Health and Social Care – Page 16 – The NEN

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.

Shedding light on the condemned witches who were actually healers

RCN Foundation funds historical research project

The RCN Foundation has funded a history of nursing research project to document the stories of nurses and midwives accused of witchcraft in Scotland, as part of its programme of work to celebrate the International Year of the Nurse and Midwife.

The Foundation has awarded a Monica Baly Education Grant to a team of researchers from Edinburgh Napier University to investigate almost 150 witches recorded on the Survey of Scottish Witchcraft as being folk healers and midwives.

The team from the Nursing and Midwifery Subject Groups in the School of Health and Social Care, comprising of Dr Nicola Ring, Nessa McHugh and Rachel Davidson-Welch, will investigate the stories of these individual nurses and midwives, documenting who they were, and reflecting on their practices from today’s healthcare perspective.

Scotland’s Witchcraft Act was introduced in 1563 and remained law until 1736. During that time nearly 4,000 people, mainly women, were accused of witchcraft.

The accused were imprisoned and brutally tortured until they confessed their guilt – often naming other ‘witches’ in their confessions. Most of those accused are thought to have been executed as witches, being strangled and then burned at the stake, leaving no body for burial.

People were accused of being witches for many reasons- some were mentally ill, some had land and money others wanted. However, many of those accused and executed as being ‘witches’ were guilty of nothing more than helping to care for others during sickness and childbirth – they were early practitioners of midwifery and nursing.

Dr Nicola Ring said: “I am delighted we have been awarded funding from the RCN Foundation to investigate this over-looked part of nursing history. Telling the stories of these Scottish women and men cruelly and unfairly accused and punished for helping the sick and women in childbirth highlights the injustices these people faced.

“It supports Claire Mitchell QC and Zoe Venditozzi in their ‘Witches of Scotland’ campaign, which seeks posthumous justice – a pardon for those convicted of witchcraft, an apology for all those accused, and a national memorial dedicated to their memory.”

Deepa Korea, Director of the RCN Foundation, said: “We are very pleased to fund this project as part of our programme of work to mark the International Year of the Nurse and Midwife.

“This is an important project which will not only document the experiences of these early nurses and midwives and the injustices they faced but provide a fresh look at the early role and perceptions of nursing and midwifery, prior to the accepted Victorian archetype.”

Claire Mitchell QC said: “Zoe Venditozzi and I (Witches of Scotland) are delighted that this work is being done to investigate and record the history of Scottish women and, in particular, those who were caught up in witchcraft allegations.

“We know from our research that some of the women and men were healers – involved in folk medicine and early midwifery – who were prosecuted for witchcraft and paid with their life. This work shedding a light on this tragic history is important.”

Time To Be Bold: Care union urges MSPs to support call for £15 an hour social care minimum wage

GMB Scotland is urging all MSPs to support its campaign for a £15 an hour minimum wage for care workers.

In a letter to political party leaders ahead of a Scottish Parliamentary debate on the Independent Review of Adult Social Care this afternoon (Tuesday 16 February), the union calls on MSPs to grasp “a once in a generation opportunity to transform social care” by underpinning reforms with “proper value for the workers who will deliver it.”

The Cabinet Secretary for Health and Sport Jeane Freeman MSP will lead the debate for the Scottish Government and recommend the incoming Scottish parliament should implement the findings of the Independent Review “as quickly as practicable”, with opposition MSPs lining-up to back GMB’s pay increase plan for the sector.

The union’s ‘Fight for Fifteen’ campaign was launched following the publication of its sector report, ‘Show You Care: Voices from the frontline of Scotland’s broken social care sector’, which highlighted the significant challenges facing care workers before and during the first wave of the COVID-19 pandemic.

GMB Scotland’s Women’s Campaign Unit Organiser Rhea Wolfson said: “The recommendations of the independent review are a once in a generation opportunity to transform social care, but only if they are underpinned by proper value for the workers who will deliver them.

“The report is clear that every £1 spent on social care generates £2 for the wider economy, so if government and industry invest properly in this sector and its people, the effects could be transformative not just for workers and service users, but for society too.

“COVID-19 has exposed how poorly our care workers have been valued, a workforce of mainly low-paid and often exploited women who found themselves on the frontline of a crisis without proper safety or support.

