Health and Social Care – Page 14 – The NEN

More mental health support for health and social care staff

NEW HELPLINE PROVIDES ROUND THE CLOCK SERVICE –

All health and social care workers in Scotland will now have access to mental health support 24 hours a day, seven days a week through a new national helpline.

The Scottish Government is funding the wellbeing helpline for those who need further psychological support, including in light of the coronavirus (COVID-19) crisis. This follows the success of the National Wellbeing Hub for staff launched in May.

Trained practitioners at NHS 24 will offer callers a compassionate and empathic listening service based on the principles of psychological first aid, as well as advice, signposting and onward referral to local services if required.

Minister for Mental Health Clare Haughey said: “I am deeply grateful for the hard work, commitment and professionalism of those working in health and social care services at this time of unprecedented challenge.

“The National Wellbeing Hub has had over 30,000 online visits since its launch in May and the new helpline will complement that service. Whatever your role and wherever you work, I would encourage you to make use of the many resources on the Hub, including advice on managing stress and anxiety, fatigue, sleep, relaxation and exercise.

“For those who need one-on-one support, the new mental wellbeing support line will be available around the clock to help staff access appropriate additional support.

“We are continuing to monitor the impact of the pandemic on our valued workforce and will do our best to ensure that appropriate support services are put in place to help them.”

Stephanie Phillips, Director of Service Delivery at NHS 24, said: “NHS 24 are delighted to support our partners by offering this helpline to complement existing services.

“Our Psychological Wellbeing Practitioners will respond with compassion and empathy to offer support whenever it’s needed. Health and social care staff look after us – this is one way in which we are looking after them.

“We know that for everyone calling us, being listened to, and knowing that someone cares, is really important in difficult times. This is just as important to our health and social care colleagues as to those they care for.”

The health and social care workforce mental wellbeing support line (0800 111 4191) will be operated by NHS 24 on a 24/7 basis.

£4 million from UK Government to support delivery of social care in Edinburgh

Lothian MSP Miles Briggs has hailed over £4 million worth of UK Government funding to Edinburgh to provide vital support for social care to deal with the ongoing Coronavirus pandemic.

The Scottish Conservative and Unionist MSP, who is also his party’s Shadow Health Secretary, says the UK Government have provided £58 million worth of direct funding to care homes in Scotland, with over £4 million allocated to the capital’s health and social care partnership.

Mr Briggs says the millions of pounds in funding will help to protect care home staff and residents and help to reduce any transmissions and highlights the UK Government’s commitment to provide care homes with the protection they need.

He added that he hopes that the funding will be backed up by urgency from the SNP Government in carrying out widespread testing of care home staff, which was promised back in May by Jeane Freeman.

Commenting, Miles Briggs MSP said: “The UK Government have shown a real commitment to supporting our care homes through the Covid-19 pandemic.

“With Edinburgh receiving over £4 million in direct funding, this is a hugely welcome funding boost to help our care homes and their staff who have been on the frontline during this unprecedented crisis.

“Our care homes have cared for our loved ones and they deserve our full support to stop transmission of the virus.

“With the UK Government stepping up to provide funding for the capital’s social care, it must be backed up by the SNP carrying out rigorous testing which has been sadly lacking since they promised it back in May.”

Meanwhile, Briggs’ Westminster boss PM Boris Johnson has blundered into a row about care homes. Johnson has been widely criticised for saying “too many care homes didn’t really follow the procedures” during the coronavirus outbreak.

Mark Adams, CEO of charity Community Integrated Care, told the BBC the PM’s comments were “clumsy and cowardly” and he accused Mr Johnson of uttering ‘a massive untruth’.

Liz Kendall MP, Labour’s Shadow Social Care Minister, said: “There have been 30,000 excess deaths in care homes and at least 20,000 of these caused by Covid-19. 25,000 elderly people were discharged from hospitals to care homes without any tests whatsoever and frontline care workers were left without vital PPE.

“Staff who have gone the extra mile to care for elderly people, and experienced things the rest of us can only imagine, will be appalled to hear the Prime Minister’s comments.

“Boris Johnson should be taking responsibility for his actions and fixing the crisis in social care, not blaming care homes for this Government’s mistakes.”

Clever tech roll out helps vulnerable people during pandemic

Vulnerable customers of an Edinburgh housing and care provider are being able to keep in constant contact with friends and family – and where necessary their carers – during the Coronavirus lockdown thanks to its pioneering technology.

Blackwood has provided its customers with tablets complete with accessible care technology and wifi access to help keep them more digitally connected at all times, despite most being currently ‘shielded’ in their homes.

