Responding to Public Health Scotland’s latest stroke statistics, John Watson, Associate Director Scotland of the Stroke Association, said: “The latest stroke figures reinforce what the Stroke Association has repeatedly said – that stroke has a huge impact on the health and social care landscape in Scotland, and those who live in the poorest parts of our country are the most adveresly affected.
“The health and social burden of stroke falls most heavily on certain groups. The death rate for cerebrovascular disease in the most deprived areas in 2020 was 43% higher than in our least deprived areas.
“Stroke remains Scotland’s fourth biggest killer. More than 128 000 Scots are living with the effects of their stroke. The need for improvements in stroke prevention, treatment and care is urgent and recognised by the Scottish Government.
“We await the imminent publication of the Scottish Government’s vision report outlining a new progressive stroke service for Scotland.
“We then expect a Stroke Action Plan to follow that quickly – outlining how the vision is to be delivered in Health Boards and communities across Scotland.”
Action is needed now to change how Scotland’s social care services are delivered so that it meets the needs, and improves the experience of, people relying on care and support, say Scotland’s spending watchdogs.
The joint briefing by the Accounts Commission and the Auditor General for Scotland says fundamental issues and threats to the future sustainability of Scotland’s social care system need to be addressed. The pandemic has exacerbated long-standing challenges, highlighting the precarious situation of many vulnerable people who rely on social care or support.
Over £5 billion a year is spent on delivering social care services, yet some services are at near crisis point. There needs to be a shift in how this money is used, with a far greater emphasis needed on preventative care that meets the needs of individual people. Service users do not always have a choice or say about what support works best for them. Nor are carers getting all the support and advice they need, despite existing legislation.
Now the Scottish Government, together with its partners, must listen and bring together the views and experiences of service users and carers. This will support the delivery of their long-held ambitions for social care.
The 200,000-strong workforce is under immense pressure and feels undervalued. There is a high vacancy rate and a continuing problem of recruiting and retaining this workforce into roles which often have low pay and poor conditions of employment. At the same time demand for social care services continues to increase.
Commissioning social care services tends to focus on cost, rather than quality or outcomes. Worrying limitations in social care data has created major gaps in the information needed to inform improvements.
William Moyes, Chair of the Accounts Commission, said: “There are significant problems with the delivery of social care services. These services are vital, yet we have a workforce that’s not adequately valued or regarded.
“Staffing shortages are a major issue across the sector and not all people’s needs are being met. Too often a focus on costs comes at the expense of delivering high quality services that aren’t at the heart of the needs of individuals. The additional funding to achieve this will be significant. Not taking action now presents a serious risk to the delivery of care services for the people who depend on them.
Stephen Boyle, Auditor General for Scotland, said: “We cannot wait another five years until the planned National Care Service is in place. Action must happen now, and at speed, by the Scottish Government.
“There must be clear timescales for delivery, demonstrating that lessons have been learnt from previous reforms of health and social care services. This will create a strong foundation for the government’s vision to create a National Care Service.”
COSLA’s Health and Social Care Spokesperson, Councillor Stuart Currie, responded to the Audit Scotland report on social care: ‘The Audit Scotland report sets out many of the challenges that Local Government has consistently highlighted for many years now.
“There is an urgent need to address these challenges – many of which have been exacerbated by the pandemic – by working with our partners across Scottish Government, in the third and independent sector, and most importantly, people with lived experience.
“We agree with Audit Scotland that Social Care reform cannot wait for a National Care Service to be implemented. Local authorities are central to delivering the right care at the right time in the right place.
“Local Government recognises that we cannot stand still if we want to create meaningful change for our communities. We continue to work with Scottish Government to progress our shared commitments outlined in our Joint Statement of Intent so that we can now begin to implement much of the reform that was called for in the Independent Review of Adult Social Care.
“Fundamental to these shared commitments is a recognition that through empowering people, valuing our workforce and embedding a human rights-based approach in social care, we can begin to deliver real solutions for our local communities, unpaid carers, and our workforce.”
New staff joining the social care workforce are to have entry costs paid by the Scottish Government until the end of March.
Protection of Vulnerable Groups (PVG) checks and Scottish Social Services Council (SSSC) registration will now be funded to help encourage more staff into the profession and address winter staffing pressures.