“We owe them a huge debt and if we really want to put care on an equal footing with the NHS as the Cabinet Secretary suggests, then we have to back that up with the investment to match.

“Now is the time to be bold and today Holyrood can rise to the challenge. That’s why we are urging MSPs to stand with our members in care and support their campaign to fight for fifteen.”

COSLA: Unanimous ‘No’ to National Care Service

There is much in the Feeley Report on Adult Social Care that Local Government and Scotland’s Council Leaders have been calling for, COSLA said yesterday.

Leaders have long advocated that that the lived experience of those who rely on social care should be embedded within the system and that social care should move to a more person centred approach, recognising the value of not for profit provision, and carried out by a workforce that is valued.

However Leaders unanimously expressed ‘grave concern’ at the recommendations around the future governance and accountability arrangements contained within the Report.

Whilst they agreed with a lot of the content within the Feeley Report, Council Leaders together voiced their opposition to the recommendation which proposes the removal of local democratic accountability from Adult Social Care and the centralising of the service under a National Care Service with accountability falling to Ministers, a move that they described as being detrimental to the local delivery of social care and its integration with other key community services.

They also felt that given the level of funding set out in the Review, Local Government would be well placed to continue to deliver this vital service.

Speaking following a special meeting of Council Leaders Councillor Stuart Currie, COSLA’s Health and Social Care Spokesperson, said: “Council Leaders noted the publication of the Independent Review of Adult Social Care and endorsed many of the principles set out in the report particularly in relation to empowering people, valuing the workforce and embedding a human rights approach to social care.

“Leaders were also clear that the lived experience of those who rely on social care should be embedded within the system and that social care should move to a more person-centred approach.

“However, there was real and unanimous opposition to the recommendations on governance and accountability which would see the removal of local democratic accountability and a degree of centralisation, which Leaders rightly felt would be detrimental to the local delivery of social care and its integration with other key community services.

“They also felt that given the level of funding set out in the Review, Local Government would be well placed to deliver the human-rights based approach outlined at pace, whilst ensuring local democratic accountability remains front and centre of social care.”

A further detailed report on the proposals will be considered by Council Leaders at the end of February.

A National Care Service for Scotland?

Coalition of Care and Support Providers welcome Independent Review of Adult Social Care in Scotland

CCPS (Coalition of Care and Support Providers) has welcomed the publication of the Independent Review of Adult Social Care in Scotland and its call for a renewed purpose for social care with human rights at its heart.

CCPS are delighted by the commitment to a new narrative which replaces crisis with prevention and wellbeing, burden with investment, competition with collaboration and variation with fairness and equity.

We strongly endorse the call to put people front and centre of social care delivery – people who are supported by social care, their families and carers, and people who work in social care services.

We agree that Scotland already has strong foundations on which to build a National Care Service. We want to work with the Scottish Government, national and local stakeholders – including those who support people and people who are supported – to redesign the system to make the ambitions set out in the Review happen.

We wholeheartedly back the Review’s assertion of a duty to co-produce a new system with people who it is designed to support.

Over the coming weeks we will be working closely with our members to explore the Review’s recommendations in detail. As the membership body for third sector providers, we are especially interested in participating in the conversation about the Review’s recommendations on commissioning and procurement.

In 2020, we published our own contribution to that conversation, a series of Big Ideas about changing the way social care is planned, purchased, and paid for. We are grateful to the Review team for citing those ideas. In particular, we thank them for including as one of their recommendations, our suggestion to press pause on all current procurement in the context of a National Care Service, with a view to rapid, carefully planned implementation.

We agree with the Review team that implementation is the most significant challenge. Now is the moment for whole system change, hand in hand with the implementation of The Promise and the recommendations of the Social Renewal Advisory Board.

We would echo the Review Team’s own words – ‘If not now, when? If not this way, how? And if not us – who?’

Annie Gunner Logan, Chief Executive of CCPS said: “CCPS congratulates Derek Feeley and the Review team on completing a mammoth task in record time and their willingness to listen to many voices including those of providers and the people we support.

“Reform of social care in Scotland is long overdue. The COVID-19 pandemic has exposed fault lines which require radical overhaul and long-term change. It has also revealed what can be achieved when obstacles are removed in a crisis.