It has already led to a remarkable 800% increase in the function that allows customers to contact friends and family.

And with visits from care staff being impacted because of social distancing and virus protection measures, the technology is ensuring customers do not feel isolated as they can also keep in touch with carers via video calls, even those who use Blackwood’s night-time support service.

Each tablet gives customers access to CleverCogs™, Blackwood’s own bespoke care system, which enables people to stay in touch with friends and family through video chat, while also allowing them to catch up on their favourite tv shows, access information and receive calendar reminders of care visits and medication.

The system allows customers to attend GP appointments through the NHS service, Near Me, which is linked with more than 30 GPs across Scotland.

CleverCogs™ is personalised to each customer meaning they will be able to easily access their interests, whether it’s music, sports or movies. The system is designed to only take users maximum three taps of the tablet to access any of its features.

Blackwood – which operates across Edinburgh as well as 28 other local authorities, providing housing and care support to people with a wide range of care needs – is also fronting a new campaign #ImInAwe to showcase the work of front-line social care workers during the pandemic crisis.

Anne Jenkins, Blackwood’s Innovation Delivery Manager, said: “As an organisation we understand and appreciate how uneasy and stressful the current lockdown situation is for many of our customers and their families.

“CleverCogs™ gives our customers and families some peace of mind in that they can stay fully connected throughout this, so reducing feelings of loneliness, anxiety or isolation.

“In fact where previous there was a reluctance to use CleverCogs™ as a communication tool, now customers are freely using it to keep in contact with friends and families.

“We personalise every CleverCogs™ device, which has had huge impacts on our customers’ lives. Being digitally connected really has the opportunity to change people’s lives – it opens their horizons to a whole new online world.

“In the current circumstances, it’s even more important that we facilitate every measure possible to ensure our customers have access to the required care and communication to allow them to continue living a fulfilled life as independently as possible.”

Currently the system features include information about Care, Safety, Housing, Home Automation, Information, Digital Inclusion as well as Health & Wellbeing.

CleverCogs™ has also been implemented across all of Blackwood’s care services, as well as being the ‘hub’ for each of its Blackwood Houses. Within the Blackwood Houses, CleverCogs™ enables customers to control lights, heating, doors and blinds.

Blackwood’s #ImInAwe campaign aims to shine a light on the important front-line role care employees are playing, to encourage businesses and individuals to look at ways they can show gratitude.

It’s estimated up to 150,000 staff work in the social care sector, providing care to people in care homes and retirement developments as well as care-at-home services. The social campaign is spreading online with the hashtag #ImInAwe to show collective support.

Blackwood customers are at the heart of shaping its future. With over 1500 properties across 29 local authorities, it is the largest provider in Scotland and helps the transform customers’ lives on a daily basis – at a time when funding is becoming increasingly tighter.

For more information, please visit: https://www.blackwoodgroup.org.uk

Jeane Freeman: Fair benefits for care workers

Statement given by the Health Secretary Jeane Freeman at a media briefing in St Andrew’s House yesterday (Sunday 24 May):

Good afternoon, and thank you for joining us for today’s briefing.

I want to start this afternoon by updating you on some of the key statistics in relation to COVID-19 in Scotland.

As at 9 o’clock this morning, there have been 15,101 positive cases confirmed – an increase of 60 from yesterday.

A total of 1,329 patients are in hospital with COVID-19 –845 who have been confirmed as having COVID, and 484 who are suspected of having the virus. That represents a total change of 24 from yesterday, including an increase of four in the number of confirmed cases.

A total of 44 people last night were in intensive care with confirmed or suspected COVID-19. And that is a decrease of six since yesterday.

I am also able to confirm today that since 5 March, a total of 3,560 patients who had tested positive for the virus have been able to leave hospital, and I wish all of them well.

Regrettably, I also have to report that in the last 24 hours, nine deaths have been registered of patients who have been confirmed through a test as having COVID-19 – that takes the total number of deaths in Scotland, under that measurement, to 2,270.

It is worth bearing in mind that fewer deaths tend to be registered at the weekend than on other days of the week – and that is almost certainly part of the reason why today’s figure is relatively low.

And, as always, I want to stress that these numbers are not simply statistics. They represent individuals who were loved, who were valued, and whose loss is a source of grief to very many. So I want to send my deepest condolences to everyone who has lost a loved one to this virus.

As Health Secretary, I also want to once again thank those working in our health and care sectors. That thanks is due to all staff – in care homes, in GP practices and COVID assessment centres, emergency dental and eyecare, paramedics, procurement staff, people working in NHS 24; and the many cooks, cleaners, porters and maintenance staff who make all of this possible.

