Care home visiting expanded

Care home residents will be able to receive more outdoor visitors from today (Monday, 10 August), Health Secretary Jeane Freeman has confirmed.

From today, care home residents will be able to have up to three outdoor visitors from no more than two households provided their home meets strict criteria, with infection control measures remaining in place.

Since 3 July care homes which have met this criteria have been able to allow residents to meet with one designated visitor outdoors.

A care home will only be able to permit visiting if they have been COVID-free throughout the pandemic or if all affected residents have fully recovered and no residents or staff have had symptoms for 28 days and the home is actively participating in weekly staff testing.

Visitors will need to wear face coverings throughout their visit and physical distancing and hand and cough hygiene will need to be adhered to at all times.

Care home providers have also been asked to develop plans on how they can safely allow one designated indoor visitor for residents within their homes. These plans must be submitted by 24 August and will be signed off by the relevant health board’s Director of Public Health once they are satisfied with the plan and the home meets all the criteria for indoor visiting.

Essential visits, including those involving end of life care, and visits for residents who are experiencing distress have been permitted throughout the pandemic and should continue to be supported by care homes.

Ms Freeman said: “This has been, and continues to be, a very challenging time for care home residents, their families and staff.

“Care homes are first and foremost people’s homes and we are committed to reintroducing measures that allow residents to connect with their family and friends. But this must be done safely and with precautions.

“Progress has been made since we reintroduced one designated outdoor visitor earlier this month, and I am pleased the clinical advice is now that care homes that meet the strict criteria can now allow residents to have up to three outdoor visitors from no more than two households. 

“It is important that we continue to monitor this situation and that all changes within care homes happen incrementally and with real caution to protect residents and staff.

“At this point in time clinical advice is not to restart indoor care home visiting, but to ensure  the necessary plans are in place to move to this as soon as safe to do so. This is being continually monitored and I hope we can give a further update on this in the coming weeks.

“We are also working to identify the necessary steps needed to restart communal activity within care homes and to reintroduce external outings by residents. This is a complex piece of work and we will of course include key partners in this.”

Scottish Care Chief Executive Donald Macaskill said: “The last few months have been exceptionally hard for folks in our care homes and for their families, being separated with only limited, often virtual, contact.

“At the beginning of July we opened up care homes to outdoor visiting and I am very pleased that in our slow journey back to normal life we can shortly allow the careful start of a degree of indoor visiting subject to local sign off by Public Health Officials. As well as this, it is positive that an increase in the numbers able to visit residents outdoors is now possible.

“Throughout the restoration of family visiting, we have tried to strike the hard balance between getting people back to seeing and being with their families and keeping residents, staff and others safe from the virus. We are very aware of how pernicious this virus is so guidance and measures will remain in place to protect everyone.”

Alzheimer Scotland’s new resources for care homes

Alzheimer Scotland has been working to respond to the main concerns expressed by callers to their 24-hour Freephone Dementia Helpline (0808 808 3000) and now have a suite of resources on their website’s  Coronavirus Information Hub including podcasts and videos.

A specific section provides information and resources for all those supporting people living with dementia in Scotland’s care homes.

Almost £3 million more for social care projects

31 projects secure an additional year’s funding

Funding for 31 third sector projects in social care has been extended to March 2022 with the announcement of an additional £2.9 million of Scottish Government backing.

Edinburgh projects include MECOPP, Lothian Centre for Inclusive Living and Thistle Foundation Health and Wellbeing.

Scottish Government’s ‘Support in the Right Direction’ programme was initially funded until March 2021, with funding partner Inspiring Scotland. The programme helps organisations who provide information, advice and advocacy to people accessing and managing their social care across Scotland.

The 12-month extension will enable project staff to continue their vital work helping people and carers navigate their way through the social care system, make the most of the ‘self-directed support’ options available to them, and access the support and care they need in their community.

Cabinet Secretary for Health and Sport Jeane Freeman said: “I am very pleased to be able to extend funding for Inspiring Scotland to manage these projects for an additional 12 months.

“The programme has consistently demonstrated the benefits of ensuring supported people have practical information and advocacy to live their lives.

