Health and Social Care – Page 4 – The NEN

Bield launches new digital hub

A NEW digital hub in West Lothian showcasing housing technology of the future won Bield stakeholder approval after its official launch last week.  

Following a tenant sneak-peek in March, Bield Housing and Care has officially opened the Bield Tech Hub in Linlithgow, having secured £75k of funding through the TAPPI project.

The launch allowed stakeholders, including local health and social care partnerships, staff and other housing associations, to trial and give feedback on digital care advancements of the future.

The Bield Tech Hub consists of four spaces including two bedrooms with ensuite bathrooms, one kitchen space and one living space. There is also a consultation room and a dining space. Each room has been fitted out with different technologies for people to test.

Stakeholders were welcomed to the space by Dr Lynne Douglas, Bield CEO, who said: “We are delighted to have officially opened the Bield Tech Hub and we’re sure it will bring life-changing technology to West Lothian and further afield. It was fantastic to give our stakeholders and project partners the opportunity to see first-hand what their support has facilitated.  

“It’s very important that people get the chance to familiarise themselves with this incredible tech made available through the TAPPI project and get a true insight into housing of the future.”

The Technology for our Ageing Population: Panel for Innovation (TAPPI) project aims to improve the way technology is used in housing and care for older people. Led by the Housing Learning and Improvement Network (Housing LIN), the TEC Services Association (TSA) and funded by The Dunhill Medical Trust, TAPPI seeks to address the opportunity that technology has to enhance the lives of our ageing population and the barriers that prevent its adoption.

The funding will give Bield the unique opportunity to work with tenants, staff and partners to gain insight into a range of devices, apps and systems across a variety of housing settings.  With co-production at its heart, Bield staff and tenants will have shared responsibility to produce digital services to support independent living – a first for the Scottish housing charity.

The Bield Tech Hub features three main technologies.  The first, Anthropos, uses predictive and analytical technologies to map individuals’ daily routines and sends insights to family or staff.  If abnormal action is detected, Anthropos intervenes to prevent a crisis moment from occurring.  This supports independent living for as long as possible by proactively averting potential injury or danger.

Aquarate drinking cups, which track individuals’ fluid intake by measuring liquid volume automatically, are also available.  This monitoring means that optimal fluid levels are maintained, and can be personalised to reflect individuals’ needs and care. 

The third technology is Vayyar, a non-wearable, non-invasive, 4-dimensional tracking technology which supports fall detection.  It also determines room presence and tracks mobility levels and bathroom visits, all of which facilitate autonomous living. 

Lynne added: “Our team have worked hard to ensure that Bield tenants, customers and their families are beneficiaries of extremely relevant tech that could make a real difference to their day-to-day lives – we are certain that the three technologies achieve that.

“Preventative care technologies across the board underpin our major tech revolution at Bield and we’re confident that there will be fewer falls and emergencies, generally helping people to live independently for longer and be more confident in their homes.”

Bield’s use of innovative technology has already received major recognition – it’s ‘Inspire Phase 2’ project which utilised proactive telecare was the winner of the Transformation Award at the 2023 ITEC Awards in Birmingham. 

The ITEC Awards celebrate innovation within the sector and the positive impact Technology Enabled Care has on the lives of millions of people in the UK.  The Transformation Award honours services that have planned and implemented major transformation with a proactive and preventative approach.  

Bield is a housing and care charity committed to providing innovative, flexible and high-quality housing solutions and support for older people.  Bield Housing and Care has around 180 developments which facilitate independent living across Scotland.

To find out more about Bield and its developments, visit https://www.bield.co.uk/ or follow on Facebook @bieldhousingandcare and Twitter @BieldScotland 

For more details on TAPPI, visit https://www.housinglin.org.uk/TAPPI2 

Facemasks: Return to pre-pandemic advice for health and social care

People in health and social care settings will no longer be advised to wear facemasks from Tuesday next week (16 May).

The return to pre-pandemic guidance means that mask use will be based on clinical need based on infection prevention and control advice, meaning staff, patients, service users and visitors will not be routinely asked to wear facemasks in health and social care settings.

It follows a review of the guidance introduced during the Covid-19 pandemic to protect staff, patients, service users and visitors, and recognises that Scotland has entered a calmer phase of the pandemic.