What you do is essential to the health and wellbeing of our country. And all of us owe you a huge debt of gratitude.

I have one issue that I want to update you on, before I remind everyone of the guidance in place right now – and it is directly relevant to the point that I have just made, about the importance of frontline workers.

Social care workers have always played a vital and valuable role – but the importance of what they do has never been more apparent than during this emergency period.

Several employers already offer employment contracts to social care workers which are broadly in line with the Scottish Government’s fair work principles – but it is clear that others do not.

At this time, even more than is usually the case, that cannot be justified. It is not acceptable for any social care worker to be faced with the impossible situation of testing positive for the virus, knowing that their weekly income will reduce to only the level of statutory sick pay.

So we have intervened to ensure that social care workers do not face that situation, but receive better levels of sick pay. It is also the case that for some social care workers, their contract of employment offers no cover for death in service. Again, that is not acceptable, so our intervention will also ensure that in the tragic circumstances of this pandemic, when a social care worker dies their next of kin will receive financial support.

That sick pay fund will ensure that care workers who test positive for COVID-19 will receive sick pay above the current statutory level of £95.85 a week.

The death in service benefit will see a one-of payment of £60,000 made to a named survivor of any social care worker who dies without death in service cover in their contracted pension arrangements. And both these arrangements will be retrospective.

Over the course of the next week, we will work with local government, social care providers and trades unions on the details. But our aim is clear. This Scottish Government will provide fair benefits for care workers. They have continually shown, in recent weeks, how vital their work is. And we must help them, as they provide help to those who need it.

The people in our health and social care services are doing a tremendous job, but they need us to play our part. And part of that is by following the rules that we have put in place.

So I think it is essential today to remind everyone – because it is hugely important – what we mean by Self-Isolation, and what we are asking you to do.

That message may have become confused in the last 24 hours because of events in other parts of the United Kingdom, so let me be clear what we mean here in Scotland.

Self-isolation means the following – if you think you have the virus – if you have a persistent cough, a fever or loss of taste and / or smell, you should self-isolate at home for a minimum of seven days. In that time you should get tested if you can – bearing in mind that testing is now open to anyone over the age of five who have symptoms.

At the same time – anyone in your household should self-isolate for 14 days – to see if they develop the virus, and if they do, they should isolate for seven days from that point.

On the eighth day, if you do not have any more symptoms, you can go back out, back to the lockdown measures that apply across the country.

Self-isolation is not the same as lockdown. When you are self-isolating you should not go to the shops, or out for exercise or to help others. You should not leave the house for any reason.

Instead if you need anything you should have it delivered to you, whether that’s by family and friends, local volunteers, supermarket delivery services or by phoning the National Helpline on 0800 111 4000.

If you are concerned about vulnerable people who are with you or that you care for – again – phone the National Helpline – 0800 111 4000.

I cannot emphasise enough how important self-isolation is, as part of our efforts – your efforts – to tackle the virus. It is all about breaking that chain of transmission, and I encourage everyone who has symptoms to follow these rules completely.

We hope, as the First Minister indicated, that later in the week we will be able to confirm that some lockdown restrictions – especially relating to outdoor activities – will be relaxed.

But even if those restrictions are relaxed, some key advice – including what I’ve just read out on isolating if you have symptoms of COVID, as well on physical distancing, washing your hands and the use of face coverings – will remain the same. In fact, they will become even more important – to avoid undoing all the progress that you have made through your sacrifices and your compliance with the rules, particularly as we move into Test and Protect.

For the moment, however, all our key public health guidance remains unchanged.

So please stay at home – except for essential purposes, such as daily exercise; buying essential items such as food or medicine; or going to essential work which you cannot do from home.

You can exercise more than once a day – but when you do leave the house, stay more than 2 metres from other people. And do not meet up with other households other than your own.

Please wear a face covering where appropriate – for example if you are in a busy shop or on public transport. And wash your hands thoroughly and regularly.

I know that this is a bank holiday weekend – and that talk of emerging from lockdown probably makes following these restrictions even harder. But the fact that we have stuck with them so far, that is what makes it possible to think about relaxing them.

By doing the right thing, all of us – all of you – are helping to slow the spread of the virus, protecting our NHS, and you are saving lives.

So thank you to every single person who is doing that.

I am now going to turn to Professor Leitch, our National Clinical Director, to say a few words.

Half a million lost bed days are symptom of poor care integration, says disability charity

‘in many areas of Scotland, the integration of health and social care is happening in name only’

The loss of over half a million bed days in Scotland’s hospitals over the past year is a symptom of the failure to integrate health and social care, according to the disability charity Leonard Cheshire in Scotland.

