Health visitors continue to provide crucial lifeline for families

Frontline community work continues despite COVID-19, thanks to the efforts of health visitors (HVs) like Laura Gordon. 

Since the pandemic began, Laura continues to manage a caseload maintaining frequent contact, building therapeutic relationships and providing a crucial role in providing support and advice to children and families in the Inverclyde community.

Home visits have had to be reduced, but Laura remains in the community doing face-to-face consultations at least two to three days per week. She believes providing swift support is key, and despite restrictions on face-to-face contact, health visitors around Greater Glasgow and Clyde have adapted to ensure families in need are able to receive the care and advice they require.

From increased telephone consultations and video calls to provide high quality care and support, to risk assessments over the phone before visiting to ensure use of the correct PPE, keeping children and families safe is a top priority.

Raising a new baby can be a stressful and challenging time in normal circumstances, and many new mothers rely on Laura as a key source and primary contact to help answer their questions, and support their babies and children with appropriate development.

Laura provides practical advice and support for topics relating to breastfeeding, nutrition, safety -including safe sleeping arrangements, illnesses and mental health, among others.

As well as the child’s physical and mental wellbeing, Laura works with families to ensure they have access to any services that they may require, including for urgent needs such as  financial aid or for food banks in the area.

HVs also continue to visit families with additional support needs, for example to support postnatal depression, parenting advice, and also in partnership with third sector agencies and social work for child protection support plans.

The nature of Laura’s remit means working collaboratively with families to find tailored solutions for their individual needs and circumstances.

Laura, who has worked within Inverclyde for a number of years, said: “Family life has changed massively since the pandemic began, and many families are under even more pressure than normal.

“Having a new baby is a huge transition and at this time most parents don’t have the support they would normally rely on. They can feel isolated and overwhelmed.  Having somebody to turn to during this time is extremely  important and contributes to the ongoing safety and wellbeing of their children.

“Inverclyde is among the most deprived areas in Scotland and some familes experience challenging circumstances and may have specific and urgent health needs without necessarily knowing what’s available and how to access the appropriate support. We can help them with that and facilitate access. This support can often provide lifelines when families are most in need.”

Inverclyde HVs are very much looking to the future and how they can embrace new methods of communicating effectively with families. Laura explains how they work on social media platforms to engage with patients.

Laura said: “By using Twitter and Facebook we can easily reach our families and provide key messages on all aspects of public health, including child development, brain development, perinatal mental health, weaning, nutrition, safety, safe sleep, immunisations, parental wellbeing, behavior management strategies, play and stimulation.

“The way we engage with patients may have changed due to COVID-19, but we are all still here, and we are all still working within the communities to help families access the services they need while providing them with practical advice and support so they get the best outcomes for their children.”

Shapps: ‘We want to keep this momentum going’

Transport Secretary Grant Shapps gave the UK Government’s daily media briefing yesterday.

He described how the time during lockdown has been used to fix and upgrade road and rail infrastructure, including plans to help the economy bounce back.

Good afternoon and welcome to today’s Downing Street press conference. I’m pleased to be joined by Professor Jonathan Van-Tam.

Latest data

Let me start by updating you on the latest information from the Government’s COBR data file.

Through our monitoring and testing programme, as of today:

  • 2,219,281 tests for coronavirus have now been carried out in the UK, including a new record of 126,064 tests carried out yesterday
  • 233,151 people have tested positive, that’s an increase of 3,446 cases since yesterday
  • 11,041 people are in hospital with COVID-19, down 14% from a week ago, when 12,802 patients were hospitalised
  • and sadly, of those tested positive for coronavirus, 33,614 have now died – that’s an increase of 428 fatalities since yesterday.

This new figure includes deaths in all settings not just in hospitals.

Our deepest sympathies go out to the families and friends as the nation battles to defeat the disease.

Main content

Today I’m going to set out how – whilst the country has been at a virtual standstill – this downtime has been used to fix and upgrade the nation’s road and rail infrastructure, along with plans to help our economy bounce back.

But before I set out today’s transport announcements, let me briefly remind you of the government’s roadmap out of this crisis.

As you know, we have established a new COVID Alert System, with five levels – based primarily on the R value and the number of cases.

Throughout the lockdown, we have been at Level 4.

Thanks to the British people, we have brought the R down and we can now begin moving carefully to Level 3.

From this week we’re at Step 1, meaning that:

  • those who cannot work from home should now speak to their employer about going back to work
  • you can now spend time outdoors and exercise as much as you like
  • you can meet one person who’s not part of your household outside, provided you stay 2 metres apart

Step 2 – from June 1, at the earliest, as long as it’s safe, we aim to allow:

  • primary schools to reopen for some pupils, in smaller class sizes
  • non-essential retail to start to reopen
  • cultural and sporting events to take place behind closed doors, without crowds

And then Step 3 – no earlier than July 4, and again, only if the data says it’s safe, we aim to allow:

  • more businesses to open, including those offering personal care, those in the leisure sector, together with places of worship

We can control this virus if we stay alert.

But what does staying alert actually mean?

Staying alert, for the vast majority of people still means staying at home as much as possible, and working from home if you can.

But it also means:

  • limiting contact with other people
  • keeping your distance if you go out
  • washing your hands regularly
  • wearing a face covering in enclosed spaces where it’s difficult to be socially distant – for example on public transport
  • and if you or anyone in your household has symptoms, you all need to self-isolate

If everyone stays alert and follows the rules, we can control coronavirus by keeping the R down and reducing the number of infections.

