Health and Social Care

New guidelines to protect frontline staff

New guidance on personal protective equipment (PPE) has been published for health and social care workers responding to coronavirus (COVID-19) in Scotland.

The guidance, which has been agreed by the four UK Chief Medical Officers and Chief Nursing Officers, follows an urgent review of the existing guidance against the latest evidence and WHO advice, on the safest way to protect health and social care staff.

The new guidance includes:

what type of PPE to use in secondary, primary and community care settings, and when to wear it

when clinicians need to wear a higher level of protective equipment, and in which settings

detailed advice around risk assessing use of PPE in a range of different clinical scenarios, including community settings, such as care homes and caring for individuals in their own homes

Health Secretary Jeane Freeman said: “Protecting staff working on the frontline is an absolute priority and I want to thank each and every one of them for their hard work and commitment in this incredibly challenging situation.

“I want our staff to feel as safe as possible and this updated guidance provides clarity so that health and social care staff caring for patients feel confident in which PPE they need to wear in different situations and settings.”

Scotland’s Chief Medical Officer Dr Catherine Calderwood said: “The updates to the guidance reflect the fact that COVID-19 is now widespread in the community, so health and social care workers are more likely to see patients with the virus, some of whom will not have symptoms yet.

“We have introduced new measures to improve the distribution of PPE, including a single point of contact for all health boards to manage local PPE supply and distribution, and an email address for NHS staff to contact if they do not have what they need. This is covid-19-health-PPE@gov.scot. It will be monitored continuously and allow us to act to resolve any specific supply issues more quickly.

“A helpline has also been set up for registered social care providers having problems accessing PPE, with extra staff to prepare orders for social care, additional delivery drivers, longer delivery hours and use of more external delivery companies to increase capacity. Work continues to source further PPE and ensure there is an appropriate supply for all our workforce.”

The Scottish Government also outlined details of the improved process to report COVID-19 deaths that began yesterday.

As part of this new system, 40 deaths, which would not yet have been reported under the old system – because next of kin had not been informed – have been included and allocated to the last three days as appropriate.

The data below shows the running total of the number of deaths reported, under the old and new systems, of those confirmed to have died from Coronavirus across the last few days. There are now 126 deaths confirmed using the new system:

Tuesday 31 March – 69 (previously 60)

Wednesday 1 April – 97 (76)

Thursday 2 April – 126 (86).

Edinburgh’s Netli offers free services to all health & social care providers

As a direct response to the increasing pressures that the COVID-19 outbreak is putting on the health and social care system Netli, the leading service and solution provider for the care sector, is to make its services free of charge to support health and social care providers nationwide.

Stephen Wilson, CEO and Co-Founder of Netli said: “These are incredibly difficult times for everyone right now and in order to continue providing critical care services for the most vulnerable in our society, care providers across the UK must quickly adapt to changing priorities and implement methods of remote working for administration and managerial staff – this is where we can help.”

Workforce powered by Netli is an online platform that enables remote working for office staff and management as well as speeding up the recruitment process of new staff at a time where this is needed most.

The platform has been proven to reduce time to recruit new care staff from 8 weeks down to 8 days, permitting new staff to get started much more quickly. It also reduces the administration time of recruitment by up to 90%, allowing admin personnel to be re-deployed to other business-critical areas.

Wilson continues: “Our software has been specifically designed to make recruitment in care across the UK more efficient and easier for both the recruiter and the applicant.

As well as supporting those already working in the sector, our dedicated online jobs board CareJob.co , powered by Workforce will facilitate the transition of more people into a career in care in a time where it is needed most.”

CareJob.co is a single source, centralised hub for careers in care across the country. The free offering will allow recruiters to post one job advert at a time and vacancies created in Workforce will then be automatically posted to CareJob.co and Google Jobs.

Workforce and CareJob can be set up within minutes, allowing entire teams to have 24/7 remote access to a complete recruitment and HR system and they have been.

Wilson concludes: “Our experienced team are working tirelessly to support the UK’s response to COVID-19 through the accelerated deployment of online strategies. Our services will not only speed up processes and make them more efficient, but they will also support the safety of staff and service users during times where social distancing strategies are being enforced.”

For more information about Netli visit www.netli.co

Drive to free up hospital beds

Councils have been asked to increase support for care at home, nursing homes and care homes to reduce delayed discharges and free up hospital beds.

Health Secretary Jeane Freeman has confirmed to COSLA that, subject to expenditure being aligned to local plans, the Scottish Government will meet additional costs to increase support and staff capacity in social care.

