Tag: Health and wellbeing

Emergency Fund to provide a lifeline for unpaid carers struggling to cope with Coronavirus

  • There are an estimated 7 million unpaid carers in the UK providing care to family members and friends with long-term illnesses, disabilities, poor mental health or substance addictions.
  • Hundreds of thousands of carers are providing care round-the-clock, experiencing isolation and poor physical and mental health as a result.
  • Huge upsurge in queries from carers regarding concerns caused by Coronavirus.

Carers Trust is launching today an emergency appeal to help unpaid carers who are struggling to cope with the enormous impact of Coronavirus and self-isolation while still providing care and support to family members and friends.

All donations made online by the public will go straight into Carers Trust’s Carers Emergency Fund. The Fund will be used to ramp up Carers Trust’s existing grants programme, providing more small grants more quickly to those carers who need them most. It will provide grants of any amount up to £300 directly to carers, helping them overcome the hurdles that Coronavirus is throwing up on a daily basis.

Carers Trust has been receiving a huge upsurge in communications through its Network from carerslooking after people, young and old, whose lives have been made extremely challenging as a result of the Coronavirus lockdown. 

One Carers Trust Network Partner has reported a 100% increase in the number of emails it is receiving from carers since the outbreak of Coronavirus. The same Network Partner reports a 177% increase in people visiting its website (an average of 466 visitors per day). All communications from carers, whether calls or emails, are prompted by concerns about Coronavirus.

Examples of problems described by carers

These problems will be addressed through grants made available by Carers Trust to carers in need:

  • Lack of money for petrol from a carer whose 98 year-old father was released from hospital after 28 days battling Coronavirus. The carer did not want paid care workers coming into the house and risking re-infection. With her only income being Carers Allowance of £67.25 per week, however, she could not afford to make the 18 mile round-trip three times a day to care for him properly.
  • The lack of money to meet the cost of purchasing a small tablet so that an unpaid carer can keep in regular contact with the person they care for, reducing their loneliness and isolation and ensuring their health doesn’t deteriorate.
  • A carer had no money to buy a cooker after ordering one from Bright House just before they went into administration. She had no further funds to get one in any other way. The carer has three children with disabilities who need very particular foods.

Launching Carers Trust’s emergency appeal, CEO Gareth Howells said: “Unpaid carers are the backbone of our society, providing huge levels of care to family members that are some of the most vulnerable people in our society. But all too often the commitment and sacrifices they make go unnoticed.

“At Carers Trust we are constantly hearing about the daily struggles of unpaid carers and how their lives have now been thrown into turmoil as a result of Coronavirus.

“Some unpaid carers simply cannot find food because food banks have closed. Others are spending considerable amounts of money caring for their family members because it’s not safe for the social care workforce to do so.

“That’s why we are launching the Carers Emergency Fund. It will increase the number of grants we are able to make and ensure this happens as quickly as possible to ease the pressures on unpaid carers.”

“This Fund also shows Carers Trust’s determination to stand by these heroes, keeping them afloat so they can continue to care for their loved ones. I’d urge anyone able to do so to visit the Carers Trust website to donate and show their support for unpaid carers who really are the backbone of our social care system.”

Sir Trevor Pears CMG, Executive Chair, Pears Foundation, added: “The Coronavirus crisis has made an already difficult situation for carers far, far worse.

“That’s why we think it is so important to support the Carers Emergency Fund which will significantly increase funds that can speedily be turned into grants for carers. These grants will serve as a real lifeline at this time of crisis, getting financial support swiftly to vulnerable unpaid carers.”

Emergency Free Meals: More food deliveries through £70m Food Fund

More community food projects will receive funding to provide emergency free meals to those most in need during the coronavirus (COVID-19) pandemic.

Around £700,000 has been allocated from the £70 million Scottish Food Fund to 19 projects, including a £350,000 grant to the Wheatley Group to provide 8,500 emergency food deliveries to people most in need in 17 local authority areas as part of its own EatWell service over the next three months.

A further 18 schemes will share £400,000 to provide emergency food through a range of projects working with minority ethnic households, family support groups or mental health teams.

The Food Fund comprises £30 million for food deliveries for the ‘shielded’ groups at highest clinical risk, and a further £30 million to local authorities for free school meals and food support for older people, those with long-term health conditions and pregnant women.