This is how we can continue to save lives, and livelihoods, as we begin as a nation to recover from coronavirus.

Transport context

Today I want to update you on the measures we’re taking to speed up our economic recovery while keeping people safe.

For 2 months, we’ve remained in lockdown, travelling as little as possible, and in doing so, the whole country has protected the NHS and helped reduce the number of COVID infections.

But as we begin making tentative steps towards restarting our economy and people in some sectors who can’t work from home begin to return to their workplaces, it is clear that transport has a critical role to play.

Last Saturday, I explained why it’s our civic duty to avoid public transport, if at all possible.

Because, even when we have 100% of services up and running, there may only be socially-distanced space available for 1 in 10 passengers.

Therefore, in order to help reduce crowding, we set out a £2 billion programme to put cycling and walking at the heart of transport, with £250 million emergency spending already underway.

Over the past week, we have followed this up by publishing 3 pieces of detailed guidance.

First, for local authorities in England, explaining how they should prepare for significantly-increased numbers of cyclists and pedestrians.

Next, for the transport sector, to ensure they provide safer services for those travelling, and safer workplaces for their staff.

And third, and most importantly, for passengers.

We’re asking the public to help ensure that the transport system does not become significantly overwhelmed by returning commuters.

The guidance makes clear, that if you can’t walk or cycle but you do have access to a car, please use it, rather than travelling by bus, train or tram
..

Especially where that public transport is liable to be overcrowded.

And, for those people who absolutely need to use public transport


It also explains how you can best protect yourself and those around you.

Transport upgrades during lockdown

In the coming weeks, as we carefully and cautiously restart sectors of our economy, and people begin to travel once again


They should notice that, whilst the country has been in down-time 



with the roads and railways quiet


We’ve been busy


Getting on with essential work
.

Fixing the nation’s infrastructure


So we can recover faster when the time comes.

This upgrade programme



the kind of work that – at any other time – would cause inevitable disruption and service delays, whilst costing the taxpayer more



has instead been carried out in previously unimaginable circumstances of a largely unused transport network.

For example, we completed 419 separate Network Rail projects over Easter, with a further 1,000 upgrades being carried out throughout the May bank holidays.

Meanwhile, Highways England has been busy accelerating maintenance projects on the nation’s roads.

Last week, for example, we opened the vital A14 upgrade 7 months ahead of schedule.

This is a route normally used by 85,000 drivers daily, which will dramatically improve access to the UK’s largest container port at Felixstowe and permanently boost the distribution of goods around the UK.

As Northern Powerhouse minister – I can report that – in the North, we’ve delivered £96 million of rail infrastructure improvements during April.

And throughout the country, we’ve accelerated maintenance projects on road and rail


Whilst always sticking to PHE safety guidelines
..

So that altogether, Highways England has delivered over ÂŁ200 million of upgrades, and Network Rail ÂŁ550 million worth, during April alone.

I’d like to thank the army of transport and construction workers who have been grafting very hard throughout the lockdown.

Building future infrastructure

But to make sure that Britain is ready to bounce-back from coronavirus


Today I can announce nearly ÂŁ2 billion to upgrade our roads and railways, to put our transport infrastructure in the best possible shape and to get our economy growing once again.

This package includes £1.7 billion for local roads – making journeys smoother and safer for drivers, hauliers, cyclists, motorcyclists, pedestrians and others


By filling millions of dangerous potholes, we will make our roads safer – and encourage more people to cycle, or even take part in the upcoming e-scooter trials


Helping more people play a part in relieving pressure on public transport.

This investment will also help fix damage caused by winter flooding, repair roads and bridges, and fund numerous road improvement schemes.

As more people become mobile again, we’ll be building a network of rapid charging stations for electric cars


Including a big expansion of rapid-charging facilities at motorway service stations


Helping the country to lock-in the dramatic air-quality improvements we’ve experienced during the coronavirus lockdown.

A better future

Amid all the sad news and tragedy of loved ones we’ve lost, we’ve somehow managed to do things in weeks that would normally take years


Building new hospitals


Moving public services online


Making instant reforms and fast-tracking new laws


Extraordinary changes in the way that employers and employees work


Effectively taking large swathes of the economy online almost overnight


Now we want to keep this momentum going.

If building a new hospital takes 2 weeks, why should building a new road still take as long as 20 years?

If GP surgeries can quickly move online, why are most rail passengers still travelling on cardboard tickets?

We must exploit our newfound capacity to respond at pace and apply it to rapidly improving our infrastructure.

And we must examine why it is that bureaucratic bindweed makes British infrastructure some of the costliest and slowest in Europe to build.

Because whilst many will continue to work from home even after this immediate crisis



both the long-term transport trend and the pressing need to level-up communities across the country, dictate that infrastructure will be even more important in stimulating our recovery and supporting new jobs.

So by combining fast home-internet access, with vastly upgraded transport connections, we can help revive many of our small and medium-sized towns which over decades have been left behind.

Closing remarks

This has been a devastating start to the year, not just for Britain, but for the world.

And we are only at Phase 1 of the recovery plan.

But we all know that it is our reaction to adversity that will ultimately define how we recover.

We must harness our approach to tackling the pandemic
.

And apply it to rebuilding our own infrastructure.

With the same swift action, innovation, and collective determination that has characterised the past few months
..

And in doing so, we can emerge stronger.

