crisis – Page 7 – The NEN – North Edinburgh News

“Shocking”: Ambulance handover delays are threatening patient safety, experts warn

A new snapshot survey by the Royal College of Emergency Medicine has found that in August 2021 half of respondents stated that their Emergency Department had been forced to hold patients outside in ambulances every day, compared to just over a quarter in October 2020 and less than one-fifth in March 2020.

The survey, sent out to Emergency Department Clinical Leads across the UK, also found that half of respondents described how their Emergency Department had been forced to provide care for patients in corridors every day, while nearly three-quarters said their department was unable to maintain social distancing every day.

One-third said that the longest patient stay they had had in their Emergency Department was between 24 and 48 hours, with seven per cent reporting the longest stay to be more than 48 hours.

Dr Ian Higginson, Vice President of the Royal College of Emergency Medicine, said: “It is shocking to see the extent of the challenges faced by Emergency Departments across the UK.

“Holding ambulances, corridor care, long stays – these are all unconscionable practices that cause harm to patients. But the scale of the pressures right now leaves doctors and nurses no options.

“We are doing all we can to maintain flow, maximise infection prevention control measures, and maintain social distancing. Our priority is to keep patients safe, and ensure we deliver effective care quickly and efficiently, but it is extremely difficult right now.

“The data is stark, and this is August. Our members are really worried about what may come in autumn and winter. We have a duty to our patients and staff. Currently there is extremely high demand – for a number of reasons – but demand is not the whole picture.

“Demand presents a challenge because of the limitations of hospital space, workforce shortages, difficulties arranging quick ambulance handovers, smooth care and safe discharge of patients from wards, and a lack of services and alternatives to admission, particularly in the evenings and at weekends.

“The health service entered the pandemic short of staff, with less beds, and underprepared. Throughout the pandemic these shortages have been felt, but with demand higher than ever before, and with a workforce that is burned out, these shortages are felt more acutely than ever.”

Commenting on the increase in ambulance handover delays, Tracy Nicholls, Chief Executive of the College of Paramedics, said: “The College of Paramedics’ members also speak passionately about the potential for harm to those patients who, as a consequence of these lengthy ambulance handover delays, can wait an unacceptably long time for help. It is deeply concerning.

“Like the Royal College of Emergency Medicine, we recognise that all partners are working exceptionally hard to manage this situation and current demand. The reality is, however, that unless effective actions are taken now to ease the system pressures, more and more patients will face these delays as we head into another difficult winter, and both paramedics and ambulance clinicians across the UK will face the brunt of any further increase in demand.

“We urge NHS leadership to take action now to mitigate this risk wherever possible and protect both patients and our collective workforce from the inevitable pressure that we face if nothing is done.”

The survey also found that over 80% of respondents had little or no confidence in their organisation’s ability to safely and effectively manage the current or predicted combination of pressures as we head into winter.

Dr Higginson continued: “The final response that found an overwhelming lack of confidence signals something deeply troubling.

“The College has consistently warned of the upcoming winter and ongoing pressures. It is time we saw leadership and an equivalent response. There must be a comprehensive plan for the current demand and upcoming winter that include short- and long-term solutions to tackle these serious challenges.

“If ambulance services and Emergency Departments cannot cope with ongoing pressures, then it is patients and the workforce looking after them who will suffer. The winter could lead the health service into a serious crisis. Patients and staff must have assurance that they, their Emergency Department and their hospital will get what they need to manage.”

Edinburgh offers shelter to people from Afghanistan

Capital will offer a haven to Afghans escaping the turmoil in their homeland

The City of Edinburgh Council has been asked to offer shelter to a number of people fleeing Afghanistan.

The capital will offer a number of places for permanent resettlement, as well as responding to the Home Office’s urgent request to accommodate a cohort of people on a temporary basis, as the security situation in Afghanistan deteriorates.

Due to the speed with which plans are being developed, details – including exact numbers and location – are still to be confirmed. Work will continue with the Home Office and partners and particularly services such as education and health to coordinate arrival and support planning.

Council Leader Adam McVey said: “Nobody can fail to be shocked and appalled to witness the desperate situation unfolding in Afghanistan. As a city we stand ready to help in whatever way we can.

“We’re in contact with both the UK and Scottish Governments to develop plans for how best we and our partners can offer support and housing to as many Afghans in need as possible. Edinburgh stands ready to welcome people to ensure they are immediately safe as well as welcoming new citizens to live in our city.

