Support available to ensure care workers can get vaccines and boosters
Care home staff and those working in social care are being urged to get the booster vaccine in the fight against the spread of Omicron variant.
Scottish Government financial support is available for adult care providers who incur additional costs if employees are vaccinated in working time – so staff can do so without losing earnings or having to take annual leave.
Health Secretary Humza Yousaf thanked staff for their efforts but said the new Omicron variant of COVID-19 made it more important than ever that care workers get their COVID-19 booster vaccinations, test themselves regularly and maintain infection prevention measures.
Rates of uptake of the booster vaccine are currently lower among social care staff, with 47.7% of frontline social care workers and 54.8% of care home staff having had their booster, than they are in other sectors such as frontline healthcare workers (72%).
Mr Yousaf said: “I want to thank everyone working in social care who has taken up the offer of vaccination, and has had a booster jag. But I want to encourage every single social care worker to get themselves vaccinated.
“Even if you’ve been double-vaccinated, we know your immunity against COVID-19 wanes over time. Getting your booster is even more important with the emergence of the Omicron variant. Please do so as soon as possible.
“I’m very grateful to all our social care workers for their continued resilience and ongoing commitment during what I know continues to be a very difficult time. I know staff are likely to be feeling particularly fatigued after more than 20 months of the pandemic and I want to thank you all for supporting each other and working together as we continue to navigate through this.
“However we know that the rate of take up among those working in care homes and social care is not as high as in other sectors. It is crucial, especially for those working with some of our most vulnerable citizens, that you get your booster if you have not already done so.
“Getting vaccinated is vital in protecting you, those you care for, and your friends and family.”
An online portal is now available to allow people aged 50 to 59, unpaid carers who are 16 and over, and those aged 16 and over who are household contacts of immunosuppressed individuals to book their Autumn/Winter vaccination appointments.
The portal will provide an advance booking facility with appointments for dates running from late November through December, as vaccinations for earlier priority groups are being completed this month. Anyone in those earlier groups who has missed their appointment for whatever reason can also use the portal to book their vaccinations.
Health Secretary Humza Yousaf said: “The Autumn/Winter vaccination programme is continuing at pace and running well and the launch of this online portal will allow eligible groups to book their own appointment.
“As has been the case throughout we aim to vaccinate people as quickly as possible in line with clinical guidance. Over the course of the Autumn/Winter vaccination programme we will see up to a total of 7.5 million flu and COVID-19 booster vaccinations administered to help protect the people of Scotland.
“If you are eligible for a flu vaccination it is highly likely that you will also be eligible for a COVID-19 booster. Your appointment will see you offered both vaccinations at the same time for your convenience and to make best use of resources. You can check your eligibility at NHS Inform.
“We urge everyone who is eligible and who has online access to book their appointment via the portal to ensure maximum efficiency and secure an appointment that is convenient for them.”
To use the online portal, individuals will need their unique vaccination username which can be found on any previous appointment letter.
Delivery of older people’s services in Edinburgh has shown good progress since 2017, according to a joint report published by the Care Inspectorate and Health Improvement Scotland.
Following an initial inspection in May 2017, the Edinburgh Health and Social Care Partnership has received acknowledgement from the Joint Inspection team across the Care Inspectorate and Health Improvement Scotland, that the review has now closed.
The latest report cites the partnerships efforts in driving forward – with pace – a clear vision and structured approach, that is now seeing positive progress in a number of areas.
It follows a challenging progress review in 2018 and contains a number of recommendations but, based on progress, the Joint Inspection team has noted that no further review activity is now planned.
Chair of the Edinburgh Integration Joint Board, Cllr Ricky Henderson, said: “We very much welcome this latest and final review, and the deserved recognition it gives all who work for, and with the partnership.
“The publication of the report in 2017, was a difficult read for all who were working in the Partnership at the time but the strategic vision, practices, and structures that have since been developed and implemented, are the backbone to the significant and good progress being made.
“Whilst there remain challenges – particularly with the current system pressures faced – the strengthened relationships built, strategic aims, and the cohesive approach to the work of the partnership, deserve this positive recognition.
“These are significant strengths for how the partnership will continue to push forward over the challenging winter period and beyond, and I would like to take the opportunity to thank every single person who directly or indirectly provides care in Edinburgh, for their incredible hard work and commitment to all in our care.”
Edinburgh College has launched a new digital care hub, in partnership with the University of Edinburgh, designed to provide greater skills and opportunities to health and social care students in the Lothians.
The Edinburgh College Digital Care Hub, located at the College’s Sighthill Campus, will equip students with the transferrable skills required to fulfil a successful career in areas including Health and Social Care, Dental and Pharmacy with a particular emphasis on technology enabled care.
