STATE OF HEALTH AND SOCIAL CARE 2024
The social care system is under significant pressure as the number of vacancies and staff retention continue to be key issues affecting the sector.
As a result, many older people are not getting the care they truly need.
Read our report to find out more:
Mary and Billy have been fostering with FCA Scotland for over 18 years now. They are now sharing their fostering story with us.
Billy and Mary have built lifelong connections with the children they have fostered over the years. Although they are all independent adults now, the couple still stays in touch with most of them.
When they first began their fostering journey, Billy was ready for a career change after working in the leisure industry for a number of years and decided to take up fostering full-time. He was the main carer for the first 10 years while Mary continued to work full time in housing but supported Billy in the mornings, evenings and at weekends.
Billy wants people to understand that men can make brilliant foster carers, too.
He said that fostering doesn’t mean only giving a child a roof, there’s a lot more to it. He shared how to manage expectations and work towards a successful outcome, saying: “You’re not going to get a ‘perfect’ child. It’s a challenging job, but it’s a very rewarding one.”
It is important, as Billy explained, to look at the situation from the foster child’s perspective. He said: “Your foster children may not be well equipped to receive the love and care you are giving them and so it’s very important to be patient and be able to support them in the right way.”
Billy, the main carer in the family at the time, said: “I decided that it was a good career choice for me. I felt that we could really help the children and make a difference in their lives.”
He wants more men to consider fostering as a career and shared some practical advice to get started, he said: “Get all the relevant information about fostering, ensure you have done your research, speak to people about it, and get as much support as you can.”
Currently, the couple cares for a fifteen year old girl who has lived with them for nine years along with her two siblings who have since moved out of their care, become “well-rounded adults”, and even started their own families.
They have kept an open channel of communication with them and said: “If anything happens, you can always come and speak to us and we will deal with it together.”
Alongside her, Billy and Mary also welcome short-term fostering which can be extra challenging but given their experience, the couple are happy to take them in and give them a safe space.
Billy and Mary were well-settled in their lives but always felt like they needed something more out of it. Mary said: “We were both working full-time and had a good life but we always felt that there was something we could offer.”
The couple both had children from other partners but didn’t have the chance to bring up a family together. Mary said: “We thought we could be a good parenting team.”
They saw an advert for fostering with FCA Scotland and decided to have a look into it since their own children were all grown up and had left home.
Billy and Mary’s fostering journey has been a long and successful one but not without its challenges. FCA Scotland provides consistent support, guidance, training and development to all their foster carers, to help manage those challenges and ensure they deliver nothing but the highest quality of care.
Mary fondly talks about one of their foster children who lived with them for eight years before moving out, she said: “As a foster carer, you build a long-lasting relationship with the child.
“We are still in contact with him after all these years and we are always there to support him when he needs it. He remains a member of our family and comes along for Christmas Day and family events.
“We helped these children build up their self-esteem and fit into the world, a journey which was made easier by the support of our social workers, therapists, and the team at FCA Scotland. We would highly recommend them as a fostering agency.”
Billy said: “I’m proud of the work we’ve done since the beginning of our fostering journey, it’s a very rewarding job and we’ve seen the rewards.
“I think we’ve done something worthwhile and have been able to give back to our community.”
For more information about fostering, visit FCA Scotland’s website:
Since moving to Edinburgh to study nursing 10 years ago, Courtney Bennett has long understood the need for attentive, respectful in-home care to meet the growing demand for exceptional services in her community.
After a decade in the care industry, Courtney has recently launched Visiting Angels – a care provider that cares for people in the comfort of their own homes – with the intention of not only providing high-quality in-home care for Edinburgh residents, but also to reward carers for the amazing work they do for others day in, day out.
Before launching Visiting Angels, Courtney graduated from Edinburgh Napier University with a nursing degree, and she felt so at home in the city that she decided to stay and start a life here.
In her years after university, Courtney worked across the care sector in various roles, predominantly with the elderly in nursing homes and in adult social care from the nursing perspective.
