual Review
For the first time members of the public are being given the opportunity to submit written questions about NHS services, which will be answered on the day by the Health Board Chair or the Minister. NHS Highland's performance will be reviewed in public during a visit by Shona Robison the Minister for Public Health on 21st August. The minister will be in Inverness but a number of centres including Caithness General Hospital will have a video link to enable members of the public to ask questions. They have asked for questions to be sent in writing by email in advance if possible and assure every one will be answered if not on the day then by follow up on the NHS Highland web site. So if you have question about services - for example maternity, waiting times, Migdale Hospital rebuild delays, the scanner at Caithness General, Lack of dentists to name but a few then get along and ask your question. - It's a first for the new government and they want to listen to go and ask. About Shona Robison MSP

Members of the public are encouraged to submit questions to the Scottish Health Council. Please clearly mark any correspondence with 'NHS Highland Annual Review' and send this, no later than 13th August, to:

Mr Fabio Vilani, Regional Officer
Scottish Health Council, Highland Office
Larch House, Stoneyfield Business Park
INVERNESS IV2 7PA
Fax: 01463 723939 or Email: highland@scottishhealthcouncil.org

The public are welcome to attend the Review, which is being held at the Centre for Health Sciences, Raigmore Hospital site, Inverness. Alternatively, there are three videoconference links available at the Fort William Health Centre, Camaghael, Fort William; the Boardroom, Aros, Blarbuie Road, Lochgilphead and the Seminar Room, Caithness General Hospital, Wick. There will also be a live web cast of the Review, for joining instructions please contact NHS Highland's Public Engagement Team on 01463 704862.

As many questions as possible will be taken during the Question and Answer session. However, those not reached will be recorded and answered on NHS Highland's website after the review.

18 July 07
Industrial Action Involving Highland Mental Health Officers
The Highland Council employs 41 Social Workers with a mental health qualification, who provide a Mental Health Officer service, including to the Mental Health Tribunal.

Their duties include -

giving or withholding consent for emergency and short term detention
preparing applications, reports and care plans for Compulsory Treatment Orders
preparing Social Circumstances Reports
providing advice and information to patients and others
attending Mental Health Act Tribunals
Criminal Justice responsibilities relating to mentally disordered offenders
applying to the Mental Health Tribunal in the case of unlawful detention and applying for warrants to enter premises

In recognition of new duties required by The Mental Health (Care and Treatment) (Scotland) Act 2003 which came in to effect on 5 October 2005, the Council approved a re-grading for 19 main grade MHO staff. This amounted to an extra £2,370 per year or £45 per week.

Their contracts explicitly state the following requirements:

to practice as MHOs in accordance with the legislative requirements
to participate in any emergency out of hours rota
undertake any specified training
keep up to date with legislation, policy and practice
to meet any prescribed continuous professional development (CPD)

MHOs who already hold promoted posts did not receive a pay increase.

The trade unions have made four requests, including one that all MHO qualified social workers should receive an extra £5,000 per year which they claim is in line with salaries paid by other Scottish local authorities.

This request was rejected by the Council's Appeals Committee, who recognised that 19 main grade MHO staff had been given a salary increase of £2,370 before ruling that the grading issues relating to duties of promoted members of staff would be addressed through the job evaluation scheme. They also agreed that immediate steps be taken relating to out of hours call outs; and that out of hours call level be investigated and any payment due be made to staff in accordance with current Council policy for Social Work staff.

Jon King, Head of Operations (Community Care), said that it was too early to report how many of the 41 MHOs would be taking indefinite industrial action. He will be closely monitoring the effect of this.

He said the Council would be working with NHS Highland, the Mental Welfare Commission and Northern Constabulary to meet its minimum legal requirements, although disruption to normal working could not be ruled out.

He said: "A system has been set up to co-ordinate calls and information relating to ongoing work and requests so that the Social Work Service can as far as possible plan and manage responses with resources which are available. Regular meetings have also been scheduled with NHS to monitor the impact of action for the NHS."

14 May 07
Caithness Blood Bank Reopens
The Blood Bank at Caithness General Hospital reopened on Monday 14th May 2007. NHS Highland voluntarily suspended the service in October 2006. after an inspection by the Medicines and Healthcare Products Regulatory Authority (MHRA) identified a number of deficiencies. Since then staff at the Caithness General Hospital laboratory in conjunction with colleagues from NHS Highland and the Scottish National Blood Transfusion Service have worked together to rectify the deficiencies. A full re-inspection of the blood bank was carried out by the MHRA inspectors on the 12th April.

On Thursday 10th May the MHRA advised NHS Highland that following a meeting of the Inspectors Action Group on the 1st of May that the outcome of the re-inspection was that we could re-open the laboratory.

The work involved in meeting the MHRA's standards has included building improvements, new equipment, the production of local policies and procedures and the implementation of improved quality management systems.

During the suspension of the Blood Bank a small number of patients were transferred from Wick to Raigmore Hospital in Inverness who would otherwise have had surgery in Caithness.

North Highland Community Health Partnership General Manager Sheena Craig said: "People can now be reassured that Caithness General Hospital has high quality laboratories and systems in place for its blood bank service. We have installed new fridges and freezers and improved the fabric of the laboratory building by installing air conditioning, new floors, ceilings, windows and sinks in addition to developing our policies, procedures and quality systems."

"Recognition and credit must go to the staff who have carried out the work required to reopen the Blood Bank area of the laboratory. We have also had excellent support from colleagues across Highland and we must thank them for it."