Figures published by ISD Scotland show that a total of 542,204 bed days in 2019/20 were occupied by people delayed in their discharge from Scotland’s hospitals.

This represents a 4% rise in the number of bed days lost due to delayed discharges between 2018/19 and 2019/20. A daily average of 1,481 beds were occupied by people delayed in their discharge over the past year.

A delayed discharge occurs when a person, clinically ready for discharge, cannot leave hospital because the necessary care, support or accommodation required is not readily accessible or funding is not available, for example to purchase a care home place.

The main reasons for patients being delayed in their discharge in 2019/20 were awaiting completion of care arrangements (35%), awaiting place availability (23%) and awaiting community care assessment (17%).

ISD Scotland estimates that in 2017/18 alone, the cost of delayed discharges in NHS Scotland was £122 million – with an estimated average bed day cost of £248.

Reacting to the figures, Leonard Cheshire in Scotland’s Director Stuart Robertson said: “These figures demonstrate that in many areas of Scotland, the integration of health and social care is happening in name only.

“More than half a million bed days have been lost over the past year in Scotland’s hospitals due to delayed discharges and it’s time the Scottish Government finally tackle this issue. Over half of patients who experienced a delayed discharge have been impacted by a lack of care arrangements, availability and assessments.

“Delayed discharges are costing the Scottish Government over a hundred million pounds every year and are badly letting down disabled people and those receiving health and social care.

“Investment on the frontline is urgently required if we are to end delayed discharges and create a person-centred health and social care system that truly meets the needs of the Scottish people.”

Edinburgh social care staff welcome £90 Aldi vouchers from Blackwood

Specialist housing and care provider Blackwood has purchased the shopping vouchers as a thank you to its social care staff in Edinburgh working at the front-line of the Coronavirus crisis.

Each of Blackwood’s 284 care staff across the country received a £90 Aldi voucher to help with their essential shopping, as a token of the appreciation of their dedication to their job through the pandemic.

The donation from Blackwood is part of its continuing #ImInAwe campaign, which is dedicated to shining a light on the important front-line role local care employees are playing, and to encourage more people to look at different ways to show their gratitude.

Blackwood operates across 29 local authorities in Scotland, providing housing and care support to people with a wide range of care needs.

Blackwood Chief Executive Fanchea Kelly said: “We’re so immensely proud of all of our staff who have continued to provide excellent care to all of our customers during a difficult time.

“We have so many incredible stories of how our staff have helped customers manage during this national lockdown and have worked hard to keep spirits up along the way, use technology to keep families in touch and come up with some innovative ways to fill days with fun where possible.

“The vouchers are a token of our appreciation for our staff. They are a way of recognising the hard work our carers do, and saying thank you to everyone for continuing to inspire us and keep our staff and customers safe.

“One of the reasons Aldi was chosen was its range of supermarkets across the country and their dedicated opening hours for care staff – both of which will hugely benefit our carers.”

Natasha Murray, Interim Care Services Manager at Blackwood, said: “The staff truly deserve the vouchers – they have gone above and beyond to support all our customers.

“Care staff have worked extremely hard through the pandemic and are putting our customers first, before anything else. We’re proud of each and every one of them.”

Fritz Walleczek, Managing Director of Corporate Responsibility at Aldi UK and Ireland, said: “Care workers remain an essential support for communities to ensure vulnerable people are looked after at this challenging time.

“We’re delighted to play a part in this initiative from Blackwood to recognise the important contribution their staff make in the field.”

It is estimated that up to 150,000 staff work in the social care sector across Scotland, providing vital care to people in care homes and retirement developments as well as care-at-home services.

Blackwood believes it is essential to publicly recognise the important work of its care staff, showing support and keeping morale high at a difficult time.

Fanchea added: “Often, the work of carers can go unnoticed. We would love it if more people got involved in supporting the #ImInAwe campaign, by sharing and resharing our efforts to show our carers how much they are valued and how important their work is.

“If you or your business would like to get involved and help, we’d love to hear from you to continue to show a collective sense of support across the country.”

Blackwood aims to help people live their life to the full, by providing services which support individuals to live independently. It specialises in technology and design innovation to support the role of its housing and care staff across Scotland.

For more information, please visit: https://www.blackwoodgroup.org.uk

Care sector ‘safety net’ proposed

New measures have been proposed to ensure swift intervention if care home residents are being put at serious risk due to services failing.

