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According to UNICEF’s lead researcher on child internet use, online safety and child rights, digital media has become the primary means through which young people play, communicate, receive, create, share information, and express themselves. Young people explore their identities online, access health information and sources of advice and counselling, learn about their rights, report abuse or violations, express opinions and engage civically and politically with governments and the world around them. The internet has become a powerful vehicle through which young people can overcome forms of discrimination or exclusion, to participate and be heard in meaningful decision-making processes, and exercise rights on their own behalf.

At the same time United Kingdom Chief Medical Officers (UKCMO), have highlighted that parents and carers, children & young people (CYP), educational professionals, health professionals, academics and politicians have expressed concern that the amount of time CYP spend engaged in screen-based activities may be detrimental to their physical and mental health. There are also concerns about the content that CYP are viewing and its impact on the mental health of CYP. Some internet content is clearly inappropriate or harmful for children and yet they may still be able to access it should they seek it, or may inadvertently access it.

Technology should be used in moderation, with support and interaction from adults and with age appropriate activities. It is important that children take part in a balance of different non-screen activities too. CYP, parents & teachers should be aware of screen time guidelines and the impact too much screen time may have on health & academic performance.

Evidence

Evidence shows us that young people are spending a substantial amount of time online. In Scotland in 2022, school-aged children aged 11-15 years old were spending an average of:

  • 3.0 hours gaming
  • 2.8 hours on social media
  • 2.4 hours watching TV
  • 1.2 hours browsing the internet

Young people often use many screens at once, known as ‘multi-screening’, and they may therefore be doing many of these activities at the same time.

So, what exactly is the impact of screen time on children and young people’s mental health?
The simple answer is that we can’t say for sure. This is because the evidence is inconsistent and numerous studies have revealed mixed findings. Many of the apparent connections between screen time and adverse effects may be mediated by lost opportunities for positive activities (socialising, exercise, sleep) that are displaced by screen time. Therefore, it is wise to take a precautionary approach! For more information on screen time and mental health please refer to the NHS GGC Screen Time & Mental Health Blog.

Screen Time Guidelines

The UK Chief Medical Officer recommends:

  • Ensure screen use does not replace sleep, physical activity, face to face social interaction, learning or other healthy behaviours.
  • Under –2-years: No screen time is recommended. Babies benefit most from direct interaction, such as talking, singing, and cuddling, which supports brain development and bonding. Even background TV should be avoided as it can reduce parent-child interaction and attention to surroundings  
  • Ages 2–4 years: Limit screen time to less than 1 hour per day, ideally with a parent or carer. Co-viewing and interactive discussion about content help support language, social skills and learning  
  • Primary school-aged children (5–12 years): Screen time should be balanced. Non-educational screen use should stay under 2 hours per day, while educational use for schoolwork is acceptable. Avoid screens at least 1 hour before bedtime to protect sleep  
  • Older children and teenagers: Encourage moderation, co-viewing, and discussion about online activity. Focus on balancing screen time with physical activity, social interaction, and sleep  
Benefits of Reduced Screen Time

Reducing screen time in early childhood offers a range of developmental and health benefits: 

  • Improved Language and Communication Skills: Young children learn best through real-life interactions. Excessive screen time can limit opportunities for verbal engagement, especially during critical language development periods. 
  • Better Attention and Social Skills: Face-to-face interactions help children develop focus, empathy, and social understanding. High screen use can interfere with these essential skills. 
  • Healthier Sleep Patterns: Exposure to screens, particularly before bedtime, can disrupt sleep routines and reduce sleep quality, affecting overall wellbeing. 
  • Lower Risk of Obesity: More screen time often correlates with less physical activity and increased snacking, contributing to weight gain and associated health risks. 
  • Enhanced Academic Performance: Children with limited screen exposure tend to perform better in school, especially when screens are kept out of bedrooms and used mindfully. 
  • Reduced Behavioural Issues: High screen use has been linked to emotional and attention problems in school-aged children, including increased irritability and difficulty concentrating. 
Early Year Establishment

How to implement the Be Screen Smart project in your Early Year Establishment

Overview

Thank you for agreeing to participate in the “Be Screen Smart” project. There are many benefits to using screens/digital devices; academically, professionally and recreationally. Technology should be used in moderation, with support and interaction from adults and with age appropriate activities. It is important that children take part in a balance of different play activities e.g. explorative play, active/energetic play, functional/manipulative/creative play, social play and pretend play.

It is important to assist children, young people and their families to find the right balance, fun and engaging alternatives to screen time, opportunities to explore their own ideas and creations, enjoy each other’s company and take pleasure in the world around them.

To reach the best optimal results from the Be Screen Smart project your establishment could implement the following:

  • As part of the Health & Wellbeing programme your establishment could take part in the Be Screen Smart project.
  • Introduce the Be Screen Smart project via parent workshops to inform parents that their child will be taking part in the Be Screen Smart project and that parental involvement & parental support is crucial.
  • Send the Be Screen Smart Flyer & Pledge Card home.
  • As you embark on this project please note that an enthusiastic attitude will help pupils in their efforts to reduce the time they spend on screens for entertainment. If the staff also takes part in the project and reduces their entertainment screen time and shares their attempt to reduce entertainment screen time with the children this will help in encouraging pupils to do so too. 
  • Please also consider other ways your establishment can support this attempt.    

Thank you for your commitment to improving the health of children in Glasgow.

Health Improvement Team

(This resource has been developed by the North West Health Improvement Team for Glasgow City)

Primary School
How to implement the Be Screen Smart project in your school

Overview

Thank you for agreeing to participate in the “Be Screen Smart” project. There are many benefits to using screens/digital devices; academically, professionally and recreationally.  However children & young people are spending too much time with screens.

It is important to assist children, young people and their families to find the right balance, fun and engaging alternatives to screen time, opportunities to explore their own ideas and creations, enjoy each other’s company and take pleasure in the world around them. By implementing the lesson plans within the classroom we hope to help pupils include more screen-free activities into their free time while cutting down on the time they spend on screen-based activities such as watching TV, surfing the internet and playing computer games or spending time on social media. 

By consulting with children on how to best balance their use of digital technology, we could help them turn digital technology into a tool for creative expression, participation, play or learning. Schools could teach children how to search for high-quality information and distinguish fake news through their mobile phones. In doing so, they will be training children to use technology purposefully while negotiating and overcoming its distracting elements. Learning how to stay focused on a task despite technological interference will likely be an important skill in the future.

During the lesson plans pupils will be given the opportunity to track their time spent on screen-based activities. They will then be challenged to reduce entertainment screen time and instead do fun screen-free activities. 

To reach the optimal results from the Be Screen Smart project your school could implement the following:

  • As part of the Health & Wellbeing programme every year group could take part in the Be Screen Smart project together as a whole school approach. 
  • Introduce the Be Screen Smart project via school assemblies or parent workshops. Invite parents to the assemblies/workshops to inform them that their child will be taking part in the Be Screen Smart project and that parental involvement & parental support is crucial.
  • Share Screen Time Family Tips PowerPoint presentation on school website and social media accounts.
  • Send a text message or email to parents directing them to the school website for more information on the Be Screen Smart Project. Also ensure a letter for the Parent/Guardian & School Be Screen Smart Pledge is sent home.

Thank you for your commitment to improving the health of young people in Glasgow.

Health Improvement Team

(This resource has been developed by the North West Health Improvement Team for Glasgow City)

Lesson Plans Introduction

How to deliver the lesson plans to pupils from P1 to P7

Three sessions need to be delivered over a period of 3 weeks (P1 to P7). Parental involvement is important and parents should be informed after session 2 through a letter about the Be Screen Smart project outlining how their child will be involved with the Be Screen Smart project and a Be Screen Smart School Pledge Card detailing information and tips for parents on how to support their child/ren. Please see below a summary breakdown of the sessions. The sessions are explained in detail below.

SESSION 1 Introduction

In this session you will ask pupils to track the time they spend on screen-based activities before they know the overall goal of this project.

SESSION 2

This session provides pupils with an overview of the Be Screen Smart project. It also provides them with an opportunity to identify screen-free ways they would like to spend their free time while at home or in their neighbourhood which will prepare them to take part in screen-free activities. Parents will also be informed about the Be Screen Smart Project.

Session 3

In this session you will discuss with pupils their homework task and get feedback from them

Teachers Notes

Need to Know Teachers Notes 

Aims: 

  • Promote Healthy Digital Habits 
  • Encourage children and young people to balance screen use with essential activities like sleep, physical activity, healthy eating, and face-to-face social interaction. Support Screen-Free Alternatives. 
  • Inspire pupils to engage in creative, fun, and meaningful screen-free activities during their free time. 
  • Help children use digital devices as tools for learning, creativity, play and participation rather than passive consumption. 
  • Engage Families and Educators. Provide teachers and parents with resources and guidance to confidently support children’s digital wellbeing and open conversations about screen use. 
  • Encourage Self-Reflection 
  • Give pupils opportunities to track their screen time and reflect on their digital habits, fostering greater awareness and self-regulation. 

Overview  

While digital devices offer numerous benefits academically, professionally, and recreationally, excessive screen time among children and young people is increasingly replacing healthy habits such as sleep, nutritious eating, physical activity, and face-to-face social interaction. 

To support children, young people, and their families in achieving a healthier balance, it is essential to encourage fun, engaging alternatives to screen time. These alternatives can include opportunities for creativity, meaningful social connections, and appreciation of the world around them. By incorporating these lesson plans into the classroom, we aim to inspire pupils to explore more screen-free activities during their free time, reducing reliance on passive screen use like watching TV, browsing the internet, gaming or scrolling through social media. 

Engaging children in conversations about their digital habits can empower them to use technology more purposefully as a tool for creativity, learning, play, and participation.  

As part of the lesson plans, pupils will have the chance to monitor their screen time and take on the challenge of reducing entertainment-based screen use. Instead, they will be encouraged to take part in enjoyable, screen-free activities that promote well-being and personal growth. 

To achieve the best outcomes from the Be Screen Smart project, schools are encouraged to:  

  • Introduce the Be Screen Smart project via school assemblies or parent workshops. Invite parents to the assemblies/workshops to inform them that their child will be taking part in the Be Screen Smart project and that parental involvement and parental support is crucial. 
  • Share Screen Time Family Tips PowerPoint presentation on school website and social media accounts. 
  • Send a text message to parents directing them to the school website for more information on the Be Screen Smart Project. Also ensure a letter for the Parent/Guardian and School Be Screen Smart Pledge is sent home. 

To further support this initiative, a range of resources and guidance will be made available for teachers and parents. These materials are designed to build confidence in addressing screen time concerns and to facilitate open, supportive conversations with young people about their digital habits. By equipping adults with practical tools and strategies, we can foster a more balanced and mindful approach to technology use both at school and at home. 

What you need to know before delivering the lesson plans:  

What is Screen Time? 

Screen Time refers to the amount of time a person spends using devices with screens, such as: 

  • Smartphones 
  • Tablets 
  • Computers 
  • Televisions 
  • Gaming consoles 

Many devices and apps now include Screen Time tracking features to help users monitor and manage their screen time.

Understanding Screen Time: A Balanced Approach for Children and Young People 

Children and young people today have grown up in a digital world where screens, social media, and online platforms are part of everyday life. 

Screens are used for learning, socialising, entertainment, and accessing support. In fact, 95% of young people report feeling safe online, even though 1 in 4 have encountered harmful content such as trolling, violence, or sexual material (Digital Youth Index 2023). This sense of safety is often linked to strong digital literacy skills. However, some groups such as girls, LGBTQ+ youth, and those from minority ethnic backgrounds are more likely to face negative online experiences, which can increase feelings of isolation (Digital Youth Index 2021; Internet Matters 2024). 

Recent data from Ofcom (2025) shows: 

  • Over 36% of children aged 3-5 use social media, rising to 70% among 1215-year-olds. 
  • 66% of children aged 3-17 watch live-streamed videos. 
  • 48% use online videos to support learning or homework. 
  • 50% of 8–17-year-olds have used AI tools for schoolwork. 
  • Almost all children aged 8+ have received at least one lesson on online safety. 

Despite growing concerns, there is currently no conclusive evidence linking screen time directly to poor mental health outcomes. Reviews by Orben & Przybylski (2019) and EPPI (2018) highlight the need for more robust research, especially into how different types of screen use affect wellbeing. 

In the meantime, the UK Chief Medical Officers (2019) recommend a precautionary approach: prioritising physical activity, sleep, healthy eating, and face-to-face social interaction over screen use. This is echoed by the Royal College of Paediatrics and Child Health and the American Academy of Paediatrics.

In June 2026, the UK government announced they will ban social media for under 16s. Alongside this, certain harmful features on other online services like livestreaming and strangers contacting children will be restricted for under-18’s. 

The results of a national consultation from March to May showed overwhelming public demand for action, with 9 in 10 parents backing a social media ban for under‑16s, and two-thirds of young people agreeing under-16s should not be allowed to use at least some social media platforms. 

These changes reset the rules so that children are protected from the platforms and online features that create the most harm and will be implemented by Spring 2027. 

For more information see the government website- Fact sheet: New rules to protect children online – GOV.UK 

Lesson Plan 1 for P1 to P7

BACKGROUND 

On average, young people in the United Kingdom spend the same amount of time on screen-based activities as they spend in School. 

 This introductory session helps pupils explore how they use screens for entertainment at home. Pupils will track their screen use before learning more about screen habits, health and wellbeing in later sessions. 

Learning Intention 

  • To develop awareness of how I use screens for entertainment and how much time I spend using them. 

Success Criteria 

I can: 

  • name other ways I use screens for entertainment 
  • record my screen time over several days 
  • talk about what I learned from tracking my screen use 

TIME NEEDED 

20 minutes  

Resources: 

  • Screen Time Tracking Form 
  • Screen Time Tracking Example 
  • Frequently Asked Questions 

Activity Steps with Pupils 

Begin by asking pupils: 

  • What is screen time? 
  • What types of screens do you use? 
  • What activities do you do on screens? 
  • What do you enjoy doing on screens? 