The remaining £10 million is for critical third sector and community response organisations, which includes funding so far of £500,000 each for Social Bite, FareShare and Cash for Kids.

Communities Secretary Aileen Campbell said: “As part of Scotland’s £70 million Food Fund, we’re making an initial £10 million available to help support community food projects, and these latest grants will help ensure people are not only fed but treated with dignity.

“I am very grateful to be working alongside the Trussell Trust, FareShare and other members of the Independent Food Network to provide people at risk in our communities with the basic essentials their families need. I’m particularly pleased that FareShare is now working closely with many councils to strengthen local responses.

“The existing close partnership working we already had with these leading food charities has significantly stepped up to ensure people who are in the greatest financial risk as a result of the impact of the pandemic have access to food and basic essentials.

“Uniquely among the countries of the UK, the ‘cash-first’ elements of approach mean that where people can safely get out to buy food, we make sure they have access to the cash to do so.

“This is the most dignified way we can provide food support and we will continue to do all we can to help people overcome any barriers in their way. I am pleased that these charities have welcomed this approach as the most dignified way of supporting people with food insecurity.”

Martin Armstrong, Chief Executive Officer of Wheatley Group, said: “We are delighted the Scottish Government has agreed to help fund our EatWell emergency food delivery service over the next three months.

“This support will be very much appreciated by the thousands of individuals and families in Wheatley homes across the country relying on this vital service. I am confident that by continuing to work well together, we will be able to tackle the considerable challenges posed by the coronavirus crisis.”

Emma Revie, CEO of the Trussell Trust, said: “We all deserve the dignity of having enough money to buy the essentials we need for ourselves and our families, so we welcome the cash-first approach from the Scottish Government that aims to get money to people who are financially vulnerable due to this crisis.

“Despite these efforts, we know that there will still be households across Scotland that will be unable to afford basics such as food.

“In response, we have been working closely with independent food banks, FareShare and the Scottish Government to overcome significant challenges in the supply chain and ensure food will be available to those most in need of help.”

Sabine Goodwin, Coordinator, Independent Food Network, said: “While supporting independent food bank teams working tirelessly to cope with increasing need across Scotland, the Independent Food Aid Network has appreciated being able to work collaboratively with the Scottish Government, FareShare and the Trussell Trust. 

“However challenging it is to distribute emergency food parcels to people who cannot afford food, we are trying to keep one eye firmly on the future and our joint vision of a Scotland without the need for charitable food aid.

“We very much welcome the Scottish Government’s support of communities at this time and particularly its prioritisation of cash first solutions and investment in the Scottish Welfare Fund.”

Gillian Kynoch from FareShare said: “The Scottish Government has worked hard to ensure we are integrated into the Local Authority response in each area to coordinate support for the self-isolating, over 70’s, and those experiencing – and at risk of – food insecurity.

“Many community food organisations that normally provide cooked meals to support vulnerable or low income people, older people lunch clubs, after school clubs, community cafes, have had to close their doors.

“These same groups and many others have adapted quickly and swung into action providing food parcels and hot meals delivered to people at home.  The scale of this challenge has been significant but our collective ramp-up has been helped by a big response to our call for volunteers. So many that we are now operating reserve lists – which is fantastic.”

Latest Info from North Edinburgh’s COVID-19 FoodShare Group

North Edinburgh’s COVID-19 Foodshare Group has updated their information factsheet to include more useful teleohone numbers.

The network of community groups expects hear to about funding to help meet demand in the local area later today.  The fund is being administered locally by the city council and EVOC.

Final, Final! North Edinburgh Food Network Info UPDATED 17 APRIL 2020

Coronavirus: 140,000 children and young people provided with free school meals

Around 140,000 children and young people across Scotland are being supported with the provision of a free school meal as part of efforts to support the most vulnerable children during the coronavirus (COVID-19) outbreak.

Local authorities are providing the majority of meals through vouchers, direct payments or home deliveries, according to the latest monitoring data.

Meals are also provided at some education-early years hubs, around 400 of which are open across Scotland to ensure continuity of education and pastoral care for vulnerable young people including those with additional support needs, as well as children of key workers.