The move aims to help the care system adapt to increased pressure placed on it by COVID -19, with many people requiring continued support for daily living, even if they have not contracted the virus.

Ms Freeman said: “We have placed the NHS on an emergency footing and we also need to increase the capacity in our social care sector.

“Extensive work is already underway by health and social care partnerships to free up hospital beds and care for older people, and others in need of support, in care homes and in our communities.

“We have now informed councils that any additional expenditure to maximise the care available to our communities, aligned to work that is already underway, will be covered by the Scottish Government.”

COSLA’s Health and Social Care spokesperson Councillor Stuart Currie said: “COVID-19 represents an unprecedented challenge to anyone working in caring professions in Scotland.

“The Scottish Government and local government have shared leadership to ensure the entire system is working together to optimise the impact on the wellbeing of our communities. Work is underway locally to do this and today’s announcement gives welcome assurance to the sector about the steps which will be taken to maximise the care available to our communities.

“COSLA guidance will be issued shortly to support commissioners to work collaboratively to protect the resilience of the social care sector and ensure they remain operationally and financially viable.”

Who are the Key Workers?

What is a key worker? The UK Government gives the following information:

If your work is critical to the COVID-19 response, or you work in one of the critical sectors listed below, and you cannot keep your child safe at home then your children will be prioritised for education provision:

This includes but is not limited to doctors, nurses, midwives, paramedics, social workers, care workers, and other frontline health and social care staff including volunteers; the support and specialist staff required to maintain the UK’s health and social care sector; those working as part of the health and social care supply chain, including producers and distributers of medicines and medical and personal protective equipment.

Education and childcare

This includes childcare, support and teaching staff, social workers and those specialist education professionals who must remain active during the COVID-19 response to deliver this approach.

Key public services

This includes those essential to the running of the justice system, religious staff, charities and workers delivering key frontline services, those responsible for the management of the deceased, and journalists and broadcasters who are providing public service broadcasting.

Local and national government

This only includes those administrative occupations essential to the effective delivery of the COVID-19 response, or delivering essential public services, such as the payment of benefits, including in government agencies and arms length bodies.

Food and other necessary goods

This includes those involved in food production, processing, distribution, sale and delivery, as well as those essential to the provision of other key goods (for example hygienic and veterinary medicines).

Public safety and national security

This includes police and support staff, Ministry of Defence civilians, contractor and armed forces personnel (those critical to the delivery of key defence and national security outputs and essential to the response to the COVID-19 pandemic), fire and rescue service employees (including support staff), National Crime Agency staff, those maintaining border security, prison and probation staff and other national security roles, including those overseas.

Transport

This includes those who will keep the air, water, road and rail passenger and freight transport modes operating during the COVID-19 response, including those working on transport systems through which supply chains pass.

Utilities, communication and financial services

This includes staff needed for essential financial services provision (including but not limited to workers in banks, building societies and financial market infrastructure), the oil, gas, electricity and water sectors (including sewerage), information technology and data infrastructure sector and primary industry supplies to continue during the COVID-19 response, as well as key staff working in the civil nuclear, chemicals, telecommunications (including but not limited to network operations, field engineering, call centre staff, IT and data infrastructure, 999 and 111 critical services), postal services and delivery, payments providers and waste disposal sectors.

If workers think they fall within the critical categories above, they should confirm with their employer that, based on their business continuity arrangements, their specific role is necessary for the continuation of this essential public service.

If your school is closed, then please contact your local authority, who will seek to redirect you to a local school in your area that your child, or children, can attend.

We are grateful for the work of teachers and workers in educational settings for continuing to provide for the children of the other critical workers of our country. It is an essential part of our national effort to combat this disease.

ARMED at the double

An innovative wearable technology solution has been awarded at two prestigious ceremonies for its ability to support independent living for older people.

Proudly developed in Scotland, ARMED, part of HAS Technology, scooped the two awards thanks to its proven success rate and quick expansion, leading to the creation of new jobs while also demonstrating how artificial intelligence can revolutionise preventative care.

The Scottish Knowledge Exchange Awards commend and celebrate the local and global impacts achieved through research and development partnerships between businesses, universities and research institutes.

Advanced Risk Modelling for Early Detection (ARMED) won the ‘Innovation of the Year’ award thanks to its impactful and long-lasting collaboration with Edinburgh Napier University and Scotland’s Digital and Health Institute (DHI).

The unique ceremony showcases the talent and expertise that leads to sustainable and inclusive economic growth and job creation.