Examples may include: 

  • Watching television 
  • Playing games 
  • Using tablets 
  • Video calling family and friends 
  • Watching videos 
  • Using apps 

Explain: 

Screens can be useful for learning, staying connected and having fun. During this project we will explore how to balance screen use with other activities that help us stay healthy and feel good. 

Screen Time Tracking 

Show pupils the Screen Time Tracking Form and the completed example. 

Explain: 

We are going to find out more about our own screen habits. There are no right or wrong answers, and nobody will be judged on how much screen time they record. 

Ask pupils to complete the tracking form at home over: 

  • Two weekdays (Monday-Friday) 
  • One weekend day (Saturday or Sunday) 
  • Pupils may ask a parent, carer or another trusted adult to help them estimate their screen use if needed. 

Encourage pupils to record their screen use as honestly as possible. 

Preparing for Session 2 

Explain that the forms will be discussed during the next lesson. 

Remind pupils: 

You will not be asked to share your exact number of hours with the class if you do not want to. 

Schedule Session 2 approximately one week later to allow enough time for pupils to complete the tracking activity. 

Teacher Notes 

Inclusion and Accessibility 

Some pupils may use screens to: 

  • support communication 
  • access learning 
  • connect with friends and family 
  • support emotional regulation 

Discussions should focus on balance, wellbeing and healthy habits rather than presenting all screen use as negative. 

Provide opportunities for pupils to participate through: 

  • discussion 
  • drawing 
  • pictures or symbols 
  • paired conversations 
  • verbal responses 

Where appropriate. 

Send information below home 

Frequently asked questions for parent/guardian & pupils about how to fill in tracking form 

Screen Time Tracking Form 

Screen Time Tracking Example 

Parents letter  

Lesson Plan 2 for P1 to P7

Background  

On average young people in the United Kingdom spend the same amount of time on screen-based activities as they spend in school. This session provides pupils with an opportunity to identify screen-free ways they would like to spend their free time while at home or in their neighbourhood and become familiar with the screen time guidelines. 

Learning Intention 

Learner will: 

  • Identify screen‐free activities and understand the purpose of the Be Screen Smart project. (P1 to P7) 

Success Criteria 

I can: 

  • Understand the impact of having too much screen time and how this affects my health. (P1 to P7) 
  • State what is screen time (P3 to P7) 
  • Explain/identify the guidelines for entertainment screen time (P4 to P7) 
  • Identify screen-free activities I like to do during my free time. (P1 to P7) 

Links to Curriculum for Excellence 

HWB 0-15a (p1) HWB 1-15a (P2,3,4) and HWB 2-15a (P5,6,7) 
HWB 0-25a (P1) HWB 1-25a (P2,3,4) and HWB 2-25a (P5,6,7) 

Time Needed: (45 minutes +) 

What’s needed for this session:  

  • Flipchart & pens/Smart board  
  • Paper and pens/pencils for making posters  
  • Screentime guidelines (Included in the Need-to-Know Teachers Notes)  
  • Be Screen Smart Pledge or if you have time make your own pledge poster 

Send information below home 
Be Screen Smart School Pledge 

Use the appropriate activity sheet below for your class.  

Activity Steps – P1 to P3

Introduction 

  • Collect the screen time tracking forms. 
  • Discuss the results as a class. 
  • Remind pupils that they do not need to share how much screen time they had if they do not want to. 

Ask: 

  • Was anyone surprised by their results? 
  • Did anyone spend more time on screens than they thought they would? 
  • What do you like to do when you are not in school? 
  • Who likes to watch TV, use a tablet, play computer games or spend time on a computer? 

Activity 

  • Record responses using a picture chart, tally chart or bar graph to develop numeracy skills. 

Screen Time Guidelines 

Talk about the Screen Time Guidelines (see the Need-to-Know Teacher Notes). 

Ask: 

  • Does anyone know how many hours of screen time are recommended each day? 

Explain: 

  • Children aged 5 and over should aim to spend no more than 2 hours a day using screens for fun. 
  • This does not include schoolwork or learning activities. 
  • Younger children should spend even less time using screens for entertainment. 

 

Favourite Screen-Free Activities 

Ask: 

  • What do you like to do when you are not in school that does not involve screens? 

Examples: 

  • Playing outside 
  • Going to the park 
  • Playing indoors 
  • Reading 
  • Drawing 
  • Riding a bike 
  • Playing with a ball 
  • Playing board games 
  • Spending time with family and friends 

Activity 

  • Record responses using a picture chart, tally chart or bar graph. 

Healthy Habits and Screen Time 

Discuss healthy habits such as: 

  • Being physically active 
  • Playing outdoors 
  • Eating fruit and vegetables 
  • Getting enough sleep 
  • Spending time with family and friends 

Talk about how too much screen time can sometimes make healthy habits more difficult: 

  • Less time for physical activity 
  • Eating meals while watching a screen 
  • Choosing quick snacks instead of healthier foods 
  • Finding it harder to get enough sleep 

Be Screen Smart Pledge 

Explain that the Be Screen Smart Pledge is a promise to reduce screen time used for entertainment. 

Pupils can choose to: 

  • Reduce their screen time for a set period 
  • Have a screen-free day 
  • Take part in a screen-free week 

Class option: 

  • Create a class pledge poster and ask everyone to sign it. 

Teacher reminder: 

  • Send the Be Screen Smart Pledge home with pupils. 

Homework Challenge 

Choose at least one screen-free activity to do this week. 

For example: 

  • Play outside 
  • Visit the park 
  • Play a board game 
  • Draw or paint a picture 
  • Read a book 
  • Spend time with family or friends 

Bring back: 

  • A short note, drawing or description of what you did. 

Optional Poster Activity 

Ask pupils to create a poster showing fun screen-free activities. 

Older pupils may also wish to explain: 

  • Why screen-free activities are good for our health 
  • How they help us stay active, sleep well and spend time with others 

Reflection Question 

What is one screen-free activity you would like to do more often this week? 

Activity Step – P4 – P7

Introduction: 

  • Collect the screen time tracking forms 
  • Discuss the results as a class 
  • Remind pupils that they do not need to share how much screen time they had if they do not want to 

Discussion Questions: 

Ask pupils: 

  • Were you surprised by the results? 
  • Did you spend more time on screens than they expected? 
  • What do you like to do when you are not in school? 
  • Which type of screen time took up most of your free time at home? 
  • Did your screen time increase at the weekend? 
  • Did anyone stay up later than their usual bedtime because they were using screens? 

Create a chart to display the results from our discussion (e.g. picture chart, tally chart, bar chart), incorporating numeracy and data-handling skills. 

Screen Time Guidelines 

Discuss the Screen Time Guidelines (see the Need-to-Know Teachers’ Notes). 

Ask pupils: 

“Does anyone know how much screen time is recommended?” 

Explain that for children aged 5 years and over, it is recommended that recreational (non-educational) screen time is limited to around 2 hours or less of recreational screen time. Younger children should have even less recreational screen time. 

Screen-Free Activities 

Ask pupils: 

“What do you like to do when you are not in school that does not involve screens?” 

Examples could include: 

  • Nature walks 
  • Playing indoors 
  • Reading or listening to stories 
  • Crafts 
  • Helping at home 
  • Drawing 
  • Cooking or baking 
  • Playing ball games 
  • Spending time with family and friends without using screens 

Create a list or chart showing the responses (e.g. picture chart, tally chart, bar chart), incorporating numeracy and data-handling skills. 

Health and Wellbeing Discussion 

Discuss activities that help us stay healthy, such as: 

  • Physical activity and exercise 
  • Eating fruit and vegetables 
  • Getting enough sleep 
  • Spending time with friends and family 

Discuss how spending too much time on screens can make these healthy habits more difficult. For example: 

  • Choosing quick, less healthy snacks instead of balanced meals 
  • Eating while using screens, which may lead to overeating because we are less aware of feeling full 
  • Spending lengthy periods sitting down and not getting enough physical activity 
  • Having difficulty getting to sleep or experiencing disrupted sleep due to screen use, especially before bedtime 

Optional Activity 

Ask pupils to create a poster promoting screen-free activities to display in the classroom or at home. 

They may wish to include: 

  • Examples of screen-free activities 
  • The benefits of reducing screen time 
  • Ways to be active, creative, or social without screens 

Pupils could share their posters with the class or present them at a school assembly to promote healthy screen habits. 

Be Screen Smart Pledge 

Explain that the Be Screen Smart Pledge is a promise to reduce screen time used for entertainment. 

Children may choose to: 

  • Reduce their screen time for a set period 
  • Have a screen-free day 
  • Take part in a screen-free week 

Schools may wish to link this activity with Screen-Free Week, which usually takes place during the first week of May. 

Pupils can complete an individual pledge at home, or the class can create a shared pledge poster and sign it together. 

Teachers should send the Be Screen Smart Pledge home for pupils to discuss with their families. 

Homework Task 

Take part in one or more screen-free activities during the week. For example: 

  • Play outside 
  • Visit a park 
  • Play a board game 
  • Draw or paint a picture 
  • Read a book 
  • Choose another screen-free activity of your choice 

Write down what you did and bring your completed homework back to class to share your experiences. 

Lesson Plan 3 for P1 to P7

Background 

This session reinforces the key message that screens can be a positive part of everyday life when used in balance with other activities and supported by trusted adults. Pupils will reflect on the screen-free activities they enjoy and explore ways to achieve a healthy balance between screen use, play, physical activity, learning, rest and time with family and friends. 

Learning Intention 

Learner will: 

  • Name screen‐free activities which they enjoy at home and understand the purpose of keeping a balance of different screen-free and play activities and reducing screen-based activities for entertainment. (P1 to P7) 
  • Understand the Be Screen Smart Steps to Success. (P1 to P7) 

Success Criteria  

I can: 

  • Understand/state the importance of keeping a balance of different screen-free and play activities and reducing screen-based activities for entertainment. (P1 to P7) 
  • Understand the Be Screen Smart Steps to Success. (P1 to P7) 
  • Explain/identify screen-free activities I like to do during my free time. (P1 to P7) 

Links to Curriculum for Excellence 

  • HWB 0-15a (p1) HWB 1-15a (P2,3,4) and HWB 2-15a (P5,6,7) 
  • HWB 0-25a (P1) HWB 1-25a (P2,3,4) and HWB 2-25a (P5,6,7) 

Class activity 

  • Pupils will now have had the opportunity to explore a range of screen-free activities in class and complete associated homework tasks. Encourage pupils to reflect on their experiences by sharing which activity they completed at home, what they enjoyed most, and any new activities they would like to continue in the future. 
  • Explain to pupils that it is important to make time for a variety of activities, including screen-free play. Discuss how different types of play, such as active play, creative activities, imaginative play and spending time with others, can help us learn new skills, stay healthy and have fun. 
  • Remind pupils screens are good for learning and connecting with family & friends. 
  • Encourage pupils to continue making time for the screen-free activities they enjoy and to try new activities suggested by their peers. 
  • Encourage pupils to support their parent/guardian implement the steps to success on the schools Be Screen Smart pledge card sent home after session 2. Go over the steps to success with class. 
  • Emphasise to the class that not all screen time is bad. However, we need to ensure screen time is balanced with healthy habits and doesn’t impact on physical activity, healthy eating, sleep and socialisation.  

      “Our school would like your family to join us and help promote the following at home: 

Be Screen Smart Steps to Success   

  • Turn off all screens during mealtimes  
  • Try to limit screen time for entertainment purposes 
  • Turn off all devices at night at least 1 hour before bedtime 
  • Make bedrooms a tech free zone 
  • As a family name some screen free activities you can enjoy together e.g. visit the park, play a card game, play sports such as football/swimming, build a den, go for a walk or cycle. 

Hand out Be Screen Smart Certificate! 

Secondary School
How to implement the Be Screen Smart project in your school

Overview

Thank you for agreeing to participate in the module “Be Screen Smart”. There are many benefits to using screens/digital devices; academically, professionally and recreationally.  However children & young people are spending too much time with screens.

It is important to assist children, young people and their families to find the right balance, fun and engaging alternatives to screen time, opportunities to explore their own ideas and creations, enjoy each other’s company and take pleasure in the world around them. By implementing the lesson plans within the classroom we hope to help pupils include more screen-free activities into their free time while cutting down on the time they spend on screen-based activities such as watching TV, surfing the internet and playing computer games or spending time on social media. 

During the lesson plans pupils will be given the opportunity to track their time spent on screen-based activities. They will then be challenged to reduce entertainment screen time and instead do fun screen-free activities. 

To reach the optimal results from the Be Screen Smart project your school could implement the following: 

  • Introduce the Be Screen Smart project via school assemblies or parent workshops. Invite parents to the assemblies/workshops to inform them that their child will be taking part in the Be Screen Smart project and that parental involvement & parental support is crucial.
  • Share Screen Time Family Tips PowerPoint presentation on school website and social media accounts.
  • Send a text message to parents directing them to the school website for more information on the Be Screen Smart Project. Also ensure a letter for the Parent/Guardian & School Be Screen Smart Pledge is sent home.

Thank you for your commitment to improving the health of young people in Glasgow.

Health Improvement Team

(This resource has been developed by the North West Health Improvement Team for Glasgow City)

How to Deliver the Lesson Plans

Three sessions consisting of 50 minutes each to be delivered over a period of 3 weeks. Parental involvement is important and parents/guardians should be informed after session 2 through a letter outlining the Be Screen Smart project and a Be Screen Smart Pledge Card detailing information and steps for success for parents/guardians on how to support pupils reduce screen time. Please see below a summary breakdown of the sessions.  The lesson plans are explained in detail in the next section.

SESSION 1 Introduction (Track Screen Time) Day 1

In this session you will ask pupils to track the time they spend on screen-based activities before they know the overall goal of this project.

SESSION 2 

This session provides pupils with an overview of the Be Screen Smart project. It also provides pupils with an opportunity to identify screen-free ways they would like to spend their free time while at home or with friends which will prepare them to go without using screens for recreational use for up to 3 days.

SESSION 3

This session provides pupils with a challenge to join millions of other people who have gone screen-free for up to a week and to do some of the screen-free activities they identified in Session 2.