New guidance to support continuity of learning at the start of term 4, which for the vast majority of children and young people will be experienced at home, will be published in the coming days as Easter school break ends. The Parent Club Scotland website also continues to be updated with a range of advice and support through the COVID-19 outbreak.

The Scottish Government is working with a range of partners to support children and families and mitigate the impact of the outbreak and the necessary social distancing measures on education and other vital services to support health and wellbeing.

Funding has been provided for a range of local and national projects, including through the £350 million Communities support package announced last month to help those most affected by the COVID-19 pandemic. This includes extra support for care-experienced young people, providing updated advice and IT support for families, and responding to a rising demand for counselling from children and young people.

Deputy First Minister John Swinney said: “In the midst of this terrible pandemic, with the harm and potential harm to our loved-ones and communities, Ministers remain steadfast in our determination to support children and families, both for their health and wellbeing and to help everyone continue their learning, whether through the education hubs or with home learning.

“Free school meals are a key measure for families, children and young people who need some extra help and I am pleased that so many are receiving them. We have worked closely with local authority partners to ensure they are able to put in place provision that meets local needs and circumstances.

“As schools term 4 starts in the next few days, we will be publishing guidance from Education Scotland, both for teachers/practitioners and for families, to support continued learning. This will provide information about curriculum, teaching and learning at home, including digital learning, and include sources of further advice and support.

“I am grateful for the commitment of all those working in Scotland’s education system in their efforts to support families and learners during this difficult time. Parents and young people too must be commended for how they have responded to the disruption caused by COVID-19 and by the very necessary closure of schools.

“The Scottish Government will continue to review the available advice and guidance to ensure parents, carers and learners get the support they need, when they need it. That includes work with key partners to provide and adapt a range of support for those children and families facing particular disadvantages or additional vulnerabilities during this crisis.”

Cllr Stephen McCabe, COSLA Spokesperson for Children and Young People, added: “In the face of the massive challenge posed to our communities by the coronavirus, Local Government has moved quickly to support those most in need.

“With the closure of schools and early learning and childcare settings councils have rapidly set up bespoke methods to ensure that eligible children continue to receive free school meals, whether that is through vouchers, direct payments, home deliveries or providing food through community hubs.

“Councils will continue to work at the front lines to make sure that the most vulnerable in Scotland’s communities are supported as we respond to COVID-19.

An estimated 122,000 children and young people are eligible for free school meals because their families are in receipt of qualifying benefits.

The Scottish Government provided local authority partners with £30 million of new investment to support families unable to access food as a result of COVID-19, with £15 million specifically for free school meals.

Information about free school meals can be found on the MyGov website.

Charity urges Police Scotland to be sensitive to new guidance for autistic people

National Autistic Society Scotland has welcomed changes to the ‘Stay at Home’ rules from Scottish Government which allow for autistic people who need to leave home more than once a day to exercise or travel beyond their local area should they need to for health reasons.

However, a number of autistic people and families with autistic children have contacted the charity reporting that they have been told to go home by Police, or threatened with fines.

While we have heard some positive stories of the police responding appropriately, we have also heard from families reporting that Police seem either unaware of the change in guidance or are insensitive to it. 

National Autistic Society Scotland has written to the Chief Constable of Police Scotland, Iain Livingstone, asking that police officers across Scotland are made aware of the changes to the ‘Stay at home’ guidance. 

Amended Guidance issued from the Scottish Government makes it clear that, if you’re autistic or have a learning disability, you can leave your home more than once a day and travel beyond your local area if this is important to your health.

If you need carers with you, they don’t have to stay the two metres apart from you that is usually required by social distancing. However, it is still important to be careful and only go out when you really need to, to reduce the chance of getting ill or infecting other people. 

Nick Ward, Director of the National Autistic Society Scotland said: “The lock down has fundamentally changed life and this can be very challenging for Scotland’s 58,000 autistic people, where for many, exercising in a safe way is very important to their physical and mental health and wellbeing. 

“We welcome the amended rules from the Scottish Government but are extremely concerned not all police officers are aware of the changes or are interpreting them correctly. We have today written to Police Scotland and have urged Government to promote the new guidance appropriately so all are aware.”   