Increased health risks later in life for child abuse survivors, new study finds

People who have experienced maltreatment during childhood are significantly more likely to develop conditions such as heart disease, high blood pressure and type two diabetes in adulthood, a new UK study has found.

Childhood maltreatment, which includes any form of physical, sexual or emotional abuse or neglect experienced by those under the age of 18, is a prevalent global public health issue thought to affect 1 in 4 children in the UK and 1 in 3 globally.

This study, led by the Universities of Birmingham and Warwick, reviewed anonymised data from 241,971 patients using medical records from GP surgeries between 1995 and 2018. 80, 657 patients were identified to have a history of childhood maltreatment compared with a control group of 161 314 unexposed patients.

The study is the first to use UK primary care data to explore the relationship between childhood maltreatment and cardio-metabolic disease.

Results of the study, published today in the Journal of the American Heart Association, showed that those with a history of childhood maltreatment were 71% more likely to develop cardiovascular disease, and 42% percent more likely to develop high blood pressure as well as the risk of developing type 2 diabetes doubled. Patients were also at a 75% increased risk of dying of any other cause during the study period.

Although the research could not ascertain why this relationship exists, previous research suggests that exposure to childhood maltreatment can influence the alteration of the immune, metabolic, neuroendocrine, and the autonomic nervous system.

Additionally, this group may experience greater exposure to other risk factors which may be associated with cardio-metabolic disease.

Lead author Dr Joht Chandan of the University of Birmingham’s Institute of Applied Health Research and Warwick Medical School at the University of Warwick said “Considering the high prevalence of childhood maltreatment globally, these findings suggest a substantial, but preventable burden of cardio-metabolic disease.

“The findings are particularly notable within the United Kingdom, where conditions such as heart disease, high blood pressure and type 2 diabetes pose an increasing burden on the health service.

“Considering that an estimated 1 in 4 children within the UK are affected by maltreatment, our findings could suggest that a significant proportion of the cardio-metabolic disease cases may be attributable to maltreatment.

“Therefore, there is a clear public health message that requires a population- based approach to not only prevent childhood maltreatment but also the negative consequences as a result of it.”

This latest study adds to a growing body of research published by the team at the two Universities examining the physical and psychological effects of domestic abuse and childhood maltreatment.

Earlier this year, the team published research that found that women who have experienced domestic abuse are 40 per cent more likely to die from any cause compared to the general population while a study in 2019 found that abused or neglected children are four times more likely to develop serious mental illness.

Council under fire over ‘undemocratic’ process

Edinburgh campaigners are concerned about the way the Council is operating during the Covid crisis. So far there has been no action to set up accessible virtual meetings of the Council – and Edinburgh East Save Our Services argues that people want an immediate return to a more transparent decision-making process.

“Since mid-March the city council has changed its way of operating,” said Lorna Frost of Edinburgh East Save our Services. “Other organisations have already formulated guidelines for meetings and it is timely for our Council to rethink the way it proceeds during the Covid crisis.

“Our community group wanted to take these issues up with the Council but our attempt to ‘talk about it’ has been rebuffed. In addition, our councillors,  who are our elected representatives, have been told any issues they raise with a council officer must be virus-related, but we think the current crises across our city – in care homes, schools, Lothian Buses and regarding poverty and mental health – are all virus-related.

“It is crucial that the Council re-engages fully with the people of Edinburgh,  their elected representatives,  and voluntary groups immediately.

“Community councils should also be reactivated in a secure way. We need to work together to tackle the severe issues of poverty and inequality arising from the Covid-crisis.”

Edinburgh East Save Our Services emailed council leader Adam McVey on Wednesday:

Dear Convener McVey

We would appreciate clarification on governance concerns, particularly on the following matter.

We have read the minutes of the April EDC LAP meeting and our understanding of: ‘To note that the Chief Executive would report to the first meeting of the Policy and Sustainability Committee in May 2020 on potential options for holding meetings of Full Council‘ is that accessible/transparent meetings of the Council and its committees may or may not go ahead depending on the report of the Chief Executive  tomorrow.

Our opinion is that it is very important that the affairs of the city are conducted in an open way, particularly in this time of crisis, and we want to let the Council know this.From our reading of the minutes it seems this decision has not already been taken, but that it will be taken tomorrow, and that is why we wanted to influence this decision.

You are responsible for and entrusted with the wellbeing of the people of Edinburgh and we are disappointed with your response and also the lack of any additional explanation.

It seems very difficult for residents to interact with their local authority in a meaningful way, if at all.

Regards

Lorna Frost (for Edinburgh East Save our Services)

The campaigners also sent the following questions by email:

EESOS submission to EDC PSC 14/5/20

Edinburgh East Save our Services submits the following questions to the meeting of the Policy and Sustainability Committee on Thursday 14th May 2020 at 10am.

The questions relate to the Council’s Interim Political Management Arrangements for 2020 (item 4 Minute of the LAP 23/4/20)

Why have no measures been taken to set up accessible virtual meetings of the Council and its committees since mid-March ?

How long does the Council intend to continue proceeding in this way? ( The Scottish government has already formulated guidelines for meetings.)

Why have restrictions (namely that any issues should be virus- related) been put on our councillors (our elected representatives) raising issues with a council officer?

What exactly are the criteria which define virus-related?

Aren’t the current crises across Edinburgh, in care homes, schools, Lothian Buses, poverty, and mental health virus-related?

