Here's a summary of what you think about the report and the health of the people of NHS Greater Glasgow and Clyde...
Jean McQueen, Practice Development, Therapy Centre, Southern General Hospital
For alcohol I would like to see more routine screening to identify and counsel problem drinkers before they become dependent. For obesity more emphasis on healthy eating alternative options to fast food, can we have fast but healthy? More physical education, enjoyable activities maybe not always competitive in schools.Bring back proper school meals.
I believe there needs to be more done to prevent individuals from becoming alcohol addicted before they reach that stage a sort of early intervention programme. Within the occupational therapy dept we have been involved in a programme of implementing brief motivational counselling to newly identified alcohol abusers admitted to acute hospitals. To our surprise most of the people we picked up had never been asked about their alcohol consumption levels even though many were drinking outwith the safe recommended daily weekly amount. We piloted this early intervention programme and it did serve to reduce participants alcohol consumption on discharge from hospital, though more in-depth research is required before it could be considered as an approach to be implemented as standard care.
I agree with the priorities. I think that alcohol and obesity are areas in which urgent action needs to be taken and where lifestyle choices can really impact on health. People need some help to develop healthy choices they know what they should be doing but for whatever reason don't.
Simon Glen, Headway Glasgow
We are a small organisation but try to stay involved and raise awareness of ABI. We have set up a Service User Forum for People with ABI and this has been able to generate some of the comments for this response.
We would want to see a wider spread of information about Brain Injury services. Glasgow already provides a reasonable range compared to other places - but all to often people are unaware of these - even a long time after they have suffered their injury. We would want to see all NHS staff being able to access information on ABI and all patients being given a discharge package of information on ABI services.
We believe that Brain Injury is poorly recognised and treated. Glasgow has been improving, but it set up a Strategic Framework for ABI - but this is yet to be implemented. We would wish to see work being done to implement this.
For all these reasons we believe that priorities lie in the Inequalities, Communities and Alcohol/drugs areas of the report.
Having read the summary document, we do agree with the priorities for action, but we would want to give further information on the way that Acquired Brain Injury might interact with these. ABI has a socio-economic impact - it can result in people dropping out of society - being lost to the work force and to social life. As it is a long term condition many of the problems are life long. The majority of people receive a brain injury in the age range 16-25 and this can mean people have life long problems. It can result in higher use of drugs and alcohol. It also results to a high level in Glasgow from Assaults.
Mary Welsh, Glasgow
I would like to see more emphasis on getting people back to work. Chronic conditions do not always stop individuals working. We need to think about the message that all health professionals give out to individuals, from GPs, nurses, physios, etc. Managing chronic conditions and working is possible with the right Psycho-socialsupports.
Alcohol and obesity are the most important priorities.
The priorities are right.It is right to challenge cultural pressures to drink ,smoke especially in young people. The report appears to be looking at tackling sources of poor health and not just at mopping up the consequences.
Jane Cowie, Annexe Healthy Living Centre, Glasgow
At the Annexe we hold "Alternative Saturday Nights" once a month, which is an alcohol free social event with food, entertainment, raffle for free at the moment as we secured funding to run 10. We are at night 9 on 15th December';07 and have had an average of 40 folk attend each night. Some who have had problems with alcohol in the past, some instead of going to an AA meeting, some because they want to enjoy a Saturday night out without alcohol and some because they don't drink an there is not many places on a Saturday night that you can go to that doesn't sell alcohol. We have also produced a "101 things to do rather than go for a pint" based around our local area. Other areas could do the same in there areas!I do enjoy a drink, bye the way, but am totally scunnered with excessive drinking. Folk pee in my close, folk need to get a grip. We all have problems but no answers can be found in alcohol.
Government policies need to change big time for the health of their nation. Tax from alcohol profits could go into helping the problem to find solutions?
Living and working in Partick I see a lot of Alcohol related madness, illness, unhappiness, exploitation. Partick is awash with pubs. In a 650 metre stretch of Dumbarton Road we have 19 (soon to be 20) pubs, 5 off sales, 4 licenced restaurants. Surely there must be a limit to how many pubs etc should be in the one area? Residential area at that. We live and bring up our children in amongst this and with the smoking ban more pubs are drinking and smoking in the clear view of children on their way home from school or during school holidays. This makes it seem to them as acceptable and normal life.
Agree with the priorities - better health = better life!! I'm all for living life to the fullest, dreaming big, passing on to our children/grandchildren a healthier planet, and I see health and making healthier lifestyle choice central to a good life- which is what we are all here for!
Peter Linzey, Carer from Alzheimer Network
Agree with the priorities in general, because the need is there and becoming urgent.
Patient [and public] education regarding changes in the NHS are the most important priorities.
Information on the above changes more widely disseminated [TV ads, paper ads etc].
Other actions should be earlier detection of dementia and diabetes and more publicity on these issues.
The report is all very informative and helpful.
Jean Monaghan, Glasgow
I think it is a positive step forward!!
