Care workforce specialist answer to sector’s staff problems

Radical changes need to be made to the planning and recruitment of social care workers in Edinburgh to offset an impending care crisis.

With the role and value of social care at unprecedented levels owing to the pandemic, Edinburgh Health and Social Care Partnership [HSCP] is being urged to look at digital workforce mapping technology to support the care of the region’s most vulnerable citizens.

The call is being made by innovative care workforce specialist Netli who has developed a range of solutions – working in consultation with multiple industry organisations – to resolve the serious challenges faced in Edinburgh.

Netli has provided Edinburgh HSCP with a detailed proposal offering to support the provision of local care services and is seeking talks with senior officers and department heads to outline the plan in more detail.

The move follows a call in an Independent Review for a National Care Service to be formed, which also underlined the importance of better workforce planning and development to reduce the impact of ever-worsening recruitment and retention problems.

It is estimated that 36,000 people in Scotland do not have access to the care they need. Care UK estimates over 1.4 million people across the UK currently have unmet care needs, with delayed discharges due to the lack of social care costing the NHS more than £500 every minute.

Stephen Wilson, CEO and co-founder of Netli, said that as the sector is not growing fast enough – due to inherent difficulties with recruiting and retaining staff – it is unable to keep up with the increasing demand for care services caused by an ageing population. A care crisis is not just looming, but is happening right now.

Stephen said: “People are already being denied vital care – but that position is only going to get worse if we don’t change the failed ways of the past and look to digital technology to sort out this workforce problem.”

Netli’s solution involves collating workforce data from care providers and making this available to HSCPs like Edinburgh HSCP in real-time. This would offer detailed information to help HSCPs with current and future workforce planning, identifying risks and threats within the industry, comparing and benchmarking against regional and national data, and identifying the necessary supports for care providers.

Stephen Wilson, CEO and co-founder of Netli, said: “Our proposal will enable HSCPs like Edinburgh HSCP, and those across the country, to gather and access valuable data which will help them to understand how to better manage the planning, recruitment and retention of social care staff.

 “For example if we can monitor what impact Brexit, Covid or a closure of an individual care provider will have, it means you can react and impose a solution before serious damage is done.

“Having continual access to real-time workforce data, combined with the other integrated workforce tools we have devised, will help to attract applicants to the care sector, improve staff retention and mitigate the risk of provider failure, lost revenue and unmet needs.”

Around 206,000 people work in social care in Scotland, but the Scottish Social Services Council predicts the social care workforce must grow by 2.2% each year.

However, the sector had around 14,000 vacancies and growth has stalled at just 1.2%. It comes as the Scottish Government acknowledges that “recruitment and retention of staff working in the social services sector has long been seen as key to improving service provision, standards and outcomes”.

Stephen said: “The facts speak for themselves: we need to radically improve the way we manage and process recruitment in the social care sector.

“But, crucially, as well as the pandemic shining a new light on the importance of good social care, it has also provided a platform to showcase a career in social care like never before.

“The new respect and value that social care now has should act as a trigger to encourage people in say, retail, hospitality or travel who have lost their jobs because of the pandemic, to take up new roles in social care.

“So when the UK opens up post-Covid, social care can be a key sector to support the economic recovery of the nation. “

Netli plans to contact all HSCPs in Scotland – as well as consulting with the Scottish Government – with the aim of securing country-wide support and take-up of its services. They also want to speak to care providers who can become ambassadors to press for change with local authorities.

Stephen added: “We believe we can play a key role in helping HSCPs and Scottish Government to ensure the continuous provision of consistent and uninterrupted care in communities across the country.

“Every person employed into the care sector will positively impact the lives of at least three people in need of support. This year, Netli wants to help at least 10,000 people to gain employment in the care sector who, in turn, will support 30,000 people.

 “But if we secure the wide scale take-up from local authorities, and from those in Scotland, that we are looking for, we could see 100,000 jobs being created.”

Netli’s proposal to Edinburgh HSCP  – titled ‘The Continuous Provision of Consistent and Uninterrupted Care’ – consists of three integrated solutions to cover the entire lifecycle of the care workforce:

CareJob.co – a job board specific to vacancies in care, developed to increase recruitment into the sector;

Workforce – an end-to-end recruitment and HR system built specifically to speed up and improve the recruitment and retention process for care providers; and

Workforce Portal – a database of available care workers, giving care providers 24/7 access to a permanent pool of staff to reduce the risk of staff shortage.