"Maintaining a quality laboratory service will be an ongoing commitment for NHS Highland and the North Highland CHP. As part of this we intend to set up a CHP transfusion group which will include public representatives."

3 April 07
EMERGENCY MEDICAL RETRIEVAL SERVICE
A service to help victims of life-threatening medical emergencies in remote and rural communities is on track to be trialled in the West Highlands.

NHS Highland has agreed to co-fund an eighteen month pilot of the Emergency Medical Retrieval Service which will see experienced consultants fly to the patient to stabilise them ahead of transfer to a hospital which can best meet their needs. They will also be able to advise GPs and local hospital clinicians by phone.

Lead Clinician at the Dr Mackinnon memorial hospital in Broadford Dr Leo Murray said: “This is very good news. Critical illness and injury can happen anywhere. Getting very ill patients to the intensive care they require is a major challenge. This service will bring experienced help and care out of specialist centres to where we live.”

The 18 month trial to cover the West Coast of Scotland still requires agreement from the Scottish Ambulance Service and participating local health boards as well as approval from the Scottish Executive Health Department. The first twelve months will cost approximately £1.2 million. An independent evaluation will be undertaken two thirds of the way into this project to assess the benefits of the service.

NHS Highland Chief Executive Roger Gibbins said: “This will provide safe and secure access to highly experienced Accident and Emergency department specialists for people in remote communities who are seriously ill or seriously injured. It will also give support to our practictioners and Scottish Ambulance Service paramedics.”

The proposal for EMRS has been developed by senior doctors based at the Royal Alexandria Hospital in Paisley and the Southern General in Glasgow. It has already been trialled in Argyll and Clyde with some success and has the potential to be rolled out to cover all of rural Scotland.

28 March 07
Have You Recently Been Told You Have Type 2 Diabetes (Past 6 Months)
Do you need to know more about your diabetes?

Then you are invited to attend an information evening with local diabetes professionals including - Diabetes Specialist Nurse, Dietician, Diabetes Podiatrist and Pharmacist.
Castletown Medical Centre Monday 30th April 6.30pm - 8.30pm
Lybster Medical Centre Monday 11 June 6.30pm - 8.30pm

28 March 07
Redesign of Dermatology
Following a lot of planning and consideration Raigmore Hospital’s Dermatology Service will be moving from an inpatient service to a day-case service as from April this year.

After careful deliberation it has been agreed that, thanks to clinical advances, changes in clinical practice and fewer patients needing an inpatient service, this is the way forward for Dermatology Services at Raigmore. Dr James Vestey, Consultant Dermatologist for NHS Highland, explains: “Fewer and fewer dermatology patients are requiring hospital admission. By moving this service from an inpatient service to day-case, we will be able to provide a different service to a higher number of patients whilst still providing excellent clinical care.”

“A lot of thought went into making this decision. We have looked into the number and type of patient who require treatment, and have also taken into account advances and changes in clinical practice.”

Linda Kirkland, General Manager for the Medical Directorate at Raigmore Hospital, added: “This new Day case Service, which will still be delivered from its current location on the 5th floor, will require no additional funding to incorporate the changes. Out Patients will remain in the current location in the Out Patients department”

“It is hoped that in the near future we will have a dedicated Dermatology Unit for both outpatients and day case, co-located in the same area.”

19 March 07
DEATHS FROM PROSTATE CANCER FALLEN IN PAST FIVE YEARS
The good news in this week's Prostate Cancer Awareness Week is that the number of male deaths in Highland have fallen by 10% in the past five years. In more recent years, men have become much more aware of their health, possibly because of the Men's Health 5 Minute M.O.T project in Highland, national campaigns, publicity etc. and are now inclined to visit their GP practice when they have concerns. Prostate cancer is normally a slow growing cancer and early detection can mean it can be cured easily.

Prostate cancer mostly occurs when men are over 50, although the risks get higher as they get older.

Dr. Adrian Baker, GP at Nairn said: "Some of the signs to look out for include difficulty with urinating, discomfort or pain on passing urine, more frequent need to urinate (especially during the night), having a weak flow and/or mild impotence. Over the past five years GPs have seen an increase in men coming along to the surgery to have health checks, particularly blood pressure, cholesterol and prostate cancer. These are all very straightforward tests and can have a big impact if they are carried out early enough. Previously, men were generally reluctant to go and see their GP or Practice Nurse for various reasons. Fortunately attitudes are changing, perhaps because of more widespread health promotion publicity and wider awareness. A simple test by your GP can potentially save your life."

Chris McIntosh, Cancer Network Manager at NHS Highland agreed:
"We would want to continue to promote and encourage people who are concerned about their health to go and see their Practice Nurse or GP. A new network of specialist Urologists, GPs, patient representatives and nurses are going to be working across the north of Scotland to put into place standards that are consistent and in line with national guidelines.

Patients will certainly benefit from this pooling of expertise and sharing of best practice amongst health professionals."

Eating a minimum of five portions of fruit and vegetables a day can help prevent any disease such as cancer occurring.
Prostate Cancer Help and Information

15 February 07
TWO-FIFTHS OF PEOPLE IN HIGHLANDS ADMIT THEY COULD WASH HANDS MORE FREQUENTLY
Locals urged to play their part in reducing the spread of infection as new NHS Highland co-ordinators appointed

People in the Highlands were today (15 February 2007) being encouraged to keep germs and bugs at bay by washing their hands regularly, as new research reveals that over two-fifths of people from the area (41 per cent) admit that they could wash their hands more frequently than they actually do.