Caroline, a mother with an autistic child, said: “The lock down has been really difficult for my son and the stress can lead to some very challenging behaviour when he gets frustrated and upset.

“It’s great the rules and changed for autistic people and driving to the nearby park – it’s unsafe for him to walk along the road – where he can feed the ducks and play safely is an absolute life line for us and I can see the difference it makes to his mental health – it calms him.

“I was really upset when recently the Police told us to turn around otherwise they would fine me. They said they needed to see a GP letter. I offered our social worker’s phone number but they refused.

“Our GP can’t provide a letter as understandably they are busy and to be honest it seems like a waste of medical professionals’ time during this pandemic.

“I know other parents who were planning on finally getting out as the rules had been changed but are now too scared so are still stuck at home, often with very distressed children. Even just the possibility of being stopped by Police and not managing to follow through with a plan will put off many families with autistic members.”

Briggs: Plan now for coronavirus rehabilitation

Lothian MSP Miles Briggs says health boards must start planning now for rehabilitation support for people who have had severe cases of Coronavirus.

Covid-19 is expected to lead to a dramatic increase in the numbers of people managing what will possibly be long-term lung conditions and needing support for rehab and recovery.

The number of people who have Chronic Obstructive Pulmonary disease in NHS Lothian has increased by 70% since 2011/12, to 19,167 people, a higher increase than any other region in Scotland.

Chest Heart & Stroke Scotland are working with health boards, including NHS Lothian, to reform the way people with lung conditions access rehabilitation and support.

Vital support, such as Pulmonary Rehabilitation, could benefit thousands of people in Lothian, as well as allowing the health board to make significant savings in the long term.

The charity have a number of initiatives in place to support those living with chest, heart and stroke conditions during the Coronavirus epidemic, including their freephone advice line Nurses: 0808 801 0899

Miles Briggs, Scottish Conservative Health Spokesperon, said: “It is right that health boards are focusing their efforts on maximising the number of intensive care beds, increasing ventilator capacity and continuing to treat those who are most sick.

“A high number of people in Edinburgh and the Lothian’s, who have breathing difficulties and are in the high risk category during the Coronavirus outbreak, would benefit from this treatment.

“NHS Lothian must start putting plans in place now for breathing rehabilitation, so that patients who have had Coronavirus can access this treatment and start their recovery.”

Jane-Claire Judson, Chief Executive at Chest Heart & Stroke Scotland, said: “The devastating impact of coronavirus will see many survivors living with poor lung health, perhaps for the rest of their lives. They could be left dealing with breathlessness which can cause worry and anxiety, but there are rehabilitation programmes which can help.

“Physical activity is hugely important to recovery and it is key to living well with chest conditions. At the moment our local support groups which normally provide group exercise can’t meet up.

“We’re making sure that people can still keep active at home by sending out short videos and information on activities everyone can do. We’re also busy working with health boards across Scotland to make sure our services alleviate some of the pressures on the NHS.

“No-one fully understands what long-term effects coronavirus will have on people’s health – but we do know that support for rehab and recovery is going to be more important than ever.

“Chest Heart & Stroke Scotland is urgently making plans and adapting our services to make sure we’re there for everyone who needs us, now and in the future.”

We CARE: Hancock launches care sector action plan

The UK government has published an action plan to support the adult social care sector in England throughout the coronavirus outbreak.

  • New action plan to reduce outbreaks in care homes, support care staff and providers and maintain independence of those receiving care
  • Plans to boost access to PPE, ramp up testing for care sector and recruit more staff
  • Unifying new ‘care’ brand for care workers with NHS-style identity, to ensure recognition and access to benefits during crisis and in response to ask from sector

Better access to testing, millions of additional PPE items, expansions to the workforce and a new brand to further recognise the sector’s contribution to society are at the heart of a new action plan to support the social care sector through the coronavirus outbreak.

The Government has committed to ensuring that all care workers who need a test receive one, and all symptomatic residents in a care home will be tested to prevent outbreaks. Over 4,000 social care workers have already been referred for testing so far.

Everyone going into a care home from hospital will be tested with immediate effect. Currently the first five residents with symptoms are tested to provide confirmation of whether there is an outbreak.