“We hope to be a position to confirm the level of Edinburgh’s involvement very soon. Meanwhile we continue to work rapidly with partners in the city to ensure that support is in place for people fleeing for their lives.”

Council Depute Leader Cammy Day said: “Scotland’s Capital has a long and proud history of welcoming people escaping desperate circumstances such as this.

“Our highly skilled team has an excellent track record over the last five years, successfully welcoming, supporting and settling more than 500 new residents displaced by the Syrian civil war into our city.

“I’m sure our communities will join us in doing everything they can to support those fleeing the horrendous situation we are all seeing in Afghanistan.”

Lowest ever levels of A&E performance show NHS ‘near boiling point’

‘the reality is that the NHS is really struggling’

Responding to the latest set of performance figures released by NHS England for July 2021, President of the Royal College of Emergency Medicine, Dr Katherine Henderson, said: “The NHS has been running hot for months now and these figures show we are nearly at boiling point.

“We are worried that the public think that things are getting back to normal on the virtual eve of a further reduction in restrictions, and messages from the centre that says things are OK are disingenuous – the reality is that the health service is really struggling.

“Four-hour performance has sunk to its lowest ever level, we have levels of 12 hour waits we would usually associate with winter, and July saw the second highest ever number of attendances across emergency care units. Yet there is no sign of rescue ahead of winter. Despite our calls for action, crowding is back with us and is compromising patient care.”

Performance figures for Emergency Care for the NHS in England in July 2021 showed that:

there were 1,431,499 attendances at major Emergency Departments – the second highest on record
67.7% of patients waited less than four hours from arrival to admission, transfer, or discharge in Type 1 EDs – the lowest percentage on record
the number of patients waiting more than four hours after a decision to admit them stood at 89,768 – this is a 30% increase compared to June 2021 (66,619) and is the third highest ever
the number of patients waiting more than 12 hours after a decision to admit them stood at 2,215 – by far the highest July figure on record (second highest is 451 from July 2019).

Dr Henderson said: “The NHS was in a pretty dreadful state going into the pandemic – we were seeing record waits across the board, due to insufficient resourcing – but the sheer determination of an overstretched workforce, combined with a ‘whatever it takes’ approach, got us through.

“The problems that were with us before the pandemic have not gone away. Not only do they remain but are now much worse due to the impact of Covid, as these figures make crystal clear.

“The ambulance service saw thehighest ever number of ambulance callouts for life threatening conditions in July, and we saw ‘trolley waits’ in hospitals go up by 30% on the previous month. This means there have been delays offloading ambulances and patients have experienced long waits to be seen and moved to a bed if they need admission.

“Emergency Departments are very, very busy.

“There has also been a steady rise in Covid presentations and even though numbers are still low all the infection risk concerns remain in hospitals, further depleting capacity. Staff have had no let up and are worried about what the winter will be like if this is where we are in the summer.

“Demand is driven by multiple factors – difficulties accessing primary care, complications of chronic conditions, new presentations of significant illness and waiting list patients with on-going symptoms and no sign of getting their care sorted any time soon.

“NHSE recommends patients to access help via 111 but unless the system is responsive and clinically supported and other options available that advice too often defaults to go to the Emergency Department. Local health systems must ensure adequate urgent care facilities for their communities, letting Emergency Department have capacity to treat the seriously ill and injured.

“The other side of this is problems with supply – we do not have enough staff, beds, or equipment. There is still no plan for social care, which has a huge impact on the NHS. These have been issues for some time, but on top of this is the growing waiting list for elective care, staff absence due to a combination of leave and necessary self-isolation, and an even lower bed capacity due to infection prevention control measures.

“We fear for what winter may hold; we know it will be worse than now but a heavy flu season, another potential Covid surge and an understandable desire not to cancel elective care this winter could cripple us and put patient safety at risk.

“NHS Trusts must do all that they can to wring out every drop of capacity ahead of winter and the Department of Health and Social Care must extend ‘discharge to assess’, which made a significant difference freeing up beds during the pandemic. There has been a sustained rise in the number of patients experience long stays in hospital, and this funding is critical to freeing beds and maintaining flow in hospitals.

“We also need clarity in terms of performance – we are currently in a performance vacuum with Trusts uncertain about what they need to focus on. Implementing some of the metrics proposed by the Clinical Review of Standards is vital ahead of winter. We need to operationalise the metric of a maximum of a 12 hour stay from point of arrival. This will be a small step to reducing exit block, and allow timely ambulance offloads.