After battling through her own health issues, Courtney had to take a step back from clinical nursing, but never lost the passion she had for caring for others. It was this which prompted Courtney to launch Visiting Angels; she was able to provide that high level of care to those who need it most while being able to look after her own health.
“Since finding nursing, I have loved caring for others, particularly for the elderly,” says Courtney, of her motivation for launching the company. “I love the elderly; I feel so comfortable in their company – more than most my own age actually!
“I loved my job as a nurse, but it’s no secret that it comes with its own challenges. Being a caregiver is such a difficult job, one which is not nearly championed enough. Carers deserve to be treated, valued and rewarded properly for the amazing work that they do.
“I found when I was working in care homes that no matter how fantastic the home, the team and the facilities were, there was always something which felt institutionalising and isolating about them.
“I’m a firm believer that people rest better in their own home, and that when carers are given more time for visits and properly compensated for their work, that in-home care becomes something incredibly special.
“When I decided to launch Visiting Angels here in Edinburgh, it was so important for me to think about not just our clients, but our carers as well, which is why we have policies covering minimum one-hour visits, paid-for travel time between visits for staff, and proper rewards for our caregivers’ incredible work.”
Visiting Angels’ ‘carer-centric’ approach sets it apart from other companies in the in-home care sector. Carers working for Visiting Angels feel valued and respected for their commitment to the industry.
Through both financial rewards and opportunities for career development, Courtney and the Visiting Angels team are determined to address issues surrounding the industry, which often leaves carers feeling little –to no appreciation.
Courtney is aiming to have around 20 carers on board by the end of the year. With staff turnover in the care sector at a record high, Courtney is determined to encourage caregivers to stay in the industry, by providing them with a supportive, respectful, rewarding work environment.
More than anything, Courtney wants to change the face of social care for the better, and to make it accessible to every person who needs it.
“It’s so important to get our voices heard and to make a real difference in the community. So much of our local area is underserved and often overlooked when it comes to care, so I’m really excited to be able to bring this level of high-quality, consistent care to the people of East Edinburgh.”
For more information, visit https://www.visiting-angels.co.uk/edinburgheast/
Charity prepares for influx of dogs being given up as new school year begins
As millions of children across the country return to the classroom after the summer break, Dogs Trust, the UK’s largest dog welfare charity, is encouraging dog owners to head Bark to School with their pups in a bid to reduce the number of dogs potentially being handed into rehoming centres.
The charity, which is already experiencing its busiest period on record in terms of handovers due to the rise in the cost of living, is preparing itself for a possible further spike as families return to a post-holiday juggle of work and school, and their young dogs struggle to cope with being left home alone, causing them to exhibit bad behaviours.
Many pups acquired during the pandemic are now well into adolescence, a tricky stage for any dog owner, particularly those short on time and juggling family life, and many families may feel they are unable to cope with problematic behaviour. Many of these issues can be resolved through basic training and education of dog owners.
Last year on September 6th, the start of the new school year in England, Dogs Trust saw an uplift in enquiries from dog owners looking to rehome their dog. The charity received 163 enquiries to handover their dogs on the first day of term – more than any other day during September – and during the first week of September, saw an uplift in enquiries from struggling owners compared to the previous week.
John-Paul Maguire, Head Coach at Dog School Glasgow, explains: “Whilst the majority of dog owners see their dogs as much-valued family members and have loved spending time with their four-legged friends over the holidays, sadly we do see an uplift in handover enquiries as soon as children go back to school.
“In many cases, dogs are not equipped to deal with this sudden change in routine where they suddenly have to get used to having less attention which means they may start displaying undesirable behaviour.”
Aside from the rise in the cost of living, one of the main reasons dogs are handed over to Dogs Trust is because of behaviour-related issues that may have been prevented or managed with training. Which is why the charity is urging dog owners to go ‘Bark to School” and take action now by signing their puppy or adult dog up to training classes to avoid future problems so they can live happily together.