The way PPE is being delivered to care homes is being rapidly overhauled, with homes supported to order PPE quickly, including through direct dispatches via Royal Mail, a 24/7 hotline and a new pilot website.

Secretary of State for Health and Social Care Matt Hancock said:  “We should all be proud of our incredible care sector who are fighting this battle against this virus on the frontline.

“Our care staff come to work day-after-day supporting our most vulnerable in these incredibly challenging times.

“Today we are introducing a new CARE brand that can be worn with pride, and it will signal to everyone that they belong to a strong, united and respected family.”

Over 1.5 million frontline care workers will now be able to unite under one banner to help create an NHS-style single identity to better celebrate and recognise the care sector.

This will be based on the existing CARE badge, which was launched as a unifying symbol of pride for the social care sector by Care England and the National Care Forum.

This will make it simpler for care-givers to access benefits such as priority shopping hours, in the same way as NHS staff and will recognise the integral role social care workers are playing in responding to this outbreak and supporting vulnerable people.

The action plan also outlines plans to expand the social care workforce by tens of thousands through a new recruitment campaign that will highlight the vital role of care staff, backed by a new online learning platform to rapidly upskill new staff.

Social care providers across England have already received an emergency drop of 7 million PPE items, so that every CQC registered care provider received at least 300 face masks to meet immediate needs.

In the coming weeks, a dedicated supply chain will be in place for social care, which will mean social care providers can make orders and have them dispatched directly to them – in line with the NHS and Local Resilience Forums.

Care providers unable to get PPE from their usual suppliers will be supported by a 24/7 hotline and a dedicated, in-house team at the National Supply Disruption Response (NSDR), who can rapidly pack and deliver PPE to providers.

The UK Government is also working with e-commerce experts to pilot a website which will allow care homes to order PPE online, using NHS Supply chains and shipped directly via Royal Mail.

Minister for Care Helen Whately said: ”The care workforce is playing an essential role in the fight against Covid-19, and they deserve the same recognition and support as NHS staff.  

“This virus has brought many challenges to the sector and today we are setting out how we will ensure care staff have all they need to do their jobs safely.

“We are keen to get as many people on the care frontline as possible which is why we’re launching a campaign to attract people to the sector to support the national effort. I urge former social workers, occupational therapists and nurses to return to the sector to join the fight to protect our most vulnerable.”

The plan also gives guidance to help minimise the spread of infection within all care settings. This includes advice on safe discharge from the NHS, including testing prior to discharge and when isolation is recommended.

This follows the announcement by the Health and Social Care Secretary yesterday that all care home residents and social care staff with COVID-19 symptoms will be tested as capacity increases.

Dedicated testing has already begun for frontline staff, including social care workers and in addition to over 20,000 tests for NHS workers and their families.

The Care Quality Commission (CQC) are working in partnership with ADASS and local providers to lead the coordination of regional testing and have already offered testing to 11000 care facilities. All registered care providers will be contacted in the coming days so employers can identify staff eligible for testing in line with PHE guidance and refer them to their local testing centre.

Chief Executive of Care England Professor Martin Green OBE said: “The social care action plan gives us a framework on which we should build the future of social care, as well as showing the important role social care is playing to support people in this current health emergency.”

To attract 20,000 people into social care over the next three months to relieve pressures in the care workforce, in the next few weeks we will re-launch our national recruitment campaign to run across broadcast, digital, and social media.

The campaign will highlight the vital role that the social care workforce is playing right now, during this pandemic, along with the longer-term opportunity of working in care. A new online platform will be developed to streamline the recruitment process for candidates and employers.

Previously registered social workers in England, occupational therapists and nurses are being invited to return to the sector to support the frontline effort. Over 7,000 retired nurses have responded to a call to return to employment – some of whom will be deployed to care settings.

The government has invited former social workers who have left the profession in the last two years to return to employment – with the aim that 8,000 social workers could be supported to return to work if they wish to. Over a thousand individuals have already expressed an interest in returning to social care during the outbreak.

Last month, the government announced £2.9 billion of funding to strengthen care for the vulnerable as part of the government’s commitment to ensure NHS and social care system, and other public services, have all the resources they need during the COVID-19 outbreak.