The company, which rebranded to Netli from its previous name Novacare in preparation for its planned expansion this year, has developed its product offering over the last five years in direct response to the care industry’s demands for bespoke support and solutions.

Street Support Edinburgh: New digital service for homeless people in the Capital

A DIGITAL service, to add to the support available for people in Edinburgh
who are homeless, has been developed by researchers and community
partners, including leading Scottish homelessness charity, Simon Community
Scotland.

The website and an accompanying app – called Street Support Edinburgh –
provides advice, support and resources for homeless and vulnerable people,
plus the wider Edinburgh community who want to help and emergency services
personnel.

Street Support Edinburgh has been developed as part of a project by the
University of Edinburgh’s Centre for Homeless Inclusion and Health (CHIH)
and the Manchester-based Street Support Network.

Information includes providers of meals, drop-in services, food banks and
accommodation.

The digital hub also features advice on financial help, health services
and training and employment opportunities.

Organisers say the resource provides a vital service to vulnerable people
and the community by providing accessible information in one easy-to-use
location.

Advice on Covid-19 and support available during the pandemic has also been
added.

The information hub has been launched by the University of Edinburgh and
the leading homelessness charity, Simon Community Scotland, which runs the
Streetwork service in Edinburgh.

Researchers at the University’s School of Informatics have assisted with
technical aspects of the project.

Street Support Edinburgh features content from more than 30 organisations
and has been backed by both Police Scotland and The City of Edinburgh
Council.

The platform is the first resource of its type  in Scotland. Organisers
are hoping to offer similar digital provision elsewhere in Scotland.

Dr Fiona Cuthill, director of the Centre for Homelessness and Inclusion
Health at the University of Edinburgh, said: “Street Support Edinburgh is
a great opportunity for the University of Edinburgh to build on our
existing community networks and to work together to help to reduce
homelessness in our city.”

The Street Support Network has assisted in the launch of similar Street
Support services in several locations in England, such as Portsmouth and
Cambridge.

Lorraine McGrath, chief executive, Simon Community Scotland, said: “A year
of Covid-19 has been hugely challenging, but it has also forced all of us
to rethink how we deliver our services and reach the most vulnerable
people on our streets, with some incredible outcomes.

“Lockdown created the opportunity for organisations in Edinburgh to come
together and almost eradicate rough sleeping in the city. It has shown us
what we can achieve by collaborating, being creative and keeping people at
the heart of what we do.

“Street Support Edinburgh is a natural progression for us in connecting
the talent, expertise and commitment of people and organisations across
the city in preventing homelessness and the need for anyone to ever have
to sleep on our streets.”

The Street Support Edinburgh website is available to access at
https://streetsupport.net/edinburgh.

The app is available to download from the Apple App and Google Play stores.

Colin Beck, chair of the Edinburgh Health and Social Care Partnership at
The City of Edinburgh Council, said: “I welcome this innovative way of
providing information, which will help people connect.

“Knowing how and where to get help and support is a crucial component of feeling included. I realise there are access issues for some people and we must search for
solutions to help people connect.”

Picturing Health exhibition is live

Picturing Health is a photovoice project by Media Education and Edinburgh Health and Social Care Partnership.

The purpose of Picturing Health is to start a conversation with everyone in Edinburgh about how we see the future of health and social care. Health is a social issue which affects us all and the communities in which we live our daily lives.

People across Edinburgh were asked to take a photograph about what health means to them. These photographs tell a story about what health means to people in Edinburgh – what needs to change, what we cherish and what we want to celebrate and protect.

The Picturing Health exhibition launched last month and is now on the wall at Waverley Station. Orgainsers hope the pictures will generate conversation and inform health and social care services in Edinburgh moving forwards.

You can view these images at our exhibition at Waverley Station and in our online gallery at the updated picturing-health.com.

We would like to express our special thanks to everyone in Edinburgh who took photographs for this project. Your willingness to share your experiences creatively has brought this exhibition to life.

It’s also not too late to submit your own photograph and have your voice heard!