Dogs Trust runs affordable dog training and puppy classes in locations across the UK. Dogs Trust Dog School classes operate nationwide and are available throughout the year. At these classes, owners will learn how to teach their dogs how to meet and greet other dogs politely, walk nicely on the lead, come back when called, overcome chewing and mouthing as well as understand dog body language and what your dog is trying to tell you.
John-Paul adds: “Dogs Trust is always here to help families who are struggling to care for their dog, for whatever reason, but we hope that anyone that is finding their dog’s behaviour challenging after the summer holidays will consider heading Bark to School and sign up to Dog School classes to help their dog fulfil their potential and make sure families and four-legged friends can continue to live happily together.”
To find out more, including how to register for a place at Dog School classes in Glasgow, Edinburgh or West Calder, or to book a 1-2-1 session with a trainer, please visit Dog Training Classes, Courses & Help | Dog school | Dogs Trust
Bield Housing and Care, a specialist provider for older people, has launched a new volunteer initiative to bring together its diverse community.
Coinciding with Pride Day, Bield‘s ‘Rainbow Network’ initiative will see tenants invited to join a volunteer-led group focused on inclusivity and fostering a safe and social environment for members of the LGBT community.
It is hoped that bringing together like-minded tenants will not only create a social space but also actively engage and encourage tenants to share ideas for enhancing inclusivity.
The group is part of Bield’s efforts to highlight the importance of the nine legally protected characteristics: age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation.
Zhan McIntyre, Head of Policy and Customer Standards at Bield, said: “The Rainbow Network has been set up to create an inclusive space for our diverse community to come together.
“We’re delighted to be launching during Pride Month and to host the first meeting on 28th June – Pride Day. Tenant opinions and feedback form the baseline for our entire business, so we are always looking for ways to improve communication and engagement with our customers.”
One of the tenants already involved in the Rainbow Network said: “The LGBT scene is very oriented around younger folk but many of us older ones have been active and ‘out’ for decades, it’s just as we get older we can become marginalised and lonely.”
Anyone interested in attending the virtual group should contact feedback@bield.co.uk in order to receive a link to the meeting.
The Rainbow Network is one of many initiatives recently introduced to get feedback from the people who know and use Bield’s services.
It comes just days after Bield held its first major customer engagement event since the pandemic, which saw the important annual fixture on hold for more than two years, enabling the organisation’s CEO and Directors to meet face-to-face with customers.
The engagement event gave tenants the opportunity to influence Bield’s strategy for the next five years at a time when the sector faces numerous challenges including soaring energy prices, the introduction of new legislation and climate change.
Bield is a registered charity dedicated to providing flexible housing solutions and support for older people with around 180 developments and over 5000 customers across Scotland.
To find out more about Bield, visit https://www.bield.co.uk/housing-and-other-services or follow on Facebook @bieldhousingandcare and Twitter @BieldScotland.
Shawfair Park Hospital, part of Spire Edinburgh Hospitals, has received a good outcome from an unannounced inspection by Healthcare Improvement Scotland (HIS).
Inspectors visited the hospital in early November and their review focused on three key areas: patients’ experience of their care, whether the care provided was safe, and the quality of leadership. In their report, published today, HIS rated the hospital ‘Good’ on all three counts.
Inspectors noted the positive feedback that the hospital receives from its patients. 82% of patients who responded to an email survey rated their experience as very good, with a further 13% rating the service as good, and patient testimonials received are generally very positive.
The inspectors commented on the way that feedback is regularly discussed by senior managers and action plans developed to address issues that are raised by patients.
Both the inspectors and patients they spoke to commented on the cleanliness and tidiness of the hospital. Inspectors also noted that effective systems are in place to maintain good infection control, which is so crucial during the COVID pandemic.
HIS also praised the visibility of the hospital’s leadership and the way they support colleagues with their development and education. A system for rewarding colleagues who are ‘inspiring people’ was singled out as good practice.