The research into hand washing habits, commissioned to support the Scottish Executive's nationwide hand hygiene campaign, also highlighted that although people in the Highlands are aware of the importance of washing hands after visiting the toilet, almost three quarters of people (73 per cent) rarely or never wash their hands after coughing or sneezing.

Drumnadrochit-based Angela Caruana and Wick-based Isobel Sutherland have been appointed as NHS co-ordinators for the national campaign, which aims to drive home the message that hand washing is one of the most important things you can do to help reduce the spread of infections.

Angela and Isobel will be monitoring across NHS Highland to ensure that staff are complying with national hygiene standards, and the local campaign will include awareness raising sessions on handwashing, distribution of leaflets demonstrating correct washing techniques and packs for nurseries and primary schools.

The most common way germs are spread are by people's hands which can lead to a range of illnesses including colds and tummy bugs, as well as more serious infections such as E.coli and flu and healthcare related infections such as MRSA. The new television campaign, 'germs - wash your hands of them' encourages people to regularly wash their hands to reduce avoidable illness.

Lack of facilities was cited as the main thing that might stop people from washing their hands after going to the toilet (34 per cent), followed by lack of time (5 per cent) and inconvenience (3 per cent). However, almost half of people (49%) from the area were in agreement that hand washing is something children should be taught from an early age - to help ensure good practice becomes a lifelong habit.

Although there is no recommended number of times to wash hands in a day, people are being advised to help keep themselves and others healthy by ensuring hands are washed:

* Before eating or handling food
* After using the toilet
* After blowing their nose, coughing or sneezing
* After touching animals or animal waste
* After handling rubbish
* After changing a nappy
* Before and after touching a sick or injured person
* Before and after visiting a hospital ward

Angela Caruana, NHS Highland co-ordinator for the national hand hygiene campaign, said: "People lead busy lives and they may see washing their hands as trivial but it is very important in keeping control of infection. You may think you have washed your hands properly when there are still germs on them.

"Even people wearing gloves should wash their hands after wearing them as gloves often have holes or perforations."

Professor Mary Henry OBE, Nurse Consultant, Health Protection Scotland said: "Good hand hygiene is the easy and effective contribution every one of us can make to the fight against infection. We know it makes a difference and protects us, our patients and those around us from infection and this campaign will help to highlight this important message."

For further information on effective hand washing log on to
www.washyourhandsofthem.com

19 January 07
ACUPUNCTURE HELPS MORE PATIENTS
NHS Highland Offers More Acupuncture than Ever Before
An increasing number of NHS Highland patients are enjoying blissful relief from pain thanks to an ancient Chinese medicine.

Acupuncture is one of the oldest forms of medicine. It has been used in China for over 3,000 years and within the NHS since the 1950s.

There are 30 Chartered Physiotherapists using Acupuncture within NHS Highland, in Caithness, Sutherland, Ross-shire, Lochaber, Nairn, Badenoch & Strathspey and Inverness.

They all have to maintain and update their skills regularly and have all completed Post-Graduate training in Acupuncture.

Helen Robertson, Musculoskeletal Clinical Specialist Physiotherapist said: “Acupuncture is a useful adjunct to traditional Physiotherapy techniques.

“Patients are very open minded about this type of treatment, and are keen to explore the effects of alternative treatments.”

Chinese acupuncturists believe that a healthy body has a flow of energy called Qi. They believe that if there is a problem the Qi does not flow well. They use acupuncture on a Meridian/Channel with a series of needles to help restore a healthy flow of Qi.

Western research shows that acupuncture causes the brain to produce chemicals and hormones called endorphins that relieve pain.

Acupuncture not only helps pain but can reduce symptoms such as muscle spasm.

Research shows that about 70% of people respond well to acupuncture.

Forty-year-old Gordon Smith, a plumber in the NHS Highland estates department, certainly has.

Gordon has a degenerative lower back problem which means he has had to have disc surgery over the years.

This has left him with nerve problems which cause him considerable pain. Two years ago he was offered acupuncture alongside the traditional Physiotherapy he was having.

Gordon said: “I was extremely sceptical about acupuncture but I was willing to try anything as I was in so much pain.

“I didn’t feel a thing when the needles went in and I could feel them stimulating my nerves as they were rotated. I got a warm tingling feeling and the pain that I had just went.”

He added: “I was so relaxed I fell asleep on the physiotherapist’s couch! I definitely recommend acupuncture to anyone who is in pain, it is an amazing thing.

“I would like to thank my Physiotherapists Judith Arnaud and Judith Anderson at Raigmore Hospital for giving me such wonderful treatment.”

6 February 06
NUMBER OF ADULT SMOKERS IN HIGHLANDS GOES DOWN
The number of adults smoking in the Highlands has dropped according to latest figures, but efforts are being made to bring the figures down further.

A study by the Scottish Household Survey for 2005 showed that in NHS Highland, including the new area of Argyll and Bute, the percentage of the population smoking was 22.5%, compared with 25.9% in 2004.

NHS Highland’s target is to reduce this percentage further to 21.5% by 2010.

Eric Baijal, Director of Public Health, said: “People are becoming more aware of the damage that smoking does to their health and are taking the decision to quit. We will continue to do all we can to help smokers quit the habit.”

He added: “We have welcomed the introduction of the smoking legislation and the way the smoking cessation staff have supported this has been a credit to them. We hope we will meet our target to reduce the number of people smoking in Highland to 21.5% by 2010.”

Anyone quitting smoking will see their health improve almost immediately. After 20 minutes their blood pressure and pulse rate will return to normal, while after 24 hours carbon monoxide will be eliminated from their bodies and their lungs will start to clear out mucus and other smoking debris.