Joint Chief Social Worker for Adults, Mark Harvey and Fran Leddra said: “The social care workforce supports our families, friends and neighbours in the millions every day.

“They provide care and support to sustain in some of the most important elements of our lives – relationships, companionship, inclusion, meaning and aspiration. They enable people to not only get the best care possible but to also continue to contribute to and be a part of society. Our social care staff are there to make moments such as end of life as respectful and caring as possible, as this becomes more of a reality.

“We have both worked in social care all our lives and everyday find ourselves in awe of the dedication and commitment that care workers, social workers, and occupational therapists amongst many others have always shown and now in responding to COVID-19 and the new challenges that it has brought.

“We are delighted that the new CARE brand will provide much-deserved recognition to the social care workforce, and continue to be grateful to those returning or joining the workforce at this time.”

The new social care action plan has been published on GOV.UK

Edinburgh Charity Delivers Emergency Care Packs to Vulnerable Families Shielding at Home

An Edinburgh children’s charity is delivering emergency care packs to families who have a vulnerable child and are currently shielding at home due to the COVID-19 pandemic.  

Last week, Edinburgh Children’s Hospital Charity (ECHC) – which supports the Royal Hospital for Sick Children – began providing free emergency packs of food and essential items to families visiting or being discharged from the hospital.   

Now, the charity has expanded this service and is delivering the free care packs to the homes of clinically vulnerable families who are known to the RHSC and who are currently shielding for an extended period to protect themselves during the pandemic.   

The packs contain food products and essential items including nappies, toilet roll, tinned soup, beans and tea bags to support families while they cannot leave the house to go shopping. 

The charity is also in the process of developing toiletry packs and creative care packs with art supplies to help keep children entertained at home and reduce isolation.  

ECHC is delivering the packs to families’ doorsteps, as well as to nursing bases where community nurses and health visitors are also helping to distribute them. The charity will keep in regular contact with the families throughout their isolation period to meet their needs if they require additional packs.  

Louise Sharkey and partner Graeme have been shielding their 12-year-old son Charlie, who has a rare genetic disorder and epilepsy, and his four-year-old brother Jack at home for over three weeks.  

Louise said: “During this difficult time, ECHC continues to be a well needed support that we are extremely grateful for and have relied on during many hospital admissions over the years. They are at the end of the phone should we need emotional support and are liaising closely with the palliative care team to provide support also.   

“Recently a care pack was dropped off at our house by the charity containing essential supplies that can be difficult to source right now. We have been finding it hard to get deliveries from supermarkets, so we were running low on things like antibacterial hand soap, pasta, toilet rolls, baby wipes and some cereals.

“We are very lucky to have a good family support network who have been providing us with essentials should they be needed but it’s not always easy for them as they don’t live close by.  

“The bag of essential supplies that came from ECHC was extremely useful as it contained extra toilet rolls and baby wipes that we use a lot with Charlie, and cereal. Jack was delighted that it contained some treats too! The charity is a lifeline for many families during hospital stays and at times like these in the community too.”  

ECHC recently launched its COVID-19 Emergency Appeal to help families having to cope with the impact of the outbreak on top of the distress of having a sick or injured child.  

Roslyn Neely, CEO of ECHC, said: “Right now, all families are facing the challenges of lockdown. Keeping children fed and happy, and organising shopping trips on top of everything else, becomes even more difficult if you have a sick or injured child in hospital, or if you are returning home from hospital to begin an extended period of shielding or isolation.  

“The incredible NHS staff are working round the clock to make sure every child gets exceptional care throughout the crisis and we at ECHC are doing everything we can to help to reduce fear and isolation and to comfort and support families when they need it most.  

 “These emergency care packs have only been made possible thanks to the kindness of our supporters donating to our COVID-19 Emergency Appeal. We urgently need donations to continue to do this.   

“Times are difficult for all of us, but if anyone would still like to give, donations could provide a family with a much-needed care pack, fund a special play session at a child’s bedside or pay for a mum and dad to stay in our parent accommodation and be close to their child at the toughest of times.”  

To receive a care pack – Families known to the Royal Hospital for Sick Children who would like an emergency care pack are asked to contact Leigh at ECHC on 0131 668 4949 or leigh.drake@echcharity.org. 