“While the NHS rollout of the vaccine has been an incredible success, parliament must not take its eyes off the ball regarding the state of the NHS. This autumn’s spending review – one which has not been put out to consultation – is an opportunity for the government to further signal it’s ‘peace time’ commitment to NHS funding and help prevent the NHS from boiling over this winter.”

The situation in Scotland is also giving cause for alarm. Lothian MSP, Miles Briggs is ‘very concerned’ A&E waiting times aren’t showing signs of improvement.

Miles Briggs MSP said: “NHS Lothian is in desperate need of an injection of funds to alleviate pressure on services.

“Years of chronic underfunding and a global pandemic has left staff on their knees, struggling to meet the increased numbers of patients attending A&E.

“SNP Ministers must take responsibility for allowing the situation to get to this point and immediately fund NHS Lothian properly to start getting services back to normal.”

https://www.publichealthscotland.scot/publications/nhs-performs-weekly-update-of-emergency-department-activity-and-waiting-time-statistics/nhs-performs-weekly-update-of-emergency-department-activity-and-waiting-time-statistics-week-ending-1-august-2021/

City council prevents more than 300 households falling into homelessness

In just over a year, more than 300 households living in the private rented sector have been prevented from becoming homeless thanks to city council’s Crisis-run Private Rented Service Team (PRS).

Established in November 2019 in response to a growing number of homeless presentations from the private rented sector, the Private Rented Service (PRS) Team has assisted 324 households since March 2020. This has been done by helping them to keep their existing tenancy or to move to either a new private or mid-market rent secure tenancy.

Edinburgh Help to Rent, which is a service the Council contracts Crisis to deliver, does this by providing rent deposit guarantee bonds. It has provided 50 households with a bond to access properties in the private rented sector since February 2020.

This comes as part of a wider update on the City of Edinburgh Council’s Rapid Rehousing Transition Plan (RRTP), a comprehensive strategy to tackle and eradicate homelessness across the city over the next five years, that was presented at the Housing, Homelessness and Fair Work committee this month.

The Council has made significant investment, complemented by Scottish Government funding, to deliver the Plan, which is focused on providing:

suitable temporary accommodation for the needs of households;

supporting people into settled accommodation as quickly as possible;

reducing the number of people sleeping rough on our streets; and overall preventing homelessness in the first place.

The RRPT sets out all the different approaches that are key to tackling a wide range of issues faced by people across the Capital.

Alongside the PRS Team, a team has been set up to provide a ‘multi-disciplinary response’ pilot for Council tenants who are struggling to maintain their tenancy or who are falling into rent arrears.

This multi-agency approach across the Council aims to reach out to our tenants who may not engage with their locality Housing Officer, to offer joined-up support and enhanced engagement to help keep the tenant in their home and so avoiding homelessness.

Learning from a similar successful innovative programme by Newcastle City Council, this brings together representatives from key Council services including housing, homelessness, advice services, family & household support, adult protection and children and families social work services into one cross-Council response group.

Established as recently as February 2021, since March this year the team has positively engaged 16 (84%) of 19 tenants referred to the team. A further 14 have since been referred and attempts are being made to contact them and offer support.

The Homelessness Transformational Prevention Programme complements the RRTP. Through this programme the Council has recruited 28 additional officers to trial new ways of working that will prevent homelessness in the first place.

When a permanent home can’t be found immediately, the team will continue helping people to access settled housing more quickly, thereby reducing the number of households in temporary accommodation. Through joint funding by the Council and Scottish Government, the RRTP has made this investment possible.

Councillor Kate Campbell, Convener of Housing, Homelessness and Fair Work committee said: “With the severe pressure on housing in Edinburgh, we need to take every possible step we can to tackle homelessness in our city.

“That includes stepping up work on prevention, improving temporary accommodation, making sure that there is support in place for anyone experiencing homelessness, ending rough sleeping and finding as many ways as possible to help people resolve homelessness. The Rapid Rehousing Transition Plan sets out all the different initiatives we’ve put in place to do that.

“This has to start with preventing homelessness wherever possible, so I’m glad that both the PRS Team and the multi-disciplinary response team are working so well. Preventing 300 households from becoming homeless in a year is phenomenal and it shows the real value of the RRTP supporting innovation and new ways of working. This funding from the Scottish Government allows us to try out new services, and where they are successful we can continue, and look to expand them.