The hub will focus on building students’ digital and practical skills through its state-of-the-art equipment, supporting experiential learning in a purpose-built setting.
It contains a replica medical ward with patient room, toilet and wet room facilities; an infection control and decontamination area; a reflection room; a care at home room; as well as a virtual reality room designed to give students an immersive experience which demonstrates how a patient with dementia experiences day-to-day life.
Within the care hub students have access to realistic patient simulators with true-to-life responsiveness, in a variety of care settings, enabling them to develop patient testing and care skills.
Also key to the role of the digital care hub is embedding the principles of professionalism amongst students and fostering the meta skills required to work in a care environment including communication, nurture, resilience, initiative and leadership.
The new facility hosts the Edinburgh College and University of Edinburgh Social Care Academy which provides an agile pathway to a career in health and social care specifically for school pupils.
As part of the programme, pupils study units in digital skills for health and social care, mental health, the human body, infection prevention and control and safe beginners for health and social care.
After successfully completing the programme, pupils are able to progress on to further studies with the College or university or advance into employment.
The digital care hub was launched during an event attended by representatives from key institutions connected to the College and the new hub, and brought together those with a collective interest in supporting the future of the health and care sector.
Audrey Cumberford, Edinburgh College Principal and CEO, said: “We are delighted to be launching our Digital Care Hub in partnership with the University of Edinburgh.
“The facility will provide practical learning experiences for pupils and students as well as exposing them to many sector specialisms which they ordinarily might miss out on without having access to specialist equipment in a health and care setting.
“The COVID pandemic has highlighted the importance of our health and care workers across the country and through addressing the national skills gaps in digital enabled care, the Digital Care Hub, through partnership working with industry, is ready to provide a pipeline of future workers equipped with the skills and knowledge required to meet the demands of the sector and population.”
Professor Peter Mathieson, Principal and Vice-Chancellor at the University of Edinburgh, said: “We are delighted to work with Edinburgh College on the Digital Care Hub, which will be an excellent resource for those considering a career within health and social care.
“Harnessing technology to support learning in this way and simulate real-life scenarios in the workplace will enable students to make informed choices about their future, built on their own ambitions and potential.”
For most people the recent years have been very hard. It has also showed a determination in volunteering for so many organisations, particularly the NHS.
As a whole, the foresight shown in establishing the NHS in 1948 has kept us in it’s care since that time.
This public service must be protected at all times from those who voted against it’s formation in 1948: namely, the Conservatives.
The reason this letter is headed ‘The Tories’ Coming Attack‘ is that the Conservatives are now moving to reorganise the NHS and care sector, letting private bodies have control over the running of the organisation in a major step towards a Private Health Service.
Wellbeing support for health and social care staff
The Scottish Government is asking what types of wellbeing support health and social care staff need the most from the recent £300 million announcement of a Winter Support Package.
Following the announcement of a further £4 million for workforce wellbeing, health boards and Health and Social Care Partnerships are being invited to identify the services which would most assist their staff.
The £4 million comes on top of £8 million already provided through the NHS Recovery Plan, which will support the ongoing development of a National Wellbeing Programme – including a dedicated hub and helpline, confidential mental health treatment through the Workforce Specialist Service along with time and training for staff to support each other.
Health Secretary Humza Yousaf said: “As part of the £300 million package of support for health and social care this winter, we’re bolstering staff wellbeing with an extra £4 million to look after our most valuable asset – the people who provide the care we need through this pandemic.
“We have engaged with health and social care staff around the country, to find out what they need most and how we can help them to get through the toughest winter they’ve ever faced.
“Funding will be immediately available for hot drinks, food and other measures to aid rest and recuperation based on what staff told us they needed. We are also continuing to engage with the workforce to understand what else would help them, with the possibility of developing more psychological support measures.”
Acting Director of Development and Innovation, Scottish Social Services Council (SSSC) Laura Lamb said: “The SSSC welcomes the announcement of additional funding to support the wellbeing of frontline workers across social care, social work and health care.
“The workforce continues to deliver high quality person-centred care despite facing significant challenges. They have worked tirelessly throughout the pandemic. It is vital the workforce feel valued, cared for and are recognised for the life changing work they do.
“Never before has support for the workforce been so important. Ongoing wellbeing support is essential if we are to have sustainable workforce for the future.”
Director of Workforce at NHS 24 Jacqui Hepburn said: “Over the last 18 months in particular, staff have faced unprecedented challenges and pressures, both professionally and personally, but have continued to rise to these challenges every day, while delivering vital and safe patient-centred care.