 To support ECHC – A donation of £10 could fund an emergency care pack for one family, £15 could fund a special bedside play or creative session and £50 could pay for parents and carers to stay in ECHC’s parent accommodation for one week.

 Donations can be made online at 

https://echcharity.org/support-us/covid-19-appeal 

Nursing organisation issues statement on PPE

The NMC has issued a statement on personal protective equipment that sets out key points to help nursing and midwifery professionals during the Covid-19 pandemic.

Andrea Sutcliffe CBE, Chief Executive and Registrar at the Nursing and Midwifery Council (NMC), said: “At this time of national crisis, it’s clear if we are to protect the public, then we’ve all got to do everything we can to ensure our nursing and midwifery professionals are able to practise as safely and as effectively as possible.

“We know that the consistent and timely availability of appropriate personal protective equipment (PPE) continues to be a significant challenge in health and social care across the UK. Understandably PPE is being raised with us by our registrants and their employers and is the focus of intense activity at a national level in all four countries.

“The statement we are publishing today clarifies the key points that nurses, midwives and nursing associates should take into account when applying the Code in practice and making considered professional judgements.

“I hope this information will provide reassurance for everyone using and working in health and care settings and help support nursing and midwifery professionals to make the right individual decisions for them and the people they care for during these incredibly challenging circumstances.”

The Statement:

The Nursing and Midwifery Council (NMC) recognises the enormous challenges faced by health and social care professionals at this time and we know they are worried about the timely delivery and provision of the right personal protective equipment (PPE).

Despite the significant and urgent effort to improve the availability of appropriate PPE in health and social care settings across the UK, some professionals are still facing situations where there is insufficient suitable protective equipment available.

Our Code and Standards support nurses, midwives and nursing associates in these difficult situations by setting out the key principles to follow to keep themselves, those they lead or manage and those they care for safe.

To support our registrants further we set out below some key points to help them as they put the Code into practice and exercise their professional judgment during this unprecedented pandemic situation.

How national guidance and the Code supports you as a nurse, midwife or nursing associate dealing with challenging PPE issues

National guidance on the use of PPE has been issued to support you during this time. Whether you are a nurses, midwife, nursing associate or a student on clinical placement you should follow this guidance, which covers a range of infection control measures, including hand hygiene and respiratory and cough hygiene, as well as advice on appropriate PPE and best practice.

Your employer is responsible for ensuring that you and any staff you lead or manage have all the necessary protective equipment – including protective clothing – and that you have access to current guidance on how and when to use it correctly to minimise the risk of transmission of Covid-19. Your employer is there to help you and your colleagues by managing resources effectively and dealing with risk, so that that the safety and quality of care or service you provide for people can be maintained.

As set out in the Code, if you have any concerns about the availability or use of PPE you must raise these with your manager as soon as possible, to make sure that they are aware of the issue and can take action to support you. You can also refer to our raising concerns guidance or seek advice from your representative body or trade union.

If situations arise where suitable equipment is not available difficult decisions may need to be made quickly about the safest and best course of action. The Code states that to preserve safety you must take account of your own personal safety, the safety of others and the availability of other options for care. So you shouldn’t feel that when making decisions, you have to place yourself or others at risk, or that you need to make these decisions on your own.

Where possible you should work with colleagues to find the best way forward in these circumstances. It is important to take into consideration the balance of risks in relation to those people who are dependent on care services, as well as the requirement to protect yourself and other staff so that they are able to provide ongoing care.

Any decisions you make should take account of local and/or national clinical guidance, advice and protocols.

Factors to consider include:

  • whether treatment can be delayed or provided differently (for example, remotely)
  • the availability of different levels of PPE that may offer sufficient protection to you and others in particular care activities
  • whether some members of the wider team are at a higher risk of infection than others
  • whether different care and treatment decisions might be appropriate to minimise the risk of transmission in accordance with local and national advice
  • Taking account of all the options available, what course of action is likely to result in the least harm in the circumstances, taking into account your own safety, the safety of others and the people in your care.

You should make a record of your decisions regarding how you handle any safety concerns. You should describe how you used your own professional judgment, the role of other members of the team in decision making, and the outcome.

We acknowledge that in exercising your professional judgment in line with the Code you may decide that you need to refuse to provide care or treatment to an individual because it is not safe for you to do so.