Shawfair Park and Spire’s other hospital in Edinburgh, Murrayfield, employ over 500 colleagues and partner with 250 consultants.
They see around 30,000 patients each year who come to the hospital for a range of treatment ranging from orthopaedics to ophthalmology, through to care for cancer and other critical conditions.
Paul Gregersen, Hospital Director at Spire Edinburgh Hospitals, said: “I am very pleased that Healthcare Improvement Scotland has concluded that our hospital provides safe, high quality care to patients and that they highlighted the positive feedback we get from our patients.
“These findings reflect the dedication of our staff who have worked so hard in such challenging circumstances over the past two years.
“We look forward to continuing to serve our local community in the months to come as we help to meet the demand for treatment and diagnosis across Edinburgh and beyond.”
HIS’s report can be accessed here
NHS Lothian have announced that Sammy McKee has won the Helpforce Champion Volunteer of the Year Award.
The Helpforce Champions Awards are a national awards designed to celebrate the invaluable contributions made by volunteers across the UK during the past turbulent year, fundamentally defined by the COVID-19 pandemic.
Head of Volunteering, Jane Greenacre, explains this is not just recognition of one person’s contribution but of all of the volunteers, past and present: “The contribution Sammy has made over the last 18+ months is incredible, and we are so pleased it has been recognised in these national awards.
“However, in the eyes of the Voluntary Services Team, all of the volunteers are winners. The roles that Sammy has taken on as Ward Helper, Vaccine Clinic Welcome Guide and at the Meaningful Activity Centre are really representative of support provided by 500+ volunteers so everyone can share in this success.”
“Sammy, like all of our volunteers, embodies NHS Lothian’s values of care and compassion, dignity and respect, quality, team work, and openness, honestly and responsibility.”
If you would like to volunteer, know more about NHS Lothian volunteer roles or if you work for NHS Lothian and want to know what support can be offered contact:
Volunteer.Enquiries@nhslothian.scot.nhs.uk
Sammy joined the volunteer team at NHS Lothian in March 2020, as he was keen to support his local community and the NHS during the pandemic.
Since then Sammy has given over 750 hours of his time volunteering twice a week (often three times a week) in a variety of roles and he has done all of this alongside family and other commitments and with continual professionalism and good humour.
From his first contact to date Sammy has embodied NHS Lothian’s values of care and compassion, dignity and respect, quality, team work, and openness, honestly and responsibility. Sammy has demonstrated his care and compassion for others as a volunteer in a care of the elderly ward where he supports patients (many of whom have complex needs) where he has volunteered since March 2020.
He has consistently treated the patients with dementia using the meaningful activity centre at St John’s Hospital with dignity and respect spending time getting to know patients, their likes and interests and planning activities to do with them one-to-one or in small groups.
Sammy has demonstrated his commitment to quality by actively participating in the Voluntary Services Team’s optional training programme giving up yet even more of his time to learn and develop his skills.
There is not a single person (staff or volunteer) who has worked alongside Sammy who would not agree that he is a team player. Sammy offering to change his usual volunteering site to support another volunteer who was lacking on confidence and his willingness to take on extra shifts to cover for colleagues unable to attend at the vaccination clinics are just two examples.
In addition Sammy is open to new ideas, honest about his experience and takes responsibly for the commitment he has made to those he supports. Sammy has two main roles with NHS Lothian as a Ward Helper in a Medicine of the Elderly ward In Findlay House and as an Activities Volunteer in the Meaningful Activity Centre at St John’s Hospital. Alongside these roles, he has also volunteered as a Vaccination Clinic Guide for 5 months.
In each of these roles, his volunteering was designed to achieve different things. The Ward Helper role aims to support positive health outcomes for patients by supporting day-to-day tasks and providing stimulation and to free staff time to allow them to focus on specialist tasks.