Teachers Notes

Need to Know Teachers Notes 

Aims: 

  • Promote Healthy Digital Habits 
  • Encourage children and young people to balance screen use with essential activities like sleep, physical activity, healthy eating, and face-to-face social interaction. Support Screen-Free Alternatives. 
  • Inspire pupils to engage in creative, fun, and meaningful screen-free activities during their free time. 
  • Help children use digital devices as tools for learning, creativity, play and participation rather than passive consumption. 
  • Engage Families and Educators. Provide teachers and parents with resources and guidance to confidently support children’s digital wellbeing and open conversations about screen use. 
  • Encourage Self-Reflection 
  • Give pupils opportunities to track their screen time and reflect on their digital habits, fostering greater awareness and self-regulation. 

Overview  

While digital devices offer numerous benefits academically, professionally, and recreationally, excessive screen time among children and young people is increasingly replacing healthy habits such as sleep, nutritious eating, physical activity, and face-to-face social interaction. 

To support children, young people, and their families in achieving a healthier balance, it is essential to encourage fun, engaging alternatives to screen time. These alternatives can include opportunities for creativity, meaningful social connections, and appreciation of the world around them. By incorporating these lesson plans into the classroom, we aim to inspire pupils to explore more screen-free activities during their free time, reducing reliance on passive screen use like watching TV, browsing the internet, gaming or scrolling through social media. 

Engaging children in conversations about their digital habits can empower them to use technology more purposefully as a tool for creativity, learning, play, and participation.  

As part of the lesson plans, pupils will have the chance to monitor their screen time and take on the challenge of reducing entertainment-based screen use. Instead, they will be encouraged to take part in enjoyable, screen-free activities that promote well-being and personal growth. 

To achieve the best outcomes from the Be Screen Smart project, schools are encouraged to:  

  • Introduce the Be Screen Smart project via school assemblies or parent workshops. Invite parents to the assemblies/workshops to inform them that their child will be taking part in the Be Screen Smart project and that parental involvement and parental support is crucial. 
  • Share Screen Time Family Tips PowerPoint presentation on school website and social media accounts. 
  • Send a text message to parents directing them to the school website for more information on the Be Screen Smart Project. Also ensure a letter for the Parent/Guardian and School Be Screen Smart Pledge is sent home. 

To further support this initiative, a range of resources and guidance will be made available for teachers and parents. These materials are designed to build confidence in addressing screen time concerns and to facilitate open, supportive conversations with young people about their digital habits. By equipping adults with practical tools and strategies, we can foster a more balanced and mindful approach to technology use both at school and at home. 

What you need to know before delivering the lesson plans:  

What is Screen Time? 

Screen Time refers to the amount of time a person spends using devices with screens, such as: 

  • Smartphones 
  • Tablets 
  • Computers 
  • Televisions 
  • Gaming consoles 

Many devices and apps now include Screen Time tracking features to help users monitor and manage their screen time.

Understanding Screen Time: A Balanced Approach for Children and Young People 

Children and young people today have grown up in a digital world where screens, social media, and online platforms are part of everyday life. 

Screens are used for learning, socialising, entertainment, and accessing support. In fact, 95% of young people report feeling safe online, even though 1 in 4 have encountered harmful content such as trolling, violence, or sexual material (Digital Youth Index 2023). This sense of safety is often linked to strong digital literacy skills. However, some groups such as girls, LGBTQ+ youth, and those from minority ethnic backgrounds are more likely to face negative online experiences, which can increase feelings of isolation (Digital Youth Index 2021; Internet Matters 2024). 

Recent data from Ofcom (2025) shows: 

  • Over 36% of children aged 3-5 use social media, rising to 70% among 1215-year-olds. 
  • 66% of children aged 3-17 watch live-streamed videos. 
  • 48% use online videos to support learning or homework. 
  • 50% of 8–17-year-olds have used AI tools for schoolwork. 
  • Almost all children aged 8+ have received at least one lesson on online safety. 

Despite growing concerns, there is currently no conclusive evidence linking screen time directly to poor mental health outcomes. Reviews by Orben & Przybylski (2019) and EPPI (2018) highlight the need for more robust research, especially into how different types of screen use affect wellbeing. 

In the meantime, the UK Chief Medical Officers (2019) recommend a precautionary approach: prioritising physical activity, sleep, healthy eating, and face-to-face social interaction over screen use. This is echoed by the Royal College of Paediatrics and Child Health and the American Academy of Paediatrics.

In June 2026, the UK government announced they will ban social media for under 16s. Alongside this, certain harmful features on other online services like livestreaming and strangers contacting children will be restricted for under-18’s. 

The results of a national consultation from March to May showed overwhelming public demand for action, with 9 in 10 parents backing a social media ban for under‑16s, and two-thirds of young people agreeing under-16s should not be allowed to use at least some social media platforms. 

These changes reset the rules so that children are protected from the platforms and online features that create the most harm and will be implemented by Spring 2027. 

For more information see the government website- Fact sheet: New rules to protect children online – GOV.UK 

Links to Curriculum for Excellence

Curriculum for Excellence Links

Improved health outcomes are linked to healthy lifestyle choices. Raising awareness levels and encouraging positive behaviours in all pupils is essential to improving health outcomes and reducing health inequalities. The Be Screen Smart project is in line with Curriculum for Excellence specifically in relation to health and wellbeing.

HWB Organiser(s)Physical education, physical activity & sport
Experiences & OutcomesHWB 2-27a / HWB 3-27aI can explain why I need to be active on a daily basis to maintain good health and try to achieve a good balance of sleep, rest and physical activity.
Food & HealthHWB 2-37aI can understand how advertising and the media are used to influence consumers.
Planning for choices & changesHWB 3‐19aI am developing the skills and attributes which I will need for learning, life and work. I am gaining understanding of the relevance of my current learning to future opportunities. This is helping me to make informed choices about my life and learning.
Learning IntentionsI can demonstrate the benefits of being active, physical activity, good balance of sleep and rest for my health and wellbeing. I can show an understanding of how advertising and the media can influence consumers into buying unhealthy foods. I can identify the choices I can make to reduce my screen time. I can show an understanding of how my current screen time behaviour can impact my learning, life and work.
SESSION 1 for S1 Pupils

Introduction  

This session introduces pupils to what is meant by screen time and asks them to consider the reasons why they use screens and when they use them. Pupils will have the opportunity to track their screen time over 3 days. 

OBJECTIVES 

Pupils Will: 

  • Consider the reasons for using screens and when they use them. 
  • Develop an understanding of their daily screen use by monitoring a range of screen-based activities over three days. 

TIME NEEDED 

30 – 40 minutes 

GETTING READY 

  • Screen Time Tracking Form and Example 
  • Parents letters  

Review: 

  • Frequently Asked Questions 

Activity Steps 

 Explain: 

We are going to take part in a project looking at the amount of time we spend using screens, how this cab impact our health and wellbeing and what other activities we can do with our free time instead.  

What is meant by screen time?  

Screen time is the amount of time spent using screens such as TVs, computers, smartphones and tablets, using the internet, scrolling social media and playing computer games.   

Why do we use screens?  

Divide pupils into small groups and ask them to discuss why they use screens (e.g. because they are bored, for homework, to catch up with a friend) and when or where they use them (e.g. after school, before bed, when visiting friends etc) and when or where they use them ((e.g. after school, before bed, when visiting friends) Ask pupils to write down some of their ideas. 

Invite pupils to share their responses to the class.  

Hand out the Screen time Tracking Form and Example. 

Explain that they will be asked to track their screen-based activities such as watching  

  • TV,  
  • playing computer games,  
  • using the internet,  
  • scrolling on social media   
  • using smart phones/tablets.  

Pupils should only track their screen time for three days. Two of these days should be on a weekday (Monday to Friday), and one should a weekend day (Saturday or Sunday) 

Completing the Screen Track Form 

Ask pupils to complete the form whenever they take part in a screen-based activity.  

To track screen time, pupils should round their time to the nearest half hour (e.g., 11/2 hours). They can use tally marks on the form to help keep track of their screen time.  

Pupils may also wish to use the Screen time tracking feature on their smartphone or tablet (if available) and compare this with their own records.  

At the end of each day, pupils should add up their tally marks to calculate their total screen-time.  

Remind pupils that they will not be judged on the amount of screen time they record, and it is important to complete the form honestly.  

Returning the Forms 

Ask pupils to return their completed forms at the next session (Session 2).  

Note to teacher: Session 2 should take place 4–7 days after session 1. Ensure there is enough time for pupils to track their screen time on two weekdays and one weekend day.  

Send the Parents/carers letter and FAQ home to support pupils to complete the tracking form.  

Reminder 

Over the next few days, remind the pupils to complete their Screen-Time Tracking Form and bring it back to the next session. 

SESSION 2 for S1 Pupils

Introduction  

It is estimated that young people in the UK spend the same amount of time on screen-based activities as they do in school, averaging around 6 –7 hours a day. This session provides pupils with an overview of the Be Screen Smart challenge and an opportunity to identify screen-free activities they can do. It also encourages pupils to consider the impact screen-time can have on their health and wellbeing   

OBJECTIVES 

Pupils Will: 

  • Understand the purpose of the Be Screen Smart Challenge. 
  • Identify screen-free activities they would like to do during their free time. 
  • Consider the health and wellbeing impacts of screens.  

TIME NEEDED 

50-60 minutes  

GETTING READY 

  • Screen time: what you need to know 
  • Flipchart and pens  
  • Be Screen Smart Steps to Success (to send home)  

Activity Steps  

Ask : 

“If you didn’t have screens such as games consoles, computer, tablet, smart phone or TV, how would you like to spend your free time?  

  • Ask for a volunteer to record ideas on the flip chart. 

 Allow pupils time to come up with their own ideas before handing out the Screen Free Things to Do Sheet. 

Ask: 

  • highlight activities they would like to try   
  • add any other additional screen time activities to the end of the sheet 

Reviewing Screen Time Tracking Forms 

Ask: 

“Please take out your completed Screen Time Tracking Form.” 

If any pupils have not completed the form: Ask them to think back to the previous day and estimate how much time they spent using screens, such as watching TV, playing computer games, or using smart phone or tablet. 

Ask:  

“Were you surprised at the amount time you spend using screens” 

Follow up with:  

“Do you feel that you spend a lot or time in school?  

Explain: 

“Did you know that the average Scottish young person spends roughly the same amount of time using screens for entertainment use as they do in school each day? 

Introducing the Be Screen Smart Challenge! 

Explain: 

“You are going to take part in the Be Screen Smart challenge!” 

Explain that during the challenge, they will try to reduce the amount of time you spend using screens for entertainment and spend more time taking part in screen free activities.    

Hand out the Be Screen Smart Pledge Card and ask pupils to complete the pledge. 

Explain: 

Over the next few days, you are challenge is to spend no more than 2 hours each day using screens for entertainment and to spend more time doing screen-free activities.  

Remind pupils that these 2 hours: 

Do not include screen time used for schoolwork or homework. 

Focus only on recreational or entertainment screen use. 

Explain that Screen-free activities are activities that do not involve: 

  • TVs  
  • Computers or laptops 
  • Tablets 
  • Smartphones   
  • Computer games.  

Remind pupils: 

“You can try some of the screen free activities you suggested earlier during times when you would usually use a screen.” 

Debate Activity  

Explain to pupils: 

“Today you are going to take part in a debate about screen time.” 

Split the class into two groups: 

Group 1: Prepare arguments for why screen time can be beneficial for young people and their families. 

Group 2: Prepare arguments for why too much screen time can have negative effects on young people and their families. 

Ask pupils to consider: 

  • Health and wellbeing 
  • Learning and school performance 
  • Family life and relationships 
  • Friendships and social connections 

Explain:  

“Not all screen time is the same. It can be helpful to think about the different ways screens are used,”  

Active screen time: 
Using a screen to think, learn, create, participate.  

Examples: include: 

  • Doing homework 
  • Playing games that involve problem‑solving  
  • Chatting with friends and family  
  • Creating videos or digital content. 

Passive screen time 

 
Using a screen without much thinking or interaction. 

Examples include:  

  • Watching TV 
  • Watching TikTok or YouTube videos 
  • Scrolling on social media 
  • Watching online content for long period 

Preparation and debate 

  • Give pupils 10 minutes to prepare their arguments. 
  • Then allow 10 minutes for the debate. 

Encourage pupils to listen respectfully to different viewpoints and support their arguments with examples where possible. 

At the end of the lesson, ask pupils: 

  • What is one screen-free activity you would like to try during the challenge? 
  • What do you think will be the most difficult part of reducing screen time? 
  • What benefits do you think you might notice from spending less time on screens? 

Remind pupils to keep working towards the Be Screen Smart pledge and to try some of the screen-free activities they identified during today’s session. 

SESSION 3 For S1 Pupils

 

Introduction 

This session will explore the benefits of spending less time using screens and encourages young people to consider screen time guidance. Pupils will have opportunity to reflect on their experience of taking part in the Be Screen Smart Challenge and celebrate young people’s success.  

OBJECTIVES 

Pupils will: 

  • Discuss the health and wellbeing benefits of reducing screen time 
  • Consider screen time guidance and the reasons behind this.  
  • Reflect on the experience of reducing screen time to no more than 2 hours a day.  
  • Celebrate their achievements and success during the challenge  

TIME NEEDED 

  • 50-60 minutes  

 Getting Ready 

  • Screen time recommendation: What you Need to Know  

Activity Steps 

Ask: 

“What are the positive effects of spending less time on screens?” Guide discussion to include:   

  • Sleep 
  • Physical health and activity 
  • Healthy eating habits 
  • Time spent with family and friends 
  • Mental wellbeing 

Screen time: What you Need to Know document can be used to support and guide discussion 

Ask: 

“Did you notice any changes in your health or wellbeing when you spent less time using screens?” 

 
Prompts: 

  • Was your sleep better? 
  • Were you more active? 
  • Did you spend more time with family and friends? 
  • Mental wellbeing? 
  • Did you have more time for hobbies and interests? 
  • Did anything surprise you? 

Encourage pupils to share both positive experience and any challenges they faced. 

Ask:  

What do they think the recommendations for screen time are?”  

Ask:  

 “Why do you think we have these recommendations? 