“Independent advice and advocacy, plus support to make connections in their community, relieves stress and anxiety and helps people and carers maximise their choices and control over their arrangements, which is key to Scotland’s social care system.

“I am grateful to Inspiring Scotland and the individual projects for continuing this vital work and providing additional support to our social care sector.”

Inspiring Scotland Chief Executive Celia Tennant added: “We’re very pleased that all 31 Support in the Right Direction projects will receive funding for a further 12 months.

“This announcement recognises the importance of independent support for people, as part of local health and social care delivery, and provides some stability for these essential charities.”

The Support in the Right Direction programme is managed on behalf of Scottish Government by Inspiring Scotland. 

Click here for Details of the funded projects 

EIJB cuts: candidate writes to Ben McPherson

Katrina Faccenda, Scottish Labour’s prospective candidate for Edinburgh North and Leith in next May’s Holyrood elections, has written to Public Finance Mnister (and local MSP) Ben McPherson over cuts to Edinburgh Integration Joint Board’s budget.

She explained: “Today I have written to Ben Macpherson MSP regarding the proposed cuts to services currently provided through the Edinburgh Integrated Joint Board.  Urgent action is needed and as the Minister for Public Finance and Migration, I think Ben must speak up on behalf of his constituents.

“I am incredibly concerned about the effects of more austerity-driven cuts In the Edinburgh Northern and Leith constituency where underfunding of local government has already had a devastating impact and there are already too many living in poverty and struggling with health inequality.”

The letter reads:

“Dear Ben,

I am Katrina Faccenda, prospective Labour MSP candidate for Edinburgh Northern & Leith.

Like many of Edinburgh’s citizens,  I felt the latest round of cuts to health and social care services in the city was really the final straw.(I refer to the Phase Zero cuts agreed by the EIJB (Edinburgh Integration Joint Board)).

The EIJB members confirmed that they are upset about the changes which will have a significant negative impact on Edinburgh’s most vulnerable residents.

Do you, as Edinburgh Northern and Leith’s representative in the Scottish Parliament, share my concern that these cuts will adversely affect people in the constituency? 

Even before coronavirus, three wards in this constituency were reported to have child poverty levels higher than 30% (Edinburgh Poverty Commission Interim Report, Sept 2019)

You have stated that you are ‘ focused on being a passionate voice in the Scottish Parliament for local communities and for positive change’. (parliament.scot, Current Members, Personal Information) As the Minister responsible for Public Finance how do you plan to protect the community from such reductions in vital services?

Best Regards

Katrina”

Inspiring Care Stories

Scottish Social Services Council has collected stories from all types of social services across the whole of Scotland  which show how the workforce has often gone above and beyond to support people receiving care.

The stories demonstrate the values, compassion and professionalism of social service workers.

Over 60 stories have been gathered from all types of social services across the whole country and some of those wonderful stories in the new online Inspiring Care Stories resource.

The stories are organised in the six core themes of our Involving People Plan although most link to more than one theme.

More stories will be added over the coming weeks and encourage you to share your own stories on social media using the hashtags #InspiringCareStories #lifechangingwork and #SSSCregistered. 

Find out more in our Inspiring Care Stories toolkit.

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.

Scottish Government steps in to support social care workers

Extra financial support will be given to social care workers in Scotland during the Coronavirus emergency, Health Secretary Jeane Freeman has announced.

The Scottish Government has stepped in to provide additional funding to ensure all social care workers receive enhanced sick pay where they have received a positive COVID-19 test.

Where any social care worker dies without death in service cover in their contracted pension arrangements, the Scottish Government also plans to provide a one-off payment of £60,000 to a named survivor.

The Health Secretary said: “Social Care staff provide a critical and valuable service, never more apparent than during this emergency period.

“While some employers offer employment contracts closer to the Scottish Government’s fair work principles, it is clear that others do not.

“In recognition of the current exceptional circumstances and in order to ensure that social care workers are given the urgent support they deserve, we will develop a Scottish Government funded scheme for care workers in respect of sick pay and death in service benefits.

“These fair work issues and how they are realised in commissioning contracts will require to be addressed but, in the current circumstances, my focus now is on fairness for the care workers affected.

“We will continue to work with local government, social care providers and trades unions on further details of the plans over the course of next week.”

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.”