Drive-through flu vaccination clinics open in Edinburgh

Drive-through clinics have been opened by the Edinburgh Health and Social Care Partnership (EHSCP) in Edinburgh this weekend to make it as quick, safe and easy as possible for people to get their flu vaccine.

The clinics will continue to operate on weekends in October and November and each site can vaccinate up to 500 people a day.

As well as over 65s, pregnant people and those at risk due to existing health conditions, this year unpaid carers and those who lived with people who shielded during lockdown will be offered a free flu jab.

By developing flu drive throughs, everyone entitled to a free flu vaccine from a household can attend at the same time. For those who don’t have access to a car, a series of walk through clinics are being arranged and Edinburgh locations will be available on the NHS Inform website once confirmed.

Keeping the people of Edinburgh safe and healthy is a priority, so before the jab is administered, a nurse will ask some questions to make sure it is safe to administer the vaccine. The person receiving the jab doesn’t need to leave their car and will also be asked to wait 15 minutes before leaving the clinic to ensure there’s no reaction to the vaccine.

If you are eligible for a free flu vaccine, or for more information, go to www.nhsinform.scot/flu to find out where you can get your jab in Edinburgh. If you qualify for a free vaccine you’ll be given a time to attend a clinic after completing a short questionnaire.

Judith Proctor, Chief Officer for the Edinburgh Health and Social Care Partnership, said: “As part of our mission to support a caring, healthier and safer Edinburgh, we’re committed to making it even easier to get a flu vaccine this year. The flu vaccine is an important health protection measure and we want to make sure that everyone who is eligible has access to the vaccine.

“To keep the people of Edinburgh safe, and to respect physical distancing measures, we have confirmed a range of Edinburgh venues to offer access to the flu vaccine, including a drive through service at sites across the city. This is the first time a drive through model has been used for vaccinations in Scotland, and could provide a blueprint for how to deliver vaccination programmes successfully in the future.

“Details of where people can go to receive a flu vaccine will be available on the NHS Inform website.”

Blackhall Medical Centre, Muirhouse Medical Group, Crewe Medical Centre and Davidson’s Mains Medical Centre patients will be directed to a walk-through facility at Pennywell All Care Centre or the drive-through at Scottish Gas HQ on Granton waterfront.

Campaign against ‘alarming’ cuts to health and social care

Edinburgh residents are being asked to write to their councillors and MSPs to stop devastating reductions in vital services.

Sexual health, support and rehabilitation for substance abuse, support for independent living and an improved quality of life for people with disabilities will all be affected by a £8.95m budget cut.

“These cuts to services go against the expressed desire of citizens and the Council to tackle poverty in our city”, says Lorna Frost of Edinburgh East Save Our Services. “It’s time to make sure our elected representatives really listen to us. 

“We have already emailed our councillors and MSPs and hope others will join us in doing this. An email that people can use or adapt is included below and the email addresses for councillors can be found here:

https://democracy.edinburgh.gov.uk/mgFindMember.aspx

and MSPs here

https://beta.parliament.scot/msps/current-and-previous-msps)”.

“The pandemic has shown how much we depend on good health care, good education & good services. Coming at any time these cuts would have a terrible impact on some of the most vulnerable people in our city.

“In the wake of lockdown and with the prospect of a winter second wave of Covid19, the effect will be devastating.

“What’s more, these cuts and any short term savings are false economies. Reducing services which ensure sexual health, support and rehabilitation for substance abuse, support for independent living and an improved quality of life for people with disabilities is inefficient economically. 

“We know we need each other and care for each other. Our elected representatives must concentrate on ensuring integrated, properly funded services to tackle the hardship and suffering many people face. 

“This may mean borrowing and putting pressure on the Scottish government to provide sufficient funding. But in every consultation Edinburgh folk have said that this support is more important than creating a playground for visitors.”  

Email below. Change it or send your own. For more information on campaigning go to EESOS Facebook page – all ideas welcome:

Dear …………….

We are alarmed at the current measures to reduce health and social care services in the city. (We refer to the Phase Zero cuts agreed by the EIJB (Edinburgh Integration Joint Board).

The expressed desire of citizens and the Council is to tackle poverty in Edinburgh. This is wanted for humanitarian reasons.

We are also certain that these cuts and any short term savings are false economies. Reducing services which ensure sexual health, support and rehabilitation for substance abuse, support for independent living and an improved quality of  life for people with disabilities is inefficient economically. 