Their circulation will improve between two and 12 weeks and by one year their risk of a heart attack will fall to about half that of a smoker.

NHS Highland’s Smoking Cessation Helpline, which offers free, confidential advice to people who want to give up smoking, can be reached on 0845 7573077.

30 January 06
Advice for the Lambing Season
Pregnant women in the Highlands are being urged to avoid close contact with sheep during the lambing season.

Scotland’s Chief Medical Officer Harry Burns said pregnant women who came into close contact with sheep during lambing might be risking their health and the health of their unborn child.
This is because infections such as chlamydiosis (enzootic abortion of ewes - EAE), toxoplasmosis and listeriosis - all common causes of abortion in ewes - can be passed on to them.

Pregnant women are advised:

Not help to lamb or milk ewes;
Avoid contact with aborted or new-born lambs or with the afterbirth; and
Wherever possible avoid handling clothing, boots etc which have come into contact with ewes or lambs, or if they must, wear rubber gloves.

Dr Burns added: “While the number of reported infections and human miscarriages resulting from contact with sheep is extremely small, pregnant women need to be aware of the potential risks. If they do become ill - experience fever or influenza-like symptoms, and are concerned that they could have acquired infection from a farm environment, they should seek immediate medical advice."

Farmers have a responsibility to minimise the risks to pregnant women, including members of their family, the public and professional staff visiting farms. Any action should be determined by their risk assessment required under the Control of Substances Hazardous to Health (COSHH) Regulations 2002 and the Management of Health and Safety at Work Regulations 1999.

If a ewe aborts, farmers are advised to ask their veterinary surgeon to take a sample to their local Veterinary Investigation Centre to determine the cause. In the interests of hygiene, farmers should dispose of all afterbirths promptly and safely via an approved route such as rendering or incineration.

Joan Grant, a Community Nurse Midwife covering the Tongue, Bettyhill and Melvich area of North Sutherland, said: "This is important information for women in Caithness and Sutherland which are largely farming and Crofting communities.

“Although many people will be aware of the risks around the lambing season, we have been reiterating this information to women in our area. All pregnant women need to be aware that there are risks from close contact with these animals and that clothing can be contaminated through contact with them."

More information and advice can be found at:
www.scotland.gov.uk/Topics/Agriculture/animal-welfare/News/PregLambFAQ/Intro#a1

30 January 07
Media can play role in reducing suicides in the Highlands
THE second phase of a campaign to reduce the number of suicides in the Highlands is under way.

Suicide rates in the region have been consistently higher than the Scottish average despite. There are signs of progress and whilst this is an encouraging trend, work to reduce suicides over time must continue.

The aims of chooselife include increasing public awareness of suicide and related issues and the media play a big part in achieving this.

Last Thursday’s BBC2 programme, Eorpa, was an excellent example of this important role. Derek Mackay’s thirty minute documentary provided an overview of the national context of suicide and Dr Cameron Stark, Public Health Consultant for NHS Highland, explained some of the facts that are known about suicide and the reasons why some people make the decision to take their own life.

Angela Fisher, the chooselife coordinator for Highland, is working closely with a range of local and national partners to implement the action plan for the region. National partners include the Samaritans and Breathing Space, both of which were included in the programme in addition to the Highland User Group (HUG), an advocacy service for people experiencing mental health difficulties, and a local partner of chooselife.

The value of the arts was recognised, featuring Stephen Watts, the embedded poet, reading a short exert from his recent work on suicide, another project supported by chooselife Highland. Hi-Arts, the local organisation that employed Stephen, will launch a DVD of this powerful body of work later in 2007.

The programme highlighted the importance of raising public awareness of suicide, particularly important in remote and rural areas where contact with others may be limited and where inequalities may exist in terms of being able to access services.

This is because research shows an increased risk of suicide in areas where people live or work in isolation and in the male working age population. Many people who do go on to take their own life are not in contact with services therefore, to increase the likelihood of people getting the right kind of help in time to make a different choice, suicide prevention has to be seen as everyone’s business.

The biggest challenge lies in reaching a diverse range of people living and working in rural communities to raise awareness about suicide and related issues so that the myths and the stigma that exists can be challenged.

This is important as it often prevents people from speaking out early and getting the help they need. For example, it is a common myth that talking about suicide or asking someone if they are feeling suicidal will put the idea in their head. In fact, quite the opposite is true, talking about suicide can save lives.

These issues were portrayed well in the programme, a chaplain from the Western Isles explained how he believed he had been able to help a number of people since he had been ASIST trained and his belief that, with help, not as many people would go on to take their own life and the wife of someone who died by suicide described the impact that suicide had had on her family and how important it is to be more open about this taboo subject. The important role of faith communities and their teachings on the subject of suicide was also discussed.

The Choose Life team for the Highland region is based at SCVO, Fairways House, Castle Heather, Inverness IV2 6AA. Contact Angela.Fisher@scvo.org.uk to discuss any of the issues raised her, for any training enquiries please contact Helen Neville, chooselife training development manager at Helen.Neville@scvo.org.uk . A link to the local action plan and suicide prevention training strategy is available on the local section of www.chooselife.net

1 February 2007 is National Breathing Space Day.

20 December 06
GET ORGANISED OVER THE FESTIVE SEASON!
People across the Highlands are being urged to be well organised over the festive season so that those who really need healthcare can get it.
The Christmas and New Year period are traditionally busy times for the health service in general - this is particularly the case when GP surgeries are closed.
There will be the usual full range of Emergency services and Out of Hours services in place for the festive period to ensure that people who need services can access them quickly and appropriately. However, this is always a busy time for health services and you can help by taking a few simple steps:

If you are on medication, make sure that you have enough to last you over the festive period, until your GP Surgery opens again.
Ensure that you have a stock of standard medicines (paracetamol, indigestion tablets, plasters, etc).
Consider using plastic glasses and containers for parties (there are lots of glass injuries at this time of year).
Have fun but drink in moderation.
Don’t drink and drive.
Remember that even after a good night’s sleep alcohol drunk the night before may still be affecting your judgement and co-ordination the morning after so don’t drive until you’re fully recovered.