Lorna said: “In reply we were told that the council refused to accept our submission. Convener Mcvey says it does not meet the requirements of a deputation as it relates to a decision that was taken in April.

“This is an astonishing response since the decision was not taken through the council’s normal democratic processes.”

Health and social services staff to get free access to mental health apps

  • Daylight and Sleepio apps available to everyone working in health and social services in Scotland to support their mental health during the crisis
  • Staff can download mental health apps for free to help with sleep and anxiety during COVID-19 pandemic
  • Announcement part of nationwide drive to digitise healthcare, starting with workforce mental health

All health and social services staff in Scotland can now access free apps to cope with insomnia and anxiety as part of a nationwide effort to support the mental health of key workers during the COVID-19 pandemic. 

NHS Scotland has this week launched a national programme to provide those working in health and social services with access to practical, everyday advice and support, as well as mental health apps and tips on self-care to help staff cope with the challenges they are facing with the pandemic.

As part of the PRoMIS National Wellbeing Hub, the apps on offer include programmes designed to help maintain healthy and restorative sleep, reduce anxiety and worry, and to help staff learn evidence-based techniques to address mental health issues when they arise.

The NHS-accredited apps Daylight – designed to help with worry and anxiety – and Sleepio – a digital sleep improvement programme featuring Cognitive Behavioural Therapy (CBT) techniques – are both developed by digital therapeutics company Big Health.

Sleepio has already been made available to almost 30,000 residents in the Western Isles, and both Sleepio and Daylight were recently made  available at no cost to all NHS employees across England thanks to a partnership with NHS England.

As the UK’s response to the COVID-19 pandemic continues, health and social services staff remain at the frontline and are being placed under mounting pressure. The news comes as first Minister Nicola Sturgeon has stressed that the “stay at home” message remains in place in Scotland after Boris Johnson announced his “conditional plan” to reopen society.

Big Health co-founder and Professor of Sleep Medicine at the University of Oxford, Professor Colin Espie, has praised NHS Scotland’s timely response in protecting the mental health of NHS staff as well as their physical health during the pandemic.

Commenting on Big Health’s partnership with NHS Scotland Professor Espie said: “I’m honoured that Big Health is able to support our colleagues in NHS Scotland to help safeguard their mental health during these most challenging of times.

“NHS staff are working under enormous pressure whilst also experiencing significant changes to their lives at home as a result of COVID-19. We built Sleepio and Daylight to help people effectively manage their mental health whether the challenges occur during the night or day.”

Dr Sandra Ferguson, Associate Director Psychology and Lead for National Trauma Training Programme at NHS Education for Scotland added: ““There is increasing evidence that insomnia and sleep difficulties is an area that staff in health and social care are increasingly reporting.

“We are delighted to have worked with Sleepio who have designed this evidence-based app to support staff in resolving these difficulties. A good night’s sleep is a central part of overall wellbeing.”

Sleepio and Daylight are available at no cost to everyone working in the NHS to support their mental health during the COVID-19 pandemic.

These solutions aim to support staff to maintain healthy and restorative sleep, reduce anxiety and worry, and to help them learn evidence-based techniques to address mental health issues when they arise.

70 million face masks for NHS and care workers through new industry deal

  • Government agrees deal with technology company Honeywell to manufacture 70 million face masks for frontline workers
  • New deal part of plan to unleash potential of UK industry to scale up domestic personal protective equipment (PPE) manufacturing
  • The production line has capacity to produce up to 4.5 million masks each month and will create 450 new jobs at the production site

More than 70 million face masks will be manufactured in Scotland and delivered to frontline health and care workers following an agreement with a global technology company, the UK government has announced.

FFP2 and FFP3 masks will be produced over an 18-month period at Honeywell’s site in Newhouse, Scotland, with production set to begin as early as July. Each month will see up to 4.5 million masks roll off the production line, ready for distribution to frontline NHS and social care workers.

It marks a significant moment in the government’s ‘make’ programme, headed up by Lord Deighton, which seeks to unleash the potential of UK industry to scale up domestic PPE manufacturing.

The move supports the government’s continued efforts to ensure PPE reaches those fighting the virus on the frontline, with over 1.25 billion items of PPE delivered to health and social care workers since the outbreak began.

Additionally, the new production line will create approximately 450 new jobs at the Scotland site.

Health and Social Care Secretary Matt Hancock said: “These 70 million masks are the result of our challenge to UK industry to scale up domestic PPE manufacturing.

“This deal is brilliant news for the whole United Kingdom which will not only deliver the masks we need but create around 450 jobs in Newhouse, Scotland.

“I’m delighted to team up with Honeywell to open up another avenue to get millions of masks to the frontline and strengthen our ongoing response to the outbreak.

Lord Paul Deighton, adviser to the Secretary of State on PPE, said: ““As countries around the world face unprecedented demand for PPE, British industry is stepping forward to make sure vital pieces of equipment reach our workers on the frontline.

“My role is to increase our homegrown PPE supplies, both now and in the future, by investing in the potential of UK manufacturing. This fantastic deal announced with Honeywell today marks a significant step along the way.”

The government has ordered 70 million of the locally produced FFP2 and FFP3 Honeywell SuperOne disposable respirator masks. These are certified to the highest international PPE standards, compliant with EU regulations, and must meet UK quality and safety standards before being delivered to healthcare settings via the NHS Supply Chain from July.