The scheme starts today and will include staff taking up direct care posts in adult social care, along with comparable roles in children’s social care services and the justice sector.
It has been introduced following discussions with COSLA and will cover local authority, private and third sectors.
Social care minister Kevin Stewart said: “Care workers have been absolutely critical to our pandemic response, giving vulnerable people the care they need and avoiding further pressure falling on the NHS.
“This trial aims to assist easing winter pressures in this sector by removing any financial barriers that may stop people from applying for a rewarding career in care.
“There are significant pressures in social care due to high vacancy levels and increased demand. I hope this support will encourage those considering joining this vital workforce to go ahead and do so.
“We will continue to work closely with our partners to identify all possible ways we can assist the social care sector to aid recruitment and retention within the workforce at this critical time.”
Basic PVG checks cost £59. SSSC registration costs between £15 and £80 depending on the role.
Views sought on proposed legal duties for public bodies
Health and social care services, children’s services, police and other public bodies will have a legal duty to ‘ask and act’ to prevent homelessness under Scottish Government proposals.
The measures would be part of new laws aimed at preventing homelessness, based on recommendations from an expert group convened by the charity Crisis at the request of the Scottish Government. They would represent the biggest change to Scotland’s homelessness legislation in almost a decade.
Public bodies would have a legal duty to identify anyone at risk of homelessness and either take action themselves or refer on to more appropriate help.
A consultation on the plans, run jointly with COSLA, will give people with experience of homelessness, alongside those from the housing sector, public bodies and others, the chance to share their views and help shape Scotland’s approach to preventing homelessness.
Social Justice Secretary Shona Robison said: “We know that the best way to end homelessness is to prevent it from happening in the first place. These new proposals build on the strong housing rights that already exist in Scotland for people who become homeless.
“Early action should be a shared public responsibility, giving people facing homelessness more choice and control over where they live.
“Homelessness is often a traumatic and unsettling experience that can have a profound impact on the lives of those involved, including children.
“By intervening at an earlier stage, and encouraging services to work together to respond to people’s needs, we can ensure fewer people and families are faced with having to re-build lives affected by homelessness.
“This will further add to our existing ambitious programme of work and investment to ensure everyone has a safe, warm place to call home.”
Jon Sparkes, Chief Executive of Crisis, said: “We strongly support plans for new duties for public bodies to prevent homelessness in Scotland.
“Scotland has made huge progress in its journey towards ending homelessness in recent years, but while the country has powerful protections in place for people experiencing homelessness, far too many people are being forced to reach crisis point before they get the help they need.
“Everyone has a role to play in preventing homelessness, and by introducing new duties requiring public services to ask about someone’s housing situation, and offer them the help they need, we can build a truly world leading system of homelessness prevention.”
Councillor Kelly Parry, COSLA Spokesperson for Community Wellbeing said: “People have a right to a place they can call home. Rough sleeping and sofa surfing is something we have always worked to eliminate.
“We welcome the proposal that the duty to end homelessness will be shared with other public bodies and look forward to being closely engaged in the consultation with other partners”.
Governments yet again ask key frontline workers for huge national effort, but they are still not paying them properly, says GMB
GMB Union encourages everyone to get their booster – but says frontline workers need a pay boost too.
Rehana Azam, GMB National Secretary, said: “There has been no respite for our frontline workers throughout the covid pandemic.
“They’ve put themselves in harm’s way to serve the public – particularly when governments and employers failed to ensure the provision of proper PPE and testing to keep them safe at work.
“GMB members know the importance of keeping safe and well, that’s why we’re encouraging everyone across the four nations to get their booster.
“But as governments, yet again, ask our NHS, social care and key frontline workers to undertake another huge national effort, they are still not paying these workers properly.
“Against the backdrop of covid, there is a cost-of-living crisis, key services face an understaffing crisis and the people delivering them are enduring a wage crisis.
“That’s not good enough and it’s got to be confronted.
“Our key workers must be paid properly – it’s the least they deserve for everything they are doing for all of us.”