GP surgeries will be closed as usual on all Saturdays and Sundays. They will also be closed on December 25 and 26, Christmas Day and Boxing Day, plus the Public Holidays January 1 and 2. At these times patients should use the normal out of hours service, via NHS 24.

In the event of a life threatening emergency, you should phone 999. If you are ill during the out-of-hours period and it can’t wait until your GP surgery is open, you should call NHS 24 on 08454 24 24 24 (local rate).
You should keep the number beside your phone for when you need it!

For those who are in general good health and perhaps have symptoms similar to a common cold or throat infection – blocked or runny nose or catarrh and sore throat and feeling off-colour – it’s best to wait 24 hours before considering medical help.

Simple self-help treatments can be administered in the meantime. These include increasing fluids, keeping warm and asking a pharmacist for advice on over-the-counter treatments such as decongestants and paracetamol.

There are limited pharmacy opening times over the festive period. These are available from the NHS Highland website at www.show.scot.nhs.uk/nhshighland/ .

Dr Gary Kerr, a consultant at Raigmore Hospital’s A and E department, urged people to be sensible and organised this festive season.

He said: “People drink to excess more often at this time of year and there are lot of injuries through people falling, while some others are so drunk they may have caused violence themselves or are unable to escape from violent situations.

“Patients who have had a lot to drink can also be unco-operative. It makes it more difficult for us to care for them and the resources needed to look after them impact on the care of other patients.”

Dr Kerr asked the public to help take the pressure off the A and E department by only attending casualty if their condition was serious.

He explained: “Where people have small injuries such as bruises and bumps or minor illnesses they can take painkillers themselves and will recover.”

Dr Kerr also urged people to make sure they had enough prescription tablets to last them over the Christmas and New Year holidays.

19 December 06
Eat, Drink and Be Healthy
Did you know that on Christmas Day we eat our way through three times as many calories as we actually need? That's about 6,000 in total, and that's just Christmas Day! However, there are still plenty of treats to be had over the festive period that won't add on the pounds.

Evelyn Ogilvie, Lead Dietitian at Raigmore Hospital, is keen to point out that Christmas doesn't have to be about overindulging and unhealthy food. She explained:
"On average people gain about 5lbs over Christmas. We're surrounded by lots of lovely food and tend to drink more than usual. So it's very easy to see where the temptation lies. However, it's not all bad news, you can still enjoy the usual Christmas food without piling on the pounds."

A traditional turkey dinner doesn't necessarily mean a huge calorie intake; turkey itself is low in fat and high in protein so feel free to tuck in, though try not to have the skin. You can also fill up on vegetables such as sprouts, peas and carrots, which are all low in calories and fat and also contain antioxidants, substances that may protect against heart disease and cancer.
Evelyn adds:
"Even Christmas pudding is quite low in fat, you can keep it this way by using low fat custard or crème fraiche."
"We can also be tempted by all the tasty treats that are common place at this time of year, mince pies (around 250 calories each!), or bars of chocolate. My advice would be to try and keep these out of sight and have healthy options available, such as satsumas, plain pop corn or low-in-fat crisps."
"Being active will also help you work off any extra calories. Spending your office Christmas party dancing the night away is a good way to keep active at this time of year and try to get out for a few walks over the festive season. Above all else enjoy yourself this Christmas, and if you can't resist temptation just remember to keep everything in moderation."

22 November 06
HOW TO STOP SMOKING IN CAITHNESS
If you live in Caithness and would do anything to give up smoking then the answer lies on your doorstep.

Smoking cessation adviser Trish Greenford is inviting anyone who wants to quit the habit to go along to her clinics in Thurso on Mondays from 9.30am to 12.30pm and in Wick on Wednesdays from 1pm to 5pm.

She said: “I offer one to one support and advice for smoking cessation. These sessions are tailor made to suite people’s individual needs and do not cost anything.

“Patients can be referred by a health professional or refer themselves direct to me.”

Trish can also discuss Nicotine Replacement Therapy options, try to set a target date for the patient to stop smoking, assess how ready they are to quit, and prepare them for quitting.

NHS Highland’s smoking cessation service provides smokers with free confidential advice and support to stop smoking. For more information about the help on offer call NHS Highland Health Information Service on Lo-call 0845 757 3077.

• In the Highlands, one person in every 5 dies because of their smoking. This equates to almost 500 people every year.

• 25% of the region’s adult population smoke, equating to almost 43,000 people.

• The annual cost to the NHS in Highland of treating smoking related disease is £5.8 million.

• At any one time around 70% of smokers wish to quit; approximately 34,000 people in the Highlands.

5 December 06
CT Scanner Approved for Wick
Plans to introduce a CT Scanning Service in Caithness and Sutherland have been approved by NHS Highland, at its meeting in Brora today (Tuesday December 5).

Tim Shallcross, Consultant Physician, Caithness General Hospital, advised the board: "It is generally accepted that a CT scanner is an essential piece of diagnostic imaging equipment required to support a Rural General Hospital and to provide modern medical care. Over the years the clinical value of CT has been proven beyond doubt and it is now regarded as a versatile and widely accepted medical investigation."