Chief Nursing Officer Alex McMahon said: “Due to the success of vaccines in protecting people, and the availability of treatments, now is the right time to revise the advice on wearing masks in health and social care settings and return to pre-pandemic guidance.

“We recognise that some staff may have concerns around the withdrawal of this guidance and would expect organisations to undertake individual occupational health assessments and risk assessments as appropriate.

“We continue to be vigilant in our response to Covid-19 and encourage everyone to make sure they are up to date with the boosters available to them. We are grateful for the tireless work of health and social care teams during these challenging times and to everyone who has helped them by adhering to the guidance.”

Audit Scotland: Integration Joint Boards ‘face significant workforce pressures and financial challenges’

Scotland’s Integration Joint Boards (IJBs) face considerable financial challenges and immense pressures on their workforce, says public spending watchdog Audit Scotland.

IJBs have reached the point where significant transformation will be needed to ensure the long-term capacity, financial sustainability and quality of services individuals receive.

IJBs plan and commission many community-based health and care services. Demand for these services is increasing, in part due to demographic change and support for people with increasingly complex care needs.

The number of care hours for those aged over 65 reached nearly 25 million in 2021/22. The proportion of care services reporting vacancies increased by 11 per cent to 47 per cent, with a 30 per cent turnover of staff each year.

Most IJBs underspent on providing services in 2021/22. This was largely because of difficulties in recruiting staff, which led to unplanned vacancies, and pandemic-related reductions in service provision. The reductions in service provision were likely to have contributed to an increase in unmet health and social care needs.

In 2021/22 IJBs returned significant surpluses, with reserves doubling to over £1.3 billion. This was mainly due to additional funding received late in the year for specific policy commitments, including Covid-19. The Scottish Government are currently exploring options to recover around two-thirds of the unspent Covid-19 money held in reserves.

Across Scotland, IJBs have a combined projected funding gap of £124 million for 2022/23.

To be financially sustainable in the longer-term, IJBs must reduce their reliance on reserves. All IJBs must put in place detailed plans that clearly show how they will achieve the needed ongoing savings on a recurring basis and support urgently needed service transformation.

William Moyes, Chair of the Accounts Commission said: “Change is needed now – it cannot wait for a National Care Service. Action is needed to tackle funding pressures, which are under increasing stress from rising demand and cost pressures.

“The workforce challenges are considerable, with mounting unmet need.

“We need to see services focus on prevention, with appropriate funding in place to transform the way services are delivered and to improve lives. “

Local government organisation COSLA agrees.

COSLA Health & Social Care Spokesperson, Councillor Paul Kelly, said: “Today’s report from Audit Scotland is concerning and highlights the enormous pressure our health and social care infrastructure is under.

“People across Scotland rely on vital health & social care services every day, and it is critical that there is meaningful investment in the system which ensures their long-term capacity.

“We must ensure focus remains on front-line service improvement and sustainability, rather than the bureaucratic structural change presented through the National Care Service Bill.”

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Pause The Bill

Common Weal and STUC call for pause to National Care Service legislation

Scottish think tank Common Weal, along with the Scottish Trade Union Congress, has launched a joint letter to the First Minister calling for the National Care Service Bill to be paused (writes NICK KEMPE).

Since Common Weal supported calls from the Trade Unions to pause the bill at the beginning of December many other organisations have done the same. Until now, however, smaller organisations have had a limited opportunity to make their views known and there has been very little joint action. The idea behind the letter, which you can read here, is to change that and to show the Scottish Government the degree of concern across Scotland.

The NCS Bill has now been considered by various Committees of the Scottish Parliament and MSPs should now be aware that there is very little enthusiasm or support for it in its current form. The hearings of the Finance and Public Administration Committee received a large amount of media coverage, not least because SNP MSP Michelle Thomson broke ranks and made some scathing comments.

The Committee’s report on the Financial Memorandum accompanying the bill, published at the beginning of December, was highly critical about the absence of costings. It highlighted the absence of costs for the creation of the new service, including VAT liability, transfer of assets and staff and the creation of a health and social care record, as well as the proposal to introduce major policies “via secondary legislation or business cases which cannot be subject to the same in-depth and formal financial scrutiny as Financial Memorandums to bills”.