“Supporting the mental wellbeing of our workforce, as well as the physical, has always been a priority for NHS 24. To reflect the additional pressures during the pandemic, we established a dedicated online wellbeing zone which provides information, support and tips including financial advice, bereavement support, coping and self-care advice as well as a mindfulness section with access to Spotify playlists, podcasts and access to free apps.
“Bespoke wellbeing areas were also introduced in centres giving staff access to a quiet and safe space to pause and reflect. Hot drinks vending machines were changed to ‘free’ and we provided food and snacks and Wellbeing Box so to support the health of staff over winter.
“We continuously strive for new ways of supporting our amazing and hardworking team at NHS 24 and welcome this additional funding.”
The Wellbeing Hub has been used over 125,000 times since its launch in May 2020.
In the first week of the winter vaccination programme, 27,000 people have come forward to get their flu vaccine, which is a great response ((writes Edinburgh Integration Joint Board member and Forth Councillor GEORGE GORDON).
We’ve all seen the devastating effect the pandemic has had in the past 18 months so it’s really important we all play our part to limit the impact this winter.
This is a personal appeal to encourage everyone who’s eligible to get their flu vaccination this winter. COVID-19 has not gone away so it’s more important than ever to protect yourself by getting the vaccination and do your bit to ease the pressure on social care, GP surgeries and hospitals over winter.
Many of you will already have received a letter either with an appointment or asking you to book one online. I know there’s been an issue with the scheduling of some flu appointments via the national booking system.
This means some people’s appointments are not as local as would have been expected, and a few cases where people who are housebound have been asked to go to an appointment. I know how concerning this is for people who cannot travel.
If you have received a letter with an appointment that you are unable to attend, you can rearrange your appointment for a more local venue by going online at nhsinform.scot/flu-vaccine/invitations-and-appointments/rearrange-your-flu-vaccine-appointmen or ring the national flu vaccination helpline on 0800 030 8013 for help to re-book.
More local appointments are now available for people who find it difficult to travel. If you are housebound and normally get your flu jab at home then you will get it at home again this year, even if you’ve received an appointment letter.
It’s really good to see that so many people have been turning out to get their vaccinations. The Royal Highland Centre site experienced a slight delay in topping up vaccination stocks on Tuesday morning (5 October) due to the level of demand across other sites and some people were asked to return the following day.
This was resolved within an hour and I can assure you that we have good vaccine stocks in Edinburgh.
Across Scotland, GP surgeries are no longer responsible for flu vaccinations for their patients. Now, health and social care partnerships manage the flu programme. In Edinburgh we have a range of drive through and walk through clinics for adults which will open at weekends during October and November.
Edinburgh’s main site is in Lowland Hall at the Royal Highland Centre which is open seven days a week and easy to access by public transport (buses 100, 200 and 400). We also have small local clinics for people who can’t make their way to Ingliston.
Children have received a letter for their parents or carers about their vaccine. If it’s been six months since your second dose of the COVID vaccine, you may also get your COVID vaccine booster at the same time as your flu vaccine.
It’s a massive programme and this year there’s more people than ever eligible to get a vaccine which is great news. You can now get the vaccine if you’re over 50, pregnant, an unpaid carer, at risk because of an existing health condition, or because of the job that you do. You can check if you are eligible for a flu vaccine, or find more information, at nhsinform.scot/flu.
I’d really encourage you to take up that offer – go to your vaccination appointment if you have been given one or book an appointment on the online portal if you’ve been asked to do that.
Please don’t be in any doubt – flu is serious. Getting the vaccine will protect you, your family and friends, and also our vital NHS and social care services.
“The current situation is not sustainable; it is dangerous for patients and becoming incredibly difficult for staff.” – Dr John Thomson, Vice President of the Royal College of Emergency Medicine Scotland
A substantial new investment of over £300 million in hospital and community care has been unveiled to help tackle what is anticipated to be the toughest winter the NHS and social care system has ever faced.
The new multi-year funding will support a range of measures to maximise capacity in our hospitals and primary care, reduce delayed discharges, improve pay for social care staff, and ensure those in the community who need support receive effective and responsive care.