If a concern is raised with us about any registrant refusing to treat a patient because of their concerns about inadequate PPE or being responsible for service delivery in the absence of adequate PPE, we would follow the approach that we have set out in our joint regulatory statement. As part of this approach we would consider the context of the current pandemic, including the risks that the individual registrant was exposed to and how they exercised and recorded their professional judgment in line with the Code.

Remember families who receive care at home, urges charity

A social care charity is appealing to the Scottish Government to remember families who receive care in their own homes, and the carers who provide that care, during the Coronavirus pandemic.

In a letter to Jeanne Freeman, the Cabinet Secretary for Health and Sport, the chief executive of the Scottish Personal Assistant Employers Network (SPAEN), Colin Millar (pictured), calls for action to urgently address what he describes as a “crisis”.

He writes: “We are writing on behalf of SPAEN’s 500 Direct Payment employers and the 1,500 or so others throughout Scotland who have chosen to use a Direct Payment or Option 1 to meet their social care needs.

“We are receiving frequent requests for information, advice, support and calls for SPAEN to raise these continued concerns and matters with the Scottish Government, Scottish Parliament and CoSLA as the body representing the local authority councils distributing these funds to PA employers.

“The experience of Direct Payment users in Scotland is harrowing and deeply concerning.

“They continue to report that they have little or no access to PPE and they are getting no information or updates on when or how this will be resolved.

“They continue to be fearful for themselves, their families and loved ones and their employees, their employees’ families and loved ones, all of whom risk their own health and welfare on a daily basis to provide key social care services to people in their own homes and who are placed at unnecessary risk of transmission of this virus due to a lack of PPE.

“Direct Payment employers want to follow, fully, the Scottish Government’s published guidelines on the use of PPE but they cannot do so without being given access to the vital equipment they need.

“Some callers to local authority councils are being advised to use their ‘current supply chain’ to access this. Many Direct Payment employers will not have a ‘supply chain’, they will be purchasing PPE on an ad hoc basis as and when required and permitted through the Direct Payment agreement.

“The normal suppliers are not able to meet the demand as commissioning is done at a strategic level either through the HSCP or the Scottish Government, resulting in a scarcity of PPE for people who are not supplied via these statutory bodies.

“We are aware that a number of other charities and organisations have made similar representations to the Scottish Government.

“While we do not represent unpaid carers, we have seen a huge increase in contact from these groups who are also deeply concerned that they are unable to access support or PPE.

“While we are in a period of crisis, and this is without doubt such a period, we are calling for a fundamental review into how Direct Payment recipients in Scotland are represented and supported at national and regional level at the earliest opportunity.

“After 20 years’ of representing Personal Assistant Employers across the length and breadth of Scotland, thanks to the support of the Scottish Parliament and contemporary Scottish Governments, this year SPAEN’s services are being retracted, due to funding cuts. This outbreak calls into question the logic behind such a decision and we are calling on the Health & Sport Committee to review this decision at its earliest convenience.

“Without a national body representing PA employers, these and many similar issues will simply not be raised and people electing to exercise their right to use a Direct Payment, as per the current legislation, will be further eroded.

“Ironically, it is in times like these that many people assessed as requiring social care support are seeking Direct Payments as care agencies and local authority run home care services are withdrawn or re-assessed with little or no notice or consultation.

“We’ve had repeated requests from people affected by decisions to remove their existing social care support either through care agencies or local authority home and support services where staff absenteeism has presented significant logistical challenges.

“We have requested and continue to lobby for Direct Payments to be made available to anyone and everyone who has an assessed social care need and specifically as a direct alternative where existing social care arrangements are being withdrawn as a result of Covid-19 or related resource issues.

“Peoples’ social care needs cannot, unfortunately, be abated to accomodate resourcing issues and there has already been assurance from the Cabinet Secretary that no-one should lose the support they’re already assessed as requiring.

“SPAEN represents over 500 individual employers who have equal concerns and responsibilities.

“SPAEN would welcome any invitation to join the discussions being held by the Scottish Government to discuss the current challenges facing all of social care to ensure our membership and the many hundreds of others using Direct Payments are fully and properly represented.”