Government, Health, Scotland, Society

A backlog of £860m exists for maintenance work to NHS buildings in Scotland…

NHS BUILDINGS IN SCOTLAND

A report has revealed that maintenance work costing almost £860 million needs to be carried out on NHS buildings in Scotland.

While the backlog of work for the NHS estate has fallen from more than £1 billion in 2011, the figures available for 2013 show ten hospitals in Scotland require £360 million of work to be carried out.

Aberdeen Royal Infirmary has the largest backlog, with maintenance work required amounting to £60.27 million.

The latest report, examining the condition of the NHS estate, calls for investment to be prioritised at Aberdeen Royal, Ninewells Hospital in Dundee, Edinburgh’s Western General, Dumfries and Galloway Royal Infirmary, Monklands Hospital, Crosshouse Hospital in Kilmarnock, Glasgow Royal Infirmary, the Royal Edinburgh Hospital, the Victoria Hospital in Kirkcaldy, Fife, and Glasgow’s Southern General.

The report found that despite ‘substantial capital investment over recent years’, 28 per cent of Scotland’s NHS buildings are more than 50 years old, with a further 26 per cent more than 30 years old.

While 68 per cent of the NHS estate was classed as being ‘functionally suitable’ for its current use, the report said that 26 per cent of buildings needed investment to improve their suitability, while 6 per cent required either major investment or to be replaced to make them fit for purpose.

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Britain, Economic, Energy, Environment, Government, Politics, Scotland

The development of hydro-electric power in the Scottish Highlands was a revolution…

A SECOND REVOLUTION?

Intro: An investment appraisal and feasibility study is currently underway between the Scottish Government and Scottish Power for a new development of hydro-electric storage at Cruachan, beside Loch Awe

The development of hydro-electric power in the Scottish Highlands was seen as a revolution. It provided for a big leap in living standards, not just because residents in northern Scotland could have a reliable and dependable supply of electricity to light and heat their homes, but also because it became an engine of growth for industry and commerce.

The First Minister in Scotland, Alex Salmond, has announced a second expansion of hydro power. In conjunction with a feasibility study being carried out by Scottish Power, a major utility company, the aims are to more than double the current generation of electricity. Some suggest this could amount to a second revolution.

The technical feasibility is investigating the costs involved in doubling the generating capacity of Scottish Power’s Cruachan pumped storage plant located beside Loch Awe.

In principle, an expansion of pumped storage would be hugely beneficial, because it is regarded as the only reliable means of storing wind energy – which gets generated at times when there is no demand for it. Increasing the storage capacity would help to make wind a far more reliable source of energy supply, and also by reducing carbon emissions.

However, we should not dismiss the fact that this is a feasibility study that will take up to two years to complete. The associated costs and employment creation potential of the project are, at this early stage, a rough guesstimate. It may turn out that the Cruachan expansion plans, like Scottish Power’s schemes for carbon capture and storage at Longannet, and its proposals for the Argyll Array offshore wind farm, are too technically difficult or too costly for it to go ahead.

For it to work (effectively) as a 1,000 megawatt storage battery for wind power, there is the additional problem that the reservoir halfway up Ben Cruachan will have to be increased in size quite dramatically. The obstacles in overcoming resistance from environmental campaigners should not be overlooked, either.

The Scottish Government appears to regard the project as one that is more likely than not to come to fruition. But, notwithstanding whether the project ever goes ahead or not, this will become an investment decision that will serve a valuable political purpose. That decision is to be made after the referendum for Scottish independence in September.

In this context, energy is a problematic issue for Mr Salmond. Expansion of Scottish renewables – which, undoubtedly, the Scottish Government will see as a major source for employment as well as cutting the country’s carbon footprint – is largely dependent on a subsidy which is mostly financed by energy consumers in England and Wales.

Implicit in the First Minister’s arguments is that, such will be England’s needs, the people and businesses south of the Border will be willing to continue paying their ‘foreign’ neighbour the subsidy in maintaining continuity of supply. That’s a difficult assumption to make and certainly holds no guarantee.

History may be tempted to record that if the hydro revolution being envisaged fails to materialise, Mr Salmond has cleverly waved a diversionary red flag for political purposes. We can only hope, though, that the project investment at Cruachan gets the green light.

Under an independent Scotland, energy policy would be under the direct control of the Scottish Government.

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Health, Medical, Research, Science, Scotland, Society

A breakthrough treatment in beating superbugs…

GALLIUM

Scottish scientists may have discovered a ‘silver bullet’ in winning the war against infection.

For some time now it has been feared that antibiotics are becoming increasingly powerless in the face of lethal bacteria which are developing resistance to the drugs.

The latest breakthrough, however, suggests that a revolutionary new treatment could turn the tide.

Scientists and researchers from the Universities of Edinburgh and Zurich, in Switzerland, found that germs are not only killed off by the element gallium but that they also struggle to evolve into resistant strains.

In tests carried out, the metal was pared against a highly-resistant bacterium commonly found in hospitals which can cause pneumonia and septic shock.

The researchers noted that the bug continued to multiply when faced with antibiotics but stalled when it came up against gallium.

Scientists also found that three-quarters of infected moth larvae survived when given the treatment compared with only 5 per cent of those which went without.

The study states: ‘Crucially, while resistance soon evolved against conventional antibiotic treatments, gallium treatments retained their efficacy over time.’

It adds: ‘In light of our results, we contend that this approach could curb microbial virulence… and therefore represents a promising alternative to our dwindling succession of traditional antibiotics.’

The team behind the research said they hoped their work would lead to a new breed of drugs.

The team’s lead author, Dr Adin Ross-Gillespie, said:

… It’s crucial that alternatives to antibiotics are found. Humanity is facing what has been described as a catastrophic threat: conventional antibiotics are losing efficacy due to the worldwide rise and spread of multi-drug resistant bacteria and very few new antibiotics are on the horizon.

The key to gallium’s success is its chemical similarity to iron, which bacteria cells need to flourish.

They send out molecules, called siderophores, which search for and track down the essential nutrient.

These are then tricked into binding with gallium instead. As the cells become starved of iron, they dispatch even more siderophores, a process which eventually wears them out.

Gallium’s subtler approach limits the chances of a resistant strain evolving. Unlike antibiotics, it works outside of the cell so the odds are slim of a mutation which survives and then evolves further.

Last year, Scotland’s chief medical officer, Sir Harry Burns, wrote to all health boards in Scotland warning of increasing numbers of bugs resistant to the most powerful antibiotics. There was only one such case in 2007, but 25 cases in 2012.

ABOUT GALLIUM:

Gallium is a soft, silvery metal which forms a brittle solid at lower temperatures.

The heat of a human hand is enough to convert it into a shiny liquid that at first glance resembles mercury. This is because the melting point is usually low for a metal, being about 29.76c – only a few degrees above the usual room temperature of about 21c.

Gallium was first isolated in its elemental form in 1875 by French scientist Paul Emile Lecoq de Boisbaudran, who named it after the Latin name for his homeland, Gallia.

Despite its ability to interfere with cells’ uptake of iron, gallium is not normally considered toxic in low doses.

 

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