Austerity policies and the current pandemic have shown up the lack of resilience in our public services. 

We call on you as our representatives to take a stand.  This may mean borrowing and putting pressure on the Scottish government for sufficient funding.

Please assure us that we can rely on you to commit to integrated, properly funded services to tackle the hardship and suffering many people face.

Regards

———————————————————————————————————-


Edinburgh Health & Social Care Partnership launches consultation on ‘Edinburgh Pact

Fill in our short survey and tell us what health and social care means to you.

What is the Edinburgh pact?

We want to build thriving communities in Edinburgh and embrace the opportunity to create a different type of relationship with residents, communities and organisations across the city. 

We are starting a conversation to build the Edinburgh Pact. The Edinburgh Pact will be an agreement between the Partnership and everyone who lives and works in Edinburgh. Our first step is to listen and learn what health and social care means to you. 

Judith Proctor, Chief Officer, explains why your ideas and comments are so important:

Why are we developing this now? 

During the pandemic we have seen people and communities across Edinburgh rally together to support one another, helping and caring for people who might be struggling.  We have also seen organisations and charities work together and produce solutions to support communities during this difficult time. We want to build on this.   

We know that we face some real challenges for our health and social care system. The population is ageing, demand for services is increasing and our funding is not expected to grow at the same rate as the population. We need to think boldly about what can be different. 

How do I get involved?  

Take a few minutes to fill in our short survey 

Greens raise concerns around home-care support

Lothian MSP Alison Johnstone has called on the region’s Health and Social Care Partnerships to urgently address concerns around the reduction in provision of home-care support, which has left many disabled people in an extremely difficult position.

Reports suggest that the Lothian region’s Health and Social Care Partnerships have reduced their visits by 356 in total, leaving many vulnerable people struggling to cope – a matter the Scottish Greens raised in parliament this week.

Alison Johnstone MSP said: “The figures published this week raise major concerns, There is huge disparity around the country, with the City of Edinburgh Health and Social Care Partnership reducing their clients by 240, East Lothian by 44, Midlothian by 24, and West Lothian by 48, while at the same time Angus increased its by 80.

“The Scottish Government confirmed that extra support is available and that if more is needed it will be provided, so our Health and Social Care Partnerships must confirm that they will immediately access this support and restore home care visits.

“I’m extremely concerned about the impact of these changes, which result in some people having their support packages dramatically reduced, and others losing support entirely, with many then forced to rely on family members for personal care, meals and medication.

“The impact on the mental wellbeing of disabled people, particularly in terms of social isolation which can disproportionately affect disabled people, is a huge concern. While its vital that care is restored as quickly as possible, the immediate roll-out of online or remote mental health resources would be really valuable right now.”

 https://www.bbc.co.uk/news/uk-scotland-52415302

Coronavirus: City daycare services to cease TOMORROW

The UK government intimated yesterday that Britain’s over-70s will ‘soon’ be told to self-isolate for four months to stop the spread of coronavirus. Things are moving at breakneck speed, though, and that ‘soon’ is NOW – and  hundreds of older people across the city will find themselves without much-appreciated daycare centres TOMORROW.

Older people’s organisations were advised this morning that their daycare services should be ‘stepped down’ from TOMORROW. Local services affected include Pilton Equalities Project and Drylaw Rainbow Club Daycare Centre in Drylaw Church, who have been asked to devise alternative ‘social distancing’ provision.

Edinburgh Health and Social Care Partnership contacted organisations in receipt of grants at 11.30 this morning. It said:

I am writing to you as recipients of grants and as organisations that currently run activity based services for older people in Edinburgh. I wanted to share with you that today we wrote out to all providers of day care opportunities for older people to confirm a difficult decision that we have taken as a Partnership, which I’m sure will not come as a surprise, in light of the recent Scottish Government guidance published last week (attached for your reference).

It has been recommended that long term care facilities be subject to ‘social distancing’ to reduce the risk of infecting residents and their carers. This includes social isolation in rooms and removing communal mealtimes wherever this is possible. This will be a difficult time for many people and these are not decisions taken lightly but ones to reduce the risk of mortality in this particularly vulnerable group.