It called on the Scottish Government to provide the necessary financial details at least two weeks prior to the Stage 1 consideration of the bill in March – giving very little time for any outside organisation to comment/brief MSPs

The majority report published last Friday here from the Delegated Powers and Law Reform Committee – don’t be put off by the name – added to the concerns about the lack of information and that the Scottish Government is “setting a dangerous precedent, undermining the role of the parliament.” Its reason for concluding this (the two SNP MSPs on the Committee dissented) was:

“The Committee is concerned there is insufficient detail on the face of the Bill and within the Bill documents to allow for meaningful parliamentary scrutiny. Given the far-reaching nature of the proposed reforms the Committee is mindful there is a real risk of letting down those the Bill is intended to help by allowing Scottish Government ministers to use delegated powers instead of primary legislation to introduce core and as yet unknown provisions. The Committee believes the current approach significantly reduces the threshold for parliamentary approval and prevents MSPs from bringing forward detailed amendments”.

Far from increasing democratic control over care services, as we advocated in Caring for All, the NCS Bill is now threatening to undermine democracy, whether at the local level by removing control from local authorities, or at the national level by handing unprecedented powers to Scottish Ministers.

The Scottish Government needs to have a fundamental re-think about what it is proposing and how its engaging with civic society while at the same time secretly working with KPMG to design the Target Operating Model for the NCS. If you are part of an organisation which has a stake in the future of social work and social care in Scotland, please ask them to support the letter. As an individual, please also consider contacting your MSPs asking them to support the call for a pause.

Nick Kempe – Common Weal Care Reform Group

COSLA’s Health and Social Care Spokesperson, @cllrpaulkelly, commented following the release of the letter from @ScottishTUC and signed by a number of organisations which has called for Scottish Government to pause the National Care Service Bill:

‘Continued improvement’ in A & E performance as winter pressures ease

Resilience committee holds further meeting

The Scottish Government’s resilience committee (SGoRR) met again yesterday to discuss the challenges facing health and social care this winter.

Chaired by First Minister Nicola Sturgeon, the meeting focussed on hospital occupancy, and the measures being taken to reduce levels of delayed discharge and find care placements and packages for those clinically fit to leave hospital.

The most recent A&E statistics have shown a continued improvement in performance, with 70.1% of people being admitted, transferred or discharged within four hours – the best performance since May.

Additional funding has also been made available Health and Social Care Partnerships who have the responsibility of providing care packages for those in their locality, to provide 300 interim care home beds for people who no longer need to be in hospital. So far, 162 people have entered interim care facilities paid for using this additional funding.

The SGoRR meeting was also attended by the Health Secretary, other cabinet ministers, the Chief Medical Officer and senior representatives from NHS boards, COSLA, Integration Joint Boards and the Scottish Ambulance Service.

The First Minister said: “The continued improvement in A&E performance is something to be welcomed, but there is still much work being done on safely freeing up hospital capacity and easing pressures elsewhere in the system. That is why we are continuing to pursue a range of measures to enable people to leave hospital as soon as possible when it is clinically safe for them to do so.

“We remain indebted to the health and social care staff in all parts of Scotland who have continued to do an outstanding job, despite the extra challenges that winter has presented.”

Figures showing the uptake of additional interim care placements and the total number of people in interim care placements.

Boosting the social care workforce

Campaign aims to help fill vacant posts across Edinburgh

A marketing campaign to support the recruitment of more adult social care workers in Edinburgh has launched this week, to help address the high level of vacancies in the sector.

The campaign – titled ‘there is more to care than caring’ – will raise awareness of the career opportunities available in adult social care and encourage people to apply. Activity includes radio, outdoor and digital advertising, highlighting the important work done by adult social care workers.

It is part of the Scottish Government’s commitment to attract more people to work in adult social care, retain existing staff and raise its status as a profession. This builds on a pay uplift for all adult social care staff which guarantees them a minimum of at least £10.90 an hour from this April.

Social Care Minister Kevin Stewart visited Leuchie House in North Berwick yesterday to see the work it does to support people affected by stroke, multiple sclerosis and neurological conditions.