Reflection 

Ask: 

  • What  have you learned from taking part in the Be Screen Smart Challenge  
  • What screen free activities did you try? 
  • Do you think you will make any changes to how you spend your free time? 
  • Do you think your life would be different, or even better, if you spent less time using screens? 
  • What advice would you give to another young person taking part in the challenge? 

Celebration 

Give a certificate of participation to every pupil. 

Acknowledge the effort pupils made, regardless of how much they reduced their screen time. 

  

Youth Provider

Overview

Thank you for agreeing to participate in the “Be Screen Smart” project. There are many benefits to using screens/digital devices; academically, professionally and recreationally.  However children & young people are spending too much time with screens.  Young people need to be informed and supported in understanding the impact too much screen time can have on their health, relationships and academic performance.

It is important to assist young people and their families to find the right balance, fun and engaging alternatives to screen time, opportunities to explore their own ideas and creations, enjoy each other’s company and take pleasure in the world around them. 

Aim

Youth Providers to make their service/youth group incorporate more screen-free activities and to discuss with young people the harm of spending too much time in front of screens.

Objectives

  • Young People to be able to identify how too much screen time can impact on health, relationships & academic performance.
  • To take responsibility of how they manage their screen time.
  • To explore screen-free activities.
  • To make positive changes to reducing screen time.

National Youth Work Strategy

The National Youth Work strategy sets out outcomes for young people through youth work. https://www.youthlinkscotland.org/policy/youth-work-outcomes/outcome-5/

Outcome 5: Young people consider risk, make reasoned decisions and take control

Outcome 5 explores whether young people understand the consequences of harmful behaviour, know where to go to access information and support, and can assess that information to ensure it is appropriate and helpful. Outcome 5 also focuses on young people taking responsibility for the decisions they make.

Implementation

By implementing the changes below within your youth establishment we hope to help young people understand the impact too much screen time can have on health, relationships and academic performance and how to include screen-free activities into their free time while cutting down on the time they spend on screen-based activities such as watching TV, surfing the internet, playing computer games or spending time on social media. 

Young people can be empowered to understand the consequences of spending too much time on screens and take responsibility for the decisions they make about screen time.

To reach optimal results from the Be Screen Smart project your establishment could implement the following:

  • Introduce the Be Screen Smart project to the young people within your establishment.
  • Share Screen Time Guidelines.
  • Inform young people about the benefits of reduced screen time.
  • Discuss how young people could reduce screen time and participate in screen free activities.
  • Develop creative programmes which would encourage young people to focus on screen time issue, (examples:  art project focusing on screen time, young people produce screen-free diaries & share with others, develop a drama exploring screen time).
  • Request that young people volunteer over their phones for the duration of your youth group/service.
  • Introduce a monthly screen free night.
  • Run a 50/50 weekly night where during half the duration of your youth group/service screen activities will be off and the other half time screen activities could be on. 
  • Encourage young people to earn screen time, so to get on the computers/screens young people would need to participate in non-screen activities to earn time on the computer/screens.   
  • Introduce the Be Screen Smart project to parent’s via parent workshops. Invite parents to your establishment to inform them that their child will be taking part in the Be Screen Smart project and that parental involvement & parental support is crucial at home.
  • Share Screen Time Family Tips PowerPoint presentation at parent workshops & social media accounts.
  • Ensure the Parent/Guardian Be Screen Smart Pledge is sent home.
  • Come up with creative ways your establishment could promote screen free activities and encourage awareness of the impact of too much screen time on young people.

2 Ways to take the Be Screen Smart Challenge

1.  Reduce & Replace: Reduce screen-time to 1 hour or less at your setting. Encourage YP to earn the time they can spend on screens by taking part first in non-screen activities. For example: 1 hour of physical activity can earn 1 hour of screen time, 15 minute board game can earn 15 minute screen time, 30 minute screen free-activity can earn 30 minute screen time.

2.  Go Screen-Free: have a strict no screen rule during your youth group.

As you embark on this project please note that an enthusiastic attitude will help young people in their efforts to  reduce the time they spend on screens for entertainment. If the youth worker/s also takes part in the project and reduces his/her entertainment screen time and shares his/her attempt to reduce entertainment screen time with the young people this will help in encouraging young people to do so too. Please also consider other ways your establishment can support this attempt. 

Thank you for your commitment to improving the health of young people in Glasgow.

Health Improvement Team

(This resource has been developed by the North West Health Improvement Team for Glasgow City)

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Glasgow City Health Improvement have developed a range of Gender Based Violence resources for School and Youth/Community setting use.

Gender Based Violence – Keeping Mum Film and Primary School Teaching Resource

Keeping Mum

An educational film aimed at children in Primary 5-7 and the professionals who work with them on the impact of domestic abuse. Based on the play, Gold Stars and Dragon Marks (developed in 2008 by Baldy Bane Theatre with Scottish Government funding), the film was produced in 2018 with NHS Endowment funding. Keeping Mum, by Soundsmove Production, stars Still Game’s Mark Cox and Jane McCarry. It follows three children as they learn secrets about each other’s lives and negotiate the consequences of telling and not telling. It also looks at appropriate responses from parents/carers and professionals. The Keeping Mum video is complimented by a teacher support pack which includes a lesson for pupils to accompany the film and further supporting resources and information.  Teacher twilight training on the resource is offered by Health Improvement.

Teacher Support Pack

Glasgow City Health Improvement and the Glasgow Violence Against Women Partnership have developed teacher support pack for use with the Keeping Mum film. The packs contain background information to the films; links to Curriculum for Excellence, RSHP and God’s Loving Plan/Called To Love; useful tools; a lesson plan for use with pupils and links to support agencies.

Keeping Mum Video – BSL Version NHSGGC – Keeping Mum BSL – YouTube

Keeping Mum Video –  Audio description NHSGGC – Keeping Mum – YouTube

Keeping Mum Video NHSGGC – Keeping Mum – YouTube

Gender Based Violence – Crush Film and Secondary School Teaching Resource

Crush

An educational film aimed at S3 young people, addressing relationship abuse and exploitation. 

When does care become control? Based on the stage play, Crush, which was developed in 2008 with Scottish Government funding, the film features four young people. It follows the development of an abusive relationship, looking at early warning signs, the role of bystanders and the impact. The Crush video is complimented by a teacher support pack which includes a lesson for pupils to accompany the film and further supporting resources and information. Teacher twilight training on the resource is offered by Health Improvement.

Teacher Support Pack

Glasgow City Health Improvement and the Glasgow Violence Against Women Partnership have developed teacher support pack for use with the Crush film. The packs contain background information to the films; links to Curriculum for Excellence, RSHP and God’s Loving Plan/Called To Love; useful tools; a lesson plan for use with pupils and links to support agencies.

Guidelines for Responding to Gender Based Violence in a Youth Setting

The Glasgow Violence against Women Partnership in collaboration with Health Improvement has developed Guidelines for responding to Gender Based Violence in a Youth Setting.

The Guidelines are supported by Equally Safe Young People (ESYP) training, delivered by Health Improvement.  The guideline and training supports youth workers to understand gender based violence, to be able to address the underlying causes and to respond to disclosures from young people.

For Equally Safe Young People training dates, please see our Glasgow City Health Improvement Training Calendar.

An Evaluation of ESYP Training can be found HERE

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Use this form to book resources.

Please note: resources must be collected and returned to our office in West House, Gartnaval Hospital. We will be in touch to arrange suitable times for this.

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Healthier, Wealthier Children(HWC) aims to contribute to reducing child poverty by  helping families with money worries. The project is working closely with antenatal and community child health services to target pregnant women and families with young children experiencing, or at risk of, child poverty, as costs increase and employment patterns change around the birth of a child.

The project offers income maximisation advice for families experiencing child poverty and will aim to prevent families from falling into child poverty by working with health and early years services to identify families at risk at an early stage. Consequently the main service groups targeted for providing referrals to Healthier, Wealthier Children income maximisation services will be, in the first instance, midwives and other antenatal service staff, health visitors, oral health and breastfeeding advisers, parenting support workers, and early education staff.The initiative has been running since October 2010. As of August 2020, financial gain is estimated at £36,462,342 from 26,687 referrals. Healthier Wealthier Children models are cited as a requirement of Scotland’s Child Poverty action plan and similar models have been developed in Australia, Sweden and Newham in East London

The principles of the initiative are being rolled out nationally. NHSGGC staff are linking with Health Scotland on this.

The initiative is cited in:

  • Equally Well Annual Reports
  • National Child Poverty Strategy
  • National Early Years Collaborative
Project Structure

Healthier Wealthier Children is a collaboration between NHS Greater Glasgow and Clyde, Local Authorities, Glasgow Centre for Population Health and Voluntary Sector Money Advice Services.

Almost half of the children in Greater Glasgow and Clyde live in low income households, ranging from 25% in East Renfrewshire to 69% in East Glasgow [1]. Addressing child poverty is a key Scottish Government strategy for improving children’s health and well-being and is supported by the strategies, Equally Well, Achieving Our Potential and the Early Years Framework. Maximising families’ income is one element of addressing child poverty and a practical action that health and social care service providers can offer with the right support. A collaboration between NHS Greater Glasgow and Clyde (NHSGGC), Glasgow City Council (GCC) and Glasgow Centre for Population Health (GCPH) with additional support from other council partners has been successful in attracting funding from the Scottish Government Social Inclusion Division for a Child Poverty and Financial Inclusion Project.

The funding of £1,058,375 was secured for 15 months from January 2010 to provide income maximisers and development officers for all Community Health (and Care) Partnerships across NHSGGC. It builds on actions taken by NHSGGC to meet the objectives outlined in the Scottish Government Health Directorates Chief Executive Letter (CEL) 36 for improving nutrition for families living in disadvantage. CEL 36 implementation included work to improve uptake of the UK-wide Healthy Start programme and through this identified a gap in financial service provision for families attending antenatal and postnatal health services.

Building on the Healthy Start work, the Project supports the development of expertise within financial inclusion services and health structures for addressing child poverty by targeting income maximisation advice to pregnant women and families with infants and young children. The main aims of the Project are to:

  •  Test out a partnership model of providing income maximisation advice at a local level; and
  •  Develop a strategic approach to linking this service provision with health and other services in the longer term.

The Project is implemented through all HSCPs across Greater Glasgow and Clyde. Income maximisers in HSCPs and development officers will be employed across the whole of NHSGGC to establish referral and information pathways between health and financial inclusion service structures. The Project targets families with children under 5 attending health and early years services although some exceptions will be allowed. For example, particular attention is paid to picking up families who face additional barriers to maximising their incomes such as in the case of kinship carers, or where affordable childcare is unavailable.

NHSGGC has a Financial Inclusion Group, which reports to NHSGGC Corporate Management Team. The Healthier Wealthier Children Project Steering Group reports to the NHSGGC Financial Inclusion group[1] Low income households are defined here as being in receipt of any benefits, out of work or in work (2006 data, GCPH analysis, 2009)

Definitions and Standards

What is financial inclusion?

Financial inclusion means that individuals have access to appropriate financial products and services. This includes people having the skills, knowledge and confidence to use these products and services

Financial Inclusion Guidance for staff

NHSGGC has developed Guidance for staff on money worries. This guidance includes working with patients and sources of support for staff who have money worries.

Health benefits of financial inclusion

Summary Report: The Health Benefits of Financial Inclusion

Addressing financial exclusion is a priority for health service providers because it has the potential to reduce health inequalities and tackle the social determinants of ill-health. People living with long term ill-health or disability are more likely to be living in poverty, a key factor in poorer health outcomes. The NHS has contact with people as part of their rehabilitation and self care pathway and therefore an opportunity to support people’s wider social needs.

To develop an inequalities sensitive health service NHSGGC wishes to skill health practitioners to understand the social issues and structural inequalities facing their patients, support patients with these and have the capacity to refer them to appropriate services. Current evidence shows that the health inequality gap is widening and the current economic downturn is likely to worsen the situation for our most deprived communities and excluded groups; including women, black and minority ethnic people, disabled people, homeless people, refugees and asylum seekers. Financial exclusion is a growing concern in this context and so more needs to be known about the role of financial inclusion interventions in improving health.

About the Review

To date, NHSGGC has piloted a number of financial inclusion initiatives. A Financial Inclusion Group has been established to draw lessons from current practice and mainstream good practice in a sustainable way. It has developed an action plan, which it reviews regularly. To inform the work of the Financial Inclusion Group, the Scottish Poverty Information Unit (Glasgow Caledonian University) was commissioned to conduct a literature review. The broad aim of the review was to summarise the health benefits of financial inclusion identified in existing research and involved:

  •  A review of evidence of the health and quality of life impacts of financial inclusion initiatives, with particular reference to collating evidence of NHS-based interventions & the health benefits of these
  •  Exploring models of practice and learning to improve practice and identify evidence of the tools and barriers that exist
  •  Reviewing research methods used in existing studies
  •  Development of recommendations about future policy, practice and research

The research team undertook a Rapid Evidence Assessment (REA). REAs provide a balanced assessment of what is already known about a policy or practice issue. The method is appropriate for this review because the policy area is relatively new and there are few existing studies. It focused on English language sources and data, and on reports published in the last 10 years, with an emphasis on UK studies.

Key Findings

This review identified 16 key studies or journal articles which have reported health and social outcomes of financial inclusion interventions. It is clear that NHS has long recognised the value of improving access to welfare benefits and income maximisation in tackling health inequalities. Initiatives that tackle the broader issues relating to financial exclusion, such as financial awareness or financial capability are relatively recent. Many of these new initiatives remain at the early stages and few have been evaluated, particularly for their impact on health. This presents opportunities for future evaluation and research to explore the health impacts of these approaches.

All 16 of the studies identified discuss heath impacts of advice provision. Only two evaluated additional approaches including financial exclusion awareness raising sessions, money management guidance, or development activities. The studies generally focused on the provision of welfare benefits advice including income maximisation work. However, Citizens Advice Bureaux (CAB) and many other advice services advise clients on a range of social, legal and welfare rights issues (including, for example, housing, employment, taxation and debt) and several studies highlight the wide range of issues addressed and the fact that individual clients may raise more than one problem.