Many of the patients in this particular area have complex needs which can result in challenging behaviour or low mood. The support provided by the Ward Helpers enables patients to maintain their abilities and physical health, to improve mood and to support patients in the most difficult of circumstance to have the best possible experience. This support also helps families of patients by allowing them to take breaks from visiting safe in the knowledge that their loved one will not be alone.
The Meaningful Activity Centre was developed to provide a therapeutic environment for patients within the hospital. Patients with cognitive impairment can frequently become distressed in the hospital environment as not all their needs can be met on a ward through a medical model.
At the Meaningful Activity Centre, the volunteers aim to meet unmet needs that are related to boredom and lack of activity. However, it is not just playing some games to relieve boredom. By engaging in meaningful conversation and using excellent listening skills, the volunteers have been able to find ways to understand what is causing the distress of the person and to take steps to reduce distress.
As a Ward Helper Sammy completes many practical tasks including helping with meal distribution and the tea trolley (key to tackling issues with dehydration common in hospital settings) and the mealtime tidy up after eating, he will support patients to eat by providing company, encouragement and also practical assistance having been trained to safely feed patients who need assistance.
Outside mealtimes Sammy will help with practical takes such as answering the door to welcome visitors, top and up supplies like hand gel, masks. However, the key to Sammy’s Ward Helper role is the building of relationships with patients so that he can support them in a person centred way through small therapeutic interventions such as taking a patient in a wheelchair to spend time in the garden, taking short walks in the ward to maintain mobility, reminiscence and conversation to maintain mental stimulation and support good mood, sitting with a nonverbal patient listening to music to calm and relax them.
As a Vaccination Clinic Guide Sammy welcomes people to the clinics, guides them through the process giving explanations about what would happen next, how long things might take, giving directions, reassuring the nervous/making conversation with those who had been isolated often for months previously and supervising the post vaccination observation bay. Sammy’s cheerful manner and easy confidence help ensure that everyone feels valued and supported as they attend the clinic.
At the Meaningful Activity Centre Sammy supports patients one to one or in small groups through a range of person centred activities. There may be games or bingo to enjoy, looking at books and newspaper articles from yesteryear, listening to music or even karaoke to some old favourites, afternoon teas and the occasional dinner dance.
Whatever the activity Sammy is there leading the way and encouraging everyone to get involved, working at the understanding, confidence and enthusiasm level of the patient so that they feel comfortable and have a good time. contribution is invaluable.
While many of the patents Sammy supports are not able to articulate their gratitude verbally, it is obvious from the changes in their demeanour (not just while interacting with Sammy but following) that their time with Sammy has helped them to feel calmer, more settled and more at ease in the hospital.
Fewer children and young people should end up in care, thanks to a £500 million fund to help support families to stay together. Announced as part of the latest Programme for Government, the Whole Family Wellbeing Fund will help families to overcome challenges before they reach crisis point.
The fund aims to significantly reduce the number of children and young people in care by 2030 and will provide support on a range of issues, including:
In 2020 the Scottish Government made a commitment to thousands of care experienced children and adults to Keep The Promise. This included ‘where children are safe in their families and feel loved they must stay – and families must be given support together to nurture that love and overcome the difficulties which get in the way’.
Deputy First Minister John Swinney said: “We want to create a Scotland where more children will only know care, compassion and love, and not a ‘care system’.
“The Whole Family Wellbeing Fund, backed by at least £500 million over this Parliamentary term, will help us to make this a reality and prevent families reaching crisis point.
“Our ambition is that, from 2030, we will be investing at least 5% of all community-based health and social care spend in preventative whole family support measures that will enable us to continue to Keep The Promise.
“This fund, focused on prevention, will enable the building of universal, holistic support services, available in communities across Scotland, giving families access to the help they need, where and when they need it.”
Chair of The Promise Scotland Fiona Duncan said: “The Whole Family Wellbeing Fund is welcome and The Promise Scotland looks forward to working with the Scottish Government and others to ensure it leads to more children and young people staying together with their families, wherever it is safe for them to do so, to feel loved, and to receive the help and support they need, when they need it.