Mr Stewart said: “Working in adult social care can be challenging but offers the opportunity to have a hugely positive impact on people’s lives on a daily basis.

“We are increasing pay, improving terms and conditions in the sector, and developing clear career pathways for the workforce, ahead of the introduction of the National Care Service. This will lead to more rewarding roles for the existing adult social care workforce, and for new entrants to the profession.

“This campaign highlights that while relevant experience can help, it is core interpersonal skills such as communication, compassion, empathy and respect that are most highly valued.

“If these are skills you possess then adult social care could be the career for you.”

“There can be no denying it; the Emergency Care system is failing”

RCEM launches campaign to resuscitate Emergency Care as polling reveals the public’s lack of confidence in UK government’s policies to tackle the crisis

The Royal College of Emergency Medicine has outlined five priorities for UK governments to tackle the crisis in Emergency Care, after polling carried out by Ipsos on behalf of the College found 59% of respondents expressed a lack of confidence that the UK Government have the right policies to tackle long patient waiting times in A&E departments in hospitals.

The campaign launches amid the worst Emergency Care crisis on record, as reflected in A&E performance figures across all four-nations.

Five Priorities for UK Governments to #ResuscitateEmergencyCare lays out what UK governments must focus on to tackle the crisis, improve patient care, retain staff, and prevent harm.

The five priorities are:

Eradicate overcrowding and corridor care for patients
Provide the UK with the Emergency Medicine workforce it needs to deliver safe care
Ensure our NHS can provide equitable care to emergency patients
Focus on evidence-based interventions to tackle overcrowding
Introduce meaningful and transparent metrics to facilitate performance and better outcomes for patients.

More patients than ever before across the UK are facing long and dangerous waits. It has been widely reported that crowding, corridor care and long waiting times for patients in Emergency Departments are associated with patient harm and patient deaths.

The public are acutely aware of the issues and pressures in A&E departments, with an Ipsos poll, commissioned by the College, showing that:

Nearly half of those polled by Ipsos expressed that they did not feel confident they would be treated in an appropriate area if they personally had a medical emergency in the next week that required them to attend their local A&E.

Meanwhile, two-thirds did not feel confident that a hospital bed would be available if they personally had a medical emergency in the next week and needed to be admitted to hospital.

Dr Adrian Boyle, President of the Royal College of Emergency Medicine, said: “There can be no denying it; the Emergency Care system is failing and not functioning as it should.

“We can argue about numbers and calculations of excess deaths or we can work together and take the urgent and necessary action to prevent any further harm or deaths occurring. Patients and staff are rightly concerned, they deserve to see honesty and meaningful action from our political and health leaders. This is our plan to tackle the crisis.

“The roots of the problem lie in the lack of adequate capacity in hospitals, lack of staff, and lack of social care in the community. Since 2010, more than 29,000 beds have been removed from the system despite the increasing complexity of population healthcare needs.

“While for many years, social care has faced devastating cuts, meaning patients medically ready to leave hospital do not have the support they need to leave – so they reside in hospital for longer than they should preventing others from being admitted.

“The inability to discharge patients and the inability to admit patients is causing severe exit block – our hospitals are completely gridlocked, meaning Emergency Departments are becoming dangerously crowded and patients are facing extremely long waits.

“These delays and crowding impact heavily on the existing workforce, which has been stretched to its limit for too long. There are significant shortfalls of staff in Emergency Medicine; Emergency Departments across the UK are not safely staffed and the public recognise that.”

Polling shows that just 18% of respondents surveyed agreed their local A&E had enough staff to care for them in a timely way while just 23% expressed agreement that their local A&E had enough staff to care for patients in a safe way.

Dr Boyle said: “Clinicians are doing all they can and what they can to bridge the gap between an under-resourced system and the quality of care patients require, but it’s plain as day to anyone that we have too few staff.

“We are in a dire place right now, but it is fixable. We know what needs to be done to tackle the crisis and improve patient care, but this requires sustained and continued cross-party political willingness and investment to engage with the issue and tackle it root and branch.

“Our campaign to resuscitate Emergency Care shows the way forward for governments, with five key priorities to address. The first priority must be on improving flow through our hospitals to end corridor care and overcrowding.

