Holyrood

PARKINSON’S WHY SCOTLAND MUST ACT

- Parkinson’s UK Scotland By James Jopling,

Parkinson’s can change lives in an instant. Let’s meet Anne. She discovered that she had Parkinson’s in a mobile phone call while she waited to collect her 7 year old bus. daughter A life-changing from the diagnosis school delivered with all the care of a reschedule­d parcel delivery.

Parkinson’s is the fastest growing neurologic­al condition in the world. In a typical Scottish Parliament constituen­cy, about 170 people have Parkinson’s, and 21 will be newly diagnosed each year.

Across Scotland, about 12,400 people have Parkinson’s.

Many associate Parkinson’s with a tremor. But it’s much more than that. With over 40 recognised symptoms, every individual with Parkinson’s is a‚ected di‚erently. And about 1 in 3 people do not have a tremor at all.

Losing dopamine producing cells in your brain - which is what Parkinson’s essentiall­y is - can cause problems with every aspect of daily life. Parkinson’s impacts mood and motivation, your ability to speak, swallow, sleep and smile. From balance to bladder control, posture and pain, PArkinson’s is a full-body experience. And minds are a‚ected too - anxiety, depression and dementia are common.

Medical treatment is complicate­d, with multiple medicines individual­ly tailored to each person. Prescriber­s must review medication regularly to manage evolving symptoms while minimising troublesom­e side e‚ffects.

Troublesom­e can be an understate­ment. We might be talking about hallucinat­ions or uncontroll­ed movements. For some, out-of-character Parkinson’s compulsive medication behaviours can trigger - hypersexua­lity, shopping, gambling. Unaddresse­d, these can wreck relationsh­ips or leave people destitute.

It is not surprising that people with Parkinson’s need specialist NHS care, led by a consultant a multi-disciplina­ry and a specialist team. Physios, nurse alongside speech and language therapists, occupation­al therapists and dedicated mental health profession­als are all needed to help people live as well as they can with Parkinson’s. Because whilst there are ways to reduce the impact of symptoms, there is no cure.

Independen­t research shows that people with Parkinson’s have deteriorat­ed during the pandemic and that unpaid carers have struggled under the strain of increased support needs and reduced services. For the Parkinson’s community, it is absolutely essential that NHS Scotland recovers as quickly as possible, and restores the services people need. We’re hearing about alarming waits to see consultant­s, overstretc­hed Parkinson’s nurses and an absence of allied health profession­al support. We’re a long way from realising a Right to Rehab for people with Parkinson’s. People with Parkinson’s also remain at risk of uncontroll­ed symptoms if their essential medication is not administer­ed on time when they’re in hospital. There are around 100,000 missed and late doses of Parkinson’s medication in Scottish hospitals each year. All causing preventabl­e harm, from which some people never recover. The new National Care Service will have much to do to fill the gaps in social care for individual­s with Parkinson’s and their families. We believe that the Scottish Government­s

planned Mental Health Strategy must provide people with so-called physical health conditions like Parkinson’s with direct access to support for hallucinat­ions, delusions, anxiety and depression. The new Dementia Strategy presents a much-needed opportunit­y to meet the complex needs of the 1 in 3 people with Parkinson’s who have Parkinson’s-related dementia Parkinson’s is denying thousands of people across Scotland the life they want to lead. We must not stop thinking about people like Anne - and making sure that Scotland works for her, and the 12,400 other people living with Parkinson’s across Scotland.

Meet us to find out more: email scotland@parkinsons.org.uk Our Parkinson’s advisers offer free and confidenti­al support, phone 0808 800 0303 or check our website for informatio­n parkinsons.org.uk/scotland.

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