Tag: frontline staff

Enhanced support for people in emotional distress

Programme described as “world leading”

All 31 Health and Social Care Partnerships have now signed up to a programme which supports people experiencing distress.

The Distress Brief Intervention (DBI) service was first launched as a pilot seven years ago and provides support to people who present to emergency services or in primary care settings in a distressed state. Since then, more than 75,000 people have been helped.

The programme can offer people an initial call within 24 hours. They are then provided with up to two weeks of one-to-one support with a specially trained practitioner to help address issues which might be contributing to their distress, such as money worries and relationship problems.

Frontline staff in Police Scotland, Scottish Ambulance Service, Accident and Emergency Depts, Primary Care and NHS24 can refer people who present to them in emotional distress – and if assessed as appropriate – to third sector organisations which provide compassionate and personalised support.

People in distress who speak to a call handler at NHS24, Police Scotland or the Scottish Ambulance Service can also be referred for DBI support, from anywhere in Scotland. 

Public Health Minister Jenni Minto said: “In developing our world leading DBI programme over 75,000 people across Scotland have received the right support at the right time and in the right place.

“This innovative referral pathway and collaborative approach has helped reduce pressures in the Scottish Ambulance Service, A&E and Police Scotland, allowing frontline staff to focus on other responsibilities. 

“By investing £24 million in the programme since 2016, the Scottish Government has ensured a Scotland-wide approach has been taken to help people cope when they are in a distressed state.  It is clear that this help provided to people is invaluable.”

Professor Rory O’Connor, Professor of Health Psychology at University of Glasgow, President of the International Association for Suicide Prevention and co-lead for the intervention and training components of DBI, said: “DBI is an incredible achievement.

“Tens of thousands of people in distress have received immediate, compassionate support since its launch in 2017. DBI is a remarkable team effort by colleagues up and down the country, driven by the shared purpose of delivering compassionate, connected support to people when they need it.

“I am so proud to be involved in this world-leading mental health intervention.”

Kirstie McCulloch, who received support and now works for DBI said: “I was experiencing severe panic attacks, anxiety, and depression, due to the Covid lockdowns. NHS 24 helped me when I had a severe panic attack, and I came off the call feeling less distressed. I still needed some support, so I was referred to the DBI service, which in my local area is run by SAMH.

“I was a little unsure initially, but the support was invaluable. By the end of the two-week service, I felt I had a better perspective on how to move forward. I asked my practitioner how they came into the role, and I knew this was something I would like to do for others.

“In the 18 months I have worked here, I have delivered compassionate support and helped people get back on their feet. I get huge satisfaction from this role.

Assistant Chief Constable Catriona Paton said: “Policing is often the first response when people need help. Our mission is to keep people safe and we’ll always respond to threat, harm and risk to ensure public safety.

“Our involvement in mental health incidents and supporting vulnerable people has a significant impact on this organisation and is beyond where policing should be. That’s not the best support for those who need help and it’s not delivering best value for the public.

“DBI enables trained officers to identify when someone needs support and signpost them to the right service, allowing them to redirect to tackling threat, harm and risk and preventing crime.” 

Hanover care workers to start industrial action against “insulting” pay cut plan

Care workers employed by the charity and social landlord Hanover (Scotland) Housing Association will start a programme of industrial action against their management’s “insulting” 1 per cent pay offer.

Action will involve a work to rule including a ban on all overtime and additional holiday working from 17.00 hours from today (Tuesday 7 September), impacting service delivery in care support, cleansing and domestic assistance across twenty-eight sites.

The dispute is the culmination of months of fruitless negotiations between GMB Scotland representatives and Hanover senior management, who themselves were awarded a 4.5 per cent pay rise in 2020, to substantially lift the pay and conditions of frontline staff.

GMB Scotland organiser Ude Joe-Adigwe said: “The employer’s offer means a real-terms pay cut for staff who have worked throughout the COVID-19 pandemic, it’s totally insulting.

“Our members provide vital care and assistance for some of the most vulnerable people in our communities, and they deserve to be treated so much better than this.