“This is more important than ever as we start to see the economic repercussions from the pandemic and expect an increase in homeless presentations.

“The RRTP is a comprehensive plan that sets out all of these new services and innovative ways that we are supporting people to create better outcomes for individuals, and work towards ending homelessness in our city.”

Councillor Mandy Watt, Vice Convener of Housing, Homelessness and Fair Work committee said: “Being homeless can be a horrible experience for people and finding better ways to prevent it is an incredibly important part of the Rapid Rehousing Transition Plan.

“Working with registered social landlords and partner organisations like Crisis has already made a big difference to the numbers of people ending up homeless.

“As we come out of the Covid-19 emergency measures, the need for this service is likely to increase significantly and we’ll be relying on our dedicated prevention team to play an even bigger role in our efforts to end homelessness in Edinburgh.”

Independent local support is available if you are experiencing housing/debt problems. Contact Granton Information Centre by email at info@gic.org.uk or telephone 0131 551 2459 or 0131 552 0458.

Letters: Join Crisis’ Race to End Homelessness

Dear Editor

Across Scotland there are thousands of people currently living without a home – whether that’s in hostels or B&Bs, sofa-surfing with friends and family or living on our streets. That’s not something we, as a society, should accept as the norm.

Homelessness is not inevitable – and we can all do our part to end homelessness for good. At Crisis we provide direct support to people affected by homelessness, we campaign, and we fundraise so that we will one day be part of the change that helped end homelessness for good across Great Britain.

But to do that, we need your help.

In March, we will host the first ever Race to End Homelessness, a 5km or 10km walk or run around Edinburgh city centre to raise vital funds to help lift people out of homelessness through one-to-one support, in areas such as housing and employment.

Those that take part will take on the scenic route around the city, starting in Holyrood Park, heading around the foot of Arthur’s Seat, before climbing up Calton Hill and then heading back in to the city and ending at The Glasshouse, the prestigious hotel which has partnered with us for this event.

It’s just £20 to register, with a fundraising target of £50. Whether you’re a keen walker or runner, or if you simply fancy taking on a new challenge, why not sign up and help Crisis in its mission to end homelessness.

Yours sincerely

Grant Campbell

Director of Crisis Scotland

New legislation will reduce time spent in B&Bs and hostels

Anyone facing homelessness will spend no longer than a week in unsuitable accommodation like bed and breakfasts under new legislation.

The seven day limit on unsuitable temporary accommodation which currently covers families with children and pregnant women will now be extended to protect everyone at risk of homelessness.

Announcing the changes, which will come into effect by May 2021, Housing Minister Kevin Stewart said: “We know that people living in these unsuitable environments can for too long often lack cooking or washing facilities, and some have reported that they cannot have visits from family or friends.

“These experiences have a detrimental effect on people’s physical and mental wellbeing, preventing them from rebuilding their lives.

“While temporary accommodation can offer an important emergency safety net for anyone who finds themselves homeless, such as those fleeing domestic violence, it should be a purely temporary measure.

“In Scotland we are already world-leading in tackling homelessness, and now this new legislation, which is a UK first, will make sure that the time anyone spends in unsuitable temporary accommodation is as short as possible before moving to a more appropriate, permanent home.

“We recognise the importance of a settled home in supporting people to live their life with good health, wellbeing and a sense of community and belonging.

“That’s why we’re investing £32.5 million, which includes more than half of our £50 million Ending Homelessness Together Fund, to support local authorities to prioritise settled accommodation for all.”

Research published by Crisis last year gathered experiences of 74 people across Edinburgh, East Lothian, Glasgow, Midlothian, Aberdeenshire and Highland who have faced months in unsuitable temporary accommodation such as B&Bs.

It showed that these experiences damage people’s mental health and job prospects, entrenching their homelessness.

Jon Sparkes, Chief Executive of homeless charity Crisis, said: “We strongly welcome the announcement that the Scottish Government will change the law so that people will no longer have to live in the most unsuitable forms of temporary accommodation for longer than seven days.

“This marks a major achievement for our Life in Limbo campaign, a three year project which has sought to put an end to lengthy and dehumanising stays in unsupported hostels, hotels and B&Bs.

“This decision is a recognition of the resolve of our clients to shine a light on the inhumane conditions they were experiencing and the determination to ensure no one else was subjected to these prolonged stays.

