Preparing health and social care for winter

Record high NHS 24 workforce to meet increased demand

A record number of NHS 24 call handlers will support the public to access the most appropriate care this winter as services deal with increased demand.

Through the Scottish Government and COSLA’s joint Winter Preparedness Plan, continued investment for NHS 24 will increase service capacity to provide clinical supervision for at least 150,000 additional calls per year and help prevent unnecessary A&E attendances.

Key measures to support services in the face of increased demand, include; improving discharge planning for patients admitted to acute or community hospitals, maintaining established care at home packages and a Government led delayed discharge response team to directly support Boards in need of assistance. Planned care capacity will also be safeguarded with a continued focus on clearing long waits.

The annual winter vaccination programme, which includes respiratory condition RSV for the first time, will support a reduction in severe disease, hospitalisation and mortality – while protecting health and social care service capacity. The joint plan also sets out action to support the mental health and well-being of service staff through increased flexible working options and dedicated mental health resources.

This year’s plan has been published a month ahead of last year, and earlier than ever before, to allow more time for NHS Boards and care providers to prepare for winter surges in demand.

Health Secretary Neil Gray said: “As winter approaches, the NHS will see surges in demand across all health, social care and social work services. Our joint Winter Plan with COSLA is just one part of a wider programme of work to respond to heightened demand.

“A record number of NHS 24 call handlers will be available this winter to direct people to the most appropriate care, helping reduce unnecessary A&E attendances. We will continue our work to reduce delayed discharge in hospitals with an increased focus on effective discharge planning and protecting care at home packages. We will also ensure planned care capacity is protected as much as possible in the face of winter pressure so patients are seen as quickly as possible.

“We are prioritising frontline services with over £14.2 billion investment in our boards this year – an almost 3% real terms uplift – and also investing £2 billion in social care services.

“I thank all health, social care and social work staff for their continued efforts and dedication to deliver high quality care. It is fundamental we safeguard their wellbeing, and improved options on flexible working and continued access to mental health resources will ensure staff are supported over this challenging period.”

COSLA Health and Social Care Spokesperson, Councillor Paul Kelly said: “It is our shared responsibility to ensure that people and communities have timely access to quality care and support when they need it most.

“We know that Local Government and Health and Social Care Partnerships across Scotland are working hard to plan and deliver the essential health and social care services our communities rely on every day.

“The context within which this takes place is increasingly challenging, which is why COSLA have worked jointly with the Scottish Government to produce this plan. Local Government plays a key role in supporting people to experience better wellbeing and better outcomes, so it was only right that this plan reflects the whole system of integrated health and social care, from acute and primary care to social work, our care homes, community settings, and our partners across the sector.

“Winter is often a time of exceptional pressure on our services so I am pleased that this plan, produced with our partners across the sector, reflects the challenges and the opportunities we face.”

Health & Social Care Winter Preparedness Plan for 2024-25

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davepickering

Edinburgh reporter and photographer