The main message from across the studies is that both qualitative and quantitative methods identify benefits from advice in terms of improved mental health, reduced stress or anxiety and better quality of life, but there is less evidence of improvements to physical health. Relatively short follow-on study periods and other methodological issues are suggested to have contributed to modest results in some studies.

Targeting services

Where projects have involved targeting vulnerable groups there is limited evidence of analysis of the different situations or the impacts for groups within target populations, for example, on the basis of gender, age, ethnic origin, disability or learning difficulties. Strategies that work for one group or situation can inform work with other groups but may not always be effective. Research and evaluation need to go beyond recording the characteristics of service users and explore different needs, impacts and outcomes of advice. However, this work should also be informed by a growing body of research on effective practice in financial inclusion work.

Benefits for Health and wellbeing

One assessment of work to date is that there is little need to conduct additional work to determine whether welfare rights advice has a financial effect but the potential benefits for health and wellbeing remain largely theoretical. Both qualitative and quantitative research has however identified that financial inclusion interventions can impact positively on people’s mental health and well-being. The importance and value of this has been under-played in the literature. The relationship between debt and mental health and the wider effects of addressing the stress and anxiety of debt and low income is a clear area for future research.

The review has also identified opportunities to further develop existing approaches to tackling financial exclusion. For example, in addition to welfare rights and debt advice, other linked areas of policy and practice have the potential to be considered in integrated approaches to financial inclusion because they are strongly linked to the issues of poverty and ill-health. Addressing fuel poverty is one area that has been highlighted. Prevention of homelessness and eviction and re-housing of homeless individuals is another area in which the right advice and support is essential to addressing the situation of people who are likely to have health and/ or addiction issues.

These wider issues also serve to highlight the need for a broader agenda in research that takes more account of the complexities of people’s lives. The review raised questions about whether enough account has been taken of the effects for different groups of people and different health circumstances (for example acute and chronic health conditions, mental health problems).

Evidence of effective practice exists, but this would benefit from further development. In particular advice needs, like health needs, are often not static and some flexibility in service design may be needed to respond to changing needs. For example, someone diagnosed with a condition involving long-term management or a long period of recovery may have particular and different advice needs at the point of diagnosis, when entering or leaving hospital as an in-patient and during periods of recovery or deteriorating health. Such an approach would be consistent with the aim of holistic provision and the aims of providing seamless services and the use of the pathways approach. Training and information sharing are necessary components for ensuring that health and financial inclusion professionals have the right levels of awareness and expertise for the work they do.

Financial inclusion is an area of mutual concern for local government and health services. It has much potential to contribute to better understanding of how services can help to reduce health inequalities and address any unintended consequences of the way services currently work.

Recommendations for Research

There is considerable potential for financial inclusion initiatives to contribute to an agenda for improving health. To gain a better understanding of the impact on health the following approaches to research are recommended:

  • More research is needed to broaden understanding of the importance of factors such as gender, family circumstances, age, ethnicity or disability for different groups within target populations to improving health, wellbeing and quality of life through financial inclusion work
  • For its contribution to be understood better and the social impacts of financial inclusion taken into account more fully, there is a need for multi-disciplinary research involving people with expertise in both health and financial inclusion
  • More mixed-method and holistic, qualitative approaches should be adopted and more sensitive research tools developed for assessing the impact of financial inclusion and that is relevant for target groups
  • Longitudinal studies are required, lasting beyond the one year duration of most studies in the past, particularly to understand more about the impacts on physical health and the potential for financial inclusion to contribute to reducing the physical health risks associated with poor mental health.

Recommendations for Practice

Recommendations for practical approaches to take forward financial inclusion work within NHSGGS include the following:

  • Project and service monitoring should reflect both project and wider policy priorities, for example, monitoring for family situation / relationships, dependents and caring roles
  • Financial inclusion development and evaluation should take account of the reach to different groups, including within target populations
  • Existing research and practical guidance can inform this area of work, including adaptation of existing effective practice to reach new groups
  • Consistent with holistic service provision and the pathway of care approach, projects and services should be developed in a way that recognises the importance of responding to changing needs over time
  • NHSGGC should consider how addressing fuel poverty can be incorporated within its approach to financial inclusion and the linked issues of housing circumstances, including the risk of or actual homelessness, that are potentially important areas for advice and support
  • There may be a need for wider links, for example with services addressing advice on homelessness and benefits, including CABs and Shelter, in a broad agenda to tackle financial exclusion
  • Partnership working should involve health and financial service providers, but also service users and carers and the services that support them, for example, key workers. Consideration should be given to involving other service providers such as in housing and domestic fuel supply.
  • Training, awareness raising and capacity building are needed for staff, not to become experts in new areas, but to refer effectively, for example: training for staff in financial inclusion work on issues such as health needs, or mental health first aid; for health service staff on the breadth of rights and entitlements, sources of help and when and how to refer; and for all groups, equality and diversity training may be important, particularly in projects involving screening of potential clients for financial inclusion interventions.
  •  

The full report is available to download at the Scottish Poverty Information Unit website:

Health Benefits of Financial Inclusion: A Literature Review (pdf)

Case Studies
Case Study 1- Mum with two children under seven, one with learning difficulties
  • Mum with 2 children under 7. Son suffering from learning difficulties and bowel problems. Mum required replacement bed and bedding, washing machine and clothes. Community Care grant of £373 awarded after initial rejection. Only successful because money advice service persisted given patient under severe emotional and financial pressure.
  • Disability Living Allowance applied for. Son awarded high rate care for 2 years on 5th April but the award was backdated to 11th March. Mum did not wish to appeal the fact that no mobility component was awarded.
  • As there was an award of high rate care this led onto the client being eligible for Carer’s Allowance. Third appointment made to complete forms and benefit awarded. A backdate had been requested and granted to the 11th March when the DLA was awarded.
  • his then led to a review of patient’s Income Support so that all relevant premiums could be added and recalculated.
  • Patient went from receiving £255.00 per week to now receiving £451.71 per week for all benefits.
  • All backdated money received as lump sum was £2,360

Client says: “I have found the service really beneficial and was shocked at how much I was actually entitled to after the Job Centre initially rejected my case. If only there were a million X [Income Maximisers] out there.”

Case Study 2- Working mum on maternity leave
  • Working mum on maternity leave, still living with parents, had never accessed the benefits system before. On the 36th week of pregnancy, the patient was referred to the money advice service by her midwife, allowing money advice service to begin a full assessment of her needs.
  • After explaining what statutory pay entitlements the mum would get, a benefit check revealed that she would only be eligible for benefits after the birth of the baby.
  •  Mum agreed to come back for a second appointment to help her to apply for the relevant benefits, including Child Tax Credits, Sure Start Maternity Grant and Child Benefit.
  • The Sure Start Maternity Grant would only be applicable after the qualifying benefit of Child Tax Credits was awarded. At the third appointment, this was applied for after the good news came through about the Child Tax Credits. 
  • All in all, the mum will receive a net gain in benefits awarded of just under £4,890 for the year
Case Study 3 – Young couple with three children, two with disabilities

A young couple with 3 children, the youngest 2 are under 5 and each has a disability. Dad works full time in fairly low paid employment with mum at home full time caring for the children. The couple are owner occupiers. Mum finds it very difficult to go out with the children as she is unable to use public transport and taxis are too expensive. Due to the children’s mobility difficulties, Mum and the children spend most of their time at home which means heating the home for most of the day and night. Due to the children’s disabilities mum has to do lots of laundry. These factors are having a big impact on the family’s energy bills. Debt has been accrued with Brighthouse, a high street weekly payment household goods store, totalling £6000 for a suite and a tv. Weekly payments to Brighthouse are £33 with 2 payments remaining on the suite.  The family Health Visitor suggested a referral to HWC following a diagnosis of significant disability of youngest child. Mum commented she did not think that a child of 2 and half years would be entitled to DLA but was happy for the referrals to be made.

Following referral to HWC the Income Maximiser assisted the family in applying for additional benefits. The family were awarded Middle Rate Disability Living Allowance (DLA) and disabled child element of tax credits. This amounted to an additional £47.80 and £52.21 extra per week respectively. Mum stated that the extra money will help with taxi costs, she can now afford hackney style taxis to get out and about to hospital appointments; this had been a problem in the past with the larger style pram. Mum can also afford taxis to go to clubs and support groups in her area. The extra money will also go towards utilities bills and mum will not have to worry as much about times when she has to heat the house for days at a time, i.e. winter 10/11 was a very worrying time. A benefit check also revealed that the couple were entitled to Council Tax Benefit, they assumed they wouldn’t be as they were owner occupiers, this saved the family £943.44 per year.

The couple were also supported to apply for a mentored loan of £500 from their local credit union and Money Matters, the income maximiser also negotiated the return of the tv to Brighthouse. A tv was purchased from a local supermarket for under £500 with repayments on the mentored loan £12 per week, £2 of which is savings with the credit union.

Engagement with the service has clearly brought about significant improvement for this couple and while this may not be the case for everyone it highlights the potential contribution Health Visitors and other key health staff groups can make to reducing child poverty

Case Study 4 – Client with two children recently separated from partner

Client referred by family support worker. Client recently separated from partner very stressed.

  • Young women with two children one under 5 with long term illness.
  •  Child has had various operations but has not been diagnosed.
  • Income Max got support to complete D.L.A application for child
  • Client has a lot of Debt to Brighthouse to a sum of £6,000 for a suite and television and a small amount to Provident, client paying off debt at £33.00 a week.
  • Client only had 2 payments to go to finish of paying for suite but had just got the television.
  • Outcomes
  • Income Max got client a mentored loan through Credit union and Money Matters for £500.
  • Money Matters negotiated with Brighthouse for client to return television.
  • With the £500 loan the client bought a new television from Tesco.
  • Client now only paying £12 per week back for mentored Loan of which £2.00 is being put into her credit union, by the time client has paid off loan she have savings for the first time.
  • Money Matters got her re-payments to Provident down to a £1 per week and changed clients energy over to the social tariff saving her another £7.00 per week.
  • Client was unsuccessful on the first application for D.L.A – Welfare Rights Officer appealed was given D.L.A and higher rate tax credit and carers allowance which has given the family an additional £130 per week.

Taken nearly 5 months work to get final outcomes

Case Study 5 – Single mum with young baby

Client a young single mum with young baby who is concerned about debt

  • Client has been given a £50 fine for dropping a crisp bag in the street on her estate by community warden. 
  • Client not able to pay fine.
  • Income Max telephoned Community Warden Team to appeal as mother said she didn’t mean to drop it; it fell out of the pram.
  • Community Warden team said “you can appeal for fines for dog pooh or cigarettes but not litter”.
  • Income max explained client’s situation – Community Warden gave client extension of 4 weeks to pay.
  • Client still not able to get the money together in time.
  • Income Max telephoned again to see if she could pay it back so much a week.
  • Case now has been sent to Sheriff court and the fine had gone up to £75.00 for non payment.
  • Income Max eventually managed to get the court to agree that client to pay £5.00 each week which would be taken of her benefits to pay the fine.
  • Court would not waiver the additional £25.00 interest added due to late payment.
  • Have taken this case to Council representative and suggested that maybe instead of a fine that in some cases individuals could be told to attend a two hour awareness session on the environment which might be more appropriate. Instead of increasing peoples debt.
Case Study 6 – Mother not receiving Healthy Start vouchers

Referral from Social work support worker- Mother not receiving Healthy Start vouchers.

  • Client had put in 4 applications for Healthy Start Vouchers never received anything.
  • Income Max contacted Healthy Start Helpline and was told that client must have moved address and not informed Healthy Start therefore 1st application not valid
  • 2nd application midwife wrote the wrong estimated delivery date on the application again void (no letter ever sent to client)
  • 3rd application H/V did not put her postcode of work base therefore application void. (even although H/V tel on the form)
  • Income Max appealed against decision and asked if vouchers payment could be backdated is it was not client’s fault.
  • Healthy Start at first said no and every time Income Max telephoned they would give a different reason why client was not entitled to backdated money. No consistency at all with the helpline staff.
  • When Income Max quoted something from the Healthy Start booklet in defence of client helpline staff stated that the booklet was wrong.
  •  Income Max e-mailed Rights adviser who she had met the week before at a training event and told her the story. The Rights adviser advised Income Max that the booklet was correct.
  •  Income Max eventually got clients claim backdated and client received £269.00 for backdated money alone
Case Study 7- Family with disabled child

Due to the intervention of an Income Maximiser, a family where one of the parents was working, discovered that they were entitled to extra weekly benefits totalling £140.

This was because the youngest of their three children have disabilities and have now been awarded Middle Rate Disability Allowance of £47.80 and the disabled child element of tax credits, equal to £52.21.

The additional cash is easing the financial burden because the mum is unable to work, staying at home to look after the younger children.

Because of the children’s mobility problems they were unable to use public transport and since taxis are expensive, a lot of time was spent at home.

And the children’s disabilities means that mum has a lot of laundry to do, adding to the energy bills.

Now the family can afford taxis to attend hospital appointments, clubs and support groups in their area and have more money to put towards utility bills.

Case Study 8- Family with one parent in full-time low paid employment

A home owning family involved mum working full-time in a low paid job, with dad looking after their three young children.

They spoke to a Health Visitor Support Worker about their financial concerns and stress and anxiety this was causing, but thought that they were receiving all of the benefits they could apply for.

 An appointment with an Income Maximiser led to a benefit check being carried out which revealed that they were entitled to Council Tax Benefit, saving them £943.44 annually.

The parents reported that this extra help is reducing their financial pressures and stress and mum now felt able to look for a better paid job.

Also the family are now in a position to set aside money for any emergencies, such as replacing their washing machine and also buy the children new toys which they hadn’t been able to do for sometime.

Case Study 9 – Single parent with disabled child

A single parent was working part-time (on national minimum wage) and struggling to cope due to the needs of her only child who had been unwell for some time and was exhibiting behaviour and learning difficulties: the child had been undergoing investigation for strange seizures and was not adjusting well at school. When referred, the mother could no longer work due to stress and anxiety and was on sick leave: however, the employer was not paying SSP and the DWP would not award ESA because of the employer’s responsibility.