“We are heartened by the direction of travel set out in the Review. The challenge now must be to turn aspiration into implementation. Change is needed urgently but how it is achieved matters too.

“The debate about a National Care Service must not become a bunfight at the expense of those who provide social care and the people they support.

“The upcoming election period provides an opportunity to discuss the Review’s recommendations openly and widely. But when the votes have been counted, and Scotland gets down to the series business of design and implementation, their voices must be in every room, every step of the way.”

Responding to the publication of the Independent Review of Adult Social Care in Scotland Report yesterday, GMB Scotland’s Women’s Campaign Unit Organiser Rhea Wolfson said: “Scotland has a once in a generation opportunity to transform social care, if the recommendations of this report are underpinned by proper value for the workers who will deliver it.

“We are pleased the report acknowledges our campaign for a £15 an hour minimum wage in social care and we would stress to the government and the industry this is very achievable with collaboration and political will.

“The report is clear that if government and the industry invest properly in the sector and its people, the economic multiplier effects of social care spending could have transformative effects not just for workers’ pay and the quality of care, but for the equalities agenda and the wider economy.

“The COVID-19 pandemic ruthlessly exposed the long-standing crises in social care which everyone well understood, and for a workforce of mainly low-paid and often exploited women this has meant a chronic struggle for proper value and respect.

“After the crises and tragedy of the last eleven months, and with tough times still ahead of us, there is hope in these recommendations.

“If we are serious about what we really value as a society, then we have a chance to finally get the social care agenda right.”

independent-review-adult-care-scotland Download

Home Carers to ballot for action over “No Confidence” in COVID testing roll-out

Home carers in Glasgow City Council’s Health and Social Care Partnership (HSCP) will launch a ballot for industrial action next week, warning they have “no confidence” over plans for workplace testing of COVID-19 and amid ongoing uncertainty surrounding the vaccination programme.

Over 1,700 GMB Scotland members will take part in a three-week ballot, running from Tuesday 19 January to Monday 8 February, meaning service delivery in the HSCP could be affected by action as early as the week beginning Monday 22 February.

It follows a massive 93 per cent support for action among GMB members in a consultative ballot last month, a direct response to the Scottish Government’s Winter Preparedness Plan which put home carers to the back of the queue in the roll-out of workplace testing delivery.

GMB Scotland Organiser David Hume said: “There is no confidence whatsoever among our members in their employer or the government to sufficiently protect their health and safety at work. And why should there be?

“They were failed on PPE at the outset of this pandemic, they have been left waiting ten months for workplace testing, and some are already encountering problems getting their first vaccine.

“The HSCP should have been fighting tooth and nail for every resource to protect the safety of their employees and their service users. Instead they have been sitting on zoom calls for nearly a year waiting on guidance from the Scottish Government, only for Ministers to leave councils carrying the can for testing delivery.

“The interests of these key workers have been consistently forgotten and they are being treated negligently by their employer, and this government.”

Concern over conditions in capital care home

Lothians MSP Miles Briggs has expressed concern over a failure to improve conditions at Braid Hills Nursing Centre.

The latest Care Inspectorate report reads:

Braid Hills Nursing Centre is registered to provide care to 95 older people and 24 adults with a physical disability. The provider is BUPA Care Homes (ANS) Limited.

We carried out an initial inspection of the service on 29 September and 1 October, with NHS Lothian. The findings were outlined in the report laid before Parliament on 14 October.

We completed a further visit on 12 November with NHS Lothian to follow up on the improvements required in relation to cleanliness, infection prevention and control, waste management, the use of PPE and staff knowledge. The findings were outlined in the report laid before Parliament on 25 November.

We determined that further progress was still required.

We visited the service again on 29 December. Improvements were not sufficient in respect of the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge. Overall, the management oversight and quality assurance systems were ineffective.

We issued a letter of serious concern to the provider on 29 December which detailed immediate action the home must take.

We returned to the service on 2 January 2021. Although the service had made plans to address our concerns, progress was not sufficient to reassure us that people were being supported safely during the pandemic. We issued the service with an improvement notice on 4 January 2021.

We have informed Edinburgh health and social care partnership of our findings.

We will undertake a further visit to monitor the improvement notice.

This was a follow-up inspection. We did not change the service evaluations.