I think all of the key points that were made are a vital part in transforming Glasgow into a healthier City.
More on Lesbian Gay Bisexual Transgender (LGBT) Issues especially around the transgender community. There is a lot of work to be done as there is still so much discrimination going on!
Alan Hume, Greenock
Most important priorities are smoking and alcohol.
Quadruple the price of alcohol. Consumption is extremely price sensitive. Same goes for cigarettes.
Public health common sense at no cost. Political suicide, therefore will never happen.
Irene McPherson, Yorkhill
These [priorities] seem to have the greatest impact of the health of the population [the most important are] drug and alcohol.
Comparisons with ~10 years ago to identify areas of significant improvement - through both contribution by population (e.g. smoking cessation) as well as medical research and treatment.
Although legislation played a huge role in reduction of smoking in public areas, I am not sure what other areas could be tackled by similar methods? It seems there could be negative results e.g. through increasing the cost of drink thereby hurting in particular the whisky industry in Scotland.
Dr Colin Guthrie, Glasgow
This is, at last, a break from the 'be all you can be' and 'there is a life you can save - your own' At last we realise that our health is a collective problem ...everyone has a responsibility.
Reducing the negative obesogenic pressures on children so they eat more healthily and have the opportunity to exercise more.
I think it would be a good idea to explore and clearly identify and list exactly what the negative obesogenic pressures in society are.
1 - Immediate removal of all 'No Ball Games ' signs in Glasgow. We must realise that children use small pockets of land for play and that use must be encouraged. If some 'greetin faced aul wifie' doesn't like the noise then that's tough. The council should never put these signs up.
2 - Schools should have playgrounds where children can run around and not dissuasive short boggy grass perimeters such as exist in PFI schools such as St Thomas Aquinas or that other new school off Crookston road.
3 - 20 mph speed limit throughout Glasgow would immediately cut in half the killed and seriously injured rate and encourage children to come out to play but only add 2 minutes to average car commute.
4 - Designate many pavements for shared cycle use. This is happily arranged in many other countries . Pedestrian and cyclist can happily coexist.
5 - Cancel the 500 million to be wasted on M74 extension....found to be illogical by independent report on economic, health and environmental grounds, and use the money for active and healthy forms of transport. We know that motorways induce congestion ie create traffic and they also create obesity.
Sean Maher, Glasgow
Other issues raised are public transport provision serving NHS facilities other than during the working day. Location of NHS provision. Proper meals served to patients and a clean environment on the wards and in the clinics.
Obesity is another challenge where leading rather than driving will achieve results. if you are so keen on healthy eating why are there vending machines on NHSGGC property dispensing sweets, crisps and fizzy drinks? They are everywhere! The 'Hungry for Success' standard for school meals has not been successful. Children want what they like and will make alternative arrangements if necessary. Inpatient food is similar, during my last stay in hospital i survived on food brought in by my family. What was served on the ward was inedible, excessively salted and usually warm rather than hot. Put your own house in order first..
Alcohol is undoubtedly a major problem bu to reduce the damage it causes will require education rather than compulsion.
James Dick, Inverclyde
Cancer care and renal patients often have to attend for specialist clinics and treatment in city centre locations they wait for hours for transport connections-it is a scandal the way these patients are treated sometimes. Likewise now that paediatrics has been centralised there is a complete lack of facilities for parents from remote or rural locations to stay over or visit their children. This additional stress puts a strain on health.
The increase in immigration from eastern Europe has seen a jump in requirements for services such as maternity services and birth rates are now increasing.There must be a long term return to local access to quality services in specialisms.
The electronics industry brought brought continental shifts t this country and this has been taken up by other industries including the health service. I have worked an on-call service for over 30 years. Working long antisocial patterns of hours long term definitely affects not only your own health and immune system. The health and social life of your family also suffers due to absent parent syndrome. The European Working Time Directive(EWTD) does not go far enough and ignores the impact of anti-social work patterns on the health of the population
Overall agree with the priorities. The anti-smoking campaign has already seen a marked decrease in acute admissions with MI (heart attacks) and COPD (chronic obstructive pulmonary disease). Action against poverty is most important priority. poverty bars individuals from participation in many social activities and affects generations due to educational disadvantage.
Lynn Macdonald, Johnstone
Other issues are dental health. i would like to see dentists targeted for continuing to stop seeing existing NHS patients unless they go private. This cannot be right!
All health should be prioritised. I don't agree with targeting areas. Education must be a priority as if this is not in place any measures that are put in place will be only treating the problem not preventing it.
George Stewart, Glasgow - Patient rep managed clinical network for Heart
I would like more publicity given to the overall improvement in all health services in the Glasgow area, as the results of the hard work and money invested are there to be seen and benefit all who live in the area.
I find that your priorities for action are on the right track, as my feeling is that targeting the younger people is the way forward to better standards in all areas. I would like more of a priority to be put on children from nursery to college, on health and on being good citizens.