UK Government and NHS announce ambition to recruit tens of thousands of volunteers to help get jabs into arms
All eligible adults will be offered the chance to get their jab before the New Year
PM: “We need you to come forward again, to work alongside our brilliant GPs, doctors, nurses and pharmacists, to deliver jabs and save lives.”
Prime Minister Boris Johnson and NHS Chief Executive Amanda Pritchard have joined forces to issue a rallying cry for thousands of volunteers to come forward and support the NHS booster campaign.
The public will be urged to play a crucial role in the UK’s fight against Omicron by helping the NHS to get as many jabs into arms as quickly as possible. No task will be too small to contribute towards this national effort.
Yesterday the Prime Minister announced a new ambition for every eligible adult to have the chance to get their jab by the end of the year.
This follows new evidence that suggest the Omicron variant is extremely transmissible and two jabs are not enough to protect against infection.
The new target means the NHS will be massively ramping up its vaccine operations in the next few days, and it needs as many people as possible to play their part by volunteering their time to help.
Urging volunteers to sign up to the booster drive, Prime Minister Boris Johnson said: “As part of our Get Boosted Now vaccination drive we need to increase our jabbing capacity to unprecedented levels.
“But to achieve something on this scale, we need your help. So today I’m issuing a call for volunteers to join our national mission to get jabs in arms.
“We need tens of thousands of people to help out – everyone from trained vaccinators to stewards.
“Many thousands have already given their time – but we need you to come forward again, to work alongside our brilliant GPs, doctors, nurses and pharmacists, to deliver jabs and save lives.
“So please come forward if you can.”
There are now almost 3,000 vaccine sites across the country, staffed by over 90,000 volunteers who have given up 1.1 million hours of time so far.
In the next week hundreds more sites, mobile units and pop ups will be springing up across the country. These will be in a range of locations that will make it as easy as possible for people to get boosted – such as at football stadia, shopping centres and racecourses.
This means volunteers are needed to perform tasks such as registering patients, managing queues and giving jabs.
Last week the NHS announced a recruitment drive for 10,000 paid vaccinators and support staff and that it will also work with the Royal Voluntary Service and St. John Ambulance to recruit a further 40,000 volunteers for roles such as admin and stewarding queues.
In the last week, 13,000 people have come forward as steward volunteers, and a further 4,500 people have registered their interest to take up one of the 10,000 paid vaccinator roles. The government and NHS now want to go even further.
NHS England Chief Executive Amanda Pritchard said: “In the face of the grave threat posed by the new Omicron strain of Covid, the NHS is seeking to offer vaccine booster protection to all eligible adults by the end of the month, a new national mission in which everyone can play their part.
“There is no doubt that our incredible NHS staff will rise to the challenge but we cannot do this alone – we need the support of the public and volunteers to once again support the Covid vaccination programme.
“Since we first issued a call to arms we have had an outstanding response but Omicron has shifted the goalposts and we are now renewing our plea to the nation – I would urge anyone who has volunteered in the past, or considered it but not taken up the opportunity, to come forward now – search ‘NHS vaccine team’ today and find out more about how you can help us save lives.”
Health and Social Care Secretary Sajid Javid said: “To help us turbocharge our COVID-19 booster programme we need people across the country to join our national mission to get boosted now.
“We are so grateful to the volunteer vaccinators from organisations such as St John Ambulance and Royal Voluntary Service who have made an enormous contribution by administering millions of vaccinations since the start of this year.”
People interested in either a voluntary or paid role are urged to visit the Join Vaccine Team page or search ‘NHS vaccine team’. People who volunteered or were trained for paid roles previously are also being contacted to help out again.
Scotland’s First Minister will make a statement on the situation in Scotland this afternoon. It’s expected that restrictions will be strengthened here as Omicron variant cases continue to rise sharply across the UK.
Armed forces step up to support vaccination drive across UK
Over 100 personnel are currently supporting the vaccine rollout in Scotland. 600 Armed Forces personnel have been made available to NHS England to administer vaccines, working in small teams across the country.
In addition, around 50 personnel will provide planning support to NHS England. 41 planners will deploy to NHS trusts across England and 10 logistics experts will be based at NHS England’s headquarters in London.
Defence Secretary Ben Wallace said: “We have rapidly mobilised Service personnel to work alongside our dedicated health services to accelerate the vaccine booster programme.