Fortunately, there occurred at this time a definitive diagnosis of absence epilepsy – a rare condition – which enabled a straight-forward claim for Disability Living Allowance: since the child was awarded high-rate care and low-rate mobility there was also a significant increase in the Child Tax Credits award. It was not really feasible for the parent to return to work due to the time and effort involved in caring for her child hence this meant applying for Income Support and Carer’s Allowance (including the carer’s premium on the I.S.)

In total, including back-dated payments, household income is now £337 per week or £17,524 over the course of the next year. This means that the parent can now focus solely on the support and development of her child and provide properly for additional needs.

Resources for Staff

Healthier Wealthier Children has developed a number of guidance tools for health and money advice services staff. These have been developed, by Healthier Wealthier Children workers, as a result of needs identified by frontline staff.

Guidance – Health staff

A Quick Guide to welfare benefits for families with children (pdf) has been used extensively in the project. It fits into staff diaries and is a good reference aid for staff when working with clients.

A Quick Guide to benefits for children with additional needs  (pdf) is being piloted with Health Visitors within short awareness sessions about Child Disability Living Allowance . The project found many misperceptions about what children are eligible for DLA and application processes.

Guidance – Money Advice Services Staff

A non-engagement protocol (pdf) has been developed with the aim of providing a standard approach for managing Healthier Wealthier Children referrals across NHS Greater Glasgow and Clyde and increasing efficiency of services to respond to referrals. It is considered an example of good practice on managing referralas by NHSGGC’s Strategic Financial Inclusion Group.

Guidance on dealing with sensitive patient issues (pdf). This outlines what is expected and not expected of Money Advice Services staff when dealing with NHS clients, who may disclose complex health issues. 

Good Practice Reports

There have been a number of reports collated on innovative work in Healthier Wealthier Children.

Healthy Start Antenatal Cooking Classes in North West Sector Glasgow City CHP Report (pdf)

In Inverlcyde, Barnardos provide a groupwork programme for pregnant women with complex needs.  Healthier Wealthier Children was integrated into this approach which resulted in increased patient engagement with Money Advice Services. 

Healthier Wealthier Children partnership work with Barnardo’s Inverclyde (pdf) 

In South East Glasgow, engagement and training for nurseries resulted in better partnership working between health visitors, nurseries and Healthier Wealthier Children and improved care pathways for patients.

Healthier Wealthier Children partnership working with nurseries in Soutn East Glasgow (pdf)

An Equality Impact Assessment (EQIA) was carried out for the project overall with some local areas also carrying out EQIAs.

The project has been innovative in providing a service in 48 locations across NHSGGC.  This has been mapped against deprivation levels to inform service planning post project.

Development Workers across NHSGGC collated good practice and challenges with Healthy Start implementation.

Money worries and budgeting were integrated into a pilot project on antenatal cookery classes in North West Glasgow. This pilot was targeted for pregnant women who have complex needs. Budgeting with Healthy Start vouchers and use of Healthy Start vitamins were covered in the pilot.

Healthy Start Antenatal Cookery session Report (pdf) 

HWC Training

Development Workers and, at times, Income Maximisers have carried out a wide range of awareness sessions and training to health and other staff. It has also included innovative work in, for example, nurseries and weaning fairs of referral options for parents and training for Health Visitors on the links between employability and financial inclusion. 

Two standard presentations (shorter and longer versions) were developed on child poverty for frontline staff.

Child Poverty Presentation (short version)

Child Poverty Presentation (long version)

In addition, Development Workers and Income Maximisers themselves have shown a high commitment to learning. HWC provided induction training and an induction pack (pdf)  on welfare reform and welfare benefits for children and families and equalities monitoring. Poverty Alliance Scotland have provided Poverty Awareness Training and Training for Trainers. Child Poverty Action Group provided training on specific issues for children including Child Disability Living Allowance. 

Summary Evaluation report on Poverty Awareness Training delivered to NHS Greater Glasgow and Clyde (pdf)

National Consultations

The good practice within Healthier Children was also recognised in the Equally Well Review  and  in NHSGGC’s response to Scotland’s Child Povery Strategy:

Passported Benifits – Consultation Response (pdf)

Child Poverty Strategy – NHSGGC Final Consultation Response (pdf)

Video Resource for staff

Healthier Wealthier Children, in collaboration with NHS Education for Scotland and IRISS, have produced a video that highlights the challenges and opportunities in raising the issue of money worries with clients. 

Money Worries – A case study of how professionals in health and social care services ask and respond to client’s money worries. Rose Sloan, a special needs in pregnancy service midwife at Inverclyde Royal Hospital, talks about the importance of raising the issue of money worries with clientshttps://player.vimeo.com/video/50375916?color=ffffff&title=0&byline=0&portrait=0

Healthier Wealthier Children: Responding To Money Worries from Mindreel.

Documents and Publications

Articles/Publications/Reports/Documents: 

Media Exposure

Press release in News Medical Online, following this publication entitled “Study evaluates role of midwives, health visitors in tackling child poverty” (2013) Press release by RCN Publishing Company in www.alphagalileo.org entitled “Nurses help fight child poverty in Scotland” (11th June 2013) The Herald 6th March 2011 “Child poverty project which makes a real difference” Evening Times 17th Oct 2013 “£4.5m boost for families in poverty battle” Featured in Evening Times 7th Nov 2014 “Advisors deliver £20 million health boost” and Kirkintilloch Herald 5 Nov “Income advice scheme saves £20 million” Features in Glasgow Advice and Information Network newsletter – Jan 2011; Nov 2011; Aug 2012; NHSGGC Health News – April 2011, Sept/Oct 2011; October 2014; Clydebank Post – June 2011; Herald Features Article (Stephen Naismith) – July 2012; Paisley Daily Express – Jan 2012; Children in Scotland Newsletter – Jan 2012; Herald parenting supplement – Sept 2012

Related Links

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Acute Hospitals and Community Health Care

The designed environment, health facilities, the surrounding areas and communities offer a broad context where the arts can be integrated through co-designed processes that contribute to the improved health and wellbeing of a place and community.

Find out more about our hospitals, community health centres and specialist services.

Hospitals

Therapeutic Design and Art Strategies have been successfully delivered in new Acute Hospitals developments at:

New Stobhill Hospital

New Stobhill Ward Block including waiting room in the park, the New Neo Natal and Maternity Extension)

GROVE

The New Stobhill Hospital provides an attractive and welcoming environment for patients and visitors with light, airy public spaces, comfortable waiting areas and fresh, modern consulting rooms. It is located on the north side of the city, adjacent to Springburn Park.

Patients will not only benefit from modern new facilities. The way care is provided from the hospital has also changed for the better. Services have been redesigned around the needs of the patient to enhance the quality of care and speed up diagnosis and treatment.

The hospital will treat about 400,000 patients every year.

In addition to outpatient clinics, day surgery and diagnostic services, the hospital provides a number of specialist services such as cardiology, renal dialysis and gynaecology.

Concept

It is our understanding that art in a hospital should contribute to a healing environment.

The new hospital is set within an apparently random planting of silver birch trees. Open courtyards are planted with larch trees and surfaced with natural larch boarding. The theme of woodland light and shade is continued within the building by means of installed painting, video and poetic texts.

It is a grove of larch in a forest of birch.

The New Stobhill Hospital GROVE project has resulted in the installation of groups of works by five artists across the Hospital.
 
Thomas A Clark, poet and artist, working closely with Reiach & Hall Architects, wrote a number of short poems which have been installed throughout the Hospital.  In response to these poems four visual artists have created artworks. 

Kenneth Dingwall painted a series of abstract designs in the corners in surgical and endoscopy waiting areas, and placed a sequence of shapes above eye level in the Imaging Waiting Area. 

Olwen Shone, Andreas Karl Schulze and Thomas A Clark created a series of works within the main clinic waiting areas comprising 14 films of natural scenes installed on monitors and projectors and 130 small abstract compositions, juxtaposed with Clark’s poems. 

Donald Urquhart and Clark created a series of works entitled Six Landscapes in specialist clinic waiting areas.  Urquhart also created Alphabet, a series of drawings of indigenous trees which are also keys to the ancient Gaelic alphabet.  Urquhart worked with Reiach and Hall, Clark and Schulze to create the Sanctuary.  Urquhart had previously developed the award winning Sanctuary at Edinburgh Royal Infirmary

In parallel, and as a direct result of the work in the New Stobhill Hospital, a public art scheme has been developed for the adjacent entrance to Springburn Park.  Developed by Alec Finlay from work with staff and patients in the Hospital as well as with users of the Park, this extends the ideas embedded in the Hospital.

The aim has been to create another Waiting Area in the Park, encouraging walking (even short distances) as well as connecting the natural themes of the artworks in the hospital to the natural environment of the Park.

It has been implemented through a partnership between Glasgow City Council Land Services, Culture & Sport Glasgow and NHSGGC Endowments.

Team

Architects: Reiach & Hall Architects
Curator and Lead Artist: Thomas A Clark

Artists (some web sites are indicative rather than personal sites):
Kenneth Dingwall
Andreas Karl Schulze
Olwen Shone
Donald Urquhart

Project Manager: Chris Fremantle

Funders

Scottish Arts Council, NHSGGC Staff Lottery, NHSGGC Endowments, many Glasgow Faith Groups.

Key Dates

Project Completed Spring 2009

Awards

Prime Minister’s Better Public Building Award 2010
RIBA Stirling Prize 2010 Midlisted
Design & Health International Academy Awards Best International Project under 40,000 sqm 2010
RIBA Award 2010
Scottish Design Awards Best Public Building 2010 Commendation
Public Private Finance Awards Best Designed Project 2010
Civic Trust Awards 2010 Commendation
Glasgow Institute of Architects Awards Best Healthcare Building 2009
Building Better Healthcare Awards Best Designed Hospital 2009
Roses Design Awards Best of the Best 2009
Grand Prix Roses Design Awards Best Public Building 2009 Gold
RIAS Andrew Doolan Best Building in Scotland 2009 Finalist
Building Design Healthcare Architect of the Year 2009 Finalist

Links

Architecture & Design Scotland – Case Study 

New Victoria Hospital

The Hospital and the Park

The New Victoria Hospital is located on the Southside of Glasgow, near Queens Park.  It provides an attractive and welcoming environment for patients and visitors with light, airy public spaces, comfortable waiting areas and modern consulting rooms.

Patients will not only benefit from modern new facilities. The way care is provided from the hospital has also changed for the better.  Services have been redesigned around the needs of the patient to enhance the quality of care and speed up diagnosis and treatment. About 400,000 patients attend the hospital every year.

In addition to outpatient clinics, day surgery and diagnostic services, the hospital provides a number of specialist services such as cardiology and gynaecology.  There is also a new Minor Injuries Unit with its own dedicated entrance for rapid access to a highly skilled clinical team.

And for the first time, patients from south-east Glasgow, Rutherglen and Cambuslang requiring an MRI scan, renal dialysis or chemotherapy are able to get this locally at the New Victoria Hospital.

Concept

The New Victoria Art & Environment project has delivered permanently installed artworks by five artists, and an initial programme of residencies and projects within the Hospital.  The curatorial concept for the project focused on The Hospital and the Park, linking the new hospital with Queens Park.

Ally Wallace was appointed as Lead Artist.  He developed an integrated coloured glazing scheme working closely with HLM Architects, and also developed a number of wall paintings for the basement car parking area.

Ronnie Heeps worked closely with the Spiritual Care Committee to develop the Sanctuary in the New Victoria Hospital, drawing on the concept of ‘Squaring the Circle’.  The Friends of the Victoria worked with Glasgow Metropolitan College to commission furniture for the space.

A key part of the New Victoria Art & Environment project focused on Waiting Areas where Jacki Parry and Hanneline Visnes created works permanently installed in five locations.  Calum Stirling was commissioned to create the work, Sculpture Park, adjacent to the Hospital.

In addition HLM Architects developed the concept of a multimedia projector in the Atrium showing a range of artists’ film and video.  An initial work drawing on the New Victoria, the Victoria Infirmary, Queens Park and the local area has been created by Ronnie Heeps.

Team

Architects: HLM Architects
Curator: PACE
Lead Artist: Ally Wallace

Artists

Ronnie Heeps
Jacki Parry 
Calum Stirling
Hanneline Visnes

Project Manager: Chris Fremantle

Funders

Scottish Arts Council, NHSGGC Staff Lottery, NHSGGC Endowments, many Glasgow Faith Groups.

Key Dates

Completed: Spring 2009

Queen Elizabeth University Hospital Campus
Community Health Centres

Therapeutic Design and Art Strategies have been successfully delivered within new Community Health and Social Care Centres at:

Barrhead Health and Care Centre

The overarching vision demonstrated in the Barrhead Health and Care Centre Art Strategy recognises the benefits of art and creativity in the healthcare environment. As a result, the strategy delivers high quality artwork in parallel with a positive model of participation, creating opportunities for the local community to engage with the artists, impacting on the artist’s research and the final artwork for the centre.

Barrhead Health and Care Centre

Patricia Fleming Projects are delighted to announce: Barrhead Health and Care Centre wins Public Building of the Year 2012 at the Scottish Design Awards.

We would like to take this opportunity to congratulate Avanti Architects, Artists Iain Kettles, Susie Hunter, David Zérah, our clients NHS Greater Glasgow and Clyde, and East Renfrewshire Community Health and Care Partnership (CHCP).

We are very proud of the thought-provoking, sensitive and beautifully executed artwork created specifically for the Barrhead Health and Care Centre. The art in the centre acts as a conduit between people and ideas. It raises questions about the importance of wellbeing, design and location. External (above) and internal permanent sculpture by Iain Kettles and Susie Hunter create not only a marker for new public space in a busy main street, but also begins a dialogue about art and health out into the wider community. The photography of French artist David Zérah can be seen throughout the building. Thirty works were selected from thousands taken during a residency in the area. Based in Barrhead the series instigates an on-going conversation with the community, patients and staff about the space we share. As part of the art strategy a new collection of artworks was started which we hope will continue to grow. Works by leading Scottish contemporary artists Jacqueline Donachie, Katy Dove and new talents Mary Wintour and Lisa Ure.  Residents from across Barrhead and Neilston took part in a series of workshops exploring the project themes with Glasgow-based designer Anna Sheard.