Will Lange, President of Honeywell’s PPE business, said: “As a global leader of high-quality personal protective equipment, Honeywell is committed to getting safety gear to those who need it most, including workers on the frontline in the fight against COVID-19.

“Our Newhouse facility has both the physical capacity and technical capabilities to launch a large-scale respirator production line in such a short timeframe, and we are proud of our teams who are bringing new manufacturing capabilities to the United Kingdom as quickly as possible to support the country’s response to the pandemic.”

Scottish Secretary Alister Jack said: “As well as creating 450 new jobs and boosting the local economy it is great a company with manufacturing facilities in Scotland can help ensure our heroic frontline workers have the PPE they need to carry out their lifesaving work.

“Our UK-wide strategy is continuing to manage and supply protective equipment to the people that need it in all 4 nations.”

The agreement announced today is the latest in a number of steps the government is taking to ramp up PPE production and distribution. New collaborations between the government and organisations including Amazon, the Royal Mint and Jaguar Land Rover, will see increased production and delivery across all PPE products.

A PPE distribution network with the NHS, industry and armed forces, and a 24-hour NHS-run helpline that’s received around 35,000 calls since it was set up, have also been established as part of the government’s national PPE plan.

Care Inspectorate takes legal action over Skye’s Home Farm Care Home

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The Care Inspectorate has taken legal action over the running of a private care home on Skye where seven residents have died in a coronavirus outbreak.

The inspectorate has asked the Sheriff Court to cancel the registration of the HC-One-owned Home Farm 40-bed nursing home facility in Portree.

It follows an unannounced inspection of the home on Tuesday.

A spokesperson for the Care Inspectorate said: “An inspection has identified serious and significant concerns about the quality of care experienced by residents at Home Farm Care Home in Skye. 

“We understand this is a difficult and distressing time for residents, their loved ones and staff at the home.

“However, our first priority is always the health and wellbeing of residents.

“We have submitted an application to the sheriff court seeking cancellation of the care home’s registration.

“This could mean new care arrangements will be put in place for residents at Home Farm care home.

“We are working closely with partners including NHS Highland to ensure that residents experience appropriate care during this difficult time.”

In addition to the seven deaths, 30 of the nursing home’s 34 residents and 29 staff have tested positive for Covid-19.

A spokesman for HC- One, who operate 56 homes in Scotland, told the BBC: “We have accepted the shortcomings at Home Farm and apologise to our residents, their families, and the local community. We are fully committed to making significant improvements at the home and determined to put things right.”

On HC-One’s website – their slogan is ‘the kind care company’ – Home Farm is described:

‘The home’s caring team has created a family atmosphere, encouraging everyone to eat and celebrate special occasions together. Residents are invited to decorate their rooms with small items of their own furniture and treasured belongings so that it feels just like home. Daily life is carefully designed to support mind, body and soul.

‘Home Farm’s Home Manager makes sure that all Residents receive the kindest possible care. Our extensively trained team will deliver all the nursing and specialist care and support services that your loved one requires.

‘Personalised care plans consider not only medical, personal and dietary needs, but also the individual’s likes and dislikes, religious preferences, and suggestions from family members that might make their stay with us that little bit more enjoyable’.

On 29 April, HC-One wrote to local authorities seeking additional funds:

As we have done throughout the coronavirus crisis, we firmly believe we have a responsibility to our Residents, our Colleagues and to the wider public to highlight the challenges facing care homes at this unprecedented time.

This is why we have published online each day the total number of coronavirus cases and deaths experienced at our homes, and why we are also publishing in full the letter we have sent to the Local Authorities we work with regarding our request for financial support.

The Government has previously announced ÂŁ3.2bn of additional funding for Local Authorities in response to the additional costs placed on them and their partners, which include all social care providers, by the coronavirus outbreak. We welcomed this announcement and the priority now is that this money reaches the front line.

As set out in our letter, HC-One has been significantly impacted by coronavirus including most importantly and most sadly the loss of more than 700 Residents and three Colleagues from this terrible virus. Alongside this, admissions have understandably fallen, and costs have significantly increased as we invest in the PPE needed to keep our Residents and Colleagues safe.

As a responsible provider, we entered this year and this crisis in a very strong financial position. In response to the financial impact of coronavirus we have taken a range of measures, including engaging with our lenders and our owners, to make sure we have the balance sheet resilience needed to see us through this challenging time.

These are prudent and responsible steps to take, as is looking at our income in the short term and engaging with the organisations that pay for the Residents living in our homes.

The Local Government Association and the Association of Directors of Adult Social Services, which represents Local Authorities and Social Care Commissioners respectively, have highlighted that care providers experienced a predicted 10% increase in costs linked to their coronavirus response.

Our letter therefore seeks to start a conversation with our Local Authority partners on how we can access some of the additional funding provided by Government to cover these additional costs.

We clearly set out the impact of the virus on our organisation, the statistical modelling we’ve completed that shows the predicted future impact of this deadly virus, the proactive steps we have taken to build financial resilience, and our request to discuss an income guarantee to assist us in the short term.
 
This request aligns with the Government’s COVID-19 Social Care Action Plan, which states Local Authorities must “protect providers’ cashflow”, and reflects the offers we’ve already received from some of our Local Authority partners who recognise the vital role our homes play in communities across the UK.
 
We are fortunate to be in a financially stable position, and to have the support of owners who are invested in the organisation and its mission for the long-term. We are therefore confident we can ‘weather the storm’ caused by coronavirus. Nevertheless, the responsible and prudent action was to engage with our funders, commissioners and lenders to make sure we build the most resilient financial position possible to achieve this.  
 