He added, "CT is a useful technology for all body parts, but is particularly useful for head, spine, chest and abdominal pathology, for many types of cancer, and for neurological diseases including stroke, tumours and trauma."

Sheena Craig, General Manager, North Highland Community Health Partnership (CHP), said, "Over 600 people per year will benefit from a local CT Scanning service and it will reduce travelling times for patients."

Garry Coutts, Chairman of NHS Highland Board welcomed the approval of the CT Scanner service for Caithness and Sutherland. He said "This has been a compelling case for a CT Scanner and I am delighted that this has now reached this stage and meets the Board's approval. I hope this send a strong signal that we are committed to our rural general hospitals and the important role they have in their localities. This new service will be of immeasurable value for several hundreds of people per year."

The cost of the scanner and the associated building works is £601,000, with total annual running costs of £149,600, with this being identified as as the highest local priority, and the costs will be met within the North Highland Community Health Partnership.

David Alston, North Highland CHP Chairman, informed the Board, "Extensive discussions have taken place and we are fully committed to meeting our financial obligations. In order to achieve the recurring costs of the scanner service, savings have been identified elsewhere within the budget."

Sheena Craig will be establishing a small project team to take forward this development before Christmas. "This will enable us to determine an outline workplan and timescale," she said.

Caithness General Gets £50,000 To Upgrade Bloodbank
More good news for people in Caithness is the investment of £50,000 to improve and modernise facilities in Caithness General's bloodbank, with the aim of getting it re-opened as soon as possible. The money is being targeted at a number of structural changes, including new equipment and fittings, a new ventilation system and modern floor coverings. The work is well underway before a re-inspection in the New Year.

Sheena Craig, General Manager of the North Highland Community Health Partnership (CHP) said: "We have developed an action plan to address every issue raised by the inspection and the investment we are putting into the laboratory will help us to meet national standards. We are also examining systems and protocols to ensure that we are providing a safe and high quality service in the future."

Dr Alison Graham, NHS Highland Board Medical Director, added: "We need to ensure that the laboratory services in Caithness are linked to other systems in NHS Highland and that we are all working to the same high standards and guidelines."

David Alston, Chairman of the North CHP Committee, said: "We want nothing less than safe, high quality services for our population in Caithness and Sutherland. The approval of a CT Scanning service and the upgrading of the laboratory are very positive and significant developments for our local health service."

22 November 06
NEW NHS DENTAL FACILITIES FOR HIGHLANDS
Deputy Minister for Health and Community Care Lewis Macdonald will officially open new dental facilities in Wick and Culloden on Monday 27 November 2006.

He will unveil a plaque marking the opening of the Lochshell Dental Clinic in Wick after meeting NHS Highland Dental Clinical Manager Cathy Lush, and Rob Nicol, Senior Dentist, Caithness Dental Team, as well as dentists and dental nurses working at the practice.

The new clinic has been funded through the Scottish Executive Health Department’s, Primary & Community Care Modernisation programme.

It is one of the key elements of NHS Highlands Dental Property Strategy, which aims to provide sustainable dental services to local communities through a network of multiple surgery clinics.

Later in the day, at 2:30pm, the Minister will open the extended Culloden Dental Clinic in Inverness.

The new developments in Wick and Culloden will provide much needed local access to NHS dentistry services.

3 August 06
Samaritans Page Updated
The local Samaritans branch in Thurso recently got the message on to one of the largest structures in the north - the Dome at Dounreay. A long established group the Samaritans help thousands of people in crisis each year. they have help lines open 24 hours a day and volunteers are always needed in local branches. if you can spare some time to help others why not give them a call.

14 May 06
Renal Unit Expansion
For some time the renal department within Raigmore has been under some pressure due to increasing patient numbers. NHS highland have made a commitment to try to offer treatment as close to home as possible by opening satellite units in Caithness and Fort William. At any point in time, they also need to have capacity in the Raigmore Unit for patients who suddenly become unwell. As part of the continuous planning for the future needs and increasing trends of renal patients, they significant investment (£1.9M capital and over £600,000 p/a recurring) has been agreed to expand the Raigmore Renal Unit and increase capacity at Caithness. NHS Highland hope that this work will start shortly and it should be completed by the end of 2007. The Long term proposals for the future development of a renal unit in Invergordon will be considered at a later date, as extending the Raigmore Renal Unit is a more urgent priority forfunding.

13 January 04
New Emergency Dental Service for Caithness
NHS Highland’s has secured approval from the Scottish Executive's Health Department for its proposals to establish a Caithness Emergency Dental Service.
A spokesman said today:
“We are delighted that the Scottish Executive has agreed to this proposal. The Caithness Emergency Dental Service (EDS) will be operational by the 26th January 2004. It will have the capacity for a total of 12 patients per day from Mondays to Fridays. This service will be provided by a dentist in Thurso and a dentist in Wick.