“UK governments must open more staffed beds, where safely possible, and run hospitals at no more than 85% bed occupancy. In tandem with this, UK governments have been right to invest in community and social care but this can no longer be short-term; we need sustained expansion, resource and funding for social care to ensure patients are discharged safely and promptly when their medical care is complete.

“There must also be recognition of the impact of the crisis on the workforce, they do excellent work, but they cannot continue to flirt with burnout or this will lead to burn away. UK governments must urgently work to retain our highly-skilled frontline clinicians – but they must feel supported, listened to and valued.

“Lastly, performance is at an all-time low and metrics are currently documenting a failing service. Together with the expansion of capacity and resourcing of social care, we must see a renewed effort to improve performance and meet the four-hour waiting time target in Emergency Departments.

“We cannot afford to be in a performance vacuum any longer, metrics must have meaning and drive improvement and better patient care. In England, this must start with monthly publication of 12-hour waits from the time a patient arrives – as it is in the rest of the UK – rather than the misleading and dishonest current metric which measures 12-hours from the time a decision to admit a patient is made.”

‘There is more to care than caring’

Scottish Government campaign aims to help fill vacant posts

A marketing campaign to support the recruitment of more adult social care workers has launched To help address the high level of vacancies in the sector.

Social Care Minister Kevin Stewart visited Leuchie House in North Berwick yesterday to see the work it does to support people affected by stroke, multiple sclerosis and neurological conditions.

Mr Stewart said: “Working in adult social care can be challenging but offers the opportunity to have a hugely positive impact on people’s lives on a daily basis.

“This campaign highlights that while relevant experience can help, it is core interpersonal skills such as communication, compassion, empathy and respect that are most highly valued. If these are skills you possess then adult social care could be the career for you.”

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Nurses: Strikes on hold as new talks to open with Scottish government

Nursing trade union Royal College of Nursing (RCN) Scotland has paused a formal announcement of strike action in response to further talks with the Scottish government.

The decision follows a meeting with the First Minister and RCN General Secretary and Chief Executive Pat Cullen today and talks this week between Scottish government, the RCN and the other trade unions currently in dispute regarding NHS pay (the GMB and Royal College of Midwives) to consider a roadmap to resolving the dispute. The Scottish government was fully aware that an announcement on RCN strike dates was imminent.

The overwhelming mandate for strike action from RCN members in Scotland has been instrumental in securing these further negotiations.

The proposal from Scottish government includes:

Negotiations for the 2023/24 NHS Agenda for Change pay offer to commence on an accelerated timetable starting next week with an aim of concluding by the end of February
A commitment to an additional payment equivalent to three calendar months value of the difference between the 2022/23 and the agreed 2023/24 pay rates
A firm commitment from Scottish government to a full review of the Agenda for Change framework in Scotland to ensure nursing is recognised and rewarded with a clear route for career progression
A commitment to match any NHS pay increase in England for 2023/24 if it is higher than that agreed in Scotland
A commitment to invest any additional consequentials for NHS pay in England for 2022/23 in NHS pay in Scotland for 2022/23.

Scottish government would also support NHS employers to agree an extension of the RCN’s ballot mandate for strike action beyond early May if required.

Pat Cullen, RCN General Secretary and Chief Executive said: “The Scottish government has shown a willingness to return to the negotiating table and to act to address the nursing workforce crisis. The pressure from you, our members, has been key to these negotiations moving forward. We need to see this process through in good faith.

“Our members in Scotland are being listened to and the First Minister is in no doubt that we will take strike action if the proposals being outlined do not deliver a significant improvement by the end of February.”

Colin Poolman, RCN Scotland Director told union members: “You have said enough is enough and that was before the current pressures trying to care for patients and keep services running.

“We know it is frustrating that things are not moving more quickly but things are moving. While the Scottish government repeated their assertion that there is no more money for NHS pay in 2022/23, it was my strong mandate from you that led to the positive discussions this week and the commitment to keep negotiating.

“The Scottish government needs to do more and to take this opportunity to do the right thing, for nursing and for patients. These new pay negotiations must acknowledge the safety critical role of nursing.”