As we move forward during this public health emergency, HC-One will continue to focus solely on protecting the health and wellbeing of our Residents and Colleagues.

This includes providing the PPE, training and wellbeing support our teams need, but also engaging transparently in conversations with our funding partners about the additional financial support required to support our organisation.

Since the Care Inspectorate’s intervention it has been announced than an eighth resident has died.

Health Secretary Jeane Freeman and Scottish Care CEO Donald Macaskill have wriiten a joint letter to all care home staff in Scotland this morning.

JF_and_DM_-_CARE_HOME_STAFF_letter_-_May_2020

An inspection report will be published in due course.

First Minister: Testing,shielding and skills development

Statement given yesterday by First Minister Nicola Sturgeon at a media briefing in St Andrew’s House, Edinburgh:

Good afternoon. Thanks for joining us for today’s briefing.

I want to start – as I always do – by updating you on some of the key statistics in relation to Covid-19 in Scotland.

As at 9 o’clock this morning, there have been 14,117 positive cases confirmed – an increase of 188 from yesterday.

A total of 1480 patients are in hospital with confirmed or suspected COVID-19. That is a decrease of 54 since yesterday.

A total of 71 people last night were in intensive care with confirmed or suspected Covid 19. That is an increase of 1 since yesterday.

I am also able to confirm today that since 5 March, a total of 3,253 patients who had tested positive for the virus have been able to leave hospital. I wish all of them well.

And unfortunately I also have to report that in the last 24 hours, 34 deaths have been registered of patients who have been confirmed through a test as having Covid-19 – that takes the total number of deaths in Scotland, under that measurement, to 2007.

And let’s always remind ourselves that behind these statistics are individuals whose loss is a source of grief to their friends, family and loved ones. I want to send my deepest condolences to everyone who has lost a loved one to this virus.

I also want to thank – as I always do – our health and care workers. Later this evening people across the Scotland will once again applaud you from our doorsteps and windows. I hope that that gesture gives a small but important indication of how grateful we all are for the incredible work that you are doing.

I have three things I want to update you on today. The first is on tests and I want to set out again, so it is clear, who is eligible – right now – to access testing. 

Let me stress we keep this under constant review and take clinical advice on an ongoing basis,, and as it changes we will let you know, but I want to set out very clearly the position as it is now – so no one who is entitled to a test is in any doubt.

NHS Scotland testing capacity is currently used within hospitals for all ICU patients, all patients in hospital who have symptoms, and all those admitted to hospital who are over the age of 70, whether they have symptoms of COVID-19 or not. People who are over 70 will be tested every four days during their stay. The reason for that is we see in the statistics every day that older people are particularly hard hit by this virus.

NHS tests are also given to all patients due to enter or re-enter a care home from hospital – if they have previously tested positive for the virus, they must have 2 negative tests before entering the care home from a hospital.

In addition, we implement what is called enhanced outbreak investigation in all care homes where there are cases of COVID. This involves testing, subject to individuals’ consent, of all residents and staff – whether or not they have symptoms.

NHS testing is also available for all NHS and social care key workers, or symptomatic household members of those workers. This testing should be accessible to care and health service staff within their local area, and should not require them to drive or travel long distances.

Care home managers can put symptomatic staff forward for testing and there should be no barriers to that.

Tests are also now available to a wider group of people through the UK wide Testing Programme at drive-in centres and mobile testing units. There are 5 drive-in centres in Scotland – at Glasgow, Edinburgh and Aberdeen airports, and in Inverness and Perth. There are also now 12 mobile testing units across the country in locations such as Annan and Fort William, and they will move to other towns every 5 days or so.

These provide testing, for any key worker with symptoms – not just health and care workers – so, for example if you are working in critical infrastructure services. They are also available for anyone needs to work, and cannot work from home; and for anyone with symptoms who is over 65. Testing is also available to symptomatic household members for all of these groups.

If you book a test through these drive-in or mobile centres, you will be allocated to the centre closest to your own postcode. I know that for some people that can still involve travelling quite a long distance. We are therefore working with the military, to try to make mobile testing units as widely available as possible.

Finally, we are also now using NHS testing capacity for monitoring purposes – to test the prevalence of the virus in communities in Scotland.

As we further increase capacity – and as the incidence of the virus continues to reduce – we will also start implementing our policy of test, trace, isolate and support. That will be crucial to controlling further outbreaks of the epidemic, as we start to emerge from lockdown and we will update on progress on that shortly.

However at this stage, our testing policy continues to be based on three key priorities- saving lives and protecting the vulnerable; ensuring that critical staff can return to work as soon as possible; and monitoring and reporting on the spread and prevalence of the virus.

The continuing expansion of testing is enabling us to do that more effectively, while also building our capacity to test, trace and isolate.

The second item I want to update you on, relates to support for people who are shielding.

That term refers to approximately 175,000 people in Scotland who are at the highest clinical risk from Covid-19, and who are therefore being asked to stay at home at all times.

People who are shielding can ask for support and receive information through a text message service. If you have not yet registered for the service but are in that shielding group, I would encourage you to do so.

One of the services which you can request by text is free weekly delivery of food, and other vital provisions such as toiletries.

These deliveries are also available to people without a mobile phone – I will read out a freephone number in a few moments which will be useful if you are in that position.