11 December 03
Redesigning of Caithness Community Health Services
Strategic Redesign Group

7 December 03
Dr Maurice Pearson Hands Over To Son Dr Ewan Pearson
Dr. Ewen Pearson has taken over the family business from his Father and joined The Pearson Medical Practice. His father, Dr. Maurice Pearson, worked as a single-handed GP in Wick for 28 years and retired happy in the knowledge that the practice he had successfully led for so long was being handed over to his son. The experienced practice staff are being retained and Ewen is happy to run the business along the same lines as his father.
The last year has been a really uncertain time for the Medical Centre at Wick and it is comforting to the local population that, as well as the recruitment of another four new GPs to the area, Caithness is now fully staffed by a forward looking team of GPs.
Ewen’s main hobbies are both playing and watching football and fast cars. He is married to Cecilie, who comes from Copenhagen and they have a two-year-old daughter called, Maja.
Dr. Iain Johnston, Clinical Lead, Caithness Local Health Care Co-operative commented:
‘I am absolutely delighted to welcome another young GP to our already keen and highly qualified team. This group of professionals, along with the rest of the practice staff, can only be beneficial to local health care needs in the community.’
For further information, please contact Dr. Ewen Pearson, 01955 605885

24 November 03
Move To End 'Postcode Prescribing'
A strengthened role for the Scottish Medicines Consortium (SMC) will ensure that 'unique drugs' will be made available simultaneously across Scotland. The new arrangements for the provision of drugs like Imatinib or Glivec used in the treatment of leukaemia will mean they can quickly pass into mainstream use once approved by the SMC. Health Minister Malcolm Chisholm said: "Patients deserve equal access wherever they live in Scotland to new drugs which are the only effective treatment for a particular condition. "It is entirely unacceptable that patients are denied the benefit of such a drug simply because there is no provision for it in their local Health Board budget......................

21 November 03
Free Flu Jabs For Over 65's - Get It Now
Anyone aged over 65 is now entitled to a free flu jab if they live in Scotland. From this year you are also entitled to a free pneumococcal jab if not previously vaccinated. This will help prevent against pneumococcal infection such as sever forms of pneumonia, blood poisoning and meningitis. People under 65 with certain medical conditions may also be entitled to free jabs. More informattion is availabel at your local pharmacy or GP surgery. Or call the NHS Helpline FREE on 0800 22 44 88 8.00am - 10.00pm 7 days a week (minicom 0800 31 71 60) or visit the web site www.scotland.gov.uk/health/flu_pneumococcal
Tell elderly friends and relatives about this offer. It could save them from serious illness this winter. Letters were to be sent out to tell everyone about the free jabs but it is always worth reminding folk.............

19 November 03
Caithness General Hospital Praised Catering Praised In National Report
A National Report by Audit Scotland, ‘Catering for Patients’ has today published key results of a survey taken in Scottish Hospitals. The survey reported that 100% at Caithness General Hospital, Wick and 100% at New Craigs and 98% of patients at Raigmore Hospital, were either satisfied or very satisfied with the meals they received in these hospitals..........All wards have their own copies of diet folders and guidance on what type of food patients can eat plus there is a full dietetic service on site. Caithness General in Wick was also specifically cited as having particularly good practice. Patients admitted to Caithness General Hospital after the patient meals have been ordered from the kitchen are supplied with a "late admission tray".

19 November 03
TWO NEW GPs FOR WICK and TWO FOR LYBSTER
The Highland Primary Care NHS Trust has reported that after 14 months of uncertainty, the shortage of GPs in the Medical Centre in Wick has finally been resolved. Dr. Derek Kelly will now join the others on 5th January 2004, followed by Dr. Neil Wilson on 1st May 2004. The other piece of good news for Health Services in the north is that the vacancy at Lybster has also finally been filled after 14 months. Dr. Bert Martens and Dr. Borja (Bobby) Echavarren have been employed as Salaried Doctors by the Trust and will start working in the surgery in January............................

19 November 03
Public Meetings To Discuss Maternity Services And Related Issues
A number of concerned people have organised public meetings to be held in Wick and Thurso to allow the public to voice their opinions about what should happen to services at Caithness General Hospital in view of the review that is taking place. The Wick meeting will be held in the Francis Street Club, Wick on Wednesday 26 November at 7.30pm and on Friday 28 November in the Town Hall, Thurso at 7.00pm. Meanwhile David Flear, area convenor for Caithness is to speak to Professor Calder who is carrying out the review. Mr Flear has asked that anyone with concerns, views or evidence write or email him as soon as possible in order that he can guage local feeling and convey this.

18 November 03
Highland Advocacy Offers More Services
A new services in Highland for people who have mental health problems including dementia, People who have learning disabilities, Frail older people and People who are homeless

23 October 03
Children In The Highlands Education Support Services (CHESS) Surgery
29 October 11.00am - 2.30 Assembly Rooms, Wick. CHESS provides advice, support, mediation, training on additional education needs for children, parents and professionals. The surgery provides anyone with questions a chance to get some answers or find more information on what is available for their children.

21 October 03
New Funding Of £5 Million
To Ensure Earlier Operations
Highland Gains £175,000 Extra Funding
Hundreds of patients will have their operations carried out earlier as a result of £5 million additional funding announced today. NHS Boards will receive £3.8 million, under the Arbuthnott formula, to expand capacity in their area or to buy capacity in the private sector for patients waiting for orthopaedic, urological or general surgery. The National Waiting Times Unit will also use £1.2 million for a specific initiative to help reduce the number of patients waiting for ophthalmology operations....