The NHS and Care Winter Package of additional funding includes:
Recruiting 1,000 additional NHS staff to support multi-disciplinary working
£40 million for ‘step-down’ care to enable hospital patients to temporarily enter care homes, or receive additional care at home support, with no financial liability to the individual or their family towards the cost of the care home
Over £60 million to maximise the capacity of care at home services
Up to £48 million will be made available to increase the hourly rate of social care staff to match new NHS band 2 staff
£20 million to enhance Multi-Disciplinary Teams, enable more social work assessments to be carried out and support joint working between health and social care
£28 million of additional funding to support primary care
£4.5 million available to Health Boards to attract at least 200 registered nurses from outwith Scotland by March 2022
£4 million to help staff with their practical and emotional needs, including pastoral care and other measures to aid rest and recuperation
Health Secretary Humza Yousaf said: “As the winter period approaches, it is vital that we do all we can to maximise the capacity of the NHS and social care system. That’s why I’m setting out our £300 million NHS and Care Winter Package today.
“We cannot look at the NHS in isolation we must take a whole systems approach and these measures will help alleviate pressure across the NHS and social care.
“This significant new investment will help get people the care they need as quickly as possible this winter. Bolstering the caring workforce by increasing their numbers, providing them with additional support, and increasing the wages of social care staff.
“We’ve previously provided funding to ensure that adult social care staff are paid at least the real living wage. Today we’re going further and our new investment will ensure that adult social care staff who are currently paid the real living wage will get a pay rise of over 5%
“Measures I have announced today will help patients whose discharge has been delayed waiting for care and help get them out of hospital and on to the next stage in their care. This helps the individual by getting them the right care, and helps the wider system by ensuring the hospital capacity is being used by those who need that specialist level of clinical care.
“This £300 million of new funding will also fund increases in social care capacity in the community and in primary care – helping to ease the pressure on unpaid carers.
“Our NHS, social care staff and social work staff have been remarkable throughout the pandemic and today’s additional investment will help support them to deliver care to people across Scotland this winter.”
Meanwhile,the latest Emergency Department performance figures for Scotland published by the Scottish Governmentyesterday for August 2021 show that four-hour performance has deteriorated for the fourth consecutive month, again reaching a record low – while the number of patients staying in a major Emergency Department for 12-hours or more reaches a record high.
In August 2021 there were 117,552 attendances to major Emergency Departments across Scotland.
Data show that four-hour performance reached a new record low, with 75.4% of patients being seen within four-hours. One in four patients stayed in a major Emergency Department for four-hours or more before being admitted, transferred or discharged.
The number of 12-hour stays in August 2021 nearly doubled when compared to July 2021. 1,346 patients stayed in a major Emergency Department for 12-hours or more, compared to 760 in July 2021. This figure increased for the fourth consecutive month and it is the highest number of 12-hour stays since records began.
Data also show that 5,279 patients spent eight hours or more in a major Emergency Department. This is the highest figure since records began. The number of patients delayed by eight-hours or more increased for the fourth consecutive month.
Dr John Thomson, Vice President of the Royal College of Emergency Medicine Scotland, said: “The challenge for health care workers is growing significantly. In Scotland, the army have been called in to assist the ambulance services.
“In Emergency Departments, long stays are rising drastically, and one in four patients are staying in an Emergency Department for more than four-hours. It is extremely worrying. These pressures are likely to mount further, and performance deteriorate even more as we head into winter.
“We are seriously concerned about patient safety. Long stays put patients at risk, particularly vulnerable patients, and especially with covid still present in the community. We urgently need a plan to increase flow throughout the hospital, to reduce exit block, to prevent crowding, and to ensure that patients who need it can quickly be moved into a bed for their care.
“The current situation is not sustainable; it is dangerous for patients and becoming incredibly difficult for staff.
“We welcome this afternoon’s announcement by the Secretary of State for Health and Social Care, Humza Yousaf MSP, including the recruitment of more staff and funding for hospital and community care. We hope that these measures will begin to alleviate pressures across the health system, and in particular reduce ambulance handover delays, long stays in Emergency Departments and exit block in our hospitals.
“However, while we welcome this investment, short-term cash injections do little to resolve long-term problems. We must see a long-term workforce plan that includes measures to retain health workers, particularly Emergency Medicine staff, as well as a long-term strategy for social care.”
Responding to the Scottish Government’s announcement to uplift care workers pay to just over £10 an hour, GMB Scotland Secretary Louise Gilmour said:“If we want to tackle the understaffing crisis in social care then we need to substantially increase the basic rate of pay, and for GMB that mean’s a £15 an hour minimum.
“Many of our frontline services are already being delivered on the back of wages of just under or over £10 an hour, and we know this isn’t nearly enough.
“To transform social care for the people who need it and the people who deliver it, particularly as we roll-out a national care service, then we must go further.”
The Scottish Government may also be facing industrial action from nursing staff over the winter …
NHS pay dispute in Scotland: Royal College of Nursing members to be asked about willingness to take industrial action
RCN members working for NHS Scotland are to be asked what industrial action they would be willing to take in support of their ongoing trade dispute with the Scottish government and NHS employers over pay.