More than 50,000 people who are shielding have signed up for the free delivery service and more than 250,000 food packages have now been delivered to people across the country.

In addition, many supermarkets are making priority delivery slots available for people who are shielding.

I know for some of you, as you enter your seventh or eighth week of shielding, you will be feeling incredible levels of frustration.

This crisis is in so many ways much harder for you than for you even than it is for those  living with the standard restrictions which are in place for everyone else. And so it is important to me that you know that support is available to you and that support will be available for as long as it is needed. Please ask for that support if you need it – whether that is food and medication, or indeed anything else. Just because you have not needed it up to now does not mean you cannot ask for it at any time.

I also want you to know that you are not being forgotten as we think about our next steps, and about how we live in a new world where this virus is present. Your needs and your quality of life remain really important to our decision making process. We will set out steps over the days and weeks to come about how we emerge from the lockdown but I don’t want anybody in the shielding group to think they are being left behind. You have particular needs and it is really important we protect you, but it’s also important we understand how difficult this is for you.

I mentioned earlier that we have a national helpline for people who are shielding. This will direct you to your local authority and is a good way of finding information about the support which is available to you – including food and medicine deliveries.

The number is 0800 111 4000 – that’s 0800 111 4000 – and the line is open between 9am and 5pm every weekday. So please, do make use of it.

The final issue I want to cover is the work of Skills Development Scotland. I know that the economic uncertainty caused by this crisis has caused very many people to worry about their future prospects.

Although it cannot currently offer face to face support, Skills Development Scotland has still been providing help to people throughout this crisis. For example its website, myworldofwork, provides information on online learning courses; on immediately available jobs; and on practical skills such as developing your CV.

Yesterday SDS expanded its support further by launching a phoneline and online service. Again, I will read out the phoneline number in a few moments.

The phoneline and web resources will provide people with access to range of services available from SDS and local councils.

They will therefore help individuals who are thinking about future job and career options – for example if you are currently on furlough; if you have been made redundant and are seeking employment; or if you are a school pupil, or their parent or carer, who is thinking about what to do after school.

An advertising campaign was launched yesterday to support the enhanced service. So if you think you might benefit from the advice being offered, either go onto the Skills Development Scotland website – myworldofwork.co.uk – or phone the helpline on 0800 917 8000.

I want to conclude my statement simply by emphasising once again our key public health guidance.

Please stay at home except for essential purposes- such as essential work that can’t be done at home, exercise, or to pick up food or medicines.

You can now exercise more than once a day – but when you do leave the house, stay more than two metres from other people. And do not meet up with people from households other than yours.

Please wear a face covering if you are in a shop or on public transport. And wash your hands thoroughly and regularly.

Finally, if you or someone else in your household has symptoms of Covid-19, then you should stay at home completely.

I know that this is really difficult and  it gets more difficult with every passing day. But right now it is still necessary, and it is making a difference.

By staying at home, we are slowing the spread of the virus, we are protecting the NHS, and we are saving lives.

And we are bringing the day closer, when we can relax some more of these restrictions.

So thank you once again to all of you for sticking with this for your own sake but for the sake of everyone else as well. This truly is a national collective endeavour that all of us are contributing to.

Support for people shielding during COVID-19

A quarter of a million packages containing essential supplies have been delivered to people across Scotland facing the highest clinical risks from COVID-19.

The free boxes, which include vital food and toiletries, are dropped off weekly to the homes of people who are shielding.

More than 50,000 individuals have currently signed up for the deliveries.

Deputy First Minister John Swinney said: “We understand that this is an extremely worrying time for people who are shielding and we want to do everything we can to support them throughout this challenging time.

“These packages along with the priority supermarket delivery slots help those at greatest risk from COVID-19 to shield and protect themselves from the virus.

“We are providing guidance on shielding from infection and information about the support available. We are offering this support to people who are shielding through a dedicated text message service. Those without mobile phones can still access this support by calling their local authority.”

People who don’t have access to a mobile phone can request these priority slots through their local authority and anyone who is at increased risk but not part of the shielded category and who has no family or community support should phone our national phone line on 0800 111 4000.

The Scottish Government set up this service so those in this wider vulnerable group can also access help in getting essential goods.

The grocery delivery service is led by food and distribution companies Brakes and BidFood.

Shielding support and contacts

Beating boredom during lockdown: six of the best video call activities

Visiting  the ‘pub’, playing a quiz and enjoying a date are just three fun activities  you can enjoy on a video call. 

Experts from NetVoucherCodes.co.uk  have compiled a list of six of the best pastimes that can be enjoyed via video call whilst in lockdown. 

Taking turns to write and partake in a quiz as well as cooking together with friends are all activities which can be   enjoyed with a smartphone and internet connection.

A spokesperson for NetVoucherCodes.co.uk   said: “These are difficult time for everyone and we’re all missing friends and family. 

“The good thing about   modern technology is that we’re never really too far away, so all you need to do is get a group together and enjoy one of the fun activities below. 

“Whether it be quiz night with the family, visiting the virtual pub with friends or enjoying a date night with your partner, these activities will definitely help put a smile on your face.

 “It’s possible that the lockdown is actually causing friends and family to come together more often than they perhaps would have done before, so hopefully this can become a regular event, even once the lockdown rules are lifted.” 