ARMED has also been recognised at the Digital Health and Care Awards (DHCA), a ceremony that celebrates excellence and innovation in Scotland’s quickly expanding health and social care sector.

At the event, ARMED was awarded the Independent Living Award, an accolade that celebrates the teams who are changing culture through innovative technology that enables individuals to live more independently.

This award was led through the partnership with the Scottish Government’s Innovation Centre; the Digital Health & Care Institute (DHI).

With the telecare model not progressing over the past 10 years, the DHCA praised ARMED for developing a solution that doesn’t react but instead demonstrates that it’s possible to deliver preventative services using low-cost technology to support independent living.

Brian Brown, Director of ARMED at HAS Technology Group, said: “We‘re thrilled to be the recipients of not just one, but two awards. These award wins are testament to the dedication and belief of our team, who are passionate about digital transformation.

“We are always striving to improve the lives of those receiving care and support, increase independence and prevent health issues before they arise, alongside offering the sector a cost efficient and transformative solution.”

The accolades are set to continue for ARMED as they are also finalists in the Tomorrow’s Care Awards. People are encouraged to vote for ARMED’s wearable technology by visiting the website and clicking ‘Tomorrow’s Care Awards’.

ARMED was developed with support from Edinburgh Napier University and Scotland’s Digital Health and Care Institute (DHI), as well as being in the 1% of companies chosen to be a Microsoft partner.

A number of Scottish Councils have been instrumental with initially testing the technology and it was recently piloted with Scotland’s Loreburn Housing Association. The project saw successful results in just six months, with zero falls reported with the case study group.

To find out more about ARMED technology, visit https://www.armedprevention.co.uk/

Housing associations ‘an untapped resource’ in delivery of health and social care

A new report has concluded that housing is an untapped resource which could help Health and Social Care Boards engage better with older people, delivering more effective services as a result.

In the report published today, one of Scotland’s leading housing associations outlines the importance of going beyond traditional methods of engagement. Instead, it highlights importance of understanding the emotional needs of people and the networks which exist within communities. This information helps achieve better outcomes such as increasing happiness and reducing loneliness and isolation.

Hanover Scotland has published the report, Connecting Communities, after completing an action research project to understand how the organisation, staff and residents can work with local communities to help people live the lives they want.

It comes just a few weeks after a report by Audit Scotland highlighted that “More work needs to be done to engage with local communities when making changes to health and social care services.”

Hanover believes the methodology and findings of its own research could provide a template for use in health and social care and wants to see housing organisations more closely involved in the process in future.

As part of the research, a group of Hanover staff were trained to use a relationship-centred approach as developed by Professor Mike Nolan at the University of Sheffield. This describes the need for a sense of security; a sense of continuity; a sense of belonging; a sense of purpose; a sense of fulfilment and; a sense of significance.

Using these principles, the Hanover research team, led by the Chief Executive, was able to gain an insight in to the networks and connections that exist in local communities and what prompts positive emotional responses from people.

The relationships that have been formed and the information gathered will be used to shape Hanover’s future work and demonstrates how housing organisations could be a gateway for health and social care bodies to improve their own engagement and deliver better outcomes.

The four conclusions of Hanover’s report were:

The home is fundamental to the wellbeing of people and the sustainability of communities. Housing is key to all efforts to integrate and improve health and wellbeing.
Engagement with older people when shaping services must improve and consider the emotional motivations and needs of individuals to better understand the networks and support which exists within communities.
Housing organisations are an untapped resource without which it will be more difficult for IJBs to achieve better health and social care outcomes as outlined by Audit Scotland.
It is essential that housing organisations be offered the opportunity to be fully included in the ongoing integration of health and social care.

Helen Murdoch, Chief Executive of Hanover Scotland, said: “Housing organisations are the gateway through which health and social care bodies can provide outcomes to help people live the lives they want.

“For 40 years, Hanover Scotland has pioneered progressive models of housing and care that support older people to enjoy full and active lives and I am very proud that our team was able to undertake this research throughout our anniversary year. It has taken us across Scotland to speak to people and to a global conference where we were invited to share some of our early findings.

“What our detailed discussions with our residents have given us is a deep understanding of what kind of service they want from us and how we can go about doing that. As a result, this research is going to shape Hanover’s services for years to come.

“We do not pretend to have all the answers but it seems clear to me that were housing organisations included more closely in the integration of health and social care in the future, we could use this kind of model to improve engagement with local communities and deliver better, more effective services across the country.”

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