“Making sure that everyone has a home where they can begin to rebuild their lives benefits all of us. Once again Scotland has shown it is a world leader in tackling homelessness and this commitment is a major step forward towards it being the first nation in Great Britain to end homelessness for good.”

i_wont_last_long_in_here_experiences_of_unsuitable_temporary_accommodation_in_scotland_-pdf

Patel calls for end to violence in Burma as more aid is sent to support stricken Rohingyas

International Development Secretary Priti Patel has repeated calls for an end to the violence in Burma (Myanmar) which has forced hundreds of thousands of people to flee their homes to seek safety in neighbouring Bangladesh. Recognising the ‘unprecedented scale’ of the crisis in Bangladesh and Burma, Britain is providing an additional £25 million to meet the urgent needs in both countries of those affected by the violence. Continue reading Patel calls for end to violence in Burma as more aid is sent to support stricken Rohingyas

Thousands of struggling Scots aided by crisis fund

More than 200,000 low income households have received grants to help them through difficult times, thanks to the Scottish Welfare Fund. New figures show that since the scheme was set up in April 2013, £97.9 million worth of grants have been given to nearly 204,000 households in Scotland. Continue reading Thousands of struggling Scots aided by crisis fund

The worst of times: 60,000 Scots families receive emergency aid

£81 million support for Scots in crisis

More than 178,000 vulnerable households, including around 59,000 families with children, have received essential help to buy everyday products like nappies, food and cookers through the Scottish Welfare Fund. Continue reading The worst of times: 60,000 Scots families receive emergency aid

‘A country of extraordinary compassion’: UK to welcome up to 20,000 refugees

‘this is a country of extraordinary compassion, always standing up for our values and helping those in need.’ – Prime Minister David Cameron

The Scottish Government has welcomed Prime Minister David Cameron’s announcement that Great Britain is to give refuge to up 20,000 Syrian people and has offered to work with Westminster to tackle the humanitarian crisis.

Speaking in the House of Commons yesterday, the Prime Minister said: “Britain already works with the UN to deliver resettlement programmes and we will accept thousands more under these existing schemes. We have already provided sanctuary to more than 5,000 Syrians in Britain and have introduced a specific resettlement scheme, alongside those we already have, to help those Syrian refugees particularly at risk.

“But given the scale of the crisis and the suffering of the Syrian people it is right that we should do much more. So Mr Speaker, we are proposing that Britain should resettle up to 20,000 Syrian refugees over the rest of this Parliament.

“In doing so we will continue to show the world that this is a country of extraordinary compassion always standing up for our values and helping those in need.”

The Scottish Government has repeatedly called on the UK Government to play a part in a co-ordinated European response to this emergency humanitarian issue and has pledged to take a fair and proportionate share of refugees in Scotland.

Responding to the Prime Minister’s announcement, Scotland’s Minister for Europe and International Development Humza Yousaf said:

“As made clear by the First Minister at last week’s emergency humanitarian summit, Scotland is willing to take our fair share of refugees to help some of the most vulnerable people in need.

“We welcome the Prime Minister’s shift in attitude and late recognition that the UK has a role to play as an important first step. The 20,000 refugees over five years should not be seen as a cap or an upper limit and we must also play our part in responding to the crisis on the southern European coast line.

“We believe that the UK Should opt in to the EU relocation scheme and while the Prime Minister has made clear that the year one resettlement will be funded from the UK international aid budget, we seek urgent clarification on the impact that this will have on the work of existing aid projects.

“The refugee situation is at crisis point now and stretching UK support and refugee intake over the next five years means a number of people who could be helped immediately will be left without the vital help they need.

“We want to work constructively with the UK Government and the First Minister has again, today, written to the Prime Minster outlining the proceedings of Friday’s summit which focused on looking at some of the practical issues involved in integrating those who come here to seek protection.

“Today, I met with the Scottish Refugee Council to discuss the immediate service provision required to take in refugees and tomorrow I will chair the first meeting of the taskforce which will bring together stakeholders from across Scotland in the areas of local government, housing, health services, language support, transport and social services and will co-ordinate Scotland’s humanitarian and practical response.

“This is first and foremost a humanitarian crisis and it requires a humanitarian response. The overwhelming support we have seen from the Scottish people over the past few days shows our willingness to help the most vulnerable in the world.”