The overarching vision demonstrated in the Barrhead Health and Care Centre Art Strategy recognises the benefits of art and creativity in the healthcare environment. As a result, the strategy delivers high quality artwork in parallel with a positive model of participation, creating opportunities for the local community to engage with the artists, impacting on the artist’s research and the final artwork for the centre.

The arts strategy was created with support from the Barrhead Arts Team. The aim is to put the new centre, health and wellbeing at the heart of the community and promote the imaginative role that artists can play in the creation of inspiring places.

http://www.scottishdesignawards.com/

Credits:

Barrhead Health and Care Centre Project Manager: NHS Greater Glasgow & Clyde
Architect: Avanti Architects Ltd
Main Contractor: Graham Construction
Civil & Structural and Mechanical & Electrical Engineer: Cundall
CDM Coordinator: Turner & Townsend
Quantity Surveyor: Cyril Sweett
Curator: Patricia Fleming Projects
Artists: Iain Kettles, Susie Hunter, David Zerah
Artwork Fabricator: Scott Associates
Landscape Consultant: Fiona Robertson

For images of the artworks, artists cv’s or further info contact

ruth@patriciaflemingprojects.co.uk

The West Centre

The West Centre is a new purpose built Centre for Children’s Community Health and Care.

The Centre offers a ‘one stop shop’ combination of services for children, young people and their families who are affected by a wide range of difficulties such as developmental, emotional, behavioural and mental health problems, communication difficulties, Autistic Spectrum Disorders, Physical Disabilities and Neurological Disabilities.

The Centre supports a whole new way of integrated working for those providing services with social workers, community child health staff, educational psychologists, mental health professionals and more, all having bases within the building and working together.

The Centre also provides services to patients and clients not only from West Glasgow but also East Dunbartonshire and West Dunbartonshire. The Centre also features integrated art and design features throughout the building, both inside and out.

The West Centre by Anderson Bell Christie

Concept

The integral art and architecture programme was introduced into the final design process, and developed in collaboration between a Lead Artist, Architect and an arts support team drawn from Centre staff.

The final programme was designed to offer an aesthetic logic running throughout the building, respecting and engaging its users. The aim was for a definite sense of uniqueness and place, with a light touch, but rewarding repeated visits with layered meanings and discoveries: more elements to search out and find familiar details to return to.

The artworks tread a delicate path with care and respect, aiming to reconcile a high standard of professionalism with the often conflicting demands of different ages and abilities of children and adults. The outcomes offer a sense of childlike wonder and engagement without ever being patronising or childish.

Funders

The artworks programme was made possible with a grant of £250,000 from the Yorkhill Children’s Foundation

Awards

The West Centre has picked up the Glasgow Institute of Architects Design Award (Healthcare), and was also short listed for the highly prestigious Royal Incorporation of Architects in Scotland – Doolan Award.

Key Dates

July 2008 – appointment of Lead Artist
November 2008 – start of building work on site
June 2010 – completion of building and artworks programme

Team

Linda Mallett, lead artist and curator
Tassy Thompson, external artworks
Tim Taylor, internal niche artworks
Graven Images, design and graphics
Anderson Bell Christie, architects

Links

Architecture & Design Scotland – Case Study
Atrium Screen by Graven Images
Cloud by Tim Taylor
Fence by Tassy Thompson
Floor niche by Tim Taylor
Flying Saucers by Tim Taylor
Harp by Tim Taylor
Interactive Ship niche by Tim Taylor
Peephole view by Tim Taylor
Reception desk by Tim Taylor
Totem by Tim Taylor

The Vale Centre for Health and Care

Location

The site is located on the A82, the main road from Glasgow to Loch Lomond and is adjacent to the Vale of Leven Hospital.

The VHCC, currently under construction is designed to be a state-of-the-art community health and care facility within which will be based a variety of key services including General Practices; General Dental Practice; Dietetics; Podiatry; Speech and Language Therapy; Primary Care Mental Health; Physiotherapy and Community Dental Services. It will also provide a local base for district nursing, health visiting, prescribing support as well as teaching and studying facilities.

VHCC users will be from a wide catchment area, encompassing both urban and rural communities.

Framework

Two workshops were held, bringing together four creative thinkers with members of the VHCC Art and Design Strategy Group, as part of the initial research. The following concepts were investigated and will inform each of the therapeutic art and design commissions:

The journey;

Thresholds, welcome and departure;
Interaction in public spaces;
Relationships between the built environment and the rural environment.
The aim for each commission is to deliver specified projects to support the patient experience and the working day for staff through reference to the local natural environment by bringing the outside into the Centre and by leading the gaze beyond the walls of the building into the wider landscape.

Therapeutic Art and Design at the Vale of Leven Centre for Health and Care

Unique artworks made by four of Scotland’s leading artists commissioned to reflect the local natural environment are permanently installed in the building and grounds of an inspirational new health and care centre for the Vale of Leven West Dunbartonshire

By focusing on the surrounding locality each artist tells a different story about people and place through a range of media including textiles, painting, photography and wood.

Working with staff and the community, each artist has produced integrated artworks designed to support orientation, to bring the outside into the building and to promote a sense of wellbeing for patients, visitors and staff.

Artist Jephson Robb was tasked to create seating from the trees felled on site during the building process, to be situated in the atrium and at the two approaches to the building. Five sculptural benches are now permanently in place offering both resting points and beautiful objects to enjoy which work in harmony with the design of the new building itself.

Scotland’s foremost environmental artists Dalziel and Scullion have made four beautiful light emitting artworks which explore the wild and cultivated plants growing on allotments in the patient catchment area, bringing a sense of the domestic into the healthcare environment.

Donald Urquhart developed two works which focused on the near and far. The first piece was influenced by the pot shards found on the site during the excavation process for the new building. Dating back to the Bronze Age their beautiful geometric markings informed the design for the manifestation for the gym window, offering privacy for staff and patients in the gym yet allowing views out whilst letting plenty of light in.
The second work was inspired by the stunning mountain scenery so close to the Vale of Leven and designed to integrate seamlessly into the new building. Painted as a modernist pixilated frieze around the first floor of the atrium are colours capturing the soft autumn and winter beauty of the Loch Lomond and the Trossacks, offering a contrast to the close up detail of the allotment images by Dalziel and Scullion.

Textile artist Deirdre Nelson worked with pupils at the Vale of Leven academy to research the history of the area within living memory and create artworks from the gathered stories which were incorporated into a design printed onto healthcare curtains for the couches in the GP consulting rooms.

The design and build of the Centre was commissioned by West Dumbartonshire Community Health and Care Partnership and managed by NHS Greater Clyde and Glasgow. The Therapeutic Art and Design strategy was managed and delivered by Wide Open.

West Dumbartonshire Community Health and Care Partnership would like to thank the dedicated involvement of the staff and pupils at the Vale of Leven Academy, the patient focus groups and NHS staff, without whom his project would not have been possible.

Specialist Services

Therapeutic Design and Art Strategies have been successfully delivered within Specialist Services at:

New Neo Natal Unit Care and Maternity Unit

A programme of commissions in public areas commencing with the maternity hospital front entrance, into waiting areas and the establishment of a gallery space with Glasgow Open Museum Service. Supported by: Glasgow Children’s Hospital Charity, Women and Children’s Endowment Fund, Glasgow Open Museum Service

“Spinning Gold” is an innovative programme for art integrated into the Maternity unit and new Neonatal extension of the Southern General Hospital Glasgow. Lead Artist partnership Koan 3 identified the first phase of opportunities for contemporary artists to contribute to the creation of the therapeutic environment within the building which was designed to improve the overall experience for patients, visitors and staff. The range of commissions was open to artists working in a variety of media within the public realm. The initiative signaled an ongoing commitment by NHS Greater Glasgow and Clyde to integrating art and creativity within the design of health care environments.

New Neo Natal and Maternity Unit Lead Artists: Koan 3, Hypostyle Architects, Artists Linda Schwab, Tony Stallard, Nicola Gear, and Glasgow Open Museums.

West Centre Child and Family Therapy Centre, Drumchapel

Integrated art and architecture approach. Lead Artist Linda Mallet and ABC Architects. Artists: Tim Taylor, Tassy Thompson, Graven Images. Core funded with additional support from Glasgow Children’s Hospital Charity.

https://www.nhsggc.org.uk/your-health/public-health/health-improvement/arts-and-health/14-health-by-design-acute-hospitals-and-community-health-care/142-community-health-centres/1422-the-west-centre

The West Centre integral art and architecture programme was introduced into the final design process, and developed in collaboration between a Lead Artist, Architect and an arts support team drawn from Centre staff. The aim was for a sense of place and uniqueness, with a light touch, but rewarding repeated visits with layered meanings and discoveries: more elements to search out and find familiar details to return to. The artworks tread a delicate path with care and respect, aiming to reconcile a high standard of professionalism with the often-conflicting demands of different ages and abilities of children and adults. The outcomes offer a sense of childlike wonder and engagement without being patronising or childish. The West Centre was awarded the Glasgow Institute of Architects Design Award (Healthcare), and was also short-listed for the prestigious Royal Incorporation of Architects in Scotland – Doolan Award.

http://www.andersonbellchristie.com/project/the-west-centre

New Inverclyde in Patent Care Unit Orchard Grove

A Dementia Friendly patient activity and environmental design strategy. Concept: Hearts, Hands and Minds.

Funding: Core programme, Inverclyde Mental Health Service, Creative Scotland additional funding sourced by the curator and Art and Environment strategy group

Strategy Curator: Jane McArthur, Wide Open. Project Manager (delivery) David McDonald. Funding: Core programme, Mental Health Service, additional funding pots source by the curator and local art and environment strategy group, Creative Scotland

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Planning treatment in a European Country   

If you are thinking about any sort of planned medical or dental treatment outside the UK, please discuss this fully with your GP, hospital consultant or dentist. Make sure you are fully informed as it is important to have the information you need to make the right choices. You will need to be fully informed about your European healthcare provider and the details of the treatment you are planning to have. You may also need to consider:

  • when you will be able to travel
  • how your medical notes will be exchanged between teams
  • arrangements for after-care or follow-up treatment either abroad or at home
  • how you would deal with any complaint or problem should something go wrong following your treatment abroad

All treatment under the S2 scheme requires Health Board approval before treatment can commence. Please click on the linked heading above for more information. 

The arrangements for reimbursing health care costs to people who live in Scotland and receive treatment in EEA states stopped on 31 December 2020 (EU Exit Implementation Period completion day). Click on link above for more information

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Why pharmacists should be involved

The community pharmacist is a trusted source of information and advice for their patients and about 90% of the adult population visit a community pharmacy at least once a year. This presents an important opportunity for pharmacists and their staff to motivate and empower their customers to improve their health.

Health Improvement covers a wide range of topics some examples are discussed below and the topics boxes give a little more detail.

Health Improvement targets for Scotland can be found by linking into the Scottish Executive’s website

For further information for pharmacy staff in NHSGGC click here

Stopping smoking

Stopping smoking is one of the most important health improvement interventions. Community pharmacy can supply nicotine replacement therapy or varenicline with behavioural support to help patients stop smoking.

Advice on healthy living

Pharmacists can provide the right advice on healthy living and signpost patients to the best resources to achieve their health improvement goals.

Reduce health inequalities

Community pharmacy offers the Pharmacy First Service (PFS) which encourages people to go to their local pharmacy for support with minor and acute health conditions. Pharmacies undertake a NHS PFS consultation and provide advice, treatment or referral to another healthcare professional if appropriate. 

Managing long term conditions


Many long term conditions require health improvement interventions in addition to medicines which might be prescribed.

Mental health

Good mental health is of key importance to maintaining good general health. Pharmacists should know where to signpost patients for appropriate support as they may need more assistance in managing their daily living requirements. Also patients suffering from poor mental health may need more support to make important lifestyle changes.

For any enquiries regarding Pharmacy Public Health Improvement please contact ggc.pharmacyhit@nhs.scot

Alcohol Awareness

Approximately 1 in 8 men and 1 in 24 women have some degree of alcohol dependence. Excess drinking puts long term health at significant risk. Excessive alcohol consumption is associated with an increased risk of a range of illnesses that collectively contribute to a massive impact on morbidity and mortality.  Please see Alcohol Consumption Questions and the Fast Alcohol Screening Test (FAST) 

For more information visit

  • Drinkaware A Charity promoting responsible drinking.
  • Alcohol Focus Scotland – is the national charity working to reduce alcohol harm.
  • DrinkSmarter  A Scottish Government practical website with many handy tools, supporting healthier drinking habits. 
  • Glasgow Council on Alcohol (GCA) Providing support, counselling, advice, information, group work and training for those affected by alcohol misuse. 
  • Alcohol Change UK :  A charity campaigning for effective alcohol policy and improved services for people whose lives are affected by alcohol-related problems. 
  • Al-Anon Family Groups provide support to anyone whose life is, or has been, affected by someone else’s drinking, regardless of whether that person is still drinking or not.

 Key points for community pharmacy

  • Offer advice on sensible drinking
  • Give advice on prescription and Over the Counter (OTC) medicines about interactions with alcohol.
  • Signpost patients to local services offering support
  • Further Information, Resources and Support (including “Alcohol Before, During and After Leaflet) Alcohol and Pregnancy Leaflet 

Some pharmacies may

  • Offer alcohol brief interventions using a FAST tool
Cancer

It is estimated that 1 in 3 people in Scotland will develop some form of cancer during their lifetime.

This is a wide ranging topic and there are many different types of cancer. Some are more likely to occur in females e.g. cervical and breast cancer while others in men e.g. prostate cancer.

Many forms of cancer can now be successfully treated if they are identified in their early stages and we now have screening for the commonly occurring breast, bowel and cervical cancers.

Some cancers such as melanoma (skin cancer) may be prevented by health protection measures such as avoiding the sun and using sunscreens. Smoking cessation remains one of the most important health improvement measures to avoid developing cancer.