“Our Armed Forces will help to get vaccines into arms as quickly as possible as we continue our efforts to support the UK’s response to the pandemic.”
Health and Social Care Secretary Sajid Javid said: “We are turbocharging our COVID-19 booster programme to offer every adult in England a vaccine by the end of the year to protect people from the Omicron variant.
“Building our defences through boosters is a hugely important national mission and it’s brilliant to see the military supporting our NHS staff in our race against the virus.
“Please get boosted now to top-up your immunity and keep yourself and your loved ones safe this winter.”
Chief of the Defence Staff Admiral Sir Tony Radakin said: “I’m proud of our Armed Forces who are once again stepping up to help protect people and communities.
“We have a long history of working hand in hand with the NHS as two organisations with a common goal – to help keep our people safe.”
Planners based at NHS England headquarters will be led by Brigadier Phil Prosser who was previously deployed to support the delivery of the vaccine programme which began in December 2020. They will work alongside NHS England to maximise existing capacity and ensure the vaccine programme can be delivered at pace.
Since March 2020, Defence has supported over 430 tasks as part of Operation Rescript – Defence’s support to the UK’s response to the pandemic.
Defence is currently supporting ambulance services in Wales and Scotland and the vaccine rollout in Scotland among other tasks including testing.
Personnel supporting on Operation Rescript tasks have deployed from across the three services – Royal Navy, British Army and Royal Air Force – and are a mixture of regulars and reservists.
Support available to ensure care workers can get vaccines and boosters
Care home staff and those working in social care are being urged to get the booster vaccine in the fight against the spread of Omicron variant.
Scottish Government financial support is available for adult care providers who incur additional costs if employees are vaccinated in working time – so staff can do so without losing earnings or having to take annual leave.
Health Secretary Humza Yousaf thanked staff for their efforts but said the new Omicron variant of COVID-19 made it more important than ever that care workers get their COVID-19 booster vaccinations, test themselves regularly and maintain infection prevention measures.
Rates of uptake of the booster vaccine are currently lower among social care staff, with 47.7% of frontline social care workers and 54.8% of care home staff having had their booster, than they are in other sectors such as frontline healthcare workers (72%).
Mr Yousaf said: “I want to thank everyone working in social care who has taken up the offer of vaccination, and has had a booster jag. But I want to encourage every single social care worker to get themselves vaccinated.
“Even if you’ve been double-vaccinated, we know your immunity against COVID-19 wanes over time. Getting your booster is even more important with the emergence of the Omicron variant. Please do so as soon as possible.
“I’m very grateful to all our social care workers for their continued resilience and ongoing commitment during what I know continues to be a very difficult time. I know staff are likely to be feeling particularly fatigued after more than 20 months of the pandemic and I want to thank you all for supporting each other and working together as we continue to navigate through this.
“However we know that the rate of take up among those working in care homes and social care is not as high as in other sectors. It is crucial, especially for those working with some of our most vulnerable citizens, that you get your booster if you have not already done so.
“Getting vaccinated is vital in protecting you, those you care for, and your friends and family.”
An online portal is now available to allow people aged 50 to 59, unpaid carers who are 16 and over, and those aged 16 and over who are household contacts of immunosuppressed individuals to book their Autumn/Winter vaccination appointments.
The portal will provide an advance booking facility with appointments for dates running from late November through December, as vaccinations for earlier priority groups are being completed this month. Anyone in those earlier groups who has missed their appointment for whatever reason can also use the portal to book their vaccinations.
Health Secretary Humza Yousaf said: “The Autumn/Winter vaccination programme is continuing at pace and running well and the launch of this online portal will allow eligible groups to book their own appointment.
“As has been the case throughout we aim to vaccinate people as quickly as possible in line with clinical guidance. Over the course of the Autumn/Winter vaccination programme we will see up to a total of 7.5 million flu and COVID-19 booster vaccinations administered to help protect the people of Scotland.
“If you are eligible for a flu vaccination it is highly likely that you will also be eligible for a COVID-19 booster. Your appointment will see you offered both vaccinations at the same time for your convenience and to make best use of resources. You can check your eligibility at NHS Inform.