The indicative ballot will open on 12 October and close on 8 November.
Eligible members will receive information on the different forms of industrial action.
The indicative ballot will be run by Civica, the independent scrutineer that organised the consultative ballot earlier this year. Eligible members will receive an email from Civica with a personal link to the online voting site on Tuesday 12 October. Weekly reminder emails will also be sent.
The result of the indicative ballot will not formally authorise industrial action. It will be used to inform the next steps RCN members might take.
Julie Lamberth, Chair of the RCN Scotland Board, said: “Industrial action is always a last resort but the current staffing challenges are causing unacceptable risks to patients and staff. The Scottish government has the opportunity to do the right thing by nursing.
“I would urge all eligible RCN members to seek out the available information on what taking industrial action means and what the implications of doing so might be. We need each member to make up their own mind and have their say in the ballot.”
Colin Poolman, RCN Scotland Director, added: “This is your chance to speak up – for your patients and your colleagues. Many of you rejected the pay offer and you know the link between fair pay and safe staffing.
“This is your opportunity to tell us what action you are prepared to take. To let the Scottish government know that the time to protect patient safety and value the safety critical role of nursing is now.”
UNISON, the union for carers, has expressed deep dismay at the decision to close an Edinburgh care home. The decision was passed by the Edinburgh Integration Joint Board (IJB) – which commissions health and social services from the City – at a meeting on Tuesday.
UNISON, Scotland’s largest union, has been campaigning to prevent the closure of five council-run Edinburgh care homes, including Drumbrae. A further four council-run homes – Ferrylee, Clovenstone, Fords Road and Jewel House are all being earmarked for closure but subject to public consultation.
Tom Connolly, UNISON Edinburgh City branch secretary, said: “The people of Edinburgh can feel very let down by this decision to close a much-needed local service, not least the elderly and vulnerable who reside in the care home and now face an uncertain future.
“UNISON will continue its campaign to save public sector-run care homes and prevent them going into private hands. People need to come before profit and UNISON will continue its fight to save Edinburgh’s public run care homes and call for all private run care homes to be brought into the public sector.”
Greig Kelbie, UNISON regional organiser, said: “The decision to close Drumbrae was made without any public consultation and is a real slap in the face to the most vulnerable people in the city.
“UNISON understands there is a substantial waiting list for homes in the area, so if the need hasn’t gone away then why should the services?”
Edinburgh Integration Joint Board is chaired by Labour councillor Ricky Henderson and membership includes local politicians Councillor Melanie Main (Scottish Greens), Councillor George Gordon (SNP), Councillor Robert Aldridge (Liberal Democrats) and Councillor Phil Doggart (Conservative).
New guidance will allow care home residents to choose a friend or relative as a ‘named visitor’ who will be able to visit them, even during a managed Covid-19 outbreak.
This is a change to current practice where most homes suspend routine visiting until outbreaks are over. It will allow those living in care homes to continue to have meaningful contact with loved ones, and balance the need for continuing infection prevention and control measures in care homes with the wider wellbeing of residents.
The change will apply to one named visitor when a care home is in a controlled Covid-19 outbreak, and a guidance note has been issued to support care homes to plan for this in consultation with their local Health Protection team.
Revised guidance from Public Health Scotland issued last week has already set out that residents should be able to receive visits from a nominated person even while they are self-isolating as a precaution (i.e. after hospital stays; after being close contacts of a COVID-19 case if fully vaccinated).
Meanwhile Social Care Minister Kevin Stewart has reaffirmed the government’s commitment to introducing ‘Anne’s Law’, to enable people who live in care homes to choose a person or persons to support them in their health and wellbeing, as called for by Care Home Relatives Scotland. A consultation on how best to implement this will be published shortly.
Minister for Mental Wellbeing and Social Care Kevin Stewart said: “Throughout the pandemic, our overriding priority in care homes has been to safeguard and protect staff and residents from infection – but at times that meant that residents were cut off from their loved ones, which we know has caused anguish and distress for many.
“The proposal for a named visitor will provide continuity of meaningful contact for care home residents in managed COVID-19 outbreak situations, helping to protect residents’ wellbeing in parallel by allowing visiting in a safer way, rather than automatically suspending routine visiting during an outbreak.
“We will further strengthen residents’ rights in adult residential settings through the introduction of ‘Anne’s Law’ and a consultation setting out our aspirations for Anne’s Law and seeking views on how best we might make it work in practice will be published shortly.”