“The Promise Scotland continues to work to ensure Scotland Keeps the Promise and work is on track to deliver the first part of the transformative route map by 2024. This funding is a step in the right direction towards ensuring we all Keep the Promise.”
It was also announced in Programme for Government that as part of the work to Keep The Promise, young people who leave care will be able to access a new Care Experience Grant.
The £200 a year grant for 16 to 26 year olds, backed by annual investment of up to £10 million, recognises the financial disadvantages often experienced by those in care.
We are aware that hospitals across Lothian have benefited from funds realised from the Atlantic slave trade.
With colonialism and slavery being central to the national economy from the 17th to the 19th centuries, both Edinburgh and Lothians Health Foundation and NHS Lothian can be considered as joint descendants of the legacies of these donations and endowments.
We do not believe that there is a limitation period on such contributions and have a responsibility to address this legacy of colonialism, racism and slavery and use this learning to help remove inequality and shape a positive future for all.
We have made a commitment to research, understand and acknowledge our history so that we can learn from it and act. We will:
The impact of the roots of the slave trade is evident in the inequalities that we see today, with COVID-19 exacerbating and giving a public spotlight to these inequalities.
As an employer and healthcare provider we state without reservation that all staff and patients must be treated equally, irrespective of skin colour, culture, religion, sexuality, age, disability or gender.
We support the fundamental need for equality and inclusion at the heart of what we stand for. It is important that all staff and representatives of NHS Lothian, treat one another with care, compassion, dignity, and respect. These are a key part of our organisation values.
Working to embed diversity, equity and inclusion in everything we do
We believe better health for all is within our reach and in no way condone the actions of historical donors. Acknowledging and understanding this history and using this learning to inform our corporate objectives will support us to become a more diverse and inclusive organisation and help us to tackle racism, discrimination and inequality.
Though we have much to learn and more work to do, ongoing reviews of our internal processes and systems have already led to positive, practical changes in the way we work.
The following examples outline work that is already taking place:
LifeCare Edinburgh has received £1,000 from Arnold Clark’s Community Fund to help the charity deliver its essential care to hundreds of older people living across the North of the city.
The renowned local charity offers registered care, outreach activities and help at home services for older people. Established in 1941, the organisation supports elderly clients suffering with dementia, mobility issues, those experiencing isolation and loneliness, food poverty, mental health problems and offers dedicated support for carers.
LifeCare’s vital services have not stopped through the pandemic. Since March 2020, the charity has supported over 770 elderly individuals with vital positive support designed to protect and maintain the physical and mental health needs of some of the most isolated older members of the community.
The committed team has worked tirelessly to safely deliver essential care, practical help and companionship activities to ensure older people received the support they needed to stay well. The charity also launched several important new initiatives, such as their hugely successful meals on wheels service, specifically designed to help support the most isolated and vulnerable.
Margaret Stewart, Care Service Manager at LifeCare said: “Throughout LifeCare, we have worked tirelessly to ensure no client in need went without our dedicated support and contact.
“We have delivered over 7,500 hours of registered care through the crisis to date, over 10,000 hours of help within the home, made over 4,300 calls to carers most in need and served up over 10,000 hot nutritious meals to doorsteps.
“We simply could not deliver this vital care without the generous support from our funders. A huge thank you to Arnold Clark for this recent award which will help us to continue to care for those who need our help.”
Chief Executive and Group Managing Director Eddie Hawthorne said: “The Arnold Clark Community Fund is here to connect us with our local communities, and we’re delighted that we’ve been able to help LifeCare with this grant.
“The past year has been challenging for so many of us, which is why it’s important that organisations like LifeCare, who work so hard improve the lives of others, continue to get the support they need.
“We hope this grant will make a difference and help them continue to provide essential care to the elderly living in Edinburgh.”
For more information visit https://www.lifecare-edinburgh.org.uk/