Lothians MSP Miles Briggs said: “This is extremely concerning that Braid Hills Nursing Centre has failed to make the necessary changes to make the care home safe.

“The care home has repeatedly been told to follow the necessary measures in respect to the standard of cleanliness, waste management, the use of PPE, staff practice and knowledge, but have refused to do so.

“Increased levels of Covid-19 in the community puts elderly care home residents at even greater risk and Braid Hills Nursing Centre’s license must be reviewed if they will not meet the necessary standards to keep residents safe.”

Hospital and care home visiting update

Keeping residents and patients safe over Christmas and New Year period.

Visiting arrangements for hospitals and care homes in Scotland will remain in place over the Christmas and New Year period, it has been confirmed.

For the general public, there will be UK-wide easing of restrictions on travel and gathering between 23 – 27 December.

However, in a joint-letter to NHS Boards, the interim Chief Medical Officer, Chief Nursing Officer and National Clinical Director clarified this would not apply to hospitals over the Christmas period, given the increased vulnerability of hospital patients compared to the general population.

Christmas and New Year guidance has also been published for the adult care home sector, recommending that indoor visiting should continue to be supported where it is safe to do so, as well as setting out specific safeguards that care homes can put in place to safely support festive activities.

Health Secretary Jeane Freeman said: “While most people will see a limited relaxation of existing restrictions over the holiday period, hospital and care home visiting guidance will remain in place to protect patients and residents.

“However, we are encouraging Boards and care homes to continue to apply this guidance with flexibility and compassion, given how important the Christmas and New Year period is for many families, to ensure no-one is unnecessarily isolated over the Christmas period. Essential visits should also continue regardless of local restrictions, as they have throughout the pandemic.

“In care homes this will be facilitated by testing of designated visitors, which will be rolled out to all care homes from Monday onwards. Testing is not required for visiting but it does add an additional layer of protection, and we will make PCR testing available for any care homes unable to make use of lateral flow tests before Christmas.

Coronavirus (COVID-19): hospital visiting guidance

Coronavirus (COVID-19): adult care homes guidance

Visiting in care homes is subject to care homes being free of any COVID-19 symptoms for 14 days, actively participating in the care home testing programme and having visiting risk assessments approved by the local Director of Public Health.

Letter to NHS Boards: see below:

LETTER-Christmas-Preparation-and-Visiting-Guidance Download

Testing for care home visitors gets underway this week

Coronavirus (COVID-19) testing for designated visitors of care home residents will start this week with a trial across five local authority areas.

From tomorrow (Monday 7 December), lateral flow testing of designated visitors will be trialled in 14 early adopter care homes in North Ayrshire, Fife, Argyll and Bute, Inverclyde, and Aberdeenshire.

Testing kits will then be sent out to all care homes from Monday 14 December, as announced by the First Minister on Wednesday, once guidance and training materials have been finalised following the trial.

For any care homes unable to make use of lateral flow tests before Christmas, PCR testing of visitors will be available when necessary to facilitate visiting over the festive period.

Health Secretary Jeane Freeman said: “This is a positive step for care homes, residents and their families and friends, that will provide another important layer of protection against COVID, alongside the essential PPE and infection prevention and control measures already in place.

“I’m very pleased to say we will be able to significantly accelerate the delivery of testing kits to all cares homes from 14 December, following the necessary trial phase to ensure we have the right guidance and training in place.

“This will require a significant amount of work from care homes, and we will continue to work closely with Health and Social Care Partnerships, Scottish Care, CCPS and COSLA as test kits are rolled out to ensure they have the support they need to deliver testing for designated visitors.

“However, it’s important to remember that testing does not replace the other vital layers of protection we have against COVID, and all of these – reducing contacts, keeping our distance, wearing face coverings, and vaccines when they come – work most effectively to stop the virus when they are used together.”

Care home visiting guidance

Visiting arrangements will be different for each home but it is anticipated that testing will take place in a designated area in the care home. Visitors will self-swab and the test will be conducted by care home staff.

Where the test is negative visitor will continue to the visit using full PPE and infection prevention and control measures measures as outlined in current visiting guidance, where there is a positive result the visitor will be advised to leave the home, self-isolate and book a PCR test either online at NHSInform.scot, or by calling 0800 028 2816.