For more information visit

  • Scottish Cancer Index provides links to cancer related websites specific to Scotland.  
  • Cancer Research UK  Helpline 0808 800 4040  Mon – Fri 9-5pm
  • Bowel cancer UK providing support and advice. Telephone: 020 7940 1760
  • Bowel screening in Scotland | NHS inform information at this website
  • Breast Cancer Care providing information and assistance for those affected by breast cancer. Freephone Helpline 0808 800 6000.  
  • Sun Smart   This Cancer Research UK website provides a wealth of information including, information on skin cancer, sunburn and how it damages your skin, advice on protective measures to take – applying sunscreen, staying in the shade, wearing protective clothing and sunglasses, and advice on protecting children from the sun.    
  • Asthma + Lung UK provides advice on all diseases affecting the lungs including lung cancer. 
  • Leukaemia Care provides support for people with leukaemia, lymphomas and related disorders. Tel: Helpline: 08088 010 444 or chat via WhatsApp on 07500068065
  • Lymphoma Action provides support for those affected by Hodgkin’s disease and non-Hodgkin’s lymphoma. Tel. Helpline no: 0808 808 5555
  • Macmillan Cancer Support is a national charity providing expert care and support for people living with cancer. Tel. Helpline: 0808 808 0000
  • Maggies Centre provides support organisation for those affected by cancer. One of the centres is in Glasgow.   
  • Marie Curie Cancer Care. Dedicated to the cure of people affected by cancer and the enhancement of their quality of life through its caring services, research and education.  Telephone Support Line: 0800 090 2309
  • Oesophageal Patients Association Telephone: 0121 704 9860 (Mon – Fri 9am – 5pm)
  • Orchid: Fighting Male Cancer  Good range of leaflets on testicular and prostate cancer.  National male cancer helpline: 0808 802 0010
  • Prostate Cancer UK Telephone:  Helpline: 0800 0748383 

 Key points for community pharmacy

  • Signpost patients to appropriate support organisations.
  • Many quality, free resources can be ordered to support Community Pharmacy through the patient resources link http://quick-guide-for-patient-resources-v62-jul-23.pdf (scot.nhs.uk)
  • Be alert to red flag symptoms such as a persistent cough which might suggest a patient should be referred to their GP for investigation.
  • Encourage patient’s participation in national screening programmes e.g. cervical screening whenever possible.
  • Only sell a minimum of SPF 15 sun protection products. 
Healthy Lifestyle… at any age

Many factors go together to improve an individual’s health. Their health needs change through life as they get older and different issues might impact on men’s and women’s health. However, a healthy lifestyle is important at any stage of an individual’s life.

Diet and nutrition, exercise, smoking cessation and managing alcohol intake are modifiable lifestyle factors that can be addressed to improve health.

Other factors may not be readily addressed by individuals but rely upon society working together to promote healthy living and working environments.

Health inequalities arise when individuals or communities are not empowered to make healthy lifestyle choices.

For more information visit

 Child Health

 Health in older age

 Healthy Living 

Community Pharmacy – Signpost patients to appropriate support organisations.

Beware of your patients particular needs. Check out your locality’s health profile.

Long Term Health Conditions

The effective management of long term health conditions (LTHC) can greatly improve a patient’s health and wellbeing. Examples of these conditions include epilepsy, cardiovascular disease, diabetes asthma and chronic obstructive pulmonary disease (COPD).

In addition to taking appropriate medication LTHC patients are often asked to make lifestyle changes such as smoking cessation or alcohol reduction. But at the same time they may be struggling with psychological issues caused by the impact of their diagnosis.

So in addition to understanding the clinical management of patients and the guidelines that are in place for these it is important to consider the patient as a whole and understand their attitudes to their condition and its management.  

For more information visit

Key points for community pharmacy

  • Signpost patients to appropriate support organisations.
  • Know when to call for medical assistance in the event of a heart attack and how to deliver basic resuscitation (CPR) for patients who have collapsed. Details of suitable courses may be found at St Andrews Ambulance Brigade
  • Advise on use of inhaler devices for asthma and COPD patients

 Some pharmacies may

  • Offer health screening such as blood pressure or glucose monitoring
Mental Health

Mental health is a complex topic affecting a significant percentage of people in the UK at any one time. Issues might include depression (including postnatal depression) bipolar affective disorders, stress, anxiety disorders, phobias, eating disorders, schizophrenia and others. Some individuals may suffer from a combination of symptoms.

The management of patients suffering mental health problems may range from self help approaches to in patient care at a psychiatric specialist hospital or facility.

Regardless of how patients are managed, good mental health is underpinned by a healthy lifestyle. Good diet, smoking cessation, exercise, sleep hygeine and alcohol management will not necessarily cure a patient but they will significantly contribute to their recovery.

For more information visit


Key points for community pharmacy

Palliative Care Services

This service is provided by a network of 70 pharmacies across the NHS Greater Glasgow & Clyde area. These pharmacies maintain

  • a stock of specific core medicines
  • provision of advice and useful contact numbers for specialist palliative care advice
  • a support network to other pharmacies within their localities. 

Some participating pharmacies are available to dispense out-of-hours urgent prescriptions. This can be arranged through NHS 24. A courier service protocol is available to ensure timely supplies of medicines to palliative care patients in emergencies. The aim is for the first pharmacy contacted (regardless of being a part of the Palliative Care network or not) to ascertain the urgency of the prescription and resolve any supply issues, in order to avoid patients, carers, or nurses needing to phone or visit multiple pharmacies. All community pharmacies are provided with a list of the network pharmacies for this purpose and the specific core medicines list. For more details on the Palliative Care Service, click here  or contact: Palliative Care Specialist Pharmacists on the below telephone numbers: 07876 478140 or 07880 786659 or 07775 012560

Quit Your Way

NHSGGC are responsible for a wide range of tobacco projects including the “Quit Your Way” Pharmacy Service.

Suitable pharmacotherapy (Nicotine Replacement Therapy [NRT] or varenicline) together with personalised advice and support is provided from the community pharmacy for usually up to 12 weeks.

For further details, please contact any participating pharmacy or the Quit Your Way Pharmacy Team (T:0141 201 4945 or e: ggc.pharmacyhit@nhs.scot)

Resources

View and order resources

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This aspect of Pharmacy Public Health deals with the planning for, and managed introduction of new medicines. The Scottish Medicines Consortium  is responsible for providing advice on the clinical and cost-effectiveness of all new medicines and important new indications for existing medicines.

The NHS GGC prescribing website provides useful links to the local Medicines Formulary, medicines policies and associated resources.  

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Why pharmacists should be involved

The community pharmacist is a trusted source of information and advice for their patients. This is particularly important for those issues which can have high media attention e.g. introduction of a new vaccine or an outbreak of an infectious disease.

Further information and advice can be found in the Health Protection Topics section of this website.  Examples of topics included are:-

Infection Control

Knowledge of infection control principles is important to protect yourself and your patients.

And

Immunisation and Storage of Vaccines

Advice on safe storage of vaccines which must be stored in the ‘cold chain’ between  2oC and 8oC at all times.

Communicable Disease, Outbreak Control and  Emergency Planning

Pharmacists can recognise symptoms of a notifiable disease in order to appropriately refer patients

Understand how an outbreak is being managed to be able to offer appropriate advice and reassurance to the public.

Maintain Business Continuity Plans to ensure minimal impact on the delivery of patient care in the event of an emergency situation.

Screening for Health Protection  

Pharmacists can encourage uptake of screening programmes against several cancers e.g. cervical, breast cancer and  bowel. More information may be found on the Screening – Health topics – Public Health Scotland website.   

For any enquiries regarding health protection please contact:

mailto:ggc.pharmacypublichealth@nhs.scot

Blood Borne Virus

Three blood borne viruses are the main cause for concern in Scotland, Human Immunodeficiency Virus (HIV), Hepatitis B and Hepatitis C.

There is an effective vaccine only for Hepatitis B.  However, there are few effective treatments for Hepatitis C and HIV.  

More information

Key points for community pharmacy

 Some pharmacies may

  • Offer support for dried blood spot testing for Hepatitis C and HIV.
  • Dispense antiviral medicines for Hepatitis C.
  • Provide ‘Injecting Equipment’ to prevent spread of disease.
Communicable Disease

Public Health Protection Unit – NHSGGC in NHSGGC has a key role in monitoring and responding to the incidence of notifiable diseases e.g. meningitis.

For more information visit

 Key points for community pharmacy

  • Recognise and refer patients with symptoms suggesting a serious or notifiable disease to the GP or acute services as necessary.
  • Compliance with prophylactic therapy e.g. tuberculosi
Community Pharmacy & Infection Control

The NHS GGC Community Pharmacy Infection Control Guidelines  provide basic advice.

To reduce the incidence of infection due to antimicrobial resistance in the population, NHSGGC has launched https://handbook.ggc.medicines.org.uk/guidelines/infections/mrsa-eradication-policy/ to be followed in primary care and the prescribing support team has developed a non-prescription pad to encourage patients to seek non antibiotic remedies for viral infections.

More Information

 Key points for community pharmacy

  • Provide antibiotic stewardship.
  • Offer advice to patients on appropriate infection control techniques to reduce spread of disease such as norovirus or influenza.
Health Screening

The NHS GGC Public Health Screening is responsible for a range of health screening programmes.

  Key points for community pharmacy

  • Encourage patients to participate in screening programmes.
Immunisation Programmes

Immunisation is one of the most effective health interventions.

There are several formal immunisation progammes in the UK. They are Childhood, Adult and Seasonal Influenza.

More Information

  • NHSGGC and vaccination schedule | NHS inform
  • NaTHNaC – a comprehensive guide to required travel vaccination and other travel health protection issues.
  • ‘Immunisation against Infectious Disease’ (‘The Green Book’) – provides detailed information on UK vaccination.
  • ‘Promoting Effective Immunisation Practice’ – training available via Turas Immunisation | Turas | Learn

 Key points for community pharmacy

  • Encourage patients to engage with national and childhood programmes.  

 Some pharmacies may

  • Offer travel and influenza vaccination clinics.
Outbreak Control

Public Health Specialists from NHS GGC Public Health Protection Unit – NHSGGC are involved in identifying and managing outbreaks of disease. They will liaise with infection control teams for example in the case of a norovirus outbreak in an institution or with local authorities if an outbreak is linked to a food supplier in an E. coli outbreak. 

Chemical Biological Radiological and Nuclear (CBRN) outbreaks

Local authorities and health boards are required to have plans in place to manage accidental events such as major oil or chemical spills or deliberate terrorist acts. For further detail see: Chemical, biological, radiological and nuclear incidents: recognise and respond – GOV.UK

  Key points for community pharmacy

  • Provide reassurance to patients.
  • Keep Business Continuity Plans up to date.
Patient Group Directions (PGDs)

Patient Group Directions (PGDs) are legal documents that enable suitably qualified healthcare professionals to administer and supply medicines (P or POM) in a defined clinical situation where the patient may not be individually identified before presenting for treatment. The individual using the PGD must have signed and been authorised to use the PGD prior to administering or supplying any medicines named in the document.

NHS GGC uses PGDs to allow nursing staff and Health Visitors to administer vaccines for the routine child immunisation programme and travel in specialist clinics. 

More Information

 Key points for community pharmacy

Seasonal Influenza

Individuals are most likely to catch influenza in the winter months. The season runs from October to the end of February occasionally into March, peaking in December/January.

Seasonal influenza can affect anyone. It is an acute viral infection of the respiratory tract. There are three types of influenza virus: A, B and C. Influenza A and influenza B are responsible for most clinical illness.

It is difficult for an individual to develop long term immunity to influenza as the make up of the viral strains change slightly on a regular basis. So vaccination against seasonal influenza has to be undertaken annually.

More Information

The government resource Immunisation against infectious disease – ‘The Green Book’

In the United Kingdom immunisation for influenza for certain groups including ‘at risk’ patients is provided on the NHS and in Scotland the Chief Medical Officer (CMO) will send a letter detailing which groups are eligible for vaccination. Letters from the CMO are available here. 

Egg allergy isn’t always an absolute contraindication for receiving flu vaccine. The British Society for Allergy and Clinical Immunology website advises on managing individuals with egg allergy

An e learning course for healthcare professionals undertaking immunisation is available. Registration is required to undertake this course.

NHS Inform has key patient information on all types of immunisation

NHS GGC: Immunisation – NHSGGC

 Key points for community pharmacy

  • Encourage at risk patients to attend for vaccination
  • Advise on management of symptoms
  • Some pharmacies offer private flu vaccination clinics
Sexual Health

Sandyford co-ordinates a wide range of sexual health services in NHS GGC.

The Free Condoms web-site provides, support for practitioners involved in condom distribution, information on how to sign up as a distribution point, where to find condom distribution points and general advice on condom use and products offered

It is important that pharmacists and their staff understand what they should do if they have any concerns about a child and sexual health issues. Access information at NHS GGC Child Protection Unit’s website 

More Information

  Key points for community pharmacy

  • Be able to recognise and differentiate between symptoms of sexually transmitted diseases.
  • Refer all men consulting with symptoms of discharge or thrush infections to Sandyford or their GP.
  • Be aware that there is no charge for vaccine supplied by a Sandyford Clinic.
  • Supply of emergency hormonal contraception or bridging contraception under PGD.
Substance Misuse

Pharmacists play an important part in providing information and advice about substances liable to misuse controlling the availability of medicines, and the associated risks and in providing harm reduction programmes e.g. methadone and the supply of injection equipment.  

More Information

 Key points for community pharmacy

  • Give advice on wound care and management, safer injecting practices and remind clients of the importance of safe disposal of syringes.
  • Know which pharmacies are ‘Injecting Equipment Providers’
  • Be able to sign post clients to other services as necessary.
  • Know how to deal with needle stick injuries
Travel

NaTHNaC gives the most up to date information for both public and professional use.

Key points for community pharmacy

  • Provide patients with pre-travel advice.
  • Encourage the use of sunscreen with a minimum SPF15. 
  • Advise on the carriage and storage of medicines abroad e.g. insulin. 
Vaccine Storage

NHS GGC Guidelines on Vaccine Storage and Handling are available in the NHSGGC Guidelines Repository

More Information

 Key points for community pharmacy

  • Remind patients collecting travel vaccine of the storage requirements. It is preferable that they collect vaccine immediately before their appointment for administration.

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