These are NetVoucherCodes.co.uk  ’s favourite video call activities: 

1. Quiz

Everyone loves a pub quiz, and this is a great weekly activity. Get together a group of friends and take it in turns each week to write a quiz. You can have ultimate control over what the topics are, and how easy or difficult you make the questions. Battle it out to discover who really is the most knowledgeable of the bunch.

 2. Cooking

If you have a certain friend who loves food and you would always catch up over a restaurant meal, why don’t you fire up the video call and become chefs for the evening. Decide beforehand what dish you will both be making, and you can cook-along together, meaning you can still enjoy the discussion about the tasty food, as well as a good old chinwag.  

 3. Pub

A favourite British pastime has always been going to the pub, and we’re continuing this, just virtually. Some pubs have set up chat rooms where you can come and go as you please, chatting to regulars and new faces. Or you can set up your own with a group of friends. The best thing is it means you don’t need to queue for your drink.

 4. TV

There are several sharing platforms available on the internet which means that you and a group of friends can watch tv programmes and movies together in real time. All you need to do is grab the snacks and look forward to the conversation about the film at the end. 

5. Fashion show

If you’re using some of the time you have in lockdown to sort out your wardrobe and you aren’t sure which items of clothing you should or shouldn’t keep, having a virtual fashion show with your personal stylists (best friends) could be just what you need. Grab your friends, put on some tunes and show off your clothes. 

6. Date night

If you’re not currently with your partner this can be an extremely difficult time. Try to set an evening aside where you can enjoy a virtual date night. Set up a video call where you can make some cocktails and cook together, then sit down and eat at a table for two. It may not be as good as the real thing, but it’s pretty close.

WHO: Substantial investment needed to avert mental health crisis

The COVID-19 pandemic is highlighting the need to urgently increase investment in services for mental health or risk a massive increase in mental health conditions in the coming months, according to a policy brief on COVID-19 and mental health issued by the United Nations today.

“The impact of the pandemic on people’s mental health is already extremely concerning,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “Social isolation, fear of contagion, and loss of family members is compounded by the distress caused by loss of income and often employment.”

Depression and anxiety are increasing

Reports already indicate an increase in symptoms of depression and anxiety in a number of countries. A study in Ethiopia, in April 2020, reported a 3-fold increase in the prevalence of symptoms of depression compared to estimates from Ethiopia before the epidemic.

Specific population groups are at particular risk of COVID-related psychological distress. Frontline health-care workers, faced with heavy workloads, life-or-death decisions, and risk of infection, are particularly affected. During the pandemic, in China, health-care workers have reported high rates of depression (50%), anxiety (45%), and insomnia (34%) and in Canada, 47% of health-care workers have reported a need for psychological support.

Children and adolescents are also at risk. Parents in Italy and Spain have reported that their children have had difficulties concentrating, as well as irritability, restlessness and nervousness. Stay-at-home measures have come with a heightened risk of children witnessing or suffering violence and abuse. Children with disabilities, children in crowded settings and those who live and work on the streets are particularly vulnerable.

Other groups that are at particular risk are women, particularly those who are juggling home-schooling, working from home and household tasks, older persons and people with pre-existing mental health conditions. A study carried out with young people with a history of mental health needs living in the UK reports that 32% of them agreed that the pandemic had made their mental health much worse.

An increase in alcohol consumption is another area of concern for mental health experts. Statistics from Canada report that 20% of 15-49 year-olds have increased their alcohol consumption during the pandemic.

Mental health services interrupted

The increase in people in need of mental health or psychosocial support has been compounded by the interruption to physical and mental health services in many countries. In addition to the conversion of mental health facilities into care facilities for people with COVID-19, care systems have been affected by mental health staff being infected with the virus and the closing of face-to-face services. Community services, such as self-help groups for alcohol and drug dependence, have, in many countries, been unable to meet for several months.

“It is now crystal clear that mental health needs must be treated as a core element of our response to and recovery from the COVID-19 pandemic,” said Dr Tedros Adhanom Ghebreyesus. “This is a collective responsibility of governments and civil society, with the support of the whole United Nations System. A failure to take people’s emotional well-being seriously will lead to long-term social and economic costs to society.”

Finding ways to provide services

In concrete terms, it is critical that people living with mental health conditions have continued access to treatment. Changes in approaches to provision of mental health care and  psychosocial support are showing signs of success in some countries.

In Madrid, when more than 60% of mental health beds were converted to care for people with COVID-19, where possible, people with severe conditions were moved to private clinics to ensure continuity of care. Local policy-makers identified emergency psychiatry as an essential service to enable mental health-care workers to continue outpatient services over the phone. Home visits were organized for the most serious cases.

Teams from Egypt, Kenya, Nepal, Malaysia and New Zealand, among others, have reported creating increased capacity of emergency telephone lines for mental health to reach people in need.

Support for community actions that strengthen social cohesion and reduce loneliness, particularly for the most vulnerable, such as older people, must continue. Such support is required from government, local authorities, the private sector and members of the general public, with initiatives such as provision of food parcels, regular phone check-ins with people living alone, and organization of online activities for intellective and cognitive stimulation.

An opportunity to build back better

“The scaling-up and reorganization of mental health services that is now needed on a global scale is an opportunity to build a mental health system that is fit for the future,” said DĂ©vora Kestel, Director of the Department of Mental Health and Substance Use at WHO.

“This means developing and funding national plans that shift care away from institutions to community services, ensuring coverage for mental health conditions in health insurance packages and building the human resource capacity to deliver quality mental health and social care in the community.”