“This is not a decision our members have taken lightly; they are proud of their work, but it’s a shame their employer won’t value frontline staff the way they value themselves.

“This action shows Hanover that their staff are prepared to fight for their dignity and value, and we would hope the employer reconsidered its position.”

‘Test to Release’: England’s frontline health and care staff can work rather than self-isolate

Frontline NHS and social care staff can attend work rather than self-isolate with testing mitigations in exceptional circumstances under updated guidance announced this morning.

From today (Monday 19 July), double vaccinated frontline NHS and social care staff in England who have been told to self-isolate will be permitted to attend work in exceptional circumstances and replaced by testing mitigations.

This will include staff who have been contacted as a close contact of a case of COVID-19 by NHS Test and Trace, or advised to self-isolate by the NHS Covid-19 app.

This measure is being introduced to alleviate pressure on NHS and social care services and will be contingent on staff members only working after having a negative PCR test and also taking daily negative lateral flow tests for a minimum of seven days, and up to 10 days or completion of the identified self-isolation period.

This measure is being introduced to alleviate pressure on NHS and social care services and will be contingent on staff members only working after having a negative PCR test and daily negative lateral flow tests.

The government is clear the change applies only to frontline NHS and social care staff where their absence may lead to a significant risk of harm.

The decision to allow NHS and social care staff to attend work after being told to self-isolate should be made on a case-by-case basis, and only after a risk assessment by the organisation’s management.

This must be authorised by the organisation’s local Director of Infection Prevention and Control, the lead professional for health protection, or the Director of Public Health relevant to the organisation.

Health Secretary Sajid Javid said: “As we learn to live with this virus, it’s important that we ensure frontline staff can keep providing the best possible care and support to people up and down the country.

“The government has backed healthcare services at every turn through this global pandemic and these new rules will fortify our collective defences against this awful virus, by allowing fully vaccinated frontline NHS and social care staff to continue to work when needed.”

Careful consideration should be given by local NHS and social care organisations to the risk of onward transmission compared to the risk to delivery of critical services.

Staff who are permitted to attend work will remain under a legal duty to self-isolate as a close contact when not at work, but will be considered to have a ‘reasonable excuse’ under the Self-Isolation regulations to leave self-isolation to attend work where their absence could result in harm. They will continue to receive self-isolation reminders.

UK Health Security Agency Chief Executive, Jenny Harries, said: “With the number of cases continuing to rise, it is imperative that we do everything we can to manage this virus and support our NHS and social care services under the strain of increased demand and sustained pressure.

“We have provided specific guidance to NHS and social care settings for circumstances where there is a significant risk to health or safety resulting from staff absence or a critical service cannot run.

“This measure only applies to double vaccinated staff, who will only be able to attend work after testing negative on PCR and daily lateral flow tests, and following a risk assessment and the supervision of the health service.”

In order to mitigate the increased risk associated with attending work, the following mitigations must be implemented:

  • The staff member should be fully vaccinated, defined as having received both doses of an MHRA approved vaccination, with 14 days having elapsed since the final dose.
  • The staff member should undertake a PCR test and should self-isolate until they receive the result. They should only attend work if this result is negative.
  • They should undertake daily LFD tests prior to starting work each day. Test results should be reported to NHS Test and Trace via the web portal and to their duty manager. Any staff member who has a positive LFD test during this period should not attend work and should arrange a PCR test as soon as possible.
  • If the staff member develops any COVID symptoms, they should stay at home and immediately arrange a PCR test.
  • Staff working during this 10-day period should comply with all relevant infection control precautions and PPE should be properly worn throughout the day. Any breaches should be reported immediately to their line manager.
  • The staff member should not work with clinically extremely vulnerable patients or residents, as determined by the organisation.

Existing guidance will be updated by Public Health England today (Monday 19 July), and shared with NHS trusts and relevant social care organisations across England.

These changes apply in England only. The Scottish Government will announce any changes to exisiting arrangements, if necessary, in due course.