Charity fears over PVG proposals

“These changes will inevitably force a decline in the number of volunteering opportunities organisations are able to support in the future” – LifeCare CEO Sarah van Putten

Foysol Choudhury MSP, Co-Convener of the Scottish Parliament’s Cross-Party Group (CPG) on Volunteering, has today raised alarm bells over Scottish Government proposals to replace the Protection of Vulnerable Groups (PVG) membership fee waiver, for volunteers in Qualifying Voluntary Organisations (QVOs), with a fee discount.

MSP Choudhury, who visited LifeCare Edinburgh last month, raised alarm bells over this proposal, which he said would hugely impact organisations such as LifeCare Edinburgh who carry out vital work and rely on volunteers to be able to deliver their services.

Following his visit to LifeCare Edinburgh, Mr Choudhury lodged a motion at the Scottish Parliament on Recognising LifeCare Edinburgh’s Contributions to Community Wellbeing. For these essential contributions to continue, however, Mr Choudhury says the Scottish Government must listen to the pleas of integral third sector organisations.

Mr Choudhury said: LifeCare Edinburgh has worked tirelessly for 80 years providing uplifting, positive and practical support for older people, such as through day clubs, support with household tasks and home care, which allow older service users to thrive in their own homes and community.

“LifeCare Edinburgh and many other organisations foster community wellbeing, both by providing volunteering opportunities and by running essential services using volunteers.

“They therefore rely on the goodwill of volunteers being easily accepted by the system, such as via the PVG fee waiver system which allows volunteers to be easily and freely accredited for volunteering opportunities with vulnerable groups.

“The proposal to remove this fee waiver and replace it with a fee discount will, therefore, mean more barriers to volunteering, especially for those from economically deprived backgrounds, which will have a knock-on effect in terms of decreased wellbeing for volunteers and decreased services available to be run for the community.”

Sarah van Putten, LifeCare Edinburgh CEO, said: “LifeCare strongly opposes the Scottish Government’s proposals to remove the current fee waiver for volunteers and replace this with a fee discount.

“The price of a PVG application, even at the subsidised rate, is not inconsiderable, particularly for those from economically deprived backgrounds. 

“The proposed changes would create a further barrier at a time where the cost-of-living crisis is already limiting access to volunteering. Adopting the proposed changes would worsen this problem and further exclude marginalised and disadvantaged communities throughout Scotland.

“The only way volunteer-involving organisations could conceivably help to mitigate this barrier would be to reimburse the cost of the PVG application back to volunteers. However, the cost of even subsidised membership applications is a substantial burden for charities to bear – particularly for organisations like LifeCare who have been significantly impacted by funding cuts, increasing demand rising costs. 

“These changes will inevitably force a decline in the number of volunteering opportunities organisations are able to support in the future. 

“This will ultimately have an adverse impact on all those who benefit from volunteer-supported services across Scotland, and of course the volunteers themselves whose health and wellbeing benefits through the hugely rewarding experience volunteering can bring.”

Mr Choudhury, following his visit to LifeCare Edinburgh and the submission of his motion recognising their work, is joining LifeCare Edinburgh in highlighting concern over these PVG proposals.

Mr Choudhury says he will, as Co-Convener of the Cross-Party Group (CPG) on Volunteering, continue to pursue this matter with the responsible Minister.

Fears for NHS as winter looms

Responding to the latest Emergency Department performance figures published by NHS England for August 2022, President of the Royal College of Emergency Medicine, Dr Katherine Henderson said:The data is stark. We are worried about the coming winter.

“These are the second worst data on record. Too many patients are waiting too long. We know long waits contribute to patient harm. In August over 29,000 patients waited over 12 hours after a decision to admit was made, with some patients waiting up to three days for a bed.

We think the consequence of this is shown in the ONS data as 500 excess deaths a week. We must not accept these long stays as normal. We need to see leadership and meaningful action that gets to grips with this crisis.

“We urge the new Prime Minister, Liz Truss, and incoming Health and Social Care Secretary, Therese Coffey (above), to make tackling the crisis in Emergency Care a priority.

The scale of patient harm occurring is shocking. The Emergency Care system is failing to its core functions; it is vital that we mitigate the impact of this crisis ahead of winter and do all we can to keep patients safe and reduce these dangerous waiting times.

“The Prime Minister and Health Secretary must urgently bolster the social care workforce. Thousands of beds are occupied by patients who are medically fit to be discharged, but the lack of social care service means that getting patients home is a slow and complex process.

“This means that hospitals have difficulty in discharging patients in a timely way, leading to exit block, poor flow throughout the hospital and subsequent problems in Emergency Departments and ambulance waits. The need for investment in social care couldn’t be clearer.

“Staff are exhausted, overwhelmed and in the midst of the worst crisis the NHS has ever faced. Widespread shortfalls of staff across all grades and departments mean health care workers are spread increasingly thinly and more prone to burnout – there are currently around 130,000 vacancies in the NHS almost 10% of its workforce.

“The Prime Minister must deliver the fully funded long-term NHS workforce plan that the government pledged to deliver in 2019. Emergency Care is in crisis and there is a shortfall of 2,000-2,500 Emergency Medicine consultants and widespread shortages of vital nursing staff, trainees, SAS doctors and junior and supporting staff are contributing to the challenges.”

The latest Emergency Department performance figures published by NHS England for August 2022for show:

  • There were 1,304,378 attendances at major Emergency Departments
    • There were 1,988,779 total attendances at all Emergency Care facilities
  • 28,756 patients were delayed for 12 hours or more from decision to admit to admission
    • This is the second highest number of 12-hour waits on record, just 561 short of the previous record in July 2022
    • There have now been 178,770 12-hour waits (from decision to admit to admission) so far this year
  • Four-hour performance at major Emergency Departments was 58.0%, this is the second worst four-hour performance on record, the lowest was recorded the previous month, July 2022
    • More than 2 in 5 patients were delayed by four-hours or more
  • Type 1 admissions stood at 350,618 (a daily average of 11,310)
  • 130,528patients spent more than four hours in an Emergency Department from decision to admit to admission (also referred to as ‘trolley waits’)
  • Bed occupancy stood at 92.8% (far higher than the recommended 85%)

Hopsital Episodic Statisticsfor July 2022 published by NHS Digital show:

  • The longest wait in an Emergency Department from time of arrival until treatment was 4,320 minutes or 72 hours
  • The number of patients leaving the department before being seen stood at 6.0%
  • The rate of unplanned reattendance was 9.0%