“We urge everyone who is eligible and who has online access to book their appointment via the portal to ensure maximum efficiency and secure an appointment that is convenient for them.”
To use the online portal, individuals will need their unique vaccination username which can be found on any previous appointment letter.
Delivery of older people’s services in Edinburgh has shown good progress since 2017, according to a joint report published by the Care Inspectorate and Health Improvement Scotland.
Following an initial inspection in May 2017, the Edinburgh Health and Social Care Partnership has received acknowledgement from the Joint Inspection team across the Care Inspectorate and Health Improvement Scotland, that the review has now closed.
The latest report cites the partnerships efforts in driving forward – with pace – a clear vision and structured approach, that is now seeing positive progress in a number of areas.
It follows a challenging progress review in 2018 and contains a number of recommendations but, based on progress, the Joint Inspection team has noted that no further review activity is now planned.
Chair of the Edinburgh Integration Joint Board, Cllr Ricky Henderson, said: “We very much welcome this latest and final review, and the deserved recognition it gives all who work for, and with the partnership.
“The publication of the report in 2017, was a difficult read for all who were working in the Partnership at the time but the strategic vision, practices, and structures that have since been developed and implemented, are the backbone to the significant and good progress being made.
“Whilst there remain challenges – particularly with the current system pressures faced – the strengthened relationships built, strategic aims, and the cohesive approach to the work of the partnership, deserve this positive recognition.
“These are significant strengths for how the partnership will continue to push forward over the challenging winter period and beyond, and I would like to take the opportunity to thank every single person who directly or indirectly provides care in Edinburgh, for their incredible hard work and commitment to all in our care.”
Edinburgh College has launched a new digital care hub, in partnership with the University of Edinburgh, designed to provide greater skills and opportunities to health and social care students in the Lothians.
The Edinburgh College Digital Care Hub, located at the College’s Sighthill Campus, will equip students with the transferrable skills required to fulfil a successful career in areas including Health and Social Care, Dental and Pharmacy with a particular emphasis on technology enabled care.
The hub will focus on building students’ digital and practical skills through its state-of-the-art equipment, supporting experiential learning in a purpose-built setting.
It contains a replica medical ward with patient room, toilet and wet room facilities; an infection control and decontamination area; a reflection room; a care at home room; as well as a virtual reality room designed to give students an immersive experience which demonstrates how a patient with dementia experiences day-to-day life.
Within the care hub students have access to realistic patient simulators with true-to-life responsiveness, in a variety of care settings, enabling them to develop patient testing and care skills.
Also key to the role of the digital care hub is embedding the principles of professionalism amongst students and fostering the meta skills required to work in a care environment including communication, nurture, resilience, initiative and leadership.
The new facility hosts the Edinburgh College and University of Edinburgh Social Care Academy which provides an agile pathway to a career in health and social care specifically for school pupils.
As part of the programme, pupils study units in digital skills for health and social care, mental health, the human body, infection prevention and control and safe beginners for health and social care.
After successfully completing the programme, pupils are able to progress on to further studies with the College or university or advance into employment.
The digital care hub was launched during an event attended by representatives from key institutions connected to the College and the new hub, and brought together those with a collective interest in supporting the future of the health and care sector.
Audrey Cumberford, Edinburgh College Principal and CEO, said: “We are delighted to be launching our Digital Care Hub in partnership with the University of Edinburgh.
“The facility will provide practical learning experiences for pupils and students as well as exposing them to many sector specialisms which they ordinarily might miss out on without having access to specialist equipment in a health and care setting.
“The COVID pandemic has highlighted the importance of our health and care workers across the country and through addressing the national skills gaps in digital enabled care, the Digital Care Hub, through partnership working with industry, is ready to provide a pipeline of future workers equipped with the skills and knowledge required to meet the demands of the sector and population.”
Professor Peter Mathieson, Principal and Vice-Chancellor at the University of Edinburgh, said: “We are delighted to work with Edinburgh College on the Digital Care Hub, which will be an excellent resource for those considering a career within health and social care.
“Harnessing technology to support learning in this way and simulate real-life scenarios in the workplace will enable students to make informed choices about their future, built on their own ambitions and potential.”