The move comes after the Care Inspectorate began legal action which could prevent operator HC-One running the Home Farm Care Home in Portree, where nine residents have now died.

The planned emergency powers are being put forward as a Scottish Government amendment to the Coronavirus (Scotland) (No. 2) Bill ahead of Stage 2 next week.

The amendments make clear that, if there was a significant risk to the life, health or wellbeing of individuals, or that a provider was unable to deliver care due to failure, that strengthened emergency powers will be available to ensure continuity of care.

If passed by the Scottish Parliament, the emergency powers will provide assurance to those who depend on care services, their families, and the staff that deliver care, that additional oversight and support is available in the rare circumstances that it may be required.

Health Secretary Jeane Freeman said: “The coronavirus pandemic has significantly impacted social care services around the world. In the face of this challenge, staff in care homes across Scotland have been working incredibly hard to care for their residents.

“It is of paramount importance that anyone living in a care home or using other care services, as well as those supporting them, are provided with the best possible care. We will do everything we can to ensure that remains the case. We are fortunate that this high standard of care is the norm for the vast majority of care home residents in Scotland.

“However, for the duration of this pandemic I believe that it is critical that a clear safety net is in place to ensure that if a care provider was unable to continue to deliver services, that the people who depend on those services should not be impacted. Our proposals build on established powers and would put beyond doubt that immediate action can be taken if continuity of care was jeopardised for any reason.

“The Care Inspectorate has a robust inspection regime for the care sector and the further steps we are hoping to take, if the parliament agrees, help bolster that work and would only be exercised as a last resort. There is guidance available for care providers on how to manage the current situation, which the Scottish Government expects to be followed.

“Every resident in our care homes, their family and the staff who work there should be kept safe from harm and we are prepared to take action where this is not the case.”

Health and social services staff to get free access to mental health apps

Daylight and Sleepio apps available to everyone working in health and social services in Scotland to support their mental health during the crisis
Staff can download mental health apps for free to help with sleep and anxiety during COVID-19 pandemic
Announcement part of nationwide drive to digitise healthcare, starting with workforce mental health

All health and social services staff in Scotland can now access free apps to cope with insomnia and anxiety as part of a nationwide effort to support the mental health of key workers during the COVID-19 pandemic.

NHS Scotland has this week launched a national programme to provide those working in health and social services with access to practical, everyday advice and support, as well as mental health apps and tips on self-care to help staff cope with the challenges they are facing with the pandemic.

As part of the PRoMIS National Wellbeing Hub, the apps on offer include programmes designed to help maintain healthy and restorative sleep, reduce anxiety and worry, and to help staff learn evidence-based techniques to address mental health issues when they arise.

The NHS-accredited apps Daylight – designed to help with worry and anxiety – and Sleepio – a digital sleep improvement programme featuring Cognitive Behavioural Therapy (CBT) techniques – are both developed by digital therapeutics company Big Health.

Sleepio has already been made available to almost 30,000 residents in the Western Isles, and both Sleepio and Daylight were recently made available at no cost to all NHS employees across England thanks to a partnership with NHS England.

As the UK’s response to the COVID-19 pandemic continues, health and social services staff remain at the frontline and are being placed under mounting pressure. The news comes as first Minister Nicola Sturgeon has stressed that the “stay at home” message remains in place in Scotland after Boris Johnson announced his “conditional plan” to reopen society.

Big Health co-founder and Professor of Sleep Medicine at the University of Oxford, Professor Colin Espie, has praised NHS Scotland’s timely response in protecting the mental health of NHS staff as well as their physical health during the pandemic.

Commenting on Big Health’s partnership with NHS Scotland Professor Espie said: “I’m honoured that Big Health is able to support our colleagues in NHS Scotland to help safeguard their mental health during these most challenging of times.

“NHS staff are working under enormous pressure whilst also experiencing significant changes to their lives at home as a result of COVID-19. We built Sleepio and Daylight to help people effectively manage their mental health whether the challenges occur during the night or day.”

Dr Sandra Ferguson, Associate Director Psychology and Lead for National Trauma Training Programme at NHS Education for Scotland added: ““There is increasing evidence that insomnia and sleep difficulties is an area that staff in health and social care are increasingly reporting.

“We are delighted to have worked with Sleepio who have designed this evidence-based app to support staff in resolving these difficulties. A good night’s sleep is a central part of overall wellbeing.”

Sleepio and Daylight are available at no cost to everyone working in the NHS to support their mental health during the COVID-19 pandemic.

These solutions aim to support staff to maintain healthy and restorative sleep, reduce anxiety and worry, and to help them learn evidence-based techniques to address mental health issues when they arise.