We have therefore decided to suspend all our own day centres and step down commissioned day opportunities until further notice.

We have advised providers that Monday arrangements should continue as planned with service users, carers and families informed that this will be the last day of service for the foreseeable, as in the current evolving circumstances, we are struggling to justify bringing vulnerable people together.

We of course acknowledge that there is significant therapeutic and social value but we cannot in good faith increase the potential risk of harm to people that we support. For this reason, I am certain that you will understand and agree that this is the right decision to be taking just now, based on what we currently know.

We would strongly recommend that you do the same, and stand down your current grant funded activities. Where possible, we would also ask that you activate your business continuity plans and ensure that you can provide alternative provision, targeted at those that need it most to remain independent and safe at home.

Those for whom attendance at your services provides an alternative to a contact which would otherwise be homecare, we would ask you to look at in relation to essential visits and telephone contact arrangements, where possible. If this creates additional demands that cannot be met you should contact Social Care Direct in the first instance so that any additional needs can be considered accordingly.

We will be reviewing the risk profile of all our services and endeavour to return to ‘business as usual’ as soon as, on balance, it is the right and reasonable thing to do. I cannot hand on heart tell you when this might be, the next period is somewhat unprecedented. We’re therefore going to need to be resilient and support each other.’

An attached letter from Judith Proctor, Edinburgh Health & Social Care’s Chief Officer, said:

I am writing to confirm a difficult decision that we have taken as the Edinburgh Health and Social Care Partnership which affects either you personally, a family member, or someone you care for.

I want to reassure you that we are taking all available measures to ensure the health and wellbeing of our service users and our carers. At this current time, based on what is known of COVID-19 and other similar respiratory viruses, it is likely that older people and those with chronic medical conditions may be more vulnerable.

Recent Scottish Government guidance recommended that long term care facilities be subject to ‘social distancing’ to reduce the risk of infecting residents and their carers. This includes social isolation in rooms and removing communal mealtimes wherever this is possible.

We have therefore decided to suspend all our own day centres and step down commissioned day opportunities until further notice.

This means that as of 17th March 2020, if you, or someone you care for, regularly attends a day centre, this will no longer continue. We will of course review this decision regularly, as we learn more.

This will be a difficult time for many people and these are not decisions taken lightly however in the current evolving circumstances, we are struggling to justify bringing vulnerable people together. We cannot in good faith increase the potential risk of harm to you or your loved ones.

For this reason, I am certain that you will understand and agree that this is the right decision to be taking just now, based on what we currently know.

Alternative arrangements are being made to ensure that you personally, or someone you care for, continues to receive the support needed to remain at home and they will be contacted to confirm what these arrangements are.

This may include home visits, telephone contact arrangements or alternative arrangements to meet individual needs.

Staff at PEP have spent the day reorganising the service they can provide to their clients, many of whom are frail and elderly.

PEP Manager Helen Tait said: “We are planning to identify the most vulnerable and provide meals, and things like shopping – if there is anything left on the shelves, of course!   All staff will be supporting our service users where needed.”

A spokesperson for Drylaw’s Rainblow Club Daycare Centre said: “The Centre will still be staffed and are open for anyone that requires care at home, shopping or meals. If you know of anyone requiring our services please call us on 0131 343 6643.

“These are difficult times – lets all pull together and keep safe.”

Thrive Edinburgh to explore mental health matters across the capital

Organisations across Edinburgh have joined forces to start an ‘open and honest conversation’ about the future of citizens’ mental health.

Holding hands health

Inspired by similar initiatives across the globe and building on the early findings of the Capital’s 2050 City Vision, Thrive Edinburgh launched with a citywide conference last week at the National Museum of Scotland. Continue reading Thrive Edinburgh to explore mental health matters across the capital

St. Stephen Court: there’s no place like home

Sixteen refurbished apartments in Sighthill are helping people to build meaningful lives at home following time spent at the Royal Edinburgh Hospital.

St Stephen's offers a homely place for tenants after time in hospital
 

Originally a sheltered housing complex, a building in the Calders has been transformed by the City of Edinburgh Council to provide high-quality places to stay.

The Edinburgh Health and Social Care Partnership is now funding ongoing care and support for tenants at the St Stephen’s service as they recover in a homely setting.

Continue reading St. Stephen Court: there’s no place like home