16 October 03
BDA Learn To Sign Week 2003
Monday 13 - Sunday 19 October. Following the Government's recognition of British Sign Language in March 2003, the BDA is challenging everyone in the UK to learn a sign. http://www.learntosign.org.uk/

14 October 03
ALL CHANGE AGAIN AS FUTURE OF NHS IN THE HIGHLANDS AGREED
Highland NHS Board today agreed the way forward for the structure of NHS Highland following the abolition of Highland Primary Care NHS Trust and Highland Acute Hospitals Trust in April 2003. The Board had published its proposals for the dissolution of Trusts and the creation of an integrated healthcare system for NHS Highland in its document Care without Barriers. Formal consultation on the proposals took place between 5th August and 6th October 2003 and the Board heard today of the detail of the 112 responses to that consultation. The Trusts will be abolished and the Community Health Partnerships established from 1st April 2004, but the majority of the other changes will be phased in over the following year.” In respect of Belford Hospital and Caithness General: .......more

8 October 03
Services For People
With Learning Difficulties In Caithness
The health service in Caithness (Caithness Local Health Care Co-operative) in partnership with Highland Council, the voluntary sector, service users and carers has developed service priorities for people with learning disabilities in Caithness. These priorities reflect the views of service users, carers and professionals identified at the workshop on 17th June 2003 at the Weigh Inn, Thurso.
We would now like to consult with you to ensure that the solutions to the priorities reflect your needs. The three priorities are:
Short breaks for people with learning disabilities
Specialist multi-agency learning disability support teams
Specialist, dedicated workers for children, young people and adults to be identified within teams across services
You can either complete the form from the web site, print it off and send it in or contact the group for a form.
Forms are to be returned by 31 October 2003

1 October 03
£9 Million For Digital Hearing Aid Services
Patients are to benefit from advanced digital hearing aid technology through a new funding scheme. The money will help ensure hearing services have the necessary equipment, staff and availability of digital hearing aids.

1 October 03
HIGHLAND NHS BOARD MEETINGS
The next meeting of the Board will take place on Tuesday 7 October 2003 at 10 am in the Board Room, Assynt House, Beechwood Park, Inverness.
The agenda and papers have now been issued. If you wish to see any of the papers, please visit the Board’s website – www.show.scot.nhs.uk/hhb/. The meeting is open to the public and the press.

29 September 03
Free Flu Jab Programme Launched
Scotland's annual winter flu campaign was launched by the Health Minister today with the aim of achieving over 70 per cent uptake for a second year. The Don't Let The Flu Bug Bite campaign encourages everyone aged 65 and over, and those under 65 with long term medical complaints, to come forward for their free jab to protect them from the influenza virus this winter...........

16 September 03
International Conference Heralds a New Rural Health Network
Conference delegates attending the "Making it Work" Conference in St Andrews, last week, overwhelmingly called for permanent voice for rural health issues and a continuation of the work of the Remote and Rural Areas Resource Initiative (RARARI), with international dimensions. Around 300 delegates from Norway, Australia, Russia, Canada, USA and Scotland gathered for the first International Conference in Scotland focussing on Remote and Rural Health. It was a joint venture between RARARI and the Northern Norway Regional Health Authority (Helse Nord), based on close links which have been forged over the past few years through sharing similar healthcare challenges. ........

9 September 03
Communication Support Service for
Highland Deaf Community
The Deaf Society writes about a new service in Highland. This service provides, free of charge, a Sign Language Interpreting service for all NHS and Highland Council appointments, throughout Highland. The Deaf Society has been commissioned by NHS Highland and Highland Council to develop a vital Communication Support Service in Highland. This service facilitates communication between deaf and hearing people, enabling deaf people to be as independent as possible.
Open Day Thursday 23 October..................

4 September 03
National Continence Awareness Week
The week beginning 15th September- 19th September is National Continence Awareness Week which is run each year to highlight the various problems with control of bladder and/or bowels. This year the focus is on male continence problems. There will be displays with information available, particularly for male problems but also for all aspects of incontinence and bladder and bowel control, in the foyers of Caithness General Hospital and the Dunbar Hospital throughout the week.

30 August 03
Influenza Vaccination
The government has a new policy on flu vaccination. Everyone over the age of 65 will be offered routine protection against flu. GP practices will contact everyone over 65 to offer the vaccination. In addition other at risk groups will be eligible. Anyone with chronic respiratory, heart or renal (kidney) disease or diabetes can be give the vaccination free of charge. If yu are unsure if you are covered by these categories and wish to have the vaccination you should contact your GP.

30 August 03
Emergency Medical Advice
NHS 24 - Call 08454 242424
The new service has now been rolled out across the Highlands. Advice from nurses and other trained medical staff. The service is FREE.
In addition NHS 24 is beginning to co-ordinate GP out of hours services pilot has already been run with NessDoc in the Inverness area and has begun in East Highland with other areas coming on later.

5 August 03
Far North Community Health Development Web Site
Miles Greenford a health practitioner based in the Wick Medical Centre has set up a new web site to carry health related information and some fun ways of considering health and the benefits of taking corrective action on the way folk live. No laying down the law on what you can and cannot do - just some infromation and news about what is happening to make everyone think about a few issues......

5 August 03
Dental Think Tank Latest Meeting
Representatives of the community and health professionals held the first meeting of the Dental Services ‘Think Tank’ on 25th July in Caithness General.

4 July 03
Clinical Negligence in the NHS - If You Have Views Make them Known by 17 October 2003
On 30 June, the Government's Chief Medical Officer, Professor Sir Liam Donaldson, published his report into clinical negligence in the NHS. The report makes a series of recommendations and asks for views from key stakeholders on those recommendations and on how they could be implemented to support the drive for higher quality health services.

4 July 03
Women's Aid Action Group - Caithness & Sutherland
A new centre for Caithness and Sutherland is to be built in Wick at Green Road.&nbs

19 January 07 ACUPUNCTURE HELPS MORE PATIENTS NHS Highland Offers More Acupuncture than Ever Before An increasing number of NHS Highland patients are enjoying blissful relief from pain thanks to an ancient Chinese medicine.